,Chapter 1: Introduction to Medical-
u u u u
Surgical Nursing Practice Ignatavicius: Medical-
u u u u
Surgical Nursing,10th Edition
u u
MULTIPLEu CHOICE
1. Aunewunurseuisuworkinguwithuaupreceptoruonuanuinpatientumedical-
surgicaluunit.uTheupreceptoruadvisesutheustudentuthatuwhichuisutheupriorityuwhenuworking
uasuauprofessional unurse?
a. Attending utouholisticuclientuneeds
b. Ensuringuclientusafety
c. Notumakingumedicationuerrors
d. Providingu client-focusedu care
ANS:u B
Alluactionsuareuappropriateuforutheuprofessionalunurse.uHowever,uensuringuclientusafetyuisutheupri
ority.uUputou98,000udeathsuresultueachuyearufromuerrorsuinuhospitalucare,uaccordingutoutheu2000uI
nstituteuofuMedicineureport.uManyumoreuclientsuhaveusuffereduinjuriesuandulessuseriousuoutcomes
.uEveryunurseuhasutheuresponsibilityutouguardutheuclient’susafety.
DIF: Understanding/Comprehension REF: 2
KEY:u Patientusafetyu MSC:uIntegrateduProcess:uNursinguProcess:uIntervention
NOT:u ClientuNeedsuCategory:uSafeuanduEffectiveuCareuEnvironment:uSafetyuanduInfectionuCont
rol
2. Aunurseuisuorientinguaunewuclientuandufamilyutoutheuinpatientuunit.uWhatuinformationudoesutheun
urseuprovideutouhelputheuclientupromoteuhisuoruheruownusafety?
a. Encourageutheuclientuandufamilyutoubeuactiveupartners.
b. Haveutheuclientumonitoruhanduhygieneuinucaregivers.
c. Offerutheufamilyutheuopportunityutoustayuwithutheuclient.
d. Tellutheuclientutoualwaysuwearuhisuoruheruarmband.
ANS:u A
Eachuactionucouldubeuimportantuforutheuclientuorufamilyutouperform.uHowever,uencouraginguthe
uclientutou beuactiveuinuhisuoruheruhealthucareuasuaupartneruis utheu mostu critical.uTheuotheruactionsu
areuveryulimiteduinuscopeuandudounotuprovideutheubroaduprotectionuthatubeinguactiveuanduinvolv
edudoes.
DIF: Understanding/Comprehension REF: 3
KEY:u Patientusafetyu MSC:u IntegrateduProcess:uTeaching/Learning
NOT:u ClientuNeedsuCategory:uSafeuanduEffectiveuCareuEnvironment:uSafetyuanduInfectionuCont
rol
3. Aunurseuisucaringuforuaupostoperativeuclientuonutheusurgicaluunit.uTheuclient’subloodupressureu
wasu142/76ummuHgu30uminutesuago,uandunowuisu88/50ummuHg.uWhatuactionubyutheunurseuisub
est?
a. CallutheuRapiduResponseuTeam.
b. Documentuanducontinueutoumonitor.
c. Notifyutheuprimaryucareuprovider.
d. Repeatubloodupressureumeasurementuinu15uminutes.
, ANS:u A
TheupurposeuofutheuRapiduResponseuTeamu(RRT)uisutouinterveneuwhenuclientsuareudeterioratin
gubeforeutheyusufferueitherurespiratoryuorucardiacuarrest.uSinceutheuclientuhasumanifesteduausign
ificantuchange,utheunurseushoulducallutheuRRT.uChangesuinubloodupressure,umentalustatus,uhear
turate,uandupainuareuparticularlyusignificant.uDocumentationuisuvital,ubututheunurseumustudoumore
uthanudocument.uTheuprimary ucareuproviderushould ubeunotified, ubututhisuisunotu theupriority uoveru
callingutheuRRT.uTheuclient’subloodupressureushouldubeureassessedufrequently,ubututheupriority
uisugetting utheurapiducareutoutheu client.
