lOMoAR cPSD| 9719818
Test bank - medical surgical nursing 10th edition
m m m m m m m
, lOMoAR cPSD| 9719818
Medical Surgical Nursing 10th EditionI
m m m m m
gnatavicius Workman Test Bank m m m
Chapter 01: Overview of Professional Nursing Concepts for Medical-
m m m m m m m m
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
m m m m m m
MULTIPLEmCHOICE
1. Amnewmnursemismworkingmwithmampreceptormonmammedical-
surgicalmunit.mThempreceptormadvisesmthemnewmnursemthatmwhichmismthemprioritymwhenmworkingm
asmamprofessionalmnurse?
a. Attendingmtomholisticmclientmneeds
b. Ensuringmclientmsafety
c. Notmmakingmmedicationmerrors
d. Providingmclient-focusedmcare
ANS:m B
Allmactionsmaremappropriatemformthemprofessionalmnurse.mHowever,mensuringmclientmsafetymismt
hempriority.mHealthmcaremerrorsmhavembeenmwidelymreportedmform25myears,mmanymofmwhichmres
ultminmclientminjury,mdeath,mandmincreasedmhealthmcaremcosts.mTheremaremseveralmnationalmandmi
nternationalmorganizationsmthatmhavemeithermrecommendedmormmandatedmsafetyminitiatives.
Everymnursemhasmthemresponsibilitymtomguardmthemclient’smsafety.mThemothermactionsmaremimporta
ntmformqualitymnursing,mbutmtheymaremnotmasmvitalmasmprovidingmsafety.mNotmmakingmmedicationm
errorsmdoesmprovidemsafety,mbutmismtoomnarrowminmscopemtombemthembestmanswer.
DIF: Understanding
TOP:m IntegratedmProcess:mNursingmProcess:mInterventionmKEY:m Clientmsafety
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfectionmControl
2. Amnursemismorientingmamnewmclientmandmfamilymtomthemmedical-
surgicalmunit.mWhatminformationmdoesmthemnursemprovidemtombestmhelpmthemclientmpromotemhis
mormhermownmsafety?
a. Encouragemthemclientmandmfamilymtombemactivempartners.
b. Havemthemclientmmonitormhandmhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclientmtomalwaysmwearmhismormhermarmband.
ANS:m A
Eachmactionmcouldmbemimportantmformthemclientmormfamilymtomperform.mHowever,mencouragingmt
hemclientmtombemactiveminmhismormhermhealthmcaremasmamsafetympartnermismthemmostmcritical.mThemot
hermactionsmaremverymlimitedminmscopemandmdomnotmprovidemthembroadmprotectionmthatmbeingmacti
vemandminvolvedmdoes.
DIF: Understanding
TOP:mIntegratedmProcess:mTeaching/LearningmKEY:m Clientmsafety
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfectionmControl
3. Amnursemismcaringmformampostoperativemclientmonmthemsurgicalmunit.mThemclient’smbloodmpressu
remwasm142/76mmmmHgm30mminutesmago,mandmnowmism88/50mmmmHg.mWhatmactionmwouldmthe
mnursem
takemfirst?
a. CallmthemRapidmResponsemTeam.
b. Documentmandmcontinuemtommonitor.
c. Notifymthemprimarymhealthmcaremprovider.
d. Repeatmthembloodmpressureminm15mminutes.
Btestbanks.com
)
, lOMoAR cPSD| 9719818
ANS:m A
ThempurposemofmthemRapidmResponsemTeamm(RRT)mismtomintervenemwhenmclientsmaremdeteriorati
ngmbeforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemthemclientmhasmmanifestedmamsi
gnificantmchange,mthemnursemwouldmcallmthemRRT.mChangesminmbloodmpressure,mmentalmstatus,m
heartmrate,mtemperature,moxygenmsaturation,mandmlastm2mhours’murinemoutputmaremparticularlymsig
nificantmandmarempartmofmthemModifiedmEarlymWarningmSystemmguide.mDocumentationmismvital,m
butmthemnursemmustmdommoremthanmdocument.mThemprimarymhealthmcaremprovidermwouldmbemnoti
fied,mbutmthismismnotmmoremimportantmthanmcallingmthemRRT.mThemclient’smbloodmpressuremwoul
dmbemreassessedmfrequently,mbutmthemprioritymismgettingmthemrapidmcaremtomthemclient.
