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 fnurse fwishes fto fprovide fclient-centered fcare fin fall finteractions. fWhich faction
fby fthe fnurse
best fdemonstrates fthis fconcept?
a. Assesses ffor fcultural finfluences faffecting fhealth fcare.
b. Ensures fthat fall fthe fclient’s fbasic fneeds fare fmet.
c. Tells fthe fclient fand ffamily fabout fall fupcoming ftests.
d. Thoroughly forients fthe fclient fand ffamily fto fthe froom.
CORRECT fANSWER: fA
Showing frespect ffor fthe fclient fand ffamily’s fpreferences fand fneeds fis fessential fto
fensure fa fholistic for f“whole-person” fapproach fto fcare. fBy fassessing fthe feffect fof fthe
fclient’s fculture fon fhealth fcare, fthis fnurse fis fpracticing fclient-focused fcare. fProviding
ffor fbasic fneeds fdoes fnot fdemonstrate fthis fcompetence. fSimply ftelling fthe fclient fabout
fall fupcoming ftests fis fnot fproviding fempowering feducation. fOrienting fthe fclient fand
ffamily fto fthe froom fis fan fimportant fsafety fmeasure, fbut fnot fdirectly frelated fto
fdemonstrating fclient-centered fcare.
DIF: Understanding TOP: fIntegrated fProcess: fCulture fand fSpirituality fKEY:
fClient-centered fcare, fCulture MSC: fClient fNeeds fCategory: fPsychosocial fIntegrity
5. A fclient fis fgoing fto fbe fadmitted ffor fa fscheduled fsurgical fprocedure. fWhich
faction fdoes fthe fnurse fexplain fis fthe fmost fimportant fthing fthe fclient fcan fdo fto fprotect
fagainst ferrors?
a. Bring fa flist fof fall fmedications fand fwhat fthey fare ffor.
b. Keep fthe fprovider’s fphone fnumber fby fthe ftelephone.
c. Make fsure fthat fall fproviders fwash fhands fbefore fentering fthe froom.
d. Write fdown fthe fname fof feach fcaregiver fwho fcomes fin fthe froom.
CORRECT fANSWER: fA
Medication freconciliation fis fa fformal fprocess fin fwhich fthe fclient’s factual fcurrent
fmedications fare fcompared fto fthe fprescribed fmedications fat fthe ftime fof fadmission,
ftransfer, for fdischarge. fThis fNational fclient fSafety fGoal fis fimportant fto freduce
fmedication ferrors. fThe fclient fwould fnot fhave fto fbe fresponsible ffor fproviders fwashing
ftheir fhands, fand feven fif fthe fclient fdoes fso, fthis fis ftoo fnarrow fto fbe fthe fmost fimportant
faction fto fprevent ferrors. fKeeping fthe fprovider’s fphone fnumber fnearby fand
fdocumenting feveryone fwho fenters fthe froom falso fdo fnot fguarantee fsafety.
DIF: Applying TOP: fIntegrated fProcess: fTeaching/Learning fKEY: fClient fsafety,
, fInformatics
MSC: fClient fNeeds fCategory: fSafe fand fEffective fCare fEnvironment: fSafety fand
fInfection fControl
f
6. Which faction fby fthe fnurse fworking fwith fa fclient fbest fdemonstrates frespect ffor
fautonomy?
a. Asks fif fthe fclient fhas fquestions fbefore fsigning fa fconsent.
b. Gives fthe fclient faccurate finformation fwhen fquestioned.
c. Keeps fthe fpromises fmade fto fthe fclient fand ffamily.
d. Treats fthe fclient ffairly fcompared fto fother fclients.
CORRECT fANSWER: fA
Autonomy fis fself-determination. fThe fclient fwould fmake fdecisions fregarding fcare.
fWhen fthe fnurse fobtains fa fsignature fon fthe fconsent fform, fassessing fif fthe fclient fstill
fhas fquestions fis fvital, fbecause fwithout ffull finformation fthe fclient fcannot fpractice
fautonomy. fGiving faccurate finformation fis fpracticing fwith fveracity. fKeeping fpromises
fis fupholding ffidelity. fTreating fthe fclient ffairly fis fproviding fsocial fjustice.
