Complete Test Bank j j
Medical-
Surgical Nursing: Concepts for Clinical Judgment and Collaborativ
j j j j j j j
e Care 11th Edition
j j j
by Donna D. Ignatavicius
j j j
,Chapterj01:jOverviewjofjProfessionaljNursingjConceptsjforjMedical-
SurgicaljNursingjIgnatavicius:jMedical-SurgicaljNursing,j11thjEdition
MULTIPLEjCHOICE
1. Ajnewjnursejisjworkingjwithjajpreceptorjonjajmedical-
surgicaljunit.jThejpreceptorjadvisesjthejnewjnursejthatjwhichjisjthejpriorityjwhenjworkingjasjaj
professionaljnurse?
a. Attendingj toj holisticj clientj needs
b. Ensuringjclientjsafety
c. Notj makingj medicationj errors
d. Providingj client-focusedj care
ANS:j B
Alljactionsjarejappropriatejforjthejprofessionaljnurse.jHowever,jensuringjclientjsafetyjisjthejpri
ority.jHealthjcarejerrorsjhavejbeenjwidelyjreportedjforj25jyears,jmanyjofjwhichjresultjinjclientj
injury,jdeath,jandjincreasedjhealthjcarejcosts.jTherejarejseveraljnationaljandjinternationaljorg
anizationsjthatjhavejeitherjrecommendedjorjmandatedjsafetyjinitiatives.
Everyjnursejhasjthejresponsibilityjtojguardjthejclient‘sjsafety.jThejotherjactionsjarejimportantjfor
jqualityjnursing,jbutjtheyjarejnotjasjvitaljasjprovidingjsafety.jNotjmakingjmedicationjerrorsjdoesj
providejsafety,jbutjisjtoojnarrowjinjscopejtojbejthejbestjanswer.
DIF: Understanding
TOP:jIntegratedjProcess:jNursingjProcess:jInterventionjKEY:jClientjsafety
MSC:j Clientj NeedsjCategory:jSafejandjEffectivejCarejEnvironment:j SafetyjandjInfectionjControl
2. Ajnursejisjorientingjajnewjclientjandjfamilyjtojthejmedical-
surgicaljunit.jWhatjinformationjdoesjthejnursejprovidejtojbestjhelpjthejclientjpromotejhisjorjh
erjownjsafety?
a. Encouragejthej clientj andj familyjtoj bejactivej partners.
b. Havejthejclientjmonitorjhandjhygienejinjcaregivers.
c. Offerjthej familyj thej opportunityjtoj stayjwithj thej client.
d. Telljthejclientjtojalwaysjwearjhisjorjherjarmband.
ANS:j A
Eachjactionjcouldjbejimportantjforjthejclientjorjfamilyjtojperform.jHowever,jencouragingjthejclie
ntjtojbejactivejinjhisjorjherjhealthjcarejasjajsafetyjpartnerjisjthejmostjcritical.jThejotherjactionsjare
jveryjlimitedjinjscopejandjdojnotjprovide jthejbroadjprotectionjthat jbeingjactive jandjinvolvedjdoes.
DIF: Understanding
TOP:jIntegratedjProcess:jTeaching/LearningjKEY:jClientjsafety
MSC:j Clientj NeedsjCategory:jSafejandjEffectivejCarejEnvironment:j SafetyjandjInfectionjControl
3. Ajnursejisjcaringjforjajpostoperativejclientjonjthejsurgicaljunit.jThejclient‘sjbloodjpressurejwa
sj142/76jmmjHgj30jminutesjago,jandjnowjisj88/50jmmjHg.jWhatjactionjwouldjthejnursejtakejfi
rst?
a. Callj thejRapidj ResponsejTeam.
b. Documentj andj continuejtoj monitor.
,c. Notifyjthej primaryj healthj carej provider.
, d. Repeatjthejbloodjpressurejinj15jminutes.