DIF: Applying/Application REF:
3uKEY:u RapiduResponseuTeamu(RRT)|umedicalueme
rgencies
MSC:u Integratedu Process:u Communicationu andu Documentation
NOT:u Clientu Needsu Category:u Physiologicalu Integrity:u Physiologicalu Adaptation
4. Aunurseuwishesutouprovideuclient-
centereducareuinualluinteractions.uWhichuactionubyutheunurseubestudemonstratesuthisuconcept?
a. Assessesu foru culturalu influencesu affectingu healthu care
b. Ensuresuthatuallutheuclients’ubasicuneedsuareumet
c. Tellsutheuclientuandufamilyuaboutualluupcomingutests
d. Thoroughlyuorientsutheuclientuandufamilyutoutheuroom
ANS:u A
Competencyuinuclient-
focuseducareuisudemonstrateduwhenutheunurseufocusesuonucommunication,uculture,urespect,uco
mpassion,uclientueducation,uanduempowerment.uByuassessingutheueffectuofutheuclient’sucultureu
onuhealthucare,uthisunurseuisupracticing
client-
focuseducare.uProvidinguforubasicuneedsudoesunotudemonstrateuthisucompetence.uSimplyutellin
gutheuclientuaboutualluupcomingutestsuisunotuprovidinguempoweringueducation.uOrientingutheucl
ientuandufamilyutoutheuroomuisuanuimportantusafetyumeasure,ubutunotudirectlyurelatedutoudemons
tratinguclient-centereducare.
DIF: Understanding/Comprehension REF: 3
KEY:u Patient-centereducare|uculture
MSC:uIntegrateduProcess:uCaringu
NOT:u ClientuNeedsuCategory:uPsychosocialuIntegrity
5. Auclientuisugoingutoubeuadmitteduforuauscheduledusurgicaluprocedure.uWhichuactionudoesutheu
nurseuexplainuisutheumostuimportantuthingutheuclientucanudoutouprotectuagainstuerrors?
a. Bringuaulistuofuallumedicationsuanduwhatutheyuareufor.
b. Keeputheudoctor’suphoneunumberubyutheutelephone.
c. Makeusureualluprovidersuwashuhandsubeforeuenteringutheuroom.
d. Writeudownutheunameuofueachucaregiveruwhoucomesuinutheuroom.
ANS:u A
Medicationuerrorsuareutheumostucommonutypeuofuhealthucareumistake.uTheuJointuCommission’
suSpeakuUpucampaignuencouragesuclientsutouhelpuensureutheirusafety.uOneurecommendationuis
uforuclientsutouknowuallutheirumedications uanduwhyutheyutakeuthem.uThisu willu helpupreventu medi
cationuerrors.
DIF: Applying/Application REF: 4
KEY:u SpeakuUpucampaign|upatientusafety MSC:u IntegrateduProcess:uTeaching/Learning
, NOT:u ClientuNeedsuCategory:uSafeuanduEffectiveuCareuEnvironment:uSafetyuanduInfectionuCont
rol
6. Whichuactionubyutheunurseuworkinguwithuauclientubestudemonstratesurespectuforuautonomy?
a. Asksuifutheuclientuhasuquestionsubeforeusigninguauconsent
b. Givesu theu clientu accurateu informationu whenu questioned
c. Keepsutheupromisesumadeutoutheuclientuandufamily
d. Treatsutheuclientufairlyucomparedutouotheruclients
ANS:u A
Autonomyuisuself-
determination.uTheuclientushouldumakeudecisionsuregardingucare.uWhenutheunurseuobtainsuausig
natureuonutheuconsentuform,uassessinguifutheuclientustilluhasuquestionsuisuvital,ubecauseuwithoutu
fulluinformationutheuclientucannotupracticeuautonomy.uGivinguaccurateuinformationuisupracticin
guwithuveracity.uKeepingupromisesuisuupholdingufidelity.uTreatingutheuclientufairlyuisuproviding
usocialujustice.
