Test Bank for Understanding Medical-Surgical Nursing
7th Edition (Williams & Hopper) Q & A Chapter 1 – 57
latest updated MULTIPLE CHOICE
Which action demonstrates that the nurse understands the purpose ofthe Rapid
Response Team?
a. Monitoring the client for changes in postoperative status such aswound
infection
b. Documenting all changes observed in the client and maintaining apostoperative
flow sheet
c. Notifying the physician of the client’s change in blood pressure from140 to 88 mm
Hg systolic
d. Notifying the physician of the client’s increase in restlessness aftermedication
change
, The Joint Commission focuses on safety in health care. Which action bythe nurse reflects
The Joint Commission’s main objective?
a. Performing range-of-motion exercises on the client three times eachday
b. Ensuring that the client is eating 100% of the meals served to him orher
c. Assessing the client’s respirations when administering opioids
d. Delegating to the nursing assistant to give the client a complete bathdaily
, Which action by the nurse shows an understanding of the principle ofself-
determination?
a. Allowing a postoperative client to decide to take medication withfruit juice
rather than water
b. Allowing a teenager to decide not to go to a clinic when there isevidence
that she is having profuse vaginal bleeding
c. Allowing a parent to decide not to proceed with a lifesavingoperation
for a 12-year-old client
d. Allowing an older client with dementia to decide not to take cardiacmedication
throughout the shift
The nurse is initiating a series of teaching sessions with an older client.
What is the nurse’s highest-priority, client-centered action beforebeginning the session?
a. Ensure that the client’s family is present and will participate.
b. Make certain that the client is wearing his glasses.
c. Have printed handouts ready to use during the session.
d. Schedule the session for early evening after the client’s meal.
Which action best demonstrates the nurse using client-centered care
, when planning a menu for a Vietnamese client who is newly diagnosedwith diabetes?
a. Asking the client what food he or she would eat on a standarddiabetic
menu
b. Asking family members to make selections for the client from adiabetic
menu
c. Ordering a typical diabetic meal for the client and planning dietteaching
d. Researching the Vietnamese culture before discussing diabetic mealplanning
The Institute for Healthcare Improvement (IHI) identified interventionsto save client
lives. Which actions are within the scope of nursing practice to improve quality of care?
a. Insert a central line to give intravenous fluid to a dehydrated client.
b. Use sterile technique when changing dressings on a new surgicalsite.
c. Intubate a client whose oxygen saturation is 92%.
d. Prescribe aspirin for a client who presents with an acute myocardialinfarction
Which action by the nurse demonstrates the best practice for nursing
7th Edition (Williams & Hopper) Q & A Chapter 1 – 57
latest updated MULTIPLE CHOICE
Which action demonstrates that the nurse understands the purpose ofthe Rapid
Response Team?
a. Monitoring the client for changes in postoperative status such aswound
infection
b. Documenting all changes observed in the client and maintaining apostoperative
flow sheet
c. Notifying the physician of the client’s change in blood pressure from140 to 88 mm
Hg systolic
d. Notifying the physician of the client’s increase in restlessness aftermedication
change
, The Joint Commission focuses on safety in health care. Which action bythe nurse reflects
The Joint Commission’s main objective?
a. Performing range-of-motion exercises on the client three times eachday
b. Ensuring that the client is eating 100% of the meals served to him orher
c. Assessing the client’s respirations when administering opioids
d. Delegating to the nursing assistant to give the client a complete bathdaily
, Which action by the nurse shows an understanding of the principle ofself-
determination?
a. Allowing a postoperative client to decide to take medication withfruit juice
rather than water
b. Allowing a teenager to decide not to go to a clinic when there isevidence
that she is having profuse vaginal bleeding
c. Allowing a parent to decide not to proceed with a lifesavingoperation
for a 12-year-old client
d. Allowing an older client with dementia to decide not to take cardiacmedication
throughout the shift
The nurse is initiating a series of teaching sessions with an older client.
What is the nurse’s highest-priority, client-centered action beforebeginning the session?
a. Ensure that the client’s family is present and will participate.
b. Make certain that the client is wearing his glasses.
c. Have printed handouts ready to use during the session.
d. Schedule the session for early evening after the client’s meal.
Which action best demonstrates the nurse using client-centered care
, when planning a menu for a Vietnamese client who is newly diagnosedwith diabetes?
a. Asking the client what food he or she would eat on a standarddiabetic
menu
b. Asking family members to make selections for the client from adiabetic
menu
c. Ordering a typical diabetic meal for the client and planning dietteaching
d. Researching the Vietnamese culture before discussing diabetic mealplanning
The Institute for Healthcare Improvement (IHI) identified interventionsto save client
lives. Which actions are within the scope of nursing practice to improve quality of care?
a. Insert a central line to give intravenous fluid to a dehydrated client.
b. Use sterile technique when changing dressings on a new surgicalsite.
c. Intubate a client whose oxygen saturation is 92%.
d. Prescribe aspirin for a client who presents with an acute myocardialinfarction
Which action by the nurse demonstrates the best practice for nursing
