Medical-Surgical Nursing
11th Edition
• Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
• Print ISBN: 9780323878265
TEST BANK
Question 1
A nurse is caring for four clients on a medical-surgical unit.
Which client should the nurse assess first?
,A. A client requesting assistance with discharge instructions
B. A client reporting new-onset shortness of breath
C. A client awaiting routine medication administration
D. A client asking for a meal tray adjustment
Correct Answer: B
Rationale:
The client reporting new-onset shortness of breath may be
experiencing a potentially life-threatening alteration in
oxygenation and requires immediate assessment. Prioritization
begins with identifying threats to airway, breathing, and
circulation. The other situations are important but do not
indicate immediate physiologic instability.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 2
A nurse receives a provider prescription that appears unclear
and potentially unsafe. What is the nurse's priority action?
A. Implement the prescription as written
B. Ask another nurse to interpret the prescription
C. Clarify the prescription before implementation
D. Delay all client care until the provider arrives
Correct Answer: C
,Rationale:
The nurse is legally and professionally responsible for ensuring
prescriptions are accurate and safe before implementation.
Clarification protects client safety and reduces the risk of
medication or treatment errors. Implementing an unclear
prescription may jeopardize the client.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 3
A nurse recognizes that a client's condition has changed from
stable to unstable. Which clinical judgment action should occur
first?
A. Document the change
B. Recognize and interpret the significance of the findings
C. Complete the end-of-shift report
D. Review hospital policies
Correct Answer: B
Rationale:
Clinical judgment begins with recognizing relevant cues and
determining their significance. Accurate interpretation allows
the nurse to make safe decisions and implement appropriate
, interventions. Documentation follows assessment and
intervention.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 4
A nurse is caring for a client who refuses a recommended
treatment. Which ethical principle is being demonstrated?
A. Beneficence
B. Fidelity
C. Autonomy
D. Justice
Correct Answer: C
Rationale:
Autonomy recognizes the client's right to make informed
decisions regarding healthcare, including refusal of treatment.
Beneficence involves promoting good, fidelity involves keeping
commitments, and justice concerns fairness in care delivery.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
11th Edition
• Author(s)Donna D. Ignatavicius;
Cherie R. Rebar; Nicole M.
Heimgartner
• Print ISBN: 9780323878265
TEST BANK
Question 1
A nurse is caring for four clients on a medical-surgical unit.
Which client should the nurse assess first?
,A. A client requesting assistance with discharge instructions
B. A client reporting new-onset shortness of breath
C. A client awaiting routine medication administration
D. A client asking for a meal tray adjustment
Correct Answer: B
Rationale:
The client reporting new-onset shortness of breath may be
experiencing a potentially life-threatening alteration in
oxygenation and requires immediate assessment. Prioritization
begins with identifying threats to airway, breathing, and
circulation. The other situations are important but do not
indicate immediate physiologic instability.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 2
A nurse receives a provider prescription that appears unclear
and potentially unsafe. What is the nurse's priority action?
A. Implement the prescription as written
B. Ask another nurse to interpret the prescription
C. Clarify the prescription before implementation
D. Delay all client care until the provider arrives
Correct Answer: C
,Rationale:
The nurse is legally and professionally responsible for ensuring
prescriptions are accurate and safe before implementation.
Clarification protects client safety and reduces the risk of
medication or treatment errors. Implementing an unclear
prescription may jeopardize the client.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 3
A nurse recognizes that a client's condition has changed from
stable to unstable. Which clinical judgment action should occur
first?
A. Document the change
B. Recognize and interpret the significance of the findings
C. Complete the end-of-shift report
D. Review hospital policies
Correct Answer: B
Rationale:
Clinical judgment begins with recognizing relevant cues and
determining their significance. Accurate interpretation allows
the nurse to make safe decisions and implement appropriate
, interventions. Documentation follows assessment and
intervention.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
Question 4
A nurse is caring for a client who refuses a recommended
treatment. Which ethical principle is being demonstrated?
A. Beneficence
B. Fidelity
C. Autonomy
D. Justice
Correct Answer: C
Rationale:
Autonomy recognizes the client's right to make informed
decisions regarding healthcare, including refusal of treatment.
Beneficence involves promoting good, fidelity involves keeping
commitments, and justice concerns fairness in care delivery.
Source:
Medical-Surgical Nursing, 8th Edition — Unit I: Aspects of
Medical-Surgical Nursing
