,TEST BANK - COMPLETE
Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care, 11th Edition
Ignatavicius, Workman, Rebar, Heimgartner
TABLE OF CONTENTS
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing (Page 3)
Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing (Page 8)
Chapter 03: Common Health Problems of Older Adults (Page 13)
Chapter 04: Assessment and Care of Patients with Pain (Page 20)
Chapter 05: Genetic Concepts for Medical-Surgical Nursing (Page 32)
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems (Page 38)
Chapter 07: End-of-Life Care (Page 44)
Chapter 08: Concepts of Emergency and Trauma Nursing (Page 50)
Chapter 09: Care of Patients with Common Environmental Emergencies (Page 56)
Chapter 10: Concepts of Emergency and Disaster Preparedness (Page 62)
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances (Page 68)
Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances (Page 76)
Chapter 13: Infusion Therapy (Page 83)
Chapter 14: Care of Preoperative Patients (Page 94)
Chapter 15: Care of Intraoperative Patients (Page 103)
Chapter 16: Care of Postoperative Patients (Page 109)
Chapter 17: Inflammation and Immunity (Page 116)
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases (Page 122)
Chapter 19: Care of Patients with HIV Disease (Page 138)
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity (Page 147)
Chapter 21: Cancer Development (Page 152)
Chapter 22: Care of Patients with Cancer (Page 157)
Chapter 23: Care of Patients with Infection (Page 167)
Chapter 24: Assessment of the Skin, Hair, and Nails (Page 174)
Chapter 25: Care of Patients with Skin Problems (Page 179)
Chapter 26: Care of Patients with Burns (Page 196)
Chapter 27: Assessment of the Respiratory System (Page 213)
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy (Page 220)
Chapter 29: Care of Patients with Noninfectious Upper Respiratory Problems (Page 226)
Chapter 30: Care of Patients with Noninfectious Lower Respiratory Problems (Page 233)
Chapter 31: Care of Patients with Infectious Respiratory Problems (Page 245)
Chapter 32: Care of Critically Ill Patients with Respiratory Problems (Page 256)
Chapter 33: Assessment of the Cardiovascular System (Page 269)
Chapter 34: Care of Patients with Dysrhythmias (Page 278)
Chapter 35: Care of Patients with Cardiac Problems (Page 287)
Chapter 36: Care of Patients with Vascular Problems (Page 298)
Chapter 37: Care of Patients with Shock (Page 310)
Chapter 38: Care of Patients with Acute Coronary Syndromes (Page 317)
Chapter 39: Assessment of the Hematologic System (Page 327)
Chapter 40: Care of Patients with Hematologic Problems (Page 331)
Chapter 41: Assessment of the Nervous System (Page 343)
Chapter 42: Care of Patients with Problems of the CNS: The Brain (Page 353)
,Chapter 43: Care of Patients with Problems of the CNS: The Spinal Cord (Page 364)
Chapter 44: Care of Patients with Problems of the Peripheral Nervous System (Page 374)
Chapter 45: Care of Critically Ill Patients with Neurologic Problems (Page 380)
Chapter 46: Assessment of the Eye and Vision (Page 394)
Chapter 47: Care of Patients with Eye and Vision Problems (Page 397)
Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems (Page 403)
Chapter 49: Assessment of the Musculoskeletal System (Page 410)
Chapter 50: Care of Patients with Musculoskeletal Problems (Page 415)
Chapter 51: Care of Patients with Musculoskeletal Trauma (Page 424)
Chapter 52: Assessment of the Gastrointestinal System (Page 435)
Chapter 53: Care of Patients with Oral Cavity Problems (Page 441)
Chapter 54: Care of Patients with Esophageal Problems (Page 445)
Chapter 55: Care of Patients with Stomach Disorders (Page 454)
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MULTIPLE CHOICE QUESTIONS WITH ANSWERS AND RATIONALES
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CHAPTER 01: OVERVIEW OF PROFESSIONAL NURSING CONCEPTS FOR MEDICAL-
SURGICAL NURSING
1. 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 ANS: A
Rationale: Competency in client-focused care is demonstrated when the nurse focuses on
communication, culture, respect, compassion, client education, and empowerment. By assessing the
effect of the client's culture on health care, this nurse 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 client and family to the room is an important safety
measure, but not directly related to demonstrating client-centered care.