DIF: Applying
TOP:m IntegratedmProcess:mCommunicationmandmDocumentationmKEY:m Rapidm
ResponsemTeamm(RRT),mClinicalmjudgment
MSC:m ClientmNeedsmCategory:mPhysiologicalmIntegrity:mPhysiologicalmAdaptation
4. Amnursemwishesmtomprovidemclient-centeredmcareminmallminteractions.mWhichmactionmbymthemnurse
bestmdemonstratesmthismconcept?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare.
b. Ensuresmthatmallmthemclient’smbasicmneedsmaremmet.
c. Tellsmthemclientmandmfamilymaboutmallmupcomingmtests.
d. Thoroughlymorientsmthemclientmandmfamilymtomthemroom.
ANS:m A
Showingmrespectmformthemclientmandmfamily’smpreferencesmandmneedsmismessentialmtomensuremam
holisticmorm“whole-
person”mapproachmtomcare.mBymassessingmthemeffectmofmthemclient’smculturemonmhealthmcare,mthis
mnursemismpracticingmclient-
focusedmcare.mProvidingmformbasicmneedsmdoesmnotmdemonstratemthismcompetence.mSimplymtelli
ngmthemclientmaboutmallmupcomingmtestsmismnotmprovidingmempoweringmeducation.mOrientingmth
emclientmandmfamilymtomthemroommismanmimportantmsafetymmeasure,mbutmnotmdirectlymrelatedmtomd
emonstratingmclient-centeredmcare.
DIF: Understanding
TOP:mIntegratedmProcess:mCulturemandmSpiritualitymKEY:m Client-centeredmcare,mCulture
MSC:m ClientmNeedsmCategory:mPsychosocialmIntegrity
5. Amclientmismgoingmtombemadmittedmformamscheduledmsurgicalmprocedure.mWhichmactionmdoesm
themnursemexplainmismthemmostmimportantmthingmthemclientmcanmdomtomprotectmagainstmerrors?
a. Bringmamlistmofmallmmedicationsmandmwhatmtheymaremfor.
b. Keepmthemprovider’smphonemnumbermbymthemtelephone.
c. Makemsuremthatmallmprovidersmwashmhandsmbeforementeringmthemroom.
d. Writemdownmthemnamemofmeachmcaregivermwhomcomesminmthemroom.
ANS:m A
Medicationmreconciliationmismamformalmprocessminmwhichmthemclient’smactualmcurrentmmedicatio
nsmaremcomparedmtomthemprescribedmmedicationsmatmthemtimemofmadmission,mtransfer,mormdischar
ge.mThismNationalmclientmSafetymGoalmismimportantmtomreducemmedicationmerrors.mThemclientmw
ouldmnotmhavemtombemresponsiblemformprovidersmwashingmtheirmhands,mandmevenmifmthemclientmd
oesmso,mthismismtoomnarrowmtombemthemmostmimportantmactionmtompreventmerrors.mKeepingmthempr
ovider’smphonemnumbermnearbymandmdocumentingmeveryonemwhomentersmthemroommalsomdomno
tmguaranteemsafety.
DIF: Applying
TOP:m IntegratedmProcess:mTeaching/LearningmKEY:m Clientm
safety,mInformatics
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfectionmControl
, lOMoAR cPSD| 9719818
6. Whichmactionmbymthemnursemworkingmwithmamclientmbestmdemonstratesmrespectmformautonomy?
a. Asksmifmthemclientmhasmquestionsmbeforemsigningmamconsent.
b. Givesmthemclientmaccurateminformationmwhenmquestioned.
c. Keepsmthempromisesmmademtomthemclientmandmfamily.
d. Treatsmthemclientmfairlymcomparedmtomothermclients.
ANS:m A
Autonomymismself-
determination.mThemclientmwouldmmakemdecisionsmregardingmcare.mWhenmthemnursemobtainsmamsi
gnaturemonmthemconsentmform,massessingmifmthemclientmstillmhasmquestionsmismvital,mbecausemwitho
utmfullminformationmthemclientmcannotmpracticemautonomy.mGivingmaccurateminformationmismpract
icingmwithmveracity.mKeepingmpromisesmismupholdingmfidelity.mTreatingmthemclientmfairlymismprov
idingmsocialmjustice.
