1
TEST BANK MEDICAL SURGICAL NURSING 9TH
EDITION WITH 74 CHAPTERS ALL COMPLETE
QUESTIONS AND ANSWERS WITH RATIONALES NEW
MODIFIED 2026 LATEST UPGRADE
Overview of Professional Nursing Concepts for Medical- Surgical Nursing: Chapter 01
1. 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
ANS: A
Autonomy is self-determination. The client should make decisions regarding care. When the nurse
obtains a signature on the consent form, assessing if the client still has questions is vital, because
without full information the client cannot practice autonomy. Giving accurate information is
practicing with veracity. Keeping promises is upholding fidelity. Treating the client fairly is
providing social justice.
DIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
2. A student nurse asks the faculty to explain best practices when communicating with a person from
the lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer
by the faculty is most accurate?
a. Avoid embarrassing the client by asking questions.
b. Dont make assumptions about their health needs.
c. Most LGBTQ people do not want to share information.
d. No differences exist in communicating with this population.
,ANS: B
Many members of the LGBTQ community have faced discrimination from health care providers
and may be reluctant to seek health care. The nurse should never make assumptions about the
needs of members of this population. Rather, respectful questions are appropriate. If approached
with sensitivity, the client with any health care need is more likely to answer honestly.
DIF: Understanding/Comprehension REF: 4
KEY: LGBTQ| diversity
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Psychosocial Integrity
3. A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and
has pain that is unrelieved by the prescribed narcotic pain medication. Which statement is part of
the SBAR format for communication?
a. A: I would like you to order a different pain medication.
b. B: This client has allergies to morphine and codeine.
c. R: Dr. Smith doesn’t like nonsteroidal anti-inflammatory meds.
d. S: This client had a vaginal hysterectomy 2 days ago.
ANS: B
SBAR is a recommended form of communication, and the acronym stands for Situation,
Background, Assessment, and Recommendation. Appropriate background information includes
allergies to medications the on-call physician might order. Situation describes what is happening
right now that must be communicated; the clients surgery 2 days ago would be considered
background. Assessment would include an analysis of the clients problem; asking for a different pain
medication is a recommendation. Recommendation is a statement of what is needed or what outcome
is desired; this information about the surgeons preference might be better placed in background.
DIF: Applying/Application REF: 5
KEY: SBAR| communication
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
4. A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed
assistive personnel (UAP). Four hours later, the nurse notes the clients blood pressure is much
, 3
higher than previous readings, and the clients mental status has changed. What action by the
nurse would most likely have prevented this negative outcome?
a. Determining if the UAP knew how to take blood pressure
b. Double-checking the UAP by taking another blood pressure
c. Providing more appropriate supervision of the UAP
d. Taking the blood pressure instead of delegating the task
ANS: C
Supervision is one of the five rights of delegation and includes directing, evaluating, and following
up on delegated tasks. The nurse should either have asked the UAP about the vital signs or instructed
the UAP to report them right away. An experienced UAP should know how to take vital signs and
the nurse should not have to assess this at this point. Double-checking the work defeats the purpose
of delegation. Vital signs are within the scope of practice for a UAP and are permissible to delegate.
The only appropriate answer is that the nurse did not provide adequate instruction to the UAP.
DIF: Applying/Application REF: 6
KEY: Supervision| delegation| unlicensed assistive personnel
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
5. 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 clients 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
Competency in client-focused care is demonstrated when the nurse focuses 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 and family to the room is an important safety
measure, but not directly related to demonstrating client-centered care.
, DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process:
Caring NOT: Client Needs Category: Psychosocial Integrity
6. 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 is best? 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 suffer either respiratory or cardiac arrest. Since the client has manifested a significant change,
the nurse should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are
particularly significant. Documentation is vital, but the nurse must 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 the client.
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
7. 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 involved does.
TEST BANK MEDICAL SURGICAL NURSING 9TH
EDITION WITH 74 CHAPTERS ALL COMPLETE
QUESTIONS AND ANSWERS WITH RATIONALES NEW
MODIFIED 2026 LATEST UPGRADE
Overview of Professional Nursing Concepts for Medical- Surgical Nursing: Chapter 01
1. 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
ANS: A
Autonomy is self-determination. The client should make decisions regarding care. When the nurse
obtains a signature on the consent form, assessing if the client still has questions is vital, because
without full information the client cannot practice autonomy. Giving accurate information is
practicing with veracity. Keeping promises is upholding fidelity. Treating the client fairly is
providing social justice.
DIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
2. A student nurse asks the faculty to explain best practices when communicating with a person from
the lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer
by the faculty is most accurate?
a. Avoid embarrassing the client by asking questions.
b. Dont make assumptions about their health needs.
c. Most LGBTQ people do not want to share information.
d. No differences exist in communicating with this population.
,ANS: B
Many members of the LGBTQ community have faced discrimination from health care providers
and may be reluctant to seek health care. The nurse should never make assumptions about the
needs of members of this population. Rather, respectful questions are appropriate. If approached
with sensitivity, the client with any health care need is more likely to answer honestly.
DIF: Understanding/Comprehension REF: 4
KEY: LGBTQ| diversity
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Psychosocial Integrity
3. A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and
has pain that is unrelieved by the prescribed narcotic pain medication. Which statement is part of
the SBAR format for communication?
a. A: I would like you to order a different pain medication.
b. B: This client has allergies to morphine and codeine.
c. R: Dr. Smith doesn’t like nonsteroidal anti-inflammatory meds.
d. S: This client had a vaginal hysterectomy 2 days ago.
ANS: B
SBAR is a recommended form of communication, and the acronym stands for Situation,
Background, Assessment, and Recommendation. Appropriate background information includes
allergies to medications the on-call physician might order. Situation describes what is happening
right now that must be communicated; the clients surgery 2 days ago would be considered
background. Assessment would include an analysis of the clients problem; asking for a different pain
medication is a recommendation. Recommendation is a statement of what is needed or what outcome
is desired; this information about the surgeons preference might be better placed in background.
DIF: Applying/Application REF: 5
KEY: SBAR| communication
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
4. A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed
assistive personnel (UAP). Four hours later, the nurse notes the clients blood pressure is much
, 3
higher than previous readings, and the clients mental status has changed. What action by the
nurse would most likely have prevented this negative outcome?
a. Determining if the UAP knew how to take blood pressure
b. Double-checking the UAP by taking another blood pressure
c. Providing more appropriate supervision of the UAP
d. Taking the blood pressure instead of delegating the task
ANS: C
Supervision is one of the five rights of delegation and includes directing, evaluating, and following
up on delegated tasks. The nurse should either have asked the UAP about the vital signs or instructed
the UAP to report them right away. An experienced UAP should know how to take vital signs and
the nurse should not have to assess this at this point. Double-checking the work defeats the purpose
of delegation. Vital signs are within the scope of practice for a UAP and are permissible to delegate.
The only appropriate answer is that the nurse did not provide adequate instruction to the UAP.
DIF: Applying/Application REF: 6
KEY: Supervision| delegation| unlicensed assistive personnel
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
5. 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 clients 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
Competency in client-focused care is demonstrated when the nurse focuses 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 and family to the room is an important safety
measure, but not directly related to demonstrating client-centered care.
, DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process:
Caring NOT: Client Needs Category: Psychosocial Integrity
6. 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 is best? 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 suffer either respiratory or cardiac arrest. Since the client has manifested a significant change,
the nurse should call the RRT. Changes in blood pressure, mental status, heart rate, and pain are
particularly significant. Documentation is vital, but the nurse must 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 the client.
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
7. 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 involved does.
