Medical Surgical Nursing 10th Edition Ignatavicius
Workman Test Bank
Chapter 01: Overview of Professional Nursing
Concepts for Medical-Surgical Nursing Ignatavicius:
Medical-Surgical Nursing, 10th Edition
MULTIPLE
CHOICE
1. A new nurse is working with a preceptor on a medical-
surgical unit. The preceptor advises the new nurse 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
ANS: B
All actions are appropriate for the professional nurse.
However, ensuring client safety is the priority. Health
care errors have been widely reported for 25 years,
many of which result in client injury, death, and
increased health care costs. There are several national
and international organizations that have either
recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s
safety. The other actions are important
for quality nursing, but they are not as vital as
providing safety. Not making medication errors does
provide safety, but is too narrow in scope to be the
best answer.
DIF: Understanding TOP: Integrated Process:
Nursing Process: Intervention KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
2. A nurse is orienting a new client and family to the
about:blank 1/611
, medical-surgical unit. What information does the
nurse provide to best 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 safety 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.
DIF: Understanding TOP: Integrated
Process: Teaching/Learning KEY: Client
safety
MSC: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
3. A nurse is caring for a postoperative client on the
surgical unit. The client’s blood pressure was 142/76
mm Hg 30 minutes ago, and now is 88/50 mm Hg.
What action would the nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
Btestbanks.com
about:blank 2/611
, ANS: A
ThezpurposezofzthezRapidzResponsezTeamz(RRT)ziszto
zintervenezwhenzclientszarezdeterioratingz beforeztheyzs
ufferzeitherzrespiratoryzorzcardiaczarrest.zSincezthezcli
entzhaszmanifestedzaz significantzchange,ztheznursezwo
uldzcallzthezRRT.zChangeszinzbloodzpressure,zmentalz
status,z heartzrate,ztemperature,zoxygenzsaturation,zand
zlastz2zhours’zurinezoutputzarezparticularlyz significantz
andzarezpartzofzthezModifiedzEarlyzWarningzSystemzg
uide.zDocumentationziszvital,z butztheznursezmustzdoz
morezthanzdocument.zThezprimaryzhealthzcarezprovide
rzwouldzbez notified,zbutzthiszisznotzmorezimportantzth
anzcallingzthezRRT.zThezclient’szbloodzpressurez woul
dzbezreassessedzfrequently,zbutzthezpriorityziszgettingzt
hezrapidzcareztozthezclient.
DIF:z Applying
TOP:z IntegratedzProcess:zComm
unicationzandzDocumentationz KEY:zRapidz
ResponsezTeamz(RRT),zClinicalzjudgment
MSC:z Clientz NeedszCategory:z Physiologicalz Integrity:z P
hysiologicalz Adaptation
4. Aznursezwishesztozprovidezclient-
centeredzcarezinzallzinteractions.zWhichzactionzbyzthezn
urse
bestzdemonstrateszthiszconcept?
a. Assesseszforzculturalzinfluenceszaffectingzhealthzcare
.
b. Ensureszthatzallzthezclient’szbasiczneedszarezmet.
c. Tellszthezclientzandzfamilyzaboutzallzupcomingztests.
d. Thoroughlyzorientszthezclientzandzfamilyztozthezroom
.
ANS:zA
Showingzrespectzforzthezclientzandzfamily’szpreference
szandzneedsziszessentialztozensureza
holisticzorz“whole-
person”zapproachztozcare.zByzassessingzthezeffectzofzt
about:blank 3/611
, hezclient’szculturezonz healthzcare,zthisznurseziszpractic
ingzclient-
focusedzcare.zProvidingzforzbasiczneedszdoesznotz dem
onstratezthiszcompetence.zSimplyztellingzthezclientzab
outzallzupcomingztestszisznotz providingzempoweringze
ducation.zOrientingzthezclientzandzfamilyztozthezroomzi
szanzimportantz safetyzmeasure,zbutznotzdirectlyzrelate
dztozdemonstratingzclient-centeredzcare.
DIF:z Understanding
TOP:zIntegratedzProcess:zC
ulturezandzSpiritualityz KEY:z Client-
centeredzcare,zCulture
MSC:z ClientzNeedszCategor
y:zPsychosocialzIntegrity
5. Azclientziszgoingztozbezadmittedzforzazscheduledzsur
gicalzprocedure.zWhichzactionzdoeszthez nursezexpla
inziszthezmostzimportantzthingzthezclientzcanzdoztoz
protectzagainstzerrors?
a. Bringzazlistzofzallzmedicationszandzwhatztheyzarezfor.
b. Keepzthezprovider’szphoneznumberzbyztheztelephone.
c. Makezsurezthatzallzproviderszwashzhandszbeforezente
ringzthezroom.
d. Writezdownztheznamezofzeachzcaregiverzwhozcomesz
inzthezroom.
ANS:zA
Medicationzreconciliationziszazformalzprocesszinzwhic
hzthezclient’szactualzcurrentzmedicationsz arezcompare
dztozthezprescribedzmedicationszatztheztimezofzadmissi
on,ztransfer,zorzdischarge.z ThiszNationalzclientzSafety
zGoalziszimportantztozreducezmedicationzerrors.zThezcl
ientzwouldz notzhaveztozbezresponsiblezforzprovidersz
washingztheirzhands,zandzevenzifzthezclientzdoeszso,
thiszisztooznarrowztozbezthezmostzimportantzactionztoz
preventzerrors.zKeepingzthezprovider’sz phoneznumber
znearbyzandzdocumentingzeveryonezwhozenterszthezroo
mzalsozdoznotzguaranteez safety.
about:blank 4/611
Workman Test Bank
Chapter 01: Overview of Professional Nursing
Concepts for Medical-Surgical Nursing Ignatavicius:
Medical-Surgical Nursing, 10th Edition
MULTIPLE
CHOICE
1. A new nurse is working with a preceptor on a medical-
surgical unit. The preceptor advises the new nurse 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
ANS: B
All actions are appropriate for the professional nurse.
