Med C
, Test Bank: Medical Surgical Nursing 9th Edition Ignatavicius
Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
iger en meer doeltreffend te maak. Die dokumente is duidelik
gestruktureer en fokus op kernbegrippe, eksamenrelevante
MULTIPLE CHOICE
onderwerpe enconcept?
praktiese verduidelikings. Of jy nou opsommings,
1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best
demonstrates this
oefenvrae, studiegidse of volledige eksamenvoorbereiding soek,
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
elke c.dokument
Tells the client andisfamily
met sorg
about en akkuraatheid
all upcoming tests saamgestel. Die
materiaal is ideaal vir selfstudie, herhaling voor toetse of as
d. Thoroughly orients the client and family to the room
aanvulling
Competencytot
ANS: A
lesings.careGereelde
in client-focused opdaterings
is demonstrated when verseker
the nurse focuses on communication, dat die
culture, respect
inhoud relevant en betroubaar bly. Hierdie winkel is geskep vircare,
compassion, client education, and empowerment. By assessing the effect of the clients culture on health
this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence.
studente watthekwaliteit,
Simply telling client about all duidelikheid en tydsbesparing
upcoming tests is not providing empowering education.waardeer.
Orienting the client
Gebruik
care. hierdie hulpbronne om met selfvertroue te studeer en
and family to the room is an important safety measure, but not directly related to demonstrating client-centered
beterDIF:
akademiese resultate
Understanding/Comprehension REF: 3te behaal.
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
•••• 한국어 (Korean)
2. 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?
이 Stuvia 상점에서는 시험 대비와 효율적인 학습을 위해
a. Call the Rapid Response Team.
b. Document and continue to monitor.
체계적으로 정리된 고품질 학습 자료를 제공합니다. 모든 문서는
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
핵심 개념 중심으로 구성되어 있으며 강의 내용과 시험 범위에
ANS: A
맞춰The
명확하게purpose of the설명되어
Rapid Response 있습니다. 요약 노트,
Team (RRT) is to intervene 연습
when clients 문제, 학습
are deteriorating before they
가이드,
call the종합 시험in자료 등 다양한 형태의 heart rate, 콘텐츠를 통해significant.
짧은 시간
suffer either respiratory or cardiac arrest. Since the client has manifested a significant change, the nurse should
RRT. Changes blood pressure, mental status, and pain are particularly
안에Documentation
중요한 내용을 이해할
is vital, but the nurse must do more than document. The primary care provider should be
notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed
frequently, but the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. 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?
a. Encourage the client and family to be active partners.
b. Have the 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 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/Comprehension REF: 3
KEY: Patient safety
Med C
,MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. 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?
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. However, ensuring client safety is the priority. Up to
98,000 deaths result each year from errors in hospital care, according to the 2000 Institute of Medicine report.
Many more clients have suffered injuries and less serious outcomes. Every nurse has the responsibility to
guard the clients safety.
DIF: Understanding/Comprehension REF: 2
KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
5. 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?
a. Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS: A
Medication errors are the most common type of health care mistake. The Joint Commissions Speak Up
campaign encourages clients to help ensure their safety. One recommendation is for clients to know all their
medications and why they take them. This will help prevent medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6. Which action by the nurse working with a client best demonstrates respect for autonomy?
a. Asks if the client has questions before signing a consent
b. Gives the client accurate information when questioned
c. Keeps the promises made to the client and family
d. Treats the client fairly compared to other clients
ANS: A
Autonomy is self-determination. The client should make decisions regarding care. When the nurse obtains a
signature on the consent form, assessing if the client still has questions is vital, because without full
information the client cannot practice autonomy. Giving accurate information is practicing with veracity.
Keeping promises is upholding fidelity. Treating the client fairly is providing social justice.
DIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
7. A student nurse asks the faculty to explain best practices when communicating with a person from the
lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer by the faculty is
most accurate?
a. Avoid embarrassing the client by asking questions.
b. Dont make assumptions about their health needs.
c. Most LGBTQ people do not want to share information.
