Medical Surgical Nursing 10th Edition Ignatavicius Workman Test Bank
Medical Surgical Nursing 10th Edition
Ignatavicius Workman Test Bank
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE mCHOICE
1. A mnew mnurse mis mworking mwith ma mpreceptor mon ma mmedical-surgical munit. mThe mpreceptor madvises
mthenew mnurse mthat mwhich mis mthe mpriority mwhen mworking mas ma mprofessional mnurse?
a. Attending mto mholistic mclient mneeds
b. Ensuring mclient msafety
c. Not mmaking mmedication merrors
d. Providing mclient-focused mcare
ANS: m B
All mactions mare mappropriate mfor mthe mprofessional mnurse. mHowever, mensuring mclient msafety mis
mthepriority. mHealth mcare merrors mhave mbeen mwidely mreported mfor m25 myears, mmany mof mwhich mresult
minclient minjury, mdeath, mand mincreased mhealth mcare mcosts. mThere mare mseveral mnational mand
minternational morganizations mthat mhave meither mrecommended mor mmandated msafety minitiatives.
Every mnurse mhas mthe mresponsibility mto mguard mthe mclient‘s msafety. mThe mother mactions mare mimportant
mfor mquality mnursing, mbut mthey mare mnot mas mvital mas mproviding msafety. mNot mmaking mmedication
merrorsdoes mprovide msafety, mbut mis mtoo mnarrow min mscope mto mbe mthe mbest manswer.
DIF: Understanding TOP: m Integrated mProcess: mNursing mProcess:
mInterventionKEY: mClient msafety
MSC: m Client mNeeds mCategory: mSafe mand mEffective mCare mEnvironment: mSafety mand mInfection mControl
2. A mnurse mis morienting ma mnew mclient mand mfamily mto mthe mmedical-surgical munit. mWhat
minformationdoes mthe mnurse mprovide mto mbest mhelp mthe mclient mpromote mhis mor mher mown
msafety?
a. Encourage mthe mclient mand mfamily mto mbe mactive mpartners.
b. Have mthe mclient mmonitor mhand mhygiene min mcaregivers.
c. Offer mthe mfamily mthe mopportunity mto mstay mwith mthe mclient.
d. Tell mthe mclient mto malways mwear mhis mor mher marmband.
ANS: m A
Each maction mcould mbe mimportant mfor mthe mclient mor mfamily mto mperform. mHowever, mencouraging
mtheclient mto mbe mactive min mhis mor mher mhealth mcare mas ma msafety mpartner mis mthe mmost mcritical. mThe
mother mactions mare mvery mlimited min mscope mand mdo mnot mprovide mthe mbroad mprotection mthat mbeing
mactive mandinvolved mdoes.
DIF: Understanding TOP: mIntegrated mProcess:
mTeaching/Learning mKEY: mClient msafety
,MSC: m Client mNeeds mCategory: mSafe mand mEffective mCare mEnvironment: mSafety mand mInfection mControl
,Medical mSurgical mNursing m10th mEdition mIgnatavicius mWorkman mTest mBank
3. A mnurse mis mcaring mfor ma mpostoperative mclient mon mthe msurgical munit. mThe mclient‘s mblood mpressure
mwas m142/76 mmm mHg m30 mminutes mago, mand mnow mis m88/50 mmm mHg. mWhat maction mwould mthe
mnursetake mfirst?
a. Call mthe mRapid mResponse mTeam.
b. Document mand mcontinue mto mmonitor.
c. Notify mthe mprimary mhealth mcare mprovider.
d. Repeat mthe mblood mpressure min m15 mminutes.
