,Chapter 1: Introduction to Medical-Surgical Nursing
Test Bank
, MULTIPLE CHOICE
Which action demonstrates that the nurse understands the purpose ofthe Rapid Response Team?
a. Monitoring the client for changes in postoperative status such aswound infection
b. Documenting all changes observed in the client and maintaining apostoperative flow sheet
c. Notifying the physician of the client’s change in blood pressure from140 to 88 mm Hg systolic
d. Notifying the physician of the client’s increase in restlessness aftermedication change
The Joint Commission focuses on safety in health care. Which action bythe nurse reflects The Joint
Commission’s main objective?
a. Performing range-of-motion exercises on the client three times eachday
b. Ensuring that the client is eating 100% of the meals served to him orher
c. Assessing the client’s respirations when administering opioids
d. Delegating to the nursing assistant to give the client a complete bathdaily
, Which action by the nurse shows an understanding of the principle ofself-determination?
a. Allowing a postoperative client to decide to take medication withfruit juice rather than
water
b. Allowing a teenager to decide not to go to a clinic when there isevidence that she is
having profuse vaginal bleeding
c. Allowing a parent to decide not to proceed with a lifesavingoperation for a 12-year-
old client
d. Allowing an older client with dementia to decide not to take cardiacmedication throughout the
shift
The nurse is initiating a series of teaching sessions with an older client.
What is the nurse’s highest-priority, client-centered action beforebeginning the session?
a. Ensure that the client’s family is present and will participate.
b. Make certain that the client is wearing his glasses.
c. Have printed handouts ready to use during the session.
d. Schedule the session for early evening after the client’s meal.
Which action best demonstrates the nurse using client-centered care
Test Bank
, MULTIPLE CHOICE
Which action demonstrates that the nurse understands the purpose ofthe Rapid Response Team?
a. Monitoring the client for changes in postoperative status such aswound infection
b. Documenting all changes observed in the client and maintaining apostoperative flow sheet
c. Notifying the physician of the client’s change in blood pressure from140 to 88 mm Hg systolic
d. Notifying the physician of the client’s increase in restlessness aftermedication change
The Joint Commission focuses on safety in health care. Which action bythe nurse reflects The Joint
Commission’s main objective?
a. Performing range-of-motion exercises on the client three times eachday
b. Ensuring that the client is eating 100% of the meals served to him orher
c. Assessing the client’s respirations when administering opioids
d. Delegating to the nursing assistant to give the client a complete bathdaily
, Which action by the nurse shows an understanding of the principle ofself-determination?
a. Allowing a postoperative client to decide to take medication withfruit juice rather than
water
b. Allowing a teenager to decide not to go to a clinic when there isevidence that she is
having profuse vaginal bleeding
c. Allowing a parent to decide not to proceed with a lifesavingoperation for a 12-year-
old client
d. Allowing an older client with dementia to decide not to take cardiacmedication throughout the
shift
The nurse is initiating a series of teaching sessions with an older client.
What is the nurse’s highest-priority, client-centered action beforebeginning the session?
a. Ensure that the client’s family is present and will participate.
b. Make certain that the client is wearing his glasses.
c. Have printed handouts ready to use during the session.
d. Schedule the session for early evening after the client’s meal.
Which action best demonstrates the nurse using client-centered care
