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-
WS WS WS WS WS WS WS WS
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
WS WS WS WS WS WS
MULTIPLE CHOICE WS
1. A new nurse is working with a preceptor on a medical-
WS WS WS WS WS WS WS WS WS WS
surgical unit. The preceptor advises the new nurse that which is the priority when working as
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
WS a professional nurse?
WS WS
a. Attending to holistic client needs WS WS WS WS
b. Ensuring client safety WS WS
c. Not making medication errors WS WS WS
d. Providing client-focused care WS WS
CORRECT ANSWER: B WS W S
All actions are appropriate for the professional nurse. However, ensuring client safety is the p
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
riority. Health care errors have been widely reported for 25 years, many of which result in cli
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
ent injury, death, and increased health care costs. There are several national and internation
WS WS WS WS WS WS WS WS WS WS WS WS WS
al organizations that have either recommended or mandated safety initiatives.
WS WS WS WS WS WS WS WS WS
Every nurse has the responsibility to guard the client’s safety. The other actions are importan
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
t for quality nursing, but they are not as vital as providing safety. Not making medication erro
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
rs does provide safety, but is too narrow in scope to be the best answer.
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
DIF: Understanding
TOP: Integrated Process: Nursing Process: Intervention KEY: Client safety
W S WS WS WS WS WS WS WS
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
W S WS WS WS WS WS WS WS WS WS WS WS
2. A nurse is orienting a new client and family to the medical-
WS WS WS WS WS WS WS WS WS WS WS
surgical unit. What information does the nurse provide to best help the client promote hi
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
s or her own safety?
WS WS WS WS
a. Encourage the client and family to be active partners. WS WS WS WS WS WS WS WS
b. Have the client monitor hand hygiene in caregivers.
WS WS WS WS WS WS WS
c. Offer the family the opportunity to stay with the client.
WS WS WS WS WS WS WS WS WS
d. Tell the client to always wear his or her armband.
WS WS WS WS WS WS WS WS WS
CORRECT ANSWER: A WS W S
, Each action could be important for the client or family to perform. However, encouraging the
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
WS client to be active in his or her health care as a safety partner is the most critical. The other a
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
ctions are very limited in scope and do not provide the broad protection that being active and
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS W
S involved does. WS
DIF: Understanding
TOP: Integrated Process: Teaching/Learning KEY: Client safety
WS WS WS WS WS WS
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
W S WS WS WS WS WS WS WS WS WS WS WS
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurs
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
e take first?
WS WS
a. Call the Rapid Response Team.
WS WS WS WS
b. Document and continue to monitor. WS WS WS WS
c. Notify the primary health care provider.
WS WS WS WS WS
d. Repeat the blood pressure in 15 minutes.
WS WS WS WS WS WS
, CORRECT ANSWER: A WS W S
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
before they suffer either respiratory or cardiac arrest. Since the client has manifested a signif
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
icant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart r
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
ate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly significan
WS WS WS WS WS WS WS WS WS WS WS WS
t and are part of the Modified Early Warning System guide. Documentation is vital, but the n
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
urse must do more than document. The primary health care provider would be notified, but
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
this is not more important than calling the RRT. The client’s blood pressure would be reasses
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
sed frequently, but the priority is getting the rapid care to the client.
WS WS WS WS WS WS WS WS WS WS WS WS
DIF: Applying
TOP: Integrated Process: Communication and Documentation KEY: Rapid Re
W S WS WS WS WS WS WS WS
sponse Team (RRT), Clinical judgment
WS WS WS WS
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
W S WS WS WS WS WS WS
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
best demonstrates this concept?
WS WS WS
a. Assesses for cultural influences affecting health care. WS WS WS WS WS WS
b. Ensures that all the client’s basic needs are met. WS WS WS WS WS WS WS WS
c. Tells the client and family about all upcoming tests.
WS WS WS WS WS WS WS WS
d. Thoroughly orients the client and family to the room. WS WS WS WS WS WS WS WS
CORRECT ANSWER: A WS W S
Showing respect for the client and family’s preferences and needs is essential to ensure a hol
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
istic or “whole-WS WS
person” approach to care. By assessing the effect of the client’s culture on health care, this n
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
urse is practicing client-
WS WS WS
focused care. Providing for basic needs does not demonstrate this competence. Simply tellin
WS WS WS WS WS WS WS WS WS WS WS WS
g the client about all upcoming tests is not providing empowering education. Orienting the cli
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
ent and family to the room is an important safety measure, but not directly related to demon
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
strating client-centered care. WS WS
DIF: Understanding
TOP: Integrated Process: Culture and Spirituality KEY: Client-centered care, Culture
WS WS WS WS WS WS W S WS WS
MSC: Client Needs Category: Psychosocial Integrity
W S WS WS WS WS
5. A client is going to be admitted for a scheduled surgical procedure. Which action does th
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
e nurse explain is the most important thing the client can do to protect against errors?
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
a. Bring a list of all medications and what they are for.
