Page 1 of 1170 Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters 1
Comprehensive Test
Bank for Medical-
Surgical Nursing:
Concepts for
Interprofessional
Collaborative Care,
11th Edition by
Ignatavicius. All
chapters included.
Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters.docx 1 2026/03/10
,Page 2 of 1170 Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters 2
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
MULTIPLE CHOICE
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
A nurse demonstrates competency in client-focused care when they prioritize communication, culture, respect, compassion, client
education, and empowerment. By assessing the effect of the client's 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/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs Category: Psychosocial Integrity
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 isbest?
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
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they suffer either respiratory or
cardiac arrest.
Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters.docx 2 2026/03/10
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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 just record. Notifying the primary
care provider is important, but it should not take precedence over calling the RRT. The client's blood pressure should be reassessed
frequently, but the priority is getting rapid care for the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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
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 involveddoes.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. A new nurse is working with a preceptor on an inpatientmedical-surgical unit. The preceptor advises the student that which
is the priority when working as a professionalnurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters.docx 3 2026/03/10
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CORRECT ANSWER: B
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.
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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 againsterrors?
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
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.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Safe and
Effective Care Environment: Safety and Infection Control
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
Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters.docx 4 2026/03/10
Comprehensive Test
Bank for Medical-
Surgical Nursing:
Concepts for
Interprofessional
Collaborative Care,
11th Edition by
Ignatavicius. All
chapters included.
Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters.docx 1 2026/03/10
,Page 2 of 1170 Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters 2
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
MULTIPLE CHOICE
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
A nurse demonstrates competency in client-focused care when they prioritize communication, culture, respect, compassion, client
education, and empowerment. By assessing the effect of the client's 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/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring NOT: Client Needs Category: Psychosocial Integrity
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 isbest?
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
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they suffer either respiratory or
cardiac arrest.
Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters.docx 2 2026/03/10
,Page 3 of 1170 Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters 3
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 just record. Notifying the primary
care provider is important, but it should not take precedence over calling the RRT. The client's blood pressure should be reassessed
frequently, but the priority is getting rapid care for the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
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
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 involveddoes.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. A new nurse is working with a preceptor on an inpatientmedical-surgical unit. The preceptor advises the student that which
is the priority when working as a professionalnurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters.docx 3 2026/03/10
, Page 4 of 1170 Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters 4
CORRECT ANSWER: B
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.
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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 againsterrors?
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
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.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Safe and
Effective Care Environment: Safety and Infection Control
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
Test Bank Med-Surg Nursing 11e Ignatavicius – All Chapters.docx 4 2026/03/10
