Test Bank for Medical-
69 69 69
Surgical Nursing,10th 69 69
Edition, Donna D.
69 69 69
Ignatavicius, Linda
69 69
Workman, Cherie R.
69 69 69
Rebar, Nicole M.
69 69 69
Heimgartner 69
, abirb.com/test
WWW.NURSYLAB.COM
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgicalabirb.com/test
69 69 69 69 69 69 69 69 69
69 Nursing, 10th Edition 69 69 69 69
MULTIPLE CHOICE 69
abirb.com/test
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
new nurse that which is the priority when working as a professional nurse?
abirb.com/test
69 69 69 69 69 69 69 69 69 69 69 69 69
a. Attending to holistic client needs 69 69 69 69
b. Ensuring client safety 69 69
c. Not making medication errors 69 69 69
d. Providing client-focused care 69 69
abirb.com/test 69
ANS: B 6 9
All actions are appropriate for the professional nurse. However, ensuring client safety is the
69 69 69 69 69 69 69 69 69 69 69 69 69
priority. Health care errors have been widely reported for 25 years, many of which result in
69 69 69 69 69
abirb .com/tes t 6 9 6 9 69 69 69 69 69 69 69
client injury, death, and increased health care costs. There are several national and
69 69 69 69 69 69 69 69 69 69 69 69 69
international organizations that have either recommended or mandated safety initiatives. Every 69 69 69 69 69 69 69 69 69 69
nurse has the responsibility to guard the client’s safety. The other actions are important for
abirb.com/test
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
quality nursing, but they are not as vital as providing safety. Not making medication errors does
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
provide safety, but is too narrow in scope to be the best answer.
69 69 69 69 69 69 69 69 69 69 69 69 69
DIF: Understanding
KEY: Client safety
69 6
T O P : In teg rated Process: Nursing Process: Intervention
9 69
abirb.c o m /test 6 9 6 9 69 69 69 69
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6 9 69 69 69 69 69 69 69 69 69 69 69
2. A nurse is orienting a new client and family to t h e m e d i c a l - surgical unit. What information
69 69 69 69 69 69
abirb.com/ t e s t 69 69 69 69 69
does the nurse provide to best help the client promote his or her own safety?
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
a. Encourage the client and family to be active partners. 69 69 69 69 69 69 69 69
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
69
69
69
69
69
69 69
69
abirb.com/test 69
69 69
69
69
69
69 69
d. Tell the client to always wear his or her armband. 69 69 69 69 69 69 69 69 69
ANS: abirb.com/test
6A 9
Each action could be important for the client or family to perform. However, encouraging the
69 69 69 69 69 69 69 69 69 69 69 69 69 69
client to be active in his or her health care as a safety partner is the most critical. The other
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
actions are very limited in scope and do not provide the broad protection that being active and
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
involved does. 69
abirb.com/test
DIF: Understanding TOP: Integrated Process: Teaching/Learning 6 9 69 69
KEY: Client 6 9 abirb.com/test
safety
69
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6 9 69 69 69 69 69 69 69 69 69 69 69
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse
69
take first?
69
69
69 69 69 69
abirb.com/test 69 69 69 69 69 69
a. Call the Rapid Response Team. 69 69 69 69
b. Document and continue to monitor. 69 69 69 69
c. Notify the primary health care provider. 69 69 69 abirb.com/test
69 69
d. Repeat the blood pressure in 15 minutes. 69 69 69 69 69 69
WWW.NURSYLAB.COM
abirb.com/test
,abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
ANS:
6A purpose of the Rapid Response Team (RRT) is t o intervene when clients are deteriorating
The 9
69 69 69 69 69 abirb.com/tes t 69 69 69 69 69
69 before they suffer either respiratory or cardiac arrest. Since the client has manifested a
69 69 69 69 69 69 69 69 69 69 69 69 69
69 significant change, the nurse would call the RRT. Changes in blood pressure, mental status,
69 69 69 69 69 69 69 69 69 69 69 69 69
69 heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
69 69 69
abirb.com/test 69 69 69 69 69 69 69 69 69
69 significant and are part of the Modified Early Warning System guide. Documentation is vital,
69 69 69 69 69 69 69 69 69 69 69 69 69
69 but the nurse must do more than document. The primary health care provider would be
69 69 69 69 69 69 69 69 69 69 69 69 69 69
notified, but this is not more important than calling the RRT. The client’s blood pressure
abirb.com/test
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
69 would be reassessed frequently, but the priority is getting the rapid care to the client.