DIF: Applying TOP:m IntegratedmProcess:mCaring
KEY:mEthics,mAutonomymMSC:m ClientmNeedsmCategory:mSafemandmEffectivemCarem
Environment:mManagementmofmCare
7. Amnursemasksmammoremseasonedmcolleaguemtomexplainmbestmpracticesmwhenmcommunicatingmwit
hmampersonmfrommthemlesbian,mgay,mbisexual,mtransgender,mandmquestioning/queerm(LGBTQ)mco
mmunity.mWhatmanswermbymthemfacultymismmostmaccurate?
a. Avoidmembarrassingmthemclientmbymaskingmquestions.
b. Don’tmmakemassumptionsmaboutmhismormhermhealthmneeds.
c. MostmLGBTQmpeoplemdomnotmwantmtomshareminformation.
d. Nomdifferencesmexistminmcommunicatingmwithmthismpopulation.
ANS:m B
ManymmembersmofmthemLGBTQmcommunitymhavemfacedmdiscriminationmfrommhealthmcaremprov
idersmandmmaymbemreluctantmtomseekmhealthmcare.mThemnursemwouldmnevermmakemassumptionsma
boutmthemneedsmofmmembersmofmthismpopulation.mRather,mrespectfulmquestionsmaremappropriate.m
Ifmapproachedmwithmsensitivity,mthemclientmwithmanymhealthmcaremneedmismmoremlikelymtomanswerm
honestly.
DIF: Understanding TOP:m IntegratedmProcess:mTeaching/Learning
KEY:m Healthmcaremdisparities,mLGBTQ MSC:m ClientmNeedsmCategory:mPsychosocialmIntegrity
8. Amnursemismcallingmthemon-
callmhealthmcaremprovidermaboutmamclientmwhomhadmamhysterectomym2mdaysmagomandmhasmpain
mthatmismunrelievedmbymthemprescribedmopioidmpainmmedication.mWhichmstatementmcomprises
mthembackgroundmportionmofmthemSBARmformatmformcommunication?
a. “Imwouldmlikemyoumtomordermamdifferentmpainmmedication.”
b. “Thismclientmhasmallergiesmtommorphinemandmcodeine.”
c. “Dr.mSmithmdoesn’tmlikemnonsteroidalmanti-inflammatorymmeds.”
d. “Thismclientmhadmamvaginalmhysterectomym2mdaysmago.”
ANS:m B
)
Test bank - medical surgical nursing 10th edition
m m m m m m m
, lOMoAR cPSD| 9719818
Medical Surgical Nursing 10th EditionI
m m m m m
gnatavicius Workman Test Bank m m m
Chapter 01: Overview of Professional Nursing Concepts for Medical-
m m m m m m m m
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
m m m m m m
MULTIPLEmCHOICE
1. Amnewmnursemismworkingmwithmampreceptormonmammedical-
surgicalmunit.mThempreceptormadvisesmthemnewmnursemthatmwhichmismthemprioritymwhenmworkingm
asmamprofessionalmnurse?
a. Attendingmtomholisticmclientmneeds
b. Ensuringmclientmsafety
c. Notmmakingmmedicationmerrors
d. Providingmclient-focusedmcare
ANS:m B
Allmactionsmaremappropriatemformthemprofessionalmnurse.mHowever,mensuringmclientmsafetymismt
hempriority.mHealthmcaremerrorsmhavembeenmwidelymreportedmform25myears,mmanymofmwhichmres
ultminmclientminjury,mdeath,mandmincreasedmhealthmcaremcosts.mTheremaremseveralmnationalmandmi
nternationalmorganizationsmthatmhavemeithermrecommendedmormmandatedmsafetyminitiatives.
Everymnursemhasmthemresponsibilitymtomguardmthemclient’smsafety.mThemothermactionsmaremimporta
ntmformqualitymnursing,mbutmtheymaremnotmasmvitalmasmprovidingmsafety.mNotmmakingmmedicationm
errorsmdoesmprovidemsafety,mbutmismtoomnarrowminmscopemtombemthembestmanswer.
DIF: Understanding
TOP:m IntegratedmProcess:mNursingmProcess:mInterventionmKEY:m Clientmsafety
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfectionmControl
2. Amnursemismorientingmamnewmclientmandmfamilymtomthemmedical-
surgicalmunit.mWhatminformationmdoesmthemnursemprovidemtombestmhelpmthemclientmpromotemhis
mormhermownmsafety?
a. Encouragemthemclientmandmfamilymtombemactivempartners.
b. Havemthemclientmmonitormhandmhygieneminmcaregivers.
c. Offermthemfamilymthemopportunitymtomstaymwithmthemclient.
d. Tellmthemclientmtomalwaysmwearmhismormhermarmband.
