,Test Bank for Medical-
h9 h9 h9
Surgical Nursing,10th h9 h9
Edition, Donna D.
h9 h9 h9
Ignatavicius, Linda
h9 h9
Workman, Cherie R.
h9 h9 h9
Rebar, Nicole M.
h9 h9 h9
Heimgartner h9
, abirb.com/test
WWW.NURSYLAB.COM
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgicalabirb.com/test
h9 h9 h9 h9 h9 h9 h9 h9 h9
h9 Nursing, 10th Edition h9 h9 h9 h9
MULTIPLE CHOICE h9
abirb.com/test
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
new nurse that which is the priority when working as a professional nurse?
abirb.com/test
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
a. Attending to holistic client needs h9 h9 h9 h9
b. Ensuring client safety h9 h9
c. Not making medication errors h9 h9 h9
d. Providing client-focused care h9 h9
abirb.com/test h9
ANS: B h 9
All actions are appropriate for the professional nurse. However, ensuring client safety is the
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
priority. Health care errors have been widely reported for 25 years, many of which result in
h9 h9 h9 h9 h9
abirb .com/tes t h 9 h 9 h9 h9 h9 h9 h9 h9 h9
client injury, death, and increased health care costs. There are several national and
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
international organizations that have either recommended or mandated safety initiatives. Every h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
nurse has the responsibility to guard the client’s safety. The other actions are important for
abirb.com/test
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
quality nursing, but they are not as vital as providing safety. Not making medication errors does
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
provide safety, but is too narrow in scope to be the best answer.
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
DIF: Understanding
KEY: Client safety
h9 h
T O P : In teg rated Process: Nursing Process: Intervention
9 h9
abirb.c o m /test h 9 h 9 h9 h9 h9 h9
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
h 9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
2. A nurse is orienting a new client and family to t h e m e d i c a l - surgical unit. What information
h9 h9 h9 h9 h9 h9
abirb.com/ t e s t h9 h9 h9 h9 h9
does the nurse provide to best help the client promote his or her own safety?
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
a. Encourage the client and family to be active partners. h9 h9 h9 h9 h9 h9 h9 h9
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
h9
h9
h9
h9
h9
h9 h9
h9
abirb.com/test h9
h9 h9
h9
h9
h9
h9 h9
d. Tell the client to always wear his or her armband. h9 h9 h9 h9 h9 h9 h9 h9 h9
ANS: abirb.com/test
hA 9
Each action could be important for the client or family to perform. However, encouraging the
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
client to be active in his or her health care as a safety partner is the most critical. The other
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
actions are very limited in scope and do not provide the broad protection that being active and
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
involved does. h9
abirb.com/test
DIF: Understanding TOP: Integrated Process: Teaching/Learning h 9 h9 h9
KEY: Client h 9 abirb.com/test
safety
h9
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
h 9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse
h9
take first?
h9
h9
h9 h9 h9 h9
abirb.com/test h9 h9 h9 h9 h9 h9
a. Call the Rapid Response Team. h9 h9 h9 h9
b. Document and continue to monitor. h9 h9 h9 h9
c. Notify the primary health care provider. h9 h9 h9 abirb.com/test
h9 h9
d. Repeat the blood pressure in 15 minutes. h9 h9 h9 h9 h9 h9
WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
h9 h9 h9
Surgical Nursing,10th h9 h9
Edition, Donna D.
h9 h9 h9
Ignatavicius, Linda
h9 h9
Workman, Cherie R.
h9 h9 h9
Rebar, Nicole M.
h9 h9 h9
Heimgartner h9
, abirb.com/test
WWW.NURSYLAB.COM
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgicalabirb.com/test
h9 h9 h9 h9 h9 h9 h9 h9 h9
h9 Nursing, 10th Edition h9 h9 h9 h9
MULTIPLE CHOICE h9
abirb.com/test
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
new nurse that which is the priority when working as a professional nurse?
abirb.com/test
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
a. Attending to holistic client needs h9 h9 h9 h9
b. Ensuring client safety h9 h9
c. Not making medication errors h9 h9 h9
d. Providing client-focused care h9 h9
abirb.com/test h9
ANS: B h 9
All actions are appropriate for the professional nurse. However, ensuring client safety is the
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
priority. Health care errors have been widely reported for 25 years, many of which result in
h9 h9 h9 h9 h9
abirb .com/tes t h 9 h 9 h9 h9 h9 h9 h9 h9 h9
client injury, death, and increased health care costs. There are several national and
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
international organizations that have either recommended or mandated safety initiatives. Every h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
nurse has the responsibility to guard the client’s safety. The other actions are important for
abirb.com/test
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
quality nursing, but they are not as vital as providing safety. Not making medication errors does
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
provide safety, but is too narrow in scope to be the best answer.
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
DIF: Understanding
KEY: Client safety
h9 h
T O P : In teg rated Process: Nursing Process: Intervention
9 h9
abirb.c o m /test h 9 h 9 h9 h9 h9 h9
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
h 9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
2. A nurse is orienting a new client and family to t h e m e d i c a l - surgical unit. What information
h9 h9 h9 h9 h9 h9
abirb.com/ t e s t h9 h9 h9 h9 h9
does the nurse provide to best help the client promote his or her own safety?
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
a. Encourage the client and family to be active partners. h9 h9 h9 h9 h9 h9 h9 h9
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
h9
h9
h9
h9
h9
h9 h9
h9
abirb.com/test h9
h9 h9
h9
h9
h9
h9 h9
d. Tell the client to always wear his or her armband. h9 h9 h9 h9 h9 h9 h9 h9 h9
ANS: abirb.com/test
hA 9
Each action could be important for the client or family to perform. However, encouraging the
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
client to be active in his or her health care as a safety partner is the most critical. The other
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
actions are very limited in scope and do not provide the broad protection that being active and
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
involved does. h9
abirb.com/test
DIF: Understanding TOP: Integrated Process: Teaching/Learning h 9 h9 h9
KEY: Client h 9 abirb.com/test
safety
h9
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
h 9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9 h9
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse
h9
take first?
h9
h9
h9 h9 h9 h9
abirb.com/test h9 h9 h9 h9 h9 h9
a. Call the Rapid Response Team. h9 h9 h9 h9
b. Document and continue to monitor. h9 h9 h9 h9
c. Notify the primary health care provider. h9 h9 h9 abirb.com/test
h9 h9
d. Repeat the blood pressure in 15 minutes. h9 h9 h9 h9 h9 h9
WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