However, ensuring client safety is the priority. Health
care errors have been widely reported for 25 years,
many of which result in client injury, death, and
increased health care costs. There are several national
and international organizations that have either
recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s
safety. The other actions are important
for quality nursing, but they are not as vital as
providing safety. Not making medication errors does
provide safety, but is too narrow in scope to be the
best answer.
DIF: Understanding TOP: Integrated Process:
Nursing Process: Intervention KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
2. A nurse is orienting a new client and family to the
about:blank 1/611
, medical-surgical unit. What information does the
nurse provide to best 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 safety 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.
DIF: Understanding TOP: Integrated
Process: Teaching/Learning KEY: Client
safety
MSC: Client Needs Category: Safe and Effective Care
Environment: Safety and Infection Control
3. A nurse is caring for a postoperative client on the
surgical unit. The client’s blood pressure was 142/76
mm Hg 30 minutes ago, and now is 88/50 mm Hg.
What action would the nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
Btestbanks.com
about:blank 2/611
, ANS: A
ThezpurposezofzthezRapidzResponsezTeamz(RRT)ziszto
zintervenezwhenzclientszarezdeterioratingz beforeztheyzs
ufferzeitherzrespiratoryzorzcardiaczarrest.zSincezthezcli
entzhaszmanifestedzaz significantzchange,ztheznursezwo
uldzcallzthezRRT.zChangeszinzbloodzpressure,zmentalz
status,z heartzrate,ztemperature,zoxygenzsaturation,zand
zlastz2zhours’zurinezoutputzarezparticularlyz significantz
andzarezpartzofzthezModifiedzEarlyzWarningzSystemzg
uide.zDocumentationziszvital,z butztheznursezmustzdoz
morezthanzdocument.zThezprimaryzhealthzcarezprovide
rzwouldzbez notified,zbutzthiszisznotzmorezimportantzth
anzcallingzthezRRT.zThezclient’szbloodzpressurez woul
dzbezreassessedzfrequently,zbutzthezpriorityziszgettingzt
hezrapidzcareztozthezclient.
DIF:z Applying
TOP:z IntegratedzProcess:zComm
unicationzandzDocumentationz KEY:zRapidz
ResponsezTeamz(RRT),zClinicalzjudgment
MSC:z Clientz NeedszCategory:z Physiologicalz Integrity:z P
hysiologicalz Adaptation
4. Aznursezwishesztozprovidezclient-
centeredzcarezinzallzinteractions.zWhichzactionzbyzthezn
urse
bestzdemonstrateszthiszconcept?
a. Assesseszforzculturalzinfluenceszaffectingzhealthzcare
.
b. Ensureszthatzallzthezclient’szbasiczneedszarezmet.
c. Tellszthezclientzandzfamilyzaboutzallzupcomingztests.
d. Thoroughlyzorientszthezclientzandzfamilyztozthezroom
.
ANS:zA
Showingzrespectzforzthezclientzandzfamily’szpreference
szandzneedsziszessentialztozensureza
holisticzorz“whole-
person”zapproachztozcare.zByzassessingzthezeffectzofzt
about:blank 3/611
, hezclient’szculturezonz healthzcare,zthisznurseziszpractic
ingzclient-
focusedzcare.zProvidingzforzbasiczneedszdoesznotz dem
onstratezthiszcompetence.zSimplyztellingzthezclientzab
outzallzupcomingztestszisznotz providingzempoweringze
ducation.zOrientingzthezclientzandzfamilyztozthezroomzi
szanzimportantz safetyzmeasure,zbutznotzdirectlyzrelate
dztozdemonstratingzclient-centeredzcare.
DIF:z Understanding
TOP:zIntegratedzProcess:zC
ulturezandzSpiritualityz KEY:z Client-
centeredzcare,zCulture
MSC:z ClientzNeedszCategor
y:zPsychosocialzIntegrity
5. Azclientziszgoingztozbezadmittedzforzazscheduledzsur
gicalzprocedure.zWhichzactionzdoeszthez nursezexpla
inziszthezmostzimportantzthingzthezclientzcanzdoztoz
protectzagainstzerrors?
a. Bringzazlistzofzallzmedicationszandzwhatztheyzarezfor.
b. Keepzthezprovider’szphoneznumberzbyztheztelephone.
c. Makezsurezthatzallzproviderszwashzhandszbeforezente
ringzthezroom.
d. Writezdownztheznamezofzeachzcaregiverzwhozcomesz
inzthezroom.
ANS:zA
Medicationzreconciliationziszazformalzprocesszinzwhic
hzthezclient’szactualzcurrentzmedicationsz arezcompare
dztozthezprescribedzmedicationszatztheztimezofzadmissi
on,ztransfer,zorzdischarge.z ThiszNationalzclientzSafety
zGoalziszimportantztozreducezmedicationzerrors.zThezcl
ientzwouldz notzhaveztozbezresponsiblezforzprovidersz
washingztheirzhands,zandzevenzifzthezclientzdoeszso,
thiszisztooznarrowztozbezthezmostzimportantzactionztoz
preventzerrors.zKeepingzthezprovider’sz phoneznumber
znearbyzandzdocumentingzeveryonezwhozenterszthezroo
mzalsozdoznotzguaranteez safety.
about:blank 4/611
