10/31/23, 5:28 Test bank - medical surgical nursing 10th edition ignatavicius
AM workman-
Medical Surgical Nursing 10th bm b
Edition Ignatavicius Workman
Test Bank
bm m
b b
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
ANS: B
All actions are appropriate for the professional nurse. bmHowever, ensuring client
safety is the priority. Health care errors mhave been widely reported for 25
years, many of which result in client minjury, death, and increased health
care costs. There are several national and international organizations that have
either recommended or mandated safetybminitiatives.
Every nurse has the responsibility bmto mguard the client’s safety. The other actions
are important
for quality nursing, but theybmarebmnotbmas vital as providing safety. Not making
medication errors does provide b safety, but is too narrow in scope to be the
best answer.
DIF: Understanding bTOP: bmIntegrated Process: Nursing Process: Intervention KEY: Client
safety
MSC: Client NeedsbmCategory: Safe and Effective Care Environment: Safety and Infection
Control
2. A nurse bmis bmorienting a new client and family to the medical-surgical unit.
Whatbminformation does the nurse provide to best help the client promote his
b mor
herbmownb safety?
a. Encourage the client and family to be active partners.
b. Havebmthe 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.
ANS: 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.
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ANS: 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 upcomingbmtests. b
d. Thoroughly orients the client and family to thebmroom.
ANS: A
Showing respect for the client and family’s b preferences and needs is essential
to ensure a holistic or “whole-person” b approach to care. By assessing the
effect of the client’s culture on bmhealth b care, this nurse is practicing
clientfocused care. Providing for bmbasic b needs does not demonstrate this
competence.
Simply telling the client mabout mall upcoming tests is not providing
empowering education. Orienting mthe client and family to the room is
an important safety bmmeasure, bmbut not directly related to demonstrating
clientcentered care. b
DIF: Understanding TOP: Integrated Process: Culture and
Spirituality KEY: bm Client-centered care, Culture MSC: Client Needs Category:
Psychosocial mIntegrity
5. A clientbmis mgoingbmto be admitted for a scheduled surgical procedure. Which
actionbmdoesbmthe nurse explain is the most important thing the client can do
b mto
protect bmagainst errors?
a. Bring ma list of all medications and what they are for.
b. Keepbmthe 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.
ANS: 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
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AM workman-
Medical Surgical Nursing 10th bm b
Edition Ignatavicius Workman
Test Bank
bm m
b b
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
ANS: B
All actions are appropriate for the professional nurse. bmHowever, ensuring client
safety is the priority. Health care errors mhave been widely reported for 25
years, many of which result in client minjury, death, and increased health
care costs. There are several national and international organizations that have
either recommended or mandated safetybminitiatives.
Every nurse has the responsibility bmto mguard the client’s safety. The other actions
are important
for quality nursing, but theybmarebmnotbmas vital as providing safety. Not making
medication errors does provide b safety, but is too narrow in scope to be the
best answer.
DIF: Understanding bTOP: bmIntegrated Process: Nursing Process: Intervention KEY: Client
safety
MSC: Client NeedsbmCategory: Safe and Effective Care Environment: Safety and Infection
Control
2. A nurse bmis bmorienting a new client and family to the medical-surgical unit.
Whatbminformation does the nurse provide to best help the client promote his
b mor
herbmownb safety?
a. Encourage the client and family to be active partners.
b. Havebmthe 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.
ANS: 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.
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ANS: 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 upcomingbmtests. b
d. Thoroughly orients the client and family to thebmroom.
ANS: A
Showing respect for the client and family’s b preferences and needs is essential
to ensure a holistic or “whole-person” b approach to care. By assessing the
effect of the client’s culture on bmhealth b care, this nurse is practicing
clientfocused care. Providing for bmbasic b needs does not demonstrate this
competence.
Simply telling the client mabout mall upcoming tests is not providing
empowering education. Orienting mthe client and family to the room is
an important safety bmmeasure, bmbut not directly related to demonstrating
clientcentered care. b
DIF: Understanding TOP: Integrated Process: Culture and
Spirituality KEY: bm Client-centered care, Culture MSC: Client Needs Category:
Psychosocial mIntegrity
5. A clientbmis mgoingbmto be admitted for a scheduled surgical procedure. Which
actionbmdoesbmthe nurse explain is the most important thing the client can do
b mto
protect bmagainst errors?
a. Bring ma list of all medications and what they are for.
b. Keepbmthe 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.
ANS: 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
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