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
G G G G G G G G G
Ignatavicius: Medical-Surgical Nursing, 10th Edition
G G G G G
MULTIPLE CHOICE G
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
G G G G G G G G G G G G G G
Gthe new nurse that which is the priority when working as a professional nurse?
G G G G G G G G G G G G G
a. Attending to holistic client needs G G G G
b. Ensuring client safety G G
c. Not making medication errors
G G G
d. Providing client-focused care G G
CORRECT ANSWER: B
G G
All actions are appropriate for the professional nurse. However, ensuring client safety is the
G G G G G G G G G G G G G
G priority. Health care errors have been widely reported for 25 years, many of which result
G G G G G G G G G G G G G G
G in client injury, death, and increased health care costs. There are several national and
G G G G G G G G G G G G G
G international organizations that have either recommended or mandated safety initiatives.
G G G G G G G G G
Every nurse has the responsibility to guard the client’s safety. The other actions are
G G G G G G G G G G G G G
G important for quality nursing, but they are not as vital as providing safety. Not making
G G G G G G G G G G G G G G
medication errors does provide safety, but is too narrow in scope to be the best answer.
G G G G G G G G G G G G G G G G
DIF: Understanding TOP: Integrated Process: Nursing Process:
G G G G
Intervention KEY: Client safety
G G G G
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
G G G G G G G G G G G G
2. A nurse is orienting a new client and family to the medical-surgical unit. What
G G G G G G G G G G G G G
Ginformation does the nurse provide to best help the client promote his or her own
G G G G G G G G G G G G G G
G safety?
a. Encourage the client and family to be active partners. G G G G G G G G
b. Have the client monitor hand hygiene in caregivers.
G G G G G G G
c. Offer the family the opportunity to stay with the client.
G G G G G G G G G
d. Tell the client to always wear his or her armband.
G G G G G G G G G
CORRECT ANSWER: A
G G
Each action could be important for the client or family to perform. However, encouraging
G G G G G G G G G G G G G
, G the client to be active in his or her health care as a safety partner is the most critical. The
G G G G G G G G G G G G G G G G G G G
G other actions are very limited in scope and do not provide the broad protection that being
G G G G G G G G G G G G G G G
Gactive and involved does.
G G G
DIF: Understanding TOP: Integrated Process: Teaching/Learning
G G G
G KEY: Client safety
G G
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
G G G G G G G G G G G G
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood
G G G G G G G G G G G G G G
G pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
G G G G G G G G G G G G G G G
G would the nurse take first?
G G G G
a. Call the Rapid Response Team.
G G G G
b. Document and continue to monitor. G G G G
c. Notify the primary health care provider.
G G G G G
d. Repeat the blood pressure in 15 minutes. G G G G G G
CORRECT ANSWER: A G G
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
G G G G G G G G G G G G G
Gdeteriorating before they suffer either respiratory or cardiac arrest. Since the client has
G G G G G G G G G G G G
G manifested a significant change, the nurse would call the RRT. Changes in blood pressure,
G G G G G G G G G G G G G
G mental status, heart rate, temperature, oxygen saturation, and last 2 hours’ urine output
G G G G G G G G G G G G
G are particularly significant and are part of the Modified Early Warning System guide.
G G G G G G G G G G G G
G Documentation is vital, but the nurse must do more than document. The primary health
G G G G G G G G G G G G G
G care provider would be notified, but this is not more important than calling the RRT. The
G G G G G G G G G G G G G G G
G client’s blood pressure would be reassessed frequently, but the priority is getting the rapid
G G G G G G G G G G G G G
G care to the client.
G G G
DIF: Applying TOP: Integrated Process: Communication and
G G G G
GDocumentation KEY: Rapid Response Team (RRT), Clinical judgment G G G G G G G
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
G G G G G G G
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
G G G G G G G G G G G G G G
best demonstrates this concept?
G G G
a. Assesses for cultural influences affecting health care.
G G G G G G
b. Ensures that all the client’s basic needs are met.
G G G G G G G G
c. Tells the client and family about all upcoming tests.
G G G G G G G G
d. Thoroughly orients the client and family to the room. G G G G G G G G
CORRECT ANSWER: A G G
Showing respect for the client and family’s preferences and needs is essential to ensure a
G G G G G G G G G G G G G G
, G holistic or “whole-person” approach to care. By assessing the effect of the client’s culture
G G G G G G G G G G G G G
on health care, this nurse is practicing client-focused care. Providing for basic needs does
G G G G G G G G G G G G G G
G not demonstrate this competence. Simply telling the client about all upcoming tests is not
G G G G G G G G G G G G G
G providing empowering education. Orienting the client and family to the room is an
G G G G G G G G G G G G
important safety measure, but not directly related to demonstrating client-centered care.
