Med Surg Exam 1 Study Guide Questions
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
b. Ensuring client safety
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 the client.
d. Tell the client to always wear his or her armband.
a. Encourage the client and family to be active partners.
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
a. Call the Rapid Response Team
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
A. Assess for cultural influences affecting health care
,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.
A. bring a list of all medications and what they are for
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 other clients.
a. Asks if the client has questions before signing a consent
A nurse asks a more seasoned colleague to explain best practices when communicating with a
person from the lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ)
community. What answer by the faculty is most accurate?
a. Avoid embarrassing the client by asking questions.
b. Don't make assumptions about his or her health needs.
c. Most LGBTQ people do not want to share information.
d. No differences exist in communicating with this population
b. don't make assumptions about his or her health needs
A nurse is calling the on-call health care provider about a client who had a hysterectomy 2 days
ago and has pain that is unrelieved by the prescribed opioid pain medication. Which statement
comprises the background portion of the SBAR format for communication?
a. "I would like you to order a different pain medication."
b. "This client has allergies to morphine and codeine."
c. "Dr. Smith doesn't like nonsteroidal anti-inflammatory meds."
d. "This client had a vaginal hysterectomy 2 days ago."
b. This client has allergies to morphine and codeine
A nurse working on a cardiac unit delegated taking vital signs to an experienced assistive
personnel (AP). Four hours later, the nurse notes that the client's blood pressure taken by the
AP was much higher than previous readings, and the client's mental status has changed. What
action by the nurse would most likely have prevented this negative outcome?
a. Determining if the AP knew how to take blood pressure
b. Double-checking the AP by taking another blood pressure
c. Providing more appropriate supervision of the AP
,d. Taking the blood pressure instead of delegating the task
c. Providing more appropriate supervision of the AP
We have an expert-written solution to this problem!
A newly graduated nurse in the hospital states that because of being so new, participation in
quality improvement (QI) projects is not wise. What response by the precepting nurse is best?
a. "All staff nurses are required to participate in quality improvement here."
b. "Even being new, you can implement activities designed to improve care."
c. "It's easy to identify what indicators would be used to measure quality."
d. "You should ask to be assigned to the research and quality committee."
b. Even being new, you can implement activities designed to improve care
A nurse is talking with a co-worker who is moving to a new state and needs to find new
employment there. What advice by the nurse is best?
a. Ask the hospitals there about standard nurse-client ratios.
b. Choose the hospital that has the newest technology.
c. Find a hospital that has achieved Magnet status.
d. Work in a facility affiliated with a medical or nursing school.
C. find a hospital that has achieved Magnet status
A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest
levels of competency. Which areas would the manager assess to determine if the nursing staff
demonstrate competency according to the Institute of Medicine (IOM) report Health Professions
Education: A Bridge to Quality? (Select all that apply.)
a. Collaborating with an interprofessional team
b. Implementing evidence-based care
c. Providing family-focused care
d. Routinely using informatics in practice
e. Using quality improvement in client care
f. Formalizing systems thinking when implementing care
A,B,D,E
A nurse is interested in making interprofessional work a high priority. Which actions by the nurse
best demonstrate this skill? (Select all that apply.)
a. Consults with other disciplines on client care.
b. Coordinates discharge planning for home safety.
c. Participates in comprehensive client rounding.
d. Routinely asks other disciplines about client progress.
e. Shows the nursing care plans to other disciplines.
f. Delegate tasks to unlicensed personnel appropriately
, A, B, C, D, F
The nurse utilizing evidence-based practice (EBP) considers which factors when planning care?
(Select all that apply.)
a. Cost-saving measures
b. Nurse's expertise
c. Client preferences
d. Research findings
e. Values of the client
f. Plan-do-study-act mode
B, C, D, E
A nurse manager wants to improve hand-off communication among the staff. What actions by
the manager would best help achieve this goal? (Select all that apply.)
a. Attend hand-off rounds to coach and mentor.
b. Create a template of suggested topics to include in report.
c. Encourage staff to ask questions during hand-off.
d. Give raises based on compliance with reporting.
e. Provide education on the SBAR method of communication
A, B, C, E
A nurse learns that the fastest growing subset of the older population is which group?
a. Elite old
b. Middle old
c. Old old
d. Young old
C. Old old
A nurse working with older adults in the community plans programming to improve morale and
emotional health in this population. What activity would best meet this goal?
a. Exercise program to improve physical function
b. Financial planning seminar series for older adults
c. Social events such as dances and group dinners
d. Workshop on prevention from becoming an abuse victim
A. Exercise program to improve physical function
A nurse caring for an older client on a medical-surgical unit notices the client reports frequent
constipation and only wants to eat softer foods such as rice, bread, and puddings. What
assessment would the nurse perform first?
