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 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
CORRECT ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client safety is
the priority. Health care errors have been widely reported for 25 years, many of which
result in client injury, death, and increased health care costs. There are several national
and international organizations that have either recommended or mandated safety
initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is 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
Infection Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What
information does the nurse provide to best 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.
CORRECT ANSWER: 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.
CORRECT ANSWER: 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 anurse awishes ato aprovide aclient-centered acare ain aall ainteractions. aWhich
aaction aby athe anurse
best ademonstrates athis aconcept?
a. Assesses afor acultural ainfluences aaffecting ahealth acare.
b. Ensures athat aall athe aclient’s abasic aneeds aare amet.
c. Tells athe aclient aand afamily aabout aall aupcoming atests.
d. Thoroughly aorients athe aclient aand afamily ato athe aroom.
CORRECT aANSWER: aA
Showing arespect afor athe aclient aand afamily’s apreferences aand aneeds ais aessential ato
aensure aa aholistic aor a“whole-person” aapproach ato acare. aBy aassessing athe aeffect aof athe
aclient’s aculture aon ahealth acare, athis anurse ais apracticing aclient-focused acare. aProviding
afor abasic aneeds adoes anot ademonstrate athis acompetence. aSimply atelling athe aclient
aabout aall aupcoming atests ais anot aproviding aempowering aeducation. aOrienting athe
aclient aand afamily ato athe aroom ais aan aimportant asafety ameasure, abut anot adirectly
arelated ato ademonstrating aclient-centered acare.
DIF: Understanding TOP: aIntegrated aProcess: aCulture aand aSpirituality aKEY:
aClient-centered acare, aCulture MSC: aClient aNeeds aCategory: aPsychosocial aIntegrity
5. A aclient ais agoing ato abe aadmitted afor aa ascheduled asurgical aprocedure. aWhich
aaction adoes athe anurse aexplain ais athe amost aimportant athing athe aclient acan ado ato
aprotect aagainst aerrors?
a. Bring aa alist aof aall amedications aand awhat athey aare afor.
b. Keep athe aprovider’s aphone anumber aby athe atelephone.
c. Make asure athat aall aproviders awash ahands abefore aentering athe aroom.
d. Write adown athe aname aof aeach acaregiver awho acomes ain athe aroom.
CORRECT aANSWER: aA
Medication areconciliation ais aa aformal aprocess ain awhich athe aclient’s aactual acurrent
amedications aare acompared ato athe aprescribed amedications aat athe atime aof aadmission,
atransfer, aor adischarge. aThis aNational aclient aSafety aGoal ais aimportant ato areduce
amedication aerrors. aThe aclient awould anot ahave ato abe aresponsible afor aproviders
awashing atheir ahands, aand aeven aif athe aclient adoes aso, athis ais atoo anarrow ato abe athe
amost aimportant aaction ato aprevent aerrors. aKeeping athe aprovider’s aphone anumber
anearby aand adocumenting aeveryone awho aenters athe aroom aalso ado anot aguarantee
asafety.
, DIF: Applying TOP: aIntegrated aProcess: aTeaching/Learning aKEY: aClient asafety,
aInformatics
MSC: aClient aNeeds aCategory: aSafe aand aEffective aCare aEnvironment: aSafety aand
aInfection aControl
a
6. Which aaction aby athe anurse aworking awith aa aclient abest ademonstrates arespect afor
aautonomy?
a. Asks aif athe aclient ahas aquestions abefore asigning aa aconsent.
b. Gives athe aclient aaccurate ainformation awhen aquestioned.
c. Keeps athe apromises amade ato athe aclient aand afamily.
d. Treats athe aclient afairly acompared ato aother aclients.
CORRECT aANSWER: aA
Autonomy ais aself-determination. aThe aclient awould amake adecisions aregarding acare.
aWhen athe anurse aobtains aa asignature aon athe aconsent aform, aassessing aif athe aclient astill
ahas aquestions ais avital, abecause awithout afull ainformation athe aclient acannot apractice
aautonomy. aGiving aaccurate ainformation ais apracticing awith averacity. aKeeping
apromises ais aupholding afidelity. aTreating athe aclient afairly ais aproviding asocial ajustice.
