Medical-Surgical Nursing Concepts for Clinical Judgment and Collaborative by Gnatavicis Exam |Questions And Correct Answers |Already Graded A+.

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Medical-Surgical Nursing Concepts for Clinical Judgment and
Collaborative by Gnatavicis Exam |Questions And Correct
Answers |Already Graded A+.


Question.
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the student
that which is the priority when working as a professional nurse? -ANSWER ✓✓ Ensuring client safety




Question.
A nurse is orienting a new client and family to the inpatient unit. What information does the nurse provide to
help the client promote his or her own safety? -ANSWER ✓✓ Encourage the client and family to be active
partners.




Question.
A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 mm Hg
30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best? -ANSWER ✓✓ Call the Rapid
Response Team.




Question.
A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best demonstrates
this concept? -ANSWER ✓✓ Assesses for cultural influences affecting health care




Question.
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? -ANSWER ✓✓ Bring a list of all medications
and what they are for.




Question.
Which action by the nurse working with a client best demonstrates respect for autonomy? -ANSWER ✓✓ Asks
if the client has questions before signing a consent

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Question.
A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and has pain that is
unrelieved by the prescribed narcotic pain medication. Which statement is part of the SBAR format for
communication? -ANSWER ✓✓ This client has allergies to morphine and codeine.




Question.
A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive personnel
(UAP). Four hours later, the nurse notes the clients blood pressure is much higher than previous readings, and
the clients mental status has changed. What action by the nurse would most likely have prevented this negative
outcome? -ANSWER ✓✓ Providing more appropriate supervision of the UAP




Question.
A newly graduated nurse in the hospital states that, since she is so new, she cannot participate in quality
improvement (QI) projects. What response by the precepting nurse is best? -ANSWER ✓✓ Even being new, you
can implement activities designed to improve care.




Question.
A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of competency.
Which areas should the manager assess to determine if the nursing staff demonstrate competency according to
the Institute of Medicine (IOM) report Health Professions Education: A Bridge to Quality? (Select all that
apply.) -ANSWER ✓✓ a. Collaborating with an interdisciplinary team

b. Implementing evidence-based cared.

d. Routinely using informatics in practice

e. Using quality improvement in client care




Question.
A nurse is interested in making interdisciplinary work a high priority. Which actions by the nurse best
demonstrate this skill? (Select all that apply.) -ANSWER ✓✓ a. Consults with other disciplines on client care

b. Coordinates discharge planning for home safety

c. Participates in comprehensive client rounding

d. Routinely asks other disciplines about client progress

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Question.
The nurse utilizing evidence-based practice (EBP) considers which factors when planning care? (Select all that
apply.) -ANSWER ✓✓ b. Nurses expertise

c. Client preferences

d. Research findings

e. Values of the client




Question.
A nurse manager wants to improve hand-off communication among the staff. What actions by the manager
would best help achieve this goal? (Select all that apply.) -ANSWER ✓✓ a. Attend hand-off rounds to coach and
mentor.

b. Conduct audits of staff using a new template.

c. Create a template of topics to include in report.

d. Encourage staff to ask questions during hand-off.




Question.
A nursing faculty member working with students explains that the fastest growing subset of the older population
is which group? -ANSWER ✓✓ Old Old




Question.
A nurse working with older adults in the community plans programming to improve morale and emotional
health in this population. What activity would best meet this goal? -ANSWER ✓✓ Exercise program to improve
physical function




Question.
A nurse caring for an older client on a medical-surgical unit notices the client reports frequent constipation and
only wants to eat softer foods such as rice, bread, and puddings. What assessment should the nurse perform
first? -ANSWER ✓✓ Perform an oral assessment.




Question.
A nurse caring for an older adult has provided education on high-fiber foods. Which menu selection by the client
demonstrates a need for further review? -ANSWER ✓✓ White rice

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Question.
A nurse is working with an older client admitted with mild dehydration. What teaching does the nurse provide to
best address this issue? -ANSWER ✓✓ Have something to drink every 1 to 2 hours.




Question.
A home health care nurse is planning an exercise program with an older client who lives at home independently
but whose mobility issues prevent much activity outside the home. Which exercise regimen would be most
beneficial to this adult? -ANSWER ✓✓ Building strength and flexibility




Question.
An older adult recently retired and reports being depressed and lonely. What information should the nurse assess
as a priority? -ANSWER ✓✓ Role of work in the adults life




Question.
A nurse is assessing coping in older women in a support group for recent widows. Which statement by a
participant best indicates potential for successful coping? -ANSWER ✓✓ I have had the same best friend for
decades.




Question.
A home health care nurse has conducted a home safety assessment for an older adult. There are five concrete
steps leading out from the front door. Which intervention would be most helpful in keeping the older adult safe
on the steps? -ANSWER ✓✓ Install contrasting color strips at the edge of each step.




Question.
n older adult is brought to the emergency department because of sudden onset of confusion. After the client is
stabilized and comfortable, what assessment by the nurse is most important? -ANSWER ✓✓ Determine if there
are new medications.




Question.
An older adult client takes medication three times a day and becomes confused about which medication should
be taken at which time. The client refuses to use a pill sorter with slots for different times, saying Those are for