69 69 69 69 69 69 69 69 69 69 69 69 69 69
DIF: Applying TOP: Integrated Process: Communication and 6 9 69 69 69
Documentation KEY: Rapid Response Team (RRT), Clinical judgment
69
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
6 9 69
69
69
6 9 69
69
abirb.com/test 69
69
69
69
69 69
69
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
69 69 69 69 69 69 69 69 69 69 69 69 69 69
best demonstrates this concep t?
69
a. Assesses for cultural influences affecting health care. 69 69
69 69
69
a birb.com/test 69 69 69
b. Ensures that all the client’s basic needs are met. 69 69 69 69 69 69 69 69
c. Tells the client and family about all upcoming tests.
abirb.com/test
69 69 69 69 69 69 69 69
d. Thoroughly orients the client and family to the room. 69 69 69 69 69 69 69 69
ANS: 6 9 A
Showing respect for the client and family’s preferences and needs is essential to ensure a
abirb.com/test
69 69 69 69 69 69 69 69 69 69 69 69 69 69
holistic or “whole-person” approach to care. By assessing the effect of the client’s culture on
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
health care, this nurse is practicing client-focused care. Providing for basic needs does not
69 69 69 69 69 69 69 69 69 69 69 69 69 69
demonstrate this competence. Simply telling the client about all upcoming tests is not
69 69 69 69 69 69 69 69 69 69 69 69 69
providingempowering education. Orienting the client and family to the room is an important
69 69
abirb.com/test 69 69 69 69 69 69 69 69
safety measure, but not directly related to demonstrating client-centered care.
69 69 69 69 69 69 69 69 69 69
DIF: Understanding T OP : In teg rated Process: Culture and Spirituality
abirb.c om Client/tNeeds
estCategory: Psychosocial Integrity
6 9 6 9 69 69 69 69
KEY: Client-centered care, Culture
6 9 69 69 MSC: 6 9 69 69 69 69
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
nurse explain is the most important thing the client can do to protect against errors?
69 69
a. Bring a list of all medications and what they are for. 69 69
69
69
69
69
69
69
69
abirb.com/test 69
69
69
69
69
69
69
69
69
69 69 69 69 69
b. Keep the provider’s phone number by the telephone. 69 69 69 69 69 69 69
c. Make sure that all providers wash hands before entering the room.
69 69 69 69 69 69 69 69 69 69
d. Write down the name of each caregiver who comes in the room. 69 69 69 69 69 abirb.com/test 69 69 69 69 69 69
ANS: 6 9 A
Medication reconciliation is a formal process in which the client’s actual current medications are
69 69 69 69 69 69 69 69 69 69 69 69 69
compared to the prescribed medications at the time of admission, transfer, or discharge. This
69 69 69 69 69 abirb.com/test 69 69 69 69 69 69 69 69 69
National client Safety Goal is important to reduce medication errors. The client would not
69 69 69 69 69 69 69 69 69 69 69 69 69 69
have to be responsible for providers washing their hands, and even if the client does so, this is
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
too narrow to be the most important action to prevent errors. Keeping the provider’s phone
69 69 69
number nearby and documenting everyone who enters the room also do not guarantee safety.
69 69
69
69
69
69
69 69
abirb.com/test 69
69 69
69
69
69
69
69 69
69
69 69
69
69
69
69
69
69
DIF: Applying TOP:
6 9 a b i rb .c o m /te s t
Int eg rat e d Pro ce ss: Te ac h in g/ L earning KEY: Client safety, 69 6 9 69
Informatics
69
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6 9 69 69 69 69 69 69 69 69 69 69 69
abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
69 69 69
Surgical Nursing,10th 69 69
Edition, Donna D.
