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Exam of 1250 pages for the course Medical-Surgical Nursing: Concepts for Clinical Ju at Medical-Surgical Nursing: Concepts for Clinical Ju

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TestTest
BankBank
for Medical-Surgical
for Medical-Surgical
Nursing
Nursing
- Concepts
- Concepts
for Interprofessional
for Interprofessional
Collaborative
Collaborative
Care,
Care,
11th11th
Edition
Edition
by Ignatavicius
by Ignatavicius
All Chapters
All Chapters
20242024
Edition
2026-03-10
Edition




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.




Page
Test2 Bank
of 1251
for Medical-Surgical Nursing - Concepts for Interprofessional Page
Collaborative
2 Care, 11th Edition by Ignatavicius All Chapters 2024 Edition.docx

,TestTest
BankBank
for Medical-Surgical
for Medical-Surgical
Nursing
Nursing
- Concepts
- Concepts
for Interprofessional
for Interprofessional
Collaborative
Collaborative
Care,
Care,
11th11th
Edition
Edition
by Ignatavicius
by Ignatavicius
All Chapters
All Chapters
20242024
Edition
2026-03-10
Edition




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.

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




Page
Test3 Bank
of 1251
for Medical-Surgical Nursing - Concepts for Interprofessional Page
Collaborative
3 Care, 11th Edition by Ignatavicius All Chapters 2024 Edition.docx

,TestTest
BankBank
for Medical-Surgical
for Medical-Surgical
Nursing
Nursing
- Concepts
- Concepts
for Interprofessional
for Interprofessional
Collaborative
Collaborative
Care,
Care,
11th11th
Edition
Edition
by Ignatavicius
by Ignatavicius
All Chapters
All Chapters
20242024
Edition
2026-03-10
Edition




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




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




Page
Test4 Bank
of 1251
for Medical-Surgical Nursing - Concepts for Interprofessional Page
Collaborative
4 Care, 11th Edition by Ignatavicius All Chapters 2024 Edition.docx

, TestTest
BankBank
for Medical-Surgical
for Medical-Surgical
Nursing
Nursing
- Concepts
- Concepts
for Interprofessional
for Interprofessional
Collaborative
Collaborative
Care,
Care,
11th11th
Edition
Edition
by Ignatavicius
by Ignatavicius
All Chapters
All Chapters
20242024
Edition
2026-03-10
Edition




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

Autonomy is self-determination. The client should make decisions regarding care. When the nurseobtainsa signature on the consent
form, assessing if the client still has questions is vital, because without full information the client cannot practice autonomy. Giving
accurate information is practicing with veracity. Keeping promises is upholding fidelity. Treating the client fairly is providing social
justice.



DIF: Applying/Application REF: 4

KEY: Autonomy| ethical principles MSC: Integrated Process: Caring

NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care




7. A student nurse asks the faculty to explain best practices when communicating with a person from the lesbian, gay,
bisexual, transgender, andqueer/questioning (LGBTQ) community. Whatanswerbythe faculty is most accurate?

a. Avoid embarrassing the client by asking questions.



c. Most LGBTQ people do not want to share information.




d. No differences exist in communicating with this population.




Page
Test5 Bank
of 1251
for Medical-Surgical Nursing - Concepts for Interprofessional Page
Collaborative
5 Care, 11th Edition by Ignatavicius All Chapters 2024 Edition.docx

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