ANS:j A
ThejpurposejofjthejRapidjResponsejTeamj(RRT)jisjtojintervenejwhenjclientsjarejdeterioratingjbef
orejtheyjsufferjeitherjrespiratoryjorjcardiacjarrest.jSincejthejclientjhasjmanifestedjajsignificantjc
hange,jthejnursejwouldjcalljthejRRT.jChangesjinjbloodjpressure,jmentaljstatus,jheartjrate,jtempe
rature,joxygenjsaturation,jandjlastj2jhoursj‘urinejoutputjarejparticularlyjsignificantjandjarejpartjo
fjthejModifiedjEarlyjWarningjSystemjguide.jDocumentationjisjvital,jbutjthejnursejmustjdojmorej
thanjdocument.jThejprimaryjhealthjcarejproviderjwouldjbejnotified,jbutjthisjisjnotjmorejimporta
ntjthanjcallingjthejRRT.jThejclientj‘sjbloodjpressurejwouldjbejreassessedjfrequently,jbutjthejprio
rityjisjgettingjthejrapidjcarejtojthe
client.
DIF: Applying
TOP:jIntegratedjProcess:jCommunicationjandjDocumentationjKEY:jRapidjRe
sponsejTeamj(RRT),jClinicaljjudgment
MSC:j ClientjNeedsjCategory:jPhysiologicaljIntegrity:jPhysiologicaljAdaptation
4. Ajnursejwishesjtojprovidejclient-centeredjcarejinjalljinteractions.j Whichjactionjbyjthejnurse
bestjdemonstratesj thisj concept?
a. Assessesj forj culturalj influencesj affectingj healthj care.
b. Ensuresjthatjallj thej client‘sj basicj needsj arej met.
c. Tellsjthejclientj andj familyjaboutj allj upcomingj tests.
d. Thoroughlyjorientsjthejclientjandjfamilyjtojthejroom.
ANS:j A
Showingjrespectjforjthejclientjandjfamily‘sjpreferencesjandjneedsjisjessentialjtojensurejajholistic
jorj―whole-
person‖japproachjtojcare.jByjassessingjthejeffectjofjthejclient‘sjculturejonjhealthjcare,jthisjnursejisj
practicingjclient-
focusedjcare.jProvidingjforjbasicjneedsjdoesjnotjdemonstratejthisjcompetence.jSimplyjtellingjth
ejclientjaboutjalljupcomingjtestsjisjnotjprovidingjempoweringjeducation.jOrientingjthejclientjand
jfamilyjtojthejroomjisjanjimportantjsafetyjmeasure,jbutjnotjdirectlyjrelatedjtojdemonstrating jclient
-centeredjcare.
DIF: Understanding
TOP:jIntegratedjProcess:jCulturejandjSpiritualityjKEY:j Client-centeredjcare,jCulture
MSC:j ClientjNeedsjCategory:jPsychosocialjIntegrity
5. Ajclientjisjgoingjtojbejadmittedjforjajscheduledjsurgicaljprocedure.jWhichjactionjdoesjthejnu
rsejexplainjisjthejmostjimportantjthingjthejclientjcanjdojtojprotectjagainstjerrors?
a. Bringjajlistjofjalljmedicationsjandjwhatjtheyjarejfor.
b. Keepj thej provider‘sj phonej numberj byjthej telephone.
c. Makejsurejthatj allj providersj washj handsj beforej enteringj thej room.
d. Writejdownjthejnamejofjeachjcaregiverjwhojcomesjinjthejroom.
ANS:j A
Medicationjreconciliationjisjajformaljprocessjinjwhichjthejclient‘sjactualjcurrentjmedicationsjarej
comparedjtojthejprescribedjmedicationsjatjthejtimejofjadmission,jtransfer,jorjdischarge.jThisjNa
tionaljclientjSafetyjGoaljisjimportantjtojreducejmedicationjerrors.jThejclientjwouldjnotjhavejtojb
ejresponsiblejforjprovidersjwashingjtheirjhands,jandjevenjifjthejclientjdoesjso,jthisjisjtoojnarrowjt
ojbejthejmostjimportantjactionjtojpreventjerrors.jKeepingjthejprovider‘sjphonejnumberjnearbyja
Medical-
Surgical Nursing: Concepts for Clinical Judgment and Collaborativ
j j j j j j j
e Care 11th Edition
j j j
by Donna D. Ignatavicius
j j j
,Chapterj01:jOverviewjofjProfessionaljNursingjConceptsjforjMedical-
SurgicaljNursingjIgnatavicius:jMedical-SurgicaljNursing,j11thjEdition
MULTIPLEjCHOICE
1. Ajnewjnursejisjworkingjwithjajpreceptorjonjajmedical-
surgicaljunit.jThejpreceptorjadvisesjthejnewjnursejthatjwhichjisjthejpriorityjwhenjworkingjasjaj
professionaljnurse?
