Medical Surgical Nursing 11th Edition Concepts
for Interprofessional Collaborative Care, by
Donna D. Ignatavicius, All chapters 1 – 100(pass
100%)*Verified and Updated!!
Unit I: Foundations of Medical-Surgical Nursing (Ch. 1-9)
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
2. A nurse is orienting a new client and family to the unit. What information does the
nurse provide to best help the client promote their 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 their armband.
3. A nurse is caring for a postoperative client whose blood pressure was 142/76 mm Hg 30
minutes ago and is now 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.
4. A nurse wishes to provide client-centered care. Which action best demonstrates this
concept?
a. Assesses for cultural influences affecting health care.
b. Ensures that all the client’s basic needs are met.
c. Tells the client and family about all upcoming tests.
d. Thoroughly orients the client and family to the room.
5. A client is being admitted for surgery. Which action does the nurse explain is the most
important for the client to do to protect against errors?
a. Bring a list of all medications and what they are for.
,b. Keep the provider’s phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
6. Which action by the nurse best demonstrates respect for client autonomy?
a. Asks if the client has questions before signing a consent.
b. Gives the client accurate information when questioned.
c. Keeps the promises made to the client and family.
d. Treats the client fairly compared to other clients.
7. A nurse is calling the on-call provider about a client with unrelieved pain. Which
statement comprises the "Background" portion of the SBAR format?
a. "I would like you to order a different pain medication."
b. "This client has allergies to morphine and codeine."
c. "Dr. Smith doesn’t like nonsteroidal anti-inflammatory meds."
d. "This client had a vaginal hysterectomy 2 days ago."
8. A 72-year-old post-op hip replacement patient reports sudden chest discomfort and
shortness of breath 18 hours after surgery. Pulse 110, BP 130/78, RR 28, SpO₂ 88% on
room air. Which action should the nurse perform first?
a. Administer PRN opioid for pain.
b. Apply oxygen via nasal cannula at 2 L/min and reassess SpO₂.
c. Reassess pain level and check the surgical dressing.
d. Encourage deep-breathing and incentive spirometry.
9. A client with heart failure has reduced urine output and 2+ pedal edema. The nurse
notes a weight gain of 2 kg (4.4 lbs) since yesterday. What is the nurse’s priority action?
a. Hold the morning dose of furosemide and notify the provider.
b. Encourage the patient to drink more fluids.
c. Assess vitals, check serum electrolytes, and notify the provider.
d. Apply compression stockings and reweigh in 12 hours.
10. An 86-year-old with early-stage dementia is admitted after a fall. Which intervention
best reduces the immediate risk of delirium?
a. Keep the patient on bed rest to prevent further falls.
b. Provide familiar hearing aids and glasses and maintain day–night orientation.
c. Start a low-dose antipsychotic prophylactically at night.
d. Restrict visitors to minimize stimulation and confusion.
11. A postoperative patient reports 8/10 pain despite receiving an opioid 30 minutes ago.
The patient is drowsy but arousable. What is the most appropriate action?
a. Administer another opioid dose immediately.
b. Reassess pain, provide nonpharmacologic measures, and consult the provider for
multimodal analgesia.
, c. Tell the patient pain is expected and to wait longer.
d. Discontinue monitoring because the patient is sleeping.
12. A 58-year-old stroke survivor can sit unsupported but has right-sided weakness. Which
referral is the highest priority for home safety?
a. Outpatient cardiology follow-up.
b. Home health physical therapy and occupational therapy evaluation.
c. Referral to a community stroke support group.
d. Nutrition consult for dietary modification.
13. A client with end-stage COPD has severe dyspnea. The family is worried that morphine
will hasten death. What is the nurse’s best response?
a. "You are right to be concerned; we will avoid opioids."
b. "Morphine is used to relieve the feeling of breathlessness and does not intentionally
hasten death."
c. "We can ask for a benzodiazepine instead; it works better."
d. "These symptoms will resolve without medications."
14. A client scheduled for laparoscopic cholecystectomy reports taking aspirin 81 mg daily.
What is the nurse’s most appropriate action?
a. Tell the patient to stop the aspirin immediately.
b. Document aspirin use and notify the surgeon/anesthesia team.
c. Explain that aspirin is safe to continue.
d. Administer a different antiplatelet to balance risk.
Unit II: Concepts of Emergency Care and Health Promotion (Ch. 10-15)
15. A caregiver is working at a first aid booth on a hot day. A spectator has a temperature
of 104.1°F (40°C), pulse 132, and is stumbling while walking. What is the priority action?
a. Administer Tylenol 650 mg orally.
b. Encourage rest and reassess in 15 minutes.
c. Sponge the victim with cool water and remove their shirt.
d. Encourage drinking of cool water or sports drink.
16. Which clients are at greater risk for hypothermia or frostbite? (Select all that apply)
a. An older woman with hypertension
b. A young man with a BMI of 42
c. A young man who just consumed six martinis
d. An older man who smokes a pack of cigarettes daily
e. A young woman who is anorexic
f. A young woman who is diabetic
for Interprofessional Collaborative Care, by
Donna D. Ignatavicius, All chapters 1 – 100(pass
100%)*Verified and Updated!!
