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 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.
Btestbanks.com
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
2 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
on health care, this nurse is practicing clientfocused 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
3 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
Btestbanks.com
4. A new nurse is working with a preceptor on a medicalsurgical
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
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 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.
Btestbanks.com
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
2 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
on health care, this nurse is practicing clientfocused 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
3 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
Btestbanks.com
4. A new nurse is working with a preceptor on a medicalsurgical
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