Med C
, nagbibigay ng de-kalidad na academic resources para
sadifferences
d. No mga estudyante
exist in communicating sa withkolehiyo
this population.at unibersidad.
Nagbebenta
ANS: B kami ng test banks na may kasamang
sagot, solution manuals, study notes, at aboutexam-focused
Many members of the LGBTQ community have faced discrimination from health care providers and may be
reluctant to seek health care. The nurse should never make assumptions the needs of members of this
practice materials na idinisenyo upang gawing mas
population. Rather, respectful questions are appropriate. If approached with sensitivity, the client with any
health care need is more likely to answer honestly.
madali ang pag-aaral at paghahanda sa pagsusulit. Ang
DIF: Understanding/Comprehension REF: 4
lahat
KEY: LGBTQ| ngdiversity
dokumento ay maayos ang pagkakaayos,
malinaw, at madaling Psychosocialgamitin para sa mabilis na review.
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Integrity
Angkop
8. A ito
nurse is calling the para sa nursing,
on-call physician about a client health sciences,
who had a hysterectomy 2 daysbusiness,
ago and has pain that
economics, engineering, at iba pang kurso. Layunin ng
is unrelieved by the prescribed narcotic pain medication. Which statement is part of the SBAR format for
communication?
aming
a. A: shop
I would like na atulungan
you to order ang mga estudyante na
different pain medication.
b. B: This client has allergies to morphine and codeine.
makatipid
c. R: Dr. Smith doesntng oras, tumaas
like nonsteroidal angmeds.
anti-inflammatory marka, at magkaroon ng
kumpiyansa sa exams. May instant download at regular
d. S: This client had a vaginal hysterectomy 2 days ago.
naB updates para masigurong napapanahon ang
ANS:
SBAR is a recommended form of communication, and the acronym stands for Situation, Background,
nilalaman.
Assessment, and Recommendation. Appropriate background information includes allergies to medications the
on-call physician might order. Situation describes what is happening right now that must be communicated; the
clients surgery 2 days ago would be considered background. Assessment would include an analysis of the
•••• Hindi (हिंदी)
clients problem; asking for a different pain medication is a recommendation. Recommendation is a statement
of what is needed or what outcome is desired; this information about the surgeons preference might be better
placed in background.
हमारा Stuvia शॉप छात्रों के लिए उच्च-गुणवत्ता वाली शैक्षणिक
DIF: Applying/Application REF: 5
सामग्री प्रदान करता है। यहाँ आपको टेस्ट बैंक (उत्तर सहित),
KEY: SBAR| communication
MSC: Integrated Process: Communication and Documentation
सॉल्यूशन मैनुअल, स्टडी नोट्स और परीक्षा-केंद्रित अभ्यास सामग्री
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
मिलती है, जो सीखने को सरल और प्रभावी बनाती है। सभी
9. 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
दस्तand
readings, ावेजthe़ स् पष्mental
clients ट रूपstatus
prevented this negative outcome?
से व्has
यवस् थितWhat
changed. हैं action
और by तेजthe़ रिवीजन
nurse would के
mostलिए
likely have
उपयुक्त ifहैtheं। UAP
a. Determining यह knew how to take blood pressure
b. Double-checking the UAP by taking another blood pressure
c. Providing more appropriate supervision of the UAP
d. Taking the blood pressure instead of delegating the task
ANS: C
Supervision is one of the five rights of delegation and includes directing, evaluating, and following up on
delegated tasks. The nurse should either have asked the UAP about the vital signs or instructed the UAP to
report them right away. An experienced UAP should know how to take vital signs and the nurse should not
have to assess this at this point. Double-checking the work defeats the purpose of delegation. Vital signs are
within the scope of practice for a UAP and are permissible to delegate. The only appropriate answer is that the
nurse did not provide adequate instruction to the UAP.
DIF: Applying/Application REF: 6
KEY: Supervision| delegation| unlicensed assistive personnel
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
10. A nurse is talking with a client who is moving to a new state and needs to find a new doctor and hospital
there. What advice by the nurse is best?