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
b. Ensuring client safety
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 the client.
d. Tell the client to always wear his or her armband.
a. Encourage the client and family to be active partners.
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
a. Call the Rapid Response Team
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
A. Assess for cultural influences affecting health care
,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.
A. bring a list of all medications and what they are for
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 other clients.
a. Asks if the client has questions before signing a consent
A nurse asks a more seasoned colleague to explain best practices when communicating with a
person from the lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ)
community. What answer by the faculty is most accurate?
a. Avoid embarrassing the client by asking questions.
b. Don't make assumptions about his or her health needs.
c. Most LGBTQ people do not want to share information.
d. No differences exist in communicating with this population
b. don't make assumptions about his or her health needs
A nurse is calling the on-call health care provider about a client who had a hysterectomy 2 days
ago and has pain that is unrelieved by the prescribed opioid pain medication. Which statement
comprises the background portion of the SBAR format for communication?
a. "I would like you to order a different pain medication."
b. "This client has allergies to morphine and codeine."
c. "Dr. Smith doesn't like nonsteroidal anti-inflammatory meds."
d. "This client had a vaginal hysterectomy 2 days ago."
b. This client has allergies to morphine and codeine
A nurse working on a cardiac unit delegated taking vital signs to an experienced assistive
personnel (AP). Four hours later, the nurse notes that the client's blood pressure taken by the
AP was much higher than previous readings, and the client's mental status has changed. What
action by the nurse would most likely have prevented this negative outcome?
a. Determining if the AP knew how to take blood pressure
b. Double-checking the AP by taking another blood pressure
c. Providing more appropriate supervision of the AP
,d. Taking the blood pressure instead of delegating the task
c. Providing more appropriate supervision of the AP
We have an expert-written solution to this problem!
A newly graduated nurse in the hospital states that because of being so new, participation in
quality improvement (QI) projects is not wise. What response by the precepting nurse is best?
a. "All staff nurses are required to participate in quality improvement here."
b. "Even being new, you can implement activities designed to improve care."
c. "It's easy to identify what indicators would be used to measure quality."
d. "You should ask to be assigned to the research and quality committee."
b. Even being new, you can implement activities designed to improve care
A nurse is talking with a co-worker who is moving to a new state and needs to find new
employment there. What advice by the nurse is best?
a. Ask the hospitals there about standard nurse-client ratios.
b. Choose the hospital that has the newest technology.
c. Find a hospital that has achieved Magnet status.
d. Work in a facility affiliated with a medical or nursing school.
C. find a hospital that has achieved Magnet status
A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest
levels of competency. Which areas would the manager assess to determine if the nursing staff
demonstrate competency according to the Institute of Medicine (IOM) report Health Professions
Education: A Bridge to Quality? (Select all that apply.)
a. Collaborating with an interprofessional team
b. Implementing evidence-based care
c. Providing family-focused care
d. Routinely using informatics in practice
e. Using quality improvement in client care
f. Formalizing systems thinking when implementing care
A,B,D,E
A nurse is interested in making interprofessional work a high priority. Which actions by the nurse
best demonstrate this skill? (Select all that apply.)
a. Consults with other disciplines on client care.
b. Coordinates discharge planning for home safety.
c. Participates in comprehensive client rounding.
d. Routinely asks other disciplines about client progress.
e. Shows the nursing care plans to other disciplines.
f. Delegate tasks to unlicensed personnel appropriately
, A, B, C, D, F
The nurse utilizing evidence-based practice (EBP) considers which factors when planning care?
(Select all that apply.)
a. Cost-saving measures
b. Nurse's expertise
c. Client preferences
d. Research findings
e. Values of the client
f. Plan-do-study-act mode
B, C, D, E
A nurse manager wants to improve hand-off communication among the staff. What actions by
the manager would best help achieve this goal? (Select all that apply.)
a. Attend hand-off rounds to coach and mentor.
b. Create a template of suggested topics to include in report.
c. Encourage staff to ask questions during hand-off.
d. Give raises based on compliance with reporting.
e. Provide education on the SBAR method of communication
A, B, C, E
A nurse learns that the fastest growing subset of the older population is which group?
a. Elite old
b. Middle old
c. Old old
d. Young old
C. Old old
A nurse working with older adults in the community plans programming to improve morale and
emotional health in this population. What activity would best meet this goal?
a. Exercise program to improve physical function
b. Financial planning seminar series for older adults
c. Social events such as dances and group dinners
d. Workshop on prevention from becoming an abuse victim
A. Exercise program to improve physical function
A nurse caring for an older client on a medical-surgical unit notices the client reports frequent
constipation and only wants to eat softer foods such as rice, bread, and puddings. What
assessment would the nurse perform first?