ANS:m A
Eachmactionmcouldmbemimportantmformthemclientmormfamilymtomperform.mHowever,mencouragingmt
hemclientmtombemactiveminmhismormhermhealthmcaremasmamsafetympartnermismthemmostmcritical.mThemot
hermactionsmaremverymlimitedminmscopemandmdomnotmprovidemthembroadmprotectionmthatmbeingmacti
vemandminvolvedmdoes.
DIF: Understanding
TOP:mIntegratedmProcess:mTeaching/LearningmKEY:m Clientmsafety
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfectionmControl
3. Amnursemismcaringmformampostoperativemclientmonmthemsurgicalmunit.mThemclient’smbloodmpressu
remwasm142/76mmmmHgm30mminutesmago,mandmnowmism88/50mmmmHg.mWhatmactionmwouldmthe
mnursem
takemfirst?
a. CallmthemRapidmResponsemTeam.
b. Documentmandmcontinuemtommonitor.
c. Notifymthemprimarymhealthmcaremprovider.
d. Repeatmthembloodmpressureminm15mminutes.
Btestbanks.com
)
, lOMoAR cPSD| 9719818
ANS:m A
ThempurposemofmthemRapidmResponsemTeamm(RRT)mismtomintervenemwhenmclientsmaremdeteriorati
ngmbeforemtheymsuffermeithermrespiratorymormcardiacmarrest.mSincemthemclientmhasmmanifestedmamsi
gnificantmchange,mthemnursemwouldmcallmthemRRT.mChangesminmbloodmpressure,mmentalmstatus,m
heartmrate,mtemperature,moxygenmsaturation,mandmlastm2mhours’murinemoutputmaremparticularlymsig
nificantmandmarempartmofmthemModifiedmEarlymWarningmSystemmguide.mDocumentationmismvital,m
butmthemnursemmustmdommoremthanmdocument.mThemprimarymhealthmcaremprovidermwouldmbemnoti
fied,mbutmthismismnotmmoremimportantmthanmcallingmthemRRT.mThemclient’smbloodmpressuremwoul
dmbemreassessedmfrequently,mbutmthemprioritymismgettingmthemrapidmcaremtomthemclient.
DIF: Applying
TOP:m IntegratedmProcess:mCommunicationmandmDocumentationmKEY:m Rapidm
ResponsemTeamm(RRT),mClinicalmjudgment
MSC:m ClientmNeedsmCategory:mPhysiologicalmIntegrity:mPhysiologicalmAdaptation
4. Amnursemwishesmtomprovidemclient-centeredmcareminmallminteractions.mWhichmactionmbymthemnurse
bestmdemonstratesmthismconcept?
a. Assessesmformculturalminfluencesmaffectingmhealthmcare.
b. Ensuresmthatmallmthemclient’smbasicmneedsmaremmet.
c. Tellsmthemclientmandmfamilymaboutmallmupcomingmtests.
d. Thoroughlymorientsmthemclientmandmfamilymtomthemroom.
ANS:m A
Showingmrespectmformthemclientmandmfamily’smpreferencesmandmneedsmismessentialmtomensuremam
holisticmorm“whole-
person”mapproachmtomcare.mBymassessingmthemeffectmofmthemclient’smculturemonmhealthmcare,mthis
mnursemismpracticingmclient-
focusedmcare.mProvidingmformbasicmneedsmdoesmnotmdemonstratemthismcompetence.mSimplymtelli
ngmthemclientmaboutmallmupcomingmtestsmismnotmprovidingmempoweringmeducation.mOrientingmth
emclientmandmfamilymtomthemroommismanmimportantmsafetymmeasure,mbutmnotmdirectlymrelatedmtomd
emonstratingmclient-centeredmcare.
DIF: Understanding
TOP:mIntegratedmProcess:mCulturemandmSpiritualitymKEY:m Client-centeredmcare,mCulture
MSC:m ClientmNeedsmCategory:mPsychosocialmIntegrity
5. Amclientmismgoingmtombemadmittedmformamscheduledmsurgicalmprocedure.mWhichmactionmdoesm
themnursemexplainmismthemmostmimportantmthingmthemclientmcanmdomtomprotectmagainstmerrors?
a. Bringmamlistmofmallmmedicationsmandmwhatmtheymaremfor.
b. Keepmthemprovider’smphonemnumbermbymthemtelephone.
c. Makemsuremthatmallmprovidersmwashmhandsmbeforementeringmthemroom.
d. Writemdownmthemnamemofmeachmcaregivermwhomcomesminmthemroom.