2. 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 by the nurse is best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
CORRECT ANS: A
Rationale: 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
significant change (hypotension), the nurse should call the RRT. Change in blood pressure, mental
status, heart rate, and pain are particularly significant. Notifying the provider may delay care. Waiting
15 minutes is unsafe.
3. Which action by the nurse demonstrates the principle of accountability?
a. Delegating a task to an unlicensed assistive personnel (UAP) and verifying task completion
b. Asking the charge nurse to make a difficult clinical decision
c. Documenting care after it is completed
d. Reporting a medication error to the provider and completing an incident report
CORRECT ANS: D
Rationale: Accountability means accepting responsibility for one's actions, including errors. Reporting
a medication error demonstrates accountability. Delegating and verifying is important but not the best
example of accountability. Asking others to make decisions avoids accountability. Documenting care is
a standard responsibility.
4. A nurse is implementing evidence-based practice (EBP). Which action is the first step in the EBP
process?
a. Appraising the evidence for quality
b. Asking a clinical question using PICOT format
c. Integrating evidence with clinical expertise
d. Searching the literature for relevant studies
CORRECT ANS: B
Rationale: The first step in EBP is asking a well-formed clinical question using PICOT (Population,
Intervention, Comparison, Outcome, Time). Appraising evidence, searching literature, and integrating
evidence occur after the question is formulated.
5. A nurse is providing discharge teaching to a client. Which statement by the client indicates effective
teaching?
a. "I will call my doctor if I have any questions."
b. "I will take my blood pressure medication when I feel dizzy."
c. "I will take my insulin even if I cannot eat."
d. "I will return to the clinic for my follow-up appointment next week."
CORRECT ANS: D
Rationale: Returning for a follow-up appointment demonstrates understanding of the discharge plan.
Calling the doctor for questions is appropriate but does not show specific learning. Taking medication
only when symptomatic (BP meds when dizzy) is incorrect. Taking insulin without eating can cause
hypoglycemia.
6. A nurse is evaluating a client's understanding of informed consent for surgery. Which statement by
the client indicates a need for further teaching?
a. "I can change my mind at any time before surgery."
b. "My doctor explained the risks of the procedure."
c. "The nurse will answer all my questions about the surgery."
d. "Signing the form means I agree to the surgery."
Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care, 11th Edition
Ignatavicius, Workman, Rebar, Heimgartner
TABLE OF CONTENTS
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing (Page 3)
Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing (Page 8)
Chapter 03: Common Health Problems of Older Adults (Page 13)
Chapter 04: Assessment and Care of Patients with Pain (Page 20)
Chapter 05: Genetic Concepts for Medical-Surgical Nursing (Page 32)
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems (Page 38)
Chapter 07: End-of-Life Care (Page 44)
Chapter 08: Concepts of Emergency and Trauma Nursing (Page 50)
Chapter 09: Care of Patients with Common Environmental Emergencies (Page 56)
Chapter 10: Concepts of Emergency and Disaster Preparedness (Page 62)
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances (Page 68)
Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances (Page 76)
Chapter 13: Infusion Therapy (Page 83)
Chapter 14: Care of Preoperative Patients (Page 94)
Chapter 15: Care of Intraoperative Patients (Page 103)
Chapter 16: Care of Postoperative Patients (Page 109)
Chapter 17: Inflammation and Immunity (Page 116)
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases (Page 122)
Chapter 19: Care of Patients with HIV Disease (Page 138)
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity (Page 147)
Chapter 21: Cancer Development (Page 152)
Chapter 22: Care of Patients with Cancer (Page 157)
Chapter 23: Care of Patients with Infection (Page 167)
Chapter 24: Assessment of the Skin, Hair, and Nails (Page 174)
Chapter 25: Care of Patients with Skin Problems (Page 179)
Chapter 26: Care of Patients with Burns (Page 196)
Chapter 27: Assessment of the Respiratory System (Page 213)
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy (Page 220)
Chapter 29: Care of Patients with Noninfectious Upper Respiratory Problems (Page 226)
Chapter 30: Care of Patients with Noninfectious Lower Respiratory Problems (Page 233)
Chapter 31: Care of Patients with Infectious Respiratory Problems (Page 245)
Chapter 32: Care of Critically Ill Patients with Respiratory Problems (Page 256)
Chapter 33: Assessment of the Cardiovascular System (Page 269)
Chapter 34: Care of Patients with Dysrhythmias (Page 278)