, Medical mSurgical mNursing m10th mEdition mIgnatavicius mWorkman mTest mBank
ANS: m A
The mpurpose mof mthe mRapid mResponse mTeam m(RRT) mis mto mintervene mwhen mclients mare
mdeterioratingbefore mthey msuffer meither mrespiratory mor mcardiac marrest. mSince mthe mclient mhas
mmanifested ma msignificant mchange, mthe mnurse mwould mcall mthe mRRT. mChanges min mblood mpressure,
mmental mstatus, mheart mrate, mtemperature, moxygen msaturation, mand mlast m2 mhours‘ murine moutput mare
mparticularly msignificant mand mare mpart mof mthe mModified mEarly mWarning mSystem mguide. mDocumentation
mis mvital,but mthe mnurse mmust mdo mmore mthan mdocument. mThe mprimary mhealth mcare mprovider mwould mbe
mnotified, mbut mthis mis mnot mmore mimportant mthan mcalling mthe mRRT. mThe mclient‘s mblood mpressure mwould
mbe mreassessed mfrequently, mbut mthe mpriority mis mgetting mthe mrapid mcare mto mthe mclient.
DIF: Applying TOP: m Integrated mProcess: mCommunication mand
mDocumentationKEY: mRapid mResponse mTeam m(RRT), mClinical mjudgment
MSC: m Client mNeeds mCategory: mPhysiological mIntegrity: mPhysiological mAdaptation
4. A mnurse mwishes mto mprovide mclient-centered mcare min mall minteractions. mWhich maction mby mthe mnurse
best mdemonstrates mthis mconcept?
a. Assesses mfor mcultural minfluences maffecting mhealth mcare.
b. Ensures mthat mall mthe mclient‘s mbasic mneeds mare mmet.
c. Tells mthe mclient mand mfamily mabout mall mupcoming mtests.
d. Thoroughly morients mthe mclient mand mfamily mto mthe mroom.
ANS: m A
Showing mrespect mfor mthe mclient mand mfamily‘s mpreferences mand mneeds mis messential mto mensure ma mholistic
mor
―whole-person‖ mapproach mto mcare. mBy massessing mthe meffect mof mthe mclient‘s mculture monhealth mcare, mthis
mnurse mis mpracticing mclient-focused mcare. mProviding mfor mbasic mneeds mdoes mnot mdemonstrate mthis
mcompetence.
Simply mtelling mthe mclient mabout mall mupcoming mtests mis mnot mproviding mempowering meducation.
mOrienting mthe mclient mand mfamily mto mthe mroom mis man mimportantsafety mmeasure, mbut mnot mdirectly
mrelated mto mdemonstrating mclient-centered mcare.
DIF: Understanding TOP: mIntegrated mProcess: mCulture mand mSpirituality
mKEY: mClient-centered mcare, mCulture MSC: m Client mNeeds mCategory: mPsychosocial
mIntegrity
5. A mclient mis mgoing mto mbe madmitted mfor ma mscheduled msurgical mprocedure. mWhich maction mdoes
mthenurse mexplain mis mthe mmost mimportant mthing mthe mclient mcan mdo mto mprotect magainst
merrors?
a. Bring ma mlist mof mall mmedications mand mwhat mthey mare mfor.
b. Keep mthe mprovider‘s mphone mnumber mby mthe mtelephone.
c. Make msure mthat mall mproviders mwash mhands mbefore mentering mthe mroom.
d. Write mdown mthe mname mof meach mcaregiver mwho mcomes min mthe mroom.
ANS: m A
Medication mreconciliation mis ma mformal mprocess min mwhich mthe mclient‘s mactual mcurrent mmedicationsare
mcompared mto mthe mprescribed mmedications mat mthe mtime mof madmission, mtransfer, mor mdischarge. mThis
mNational mclient mSafety mGoal mis mimportant mto mreduce mmedication merrors. mThe mclient mwould mnot mhave
mto mbe mresponsible mfor mproviders mwashing mtheir mhands, mand meven mif mthe mclient mdoes mso, mthis mis mtoo
mnarrow mto mbe mthe mmost mimportant maction mto mprevent merrors. mKeeping mthe mprovider‘s mphone
mnumber mnearby mand mdocumenting meveryone mwho menters mthe mroom malso mdo mnot mguaranteesafety.