G G G G G G G G G G G
DIF: Understanding TOP: Integrated Process: Culture and Spirituality
G G G G G
G KEY: Client-centered care, Culture
G G G MSC: Client Needs Category: Psychosocial Integrity
G G G G G
5. A client is going to be admitted for a scheduled surgical procedure. Which action does
G G G G G G G G G G G G G G
the nurse explain is the most important thing the client can do to protect against
G G G G G G G G G G G G G G G
G errors?
a. Bring a list of all medications and what they are for.
G G G G G G G G G G
b. Keep the provider’s phone number by the telephone.
G G G G G G G
c. Make sure that all providers wash hands before entering the room.
G G G G G G G G G G
d. Write down the name of each caregiver who comes in the room.
G G G G G G G G G G G
CORRECT ANSWER: A G G
Medication reconciliation is a formal process in which the client’s actual current
G G G G G G G G G G G
medications are compared to the prescribed medications at the time of admission,
G G G G G G G G G G G G
G transfer, or discharge. This National client Safety Goal is important to reduce medication
G G G G G G G G G G G G
G errors. The client would not have to be responsible for providers washing their hands, and
G G G G G G G G G G G G G G
G even if the client does so, this is too narrow to be the most important action to prevent
G G G G G G G G G G G G G G G G G
G errors. Keeping the provider’s phone number nearby and documenting everyone who
G G G G G G G G G G
G enters the room also do not guarantee safety.
G G G G G G G
DIF: Applying TOP: Integrated Process: Teaching/Learning
G G G
G KEY: Client safety, Informatics
G G G
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
G G G G G G G G G G G G
6. Which action by the nurse working with a client best demonstrates respect for autonomy?
G G G G G G G G G G G G G
a. Asks if the client has questions before signing a consent.
G G G G G G G G G
b. Gives the client accurate information when questioned.
G G G G G G
c. Keeps the promises made to the client and family.
G G G G G G G G
d. Treats the client fairly compared to other clients.
G G G G G G G
CORRECT ANSWER: A G G
Autonomy is self-determination. The client would make decisions regarding care. When the
G G G G G G G G G G G
G nurse obtains a signature on the consent form, assessing if the client still has questions is
G G G G G G G G G G G G G G G
vital, because without full information the client cannot practice autonomy. Giving
G G G G G G G G G G G
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
G G G G G G G G G
Ignatavicius: Medical-Surgical Nursing, 10th Edition
G G G G G
MULTIPLE CHOICE G
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
G G G G G G G G G G G G G G
Gthe new nurse that which is the priority when working as a professional nurse?
G G G G G G G G G G G G G
a. Attending to holistic client needs G G G G
b. Ensuring client safety G G
c. Not making medication errors
G G G
d. Providing client-focused care G G
CORRECT ANSWER: B
G G
All actions are appropriate for the professional nurse. However, ensuring client safety is the
G G G G G G G G G G G G G
G priority. Health care errors have been widely reported for 25 years, many of which result
G G G G G G G G G G G G G G
G in client injury, death, and increased health care costs. There are several national and
G G G G G G G G G G G G G
G international organizations that have either recommended or mandated safety initiatives.
G G G G G G G G G
Every nurse has the responsibility to guard the client’s safety. The other actions are
G G G G G G G G G G G G G
G important for quality nursing, but they are not as vital as providing safety. Not making
G G G G G G G G G G G G G G
medication errors does provide safety, but is too narrow in scope to be the best answer.
G G G G G G G G G G G G G G G G
DIF: Understanding TOP: Integrated Process: Nursing Process:
G G G G
Intervention KEY: Client safety
G G G G
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
G G G G G G G G G G G G
2. A nurse is orienting a new client and family to the medical-surgical unit. What
G G G G G G G G G G G G G
Ginformation does the nurse provide to best help the client promote his or her own
G G G G G G G G G G G G G G
G safety?
a. Encourage the client and family to be active partners. G G G G G G G G
b. Have the client monitor hand hygiene in caregivers.
G G G G G G G
c. Offer the family the opportunity to stay with the client.
G G G G G G G G G
d. Tell the client to always wear his or her armband.
G G G G G G G G G
CORRECT ANSWER: A
G G
Each action could be important for the client or family to perform. However, encouraging
G G G G G G G G G G G G G
, G the client to be active in his or her health care as a safety partner is the most critical. The
G G G G G G G G G G G G G G G G G G G
G other actions are very limited in scope and do not provide the broad protection that being
G G G G G G G G G G G G G G G
Gactive and involved does.
G G G
DIF: Understanding TOP: Integrated Process: Teaching/Learning
G G G
G KEY: Client safety
G G
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
G G G G G G G G G G G G
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood
G G G G G G G G G G G G G G
G pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
G G G G G G G G G G G G G G G
G would the nurse take first?