a. Attendingj toj holisticj clientj needs
b. Ensuringjclientjsafety
c. Notj makingj medicationj errors
d. Providingj client-focusedj care
ANS:j B
Alljactionsjarejappropriatejforjthejprofessionaljnurse.jHowever,jensuringjclientjsafetyjisjthejpri
ority.jHealthjcarejerrorsjhavejbeenjwidelyjreportedjforj25jyears,jmanyjofjwhichjresultjinjclientj
injury,jdeath,jandjincreasedjhealthjcarejcosts.jTherejarejseveraljnationaljandjinternationaljorg
anizationsjthatjhavejeitherjrecommendedjorjmandatedjsafetyjinitiatives.
Everyjnursejhasjthejresponsibilityjtojguardjthejclient‘sjsafety.jThejotherjactionsjarejimportantjfor
jqualityjnursing,jbutjtheyjarejnotjasjvitaljasjprovidingjsafety.jNotjmakingjmedicationjerrorsjdoesj
providejsafety,jbutjisjtoojnarrowjinjscopejtojbejthejbestjanswer.
DIF: Understanding
TOP:jIntegratedjProcess:jNursingjProcess:jInterventionjKEY:jClientjsafety
MSC:j Clientj NeedsjCategory:jSafejandjEffectivejCarejEnvironment:j SafetyjandjInfectionjControl
2. Ajnursejisjorientingjajnewjclientjandjfamilyjtojthejmedical-
surgicaljunit.jWhatjinformationjdoesjthejnursejprovidejtojbestjhelpjthejclientjpromotejhisjorjh
erjownjsafety?
a. Encouragejthej clientj andj familyjtoj bejactivej partners.
b. Havejthejclientjmonitorjhandjhygienejinjcaregivers.
c. Offerjthej familyj thej opportunityjtoj stayjwithj thej client.
d. Telljthejclientjtojalwaysjwearjhisjorjherjarmband.
ANS:j A
Eachjactionjcouldjbejimportantjforjthejclientjorjfamilyjtojperform.jHowever,jencouragingjthejclie
ntjtojbejactivejinjhisjorjherjhealthjcarejasjajsafetyjpartnerjisjthejmostjcritical.jThejotherjactionsjare
jveryjlimitedjinjscopejandjdojnotjprovide jthejbroadjprotectionjthat jbeingjactive jandjinvolvedjdoes.
DIF: Understanding
TOP:jIntegratedjProcess:jTeaching/LearningjKEY:jClientjsafety
MSC:j Clientj NeedsjCategory:jSafejandjEffectivejCarejEnvironment:j SafetyjandjInfectionjControl
3. Ajnursejisjcaringjforjajpostoperativejclientjonjthejsurgicaljunit.jThejclient‘sjbloodjpressurejwa
sj142/76jmmjHgj30jminutesjago,jandjnowjisj88/50jmmjHg.jWhatjactionjwouldjthejnursejtakejfi
rst?
a. Callj thejRapidj ResponsejTeam.
b. Documentj andj continuejtoj monitor.
,c. Notifyjthej primaryj healthj carej provider.
, d. Repeatjthejbloodjpressurejinj15jminutes.