DIF: Applying TOP: mIntegrated mProcess:
mTeaching/Learning mKEY: mClient msafety, mInformatics
MSC: m Client mNeeds mCategory: mSafe mand mEffective mCare mEnvironment: mSafety mand mInfection mControl
Medical Surgical Nursing 10th Edition
Ignatavicius Workman Test Bank
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE mCHOICE
1. A mnew mnurse mis mworking mwith ma mpreceptor mon ma mmedical-surgical munit. mThe mpreceptor madvises
mthenew mnurse mthat mwhich mis mthe mpriority mwhen mworking mas ma mprofessional mnurse?
a. Attending mto mholistic mclient mneeds
b. Ensuring mclient msafety
c. Not mmaking mmedication merrors
d. Providing mclient-focused mcare
ANS: m B
All mactions mare mappropriate mfor mthe mprofessional mnurse. mHowever, mensuring mclient msafety mis
mthepriority. mHealth mcare merrors mhave mbeen mwidely mreported mfor m25 myears, mmany mof mwhich mresult
minclient minjury, mdeath, mand mincreased mhealth mcare mcosts. mThere mare mseveral mnational mand
minternational morganizations mthat mhave meither mrecommended mor mmandated msafety minitiatives.
Every mnurse mhas mthe mresponsibility mto mguard mthe mclient‘s msafety. mThe mother mactions mare mimportant
mfor mquality mnursing, mbut mthey mare mnot mas mvital mas mproviding msafety. mNot mmaking mmedication
merrorsdoes mprovide msafety, mbut mis mtoo mnarrow min mscope mto mbe mthe mbest manswer.
DIF: Understanding TOP: m Integrated mProcess: mNursing mProcess:
mInterventionKEY: mClient msafety
MSC: m Client mNeeds mCategory: mSafe mand mEffective mCare mEnvironment: mSafety mand mInfection mControl
2. A mnurse mis morienting ma mnew mclient mand mfamily mto mthe mmedical-surgical munit. mWhat
minformationdoes mthe mnurse mprovide mto mbest mhelp mthe mclient mpromote mhis mor mher mown
msafety?
a. Encourage mthe mclient mand mfamily mto mbe mactive mpartners.
b. Have mthe mclient mmonitor mhand mhygiene min mcaregivers.
c. Offer mthe mfamily mthe mopportunity mto mstay mwith mthe mclient.
d. Tell mthe mclient mto malways mwear mhis mor mher marmband.
ANS: m A
Each maction mcould mbe mimportant mfor mthe mclient mor mfamily mto mperform. mHowever, mencouraging
mtheclient mto mbe mactive min mhis mor mher mhealth mcare mas ma msafety mpartner mis mthe mmost mcritical. mThe
mother mactions mare mvery mlimited min mscope mand mdo mnot mprovide mthe mbroad mprotection mthat mbeing
mactive mandinvolved mdoes.
DIF: Understanding TOP: mIntegrated mProcess:
mTeaching/Learning mKEY: mClient msafety
,MSC: m Client mNeeds mCategory: mSafe mand mEffective mCare mEnvironment: mSafety mand mInfection mControl
,Medical mSurgical mNursing m10th mEdition mIgnatavicius mWorkman mTest mBank
3. A mnurse mis mcaring mfor ma mpostoperative mclient mon mthe msurgical munit. mThe mclient‘s mblood mpressure
mwas m142/76 mmm mHg m30 mminutes mago, mand mnow mis m88/50 mmm mHg. mWhat maction mwould mthe
mnursetake mfirst?
a. Call mthe mRapid mResponse mTeam.
b. Document mand mcontinue mto mmonitor.
c. Notify mthe mprimary mhealth mcare mprovider.
d. Repeat mthe mblood mpressure min m15 mminutes.
