Medsurg unit 1 ch 1-7
1. A nurse is discussing restorative health care with a newly licensed nurse. Which examples
should the nurse include in the teaching <Ans> Home health care, rehabilitation facilities, skilled
nursing facilities.
2. A nurse is explaining the various types of healthcare coverage clients might have to a group of
nursing students. Which health care financing mechanisms are federally funded <Ans> Medicare
and Medicaid
3. A nurse manager is developing strategies to care for the increasing number of clients who have
obesity. What action should the nurse include as a primary health strategy <Ans> Collaborating with
providers to perform obesity screenings during routine visits.
4. A nurse is discussing the purpose of regulatory agencies during a staff meeting. What task
should the nurse identify as the responsibility of state licensing boards <Ans> Ensuring that
health care providers comply with regulations.
5. A nurse is explaining the various levels of health care services to a group of newly licensed
nurses. What examples of care or care settings should the nurse classify as tertiary care <Ans>
Intensive care unit, oncology treatment center, burn center.
6. A nurse is caring for a group of clients on a med-surg unit.What client care needs should the
nurse make a referral for a social worker <Ans> A client who has terminal ca requests hospice care
at home, a client asks about community resources available for older adults, a client requests an electric
wc for use after dc.
7. A goal for a client who has difficulty w/self-feeding due to rheumatoid arthri- tis is to use
,adaptive devices. The nurse caring for the client should initiate
a referral w/what member of the interprofessional care team <Ans> Occupational therapist
8. A client who is postoperative following knee arthroplasty is concerned about the adverse
effects of the medication he is receiving for pain manage- ment. What members of the
interprofessional care team can assist the client in understanding the medications effects <Ans>
Provider, pharmacist, and registered nurse.
9. A client who has had a cva has persistent problems with dysphasia.The nurse caring for the
client should initiate a referral to what member of the interprofessional care team <Ans>
Speech language pathologist
10. A nurse is acquainting a group of newly
licensed nurses with the roles of the various
members of the health care team they will
encounter on a medicalsurgical unit. When
she gives examples of the types
,of tasks CNAs may perform, what client activities should she include <Ans> -
Bathing, ambulating, toileting, and measure vital signs.
11. QSEN: Safety <Ans> Minimization of risk factors that could cause injury or harm while promoting
quality care and maintaining a secure environment for clients, self, and others.
12. QSEN: Patient Centered Care <Ans> Provision of caring and compassionate, cultur- ally
sensitive care that addresses clients physiological, psychological, sociological, spiritual, and cultural
needs, preferences, and values.
13. QSEN: Evidence-Based Practice <Ans> Use of current knowledge from research and other
credible sources, on which to base clinical judgement and client care.
14. QSEN: Informatics <Ans> the use of information technology as a communication and
information-gathering tool that supports clinical decision-making and scientifically based nursing
practice
15. QSEN: Quality Improvement <Ans> Care-related and organizational processes that involve the
development and implementation of a plan to improve health care services and better meet clients
needs.
16. QSEN- Teamwork and Collaboration <Ans> Delivery of client care in partnership with
multidisciplinary members of the health care team to achieve continuity of care and positive client
outcomes.
17. A nurse observed an assistive personnel reprimanding a client for not using the urinal
properly.The ap tells him she will put a diaper on him if he does not use the urinal more
carefully next time. Which tort is the ap committing <Ans> Assault
, 18. A nurse is caring for a competent adult client who tells the nurse that he is thinking about
leaving the hospital ama.The nurse believes that this isn't in the clients best interest, so she
preps a prn sedative the client has not requested along with his usual medication. Which tort is
this nurse about to commit <Ans> False imprisonment
19. A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for
surgery the following week.The client tells the nurse that he will prepare his advance directives
before he goes to the hospital. Which statement made by the client should indicate to the nurse an
understanding of advance directives <Ans> I plan to write that I don't want them to keep me on a
breathing machine.
20. A nurse is caring for a client who is about to undergo an elective procedure. The nurse should
take which actions regarding informed consents <Ans> Make sure the surgeon obtained the clients
consent and witness the clients signature on the consent form.
