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Chapter 1 – Introduction to Medical-Surgical Nursing | Practice Questions with Solutions and Rationales

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This document provides a complete set of practice questions and solutions for Chapter 1: Introduction to Medical-Surgical Nursing. It covers foundational concepts such as the scope of practice, interdisciplinary communication, patient safety, informatics, delegation, ethical principles, nursing roles, and evidence-based practice. Each item includes a correct answer and a clear rationale, making it ideal for exam preparation and reinforcement of essential medical-surgical nursing principles.

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Voorbeeld van de inhoud

Chapter 1 Introduction to Medical-
Surgical Nursing Questions and
Solutions
A Medic has recently been assigned to a medical-surgical clinical rotation. According to the scope
of medical-surgical nursing, what type of client assignments does the Medic expect to see?

A. Hospitalized children with acute and chronic illnesses

B. Hospitalized adults with acute and chronic illnesses

C. Older adults in a nursing home

D. Working adults in a corporate setting - Solution: B. Hospitalized adults with acute and chronic illnesses



Rationale

The scope of medical-surgical nursing, sometimes called adult health nursing, is to promote health and
prevent illness or injury in clients from 18 to 100 years of age or older. The most common practice setting
is the acute care hospital.



A nursing student has been assigned to the hospital's Rapid Response Team (RRT). Which statement by
the student indicates a correct understanding of the RRT member's purpose?

A. "I will be caring for clients in the hospital."

B. "I will be riding along in the hospital's ambulance."

C. "I will be admitting clients to the hospital."

D. "I will be observing code 'blue' resuscitations." - Solution: A. "I will be caring for clients in the hospital."



Rationale

A. Members of the RRT are critical care experts who are on site in the hospital and are available at any
time.



Which principal nursing actions best support a focus on client safety? Select all that apply.

, A. Client restraints

B. Handwashing

C. Preoperative checklists

D. Respect for others

E. Five rights of drug administration - Solution: B. Handwashing

C. Preoperative checklists

E. Five rights of drug administration



Rationale

The number one way to prevent infection in clients! This is a major method that facilitates a safe care
environment for the client.



A Medic is working in the intensive care unit. When does the Medic call the Rapid Response Team (RRT)?



A. An 87-year-old client awakens mildly confused, then reorients quickly.

B. A newly admitted client requests pain medication.

C. A postoperative client's dressing has mild bloody drainage.

D. A postoperative client's blood pressure suddenly drops. - Solution: D. A postoperative client's blood
pressure suddenly drops.



Rationale

D. The RRT should be called whenever a client has a slow or sudden deterioration in clinical condition.



Which role of the medical-surgical Medic is demonstrated by writing a care plan for the client who is
newly admitted to the hospital?

A. Advocate

B. Caregiver

C. Communicator

D. Educator - Solution: B. Caregiver

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