Medical-Surgical Nursing Test Bank Overview
Client safety - correct answer Ensuring client safety is the priority when working as a
professional nurse.
Rapid Response Team (RRT) - correct answer The purpose of the Rapid Response Team (RRT) is
to intervene when clients are deteriorating before they suffer either respiratory or cardiac
arrest.
Client-centered care - correct answer Showing respect for the client and family's preferences
and needs is essential to ensure a holistic or 'whole-person' approach to care.
Medication reconciliation - correct answer 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.
Autonomy - correct answer Autonomy is self-determination; the client would make decisions
regarding care.
LGBTQ communication - correct answer The nurse should not make assumptions about the
needs of members of the LGBTQ community.
Holistic client needs - correct answer Attending to holistic client needs is important, but
ensuring client safety is the priority.
Health care errors - correct answer Health care errors have been widely reported for 25 years,
many of which result in client injury, death, and increased health care costs.
Client involvement - correct answer Encouraging the client to be active in his or her health care
as a safety partner is the most critical.
Postoperative care - correct answer The nurse must call the Rapid Response Team if a
postoperative client's blood pressure shows significant change.
Cultural influences - correct answer Assessing for cultural influences affecting health care
demonstrates client-centered care.
Surgical procedure admission - correct answer Bringing a list of all medications and what they
are for is the most important action to protect against errors.
Informed consent - correct answer Asking if the client has questions before signing a consent
demonstrates respect for autonomy.
Communication with LGBTQ - correct answer Respectful questions are appropriate when
communicating with members of the LGBTQ community.
,Client-focused care - correct answer Providing client-focused care involves respecting the
client's preferences and needs.
Documentation - correct answer Documentation is vital, but the nurse must do more than
document in case of significant changes in a client's condition.
Basic needs - correct answer Ensuring that all the client's basic needs are met does not directly
demonstrate client-centered care.
Empowering education - correct answer Simply telling the client about all upcoming tests is not
providing empowering education.
Safety measures - correct answer Orienting the client and family to the room is an important
safety measure.
Nursing Process: Intervention - correct answer The nursing process involves integrated actions
such as intervention to ensure client safety.
Teaching/Learning - correct answer Teaching and learning processes are crucial for promoting
client safety.
Physiological Integrity - correct answer Physiological integrity involves ensuring the client's
physiological needs are met.
Psychosocial Integrity - correct answer Psychosocial integrity includes understanding the
client's cultural and spiritual needs.
Ethics in nursing - correct answer Ethics in nursing involves respecting the autonomy and rights
of the client.
Social justice - correct answer Treating the client fairly compared to other clients is a principle
of social justice.
SBAR - correct answer A recommended form of communication that stands for Situation,
Background, Assessment, and Recommendation.
Background (SBAR) - correct answer Appropriate background information includes allergies to
medications the on-call health care provider might order.
Assessment (SBAR) - correct answer Includes an analysis of the client's problem.
Recommendation (SBAR) - correct answer A statement of what is needed or what outcome is
desired.
Supervision - correct answer One of the five rights of delegation, which includes directing,
evaluating, and following up on delegated tasks.
, Quality Improvement (QI) - correct answer Activities designed to improve care that can be
implemented even by newly licensed nurses.
Magnet Status - correct answer Client Magnet status is awarded by The Joint Commission (TJC)
and certifies that nurses can demonstrate how best current evidence guides their practice.
Institute of Medicine (IOM) Report - correct answer A report that lists five broad core
competencies that all health care providers should practice.
Competencies (IOM) - correct answer Include collaborating with the interprofessional team,
implementing evidence-based practice, providing patient-focused care, using informatics in
client care, and using quality improvement in client care.
Interprofessional Team Collaboration - correct answer Involves planning, implementing, and
evaluating client care as a team with all other involved disciplines included.
Evidence-Based Practice (EBP) - correct answer Consists of utilizing current evidence, the
client's values and preferences, and the nurse's expertise when planning care.
Client Preferences (EBP) - correct answer Factors that should be considered when planning care
in evidence-based practice.
Nurse's Expertise (EBP) - correct answer A factor that should be considered when planning care
in evidence-based practice.
Research Findings (EBP) - correct answer Current evidence that should be utilized when
planning care.
Values of the Client (EBP) - correct answer Factors that should be considered when planning
care in evidence-based practice.
Plan-Do-Study-Act Model - correct answer A model that may be considered in the context of
evidence-based practice.
Delegation - correct answer The act of assigning tasks to others while ensuring appropriate
supervision and instruction.
Client Needs Category: Psychosocial Integrity - correct answer A category that encompasses
health care disparities and LGBTQ considerations.
Client Needs Category: Safe and Effective Care Environment - correct answer A category that
includes management of care and safety and infection control.
Client Needs Category: Management of Care - correct answer A subcategory under Safe and
Effective Care Environment focusing on delegation and teamwork.
Client Needs Category: Safety and Infection Control - correct answer A subcategory under Safe
and Effective Care Environment focusing on ensuring safety in care delivery.
