TEST BANK For Medical-Surgical Nursing
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10th Edition Concepts for Interprofessional
Il! Il! Il! Il!
Collaborative Care, by Donna D. Ignatavicius,
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All chapters 1 – 69 Newest
Il! Il! Il! Il! Il! Il!
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Il! Il! Il! Il! Il! Il! Il! Il! Il!
Ignatavicius: Medical-Surgical Nursing, 10th Edition
Il! Il! Il! Il! Il!
MULTIPLE CHOICE Il!
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! the new nurse that which is the priority when working as a professional nurse?
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
a. Attending to holistic client needs Il! Il! Il! Il!
b. Ensuring client safety Il! Il!
c. Not making medication errors Il! Il! Il!
d. Providing client-focused care Il! Il!
CORRECT ANSWER: B Il! Il!
All actions are appropriate for the professional nurse. However, ensuring client safety is the
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! priority. Health care errors have been widely reported for 25 years, many of which result in
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! client injury, death, and increased health care costs. There are several national and
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! international organizations that have either recommended or mandated safety initiatives. Il! Il! Il! Il! Il! Il! Il! Il! Il!
Every nurse has the responsibility to guard the client’s safety. The other actions are
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! important for quality nursing, but they are not as vital as providing safety. Not making
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
medication errors does provide safety, but is too narrow in scope to be the best answer.
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
DIF: Understanding TOP: Integrated Process: Nursing Process: I l ! Il! Il! Il!
Intervention KEY: Client safety
Il! Il! Il! Il!
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
I l ! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! does the nurse provide to best help the client promote his or her own safety?
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
a. Encourage the client and family to be active partners. Il! Il! Il! Il! Il! Il! Il! Il!
b. Have the client monitor hand hygiene in caregivers. Il! Il! Il! Il! Il! Il! Il!
c. Offer the family the opportunity to stay with the client. Il! Il! Il! Il! Il! Il! Il! Il! Il!
d. Tell the client to always wear his or her armband.
Il! Il! Il! Il! Il! Il! Il! Il! Il!
CORRECT ANSWER: A Il! Il!
Each action could be important for the client or family to perform. However, encouraging
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! the client to be active in his or her health care as a safety partner is the most critical. The
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
, Il! other actions are very limited in scope and do not provide the broad protection that being
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
active and involved does.
Il! Il! Il! Il!
DIF: Understanding TOP: Integrated Process: Teaching/Learning
Il! Il! Il!
Il! KEY: Client safety
Il! Il!
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
I l ! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! would the nurse take first?
Il! Il! Il! Il!
a. Call the Rapid Response Team. Il! Il! Il! Il!
b. Document and continue to monitor. Il! Il! Il! Il!
c. Notify the primary health care provider. Il! Il! Il! Il! Il!
d. Repeat the blood pressure in 15 minutes. Il! Il! Il! Il! Il! Il!
, CORRECT ANSWER: A Il! Il!
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! before they suffer either respiratory or cardiac arrest. Since the client has manifested a
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! significant change, the nurse would call the RRT. Changes in blood pressure, mental status,
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! significant and are part of the Modified Early Warning System guide. Documentation is
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! vital, but the nurse must do more than document. The primary health care provider would
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! be notified, but this is not more important than calling the RRT. The client’s blood pressure
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! would be reassessed frequently, but the priority is getting the rapid care to the client.
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
DIF: Applying TOP: Integrated Process: Communication and I l ! Il! Il! Il!
Documentation KEY: Rapid Response Team (RRT), Clinical judgment
Il! Il! Il! Il! Il! Il! Il! Il!
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
I l ! Il! Il! Il! Il! Il! Il!
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
best demonstrates this concept?
Il! Il! Il!
a. Assesses for cultural influences affecting health care. Il! Il! Il! Il! Il! Il!
b. Ensures that all the client’s basic needs are met. Il! Il! Il! Il! Il! Il! Il! Il!
c. Tells the client and family about all upcoming tests. Il! Il! Il! Il! Il! Il! Il! Il!
d. Thoroughly orients the client and family to the room. Il! Il! Il! Il! Il! Il! Il! Il!
CORRECT ANSWER: A Il! Il!
Showing respect for the client and family’s preferences and needs is essential to ensure a
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! holistic or “whole-person” approach to care. By assessing the effect of the client’s culture on
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! health care, this nurse is practicing client-focused care. Providing for basic needs does not
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! demonstrate this competence. Simply telling the client about all upcoming tests is not Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! providing empowering education. Orienting the client and family to the room is an important
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! safety measure, but not directly related to demonstrating client-centered care.
Il! Il! Il! Il! Il! Il! Il! Il! Il!
DIF: Understanding TOP: Integrated Process: Culture and Spirituality
Il! Il! Il! Il! Il!
Il! KEY: I l ! Client-centered care, Culture Il! Il! MSC: Client Needs Category: Psychosocial Integrity I l ! Il! Il! Il! Il!
5. A client is going to be admitted for a scheduled surgical procedure. Which action does
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! the nurse explain is the most important thing the client can do to protect against
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! errors?
a. Bring a list of all medications and what they are for. Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
b. Keep the provider’s phone number by the telephone. Il! Il! Il! Il! Il! Il! Il!
c. Make sure that all providers wash hands before entering the room. Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! Il! Il! Il! Il!