DIF: Applying TOP: aIntegrated aProcess: aCaring KEY: aEthics, aAutonomy
aMSC: aClient aNeeds aCategory: aSafe aand aEffective aCare aEnvironment: aManagement
aof aCare
7. A anurse aasks aa amore aseasoned acolleague ato aexplain abest apractices awhen
acommunicating awith aa aperson afrom athe alesbian, agay, abisexual, atransgender, aand
aquestioning/queer a(LGBTQ) acommunity. aWhat aanswer aby athe afaculty ais amost
aaccurate?
a. Avoid aembarrassing athe aclient aby aasking aquestions.
b. Don’t amake aassumptions aabout ahis aor aher ahealth aneeds.
c. Most aLGBTQ apeople ado anot awant ato ashare ainformation.
d. No adifferences aexist ain acommunicating awith athis apopulation.
CORRECT aANSWER: aB
Many amembers aof athe aLGBTQ acommunity ahave afaced adiscrimination afrom ahealth
acare aproviders aand amay abe areluctant ato aseek ahealth acare. aThe anurse awould anever
amake aassumptions aabout athe aneeds aof amembers aof athis apopulation. aRather, arespectful
aquestions aare aappropriate. aIf aapproached awith asensitivity, athe aclient awith aany ahealth
acare aneed ais amore alikely ato aanswer ahonestly.
DIF: Understanding TOP: aIntegrated aProcess: aTeaching/Learning
KEY: aHealth acare adisparities, aLGBTQ MSC: aClient aNeeds aCategory:
aPsychosocial aIntegrity
8. A anurse ais acalling athe aon-call ahealth acare aprovider aabout aa aclient awho ahad aa
ahysterectomy a2 adays aago aand ahas apain athat ais aunrelieved aby athe aprescribed aopioid
apain amedication. aWhich astatement acomprises athe abackground aportion aof athe aSBAR
aformat afor acommunication?
a. “I awould alike ayou ato aorder aa adifferent apain amedication.”
b. “This aclient ahas aallergies ato amorphine aand acodeine.”
c. “Dr. aSmith adoesn’t alike anonsteroidal aanti-inflammatory ameds.”
d. “This aclient ahad aa avaginal ahysterectomy a2 adays aago.”
CORRECT aANSWER: aB
a
SBAR ais aa arecommended aform aof acommunication, aand athe aacronym astands afor
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 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
CORRECT ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client safety is
the priority. Health care errors have been widely reported for 25 years, many of which
result in client injury, death, and increased health care costs. There are several national
and international organizations that have either recommended or mandated safety
initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is 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
Infection Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What
information does the nurse provide to best 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.
CORRECT ANSWER: 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.
CORRECT ANSWER: 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 anurse awishes ato aprovide aclient-centered acare ain aall ainteractions. aWhich
aaction aby athe anurse
best ademonstrates athis aconcept?
a. Assesses afor acultural ainfluences aaffecting ahealth acare.
b. Ensures athat aall athe aclient’s abasic aneeds aare amet.
c. Tells athe aclient aand afamily aabout aall aupcoming atests.
d. Thoroughly aorients athe aclient aand afamily ato athe aroom.
CORRECT aANSWER: aA
Showing arespect afor athe aclient aand afamily’s apreferences aand aneeds ais aessential ato
aensure aa aholistic aor a“whole-person” aapproach ato acare. aBy aassessing athe aeffect aof athe
aclient’s aculture aon ahealth acare, athis anurse ais apracticing aclient-focused acare. aProviding
afor abasic aneeds adoes anot ademonstrate athis acompetence. aSimply atelling athe aclient
aabout aall aupcoming atests ais anot aproviding aempowering aeducation. aOrienting athe
aclient aand afamily ato athe aroom ais aan aimportant asafety ameasure, abut anot adirectly
arelated ato ademonstrating aclient-centered acare.
DIF: Understanding TOP: aIntegrated aProcess: aCulture aand aSpirituality aKEY:
aClient-centered acare, aCulture MSC: aClient aNeeds aCategory: aPsychosocial aIntegrity
5. A aclient ais agoing ato abe aadmitted afor aa ascheduled asurgical aprocedure. aWhich
aaction adoes athe anurse aexplain ais athe amost aimportant athing athe aclient acan ado ato
aprotect aagainst aerrors?
a. Bring aa alist aof aall amedications aand awhat athey aare afor.
b. Keep athe aprovider’s aphone anumber aby athe atelephone.
c. Make asure athat aall aproviders awash ahands abefore aentering athe aroom.
d. Write adown athe aname aof aeach acaregiver awho acomes ain athe aroom.
