TEST BANK For Medical-
¡¡ ¡¡ ¡¡
Surgical Nursing 10th Edition Concepts for Interprofessional Coll
¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡
aborative Care, by Donna D. Ignatavicius, All chapters 1 – 69
¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡
MULTIPLE¡¡CHOICE
1. A¡¡new¡¡nurse¡¡is¡¡working¡¡with¡¡a¡¡preceptor¡¡on¡¡a¡¡medical-
surgical¡¡unit.¡¡The¡¡preceptor¡¡advises¡¡the¡¡new¡¡nurse¡¡that¡¡which¡¡is¡¡the¡¡priority¡¡when¡¡working¡¡a
s¡¡a¡¡professional¡¡nurse?
a. Attending¡¡to¡¡holistic¡¡client¡¡needs
b. Ensuring¡¡client¡¡safety
c. Not¡¡making¡¡medication¡¡errors
d. Providing¡¡client-focused¡¡care
CORRECT¡¡ANSWER:¡ ¡ B
All¡¡actions¡¡are¡¡appropriate¡¡for¡¡the¡¡professional¡¡nurse.¡¡However,¡¡ensuring¡¡client¡¡safety¡¡is¡¡the¡¡pr
iority.¡¡Health¡¡care¡¡errors¡¡have¡¡been¡¡widely¡¡reported¡¡for¡¡25¡¡years,¡¡many¡¡of¡¡which¡¡result¡¡in¡¡clie
nt¡¡injury,¡¡death,¡¡and¡¡increased¡¡health¡¡care¡¡costs.¡¡There¡¡are¡¡several¡¡national¡¡and¡¡international¡¡
organizations¡¡that¡¡have¡¡either¡¡recommended¡¡or¡¡mandated¡¡safety¡¡initiatives.
Every¡¡nurse¡¡has¡¡the¡¡responsibility¡¡to¡¡guard¡¡the¡¡client’s¡¡safety.¡¡The¡¡other¡¡actions¡¡are¡¡importan
t¡¡for¡¡quality¡¡nursing,¡¡but¡¡they¡¡are¡¡not¡¡as¡¡vital¡¡as¡¡providing¡¡safety.¡¡Not¡¡making¡¡medication¡¡erro
rs¡¡does¡¡provide¡¡safety,¡¡but¡¡is¡¡too¡¡narrow¡¡in¡¡scope¡¡to¡¡be¡¡the¡¡best¡¡answer.
DIF: Understanding
TOP:¡ ¡ Integrated¡¡Process:¡¡Nursing¡¡Process:¡¡Intervention¡¡KEY:¡¡Client¡¡safety
MSC:¡ ¡ Client¡¡Needs¡¡Category:¡¡Safe¡¡and¡¡Effective¡¡Care¡¡Environment:¡¡Safety¡¡and¡¡Infection¡¡Control
2. A¡¡nurse¡¡is¡¡orienting¡¡a¡¡new¡¡client¡¡and¡¡family¡¡to¡¡the¡¡medical-
surgical¡¡unit.¡¡What¡¡information¡¡does¡¡the¡¡nurse¡¡provide¡¡to¡¡best¡¡help¡¡the¡¡client¡¡promote¡¡his¡¡
or¡¡her¡¡own¡¡safety?
a. Encourage¡¡the¡¡client¡¡and¡¡family¡¡to¡¡be¡¡active¡¡partners.
b. Have¡¡the¡¡client¡¡monitor¡¡hand¡¡hygiene¡¡in¡¡caregivers.
c. Offer¡¡the¡¡family¡¡the¡¡opportunity¡¡to¡¡stay¡¡with¡¡the¡¡client.
d. Tell¡¡the¡¡client¡¡to¡¡always¡¡wear¡¡his¡¡or¡¡her¡¡armband.
CORRECT¡¡ANSWER:¡ ¡ A
Each¡¡action¡¡could¡¡be¡¡important¡¡for¡¡the¡¡client¡¡or¡¡family¡¡to¡¡perform.¡¡However,¡¡encouraging¡¡the¡
¡ client¡¡to¡¡be¡¡active¡¡in¡¡his¡¡or¡¡her¡¡health¡¡care¡¡as¡¡a¡¡safety¡¡partner¡¡is¡¡the¡¡most¡¡critical.¡¡The¡¡other¡¡a
, ctions¡¡are¡¡very¡¡limited¡¡in¡¡scope¡¡and¡¡do¡¡not¡¡provide¡¡the¡¡broad¡¡protection¡¡that¡¡being¡¡active¡¡and¡¡i
nvolved¡¡does.
