TEST BANK FOR IGNATAVICIUS MEDICAL
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
,1|Page
TEST BANK FOR IGNATAVICIUS MEDICAL
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
Nursing
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
-\ ANSWER-\ 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\ client9s\ 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\ 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.
,2|Page
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.
-\ ANSWER-\ 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\ client9s\ 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.
-\ ANSWER-\ A
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\ would\ call\ the\ RRT.\ Changes\ in\ blood\ pressure,\ mental\ status,\ heart\ rate,\
temperature,\ oxygen\ saturation,\ and\ last\ 2\ hours9\ urine\ output\ are\ particularly\ significant\ and\
are\ part\ of\ the\ Modified\ Early\ Warning\ System\ guide.\ Documentation\ is\ vital,\ but\ the\ nurse\
must\ do\ more\ than\ document.\ The\ primary\ health\ care\ provider\ would\ be\ notified,\ but\ this\ is\
not\ more\ important\ than\ calling\ the\ RRT.\ The\ client9s\ blood\ pressure\ would\ be\ reassessed\
frequently,\ but\ the\ priority\ is\ getting\ the\ rapid\ care\ to\ the\ client.
DIF: Applying TOP:\ Integrated\ Process:\ Communication\ and\ Documentation\ KEY:\
Rapid\ Response\ Team\ (RRT),\ Clinical\ judgment
MSC:\ Client\ Needs\ Category:\ Physiological\ Integrity:\ Physiological\ Adaptation
, 3|Page
4. 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\ client9s\ basic\ needs\ are\ met.
c. Tells\ the\ client\ and\ family\ about\ all\ upcoming\ tests.
d. Thoroughly\ orients\ the\ client\ and\ family\ to\ the\ room.
-\ ANSWER-\ A
Showing\ respect\ for\ the\ client\ and\ family9s\ preferences\ and\ needs\ is\ essential\ to\ ensure\ a\ holistic\
or\ <whole-person=\ approach\ to\ care.\ By\ assessing\ the\ effect\ of\ the\ client9s\ 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.
DIF: Understanding\TOP:\ Integrated\ Process:\ Culture\ and\ Spirituality\ KEY:\ Client-centered\
care,\ Culture MSC:\ Client\ Needs\ Category:\ Psychosocial\ Integrity
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\ provider9s\ phone\ number\ by\ the\ telephone.
c. Make\ sure\ that\ all\ providers\ wash\ hands\ before\ entering\ the\ room.
d. Write\ down\ the\ name\ of\ each\ caregiver\ who\ comes\ in\ the\ room.
-\ ANSWER-\ A
Medication\ reconciliation\ is\ a\ formal\ process\ in\ which\ the\ client9s\ actual\ current\ medications\ are\
compared\ to\ the\ prescribed\ medications\ at\ the\ time\ of\ admission,\ transfer,\ or\ discharge.\ This\
National\ client\ Safety\ Goal\ is\ important\ to\ reduce\ medication\ errors.\ The\ client\ would\ not\ have\
to\ be\ responsible\ for\ providers\ washing\ their\ hands,\ and\ even\ if\ the\ client\ does\ so,\ this\ is\ too\
narrow\ to\ be\ the\ most\ important\ action\ to\ prevent\ errors.\ Keeping\ the\ provider9s\ phone\ number\
nearby\ and\ documenting\ everyone\ who\ enters\ the\ room\ also\ do\ not\ guarantee\ safety.
DIF: Applying TOP:\ Integrated\ Process:\ Teaching/Learning\ KEY:\ Client\ safety,\
Informatics
MSC:\ Client\ Needs\ Category:\ Safe\ and\ Effective\ Care\ Environment:\ Safety\ and\ Infection\
Control
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
,1|Page
TEST BANK FOR IGNATAVICIUS MEDICAL
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
Nursing
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
-\ ANSWER-\ 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\ client9s\ 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\ 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.
,2|Page
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.
-\ ANSWER-\ 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\ client9s\ 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.
-\ ANSWER-\ A
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\ would\ call\ the\ RRT.\ Changes\ in\ blood\ pressure,\ mental\ status,\ heart\ rate,\
temperature,\ oxygen\ saturation,\ and\ last\ 2\ hours9\ urine\ output\ are\ particularly\ significant\ and\
are\ part\ of\ the\ Modified\ Early\ Warning\ System\ guide.\ Documentation\ is\ vital,\ but\ the\ nurse\
must\ do\ more\ than\ document.\ The\ primary\ health\ care\ provider\ would\ be\ notified,\ but\ this\ is\
not\ more\ important\ than\ calling\ the\ RRT.\ The\ client9s\ blood\ pressure\ would\ be\ reassessed\
frequently,\ but\ the\ priority\ is\ getting\ the\ rapid\ care\ to\ the\ client.
DIF: Applying TOP:\ Integrated\ Process:\ Communication\ and\ Documentation\ KEY:\
Rapid\ Response\ Team\ (RRT),\ Clinical\ judgment
MSC:\ Client\ Needs\ Category:\ Physiological\ Integrity:\ Physiological\ Adaptation
, 3|Page
4. 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\ client9s\ basic\ needs\ are\ met.
c. Tells\ the\ client\ and\ family\ about\ all\ upcoming\ tests.
d. Thoroughly\ orients\ the\ client\ and\ family\ to\ the\ room.
-\ ANSWER-\ A
Showing\ respect\ for\ the\ client\ and\ family9s\ preferences\ and\ needs\ is\ essential\ to\ ensure\ a\ holistic\
or\ <whole-person=\ approach\ to\ care.\ By\ assessing\ the\ effect\ of\ the\ client9s\ 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.
DIF: Understanding\TOP:\ Integrated\ Process:\ Culture\ and\ Spirituality\ KEY:\ Client-centered\
care,\ Culture MSC:\ Client\ Needs\ Category:\ Psychosocial\ Integrity
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\ provider9s\ phone\ number\ by\ the\ telephone.
c. Make\ sure\ that\ all\ providers\ wash\ hands\ before\ entering\ the\ room.
d. Write\ down\ the\ name\ of\ each\ caregiver\ who\ comes\ in\ the\ room.
-\ ANSWER-\ A
Medication\ reconciliation\ is\ a\ formal\ process\ in\ which\ the\ client9s\ actual\ current\ medications\ are\
compared\ to\ the\ prescribed\ medications\ at\ the\ time\ of\ admission,\ transfer,\ or\ discharge.\ This\
National\ client\ Safety\ Goal\ is\ important\ to\ reduce\ medication\ errors.\ The\ client\ would\ not\ have\
to\ be\ responsible\ for\ providers\ washing\ their\ hands,\ and\ even\ if\ the\ client\ does\ so,\ this\ is\ too\
narrow\ to\ be\ the\ most\ important\ action\ to\ prevent\ errors.\ Keeping\ the\ provider9s\ phone\ number\
nearby\ and\ documenting\ everyone\ who\ enters\ the\ room\ also\ do\ not\ guarantee\ safety.
DIF: Applying TOP:\ Integrated\ Process:\ Teaching/Learning\ KEY:\ Client\ safety,\
Informatics
MSC:\ Client\ Needs\ Category:\ Safe\ and\ Effective\ Care\ Environment:\ Safety\ and\ Infection\
Control
