Test Bank for Medical Surgical Nursing
Concepts for Clinical Judgment and
Collaborative Care All Chapters Complete
Nursing Exam A+ Guarantee Study Exam
Prep
What is the priority when working as a professional nurse? - ANSWER-Ensuring client
safety
What should a nurse encourage to help a client promote their own safety? - ANSWER-
Encourage the client and family to be active partners.
What should a nurse do first for a postoperative client with a significant drop in blood
pressure? - ANSWER-Call the Rapid Response Team.
What is the purpose of the Rapid Response Team (RRT)? - ANSWER-To intervene
when clients are deteriorating before they suffer respiratory or cardiac arrest.
What action by a nurse best demonstrates client-centered care? - ANSWER-Assesses
for cultural influences affecting health care.
What is the most important action a client can take to protect against errors before
surgery? - ANSWER-Bring a list of all medications and what they are for.
What demonstrates respect for a client's autonomy during consent? - ANSWER-Asks if
the client has questions before signing a consent.
What is the best practice when communicating with the LGBTQ community? -
ANSWER-Don't make assumptions about their health needs.
What is included in the background portion of the SBAR format for communication? -
ANSWER-Allergies to medications the on-call health care provider might order.
What action could have prevented a negative outcome when delegating vital signs to an
AP? - ANSWER-Providing more appropriate supervision of the AP.
What is medication reconciliation? - ANSWER-A formal process comparing a client's
actual current medications to prescribed medications.
Why is documentation important in nursing care? - ANSWER-It is vital for tracking
changes in a client's condition.
,What is the significance of changes in blood pressure, mental status, heart rate, and
oxygen saturation? - ANSWER-They are part of the Modified Early Warning System
guide.
What is the role of the nurse in client-centered care? - ANSWER-To show respect for
the client and family's preferences and needs.
What should a nurse do if a client has pain unrelieved by prescribed medication? -
ANSWER-Communicate the client's allergies and pain status to the on-call health care
provider.
What is the definition of autonomy in nursing? - ANSWER-Self-determination; allowing
clients to make decisions regarding their care.
What should a nurse do to ensure effective communication with a client from the
LGBTQ community? - ANSWER-Ask respectful questions and avoid assumptions.
What does SBAR stand for in nursing communication? - ANSWER-Situation,
Background, Assessment, Recommendation.
What is the importance of supervision in delegation? - ANSWER-It includes directing,
evaluating, and following up on delegated tasks.
What is a key component of client safety during hospitalization? - ANSWER-Ensuring
accurate medication reconciliation.
How can a nurse empower a client in their care? - ANSWER-By providing accurate
information and encouraging questions.
What should a nurse prioritize when a client's condition deteriorates? - ANSWER-
Calling for immediate assistance, such as the Rapid Response Team.
What is the impact of cultural influences on health care? - ANSWER-They affect client-
centered care and health outcomes.
What is the nurse's responsibility regarding client education? - ANSWER-To ensure
clients understand their care and treatment options.
What is the significance of keeping promises made to clients? - ANSWER-It upholds
fidelity in the nurse-client relationship.
What should a nurse assess before a client signs a consent form? - ANSWER-If the
client has any questions about the procedure.
,What is the role of the nurse in managing care for clients with diverse backgrounds? -
ANSWER-To provide culturally competent care.
What is the importance of accurate vital signs in nursing? - ANSWER-They are critical
for assessing a client's health status.
What should a nurse do if they suspect an error in delegated tasks? - ANSWER-Follow
up and assess the situation immediately.
What is the goal of client-centered care? - ANSWER-To ensure a holistic approach to
health care.
What is the purpose of delegation in nursing? - ANSWER-To allow tasks to be
performed by others while maintaining accountability.
What vital signs can an AP delegate? - ANSWER-Vital signs are within the scope of
practice for an AP and can be delegated.
What is the best response for a new nurse regarding participation in quality
improvement projects? - ANSWER-Even being new, you can implement activities
designed to improve care.
What does Magnet status indicate about a hospital? - ANSWER-It certifies that nurses
can demonstrate how best current evidence guides their practice.
Which areas should a nurse manager assess for competency according to the IOM
report? - ANSWER-Collaborating with an interprofessional team, implementing
evidence-based care, using informatics, and quality improvement.
What actions demonstrate a nurse's commitment to interprofessional work? - ANSWER-
Consulting with other disciplines, coordinating discharge planning, participating in
comprehensive client rounding, and delegating tasks appropriately.