1. A nurse is discussing restorative health care with a newly licensed nurse. Which examples
should the nurse include in the teaching <Ans> Home health care, rehabilitation facilities, skilled
nursing facilities.
2. A nurse is explaining the various types of healthcare coverage clients might have to a group of
nursing students. Which health care financing mechanisms are federally funded <Ans> Medicare
and Medicaid
3. A nurse manager is developing strategies to care for the increasing number of clients who have
obesity. What action should the nurse include as a primary health strategy <Ans> Collaborating with
providers to perform obesity screenings during routine visits.
4. A nurse is discussing the purpose of regulatory agencies during a staff meeting. What task
should the nurse identify as the responsibility of state licensing boards <Ans> Ensuring that
health care providers comply with regulations.
5. A nurse is explaining the various levels of health care services to a group of newly licensed
nurses. What examples of care or care settings should the nurse classify as tertiary care <Ans>
Intensive care unit, oncology treatment center, burn center.
6. A nurse is caring for a group of clients on a med-surg unit.What client care needs should the
nurse make a referral for a social worker <Ans> A client who has terminal ca requests hospice care
at home, a client asks about community resources available for older adults, a client requests an electric
wc for use after dc.
7. A goal for a client who has difficulty w/self-feeding due to rheumatoid arthri- tis is to use
,adaptive devices. The nurse caring for the client should initiate
a referral w/what member of the interprofessional care team <Ans> Occupational therapist
8. A client who is postoperative following knee arthroplasty is concerned about the adverse
effects of the medication he is receiving for pain manage- ment. What members of the
interprofessional care team can assist the client in understanding the medications effects <Ans>
Provider, pharmacist, and registered nurse.
9. A client who has had a cva has persistent problems with dysphasia.The nurse caring for the
client should initiate a referral to what member of the interprofessional care team <Ans>
Speech language pathologist
10. A nurse is acquainting a group of newly
licensed nurses with the roles of the various
members of the health care team they will
encounter on a medicalsurgical unit. When
she gives examples of the types
,of tasks CNAs may perform, what client activities should she include <Ans> -
Bathing, ambulating, toileting, and measure vital signs.
11. QSEN: Safety <Ans> Minimization of risk factors that could cause injury or harm while promoting
quality care and maintaining a secure environment for clients, self, and others.
12. QSEN: Patient Centered Care <Ans> Provision of caring and compassionate, cultur- ally
sensitive care that addresses clients physiological, psychological, sociological, spiritual, and cultural
needs, preferences, and values.
13. QSEN: Evidence-Based Practice <Ans> Use of current knowledge from research and other
credible sources, on which to base clinical judgement and client care.
14. QSEN: Informatics <Ans> the use of information technology as a communication and
information-gathering tool that supports clinical decision-making and scientifically based nursing
practice
15. QSEN: Quality Improvement <Ans> Care-related and organizational processes that involve the
development and implementation of a plan to improve health care services and better meet clients
needs.
16. QSEN- Teamwork and Collaboration <Ans> Delivery of client care in partnership with
multidisciplinary members of the health care team to achieve continuity of care and positive client
outcomes.
17. A nurse observed an assistive personnel reprimanding a client for not using the urinal
properly.The ap tells him she will put a diaper on him if he does not use the urinal more
carefully next time. Which tort is the ap committing <Ans> Assault
, 18. A nurse is caring for a competent adult client who tells the nurse that he is thinking about
leaving the hospital ama.The nurse believes that this isn't in the clients best interest, so she
preps a prn sedative the client has not requested along with his usual medication. Which tort is
this nurse about to commit <Ans> False imprisonment
19. A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for
surgery the following week.The client tells the nurse that he will prepare his advance directives
before he goes to the hospital. Which statement made by the client should indicate to the nurse an
understanding of advance directives <Ans> I plan to write that I don't want them to keep me on a
breathing machine.
20. A nurse is caring for a client who is about to undergo an elective procedure. The nurse should
take which actions regarding informed consents <Ans> Make sure the surgeon obtained the clients
consent and witness the clients signature on the consent form.