DIF: Applying/Application REF: 4
KEY:u Autonomy|uethicaluprinciples MSC:u IntegrateduProcess:uCaring
NOT:u ClientuNeedsuCategory:uSafeuanduEffectiveuCareuEnvironment:uManagementuofuCare
7. Austudentunurseuasksutheufacultyutouexplainubestupracticesuwhenucommunicatinguwithuau
personufromutheulesbian,ugay,ubisexual,utransgender,uanduqueer/questioningu(LGBTQ)u
community.uWhatuanswerubyutheufacultyuisumostuaccurate?
a. Avoiduembarrassingutheuclientubyuaskinguquestions.
b. Don’tumakeuassumptionsuaboututheiruhealthuneeds.
c. MostuLGBTQupeopleudounotuwantutoushareuinformation.
d. Noudifferencesuexistuinucommunicatinguwithuthisupopulation.
ANS:u B
ManyumembersuofutheuLGBTQucommunityuhaveufacedudiscriminationufromuhealthucareuprovi
dersuandumayubeureluctantutouseekuhealthucare.uTheunurseushoulduneverumakeuassumptionsuabo
ututheuneedsuofumembersuofuthisupopulation.uRather,urespectfuluquestionsuareuappropriate.uIfuap
proacheduwithusensitivity,utheuclientuwithuanyuhealthucareuneeduisumoreulikelyutouansweruhones
tly.
DIF: Understanding/Comprehension REF: 4
KEY:u LGBTQ|udiversityuMSC:u IntegrateduProcess:uTeaching/Learning
NOT:u ClientuNeedsuCategory:uPsychosocialuIntegrity
8. Aunurseuisucallingutheuon-
calluphysicianuaboutuauclientuwhouhaduauhysterectomyu2udaysuagouanduhasupainuthatuisuunreliev
edubyutheuprescribedunarcoticupainumedication.uWhichustatementuisupartuofutheuSBARuformatuf
orucommunication?
a. A:u“Iuwouldulikeuyouutouorderuaudifferentupainumedication.”
b. B:u“Thisuclientuhasuallergiesutoumorphineuanducodeine.”
c. R:u“Dr.uSmithudoesn’tulikeunonsteroidaluanti-inflammatoryumeds.”
d. S:u“Thisuclientuhaduauvaginaluhysterectomyu2udaysuago.”u
ANS:u B
u u u u
Surgical Nursing Practice Ignatavicius: Medical-
u u u u
Surgical Nursing,10th Edition
u u
MULTIPLEu CHOICE
1. Aunewunurseuisuworkinguwithuaupreceptoruonuanuinpatientumedical-
surgicaluunit.uTheupreceptoruadvisesutheustudentuthatuwhichuisutheupriorityuwhenuworking
uasuauprofessional unurse?
a. Attending utouholisticuclientuneeds
b. Ensuringuclientusafety
c. Notumakingumedicationuerrors
d. Providingu client-focusedu care
ANS:u B
Alluactionsuareuappropriateuforutheuprofessionalunurse.uHowever,uensuringuclientusafetyuisutheupri
ority.uUputou98,000udeathsuresultueachuyearufromuerrorsuinuhospitalucare,uaccordingutoutheu2000uI
nstituteuofuMedicineureport.uManyumoreuclientsuhaveusuffereduinjuriesuandulessuseriousuoutcomes
.uEveryunurseuhasutheuresponsibilityutouguardutheuclient’susafety.
DIF: Understanding/Comprehension REF: 2
KEY:u Patientusafetyu MSC:uIntegrateduProcess:uNursinguProcess:uIntervention
NOT:u ClientuNeedsuCategory:uSafeuanduEffectiveuCareuEnvironment:uSafetyuanduInfectionuCont
rol
2. Aunurseuisuorientinguaunewuclientuandufamilyutoutheuinpatientuunit.uWhatuinformationudoesutheun
urseuprovideutouhelputheuclientupromoteuhisuoruheruownusafety?
a. Encourageutheuclientuandufamilyutoubeuactiveupartners.
b. Haveutheuclientumonitoruhanduhygieneuinucaregivers.
c. Offerutheufamilyutheuopportunityutoustayuwithutheuclient.
d. Tellutheuclientutoualwaysuwearuhisuoruheruarmband.