Med C
, Test Bank: Medical Surgical Nursing 9th Edition Ignatavicius
Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
iger en meer doeltreffend te maak. Die dokumente is duidelik
gestruktureer en fokus op kernbegrippe, eksamenrelevante
MULTIPLE CHOICE
onderwerpe enconcept?
praktiese verduidelikings. Of jy nou opsommings,
1. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse best
demonstrates this
oefenvrae, studiegidse of volledige eksamenvoorbereiding soek,
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
elke c.dokument
Tells the client andisfamily
met sorg
about en akkuraatheid
all upcoming tests saamgestel. Die
materiaal is ideaal vir selfstudie, herhaling voor toetse of as
d. Thoroughly orients the client and family to the room
aanvulling
Competencytot
ANS: A
lesings.careGereelde
in client-focused opdaterings
is demonstrated when verseker
the nurse focuses on communication, dat die
culture, respect
inhoud relevant en betroubaar bly. Hierdie winkel is geskep vircare,
compassion, client education, and empowerment. By assessing the effect of the clients culture on health
this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence.
studente watthekwaliteit,
Simply telling client about all duidelikheid en tydsbesparing
upcoming tests is not providing empowering education.waardeer.
Orienting the client
Gebruik
care. hierdie hulpbronne om met selfvertroue te studeer en
and family to the room is an important safety measure, but not directly related to demonstrating client-centered
beterDIF:
akademiese resultate
Understanding/Comprehension REF: 3te behaal.
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
•••• 한국어 (Korean)
2. 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?
이 Stuvia 상점에서는 시험 대비와 효율적인 학습을 위해
a. Call the Rapid Response Team.
b. Document and continue to monitor.
체계적으로 정리된 고품질 학습 자료를 제공합니다. 모든 문서는
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
핵심 개념 중심으로 구성되어 있으며 강의 내용과 시험 범위에
ANS: A
맞춰The
명확하게purpose of the설명되어
Rapid Response 있습니다. 요약 노트,
Team (RRT) is to intervene 연습
when clients 문제, 학습
are deteriorating before they
가이드,
call the종합 시험in자료 등 다양한 형태의 heart rate, 콘텐츠를 통해significant.
짧은 시간
suffer either respiratory or cardiac arrest. Since the client has manifested a significant change, the nurse should
RRT. Changes blood pressure, mental status, and pain are particularly
안에Documentation
중요한 내용을 이해할
is vital, but the nurse must do more than document. The primary care provider should be
notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed
frequently, but the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. 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?
a. Encourage the client and family to be active partners.
b. Have the 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 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/Comprehension REF: 3
KEY: Patient safety
Med C
,MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. 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?
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. However, ensuring client safety is the priority. Up to
98,000 deaths result each year from errors in hospital care, according to the 2000 Institute of Medicine report.
Many more clients have suffered injuries and less serious outcomes. Every nurse has the responsibility to
guard the clients safety.
DIF: Understanding/Comprehension REF: 2
KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
5. 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?
a. Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS: A
Medication errors are the most common type of health care mistake. The Joint Commissions Speak Up
campaign encourages clients to help ensure their safety. One recommendation is for clients to know all their
medications and why they take them. This will help prevent medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6. Which action by the nurse working with a client best demonstrates respect for autonomy?
a. Asks if the client has questions before signing a consent
b. Gives the client accurate information when questioned
c. Keeps the promises made to the client and family
d. Treats the client fairly compared to other clients
ANS: A
Autonomy is self-determination. The client should make decisions regarding care. When the nurse obtains a
signature on the consent form, assessing if the client still has questions is vital, because without full
information the client cannot practice autonomy. Giving accurate information is practicing with veracity.
Keeping promises is upholding fidelity. Treating the client fairly is providing social justice.
DIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
7. A student nurse asks the faculty to explain best practices when communicating with a person from the
lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer by the faculty is
most accurate?
a. Avoid embarrassing the client by asking questions.
b. Dont make assumptions about their health needs.
c. Most LGBTQ people do not want to share information.