Client safety - correct answer Ensuring client safety is the priority when working as a
professional nurse.
Rapid Response Team (RRT) - correct answer The purpose of the Rapid Response Team (RRT) is
to intervene when clients are deteriorating before they suffer either respiratory or cardiac
arrest.
Client-centered care - correct answer Showing respect for the client and family's preferences
and needs is essential to ensure a holistic or 'whole-person' approach to care.
Medication reconciliation - correct answer 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.
Autonomy - correct answer Autonomy is self-determination; the client would make decisions
regarding care.
LGBTQ communication - correct answer The nurse should not make assumptions about the
needs of members of the LGBTQ community.
Holistic client needs - correct answer Attending to holistic client needs is important, but
ensuring client safety is the priority.
Health care errors - correct answer Health care errors have been widely reported for 25 years,
many of which result in client injury, death, and increased health care costs.
Client involvement - correct answer Encouraging the client to be active in his or her health care
as a safety partner is the most critical.
Postoperative care - correct answer The nurse must call the Rapid Response Team if a
postoperative client's blood pressure shows significant change.
Cultural influences - correct answer Assessing for cultural influences affecting health care
demonstrates client-centered care.
Surgical procedure admission - correct answer Bringing a list of all medications and what they
are for is the most important action to protect against errors.
Informed consent - correct answer Asking if the client has questions before signing a consent
demonstrates respect for autonomy.
Communication with LGBTQ - correct answer Respectful questions are appropriate when
communicating with members of the LGBTQ community.
,Client-focused care - correct answer Providing client-focused care involves respecting the
client's preferences and needs.
Documentation - correct answer Documentation is vital, but the nurse must do more than
document in case of significant changes in a client's condition.
Basic needs - correct answer Ensuring that all the client's basic needs are met does not directly
demonstrate client-centered care.
Empowering education - correct answer Simply telling the client about all upcoming tests is not
providing empowering education.
Safety measures - correct answer Orienting the client and family to the room is an important
safety measure.
Nursing Process: Intervention - correct answer The nursing process involves integrated actions
such as intervention to ensure client safety.
Teaching/Learning - correct answer Teaching and learning processes are crucial for promoting
client safety.
Physiological Integrity - correct answer Physiological integrity involves ensuring the client's
physiological needs are met.
Psychosocial Integrity - correct answer Psychosocial integrity includes understanding the
client's cultural and spiritual needs.
Ethics in nursing - correct answer Ethics in nursing involves respecting the autonomy and rights
of the client.
Social justice - correct answer Treating the client fairly compared to other clients is a principle
of social justice.
SBAR - correct answer A recommended form of communication that stands for Situation,
Background, Assessment, and Recommendation.
Background (SBAR) - correct answer Appropriate background information includes allergies to
medications the on-call health care provider might order.
Assessment (SBAR) - correct answer Includes an analysis of the client's problem.
Recommendation (SBAR) - correct answer A statement of what is needed or what outcome is
desired.
Supervision - correct answer One of the five rights of delegation, which includes directing,
evaluating, and following up on delegated tasks.
, Quality Improvement (QI) - correct answer Activities designed to improve care that can be
implemented even by newly licensed nurses.
Magnet Status - correct answer Client Magnet status is awarded by The Joint Commission (TJC)
and certifies that nurses can demonstrate how best current evidence guides their practice.
Institute of Medicine (IOM) Report - correct answer A report that lists five broad core
competencies that all health care providers should practice.
Competencies (IOM) - correct answer Include collaborating with the interprofessional team,
implementing evidence-based practice, providing patient-focused care, using informatics in
client care, and using quality improvement in client care.
Interprofessional Team Collaboration - correct answer Involves planning, implementing, and
evaluating client care as a team with all other involved disciplines included.
Evidence-Based Practice (EBP) - correct answer Consists of utilizing current evidence, the
client's values and preferences, and the nurse's expertise when planning care.
Client Preferences (EBP) - correct answer Factors that should be considered when planning care
in evidence-based practice.
Nurse's Expertise (EBP) - correct answer A factor that should be considered when planning care
in evidence-based practice.
Research Findings (EBP) - correct answer Current evidence that should be utilized when
planning care.
Values of the Client (EBP) - correct answer Factors that should be considered when planning
care in evidence-based practice.
Plan-Do-Study-Act Model - correct answer A model that may be considered in the context of
evidence-based practice.
Delegation - correct answer The act of assigning tasks to others while ensuring appropriate
supervision and instruction.
Client Needs Category: Psychosocial Integrity - correct answer A category that encompasses
health care disparities and LGBTQ considerations.
Client Needs Category: Safe and Effective Care Environment - correct answer A category that
includes management of care and safety and infection control.
Client Needs Category: Management of Care - correct answer A subcategory under Safe and
Effective Care Environment focusing on delegation and teamwork.
Client Needs Category: Safety and Infection Control - correct answer A subcategory under Safe
and Effective Care Environment focusing on ensuring safety in care delivery.
