Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition by Ignatavicius & Workman Study Guide 2026–2027 | Complete Exam Prep, Chapter Review & Practice Questions

Medical-Surgical Nursing: Concepts for Interprofessional
Collaborative Care 10th Edition by Ignatavicius & Workman
Study Guide 2026–2027 | Complete Exam Prep, Chapter Review
& Practice Questions

All chapters covered

,Chapter01:Overview ofProfessional NursingConcepts forMedical-Surgical Nursing
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Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE f




1. A new nurse is working with a preceptor on amedical-surgical unit. The preceptor advises the
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new nurse that which is the priority when working as a professional nurse?
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a. Attendingtoholistic client needs f f f f




b. Ensuringclient safety f f




c. Not makingmedication errors f f f




d. Providingclient-focusedcare f f




CORRECT ANSWER: B f f




All actions are appropriate for the professional nurse. However, ensuring client safety is the
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priority. Health care errors have been widely reported for 25 years, many of which result in client
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injury, death, and increased health care costs. There are several national and international
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organizations that have either recommended or mandated safety initiatives. Every nurse has
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f the responsibility to guard the client’s safety. The other actions are important for
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f quality nursing, but they are not as vital as providing safety. Not making medication
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errors does provide safety, but is too narrow in scope to be the best answer.
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DIF: Understanding TOP: IntegratedProcess:NursingProcess:Intervention
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KEY: Client safety
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MSC: ClientNeeds Category: SafeandEffective CareEnvironment: SafetyandInfection Control
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2. A nurse is orienting a new client and familyto the medical-surgical unit. What information does
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the nurse provide to best help the client promote his or her own safety?
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a. Encouragethe client and family to be active partners. f f f f f f f f




b. Have the client monitor hand hygiene in caregivers. f f f f f f f




c. Offer the familythe opportunityto staywith the client. f f f f f f f f f




d. Tellthe client to always wear his or her armband. f f f f f f f f f




CORRECT ANSWER: A f f




Each action could be important for the client or family to perform. However, encouraging the
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client to be active in his or her health care as a safety partner is the most critical. The other
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, actions are verylimited in scope and do not provide the broad protection that being active and
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finvolved does. f




DIF: Understanding TOP:IntegratedProcess:Teaching/Learning f f f




fKEY: Client safety f f




MSC: ClientNeeds Category: SafeandEffective CareEnvironment: SafetyandInfection Control
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3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was
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f142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take
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ffirst?
a. Call the Rapid ResponseTeam. f f f f




b. Document and continue to monitor. f f f f




c. Notifythe primaryhealth care provider. f f f f f




d. Repeat the blood pressure in 15 minutes. f f f f f f




CORRECT ANSWER: A f f




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
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fbefore they suffer either respiratory or cardiac arrest. Since the client has manifested a significant
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fchange, the nurse would call the RRT. Changes in blood pressure, mental status, heart rate,
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ftemperature, oxygen saturation, and last 2 hours’ urine output are particularly significant and are f f f f f f f f f f f f f




fpart of the Modified Early Warning System guide. Documentation is vital, but the nurse must do
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fmore than document. The primary health care provider would be
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notified, but this is not more important than calling the RRT. The client’s blood pressure would
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fbe reassessed frequently, but the priority is getting the rapid care to the client.
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DIF: Applying TOP: IntegratedProcess:CommunicationandDocumentation
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fKEY: Rapid Response Team (RRT), Clinical judgment
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MSC: ClientNeedsCategory:PhysiologicalIntegrity:PhysiologicalAdaptation
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4. Anurse wishes to provide client-centered care in all interactions. Which action bythe nurse
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best demonstrates this concept?
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a. Assessesfor cultural influences affectinghealth care. f f f f f f




b. Ensuresthat all the client’s basic needs are met. f f f f f f f f




c. Tells the client and family about all upcoming tests.f f f f f f f f




d. Thoroughlyorients the client and familyto the room. f f f f f f f f




CORRECT ANSWER: A f f




Showing respect for the client and family’s preferences and needs is essential to ensure a holistic
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or “whole-person” approach to care. Byassessing the effect of the client’s culture on health care,
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fthis nurse is practicing client-focused care. Providing for basic needs does not
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, demonstrate this competence. Simply telling the client about all upcoming tests is not providing f f f f f f f f f f f f f




empowering education. Orientingthe client and familyto the room is an important safety
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measure, but not directly related to demonstrating client-centered care.
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DIF: Understanding TOP: Integrated Process: Culture and Spirituality
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KEY: Client-centered care, Culture
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5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
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nurse explain is the most important thing the client can do to protect against errors?
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a. Bring a list of all medications and what theyare for. f f f f f f f f f f




b. Keep the provider’s phone number bythe telephone. f f f f f f f




c. Make sure that all providers wash hands before entering the room. f f f f f f f f f f




d. Write down the name of each caregiver who comes in the room. f f f f f f f f f f f




CORRECT ANSWER: A f f




Medication reconciliation is a formal process in which the client’s actual current medications are f f f f f f f f f f f f f




compared to the prescribed medications at the time of admission, transfer, or discharge. This
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National client Safety Goal is important to reduce medication errors. The client would not have to
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be responsible for providers washing their hands, and even if the client does so, this is too narrow
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to be the most important action to prevent errors. Keeping the provider’s phone number nearby
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and documenting everyone who enters the room also do not guarantee safety.
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DIF: Applying TOP: IntegratedProcess:Teaching/Learning
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KEY: Client safety, Informatics
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MSC: ClientNeeds Category: SafeandEffective CareEnvironment: SafetyandInfection Control
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6. Whichaction bythe nurse working with a client best demonstrates respect for autonomy?
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a. Asks if the client has questions before signing a consent.
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b. Givesthe client accurate information whenquestioned. f f f f f f




c. Keeps the promises made to the client and family. f f f f f f f f




d. Treatsthe client fairly compared toother clients. f f f f f f f




CORRECT ANSWER: A f f




Autonomy is self-determination. The client would make decisions regarding care. When the f f f f f f f f f f f




nurse obtains a signature on the consent form, assessing if the client still has questions is vital,
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because without full information the client cannot practice autonomy. Giving accurate
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information is practicing with veracity. Keeping promises is upholding fidelity. Treating the client
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fairly is providing social justice.
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DIF: Applying TOP: IntegratedProcess: Caring f f f KEY: Ethics, Autonomy f f