Medical Surgical Nursing 10th Edition
Ignatavicius Workman Test Bank
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 thenew 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 care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety
is thepriority. Health care errors have been widely reported for 25 years, many of
which result inclient 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 errorsdoes 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
informationdoes 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
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 andinvolved 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 nursetake 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.
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
deterioratingbefore 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 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.
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 onhealth 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.
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 thenurse 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.
d. Write down the name of each caregiver who comes in the room.
ANS: A
Ignatavicius Workman Test Bank
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 thenew 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 care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety
is thepriority. Health care errors have been widely reported for 25 years, many of
which result inclient 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 errorsdoes 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
informationdoes 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
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 andinvolved 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 nursetake 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.
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
deterioratingbefore 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 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.
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 onhealth 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.
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 thenurse 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.
d. Write down the name of each caregiver who comes in the room.
ANS: A
