TEST BANK FOR MEDICAL-SURGICAL NURSING
CONCEPTS FOR INTERPROFESSIONAL
,COLLABORATIVE CARE 10TH EDITION ALL
CHAPTERS||A+ ULTIMATE GUIDE.
Chapter 1: Introduction to Medical-Surgical Nursing
PracticeIgnatavicius: Medical-Surgical Nursing,10th
Edition
MULTIPLE CHOICE
• A new nurse is working with a preceptor on an inpatient medical-surgical unit.
The preceptor advises the student that which is the priority when working as a
professionalnurse?
• Attending to holistic client needs
• Ensuring client safety
• Not making medication errors
• Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
2000 Institute of Medicine report. Many more clients have suffered injuries and less serious
outcomes. Every nurse has the responsibility to guard the client’s safety.
DIF: Understanding/Comprehension REF: 2 KEY: Patient
safetyMSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
• A nurse is orienting a new client and family to the inpatient unit. What information
does the nurse provide to help the client promote his or her own safety?
• Encourage the client and family to be active partners.
• Have the client monitor hand hygiene in caregivers.
• Offer the family the opportunity to stay with the client.
• 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 partner is the most
critical. The other actions are very limited in scope and do not provide the broad
protection that being activeand involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient
safetyMSC: Integrated Process: Teaching/Learning
, NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
InfectionControl
• 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 by
the nurse isbest?
• Call the Rapid Response Team.
• Document and continue to monitor.
• Notify the primary care provider.
• Repeat blood pressure measurement 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 should call the RRT. Changes in blood
pressure, mental status, heart rate, and pain are particularly significant. Documentation is
vital, but thenurse must do more than document. The primary care provider should be
notified, but this isnot the priority over calling the RRT. The client’s blood pressure
should be reassessed frequently, but the priority is getting the rapid care to the client.
DIF: Applying/ApplicationREF:3 KEY: Rapid
Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
• A nurse wishes to provide client-centered care in all interactions. Which action by the
nursebest demonstrates this concept?
• Assesses for cultural influences affecting health care
• Ensures that all the clients’ basic needs are met
• Tells the client and family about all upcoming tests
• Thoroughly orients the client and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on
communication, culture, respect, compassion, client education, and
empowerment. Byassessing 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 directlyrelated to demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process:
CaringNOT: Client Needs Category: Psychosocial Integrity
, • 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?
• Bring a list of all medications and what they are for.
• Keep the doctor’s phone number by the telephone.
• Make sure all providers wash hands before entering the room.
• Write down the name of each caregiver who comes in the room.
ANS: A
Medication errors are the most common type of health care mistake. The Joint
Commission’s Speak Up campaign encourages clients to help ensure their safety. One
recommendation is for clients to know all their medications and why they take them. This
will help prevent medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process:
Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
InfectionControl
• Which action by the nurse working with a client best demonstrates respect for autonomy?
• Asks if the client has questions before signing a consent
• Gives the client accurate information when questioned
• Keeps the promises made to the client and family
• Treats the client fairly compared to other clients
ANS: A
Autonomy is self-determination. The client should make decisions regarding care.
When thenurse 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 theclient fairly is providing social justice.
DIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
• A student nurse asks the faculty to explain best practices when communicating
with a person from the lesbian, gay, bisexual, transgender, and queer/questioning
(LGBTQ)community. What answer by the faculty is most accurate?
• Avoid embarrassing the client by asking questions.
• Don’t make assumptions about their health needs.
• Most LGBTQ people do not want to share information.
• No differences exist in communicating with this population.
ANS: B
Many members of the LGBTQ community have faced discrimination from health care
providers and may be reluctant to seek health care. The nurse should never make
CONCEPTS FOR INTERPROFESSIONAL
,COLLABORATIVE CARE 10TH EDITION ALL
CHAPTERS||A+ ULTIMATE GUIDE.
Chapter 1: Introduction to Medical-Surgical Nursing
PracticeIgnatavicius: Medical-Surgical Nursing,10th
Edition
MULTIPLE CHOICE
• A new nurse is working with a preceptor on an inpatient medical-surgical unit.
The preceptor advises the student that which is the priority when working as a
professionalnurse?
• Attending to holistic client needs
• Ensuring client safety
• Not making medication errors
• Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
2000 Institute of Medicine report. Many more clients have suffered injuries and less serious
outcomes. Every nurse has the responsibility to guard the client’s safety.
DIF: Understanding/Comprehension REF: 2 KEY: Patient
safetyMSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
• A nurse is orienting a new client and family to the inpatient unit. What information
does the nurse provide to help the client promote his or her own safety?
• Encourage the client and family to be active partners.
• Have the client monitor hand hygiene in caregivers.
• Offer the family the opportunity to stay with the client.
• 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 partner is the most
critical. The other actions are very limited in scope and do not provide the broad
protection that being activeand involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient
safetyMSC: Integrated Process: Teaching/Learning
, NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
InfectionControl
• 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 by
the nurse isbest?
• Call the Rapid Response Team.
• Document and continue to monitor.
• Notify the primary care provider.
• Repeat blood pressure measurement 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 should call the RRT. Changes in blood
pressure, mental status, heart rate, and pain are particularly significant. Documentation is
vital, but thenurse must do more than document. The primary care provider should be
notified, but this isnot the priority over calling the RRT. The client’s blood pressure
should be reassessed frequently, but the priority is getting the rapid care to the client.
DIF: Applying/ApplicationREF:3 KEY: Rapid
Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
• A nurse wishes to provide client-centered care in all interactions. Which action by the
nursebest demonstrates this concept?
• Assesses for cultural influences affecting health care
• Ensures that all the clients’ basic needs are met
• Tells the client and family about all upcoming tests
• Thoroughly orients the client and family to the room
ANS: A
Competency in client-focused care is demonstrated when the nurse focuses on
communication, culture, respect, compassion, client education, and
empowerment. Byassessing 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 directlyrelated to demonstrating client-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process:
CaringNOT: Client Needs Category: Psychosocial Integrity
, • 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?
• Bring a list of all medications and what they are for.
• Keep the doctor’s phone number by the telephone.
• Make sure all providers wash hands before entering the room.
• Write down the name of each caregiver who comes in the room.
ANS: A
Medication errors are the most common type of health care mistake. The Joint
Commission’s Speak Up campaign encourages clients to help ensure their safety. One
recommendation is for clients to know all their medications and why they take them. This
will help prevent medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process:
Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and
InfectionControl
• Which action by the nurse working with a client best demonstrates respect for autonomy?
• Asks if the client has questions before signing a consent
• Gives the client accurate information when questioned
• Keeps the promises made to the client and family
• Treats the client fairly compared to other clients
ANS: A
Autonomy is self-determination. The client should make decisions regarding care.
When thenurse 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 theclient fairly is providing social justice.
DIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
• A student nurse asks the faculty to explain best practices when communicating
with a person from the lesbian, gay, bisexual, transgender, and queer/questioning
(LGBTQ)community. What answer by the faculty is most accurate?
• Avoid embarrassing the client by asking questions.
• Don’t make assumptions about their health needs.
• Most LGBTQ people do not want to share information.
• No differences exist in communicating with this population.
ANS: B
Many members of the LGBTQ community have faced discrimination from health care
providers and may be reluctant to seek health care. The nurse should never make
