Test Bank Medical Surgical Nursing 10th Edition Ignatavicius Workman
Table of Contents
Section I: Concepts of Medical-Surgical Nursing
Chapter 1. Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Chapter 2. From Clinical Judgment to Systems Thinking NEW!
Chapter 3. Overview of Health Concepts for Medical-Surgical Nursing
Chapter 4. Common Health Problems of Older Adults
Chapter 5. Assessment and Concepts of Care for Patients with Pain
Chapter 6. Concepts of Genetics and Genomics
Chapter 7. Concepts of Rehabilitation for Chronic and Disabling Health Problems
Chapter 8. Care of Patients at End-of-Life
9. Care of Perioperative Patients
Section II: Concepts of Emergency Care and Disaster Preparedness
Chapter 10. Concepts of Emergency and Trauma Nursing
Chapter 11. Care of Patients with Common Environmental Emergencies
Chapter 12. Concepts of Disaster Preparedness
Section III: Concepts of Patients with Problems of Fluid, Electrolyte, and Acid-Base Balance
Chapter 13. Concepts of Fluid and Electrolyte Balance
Chapter 14. Concepts of Acid-Base Balance
Chapter 15. Concepts of Infusion Therapy
Section V: Interprofessional Collaboration for Patients with Problems of Immunity
Chapter 16. Concepts of Inflammation and Immunity
Chapter 17. Care of Patients with HIV Disease
Chapter 18. Care of Patients with Hypersensitivity (Allergy) and Autoimmunity
Chapter 19. Concepts of Cancer Development
Chapter 20. Care of Patients with Cancer
Chapter 21. Care of Patients with Infection
Section VI: Interprofessional Collaboration for Patients with Problems of the Skin, Hair, and Nails
Chapter 22. Assessment of the Skin, Hair, and Nails
Chapter 23. Care of Patients with Skin Problems
Section VII: Interprofessional Collaboration for Patients with Problems of the Respiratory System
Chapter 24. Assessment of the Respiratory System
Chapter 25. Care of Patients Requiring Oxygen Therapy or Tracheostomy
Chapter 26. Care of Patients with Noninfectious Upper Respiratory Problems
Chapter 27. Care of Patients with Noninfectious Lower Respiratory Problems
Chapter 28. Care of Patients with Infectious Respiratory Problems
29. Critical Care of Patients with Respiratory Emergencies
Section VIII: Interprofessional Collaboration for Patients with Problems of the Cardiovascular System
Chapter 30. Assessment of the Cardiovascular System
Chapter 31. Care of Patients with Dysrhythmias
Chapter 32. Care of Patients with Cardiac Problems
Chapter 33. Care of Patients with Vascular Problems
Chapter 34. Critical Care of Patients with Shock
Chapter 35. Critical Care of Patients with Acute Coronary Syndromes
Section IX: Interprofessional Collaboration for Patients with Problems of the Hematologic System
Chapter 36. Assessment of the Hematologic System
Chapter 37. Care of Patients with Hematologic Problems
Section X: Interprofessional Collaboration for Patients with Problems of the Nervous System
,Chapter 38. Assessment of the Nervous System
Chapter 39. Care of Patients with Problems of the Central Nervous System: The Brain
Chapter 40. Care of Patients with Problems of the Central Nervous System: The Spinal Cord
Chapter 41. Critical Care of Patients with Neurologic Emergencies
Chapter Section XI: Interprofessional Collaboration for Patients with Problems of the Sensory System
Chapter 42. Assessment and Concepts of Care for Patients with Eye and Vision Problems
Chapter 43. Assessment and Concepts of Care for Patients with Ear and Hearing Problems
Section XII: Interprofessional Collaboration for Patients with Problems of the Musculoskeletal System
Chapter 44. Assessment of the Musculoskeletal System
Chapter 45. Care of Patients with Musculoskeletal Problems
Chapter 46. Care of Patients with Arthritis and Total Joint Arthroplasty NEW!