ANS:u A
Eachuactionucouldubeuimportantuforutheuclientuorufamilyutouperform.uHowever,uencouraginguthe
uclientutou beuactiveuinuhisuoruheruhealthucareuasuaupartneruis utheu mostu critical.uTheuotheruactionsu
areuveryulimiteduinuscopeuandudounotuprovideutheubroaduprotectionuthatubeinguactiveuanduinvolv
edudoes.
DIF: Understanding/Comprehension REF: 3
KEY:u Patientusafetyu MSC:u IntegrateduProcess:uTeaching/Learning
NOT:u ClientuNeedsuCategory:uSafeuanduEffectiveuCareuEnvironment:uSafetyuanduInfectionuCont
rol
3. Aunurseuisucaringuforuaupostoperativeuclientuonutheusurgicaluunit.uTheuclient’subloodupressureu
wasu142/76ummuHgu30uminutesuago,uandunowuisu88/50ummuHg.uWhatuactionubyutheunurseuisub
est?
a. CallutheuRapiduResponseuTeam.
b. Documentuanducontinueutoumonitor.
c. Notifyutheuprimaryucareuprovider.
d. Repeatubloodupressureumeasurementuinu15uminutes.
, ANS:u A
TheupurposeuofutheuRapiduResponseuTeamu(RRT)uisutouinterveneuwhenuclientsuareudeterioratin
gubeforeutheyusufferueitherurespiratoryuorucardiacuarrest.uSinceutheuclientuhasumanifesteduausign
ificantuchange,utheunurseushoulducallutheuRRT.uChangesuinubloodupressure,umentalustatus,uhear
turate,uandupainuareuparticularlyusignificant.uDocumentationuisuvital,ubututheunurseumustudoumore
uthanudocument.uTheuprimary ucareuproviderushould ubeunotified, ubututhisuisunotu theupriority uoveru
callingutheuRRT.uTheuclient’subloodupressureushouldubeureassessedufrequently,ubututheupriority
uisugetting utheurapiducareutoutheu client.
DIF: Applying/Application REF:
3uKEY:u RapiduResponseuTeamu(RRT)|umedicalueme
rgencies
MSC:u Integratedu Process:u Communicationu andu Documentation
NOT:u Clientu Needsu Category:u Physiologicalu Integrity:u Physiologicalu Adaptation
4. Aunurseuwishesutouprovideuclient-
centereducareuinualluinteractions.uWhichuactionubyutheunurseubestudemonstratesuthisuconcept?
a. Assessesu foru culturalu influencesu affectingu healthu care
b. Ensuresuthatuallutheuclients’ubasicuneedsuareumet
c. Tellsutheuclientuandufamilyuaboutualluupcomingutests
d. Thoroughlyuorientsutheuclientuandufamilyutoutheuroom
ANS:u A
Competencyuinuclient-
focuseducareuisudemonstrateduwhenutheunurseufocusesuonucommunication,uculture,urespect,uco
mpassion,uclientueducation,uanduempowerment.uByuassessingutheueffectuofutheuclient’sucultureu
onuhealthucare,uthisunurseuisupracticing
client-
focuseducare.uProvidinguforubasicuneedsudoesunotudemonstrateuthisucompetence.uSimplyutellin
gutheuclientuaboutualluupcomingutestsuisunotuprovidinguempoweringueducation.uOrientingutheucl
ientuandufamilyutoutheuroomuisuanuimportantusafetyumeasure,ubutunotudirectlyurelatedutoudemons
tratinguclient-centereducare.
DIF: Understanding/Comprehension REF: 3
KEY:u Patient-centereducare|uculture
MSC:uIntegrateduProcess:uCaringu
NOT:u ClientuNeedsuCategory:uPsychosocialuIntegrity
5. Auclientuisugoingutoubeuadmitteduforuauscheduledusurgicaluprocedure.uWhichuactionudoesutheu
nurseuexplainuisutheumostuimportantuthingutheuclientucanudoutouprotectuagainstuerrors?
a. Bringuaulistuofuallumedicationsuanduwhatutheyuareufor.
b. Keeputheudoctor’suphoneunumberubyutheutelephone.
c. Makeusureualluprovidersuwashuhandsubeforeuenteringutheuroom.
d. Writeudownutheunameuofueachucaregiveruwhoucomesuinutheuroom.