What factors should a nurse consider when utilizing evidence-based practice? -
ANSWER-Nurse's expertise, client preferences, and research findings.
What actions can a nurse manager take to improve hand-off communication? -
ANSWER-Attend hand-off rounds, create a template for reports, encourage questions,
and provide education on the SBAR method.
What is the difference between critical thinking and clinical judgment? - ANSWER-
Clinical judgment is the observable outcome of critical thinking.
What is systems thinking? - ANSWER-Recognizing, understanding, and synthesizing
interactions and interdependencies in a set of components designed for a specific
purpose.
, What is patient-centered care? - ANSWER-A QSEN competency that recognizes the
patient or caregiver as the source of control and full partner in providing compassionate
and coordinated care.
What action by a nurse best influences health outcomes? - ANSWER-Lobbying with a
national organization for health care policy.
What factor best predicts a nurse's willingness to employ critical thinking? - ANSWER-
Caring behaviors, self-reflection, and insight.
What action demonstrates clinical reasoning skills in nursing? - ANSWER-Requesting
the provider order medication for a client with high potassium.
How does context affect clinical judgment? - ANSWER-Context considers the whole of
the patient's story and circumstances.
What is the next action after considering all possible collaborative and client problems?
- ANSWER-Prioritize the hypotheses.
What is a primary role of a nurse in a medical home? - ANSWER-Coordinate
interprofessional care.
Why is systems thinking important in nursing? - ANSWER-It is important for quality
improvement and safety.
What elements are required for critical thinking in nursing? - ANSWER-Based on logic,
creativity, intuition, driven by needs, focused on safety and quality, and guided by
standards.
What must critical thinking in nursing be based on? - ANSWER-Logic, creativity,
intuition, patient needs, safety, quality, standards, policies, ethics, laws, nursing
process, problem-solving, and scientific method.
What actions does a nurse manager observe to appraise a nurse's clinical reasoning? -
ANSWER-Anticipating consequences, delegating appropriately, interpreting data,
noticing cues, setting priorities.
What does primary care involve according to the WHO? - ANSWER-Empowered people
and communities, essential public functions, multisectoral policy and action.
What areas should a nurse explore for community-based practice employment? -
ANSWER-Hospice facility, minute clinic, mobile mammography unit, telehealth, home
health care.
Concepts for Clinical Judgment and
Collaborative Care All Chapters Complete
Nursing Exam A+ Guarantee Study Exam
Prep
What is the priority when working as a professional nurse? - ANSWER-Ensuring client
safety
What should a nurse encourage to help a client promote their own safety? - ANSWER-
Encourage the client and family to be active partners.
What should a nurse do first for a postoperative client with a significant drop in blood
pressure? - ANSWER-Call the Rapid Response Team.
What is the purpose of the Rapid Response Team (RRT)? - ANSWER-To intervene
when clients are deteriorating before they suffer respiratory or cardiac arrest.
What action by a nurse best demonstrates client-centered care? - ANSWER-Assesses
for cultural influences affecting health care.
What is the most important action a client can take to protect against errors before
surgery? - ANSWER-Bring a list of all medications and what they are for.
What demonstrates respect for a client's autonomy during consent? - ANSWER-Asks if
the client has questions before signing a consent.
What is the best practice when communicating with the LGBTQ community? -
ANSWER-Don't make assumptions about their health needs.
What is included in the background portion of the SBAR format for communication? -
ANSWER-Allergies to medications the on-call health care provider might order.
What action could have prevented a negative outcome when delegating vital signs to an
AP? - ANSWER-Providing more appropriate supervision of the AP.
What is medication reconciliation? - ANSWER-A formal process comparing a client's
actual current medications to prescribed medications.
Why is documentation important in nursing care? - ANSWER-It is vital for tracking
changes in a client's condition.
,What is the significance of changes in blood pressure, mental status, heart rate, and
oxygen saturation? - ANSWER-They are part of the Modified Early Warning System
guide.
What is the role of the nurse in client-centered care? - ANSWER-To show respect for
the client and family's preferences and needs.
What should a nurse do if a client has pain unrelieved by prescribed medication? -
ANSWER-Communicate the client's allergies and pain status to the on-call health care
provider.
What is the definition of autonomy in nursing? - ANSWER-Self-determination; allowing
clients to make decisions regarding their care.
What should a nurse do to ensure effective communication with a client from the
LGBTQ community? - ANSWER-Ask respectful questions and avoid assumptions.
What does SBAR stand for in nursing communication? - ANSWER-Situation,
Background, Assessment, Recommendation.