69 69 69
Ignatavicius, Linda
69 69
Workman, Cherie R.
69 69 69
Rebar, Nicole M.
69 69 69
Heimgartner 69
, abirb.com/test
WWW.NURSYLAB.COM
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgicalabirb.com/test
69 69 69 69 69 69 69 69 69
69 Nursing, 10th Edition 69 69 69 69
MULTIPLE CHOICE 69
abirb.com/test
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
new nurse that which is the priority when working as a professional nurse?
abirb.com/test
69 69 69 69 69 69 69 69 69 69 69 69 69
a. Attending to holistic client needs 69 69 69 69
b. Ensuring client safety 69 69
c. Not making medication errors 69 69 69
d. Providing client-focused care 69 69
abirb.com/test 69
ANS: B 6 9
All actions are appropriate for the professional nurse. However, ensuring client safety is the
69 69 69 69 69 69 69 69 69 69 69 69 69
priority. Health care errors have been widely reported for 25 years, many of which result in
69 69 69 69 69
abirb .com/tes t 6 9 6 9 69 69 69 69 69 69 69
client injury, death, and increased health care costs. There are several national and
69 69 69 69 69 69 69 69 69 69 69 69 69
international organizations that have either recommended or mandated safety initiatives. Every 69 69 69 69 69 69 69 69 69 69
nurse has the responsibility to guard the client’s safety. The other actions are important for
abirb.com/test
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
quality nursing, but they are not as vital as providing safety. Not making medication errors does
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
provide safety, but is too narrow in scope to be the best answer.
69 69 69 69 69 69 69 69 69 69 69 69 69
DIF: Understanding
KEY: Client safety
69 6
T O P : In teg rated Process: Nursing Process: Intervention
9 69
abirb.c o m /test 6 9 6 9 69 69 69 69
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6 9 69 69 69 69 69 69 69 69 69 69 69
2. A nurse is orienting a new client and family to t h e m e d i c a l - surgical unit. What information
69 69 69 69 69 69
abirb.com/ t e s t 69 69 69 69 69
does the nurse provide to best help the client promote his or her own safety?
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
a. Encourage the client and family to be active partners. 69 69 69 69 69 69 69 69
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
69
69
69
69
69
69 69
69
abirb.com/test 69
69 69
69
69
69
69 69
d. Tell the client to always wear his or her armband. 69 69 69 69 69 69 69 69 69
ANS: abirb.com/test
6A 9
Each action could be important for the client or family to perform. However, encouraging the
69 69 69 69 69 69 69 69 69 69 69 69 69 69
client to be active in his or her health care as a safety partner is the most critical. The other
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
actions are very limited in scope and do not provide the broad protection that being active and
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
involved does. 69
abirb.com/test
DIF: Understanding TOP: Integrated Process: Teaching/Learning 6 9 69 69
KEY: Client 6 9 abirb.com/test
safety
69
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6 9 69 69 69 69 69 69 69 69 69 69 69
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse
69
take first?
69
69
69 69 69 69
abirb.com/test 69 69 69 69 69 69
a. Call the Rapid Response Team. 69 69 69 69
b. Document and continue to monitor. 69 69 69 69
c. Notify the primary health care provider. 69 69 69 abirb.com/test
69 69
d. Repeat the blood pressure in 15 minutes. 69 69 69 69 69 69
WWW.NURSYLAB.COM
abirb.com/test
,abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
ANS:
6A purpose of the Rapid Response Team (RRT) is t o intervene when clients are deteriorating
The 9
69 69 69 69 69 abirb.com/tes t 69 69 69 69 69
69 before they suffer either respiratory or cardiac arrest. Since the client has manifested a
69 69 69 69 69 69 69 69 69 69 69 69 69
69 significant change, the nurse would call the RRT. Changes in blood pressure, mental status,
69 69 69 69 69 69 69 69 69 69 69 69 69
69 heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
69 69 69
abirb.com/test 69 69 69 69 69 69 69 69 69
69 significant and are part of the Modified Early Warning System guide. Documentation is vital,
69 69 69 69 69 69 69 69 69 69 69 69 69
69 but the nurse must do more than document. The primary health care provider would be
69 69 69 69 69 69 69 69 69 69 69 69 69 69
notified, but this is not more important than calling the RRT. The client’s blood pressure
abirb.com/test
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
69 would be reassessed frequently, but the priority is getting the rapid care to the client.