, Medical mSurgical mNursing m10th mEdition mIgnatavicius mWorkman mTest mBank
ANS: m A
The mpurpose mof mthe mRapid mResponse mTeam m(RRT) mis mto mintervene mwhen mclients mare
mdeterioratingbefore mthey msuffer meither mrespiratory mor mcardiac marrest. mSince mthe mclient mhas
mmanifested ma msignificant mchange, mthe mnurse mwould mcall mthe mRRT. mChanges min mblood mpressure,
mmental mstatus, mheart mrate, mtemperature, moxygen msaturation, mand mlast m2 mhours‘ murine moutput mare
mparticularly msignificant mand mare mpart mof mthe mModified mEarly mWarning mSystem mguide. mDocumentation
mis mvital,but mthe mnurse mmust mdo mmore mthan mdocument. mThe mprimary mhealth mcare mprovider mwould mbe
mnotified, mbut mthis mis mnot mmore mimportant mthan mcalling mthe mRRT. mThe mclient‘s mblood mpressure mwould
mbe mreassessed mfrequently, mbut mthe mpriority mis mgetting mthe mrapid mcare mto mthe mclient.
DIF: Applying TOP: m Integrated mProcess: mCommunication mand
mDocumentationKEY: mRapid mResponse mTeam m(RRT), mClinical mjudgment
MSC: m Client mNeeds mCategory: mPhysiological mIntegrity: mPhysiological mAdaptation
4. A mnurse mwishes mto mprovide mclient-centered mcare min mall minteractions. mWhich maction mby mthe mnurse
best mdemonstrates mthis mconcept?
a. Assesses mfor mcultural minfluences maffecting mhealth mcare.
b. Ensures mthat mall mthe mclient‘s mbasic mneeds mare mmet.
c. Tells mthe mclient mand mfamily mabout mall mupcoming mtests.
d. Thoroughly morients mthe mclient mand mfamily mto mthe mroom.
ANS: m A
Showing mrespect mfor mthe mclient mand mfamily‘s mpreferences mand mneeds mis messential mto mensure ma mholistic
mor
―whole-person‖ mapproach mto mcare. mBy massessing mthe meffect mof mthe mclient‘s mculture monhealth mcare, mthis
mnurse mis mpracticing mclient-focused mcare. mProviding mfor mbasic mneeds mdoes mnot mdemonstrate mthis
mcompetence.
Simply mtelling mthe mclient mabout mall mupcoming mtests mis mnot mproviding mempowering meducation.
mOrienting mthe mclient mand mfamily mto mthe mroom mis man mimportantsafety mmeasure, mbut mnot mdirectly
mrelated mto mdemonstrating mclient-centered mcare.
DIF: Understanding TOP: mIntegrated mProcess: mCulture mand mSpirituality
mKEY: mClient-centered mcare, mCulture MSC: m Client mNeeds mCategory: mPsychosocial
mIntegrity
5. A mclient mis mgoing mto mbe madmitted mfor ma mscheduled msurgical mprocedure. mWhich maction mdoes
mthenurse mexplain mis mthe mmost mimportant mthing mthe mclient mcan mdo mto mprotect magainst
merrors?
a. Bring ma mlist mof mall mmedications mand mwhat mthey mare mfor.
b. Keep mthe mprovider‘s mphone mnumber mby mthe mtelephone.
c. Make msure mthat mall mproviders mwash mhands mbefore mentering mthe mroom.
d. Write mdown mthe mname mof meach mcaregiver mwho mcomes min mthe mroom.
ANS: m A
Medication mreconciliation mis ma mformal mprocess min mwhich mthe mclient‘s mactual mcurrent mmedicationsare
mcompared mto mthe mprescribed mmedications mat mthe mtime mof madmission, mtransfer, mor mdischarge. mThis
mNational mclient mSafety mGoal mis mimportant mto mreduce mmedication merrors. mThe mclient mwould mnot mhave
mto mbe mresponsible mfor mproviders mwashing mtheir mhands, mand meven mif mthe mclient mdoes mso, mthis mis mtoo
mnarrow mto mbe mthe mmost mimportant maction mto mprevent merrors. mKeeping mthe mprovider‘s mphone
mnumber mnearby mand mdocumenting meveryone mwho menters mthe mroom malso mdo mnot mguaranteesafety.
DIF: Applying TOP: mIntegrated mProcess:
mTeaching/Learning mKEY: mClient msafety, mInformatics
MSC: m Client mNeeds mCategory: mSafe mand mEffective mCare mEnvironment: mSafety mand mInfection mControl