ANS:u A
Medicationuerrorsuareutheumostucommonutypeuofuhealthucareumistake.uTheuJointuCommission’
suSpeakuUpucampaignuencouragesuclientsutouhelpuensureutheirusafety.uOneurecommendationuis
uforuclientsutouknowuallutheirumedications uanduwhyutheyutakeuthem.uThisu willu helpupreventu medi
cationuerrors.
DIF: Applying/Application REF: 4
KEY:u SpeakuUpucampaign|upatientusafety MSC:u IntegrateduProcess:uTeaching/Learning
, NOT:u ClientuNeedsuCategory:uSafeuanduEffectiveuCareuEnvironment:uSafetyuanduInfectionuCont
rol
6. Whichuactionubyutheunurseuworkinguwithuauclientubestudemonstratesurespectuforuautonomy?
a. Asksuifutheuclientuhasuquestionsubeforeusigninguauconsent
b. Givesu theu clientu accurateu informationu whenu questioned
c. Keepsutheupromisesumadeutoutheuclientuandufamily
d. Treatsutheuclientufairlyucomparedutouotheruclients
ANS:u A
Autonomyuisuself-
determination.uTheuclientushouldumakeudecisionsuregardingucare.uWhenutheunurseuobtainsuausig
natureuonutheuconsentuform,uassessinguifutheuclientustilluhasuquestionsuisuvital,ubecauseuwithoutu
fulluinformationutheuclientucannotupracticeuautonomy.uGivinguaccurateuinformationuisupracticin
guwithuveracity.uKeepingupromisesuisuupholdingufidelity.uTreatingutheuclientufairlyuisuproviding
usocialujustice.
DIF: Applying/Application REF: 4
KEY:u Autonomy|uethicaluprinciples MSC:u IntegrateduProcess:uCaring
NOT:u ClientuNeedsuCategory:uSafeuanduEffectiveuCareuEnvironment:uManagementuofuCare
7. Austudentunurseuasksutheufacultyutouexplainubestupracticesuwhenucommunicatinguwithuau
personufromutheulesbian,ugay,ubisexual,utransgender,uanduqueer/questioningu(LGBTQ)u
community.uWhatuanswerubyutheufacultyuisumostuaccurate?
a. Avoiduembarrassingutheuclientubyuaskinguquestions.
b. Don’tumakeuassumptionsuaboututheiruhealthuneeds.
c. MostuLGBTQupeopleudounotuwantutoushareuinformation.
d. Noudifferencesuexistuinucommunicatinguwithuthisupopulation.
ANS:u B
ManyumembersuofutheuLGBTQucommunityuhaveufacedudiscriminationufromuhealthucareuprovi
dersuandumayubeureluctantutouseekuhealthucare.uTheunurseushoulduneverumakeuassumptionsuabo
ututheuneedsuofumembersuofuthisupopulation.uRather,urespectfuluquestionsuareuappropriate.uIfuap
proacheduwithusensitivity,utheuclientuwithuanyuhealthucareuneeduisumoreulikelyutouansweruhones
tly.
DIF: Understanding/Comprehension REF: 4
KEY:u LGBTQ|udiversityuMSC:u IntegrateduProcess:uTeaching/Learning
NOT:u ClientuNeedsuCategory:uPsychosocialuIntegrity
8. Aunurseuisucallingutheuon-
calluphysicianuaboutuauclientuwhouhaduauhysterectomyu2udaysuagouanduhasupainuthatuisuunreliev
edubyutheuprescribedunarcoticupainumedication.uWhichustatementuisupartuofutheuSBARuformatuf
orucommunication?
a. A:u“Iuwouldulikeuyouutouorderuaudifferentupainumedication.”
b. B:u“Thisuclientuhasuallergiesutoumorphineuanducodeine.”
c. R:u“Dr.uSmithudoesn’tulikeunonsteroidaluanti-inflammatoryumeds.”
d. S:u“Thisuclientuhaduauvaginaluhysterectomyu2udaysuago.”u
ANS:u B
