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2025 Comprehensive Medical Surgical Test Bank concepts and overview for interprofessional collaborative care 11th Edition Newly Updated with correct answers A+ graded correct Question and Answers

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Chapter 01: Concepts and Overview for Medical- Surgical Nursing MULTIPLE CHOICE 1. 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 d family to the room ANS: A Competency in client-focused care is demonstrated when the nursefocuses on communication, culture, respect compassion, client education, and empowerment. By assessing the effect of the clients 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 andfamily to theroom is animportantsafetymeasure, butnotdirectlyrelatedtodemonstratingclient-centered care. DIF: Understanding/Comprehension REF: 3 KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs Category: Psychosocial Integrity 2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse isbest? a. Call the Rapid Response Team. b. Document and continue to monitor. c. Notify the primary care provider. d. 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 suffereitherrespiratoryorcardiacarrest. Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital, but the nursemust do more than document. The primary care provider should be notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed frequently, but the priority is getting the rapid care to theclient. DIF: Applying/Application REF: 3 KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation 3. 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? 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. 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 active and involveddoes. DIF: Understanding/Comprehension REF: 3 KEY: Patient safety MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control 4. A new nurse is working with a preceptor on an inpatientmedical-surgical unit. The preceptor advises the student that which is the priority when working as a professionalnurse? a. Attending to holistic client needs b. Ensuring client safety c. Not making medication errors d. 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 clients safety

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Medical Sergical Nursing
Course
Medical sergical nursing

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2025 Comprehensive Medical Surgical Test Bank concepts and
overview for interprofessional collaborative care 11th Edition
Newly Updated with correct answers A+ graded 2025-
2026correct Question and Answers


Chapter 01: Concepts and Overview for Medical- Surgical Nursing



MULTIPLE CHOICE



1. 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 d family to the room



ANS: A

Competency in client-focused care is demonstrated when the nursefocuses on communication,

culture, respect compassion, client education, and empowerment. By assessing the effect of the

clients 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 andfamily to theroom is animportantsafetymeasure,

butnotdirectlyrelatedtodemonstratingclient-centered care.



DIF: Understanding/Comprehension REF: 3

KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs

,Category: Psychosocial Integrity




2. A nurse is caring for a postoperative client on the surgical unit. The clients blood

pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse

isbest? a. Call the Rapid Response Team.

b. Document and continue to monitor.

c. Notify the primary care provider.

d. 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 suffereitherrespiratoryorcardiacarrest.

Sincetheclienthasmanifestedasignificantchange, thenurseshould call the RRT. Changes in blood

pressure, mental status, heart rate, and pain are particularly significant. Documentation is vital,

but the nursemust do more than document. The primary care provider should be notified, but this

is not the priority over calling the RRT. The clients blood pressure should be reassessed

frequently, but the priority is getting the rapid care to theclient.



DIF: Applying/Application REF: 3

KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:

Communication and Documentation

NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation



3. 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? 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.



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 active and involveddoes.



DIF: Understanding/Comprehension REF: 3 KEY: Patient safety




MSC: Integrated Process: Teaching/Learning

NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection

Control



4. A new nurse is working with a preceptor on an inpatientmedical-surgical unit. The preceptor

advises the student that which is the priority when working as a professionalnurse? a.

Attending to holistic client needs

b. Ensuring client safety

c. Not making medication errors

d. 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 clients safety.

, DIF: Understanding/Comprehension REF: 2 KEY: Patient safety

MSC: Integrated Process: Nursing Process: Intervention

NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection

Control




5. 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 againsterrors?

a. Bring a list of all medications and what they are for.

b. Keep the doctors phone number by the telephone.

c. Make sure all providers wash hands before entering the room.

d. 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 Commissions

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 Infection

Control



6. 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

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Institution
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Course
Medical sergical nursing

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