TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
the new nurse that which is the priority when working as a professional nurse?
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. Health care errors have been widely reported for 25 years, many of which result in
client injury, death, and increased health care costs. There are several national and
international organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
does the nurse provide to best 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 safety partner is the most critical. The other
, actions are very limited in scope and do not provide the broad protection that being active
and involved does.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
3. 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 would the
nurse take first?
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.
, 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 would call the RRT. Changes in blood pressure, mental status,
heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
significant and are part of the Modified Early Warning System guide. Documentation is vital,
but the nurse must do more than document. The primary health care provider would be
notified, but this is not more important than calling the RRT. The client’s blood pressure
would be reassessed frequently, but the priority is getting the rapid care to the client.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Rapid Response Team (RRT), Clinical judgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. 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.
CORRECT ANSWER: A
Showing respect for the client and family’s preferences and needs is essential to ensure a
holistic or “whole-person” approach to care. 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 TOP: Integrated Process: Culture and Spirituality
KEY: Client-centered care, Culture MSC: Client Needs Category: Psychosocial Integrity
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 against errors?
a. Bring a list of all medications and what they are for.
b. Keep the provider’s phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
,CORRECT ANSWER: A
Medication reconciliation is a formal process in which the client’s actual current medications
are compared to the prescribed medications at the time of admission, transfer, or discharge.
This National client Safety Goal is important to reduce medication errors. The client would
not have to be responsible for providers washing their hands, and even if the client does so,
this is too narrow to be the most important action to prevent errors. Keeping the provider’s
phone number nearby and documenting everyone who enters the room also do not
guarantee safety.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Client safety, Informatics
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
,6. Which saction sby sthe snurse sworking swith sa sclient sbest sdemonstrates srespect sfor
sautonomy?
a. Asks sif sthe sclient shas squestions sbefore ssigning sa sconsent.
b. Gives sthe sclient saccurate sinformation swhen squestioned.
c. Keeps sthe spromises smade sto sthe sclient sand sfamily.
d. Treats sthe sclient sfairly scompared sto sother sclients.
CORRECT sANSWER: s A
Autonomy sis sself-determination. sThe sclient swould smake sdecisions sregarding scare. sWhen
sthe snurse sobtains sa ssignature son sthe sconsent sform, sassessing sif sthe sclient sstill shas
squestions sis svital, sbecause swithout sfull sinformation sthe sclient scannot spractice
sautonomy. sGiving saccurate sinformation sis spracticing swith sveracity. sKeeping spromises sis
supholding sfidelity. sTreating sthe sclient sfairly sis sproviding ssocial sjustice.
DIF: Applying TOP: s Integrated sProcess: sCaring KEY: sEthics, sAutonomy
sMSC: s Client sNeeds sCategory: sSafe sand sEffective sCare sEnvironment: sManagement sof
sCare
7. A snurse sasks sa smore sseasoned scolleague sto sexplain sbest spractices swhen scommunicating
swith sa sperson sfrom sthe slesbian, sgay, sbisexual, stransgender, sand squestioning/queer
s(LGBTQ) scommunity. sWhat sanswer sby sthe sfaculty sis smost saccurate?
a. Avoid sembarrassing sthe sclient sby sasking squestions.
b. Don’t smake sassumptions sabout shis sor sher shealth sneeds.
c. Most sLGBTQ speople sdo snot swant sto sshare sinformation.
d. No sdifferences sexist sin scommunicating swith sthis spopulation.
CORRECT sANSWER: s B
Many smembers sof sthe sLGBTQ scommunity shave sfaced sdiscrimination sfrom shealth scare
sproviders sand smay sbe sreluctant sto sseek shealth scare. sThe snurse swould snever smake
sassumptions sabout sthe sneeds sof smembers sof sthis spopulation. sRather, srespectful
squestions sare sappropriate. sIf sapproached swith ssensitivity, sthe sclient swith sany shealth
scare sneed sis smore slikely sto sanswer shonestly.