DIF: Understanding
TOP:¡¡Integrated¡¡Process:¡¡Teaching/Learning¡¡KEY:¡¡Client¡¡safety
MSC:¡ ¡ Client¡¡Needs¡¡Category:¡¡Safe¡¡and¡¡Effective¡¡Care¡¡Environment:¡¡Safety¡¡and¡¡Infection¡¡Control
3. A¡¡nurse¡¡is¡¡caring¡¡for¡¡a¡¡postoperative¡¡client¡¡on¡¡the¡¡surgical¡¡unit.¡¡The¡¡client’s¡¡blood¡¡pressure¡
¡ was¡¡142/76¡¡mm¡¡Hg¡¡30¡¡minutes¡¡ago,¡¡and¡¡now¡¡is¡¡88/50¡¡mm¡¡Hg.¡¡What¡¡action¡¡would¡¡the¡¡nurs
e¡¡take¡¡first?
a. Call¡¡the¡¡Rapid¡¡Response¡¡Team.
b. Document¡¡and¡¡continue¡¡to¡¡monitor.
c. Notify¡¡the¡¡primary¡¡health¡¡care¡¡provider.
d. Repeat¡¡the¡¡blood¡¡pressure¡¡in¡¡15¡¡minutes.
, CORRECT¡¡ANSWER:¡ ¡ A
The¡¡purpose¡¡of¡¡the¡¡Rapid¡¡Response¡¡Team¡¡(RRT)¡¡is¡¡to¡¡intervene¡¡when¡¡clients¡¡are¡¡deteriorating
¡¡ before¡¡they¡¡suffer¡¡either¡¡respiratory¡¡or¡¡cardiac¡¡arrest.¡¡Since¡¡the¡¡client¡¡has¡¡manifested¡¡a¡¡signif
icant¡¡change,¡¡the¡¡nurse¡¡would¡¡call¡¡the¡¡RRT.¡¡Changes¡¡in¡¡blood¡¡pressure,¡¡mental¡¡status,¡¡heart¡¡r
ate,¡¡temperature,¡¡oxygen¡¡saturation,¡¡and¡¡last¡¡2¡¡hours’¡¡urine¡¡output¡¡are¡¡particularly¡¡significant¡¡
and¡¡are¡¡part¡¡of¡¡the¡¡Modified¡¡Early¡¡Warning¡¡System¡¡guide.¡¡Documentation¡¡is¡¡vital,¡¡but¡¡the¡¡nu
rse¡¡must¡¡do¡¡more¡¡than¡¡document.¡¡The¡¡primary¡¡health¡¡care¡¡provider¡¡would¡¡be¡¡notified,¡¡but¡¡thi
s¡¡is¡¡not¡¡more¡¡important¡¡than¡¡calling¡¡the¡¡RRT.¡¡The¡¡client’s¡¡blood¡¡pressure¡¡would¡¡be¡¡reassesse
d¡¡frequently,¡¡but¡¡the¡¡priority¡¡is¡¡getting¡¡the¡¡rapid¡¡care¡¡to¡¡the¡¡client.
DIF: Applying
TOP:¡ ¡ Integrated¡¡Process:¡¡Communication¡¡and¡¡Documentation¡¡KEY:¡¡Rapid¡¡
Response¡¡Team¡¡(RRT),¡¡Clinical¡¡judgment
MSC:¡ ¡ Client¡¡Needs¡¡Category:¡¡Physiological¡¡Integrity:¡¡Physiological¡¡Adaptation
4. A¡¡nurse¡¡wishes¡¡to¡¡provide¡¡client-centered¡¡care¡¡in¡¡all¡¡interactions.¡¡Which¡¡action¡¡by¡¡the¡¡nurse
best¡¡demonstrates¡¡this¡¡concept?
a. Assesses¡¡for¡¡cultural¡¡influences¡¡affecting¡¡health¡¡care.
b. Ensures¡¡that¡¡all¡¡the¡¡client’s¡¡basic¡¡needs¡¡are¡¡met.
c. Tells¡¡the¡¡client¡¡and¡¡family¡¡about¡¡all¡¡upcoming¡¡tests.
d. Thoroughly¡¡orients¡¡the¡¡client¡¡and¡¡family¡¡to¡¡the¡¡room.