CORRECT aANSWER: aA
Medication areconciliation ais aa aformal aprocess ain awhich athe aclient’s aactual acurrent
amedications aare acompared ato athe aprescribed amedications aat athe atime aof aadmission,
atransfer, aor adischarge. aThis aNational aclient aSafety aGoal ais aimportant ato areduce
amedication aerrors. aThe aclient awould anot ahave ato abe aresponsible afor aproviders
awashing atheir ahands, aand aeven aif athe aclient adoes aso, athis ais atoo anarrow ato abe athe
amost aimportant aaction ato aprevent aerrors. aKeeping athe aprovider’s aphone anumber
anearby aand adocumenting aeveryone awho aenters athe aroom aalso ado anot aguarantee
asafety.
, DIF: Applying TOP: aIntegrated aProcess: aTeaching/Learning aKEY: aClient asafety,
aInformatics
MSC: aClient aNeeds aCategory: aSafe aand aEffective aCare aEnvironment: aSafety aand
aInfection aControl
a
6. Which aaction aby athe anurse aworking awith aa aclient abest ademonstrates arespect afor
aautonomy?
a. Asks aif athe aclient ahas aquestions abefore asigning aa aconsent.
b. Gives athe aclient aaccurate ainformation awhen aquestioned.
c. Keeps athe apromises amade ato athe aclient aand afamily.
d. Treats athe aclient afairly acompared ato aother aclients.
CORRECT aANSWER: aA
Autonomy ais aself-determination. aThe aclient awould amake adecisions aregarding acare.
aWhen athe anurse aobtains aa asignature aon athe aconsent aform, aassessing aif athe aclient astill
ahas aquestions ais avital, abecause awithout afull ainformation athe aclient acannot apractice
aautonomy. aGiving aaccurate ainformation ais apracticing awith averacity. aKeeping
apromises ais aupholding afidelity. aTreating athe aclient afairly ais aproviding asocial ajustice.
DIF: Applying TOP: aIntegrated aProcess: aCaring KEY: aEthics, aAutonomy
aMSC: aClient aNeeds aCategory: aSafe aand aEffective aCare aEnvironment: aManagement
aof aCare
7. A anurse aasks aa amore aseasoned acolleague ato aexplain abest apractices awhen
acommunicating awith aa aperson afrom athe alesbian, agay, abisexual, atransgender, aand
aquestioning/queer a(LGBTQ) acommunity. aWhat aanswer aby athe afaculty ais amost
aaccurate?
a. Avoid aembarrassing athe aclient aby aasking aquestions.
b. Don’t amake aassumptions aabout ahis aor aher ahealth aneeds.
c. Most aLGBTQ apeople ado anot awant ato ashare ainformation.
d. No adifferences aexist ain acommunicating awith athis apopulation.
CORRECT aANSWER: aB
Many amembers aof athe aLGBTQ acommunity ahave afaced adiscrimination afrom ahealth
acare aproviders aand amay abe areluctant ato aseek ahealth acare. aThe anurse awould anever
amake aassumptions aabout athe aneeds aof amembers aof athis apopulation. aRather, arespectful
aquestions aare aappropriate. aIf aapproached awith asensitivity, athe aclient awith aany ahealth
acare aneed ais amore alikely ato aanswer ahonestly.
DIF: Understanding TOP: aIntegrated aProcess: aTeaching/Learning
KEY: aHealth acare adisparities, aLGBTQ MSC: aClient aNeeds aCategory:
aPsychosocial aIntegrity
8. A anurse ais acalling athe aon-call ahealth acare aprovider aabout aa aclient awho ahad aa
ahysterectomy a2 adays aago aand ahas apain athat ais aunrelieved aby athe aprescribed aopioid
apain amedication. aWhich astatement acomprises athe abackground aportion aof athe aSBAR
aformat afor acommunication?
a. “I awould alike ayou ato aorder aa adifferent apain amedication.”
b. “This aclient ahas aallergies ato amorphine aand acodeine.”
c. “Dr. aSmith adoesn’t alike anonsteroidal aanti-inflammatory ameds.”
d. “This aclient ahad aa avaginal ahysterectomy a2 adays aago.”
CORRECT aANSWER: aB
a
SBAR ais aa arecommended aform aof acommunication, aand athe aacronym astands afor