ANS:m A
Medicationmreconciliationmismamformalmprocessminmwhichmthemclient’smactualmcurrentmmedicatio
nsmaremcomparedmtomthemprescribedmmedicationsmatmthemtimemofmadmission,mtransfer,mormdischar
ge.mThismNationalmclientmSafetymGoalmismimportantmtomreducemmedicationmerrors.mThemclientmw
ouldmnotmhavemtombemresponsiblemformprovidersmwashingmtheirmhands,mandmevenmifmthemclientmd
oesmso,mthismismtoomnarrowmtombemthemmostmimportantmactionmtompreventmerrors.mKeepingmthempr
ovider’smphonemnumbermnearbymandmdocumentingmeveryonemwhomentersmthemroommalsomdomno
tmguaranteemsafety.
DIF: Applying
TOP:m IntegratedmProcess:mTeaching/LearningmKEY:m Clientm
safety,mInformatics
MSC:m ClientmNeedsmCategory:mSafemandmEffectivemCaremEnvironment:mSafetymandmInfectionmControl
, lOMoAR cPSD| 9719818
6. Whichmactionmbymthemnursemworkingmwithmamclientmbestmdemonstratesmrespectmformautonomy?
a. Asksmifmthemclientmhasmquestionsmbeforemsigningmamconsent.
b. Givesmthemclientmaccurateminformationmwhenmquestioned.
c. Keepsmthempromisesmmademtomthemclientmandmfamily.
d. Treatsmthemclientmfairlymcomparedmtomothermclients.
ANS:m A
Autonomymismself-
determination.mThemclientmwouldmmakemdecisionsmregardingmcare.mWhenmthemnursemobtainsmamsi
gnaturemonmthemconsentmform,massessingmifmthemclientmstillmhasmquestionsmismvital,mbecausemwitho
utmfullminformationmthemclientmcannotmpracticemautonomy.mGivingmaccurateminformationmismpract
icingmwithmveracity.mKeepingmpromisesmismupholdingmfidelity.mTreatingmthemclientmfairlymismprov
idingmsocialmjustice.
DIF: Applying TOP:m IntegratedmProcess:mCaring
KEY:mEthics,mAutonomymMSC:m ClientmNeedsmCategory:mSafemandmEffectivemCarem
Environment:mManagementmofmCare
7. Amnursemasksmammoremseasonedmcolleaguemtomexplainmbestmpracticesmwhenmcommunicatingmwit
hmampersonmfrommthemlesbian,mgay,mbisexual,mtransgender,mandmquestioning/queerm(LGBTQ)mco
mmunity.mWhatmanswermbymthemfacultymismmostmaccurate?
a. Avoidmembarrassingmthemclientmbymaskingmquestions.
b. Don’tmmakemassumptionsmaboutmhismormhermhealthmneeds.
c. MostmLGBTQmpeoplemdomnotmwantmtomshareminformation.
d. Nomdifferencesmexistminmcommunicatingmwithmthismpopulation.
ANS:m B
ManymmembersmofmthemLGBTQmcommunitymhavemfacedmdiscriminationmfrommhealthmcaremprov
idersmandmmaymbemreluctantmtomseekmhealthmcare.mThemnursemwouldmnevermmakemassumptionsma
boutmthemneedsmofmmembersmofmthismpopulation.mRather,mrespectfulmquestionsmaremappropriate.m
Ifmapproachedmwithmsensitivity,mthemclientmwithmanymhealthmcaremneedmismmoremlikelymtomanswerm
honestly.
DIF: Understanding TOP:m IntegratedmProcess:mTeaching/Learning
KEY:m Healthmcaremdisparities,mLGBTQ MSC:m ClientmNeedsmCategory:mPsychosocialmIntegrity
8. Amnursemismcallingmthemon-
callmhealthmcaremprovidermaboutmamclientmwhomhadmamhysterectomym2mdaysmagomandmhasmpain
mthatmismunrelievedmbymthemprescribedmopioidmpainmmedication.mWhichmstatementmcomprises
mthembackgroundmportionmofmthemSBARmformatmformcommunication?
a. “Imwouldmlikemyoumtomordermamdifferentmpainmmedication.”
b. “Thismclientmhasmallergiesmtommorphinemandmcodeine.”
c. “Dr.mSmithmdoesn’tmlikemnonsteroidalmanti-inflammatorymmeds.”
d. “Thismclientmhadmamvaginalmhysterectomym2mdaysmago.”
ANS:m B
)
