1 of 21
Term
A nurse has recently been assigned to a medical-surgical clinical
rotation. According to the scope of medical-surgical nursing, what
type of client assignments does the nurse expect to see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chronic illnesses
C. Older adults in a nursing home
D. Working adults in a corporate setting
Give this one a try later!
B. Developing a standardized checklist form
Rationale
B. The development and use of checklists allows for a more thorough inclusion of
data, and in a more organized manner.
D. A postoperative client's blood pressure suddenly drops.
, Rationale
D. The RRT should be called whenever a client has a slow or sudden
deterioration in clinical condition.
A. Attentiveness/surveillance of clients
B. Mandatory reporting
C. Medication administration
E. Prevention of errors or complications
B. Hospitalized adults with acute and chronic illnesses
Rationale
The scope of medical-surgical nursing, sometimes called adult health
nursing, is to promote health and prevent illness or injury in clients from 18
to 100 years of age or older. The most common practice setting is the acute
care hospital.
Don't know?
2 of 21
Term
Which of these hospital staff members will the nurse manager assign
to coordinate the discharge of a client who will need community-
based rehabilitation services after a traumatic injury?
A. The nurse who is responsible for the client's case management
B. The physical therapist who developed the client's exercise
program
C. The physician who is assigned as the client's medical resident
,D. The unit-based RN who has cared for the client during the
hospital stay
Give this one a try later!
A. Feeding a client whose hands are affected by rheumatoid arthritis
Rationale
A. Although all of these actions may sometimes be delegated to UAP, the client
with rheumatoid arthritis is the most stable of the clients described here.
A. Assess the client for his use of folk medicine.
Rationale
A. Assessing the client's use of folk medicine will help determine his care.
A. The nurse who is responsible for the client's case management
Rationale
A. The case manager role includes coordination of acute care and post-
discharge community services for the client.
A. "The client is being admitted for ongoing monitoring of pain and vital signs."
C. "Nitroglycerin and morphine sulfate were given to relieve the pain."
D. "Frequent reassurance is needed because the client has a high anxiety level."
E. "The client has a family history of heart disease and hypertension."
F. "A coronary arteriogram should be scheduled as soon as possible."
Rationale
Because nursing care is not affected by the client's ability to pay, information
about the type of insurance that the client has is not essential to communicate
during a "hand-off" report for client care.
, Don't know?
3 of 21
Term
When developing a standardized plan of care for clients with a
diagnosis of pneumonia, how does the nurse find the best
information about providing optimal nursing care?
A. Access a website that reports on randomized controlled studies
on nursing care for clients with pneumonia.
B. Research the most recent articles in nursing magazines that
discuss care for clients with pneumonia.
C. Review the chart to determine what physician prescriptions are
frequently written for clients with pneumonia.
D. Survey experienced RNs about which nursing actions are
effective when caring for clients with pneumonia.
Give this one a try later!
B. A 67-year-old client with dementia is shown the same respect as his 47-year-
old roommate with prostate cancer.
Rationale
B. The principle of justice refers to equality—all clients should be treated equally
and fairly as is demonstrated by the respect shown to the client with dementia. A
similar example is seen in the text.
Term
A nurse has recently been assigned to a medical-surgical clinical
rotation. According to the scope of medical-surgical nursing, what
type of client assignments does the nurse expect to see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chronic illnesses
C. Older adults in a nursing home
D. Working adults in a corporate setting
Give this one a try later!
B. Developing a standardized checklist form
Rationale
B. The development and use of checklists allows for a more thorough inclusion of
data, and in a more organized manner.
D. A postoperative client's blood pressure suddenly drops.
, Rationale
D. The RRT should be called whenever a client has a slow or sudden
deterioration in clinical condition.
A. Attentiveness/surveillance of clients
B. Mandatory reporting
C. Medication administration
E. Prevention of errors or complications
B. Hospitalized adults with acute and chronic illnesses
Rationale
The scope of medical-surgical nursing, sometimes called adult health
nursing, is to promote health and prevent illness or injury in clients from 18
to 100 years of age or older. The most common practice setting is the acute
care hospital.
Don't know?
2 of 21
Term
Which of these hospital staff members will the nurse manager assign
to coordinate the discharge of a client who will need community-
based rehabilitation services after a traumatic injury?
A. The nurse who is responsible for the client's case management
B. The physical therapist who developed the client's exercise
program
C. The physician who is assigned as the client's medical resident
,D. The unit-based RN who has cared for the client during the
hospital stay
Give this one a try later!
A. Feeding a client whose hands are affected by rheumatoid arthritis
Rationale
A. Although all of these actions may sometimes be delegated to UAP, the client
with rheumatoid arthritis is the most stable of the clients described here.
A. Assess the client for his use of folk medicine.
Rationale
A. Assessing the client's use of folk medicine will help determine his care.
A. The nurse who is responsible for the client's case management
Rationale
A. The case manager role includes coordination of acute care and post-
discharge community services for the client.
A. "The client is being admitted for ongoing monitoring of pain and vital signs."
C. "Nitroglycerin and morphine sulfate were given to relieve the pain."
D. "Frequent reassurance is needed because the client has a high anxiety level."
E. "The client has a family history of heart disease and hypertension."
F. "A coronary arteriogram should be scheduled as soon as possible."
Rationale
Because nursing care is not affected by the client's ability to pay, information
about the type of insurance that the client has is not essential to communicate
during a "hand-off" report for client care.
, Don't know?
3 of 21
Term
When developing a standardized plan of care for clients with a
diagnosis of pneumonia, how does the nurse find the best
information about providing optimal nursing care?
A. Access a website that reports on randomized controlled studies
on nursing care for clients with pneumonia.
B. Research the most recent articles in nursing magazines that
discuss care for clients with pneumonia.
C. Review the chart to determine what physician prescriptions are
frequently written for clients with pneumonia.
D. Survey experienced RNs about which nursing actions are
effective when caring for clients with pneumonia.
Give this one a try later!
B. A 67-year-old client with dementia is shown the same respect as his 47-year-
old roommate with prostate cancer.
Rationale
B. The principle of justice refers to equality—all clients should be treated equally
and fairly as is demonstrated by the respect shown to the client with dementia. A
similar example is seen in the text.
