Test Bank for Medical-Surgical Nursing Critical Thinking in Client Care 4 Edition WITH QUESTIONS & ANSWERS 100% CORRECTLY/VERIFIED RATED A+

Test Bank for Medical-Surgical Nursing
Critical Thinking in Client Care 4 Edition
WITH QUESTIONS & ANSWERS 100%
CORRECTLY/VERIFIED RATED A+
Chapter 1



1. The nurse is caring for four clients on a medical–surgical unit. Which

client should the nurse see initially?


1. A client admitted with hepatitis A who has had severe diarrhea

for the last 24 hours
2. A client admitted with pneumonia who is has small amounts

of yellow productive sputum
3. A client admitted with fever of unknown origin (FUO)

who has been without fever for the last 48 hours
4. A client admitted with a wound infection whose WBC is 8,500

mm3


Answer: 1


Test Bank for Medical-Surgical
Nursing Critical Thinking in Client
Care 4 Edition WITH QUESTIONS &
ANSWERS 100%
CORRECTLY/VERIFIED RATED A+

,Test Bank for Medical-Surgical Nursing
Critical Thinking in Client Care 4 Edition
WITH QUESTIONS & ANSWERS 100%
CORRECTLY/VERIFIED RATED A+
Rationale: The nurse must decide which client should be seen on the initial
rounds of the day. The nurse must remember that the first client to be
seen should be the client who needs the attention of the nurse initially.
A client with hepatitis A does experience diarrhea, but diarrhea for
the last 24 hours could cause the client to have a problem with
dehydration and experience a state of fluid volume deficit.


Cognitive Level: Application
Client Needs: Safe, Effective Care
Environment Nursing Process: Planning




1. The nurse is preparing to teach a class for a group of new parents. The

nurse is attempting to determine what topic would be of the greatest interest



Test Bank for Medical-Surgical
Nursing Critical Thinking in Client
Care 4 Edition WITH QUESTIONS &
ANSWERS 100%
CORRECTLY/VERIFIED RATED A+

,Test Bank for Medical-Surgical Nursing
Critical Thinking in Client Care 4 Edition
WITH QUESTIONS & ANSWERS 100%
CORRECTLY/VERIFIED RATED A+
to the audience. What selection would be most appropriate?
a. Safety

b. Chronic illness prevention

c. Problem-solving skills

d. Interventions to manage depression



Answer: a
Rationale: The parents of small children are interested in information
geared toward keeping them safe. Household safety is a priority for children
of all ages. The families attending the session likely will have limited
interest in preventing illness, as they typically represent a healthy segment
of the population. Depression is a greater concern for older adults.


Nursing Process Step: Assessment
Client Needs Category: Health Promotion and Maintenance



Test Bank for Medical-Surgical
Nursing Critical Thinking in Client
Care 4 Edition WITH QUESTIONS &
ANSWERS 100%
CORRECTLY/VERIFIED RATED A+

, Test Bank for Medical-Surgical Nursing
Critical Thinking in Client Care 4 Edition
WITH QUESTIONS & ANSWERS 100%
CORRECTLY/VERIFIED RATED A+
Client Needs Subcategory: Growth and Development through
the Lifespan Cognitive Level: Analysis


2. The nurse is preparing to administer influenza vaccines to a mass drive-

through clinic. Which statement by a client would indicate further
questioning prior to giving the client the influenza vaccine?


1. “I am allergic to horse hair.”

2. “I try to get my vaccine every year.”

3. “I am not allergic to anything except eggs.”

4. “My husband had a severe allergic reaction after he received

his influenza vaccine.”


Answer: 3




Test Bank for Medical-Surgical
Nursing Critical Thinking in Client
Care 4 Edition WITH QUESTIONS &
ANSWERS 100%
CORRECTLY/VERIFIED RATED A+