CORRECT¡¡ANSWER:¡ ¡ A
Showing¡¡respect¡¡for¡¡the¡¡client¡¡and¡¡family’s¡¡preferences¡¡and¡¡needs¡¡is¡¡essential¡¡to¡¡ensure¡¡a¡¡holi
stic¡¡or¡¡“whole-
person”¡¡approach¡¡to¡¡care.¡¡By¡¡assessing¡¡the¡¡effect¡¡of¡¡the¡¡client’s¡¡culture¡¡on¡¡health¡¡care,¡¡this¡¡nu
rse¡¡is¡¡practicing¡¡client-
focused¡¡care.¡¡Providing¡¡for¡¡basic¡¡needs¡¡does¡¡not¡¡demonstrate¡¡this¡¡competence.¡¡Simply¡¡telling
¡¡ the¡¡client¡¡about¡¡all¡¡upcoming¡¡tests¡¡is¡¡not¡¡providing¡¡empowering¡¡education.¡¡Orienting¡¡the¡¡clie
nt¡¡and¡¡family¡¡to¡¡the¡¡room¡¡is¡¡an¡¡important¡¡safety¡¡measure,¡¡but¡¡not¡¡directly¡¡related¡¡to¡¡demonstr
ating¡¡client-centered¡¡care.
DIF: Understanding
TOP:¡¡Integrated¡¡Process:¡¡Culture¡¡and¡¡Spirituality¡¡KEY:¡ ¡ Client-centered¡¡care,¡¡Culture
MSC:¡ ¡ Client¡¡Needs¡¡Category:¡¡Psychosocial¡¡Integrity
5. A¡¡client¡¡is¡¡going¡¡to¡¡be¡¡admitted¡¡for¡¡a¡¡scheduled¡¡surgical¡¡procedure.¡¡Which¡¡action¡¡does¡¡th
e¡¡nurse¡¡explain¡¡is¡¡the¡¡most¡¡important¡¡thing¡¡the¡¡client¡¡can¡¡do¡¡to¡¡protect¡¡against¡¡errors?
a. Bring¡¡a¡¡list¡¡of¡¡all¡¡medications¡¡and¡¡what¡¡they¡¡are¡¡for.
b. Keep¡¡the¡¡provider’s¡¡phone¡¡number¡¡by¡¡the¡¡telephone.
c. Make¡¡sure¡¡that¡¡all¡¡providers¡¡wash¡¡hands¡¡before¡¡entering¡¡the¡¡room.
¡¡ ¡¡ ¡¡
Surgical Nursing 10th Edition Concepts for Interprofessional Coll
¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡
aborative Care, by Donna D. Ignatavicius, All chapters 1 – 69
¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
¡¡ ¡¡ ¡¡ ¡¡ ¡¡ ¡¡
MULTIPLE¡¡CHOICE
1. A¡¡new¡¡nurse¡¡is¡¡working¡¡with¡¡a¡¡preceptor¡¡on¡¡a¡¡medical-
surgical¡¡unit.¡¡The¡¡preceptor¡¡advises¡¡the¡¡new¡¡nurse¡¡that¡¡which¡¡is¡¡the¡¡priority¡¡when¡¡working¡¡a
s¡¡a¡¡professional¡¡nurse?
a. Attending¡¡to¡¡holistic¡¡client¡¡needs
b. Ensuring¡¡client¡¡safety
c. Not¡¡making¡¡medication¡¡errors
d. Providing¡¡client-focused¡¡care
CORRECT¡¡ANSWER:¡ ¡ B
All¡¡actions¡¡are¡¡appropriate¡¡for¡¡the¡¡professional¡¡nurse.¡¡However,¡¡ensuring¡¡client¡¡safety¡¡is¡¡the¡¡pr
iority.¡¡Health¡¡care¡¡errors¡¡have¡¡been¡¡widely¡¡reported¡¡for¡¡25¡¡years,¡¡many¡¡of¡¡which¡¡result¡¡in¡¡clie
nt¡¡injury,¡¡death,¡¡and¡¡increased¡¡health¡¡care¡¡costs.¡¡There¡¡are¡¡several¡¡national¡¡and¡¡international¡¡
organizations¡¡that¡¡have¡¡either¡¡recommended¡¡or¡¡mandated¡¡safety¡¡initiatives.
Every¡¡nurse¡¡has¡¡the¡¡responsibility¡¡to¡¡guard¡¡the¡¡client’s¡¡safety.¡¡The¡¡other¡¡actions¡¡are¡¡importan
t¡¡for¡¡quality¡¡nursing,¡¡but¡¡they¡¡are¡¡not¡¡as¡¡vital¡¡as¡¡providing¡¡safety.¡¡Not¡¡making¡¡medication¡¡erro
rs¡¡does¡¡provide¡¡safety,¡¡but¡¡is¡¡too¡¡narrow¡¡in¡¡scope¡¡to¡¡be¡¡the¡¡best¡¡answer.