DIF: Applying TOP: fIntegrated fProcess: fCaring KEY: fEthics, fAutonomy
fMSC: fClient fNeeds fCategory: fSafe fand fEffective fCare fEnvironment: fManagement fof
fCare
7. A fnurse fasks fa fmore fseasoned fcolleague fto fexplain fbest fpractices fwhen
fcommunicating fwith fa fperson ffrom fthe flesbian, fgay, fbisexual, ftransgender, fand
fquestioning/queer f(LGBTQ) fcommunity. fWhat fanswer fby fthe ffaculty fis fmost
faccurate?
a. Avoid fembarrassing fthe fclient fby fasking fquestions.
b. Don’t fmake fassumptions fabout fhis for fher fhealth fneeds.
c. Most fLGBTQ fpeople fdo fnot fwant fto fshare finformation.
d. No fdifferences fexist fin fcommunicating fwith fthis fpopulation.
CORRECT fANSWER: fB
Many fmembers fof fthe fLGBTQ fcommunity fhave ffaced fdiscrimination ffrom fhealth fcare
fproviders fand fmay fbe freluctant fto fseek fhealth fcare. fThe fnurse fwould fnever fmake
fassumptions fabout fthe fneeds fof fmembers fof fthis fpopulation. fRather, frespectful
fquestions fare fappropriate. fIf fapproached fwith fsensitivity, fthe fclient fwith fany fhealth
fcare fneed fis fmore flikely fto fanswer fhonestly.
DIF: Understanding TOP: fIntegrated fProcess: fTeaching/Learning
KEY: fHealth fcare fdisparities, fLGBTQ MSC: fClient fNeeds fCategory:
fPsychosocial fIntegrity
8. A fnurse fis fcalling fthe fon-call fhealth fcare fprovider fabout fa fclient fwho fhad fa
fhysterectomy f2 fdays fago fand fhas fpain fthat fis funrelieved fby fthe fprescribed fopioid fpain
fmedication. fWhich fstatement fcomprises fthe fbackground fportion fof fthe fSBAR fformat
ffor fcommunication?
a. “I fwould flike fyou fto forder fa fdifferent fpain fmedication.”
b. “This fclient fhas fallergies fto fmorphine fand fcodeine.”
c. “Dr. fSmith fdoesn’t flike fnonsteroidal fanti-inflammatory fmeds.”
d. “This fclient fhad fa fvaginal fhysterectomy f2 fdays fago.”
CORRECT fANSWER: fB
f
SBAR fis fa frecommended fform fof fcommunication, fand fthe facronym fstands ffor
fSituation, fBackground, fAssessment, fand fRecommendation. fAppropriate fbackground
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 fnurse fwishes fto fprovide fclient-centered fcare fin fall finteractions. fWhich faction
fby fthe fnurse
best fdemonstrates fthis fconcept?
a. Assesses ffor fcultural finfluences faffecting fhealth fcare.
b. Ensures fthat fall fthe fclient’s fbasic fneeds fare fmet.
c. Tells fthe fclient fand ffamily fabout fall fupcoming ftests.
d. Thoroughly forients fthe fclient fand ffamily fto fthe froom.
CORRECT fANSWER: fA
Showing frespect ffor fthe fclient fand ffamily’s fpreferences fand fneeds fis fessential fto
fensure fa fholistic for f“whole-person” fapproach fto fcare. fBy fassessing fthe feffect fof fthe
fclient’s fculture fon fhealth fcare, fthis fnurse fis fpracticing fclient-focused fcare. fProviding
ffor fbasic fneeds fdoes fnot fdemonstrate fthis fcompetence. fSimply ftelling fthe fclient fabout
fall fupcoming ftests fis fnot fproviding fempowering feducation. fOrienting fthe fclient fand
ffamily fto fthe froom fis fan fimportant fsafety fmeasure, fbut fnot fdirectly frelated fto
fdemonstrating fclient-centered fcare.
DIF: Understanding TOP: fIntegrated fProcess: fCulture fand fSpirituality fKEY:
fClient-centered fcare, fCulture MSC: fClient fNeeds fCategory: fPsychosocial fIntegrity
5. A fclient fis fgoing fto fbe fadmitted ffor fa fscheduled fsurgical fprocedure. fWhich
faction fdoes fthe fnurse fexplain fis fthe fmost fimportant fthing fthe fclient fcan fdo fto fprotect
fagainst ferrors?
a. Bring fa flist fof fall fmedications fand fwhat fthey fare ffor.
b. Keep fthe fprovider’s fphone fnumber fby fthe ftelephone.
c. Make fsure fthat fall fproviders fwash fhands fbefore fentering fthe froom.
d. Write fdown fthe fname fof feach fcaregiver fwho fcomes fin fthe froom.