DIF: Understanding TOP: s Integrated sProcess: sTeaching/Learning
KEY: s Health scare sdisparities, sLGBTQ MSC: s Client sNeeds sCategory: sPsychosocial sIntegrity
8. A snurse sis scalling sthe son-call shealth scare sprovider sabout sa sclient swho shad sa
shysterectomy s2 sdays sago sand shas spain sthat sis sunrelieved sby sthe sprescribed sopioid
spain smedication. sWhich sstatement scomprises sthe sbackground sportion sof sthe sSBAR
,sformat sfor scommunication?
a. “I swould slike syou sto sorder sa sdifferent spain smedication.”
b. “This sclient shas sallergies sto smorphine sand scodeine.”
c. “Dr. sSmith sdoesn’t slike snonsteroidal santi-inflammatory smeds.”
d. “This sclient shad sa svaginal shysterectomy s2 sdays sago.”
CORRECT sANSWER: s B
, SBAR sis sa srecommended sform sof scommunication, sand sthe sacronym sstands sfor
sSituation, sBackground, sAssessment, sand sRecommendation. sAppropriate sbackground
sinformation sincludes sallergies sto smedications sthe son-call shealth scare sprovider smight
sorder. sSituation sdescribes swhat sis shappening sright snow sthat smust sbe scommunicated;
sthe sclient’s ssurgery s2 sdays sago swould sbe sconsidered sbackground. sAssessment swould
sinclude san sanalysis sof sthe sclient’s sproblem; snone sof sthe soptions shas sassessment
sinformation. sAsking sfor sa sdifferent spain smedication sis sa srecommendation.
sRecommendation sis sa sstatement sof swhat sis sneeded sor swhat soutcome sis sdesired.
DIF: Applying TOP: s Integrated sProcess: sCommunication sand
sDocumentation sKEY: sTeamwork sand scollaboration, sSBAR
MSC: s Client sNeeds sCategory: sSafe sand sEffective sCare sEnvironment: sManagement sof sCare
9. A snurse sworking son sa scardiac sunit sdelegated staking svital ssigns sto san sexperienced
sassistive spersonnel s(AP). sFour shours slater, sthe snurse snotes sthat sthe sclient’s sblood
spressure staken sby sthe sAP swas smuch shigher sthan sprevious sreadings, sand sthe sclient’s
smental sstatus shas schanged. sWhat saction sby sthe snurse swould smost slikely shave
sprevented sthis snegative soutcome?
a. Determining sif sthe sAP sknew show sto stake sblood spressure
b. Double-checking sthe sAP sby staking sanother sblood spressure
c. Providing smore sappropriate ssupervision sof sthe sAP
d. Taking sthe sblood spressure sinstead sof sdelegating sthe stask
CORRECT sANSWER: s C
Supervision sis sone sof sthe sfive srights sof sdelegation sand sincludes sdirecting, sevaluating,
sand sfollowing sup son sdelegated stasks. sThe snurse swould seither shave sasked sthe sAP
sabout sthe svital ssigns sor sinstructed sthe sAP sto sreport sthem sright saway. sAn sexperienced
sAP swould sknow show sto stake svital ssigns sand sthe snurse swould snot shave sto sassess sthis
sat sthis spoint. sDouble-checking sthe swork sdefeats sthe spurpose sof sdelegation. sVital ssigns
sare swithin sthe sscope sof spractice sfor sa sAP sand sare spermissible sto sdelegate. sThe sonly
sappropriate sanswer sis sthat sthe snurse sdid snot sprovide sadequate sinstruction sto sthe sAP.
DIF: Analyzing TOP: s Integrated sProcess: sCommunication sand
sDocumentation sKEY: sTeamwork sand scollaboration, sDelegation
MSC: s Client sNeeds sCategory: sSafe sand sEffective sCare sEnvironment: sManagement sof sCare
10. A snewly sgraduated snurse sin sthe shospital sstates sthat sbecause sof sbeing sso snew,
sparticipation sin squality simprovement s(QI) sprojects sis snot swise. sWhat sresponse sby sthe
sprecepting snurse sis sbest?