Med C
, nagbibigay ng de-kalidad na academic resources para
sadifferences
d. No mga estudyante
exist in communicating sa withkolehiyo
this population.at unibersidad.
Nagbebenta
ANS: B kami ng test banks na may kasamang
sagot, solution manuals, study notes, at aboutexam-focused
Many members of the LGBTQ community have faced discrimination from health care providers and may be
reluctant to seek health care. The nurse should never make assumptions the needs of members of this
practice materials na idinisenyo upang gawing mas
population. Rather, respectful questions are appropriate. If approached with sensitivity, the client with any
health care need is more likely to answer honestly.
madali ang pag-aaral at paghahanda sa pagsusulit. Ang
DIF: Understanding/Comprehension REF: 4
lahat
KEY: LGBTQ| ngdiversity
dokumento ay maayos ang pagkakaayos,
malinaw, at madaling Psychosocialgamitin para sa mabilis na review.
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Integrity
Angkop
8. A ito
nurse is calling the para sa nursing,
on-call physician about a client health sciences,
who had a hysterectomy 2 daysbusiness,
ago and has pain that
economics, engineering, at iba pang kurso. Layunin ng
is unrelieved by the prescribed narcotic pain medication. Which statement is part of the SBAR format for
communication?
aming
a. A: shop
I would like na atulungan
you to order ang mga estudyante na
different pain medication.
b. B: This client has allergies to morphine and codeine.
makatipid
c. R: Dr. Smith doesntng oras, tumaas
like nonsteroidal angmeds.
anti-inflammatory marka, at magkaroon ng
kumpiyansa sa exams. May instant download at regular
d. S: This client had a vaginal hysterectomy 2 days ago.
naB updates para masigurong napapanahon ang
ANS:
SBAR is a recommended form of communication, and the acronym stands for Situation, Background,
nilalaman.
Assessment, and Recommendation. Appropriate background information includes allergies to medications the
on-call physician might order. Situation describes what is happening right now that must be communicated; the
clients surgery 2 days ago would be considered background. Assessment would include an analysis of the
•••• Hindi (हिंदी)
clients problem; asking for a different pain medication is a recommendation. Recommendation is a statement
of what is needed or what outcome is desired; this information about the surgeons preference might be better
placed in background.
हमारा Stuvia शॉप छात्रों के लिए उच्च-गुणवत्ता वाली शैक्षणिक
DIF: Applying/Application REF: 5
सामग्री प्रदान करता है। यहाँ आपको टेस्ट बैंक (उत्तर सहित),
KEY: SBAR| communication
MSC: Integrated Process: Communication and Documentation
सॉल्यूशन मैनुअल, स्टडी नोट्स और परीक्षा-केंद्रित अभ्यास सामग्री
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
मिलती है, जो सीखने को सरल और प्रभावी बनाती है। सभी
9. 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
दस्तand
readings, ावेजthe़ स् पष्mental
clients ट रूपstatus
prevented this negative outcome?
से व्has
यवस् थितWhat
changed. हैं action
और by तेजthe़ रिवीजन
nurse would के
mostलिए
likely have
उपयुक्त ifहैtheं। UAP
a. Determining यह knew how to take blood pressure
b. Double-checking the UAP by taking another blood pressure
c. Providing more appropriate supervision of the UAP
d. Taking the blood pressure instead of delegating the task
ANS: C
Supervision is one of the five rights of delegation and includes directing, evaluating, and following up on
delegated tasks. The nurse should either have asked the UAP about the vital signs or instructed the UAP to
report them right away. An experienced UAP should know how to take vital signs and the nurse should not
have to assess this at this point. Double-checking the work defeats the purpose of delegation. Vital signs are
within the scope of practice for a UAP and are permissible to delegate. The only appropriate answer is that the
nurse did not provide adequate instruction to the UAP.
DIF: Applying/Application REF: 6
KEY: Supervision| delegation| unlicensed assistive personnel
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
10. A nurse is talking with a client who is moving to a new state and needs to find a new doctor and hospital
there. What advice by the nurse is best?
Med C