WS WS WS WS WS WS WS WS WS WS
10th Edition Concepts for Interprofessional
Collaborative Care, by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
WS WS WS WS WS WS WS WS
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
WS WS WS WS WS WS
MULTIPLE CHOICE WS
1. A new nurse is working with a preceptor on a medical-
WS WS WS WS WS WS WS WS WS WS
surgical unit. The preceptor advises the new nurse that which is the priority when working as
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
WS a professional nurse?
WS WS
a. Attending to holistic client needs WS WS WS WS
b. Ensuring client safety WS WS
c. Not making medication errors WS WS WS
d. Providing client-focused care WS WS
CORRECT ANSWER: B WS W S
All actions are appropriate for the professional nurse. However, ensuring client safety is the p
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
riority. Health care errors have been widely reported for 25 years, many of which result in cli
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
ent injury, death, and increased health care costs. There are several national and internation
WS WS WS WS WS WS WS WS WS WS WS WS WS
al organizations that have either recommended or mandated safety initiatives.
WS WS WS WS WS WS WS WS WS
Every nurse has the responsibility to guard the client’s safety. The other actions are importan
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
t for quality nursing, but they are not as vital as providing safety. Not making medication erro
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
rs does provide safety, but is too narrow in scope to be the best answer.
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
DIF: Understanding
TOP: Integrated Process: Nursing Process: Intervention KEY: Client safety
W S WS WS WS WS WS WS WS
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
W S WS WS WS WS WS WS WS WS WS WS WS
2. A nurse is orienting a new client and family to the medical-
WS WS WS WS WS WS WS WS WS WS WS
surgical unit. What information does the nurse provide to best help the client promote hi
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
s or her own safety?
WS WS WS WS
a. Encourage the client and family to be active partners. WS WS WS WS WS WS WS WS
b. Have the client monitor hand hygiene in caregivers.
WS WS WS WS WS WS WS
c. Offer the family the opportunity to stay with the client.
WS WS WS WS WS WS WS WS WS
d. Tell the client to always wear his or her armband.
WS WS WS WS WS WS WS WS WS
CORRECT ANSWER: A WS W S
, Each action could be important for the client or family to perform. However, encouraging the
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
WS client to be active in his or her health care as a safety partner is the most critical. The other a
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
ctions are very limited in scope and do not provide the broad protection that being active and
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS W
S involved does. WS
DIF: Understanding
TOP: Integrated Process: Teaching/Learning KEY: Client safety
WS WS WS WS WS WS
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
W S WS WS WS WS WS WS WS WS WS WS WS
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurs
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
e take first?
WS WS
a. Call the Rapid Response Team.
WS WS WS WS
b. Document and continue to monitor. WS WS WS WS
c. Notify the primary health care provider.
WS WS WS WS WS
d. Repeat the blood pressure in 15 minutes.
WS WS WS WS WS WS
, CORRECT ANSWER: A WS W S
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
before they suffer either respiratory or cardiac arrest. Since the client has manifested a signif
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
icant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart r
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
ate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly significan
WS WS WS WS WS WS WS WS WS WS WS WS
t and are part of the Modified Early Warning System guide. Documentation is vital, but the n
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
urse must do more than document. The primary health care provider would be notified, but
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
this is not more important than calling the RRT. The client’s blood pressure would be reasses
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
sed frequently, but the priority is getting the rapid care to the client.
WS WS WS WS WS WS WS WS WS WS WS WS
DIF: Applying
TOP: Integrated Process: Communication and Documentation KEY: Rapid Re
W S WS WS WS WS WS WS WS
sponse Team (RRT), Clinical judgment
WS WS WS WS
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
W S WS WS WS WS WS WS
4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
best demonstrates this concept?
WS WS WS
a. Assesses for cultural influences affecting health care. WS WS WS WS WS WS
b. Ensures that all the client’s basic needs are met. WS WS WS WS WS WS WS WS
c. Tells the client and family about all upcoming tests.
WS WS WS WS WS WS WS WS
d. Thoroughly orients the client and family to the room. WS WS WS WS WS WS WS WS
CORRECT ANSWER: A WS W S
Showing respect for the client and family’s preferences and needs is essential to ensure a hol
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
istic or “whole-WS WS
person” approach to care. By assessing the effect of the client’s culture on health care, this n
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
urse is practicing client-
WS WS WS
focused care. Providing for basic needs does not demonstrate this competence. Simply tellin
WS WS WS WS WS WS WS WS WS WS WS WS
g the client about all upcoming tests is not providing empowering education. Orienting the cli
WS WS WS WS WS WS WS WS WS WS WS WS WS WS
ent and family to the room is an important safety measure, but not directly related to demon
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
strating client-centered care. WS WS
DIF: Understanding
TOP: Integrated Process: Culture and Spirituality KEY: Client-centered care, Culture
WS WS WS WS WS WS W S WS WS
MSC: Client Needs Category: Psychosocial Integrity
W S WS WS WS WS
5. A client is going to be admitted for a scheduled surgical procedure. Which action does th
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
e nurse explain is the most important thing the client can do to protect against errors?
WS WS WS WS WS WS WS WS WS WS WS WS WS WS WS
a. Bring a list of all medications and what they are for.
WS WS WS WS WS WS WS WS WS WS
