CHAPTER 1 MEDICAL SURGICAL NURSING STUDY TEST

CHAPTER 1 MEDICAL SURGICAL NURSING STUDY TEST 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 - CORRECT ANSWER-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. A nursing student has been assigned to the hospital's Rapid Response Team (RRT). Which statement by the student indicates a correct understanding of the RRT member's purpose? A. "I will be caring for clients in the hospital." B. "I will be riding along in the hospital's ambulance." C. "I will be admitting clients to the hospital." D. "I will be observing code 'blue' resuscitations." - CORRECT ANSWER-A. "I will be caring for clients in the hospital." Rationale A. Members of the RRT are critical care experts who are on site in the hospital and are available at any time. Which principal nursing actions best support a focus on client safety? Select all that apply. A. Client restraints B. Handwashing C. Preoperative checklists D. Respect for others E. Five rights of drug administration - CORRECT ANSWER-B. Handwashing C. Preoperative checklists E. Five rights of drug administration Rationale The number one way to prevent infection in clients! This is a major method that facilitates a safe care environment for the client. A nurse is working in the intensive care unit. When does the nurse call the Rapid Response Team (RRT)? A. An 87-year-old client awakens mildly confused, then reorients quickly. B. A newly admitted client requests pain medication. C. A postoperative client's dressing has mild bloody drainage. D. A postoperative client's blood pressure suddenly drops. - CORRECT ANSWER-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. Which role of the medical-surgical nurse is demonstrated by writing a care plan for the client who is newly admitted to the hospital? A. Advocate B. Caregiver C. Communicator D. Educator - CORRECT ANSWER-B. Caregiver Rationale B. In the caregiver role, medical-surgical nurses assess clients, analyze collected information to determine their needs, develop nursing diagnoses and collaborative problems, plan care and carry out the plan with the healthcare team, and evaluate the care given. A nurse supports the client and family in deciding on a "Do Not Resuscitate" order. Which ethical principle that guides nursing clinical decision making is demonstrated in this situation? A. Beneficence B. Justice C. Legality D. Self-determination - CORRECT ANSWER-D. Self-determination Rationale D. Self-determination refers to the idea that clients are autonomous individuals capable of making informed decisions about their care. When the client is not capable of self- determination, the nurse is ethically obligated to protect the client as an advocate in the professional scope of practice. Which important aspect of coordinating care within the interdisciplinary team is facilitated by use of the "SBAR" and "PACE" procedures? A. Communication B. Implementation C. Policy making D. Protocol development - CORRECT ANSWER-A. Communication Rationale A. SBAR and PACE are acronyms for hand-off methods of communication used by health care organizations to share information between shifts and between departments. A 78-year-old Mexican American client is admitted to the hospital for hypertension. His wife passed away 6 months ago, and his only child still lives in Mexico. Which intervention does the nurse use in dealing with this client following his admission? A. Assess the client for his use of folk medicine. B. Call the client's child and explain why his father needs him. C. Present all information on hypertension to the client in one teaching session. D. Provide a pamphlet on hypertension for initial education. - CORRECT ANSWER-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 nursing student is following a medical-surgical nurse and identifies a way to improve a procedure used for client care. What does the student nurse do next? A. Asks the nurse about the rationale for doing the procedure that way B. Corrects the medical-surgical nurse about the way the procedure should be done C. Goes to the charge nurse with the idea D. Places a note in the suggestion box - CORRECT ANSWER-A. Asks the nurse about the rationale for doing the procedure that way Rationale A. Although all nurses are responsible for quality improvement, it is important to assess before implementing. Asking why something is done a certain way is a good form of assessment. Bedside computers are an example of informatics used in health care primarily for which purpose? A. Documenting interdisciplinary care