G G G G
a. Call the Rapid Response Team.
G G G G
b. Document and continue to monitor. G G G G
c. Notify the primary health care provider.
G G G G G
d. Repeat the blood pressure in 15 minutes. G G G G G G
CORRECT ANSWER: A G G
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
G G G G G G G G G G G G G
Gdeteriorating before they suffer either respiratory or cardiac arrest. Since the client has
G G G G G G G G G G G G
G manifested a significant change, the nurse would call the RRT. Changes in blood pressure,
G G G G G G G G G G G G G
G mental status, heart rate, temperature, oxygen saturation, and last 2 hours’ urine output
G G G G G G G G G G G G
G are particularly significant and are part of the Modified Early Warning System guide.
G G G G G G G G G G G G
G Documentation is vital, but the nurse must do more than document. The primary health
G G G G G G G G G G G G G
G care provider would be notified, but this is not more important than calling the RRT. The
G G G G G G G G G G G G G G G
G client’s blood pressure would be reassessed frequently, but the priority is getting the rapid
G G G G G G G G G G G G G
G care to the client.
G G G
DIF: Applying TOP: Integrated Process: Communication and
G G G G
GDocumentation KEY: Rapid Response Team (RRT), Clinical judgment G G G G G G G
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
G G G G G G G
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
G G G G G G G G G G G G G G
best demonstrates this concept?
G G G
a. Assesses for cultural influences affecting health care.
G G G G G G
b. Ensures that all the client’s basic needs are met.
G G G G G G G G
c. Tells the client and family about all upcoming tests.
G G G G G G G G
d. Thoroughly orients the client and family to the room. G G G G G G G G
CORRECT ANSWER: A G G
Showing respect for the client and family’s preferences and needs is essential to ensure a
G G G G G G G G G G G G G G
, G holistic or “whole-person” approach to care. By assessing the effect of the client’s culture
G G G G G G G G G G G G G
on health care, this nurse is practicing client-focused care. Providing for basic needs does
G G G G G G G G G G G G G G
G not demonstrate this competence. Simply telling the client about all upcoming tests is not
G G G G G G G G G G G G G
G providing empowering education. Orienting the client and family to the room is an
G G G G G G G G G G G G
important safety measure, but not directly related to demonstrating client-centered care.
G G G G G G G G G G G
DIF: Understanding TOP: Integrated Process: Culture and Spirituality
G G G G G
G KEY: Client-centered care, Culture
G G G MSC: Client Needs Category: Psychosocial Integrity
G G G G G
5. A client is going to be admitted for a scheduled surgical procedure. Which action does
G G G G G G G G G G G G G G
the nurse explain is the most important thing the client can do to protect against
G G G G G G G G G G G G G G G
G errors?
a. Bring a list of all medications and what they are for.
G G G G G G G G G G
b. Keep the provider’s phone number by the telephone.
G G G G G G G
c. Make sure that all providers wash hands before entering the room.
G G G G G G G G G G
d. Write down the name of each caregiver who comes in the room.
G G G G G G G G G G G
CORRECT ANSWER: A G G
Medication reconciliation is a formal process in which the client’s actual current
G G G G G G G G G G G
medications are compared to the prescribed medications at the time of admission,
G G G G G G G G G G G G
G transfer, or discharge. This National client Safety Goal is important to reduce medication
G G G G G G G G G G G G
G errors. The client would not have to be responsible for providers washing their hands, and
G G G G G G G G G G G G G G
G even if the client does so, this is too narrow to be the most important action to prevent
G G G G G G G G G G G G G G G G G
G errors. Keeping the provider’s phone number nearby and documenting everyone who
G G G G G G G G G G
G enters the room also do not guarantee safety.
G G G G G G G
DIF: Applying TOP: Integrated Process: Teaching/Learning
G G G
G KEY: Client safety, Informatics
G G G
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
G G G G G G G G G G G G
6. Which action by the nurse working with a client best demonstrates respect for autonomy?
G G G G G G G G G G G G G
a. Asks if the client has questions before signing a consent.
G G G G G G G G G
b. Gives the client accurate information when questioned.
G G G G G G
c. Keeps the promises made to the client and family.
G G G G G G G G
d. Treats the client fairly compared to other clients.
G G G G G G G
CORRECT ANSWER: A G G
Autonomy is self-determination. The client would make decisions regarding care. When the
G G G G G G G G G G G
G nurse obtains a signature on the consent form, assessing if the client still has questions is
G G G G G G G G G G G G G G G
vital, because without full information the client cannot practice autonomy. Giving
G G G G G G G G G G G