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
the new nurse that which is the priority when working as a professional nurse?
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. Health care errors have been widely reported for 25 years, many of which result in
client injury, death, and increased health care costs. There are several national and
international organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
does the nurse provide to best 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 safety partner is the most critical. The other
, actions are very limited in scope and do not provide the broad protection that being active
and involved does.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
3. 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 would the
nurse take first?
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.
, 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 would call the RRT. Changes in blood pressure, mental status,
heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
significant and are part of the Modified Early Warning System guide. Documentation is vital,
but the nurse must do more than document. The primary health care provider would be
notified, but this is not more important than calling the RRT. The client’s blood pressure
would be reassessed frequently, but the priority is getting the rapid care to the client.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Rapid Response Team (RRT), Clinical judgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. 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.
CORRECT ANSWER: A
Showing respect for the client and family’s preferences and needs is essential to ensure a
holistic or “whole-person” approach to care. 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 TOP: Integrated Process: Culture and Spirituality
KEY: Client-centered care, Culture MSC: Client Needs Category: Psychosocial Integrity
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 against errors?
a. Bring a list of all medications and what they are for.
b. Keep the provider’s phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
,CORRECT ANSWER: A
Medication reconciliation is a formal process in which the client’s actual current medications
are compared to the prescribed medications at the time of admission, transfer, or discharge.
This National client Safety Goal is important to reduce medication errors. The client would
not have to be responsible for providers washing their hands, and even if the client does so,
this is too narrow to be the most important action to prevent errors. Keeping the provider’s
phone number nearby and documenting everyone who enters the room also do not
guarantee safety.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Client safety, Informatics
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
,6. Which saction sby sthe snurse sworking swith sa sclient sbest sdemonstrates srespect sfor
sautonomy?
a. Asks sif sthe sclient shas squestions sbefore ssigning sa sconsent.
b. Gives sthe sclient saccurate sinformation swhen squestioned.
c. Keeps sthe spromises smade sto sthe sclient sand sfamily.
d. Treats sthe sclient sfairly scompared sto sother sclients.
CORRECT sANSWER: s A
Autonomy sis sself-determination. sThe sclient swould smake sdecisions sregarding scare. sWhen
sthe snurse sobtains sa ssignature son sthe sconsent sform, sassessing sif sthe sclient sstill shas
squestions sis svital, sbecause swithout sfull sinformation sthe sclient scannot spractice
sautonomy. sGiving saccurate sinformation sis spracticing swith sveracity. sKeeping spromises sis
supholding sfidelity. sTreating sthe sclient sfairly sis sproviding ssocial sjustice.
DIF: Applying TOP: s Integrated sProcess: sCaring KEY: sEthics, sAutonomy
sMSC: s Client sNeeds sCategory: sSafe sand sEffective sCare sEnvironment: sManagement sof
sCare
7. A snurse sasks sa smore sseasoned scolleague sto sexplain sbest spractices swhen scommunicating
swith sa sperson sfrom sthe slesbian, sgay, sbisexual, stransgender, sand squestioning/queer
s(LGBTQ) scommunity. sWhat sanswer sby sthe sfaculty sis smost saccurate?
a. Avoid sembarrassing sthe sclient sby sasking squestions.
b. Don’t smake sassumptions sabout shis sor sher shealth sneeds.
c. Most sLGBTQ speople sdo snot swant sto sshare sinformation.
d. No sdifferences sexist sin scommunicating swith sthis spopulation.
CORRECT sANSWER: s B
Many smembers sof sthe sLGBTQ scommunity shave sfaced sdiscrimination sfrom shealth scare
sproviders sand smay sbe sreluctant sto sseek shealth scare. sThe snurse swould snever smake
sassumptions sabout sthe sneeds sof smembers sof sthis spopulation. sRather, srespectful
squestions sare sappropriate. sIf sapproached swith ssensitivity, sthe sclient swith sany shealth
scare sneed sis smore slikely sto sanswer shonestly.