CORRECT fANSWER: fA
Medication freconciliation fis fa fformal fprocess fin fwhich fthe fclient’s factual fcurrent
fmedications fare fcompared fto fthe fprescribed fmedications fat fthe ftime fof fadmission,
ftransfer, for fdischarge. fThis fNational fclient fSafety fGoal fis fimportant fto freduce
fmedication ferrors. fThe fclient fwould fnot fhave fto fbe fresponsible ffor fproviders fwashing
ftheir fhands, fand feven fif fthe fclient fdoes fso, fthis fis ftoo fnarrow fto fbe fthe fmost fimportant
faction fto fprevent ferrors. fKeeping fthe fprovider’s fphone fnumber fnearby fand
fdocumenting feveryone fwho fenters fthe froom falso fdo fnot fguarantee fsafety.
DIF: Applying TOP: fIntegrated fProcess: fTeaching/Learning fKEY: fClient fsafety,
, fInformatics
MSC: fClient fNeeds fCategory: fSafe fand fEffective fCare fEnvironment: fSafety fand
fInfection fControl
f
6. Which faction fby fthe fnurse fworking fwith fa fclient fbest fdemonstrates frespect ffor
fautonomy?
a. Asks fif fthe fclient fhas fquestions fbefore fsigning fa fconsent.
b. Gives fthe fclient faccurate finformation fwhen fquestioned.
c. Keeps fthe fpromises fmade fto fthe fclient fand ffamily.
d. Treats fthe fclient ffairly fcompared fto fother fclients.
CORRECT fANSWER: fA
Autonomy fis fself-determination. fThe fclient fwould fmake fdecisions fregarding fcare.
fWhen fthe fnurse fobtains fa fsignature fon fthe fconsent fform, fassessing fif fthe fclient fstill
fhas fquestions fis fvital, fbecause fwithout ffull finformation fthe fclient fcannot fpractice
fautonomy. fGiving faccurate finformation fis fpracticing fwith fveracity. fKeeping fpromises
fis fupholding ffidelity. fTreating fthe fclient ffairly fis fproviding fsocial fjustice.
DIF: Applying TOP: fIntegrated fProcess: fCaring KEY: fEthics, fAutonomy
fMSC: fClient fNeeds fCategory: fSafe fand fEffective fCare fEnvironment: fManagement fof
fCare
7. A fnurse fasks fa fmore fseasoned fcolleague fto fexplain fbest fpractices fwhen
fcommunicating fwith fa fperson ffrom fthe flesbian, fgay, fbisexual, ftransgender, fand
fquestioning/queer f(LGBTQ) fcommunity. fWhat fanswer fby fthe ffaculty fis fmost
faccurate?
a. Avoid fembarrassing fthe fclient fby fasking fquestions.
b. Don’t fmake fassumptions fabout fhis for fher fhealth fneeds.
c. Most fLGBTQ fpeople fdo fnot fwant fto fshare finformation.
d. No fdifferences fexist fin fcommunicating fwith fthis fpopulation.
CORRECT fANSWER: fB
Many fmembers fof fthe fLGBTQ fcommunity fhave ffaced fdiscrimination ffrom fhealth fcare
fproviders fand fmay fbe freluctant fto fseek fhealth fcare. fThe fnurse fwould fnever fmake
fassumptions fabout fthe fneeds fof fmembers fof fthis fpopulation. fRather, frespectful
fquestions fare fappropriate. fIf fapproached fwith fsensitivity, fthe fclient fwith fany fhealth
fcare fneed fis fmore flikely fto fanswer fhonestly.
DIF: Understanding TOP: fIntegrated fProcess: fTeaching/Learning
KEY: fHealth fcare fdisparities, fLGBTQ MSC: fClient fNeeds fCategory:
fPsychosocial fIntegrity
8. A fnurse fis fcalling fthe fon-call fhealth fcare fprovider fabout fa fclient fwho fhad fa
fhysterectomy f2 fdays fago fand fhas fpain fthat fis funrelieved fby fthe fprescribed fopioid fpain
fmedication. fWhich fstatement fcomprises fthe fbackground fportion fof fthe fSBAR fformat
ffor fcommunication?
a. “I fwould flike fyou fto forder fa fdifferent fpain fmedication.”
b. “This fclient fhas fallergies fto fmorphine fand fcodeine.”
c. “Dr. fSmith fdoesn’t flike fnonsteroidal fanti-inflammatory fmeds.”
d. “This fclient fhad fa fvaginal fhysterectomy f2 fdays fago.”
CORRECT fANSWER: fB
f
SBAR fis fa frecommended fform fof fcommunication, fand fthe facronym fstands ffor
fSituation, fBackground, fAssessment, fand fRecommendation. fAppropriate fbackground