10th Edition Concepts for Interprofessional
Il! Il! Il! Il!
Collaborative Care, by Donna D. Ignatavicius,
Il! Il! Il! Il! Il! Il! Il!
All chapters 1 – 69 Newest
Il! Il! Il! Il! Il! Il!
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Il! Il! Il! Il! Il! Il! Il! Il! Il!
Ignatavicius: Medical-Surgical Nursing, 10th Edition
Il! Il! Il! Il! Il!
MULTIPLE CHOICE Il!
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! the new nurse that which is the priority when working as a professional nurse?
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
a. Attending to holistic client needs Il! Il! Il! Il!
b. Ensuring client safety Il! Il!
c. Not making medication errors Il! Il! Il!
d. Providing client-focused care Il! Il!
CORRECT ANSWER: B Il! Il!
All actions are appropriate for the professional nurse. However, ensuring client safety is the
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! priority. Health care errors have been widely reported for 25 years, many of which result in
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! client injury, death, and increased health care costs. There are several national and
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! international organizations that have either recommended or mandated safety initiatives. Il! Il! Il! Il! Il! Il! Il! Il! Il!
Every nurse has the responsibility to guard the client’s safety. The other actions are
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! important for quality nursing, but they are not as vital as providing safety. Not making
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
medication errors does provide safety, but is too narrow in scope to be the best answer.
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
DIF: Understanding TOP: Integrated Process: Nursing Process: I l ! Il! Il! Il!
Intervention KEY: Client safety
Il! Il! Il! Il!
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
I l ! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! does the nurse provide to best help the client promote his or her own safety?
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
a. Encourage the client and family to be active partners. Il! Il! Il! Il! Il! Il! Il! Il!
b. Have the client monitor hand hygiene in caregivers. Il! Il! Il! Il! Il! Il! Il!
c. Offer the family the opportunity to stay with the client. Il! Il! Il! Il! Il! Il! Il! Il! Il!
d. Tell the client to always wear his or her armband.
Il! Il! Il! Il! Il! Il! Il! Il! Il!
CORRECT ANSWER: A Il! Il!
Each action could be important for the client or family to perform. However, encouraging
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! the client to be active in his or her health care as a safety partner is the most critical. The
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
, Il! other actions are very limited in scope and do not provide the broad protection that being
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
active and involved does.
Il! Il! Il! Il!
DIF: Understanding TOP: Integrated Process: Teaching/Learning
Il! Il! Il!
Il! KEY: Client safety
Il! Il!
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
I l ! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! would the nurse take first?
Il! Il! Il! Il!
a. Call the Rapid Response Team. Il! Il! Il! Il!
b. Document and continue to monitor. Il! Il! Il! Il!
c. Notify the primary health care provider. Il! Il! Il! Il! Il!
d. Repeat the blood pressure in 15 minutes. Il! Il! Il! Il! Il! Il!
, CORRECT ANSWER: A Il! Il!
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! before they suffer either respiratory or cardiac arrest. Since the client has manifested a
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! significant change, the nurse would call the RRT. Changes in blood pressure, mental status,
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! significant and are part of the Modified Early Warning System guide. Documentation is
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! vital, but the nurse must do more than document. The primary health care provider would
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! be notified, but this is not more important than calling the RRT. The client’s blood pressure
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! would be reassessed frequently, but the priority is getting the rapid care to the client.
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
DIF: Applying TOP: Integrated Process: Communication and I l ! Il! Il! Il!
Documentation KEY: Rapid Response Team (RRT), Clinical judgment
Il! Il! Il! Il! Il! Il! Il! Il!
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
I l ! Il! Il! Il! Il! Il! Il!
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
best demonstrates this concept?
Il! Il! Il!
a. Assesses for cultural influences affecting health care. Il! Il! Il! Il! Il! Il!
b. Ensures that all the client’s basic needs are met. Il! Il! Il! Il! Il! Il! Il! Il!
c. Tells the client and family about all upcoming tests. Il! Il! Il! Il! Il! Il! Il! Il!
d. Thoroughly orients the client and family to the room. Il! Il! Il! Il! Il! Il! Il! Il!
CORRECT ANSWER: A Il! Il!
Showing respect for the client and family’s preferences and needs is essential to ensure a
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! holistic or “whole-person” approach to care. By assessing the effect of the client’s culture on
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! health care, this nurse is practicing client-focused care. Providing for basic needs does not
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! demonstrate this competence. Simply telling the client about all upcoming tests is not Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! providing empowering education. Orienting the client and family to the room is an important
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! safety measure, but not directly related to demonstrating client-centered care.
Il! Il! Il! Il! Il! Il! Il! Il! Il!
DIF: Understanding TOP: Integrated Process: Culture and Spirituality
Il! Il! Il! Il! Il!
Il! KEY: I l ! Client-centered care, Culture Il! Il! MSC: Client Needs Category: Psychosocial Integrity I l ! Il! Il! Il! Il!
5. A client is going to be admitted for a scheduled surgical procedure. Which action does
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! the nurse explain is the most important thing the client can do to protect against
Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
Il! errors?
a. Bring a list of all medications and what they are for. Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
b. Keep the provider’s phone number by the telephone. Il! Il! Il! Il! Il! Il! Il!
c. Make sure that all providers wash hands before entering the room. Il! Il! Il! Il! Il! Il! Il! Il! Il! Il!