DIF: Understanding
TOP:¡ ¡ Integrated¡¡Process:¡¡Nursing¡¡Process:¡¡Intervention¡¡KEY:¡¡Client¡¡safety
MSC:¡ ¡ Client¡¡Needs¡¡Category:¡¡Safe¡¡and¡¡Effective¡¡Care¡¡Environment:¡¡Safety¡¡and¡¡Infection¡¡Control
2. A¡¡nurse¡¡is¡¡orienting¡¡a¡¡new¡¡client¡¡and¡¡family¡¡to¡¡the¡¡medical-
surgical¡¡unit.¡¡What¡¡information¡¡does¡¡the¡¡nurse¡¡provide¡¡to¡¡best¡¡help¡¡the¡¡client¡¡promote¡¡his¡¡
or¡¡her¡¡own¡¡safety?
a. Encourage¡¡the¡¡client¡¡and¡¡family¡¡to¡¡be¡¡active¡¡partners.
b. Have¡¡the¡¡client¡¡monitor¡¡hand¡¡hygiene¡¡in¡¡caregivers.
c. Offer¡¡the¡¡family¡¡the¡¡opportunity¡¡to¡¡stay¡¡with¡¡the¡¡client.
d. Tell¡¡the¡¡client¡¡to¡¡always¡¡wear¡¡his¡¡or¡¡her¡¡armband.
CORRECT¡¡ANSWER:¡ ¡ A
Each¡¡action¡¡could¡¡be¡¡important¡¡for¡¡the¡¡client¡¡or¡¡family¡¡to¡¡perform.¡¡However,¡¡encouraging¡¡the¡
¡ client¡¡to¡¡be¡¡active¡¡in¡¡his¡¡or¡¡her¡¡health¡¡care¡¡as¡¡a¡¡safety¡¡partner¡¡is¡¡the¡¡most¡¡critical.¡¡The¡¡other¡¡a
, ctions¡¡are¡¡very¡¡limited¡¡in¡¡scope¡¡and¡¡do¡¡not¡¡provide¡¡the¡¡broad¡¡protection¡¡that¡¡being¡¡active¡¡and¡¡i
nvolved¡¡does.
DIF: Understanding
TOP:¡¡Integrated¡¡Process:¡¡Teaching/Learning¡¡KEY:¡¡Client¡¡safety
MSC:¡ ¡ Client¡¡Needs¡¡Category:¡¡Safe¡¡and¡¡Effective¡¡Care¡¡Environment:¡¡Safety¡¡and¡¡Infection¡¡Control
3. A¡¡nurse¡¡is¡¡caring¡¡for¡¡a¡¡postoperative¡¡client¡¡on¡¡the¡¡surgical¡¡unit.¡¡The¡¡client’s¡¡blood¡¡pressure¡
¡ was¡¡142/76¡¡mm¡¡Hg¡¡30¡¡minutes¡¡ago,¡¡and¡¡now¡¡is¡¡88/50¡¡mm¡¡Hg.¡¡What¡¡action¡¡would¡¡the¡¡nurs
e¡¡take¡¡first?
a. Call¡¡the¡¡Rapid¡¡Response¡¡Team.
b. Document¡¡and¡¡continue¡¡to¡¡monitor.
c. Notify¡¡the¡¡primary¡¡health¡¡care¡¡provider.
d. Repeat¡¡the¡¡blood¡¡pressure¡¡in¡¡15¡¡minutes.
, CORRECT¡¡ANSWER:¡ ¡ A
The¡¡purpose¡¡of¡¡the¡¡Rapid¡¡Response¡¡Team¡¡(RRT)¡¡is¡¡to¡¡intervene¡¡when¡¡clients¡¡are¡¡deteriorating
¡¡ before¡¡they¡¡suffer¡¡either¡¡respiratory¡¡or¡¡cardiac¡¡arrest.¡¡Since¡¡the¡¡client¡¡has¡¡manifested¡¡a¡¡signif
icant¡¡change,¡¡the¡¡nurse¡¡would¡¡call¡¡the¡¡RRT.¡¡Changes¡¡in¡¡blood¡¡pressure,¡¡mental¡¡status,¡¡heart¡¡r
ate,¡¡temperature,¡¡oxygen¡¡saturation,¡¡and¡¡last¡¡2¡¡hours’¡¡urine¡¡output¡¡are¡¡particularly¡¡significant¡¡
and¡¡are¡¡part¡¡of¡¡the¡¡Modified¡¡Early¡¡Warning¡¡System¡¡guide.¡¡Documentation¡¡is¡¡vital,¡¡but¡¡the¡¡nu
rse¡¡must¡¡do¡¡more¡¡than¡¡document.¡¡The¡¡primary¡¡health¡¡care¡¡provider¡¡would¡¡be¡¡notified,¡¡but¡¡thi
s¡¡is¡¡not¡¡more¡¡important¡¡than¡¡calling¡¡the¡¡RRT.¡¡The¡¡client’s¡¡blood¡¡pressure¡¡would¡¡be¡¡reassesse
d¡¡frequently,¡¡but¡¡the¡¡priority¡¡is¡¡getting¡¡the¡¡rapid¡¡care¡¡to¡¡the¡¡client.