What is the importance of supervision in delegation? - ANSWER-It includes directing,
evaluating, and following up on delegated tasks.
What is a key component of client safety during hospitalization? - ANSWER-Ensuring
accurate medication reconciliation.
How can a nurse empower a client in their care? - ANSWER-By providing accurate
information and encouraging questions.
What should a nurse prioritize when a client's condition deteriorates? - ANSWER-
Calling for immediate assistance, such as the Rapid Response Team.
What is the impact of cultural influences on health care? - ANSWER-They affect client-
centered care and health outcomes.
What is the nurse's responsibility regarding client education? - ANSWER-To ensure
clients understand their care and treatment options.
What is the significance of keeping promises made to clients? - ANSWER-It upholds
fidelity in the nurse-client relationship.
What should a nurse assess before a client signs a consent form? - ANSWER-If the
client has any questions about the procedure.
,What is the role of the nurse in managing care for clients with diverse backgrounds? -
ANSWER-To provide culturally competent care.
What is the importance of accurate vital signs in nursing? - ANSWER-They are critical
for assessing a client's health status.
What should a nurse do if they suspect an error in delegated tasks? - ANSWER-Follow
up and assess the situation immediately.
What is the goal of client-centered care? - ANSWER-To ensure a holistic approach to
health care.
What is the purpose of delegation in nursing? - ANSWER-To allow tasks to be
performed by others while maintaining accountability.
What vital signs can an AP delegate? - ANSWER-Vital signs are within the scope of
practice for an AP and can be delegated.
What is the best response for a new nurse regarding participation in quality
improvement projects? - ANSWER-Even being new, you can implement activities
designed to improve care.
What does Magnet status indicate about a hospital? - ANSWER-It certifies that nurses
can demonstrate how best current evidence guides their practice.
Which areas should a nurse manager assess for competency according to the IOM
report? - ANSWER-Collaborating with an interprofessional team, implementing
evidence-based care, using informatics, and quality improvement.
What actions demonstrate a nurse's commitment to interprofessional work? - ANSWER-
Consulting with other disciplines, coordinating discharge planning, participating in
comprehensive client rounding, and delegating tasks appropriately.
What factors should a nurse consider when utilizing evidence-based practice? -
ANSWER-Nurse's expertise, client preferences, and research findings.
What actions can a nurse manager take to improve hand-off communication? -
ANSWER-Attend hand-off rounds, create a template for reports, encourage questions,
and provide education on the SBAR method.
What is the difference between critical thinking and clinical judgment? - ANSWER-
Clinical judgment is the observable outcome of critical thinking.
What is systems thinking? - ANSWER-Recognizing, understanding, and synthesizing
interactions and interdependencies in a set of components designed for a specific
purpose.
, What is patient-centered care? - ANSWER-A QSEN competency that recognizes the
patient or caregiver as the source of control and full partner in providing compassionate
and coordinated care.
What action by a nurse best influences health outcomes? - ANSWER-Lobbying with a
national organization for health care policy.
What factor best predicts a nurse's willingness to employ critical thinking? - ANSWER-
Caring behaviors, self-reflection, and insight.
What action demonstrates clinical reasoning skills in nursing? - ANSWER-Requesting
the provider order medication for a client with high potassium.
How does context affect clinical judgment? - ANSWER-Context considers the whole of
the patient's story and circumstances.
What is the next action after considering all possible collaborative and client problems?
- ANSWER-Prioritize the hypotheses.
What is a primary role of a nurse in a medical home? - ANSWER-Coordinate
interprofessional care.
Why is systems thinking important in nursing? - ANSWER-It is important for quality
improvement and safety.
What elements are required for critical thinking in nursing? - ANSWER-Based on logic,
creativity, intuition, driven by needs, focused on safety and quality, and guided by
standards.
What must critical thinking in nursing be based on? - ANSWER-Logic, creativity,
intuition, patient needs, safety, quality, standards, policies, ethics, laws, nursing
process, problem-solving, and scientific method.
What actions does a nurse manager observe to appraise a nurse's clinical reasoning? -
ANSWER-Anticipating consequences, delegating appropriately, interpreting data,
noticing cues, setting priorities.
What does primary care involve according to the WHO? - ANSWER-Empowered people
and communities, essential public functions, multisectoral policy and action.
What areas should a nurse explore for community-based practice employment? -
ANSWER-Hospice facility, minute clinic, mobile mammography unit, telehealth, home
health care.
