MEDICAL-SURGICAL NURSING IGNATAVICIUS
MEDICAL-SURGICAL NURSING, 10TH EDITION
(ALL CHAPTERS COVERED)
,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 as a professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused caarbe irb.com/test ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the priority.
Health care errors haavebbierebn w.cidoelymrep/toertesd tfor 25 years, many of which result in client
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 important for quality nursing,
but they are not as vital as providing safety. Not making medication errors does provide safety, but is
too narrow in scope to be the best answer.
2. A nurse is orienting a new cliaenbt ainrdbfa.mciolymto t/hteemsedtical-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.
ANS: A
abirb.com/test
,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
actions are very limited in scope and do not provide the broad protection that being active and
involved does.
abirb.com/test
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Client safety
abirb.com/test
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 minutaesbagior,ban.dcnoowmis/8t8e/5s0tmm Hg. What action would the nurse
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.
abirb.com/test abirb.com/test
The purpose of the Rapid ResapobnsierbTe.acmo(RmRT/)teis tsotintervene when clients are
deteriorating before they suffer either respiratory or cardiac arrest. Since the client has manifested a
significant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart rate,
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 nurse must do more than
document. The primary health care provider would be notified, but this is not more important than
calling the RRT. The client’s blood pressure would be reassessed 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 concepat?birb.com/test
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. ANS: A
Showing respect for the client and family’s preferences and needs is essential to ensure a holistic or
“whole-person” approach to care. 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
MEDICAL-SURGICAL NURSING, 10TH EDITION
(ALL CHAPTERS COVERED)
,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 as a professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused caarbe irb.com/test ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the priority.
Health care errors haavebbierebn w.cidoelymrep/toertesd tfor 25 years, many of which result in client
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 important for quality nursing,
but they are not as vital as providing safety. Not making medication errors does provide safety, but is
too narrow in scope to be the best answer.
2. A nurse is orienting a new cliaenbt ainrdbfa.mciolymto t/hteemsedtical-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.
ANS: A
abirb.com/test
,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
actions are very limited in scope and do not provide the broad protection that being active and
involved does.
abirb.com/test
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Client safety
abirb.com/test
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 minutaesbagior,ban.dcnoowmis/8t8e/5s0tmm Hg. What action would the nurse
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.
abirb.com/test abirb.com/test
The purpose of the Rapid ResapobnsierbTe.acmo(RmRT/)teis tsotintervene when clients are
deteriorating before they suffer either respiratory or cardiac arrest. Since the client has manifested a
significant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart rate,
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 nurse must do more than
document. The primary health care provider would be notified, but this is not more important than
calling the RRT. The client’s blood pressure would be reassessed 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 concepat?birb.com/test
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. ANS: A
Showing respect for the client and family’s preferences and needs is essential to ensure a holistic or
“whole-person” approach to care. 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