Chapter 47. Care of Patients with Musculoskeletal Trauma
Section XIII: Interprofessional Collaboration for Patients with Problems of the Gastrointestinal System
Chapter 48. Assessment of the Gastrointestinal System
Chapter 49. Care of Patients with Oral Cavity and Esophageal Problems
Chapter 50. Care of Patients with Stomach Disorders
Chapter 51. Care of Patients with Noninflammatory Intestinal Disorders
Chapter 52. Care of Patients with Inflammatory Intestinal Disorders
Chapter 53. Care of Patients with Liver Problems
Chapter 54. Care of Patients with Problems of the Biliary System and Pancreas
Chapter 55. Care of Patients with Malnutrition: Undernutrition and Obesity
Section XIV: Interprofessional Collaboration for Patients with Problems of the Endocrine System
Chapter 56. Assessment of the Endocrine System
Chapter 57. Care of Patients with Pituitary and Adrenal Gland Problems
Chapter 58. Care of Patients with Problems of the Thyroid and Parathyroid Glands
Chapter 59. Care of Patients with Diabetes Mellitus
Section XV: Interprofessional Collaboration for Patients with Problems of the Renal/Urinary System
Chapter 60. Assessment of the Renal/Urinary System
Chapter 61. Care of Patients with Urinary Problems
Chapter 62. Care of Patients with Kidney Disorders
Chapter 63. Care of Patients with Acute Kidney Injury and Chronic Kidney Disease
Section XVI: Interprofessional Collaboration for Patients with Problems of the Reproductive System
Chapter 64. Assessment of the Reproductive System
Chapter 65. Care of Patients with Breast Disorders
Chapter 66. Care of Patients with Gynecologic Problems
Chapter 67. Care of Patients with Male Reproductive Problems
Chapter 68. Care of Transgender Patients
Chapter 69. Care of Patients with Sexually Transmitted Infections
, Chapter 01: Overview Of Professional Nursing Concepts For Medical-Surgical Nursing
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 care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the priority.
Health care errors have been widely reported for 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.
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 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 theclient.
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 and involved 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 nurse take 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 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 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 theroom.
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 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 the nurse
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
Medication reconciliation is a formal process in which the client’s actual current medications are
compared to the prescribed medications at the time of admission, transfer, or discharge. This National
client Safety Goal is important to reduce medication errors. The client would not have to be responsible
for providers washing their hands, and even if the client does so, this is too narrow to be the most
important action to prevent errors. Keeping the provider’s phone number nearby and documenting
everyone who enters the room also do not guarantee safety.
DIF: Applying TOP: Integrated Process: Teaching/Learning KEY: Client
safety, Informatics
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6. Which action by the nurse working with a client best demonstrates respect for autonomy?
a. Asks if the client has questions before signing a consent.
b. Gives the client accurate information when questioned.
c. Keeps the promises made to the client and family.
d. Treats the client fairly compared to otherclients.
ANS: A
Autonomy is self-determination. The client would make decisions regarding care. When the nurse obtains a
signature on the consent form, assessing if the client still has questions is vital, because without full
information the client cannot practice autonomy. Giving accurate information is practicing with veracity.
Keeping promises is upholding fidelity. Treating the client fairly is providing social justice.
DIF: Applying TOP: Integrated Process: Caring KEY: Ethics, Autonomy MSC: Client
Needs Category: Safe and Effective Care Environment: Management of Care
Table of Contents
Section I: Concepts of Medical-Surgical Nursing
Chapter 1. Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Chapter 2. From Clinical Judgment to Systems Thinking NEW!
Chapter 3. Overview of Health Concepts for Medical-Surgical Nursing
Chapter 4. Common Health Problems of Older Adults
Chapter 5. Assessment and Concepts of Care for Patients with Pain
Chapter 6. Concepts of Genetics and Genomics
Chapter 7. Concepts of Rehabilitation for Chronic and Disabling Health Problems
Chapter 8. Care of Patients at End-of-Life
9. Care of Perioperative Patients
Section II: Concepts of Emergency Care and Disaster Preparedness
Chapter 10. Concepts of Emergency and Trauma Nursing
Chapter 11. Care of Patients with Common Environmental Emergencies
Chapter 12. Concepts of Disaster Preparedness
Section III: Concepts of Patients with Problems of Fluid, Electrolyte, and Acid-Base Balance
Chapter 13. Concepts of Fluid and Electrolyte Balance
Chapter 14. Concepts of Acid-Base Balance
Chapter 15. Concepts of Infusion Therapy
Section V: Interprofessional Collaboration for Patients with Problems of Immunity
Chapter 16. Concepts of Inflammation and Immunity
Chapter 17. Care of Patients with HIV Disease
Chapter 18. Care of Patients with Hypersensitivity (Allergy) and Autoimmunity
Chapter 19. Concepts of Cancer Development
Chapter 20. Care of Patients with Cancer
Chapter 21. Care of Patients with Infection
Section VI: Interprofessional Collaboration for Patients with Problems of the Skin, Hair, and Nails
Chapter 22. Assessment of the Skin, Hair, and Nails
Chapter 23. Care of Patients with Skin Problems
Section VII: Interprofessional Collaboration for Patients with Problems of the Respiratory System
Chapter 24. Assessment of the Respiratory System
Chapter 25. Care of Patients Requiring Oxygen Therapy or Tracheostomy