DIF: Understanding TOP: s Integrated sProcess: sTeaching/Learning
KEY: s Health scare sdisparities, sLGBTQ MSC: s Client sNeeds sCategory: sPsychosocial sIntegrity
8. A snurse sis scalling sthe son-call shealth scare sprovider sabout sa sclient swho shad sa
shysterectomy s2 sdays sago sand shas spain sthat sis sunrelieved sby sthe sprescribed sopioid
spain smedication. sWhich sstatement scomprises sthe sbackground sportion sof sthe sSBAR
,sformat sfor scommunication?
a. “I swould slike syou sto sorder sa sdifferent spain smedication.”
b. “This sclient shas sallergies sto smorphine sand scodeine.”
c. “Dr. sSmith sdoesn’t slike snonsteroidal santi-inflammatory smeds.”
d. “This sclient shad sa svaginal shysterectomy s2 sdays sago.”
CORRECT sANSWER: s B
, SBAR sis sa srecommended sform sof scommunication, sand sthe sacronym sstands sfor
sSituation, sBackground, sAssessment, sand sRecommendation. sAppropriate sbackground
sinformation sincludes sallergies sto smedications sthe son-call shealth scare sprovider smight
sorder. sSituation sdescribes swhat sis shappening sright snow sthat smust sbe scommunicated;
sthe sclient’s ssurgery s2 sdays sago swould sbe sconsidered sbackground. sAssessment swould
sinclude san sanalysis sof sthe sclient’s sproblem; snone sof sthe soptions shas sassessment
sinformation. sAsking sfor sa sdifferent spain smedication sis sa srecommendation.
sRecommendation sis sa sstatement sof swhat sis sneeded sor swhat soutcome sis sdesired.
DIF: Applying TOP: s Integrated sProcess: sCommunication sand
sDocumentation sKEY: sTeamwork sand scollaboration, sSBAR
MSC: s Client sNeeds sCategory: sSafe sand sEffective sCare sEnvironment: sManagement sof sCare
9. A snurse sworking son sa scardiac sunit sdelegated staking svital ssigns sto san sexperienced
sassistive spersonnel s(AP). sFour shours slater, sthe snurse snotes sthat sthe sclient’s sblood
spressure staken sby sthe sAP swas smuch shigher sthan sprevious sreadings, sand sthe sclient’s
smental sstatus shas schanged. sWhat saction sby sthe snurse swould smost slikely shave
sprevented sthis snegative soutcome?
a. Determining sif sthe sAP sknew show sto stake sblood spressure
b. Double-checking sthe sAP sby staking sanother sblood spressure
c. Providing smore sappropriate ssupervision sof sthe sAP
d. Taking sthe sblood spressure sinstead sof sdelegating sthe stask
CORRECT sANSWER: s C
Supervision sis sone sof sthe sfive srights sof sdelegation sand sincludes sdirecting, sevaluating,
sand sfollowing sup son sdelegated stasks. sThe snurse swould seither shave sasked sthe sAP
sabout sthe svital ssigns sor sinstructed sthe sAP sto sreport sthem sright saway. sAn sexperienced
sAP swould sknow show sto stake svital ssigns sand sthe snurse swould snot shave sto sassess sthis
sat sthis spoint. sDouble-checking sthe swork sdefeats sthe spurpose sof sdelegation. sVital ssigns
sare swithin sthe sscope sof spractice sfor sa sAP sand sare spermissible sto sdelegate. sThe sonly
sappropriate sanswer sis sthat sthe snurse sdid snot sprovide sadequate sinstruction sto sthe sAP.
DIF: Analyzing TOP: s Integrated sProcess: sCommunication sand
sDocumentation sKEY: sTeamwork sand scollaboration, sDelegation
MSC: s Client sNeeds sCategory: sSafe sand sEffective sCare sEnvironment: sManagement sof sCare
10. A snewly sgraduated snurse sin sthe shospital sstates sthat sbecause sof sbeing sso snew,
sparticipation sin squality simprovement s(QI) sprojects sis snot swise. sWhat sresponse sby sthe
sprecepting snurse sis sbest?
