MEDICAL SURGICAL NURSING CONCEPTS FOR CLINICAL
JUDGMENT AND COLLABORATIVE CARE 74 CHAPTERS
QUESTIONS AND ANSWERS 2026/2027 || ADULT HEALTH
NURSING || CLINICAL DECISION-MAKING, PATIENT SAFETY
& COLLABORATIVE PRACTICE || VERIFIED QUESTIONS &
ACCURATE ANSWERS || HIGH-YIELD STUDY GUIDE ||
GRADED A+
All 74 chapters questions
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 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 -CORRECT ANSWER- a.
Assesses for cultural influences affecting health care
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.
,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 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. -CORRECT ANSWER- a.
Call the Rapid Response Team.
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.
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. -CORRECT ANSWER- a.
Encourage the client and family to be active partners.
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.
4. A new nurse is working with a preceptor on an inpatient medical-surgical unit.
The preceptor advises the
student that which is the priority when working as a professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care -CORRECT ANSWER- b. Ensuring client safety
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.
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 against errors?
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. -CORRECT
ANSWER- a. Bring a list of all medications and what they are for.
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.
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
d. Treats the client fairly compared to other clients -CORRECT ANSWER- a. Asks
if the client has questions before signing a consent
Autonomy is self-determination. The client should make decisions regarding care.
When the nurse obtains a
JUDGMENT AND COLLABORATIVE CARE 74 CHAPTERS
QUESTIONS AND ANSWERS 2026/2027 || ADULT HEALTH
NURSING || CLINICAL DECISION-MAKING, PATIENT SAFETY
& COLLABORATIVE PRACTICE || VERIFIED QUESTIONS &
ACCURATE ANSWERS || HIGH-YIELD STUDY GUIDE ||
GRADED A+
All 74 chapters questions
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 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 -CORRECT ANSWER- a.
Assesses for cultural influences affecting health care
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.
,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 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. -CORRECT ANSWER- a.
Call the Rapid Response Team.
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.
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. -CORRECT ANSWER- a.
Encourage the client and family to be active partners.
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.
4. A new nurse is working with a preceptor on an inpatient medical-surgical unit.
The preceptor advises the
student that which is the priority when working as a professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care -CORRECT ANSWER- b. Ensuring client safety
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.
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 against errors?
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. -CORRECT
ANSWER- a. Bring a list of all medications and what they are for.
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.
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
d. Treats the client fairly compared to other clients -CORRECT ANSWER- a. Asks
if the client has questions before signing a consent
Autonomy is self-determination. The client should make decisions regarding care.
When the nurse obtains a