Chapter 26. Care of Patients with Noninfectious Upper Respiratory Problems
Chapter 27. Care of Patients with Noninfectious Lower Respiratory Problems
Chapter 28. Care of Patients with Infectious Respiratory Problems
29. Critical Care of Patients with Respiratory Emergencies
Section VIII: Interprofessional Collaboration for Patients with Problems of the Cardiovascular System
Chapter 30. Assessment of the Cardiovascular System
Chapter 31. Care of Patients with Dysrhythmias
Chapter 32. Care of Patients with Cardiac Problems
Chapter 33. Care of Patients with Vascular Problems
Chapter 34. Critical Care of Patients with Shock
Chapter 35. Critical Care of Patients with Acute Coronary Syndromes
Section IX: Interprofessional Collaboration for Patients with Problems of the Hematologic System
Chapter 36. Assessment of the Hematologic System
Chapter 37. Care of Patients with Hematologic Problems
Section X: Interprofessional Collaboration for Patients with Problems of the Nervous System
,Chapter 38. Assessment of the Nervous System
Chapter 39. Care of Patients with Problems of the Central Nervous System: The Brain
Chapter 40. Care of Patients with Problems of the Central Nervous System: The Spinal Cord
Chapter 41. Critical Care of Patients with Neurologic Emergencies
Chapter Section XI: Interprofessional Collaboration for Patients with Problems of the Sensory System
Chapter 42. Assessment and Concepts of Care for Patients with Eye and Vision Problems
Chapter 43. Assessment and Concepts of Care for Patients with Ear and Hearing Problems
Section XII: Interprofessional Collaboration for Patients with Problems of the Musculoskeletal System
Chapter 44. Assessment of the Musculoskeletal System
Chapter 45. Care of Patients with Musculoskeletal Problems
Chapter 46. Care of Patients with Arthritis and Total Joint Arthroplasty NEW!
Chapter 47. Care of Patients with Musculoskeletal Trauma
Section XIII: Interprofessional Collaboration for Patients with Problems of the Gastrointestinal System
Chapter 48. Assessment of the Gastrointestinal System
Chapter 49. Care of Patients with Oral Cavity and Esophageal Problems
Chapter 50. Care of Patients with Stomach Disorders
Chapter 51. Care of Patients with Noninflammatory Intestinal Disorders
Chapter 52. Care of Patients with Inflammatory Intestinal Disorders
Chapter 53. Care of Patients with Liver Problems
Chapter 54. Care of Patients with Problems of the Biliary System and Pancreas
Chapter 55. Care of Patients with Malnutrition: Undernutrition and Obesity
Section XIV: Interprofessional Collaboration for Patients with Problems of the Endocrine System
Chapter 56. Assessment of the Endocrine System
Chapter 57. Care of Patients with Pituitary and Adrenal Gland Problems
Chapter 58. Care of Patients with Problems of the Thyroid and Parathyroid Glands
Chapter 59. Care of Patients with Diabetes Mellitus
Section XV: Interprofessional Collaboration for Patients with Problems of the Renal/Urinary System
Chapter 60. Assessment of the Renal/Urinary System
Chapter 61. Care of Patients with Urinary Problems
Chapter 62. Care of Patients with Kidney Disorders
Chapter 63. Care of Patients with Acute Kidney Injury and Chronic Kidney Disease
Section XVI: Interprofessional Collaboration for Patients with Problems of the Reproductive System
Chapter 64. Assessment of the Reproductive System
Chapter 65. Care of Patients with Breast Disorders
Chapter 66. Care of Patients with Gynecologic Problems
Chapter 67. Care of Patients with Male Reproductive Problems
Chapter 68. Care of Transgender Patients
Chapter 69. Care of Patients with Sexually Transmitted Infections
, Chapter 01: Overview Of Professional Nursing Concepts For Medical-Surgical Nursing
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 care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the priority.
Health care errors have been widely reported for 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.
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 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 theclient.
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 and involved 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 nurse take 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 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 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 theroom.
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 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 the nurse
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
Medication reconciliation is a formal process in which the client’s actual current medications are
compared to the prescribed medications at the time of admission, transfer, or discharge. This National
client Safety Goal is important to reduce medication errors. The client would not have to be responsible
for providers washing their hands, and even if the client does so, this is too narrow to be the most
important action to prevent errors. Keeping the provider’s phone number nearby and documenting
everyone who enters the room also do not guarantee safety.
DIF: Applying TOP: Integrated Process: Teaching/Learning KEY: Client
safety, Informatics
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6. Which action by the nurse working with a client best demonstrates respect for autonomy?
a. Asks if the client has questions before signing a consent.
b. Gives the client accurate information when questioned.
c. Keeps the promises made to the client and family.
d. Treats the client fairly compared to otherclients.
ANS: A
Autonomy is self-determination. The client would make decisions regarding care. When the nurse obtains a
signature on the consent form, assessing if the client still has questions is vital, because without full
information the client cannot practice autonomy. Giving accurate information is practicing with veracity.
Keeping promises is upholding fidelity. Treating the client fairly is providing social justice.
DIF: Applying TOP: Integrated Process: Caring KEY: Ethics, Autonomy MSC: Client
Needs Category: Safe and Effective Care Environment: Management of Care