DIF: Applying
TOP:¡ ¡ Integrated¡¡Process:¡¡Communication¡¡and¡¡Documentation¡¡KEY:¡¡Rapid¡¡
Response¡¡Team¡¡(RRT),¡¡Clinical¡¡judgment
MSC:¡ ¡ Client¡¡Needs¡¡Category:¡¡Physiological¡¡Integrity:¡¡Physiological¡¡Adaptation
4. A¡¡nurse¡¡wishes¡¡to¡¡provide¡¡client-centered¡¡care¡¡in¡¡all¡¡interactions.¡¡Which¡¡action¡¡by¡¡the¡¡nurse
best¡¡demonstrates¡¡this¡¡concept?
a. Assesses¡¡for¡¡cultural¡¡influences¡¡affecting¡¡health¡¡care.
b. Ensures¡¡that¡¡all¡¡the¡¡client’s¡¡basic¡¡needs¡¡are¡¡met.
c. Tells¡¡the¡¡client¡¡and¡¡family¡¡about¡¡all¡¡upcoming¡¡tests.
d. Thoroughly¡¡orients¡¡the¡¡client¡¡and¡¡family¡¡to¡¡the¡¡room.
CORRECT¡¡ANSWER:¡ ¡ A
Showing¡¡respect¡¡for¡¡the¡¡client¡¡and¡¡family’s¡¡preferences¡¡and¡¡needs¡¡is¡¡essential¡¡to¡¡ensure¡¡a¡¡holi
stic¡¡or¡¡“whole-
person”¡¡approach¡¡to¡¡care.¡¡By¡¡assessing¡¡the¡¡effect¡¡of¡¡the¡¡client’s¡¡culture¡¡on¡¡health¡¡care,¡¡this¡¡nu
rse¡¡is¡¡practicing¡¡client-
focused¡¡care.¡¡Providing¡¡for¡¡basic¡¡needs¡¡does¡¡not¡¡demonstrate¡¡this¡¡competence.¡¡Simply¡¡telling
¡¡ the¡¡client¡¡about¡¡all¡¡upcoming¡¡tests¡¡is¡¡not¡¡providing¡¡empowering¡¡education.¡¡Orienting¡¡the¡¡clie
nt¡¡and¡¡family¡¡to¡¡the¡¡room¡¡is¡¡an¡¡important¡¡safety¡¡measure,¡¡but¡¡not¡¡directly¡¡related¡¡to¡¡demonstr
ating¡¡client-centered¡¡care.
DIF: Understanding
TOP:¡¡Integrated¡¡Process:¡¡Culture¡¡and¡¡Spirituality¡¡KEY:¡ ¡ Client-centered¡¡care,¡¡Culture
MSC:¡ ¡ Client¡¡Needs¡¡Category:¡¡Psychosocial¡¡Integrity
5. A¡¡client¡¡is¡¡going¡¡to¡¡be¡¡admitted¡¡for¡¡a¡¡scheduled¡¡surgical¡¡procedure.¡¡Which¡¡action¡¡does¡¡th
e¡¡nurse¡¡explain¡¡is¡¡the¡¡most¡¡important¡¡thing¡¡the¡¡client¡¡can¡¡do¡¡to¡¡protect¡¡against¡¡errors?
a. Bring¡¡a¡¡list¡¡of¡¡all¡¡medications¡¡and¡¡what¡¡they¡¡are¡¡for.
b. Keep¡¡the¡¡provider’s¡¡phone¡¡number¡¡by¡¡the¡¡telephone.
c. Make¡¡sure¡¡that¡¡all¡¡providers¡¡wash¡¡hands¡¡before¡¡entering¡¡the¡¡room.