Unit I: Foundations of Medical-Surgical Nursing (Ch. 1-9)
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
2. A nurse is orienting a new client and family to the unit. What information does the
nurse provide to best help the client promote their 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 their armband.
3. A nurse is caring for a postoperative client whose blood pressure was 142/76 mm Hg 30
minutes ago and is now 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.
4. A nurse wishes to provide client-centered care. Which action best demonstrates this
concept?
a. Assesses for cultural influences affecting health care.
b. Ensures that all the client’s basic needs are met.
c. Tells the client and family about all upcoming tests.
d. Thoroughly orients the client and family to the room.
5. A client is being admitted for surgery. Which action does the nurse explain is the most
important for the client to do to protect against errors?
a. Bring a list of all medications and what they are for.
,b. Keep the provider’s phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
6. Which action by the nurse best demonstrates respect for client autonomy?
a. Asks if the client has questions before signing a consent.
b. Gives the client accurate information when questioned.
c. Keeps the promises made to the client and family.
d. Treats the client fairly compared to other clients.
7. A nurse is calling the on-call provider about a client with unrelieved pain. Which
statement comprises the "Background" portion of the SBAR format?
a. "I would like you to order a different pain medication."
b. "This client has allergies to morphine and codeine."
c. "Dr. Smith doesn’t like nonsteroidal anti-inflammatory meds."
d. "This client had a vaginal hysterectomy 2 days ago."
8. A 72-year-old post-op hip replacement patient reports sudden chest discomfort and
shortness of breath 18 hours after surgery. Pulse 110, BP 130/78, RR 28, SpO₂ 88% on
room air. Which action should the nurse perform first?
a. Administer PRN opioid for pain.
b. Apply oxygen via nasal cannula at 2 L/min and reassess SpO₂.
c. Reassess pain level and check the surgical dressing.
d. Encourage deep-breathing and incentive spirometry.
9. A client with heart failure has reduced urine output and 2+ pedal edema. The nurse
notes a weight gain of 2 kg (4.4 lbs) since yesterday. What is the nurse’s priority action?
a. Hold the morning dose of furosemide and notify the provider.
b. Encourage the patient to drink more fluids.
c. Assess vitals, check serum electrolytes, and notify the provider.
d. Apply compression stockings and reweigh in 12 hours.
10. An 86-year-old with early-stage dementia is admitted after a fall. Which intervention
best reduces the immediate risk of delirium?
a. Keep the patient on bed rest to prevent further falls.
b. Provide familiar hearing aids and glasses and maintain day–night orientation.
c. Start a low-dose antipsychotic prophylactically at night.
d. Restrict visitors to minimize stimulation and confusion.
11. A postoperative patient reports 8/10 pain despite receiving an opioid 30 minutes ago.
The patient is drowsy but arousable. What is the most appropriate action?
a. Administer another opioid dose immediately.
b. Reassess pain, provide nonpharmacologic measures, and consult the provider for
multimodal analgesia.
, c. Tell the patient pain is expected and to wait longer.
d. Discontinue monitoring because the patient is sleeping.
12. A 58-year-old stroke survivor can sit unsupported but has right-sided weakness. Which
referral is the highest priority for home safety?
a. Outpatient cardiology follow-up.
b. Home health physical therapy and occupational therapy evaluation.
c. Referral to a community stroke support group.
d. Nutrition consult for dietary modification.
13. A client with end-stage COPD has severe dyspnea. The family is worried that morphine
will hasten death. What is the nurse’s best response?
a. "You are right to be concerned; we will avoid opioids."
b. "Morphine is used to relieve the feeling of breathlessness and does not intentionally
hasten death."
c. "We can ask for a benzodiazepine instead; it works better."
d. "These symptoms will resolve without medications."
14. A client scheduled for laparoscopic cholecystectomy reports taking aspirin 81 mg daily.
What is the nurse’s most appropriate action?
a. Tell the patient to stop the aspirin immediately.
b. Document aspirin use and notify the surgeon/anesthesia team.
c. Explain that aspirin is safe to continue.
d. Administer a different antiplatelet to balance risk.
Unit II: Concepts of Emergency Care and Health Promotion (Ch. 10-15)
15. A caregiver is working at a first aid booth on a hot day. A spectator has a temperature
of 104.1°F (40°C), pulse 132, and is stumbling while walking. What is the priority action?
a. Administer Tylenol 650 mg orally.
b. Encourage rest and reassess in 15 minutes.
c. Sponge the victim with cool water and remove their shirt.
d. Encourage drinking of cool water or sports drink.
16. Which clients are at greater risk for hypothermia or frostbite? (Select all that apply)
a. An older woman with hypertension
b. A young man with a BMI of 42
c. A young man who just consumed six martinis
d. An older man who smokes a pack of cigarettes daily
e. A young woman who is anorexic
f. A young woman who is diabetic