Chapter 35: Care of Patients with Cardiac Problems (Page 287)
Chapter 36: Care of Patients with Vascular Problems (Page 298)
Chapter 37: Care of Patients with Shock (Page 310)
Chapter 38: Care of Patients with Acute Coronary Syndromes (Page 317)
Chapter 39: Assessment of the Hematologic System (Page 327)
Chapter 40: Care of Patients with Hematologic Problems (Page 331)
Chapter 41: Assessment of the Nervous System (Page 343)
Chapter 42: Care of Patients with Problems of the CNS: The Brain (Page 353)
,Chapter 43: Care of Patients with Problems of the CNS: The Spinal Cord (Page 364)
Chapter 44: Care of Patients with Problems of the Peripheral Nervous System (Page 374)
Chapter 45: Care of Critically Ill Patients with Neurologic Problems (Page 380)
Chapter 46: Assessment of the Eye and Vision (Page 394)
Chapter 47: Care of Patients with Eye and Vision Problems (Page 397)
Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems (Page 403)
Chapter 49: Assessment of the Musculoskeletal System (Page 410)
Chapter 50: Care of Patients with Musculoskeletal Problems (Page 415)
Chapter 51: Care of Patients with Musculoskeletal Trauma (Page 424)
Chapter 52: Assessment of the Gastrointestinal System (Page 435)
Chapter 53: Care of Patients with Oral Cavity Problems (Page 441)
Chapter 54: Care of Patients with Esophageal Problems (Page 445)
Chapter 55: Care of Patients with Stomach Disorders (Page 454)
=========================================================================
=======
MULTIPLE CHOICE QUESTIONS WITH ANSWERS AND RATIONALES
=========================================================================
=======
CHAPTER 01: OVERVIEW OF PROFESSIONAL NURSING CONCEPTS FOR MEDICAL-
SURGICAL NURSING
1. 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 ANS: A
Rationale: Competency in client-focused care is demonstrated when the nurse focuses on
communication, culture, respect, compassion, client education, and empowerment. By assessing the
effect of the client's culture on health care, this nurse 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 client and family to the room is an important safety
measure, but not directly related to demonstrating client-centered care.
2. 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 by the nurse is best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
CORRECT ANS: A
Rationale: 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
significant change (hypotension), the nurse should call the RRT. Change in blood pressure, mental
status, heart rate, and pain are particularly significant. Notifying the provider may delay care. Waiting
15 minutes is unsafe.
3. Which action by the nurse demonstrates the principle of accountability?
a. Delegating a task to an unlicensed assistive personnel (UAP) and verifying task completion
b. Asking the charge nurse to make a difficult clinical decision
c. Documenting care after it is completed
d. Reporting a medication error to the provider and completing an incident report
CORRECT ANS: D
Rationale: Accountability means accepting responsibility for one's actions, including errors. Reporting
a medication error demonstrates accountability. Delegating and verifying is important but not the best
example of accountability. Asking others to make decisions avoids accountability. Documenting care is
a standard responsibility.
4. A nurse is implementing evidence-based practice (EBP). Which action is the first step in the EBP
process?
a. Appraising the evidence for quality
b. Asking a clinical question using PICOT format
c. Integrating evidence with clinical expertise
d. Searching the literature for relevant studies
CORRECT ANS: B
Rationale: The first step in EBP is asking a well-formed clinical question using PICOT (Population,
Intervention, Comparison, Outcome, Time). Appraising evidence, searching literature, and integrating
evidence occur after the question is formulated.
5. A nurse is providing discharge teaching to a client. Which statement by the client indicates effective
teaching?
a. "I will call my doctor if I have any questions."
b. "I will take my blood pressure medication when I feel dizzy."
c. "I will take my insulin even if I cannot eat."
d. "I will return to the clinic for my follow-up appointment next week."
CORRECT ANS: D
Rationale: Returning for a follow-up appointment demonstrates understanding of the discharge plan.
Calling the doctor for questions is appropriate but does not show specific learning. Taking medication
only when symptomatic (BP meds when dizzy) is incorrect. Taking insulin without eating can cause
hypoglycemia.
6. A nurse is evaluating a client's understanding of informed consent for surgery. Which statement by
the client indicates a need for further teaching?
a. "I can change my mind at any time before surgery."
b. "My doctor explained the risks of the procedure."
c. "The nurse will answer all my questions about the surgery."
d. "Signing the form means I agree to the surgery."
