TEST BANK FOR MEDICAL-SURGICAL
NURSING: CONCEPTS FOR CLINICAL
JUDGMENT AND COLLABORATIVE
CARE 11TH EDITION BY DONNA D.
IGNATAVICIUS EXAM 2026/2027
,
,Question 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 client's 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. Assessing for cultural influences is a key component of client-centered
care, which focuses on communication, culture, respect, compassion, and
empowerment.
Question 2
A nurse is caring for a postoperative client on the surgical unit. The client's blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What
action by the nurse is best?
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. A significant drop in blood pressure (hypotension) in a postoperative
patient is a sign of potential deterioration (e.g., hemorrhage, shock). The nurse
should call the Rapid Response Team (RRT) for immediate assistance.
Question 3
A nurse is caring for an older adult patient who was admitted with deep vein
thrombosis (DVT) and is now experiencing sudden-onset shortness of breath and
chest pain. Which action should the nurse take first?
a. Prepare the patient for a routine chest X-ray.
b. Elevate the head of the bed, apply oxygen, and immediately notify the Rapid
Response Team (RRT).
, c. Document the patient's vital signs in the electronic health record.
d. Administer the next scheduled dose of oral warfarin.
Answer: b. Sudden shortness of breath and chest pain in a patient with a known
DVT are classic signs of a life-threatening pulmonary embolism (PE). The priority
is immediate stabilization and activation of the RRT.
Question 4
The medical-surgical nurse is collaborating with the clinical pharmacist and
healthcare provider to reconcile a patient's home medications upon admission. This
process addresses which core Quality and Safety Education for Nurses (QSEN)
competency?
a. Patient-Centered Care
b. Quality Improvement
c. Teamwork and Collaboration
d. Evidence-Based Practice
Answer: c. Medication reconciliation requires open communication and shared
decision-making among multiple healthcare disciplines, which directly exemplifies
the QSEN competency of Teamwork and Collaboration.
Question 5
A nurse is reviewing a new hospital policy regarding the use of chlorhexidine
gluconate for central line dressing changes. The policy references multiple multi-
center randomized controlled trials. What concept is the nurse applying by
following this policy?
a. Informatics
b. Evidence-Based Practice (EBP)
c. Quality Improvement (QI)
d. Patient-Centered Care
Answer: b. Using policies based on multi-center randomized controlled trials is a
direct application of Evidence-Based Practice (EBP), which integrates the best
available research evidence with clinical expertise and patient values.
NURSING: CONCEPTS FOR CLINICAL
JUDGMENT AND COLLABORATIVE
CARE 11TH EDITION BY DONNA D.
IGNATAVICIUS EXAM 2026/2027
,
,Question 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 client's 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. Assessing for cultural influences is a key component of client-centered
care, which focuses on communication, culture, respect, compassion, and
empowerment.
Question 2
A nurse is caring for a postoperative client on the surgical unit. The client's blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What
action by the nurse is best?
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. A significant drop in blood pressure (hypotension) in a postoperative
patient is a sign of potential deterioration (e.g., hemorrhage, shock). The nurse
should call the Rapid Response Team (RRT) for immediate assistance.
Question 3
A nurse is caring for an older adult patient who was admitted with deep vein
thrombosis (DVT) and is now experiencing sudden-onset shortness of breath and
chest pain. Which action should the nurse take first?
a. Prepare the patient for a routine chest X-ray.
b. Elevate the head of the bed, apply oxygen, and immediately notify the Rapid
Response Team (RRT).
, c. Document the patient's vital signs in the electronic health record.
d. Administer the next scheduled dose of oral warfarin.
Answer: b. Sudden shortness of breath and chest pain in a patient with a known
DVT are classic signs of a life-threatening pulmonary embolism (PE). The priority
is immediate stabilization and activation of the RRT.
Question 4
The medical-surgical nurse is collaborating with the clinical pharmacist and
healthcare provider to reconcile a patient's home medications upon admission. This
process addresses which core Quality and Safety Education for Nurses (QSEN)
competency?
a. Patient-Centered Care
b. Quality Improvement
c. Teamwork and Collaboration
d. Evidence-Based Practice
Answer: c. Medication reconciliation requires open communication and shared
decision-making among multiple healthcare disciplines, which directly exemplifies
the QSEN competency of Teamwork and Collaboration.
Question 5
A nurse is reviewing a new hospital policy regarding the use of chlorhexidine
gluconate for central line dressing changes. The policy references multiple multi-
center randomized controlled trials. What concept is the nurse applying by
following this policy?
a. Informatics
b. Evidence-Based Practice (EBP)
c. Quality Improvement (QI)
d. Patient-Centered Care
Answer: b. Using policies based on multi-center randomized controlled trials is a
direct application of Evidence-Based Practice (EBP), which integrates the best
available research evidence with clinical expertise and patient values.