ANS:j A
ThejpurposejofjthejRapidjResponsejTeamj(RRT)jisjtojintervenejwhenjclientsjarejdeterioratingjbef
orejtheyjsufferjeitherjrespiratoryjorjcardiacjarrest.jSincejthejclientjhasjmanifestedjajsignificantjc
hange,jthejnursejwouldjcalljthejRRT.jChangesjinjbloodjpressure,jmentaljstatus,jheartjrate,jtempe
rature,joxygenjsaturation,jandjlastj2jhoursj‘urinejoutputjarejparticularlyjsignificantjandjarejpartjo
fjthejModifiedjEarlyjWarningjSystemjguide.jDocumentationjisjvital,jbutjthejnursejmustjdojmorej
thanjdocument.jThejprimaryjhealthjcarejproviderjwouldjbejnotified,jbutjthisjisjnotjmorejimporta
ntjthanjcallingjthejRRT.jThejclientj‘sjbloodjpressurejwouldjbejreassessedjfrequently,jbutjthejprio
rityjisjgettingjthejrapidjcarejtojthe
client.
DIF: Applying
TOP:jIntegratedjProcess:jCommunicationjandjDocumentationjKEY:jRapidjRe
sponsejTeamj(RRT),jClinicaljjudgment
MSC:j ClientjNeedsjCategory:jPhysiologicaljIntegrity:jPhysiologicaljAdaptation
4. Ajnursejwishesjtojprovidejclient-centeredjcarejinjalljinteractions.j Whichjactionjbyjthejnurse
bestjdemonstratesj thisj concept?
a. Assessesj forj culturalj influencesj affectingj healthj care.
b. Ensuresjthatjallj thej client‘sj basicj needsj arej met.
c. Tellsjthejclientj andj familyjaboutj allj upcomingj tests.
d. Thoroughlyjorientsjthejclientjandjfamilyjtojthejroom.
ANS:j A
Showingjrespectjforjthejclientjandjfamily‘sjpreferencesjandjneedsjisjessentialjtojensurejajholistic
jorj―whole-
person‖japproachjtojcare.jByjassessingjthejeffectjofjthejclient‘sjculturejonjhealthjcare,jthisjnursejisj
practicingjclient-
focusedjcare.jProvidingjforjbasicjneedsjdoesjnotjdemonstratejthisjcompetence.jSimplyjtellingjth
ejclientjaboutjalljupcomingjtestsjisjnotjprovidingjempoweringjeducation.jOrientingjthejclientjand
jfamilyjtojthejroomjisjanjimportantjsafetyjmeasure,jbutjnotjdirectlyjrelatedjtojdemonstrating jclient
-centeredjcare.
DIF: Understanding
TOP:jIntegratedjProcess:jCulturejandjSpiritualityjKEY:j Client-centeredjcare,jCulture
MSC:j ClientjNeedsjCategory:jPsychosocialjIntegrity
5. Ajclientjisjgoingjtojbejadmittedjforjajscheduledjsurgicaljprocedure.jWhichjactionjdoesjthejnu
rsejexplainjisjthejmostjimportantjthingjthejclientjcanjdojtojprotectjagainstjerrors?
a. Bringjajlistjofjalljmedicationsjandjwhatjtheyjarejfor.
b. Keepj thej provider‘sj phonej numberj byjthej telephone.
c. Makejsurejthatj allj providersj washj handsj beforej enteringj thej room.
d. Writejdownjthejnamejofjeachjcaregiverjwhojcomesjinjthejroom.
ANS:j A
Medicationjreconciliationjisjajformaljprocessjinjwhichjthejclient‘sjactualjcurrentjmedicationsjarej
comparedjtojthejprescribedjmedicationsjatjthejtimejofjadmission,jtransfer,jorjdischarge.jThisjNa
tionaljclientjSafetyjGoaljisjimportantjtojreducejmedicationjerrors.jThejclientjwouldjnotjhavejtojb
ejresponsiblejforjprovidersjwashingjtheirjhands,jandjevenjifjthejclientjdoesjso,jthisjisjtoojnarrowjt
ojbejthejmostjimportantjactionjtojpreventjerrors.jKeepingjthejprovider‘sjphonejnumberjnearbyja