69 69 69 69 69 69 69 69 69 69 69 69 69 69
DIF: Applying TOP: Integrated Process: Communication and 6 9 69 69 69
Documentation KEY: Rapid Response Team (RRT), Clinical judgment
69
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
6 9 69
69
69
6 9 69
69
abirb.com/test 69
69
69
69
69 69
69
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
69 69 69 69 69 69 69 69 69 69 69 69 69 69
best demonstrates this concep t?
69
a. Assesses for cultural influences affecting health care. 69 69
69 69
69
a birb.com/test 69 69 69
b. Ensures that all the client’s basic needs are met. 69 69 69 69 69 69 69 69
c. Tells the client and family about all upcoming tests.
abirb.com/test
69 69 69 69 69 69 69 69
d. Thoroughly orients the client and family to the room. 69 69 69 69 69 69 69 69
ANS: 6 9 A
Showing respect for the client and family’s preferences and needs is essential to ensure a
abirb.com/test
69 69 69 69 69 69 69 69 69 69 69 69 69 69
holistic or “whole-person” approach to care. By assessing the effect of the client’s culture on
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
health care, this nurse is practicing client-focused care. Providing for basic needs does not
69 69 69 69 69 69 69 69 69 69 69 69 69 69
demonstrate this competence. Simply telling the client about all upcoming tests is not
69 69 69 69 69 69 69 69 69 69 69 69 69
providingempowering education. Orienting the client and family to the room is an important
69 69
abirb.com/test 69 69 69 69 69 69 69 69
safety measure, but not directly related to demonstrating client-centered care.
69 69 69 69 69 69 69 69 69 69
DIF: Understanding T OP : In teg rated Process: Culture and Spirituality
abirb.c om Client/tNeeds
estCategory: Psychosocial Integrity
6 9 6 9 69 69 69 69
KEY: Client-centered care, Culture
6 9 69 69 MSC: 6 9 69 69 69 69
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
nurse explain is the most important thing the client can do to protect against errors?
69 69
a. Bring a list of all medications and what they are for. 69 69
69
69
69
69
69
69
69
abirb.com/test 69
69
69
69
69
69
69
69
69
69 69 69 69 69
b. Keep the provider’s phone number by the telephone. 69 69 69 69 69 69 69
c. Make sure that all providers wash hands before entering the room.
69 69 69 69 69 69 69 69 69 69
d. Write down the name of each caregiver who comes in the room. 69 69 69 69 69 abirb.com/test 69 69 69 69 69 69
ANS: 6 9 A
Medication reconciliation is a formal process in which the client’s actual current medications are
69 69 69 69 69 69 69 69 69 69 69 69 69
compared to the prescribed medications at the time of admission, transfer, or discharge. This
69 69 69 69 69 abirb.com/test 69 69 69 69 69 69 69 69 69
National client Safety Goal is important to reduce medication errors. The client would not
69 69 69 69 69 69 69 69 69 69 69 69 69 69
have to be responsible for providers washing their hands, and even if the client does so, this is
69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69 69
too narrow to be the most important action to prevent errors. Keeping the provider’s phone
69 69 69
number nearby and documenting everyone who enters the room also do not guarantee safety.
69 69
69
69
69
69
69 69
abirb.com/test 69
69 69
69
69
69
69
69 69
69
69 69
69
69
69
69
69
69
DIF: Applying TOP:
6 9 a b i rb .c o m /te s t
Int eg rat e d Pro ce ss: Te ac h in g/ L earning KEY: Client safety, 69 6 9 69
Informatics
69
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6 9 69 69 69 69 69 69 69 69 69 69 69
abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
