TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
, 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 p
riority 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
CORRECT07ANSWER: B
All actions are appropriate for the professional nurse. However,
ensuring52client safety is 52the priority. Health 52care errors
have been widely reporte52d for 25 years, many of which result in
client injury, death,
and5 2 incre52ased5 2 5 2 health5 2 5 2 care5 2 5 2 costs.5 2 5 2 There5 2 5 2 are5 2 5 2 several
5 2 5 2 national5 2 5 2 and5 2 5 2 international5 2 5 2 organ52izations5 2 5 2 that5 2 5 2 have5 2 5 2
either5 2 5 2 recommended5 2 5 2 or5 2 5 2 mandated5 2 5 2 safety5 2 5 2 initiatives.
Every nurse has the responsibility to guard the client’s safety. The
other52actionsare important for quality nursing, but they are not
as vital a
s providing safety. Not making medication errors does provide safety,
but52is too narrow in scope to be the best answer.
DIF: Understanding
TOP: Integrated Process: Nursing Process: Intervention KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infe52ction Control
2. A nurse is orienting a new client and family to the medical-
52surgical unit. What information does the nurse 52provide 52to best
help52the client promote 52his orher 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.
CORRECT07ANSWER: A
, Each 52action 52could be important for the client or family to perform.
Ho52wever, encouraging 52the 52client to be activein his or
her health care a52s a safety partner is the most
critical.5 2 5 2 The5 2 5 2 other5 2 5 2 actions5 2 5 2 are5 2 5 2 very5 2 5 2 limi5 2 ted5 2 5 2 in5 2 5 2 sco
pe5 2 5 2 and5 2 5 2 do5 2 5 2 not5 2 5 2 provide5 2 5 2 the5 2 5 2 broad5 2 5 2 protection5 2 5 2 that
5 2 5 2 being5 2 5 2 activ52e5 2 5 2 and5 2 5 2 involved5 2 5 2 does.
DIF: Understanding
TOP: Integrated Process: Teaching/Learning KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infe52ction Control
3. A nurse is caring for a postoperative client on the surgical unit.
The52client’s52blood pressure was 142/76 mm Hg 30 minutes
ago, and no
w 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.
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
, 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 p
riority 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
CORRECT07ANSWER: B
All actions are appropriate for the professional nurse. However,
ensuring52client safety is 52the priority. Health 52care errors
have been widely reporte52d for 25 years, many of which result in
client injury, death,
and5 2 incre52ased5 2 5 2 health5 2 5 2 care5 2 5 2 costs.5 2 5 2 There5 2 5 2 are5 2 5 2 several
5 2 5 2 national5 2 5 2 and5 2 5 2 international5 2 5 2 organ52izations5 2 5 2 that5 2 5 2 have5 2 5 2
either5 2 5 2 recommended5 2 5 2 or5 2 5 2 mandated5 2 5 2 safety5 2 5 2 initiatives.
Every nurse has the responsibility to guard the client’s safety. The
other52actionsare important for quality nursing, but they are not
as vital a
s providing safety. Not making medication errors does provide safety,
but52is too narrow in scope to be the best answer.
DIF: Understanding
TOP: Integrated Process: Nursing Process: Intervention KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infe52ction Control
2. A nurse is orienting a new client and family to the medical-
52surgical unit. What information does the nurse 52provide 52to best
help52the client promote 52his orher 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.
CORRECT07ANSWER: A
, Each 52action 52could be important for the client or family to perform.
Ho52wever, encouraging 52the 52client to be activein his or
her health care a52s a safety partner is the most
critical.5 2 5 2 The5 2 5 2 other5 2 5 2 actions5 2 5 2 are5 2 5 2 very5 2 5 2 limi5 2 ted5 2 5 2 in5 2 5 2 sco
pe5 2 5 2 and5 2 5 2 do5 2 5 2 not5 2 5 2 provide5 2 5 2 the5 2 5 2 broad5 2 5 2 protection5 2 5 2 that
5 2 5 2 being5 2 5 2 activ52e5 2 5 2 and5 2 5 2 involved5 2 5 2 does.
DIF: Understanding
TOP: Integrated Process: Teaching/Learning KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infe52ction Control
3. A nurse is caring for a postoperative client on the surgical unit.
The52client’s52blood pressure was 142/76 mm Hg 30 minutes
ago, and no
w 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.
