TEST BANK
Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care
Donna D. Ignatavicius
10th Edition
Chapters 1-69 (Questions with Rationalized Answers)
,Table of Contents
1. Overview of Professional Nursing Concepts for Medical-Surgical Nursing
2. Clinical Judgment and Systems Thinking
3. Overview of Health Concepts for Medical-Surgical Nursing
4. Common Health Problems of Older Adults
5. Assessment and Care of Patients With Pain
6. Concepts of Genetics and Genomics
7. Concepts of Rehabilitation for Chronic and Disabling Health Problems
8. Concepts of Care for Patients at End of Life
9. Concepts of Care for Perioperative Patients
10. Concepts of Emergency and Trauma Nursing
11. Concepts of Care for Patients With Common Environmental Emergencies
12. Concepts of Disaster Preparedness
13. Concepts of Fluid and Electrolyte Balance
14. Concepts of Acid-Base Balance
15. Concepts of Infusion Therapy
16. Concepts of Inflammation and Immunity
17. Concepts of Care for Patients With HIV Disease
18. Concepts of Care for Patients With Hypersensitivity (Allergy) and Autoimmunity
19. Concepts of Cancer Development
20. Concepts of Care for Patients With Cancer
21. Concepts of Care for Patients With Infection
22. Assessment of the Skin, Hair, and Nails
23. Concepts of Care for Patients With Skin Problems
24. Assessment of the Respiratory System
25. Concepts of Care for Patients Requiring Oxygen Therapy or Tracheostomy
26. Concepts of Care for Patients With Noninfectious Upper Respiratory Problems
27. Concepts of Care for Patients With Noninfectious Lower Respiratory Problems
28. Concepts of Care for Patients With Infectious Respiratory Problems
29. Concepts of Critical Care for Patients With Respiratory Emergencies
30. Assessment of the Cardiovascular System
31. Concepts of Care for Patients With Dysrhythmias
32. Concepts of Care for Patients With Cardiac Problems
33. Concepts of Care for Patients With Vascular Problems
34. Concepts of Critical Care for Patients With Shock
35. Concepts of Critical Care for Patients With Acute Coronary Syndromes
36. Assessment of the Hematologic System
37. Concepts of Care for Patients With Hematologic Problems
38. Assessment of the Nervous System
39. Concepts of Care for Patients With Problems of the Central Nervous System: The Brain
40. Concepts of Care for Patients With Problems of the Central Nervous System: The Spinal Cord
41. Concepts of Critical Care for Patients With Neurologic Emergencies
42. Assessment of the Eye and Vision
43. Assessment of the Ear and Hearing
44. Assessment of the Musculoskeletal System
45. Concepts of Care for Patients With Musculoskeletal Problems
46. Concepts of Care for Patients With Arthritis and Total Joint Arthroplasty
47. Concepts of Care for Patients With Musculoskeletal Trauma
48. Assessment of the Gastrointestinal System
49. Concepts of Care for Patients With Oral Cavity and Oesophageal Problems
50. Concepts of Care for Patients With Stomach Disorders
51. Concepts of Care for Patients With Noninflammatory Intestinal Disorders
52. Concepts of Care for Patients With Inflammatory Intestinal Disorders
53. Concepts of Care for Patients With Liver Problems
54. Concepts of Care for Patients With Problems of the Biliary System and Pancreas
55. Concepts of Care for Patients With Malnutrition: Undernutrition and Obesity
,56. Assessment of the Endocrine System
57. Concepts of Care for Patients With Pituitary and Adrenal Gland Problems
58. Concepts of Care for Patients With Problems of the Thyroid and Parathyroid Glands
59. Concepts of Care for Patients With Diabetes Mellitus
60. Assessment of the Renal/Urinary System
61. Concepts of Care for Patients With Urinary Problems
62. Concepts of Care for Patients With Kidney Disorders
63. Concepts of Care for Patients With Acute Kidney Injury and Chronic Kidney Disease
64. Assessment of the Reproductive System
65. Concepts of Care for Patients with Breast Disorders
66. Concepts of Care for Patients With Gynaecologic Problems
67. Concepts of Care for Clients With Male Reproductive Problems
68. Concepts of Care for Transgender Patients
69. Concepts of Care for Patients With Sexually Transmitted Infections
, Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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
ANS: 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 client9s 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.
ANS: 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 client9s 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.
Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care
Donna D. Ignatavicius
10th Edition
Chapters 1-69 (Questions with Rationalized Answers)
,Table of Contents
1. Overview of Professional Nursing Concepts for Medical-Surgical Nursing
2. Clinical Judgment and Systems Thinking
3. Overview of Health Concepts for Medical-Surgical Nursing
4. Common Health Problems of Older Adults
5. Assessment and Care of Patients With Pain
6. Concepts of Genetics and Genomics
7. Concepts of Rehabilitation for Chronic and Disabling Health Problems
8. Concepts of Care for Patients at End of Life
9. Concepts of Care for Perioperative Patients
10. Concepts of Emergency and Trauma Nursing
11. Concepts of Care for Patients With Common Environmental Emergencies
12. Concepts of Disaster Preparedness
13. Concepts of Fluid and Electrolyte Balance
14. Concepts of Acid-Base Balance
15. Concepts of Infusion Therapy
16. Concepts of Inflammation and Immunity
17. Concepts of Care for Patients With HIV Disease
18. Concepts of Care for Patients With Hypersensitivity (Allergy) and Autoimmunity
19. Concepts of Cancer Development
20. Concepts of Care for Patients With Cancer
21. Concepts of Care for Patients With Infection
22. Assessment of the Skin, Hair, and Nails
23. Concepts of Care for Patients With Skin Problems
24. Assessment of the Respiratory System
25. Concepts of Care for Patients Requiring Oxygen Therapy or Tracheostomy
26. Concepts of Care for Patients With Noninfectious Upper Respiratory Problems
27. Concepts of Care for Patients With Noninfectious Lower Respiratory Problems
28. Concepts of Care for Patients With Infectious Respiratory Problems
29. Concepts of Critical Care for Patients With Respiratory Emergencies
30. Assessment of the Cardiovascular System
31. Concepts of Care for Patients With Dysrhythmias
32. Concepts of Care for Patients With Cardiac Problems
33. Concepts of Care for Patients With Vascular Problems
34. Concepts of Critical Care for Patients With Shock
35. Concepts of Critical Care for Patients With Acute Coronary Syndromes
36. Assessment of the Hematologic System
37. Concepts of Care for Patients With Hematologic Problems
38. Assessment of the Nervous System
39. Concepts of Care for Patients With Problems of the Central Nervous System: The Brain
40. Concepts of Care for Patients With Problems of the Central Nervous System: The Spinal Cord
41. Concepts of Critical Care for Patients With Neurologic Emergencies
42. Assessment of the Eye and Vision
43. Assessment of the Ear and Hearing
44. Assessment of the Musculoskeletal System
45. Concepts of Care for Patients With Musculoskeletal Problems
46. Concepts of Care for Patients With Arthritis and Total Joint Arthroplasty
47. Concepts of Care for Patients With Musculoskeletal Trauma
48. Assessment of the Gastrointestinal System
49. Concepts of Care for Patients With Oral Cavity and Oesophageal Problems
50. Concepts of Care for Patients With Stomach Disorders
51. Concepts of Care for Patients With Noninflammatory Intestinal Disorders
52. Concepts of Care for Patients With Inflammatory Intestinal Disorders
53. Concepts of Care for Patients With Liver Problems
54. Concepts of Care for Patients With Problems of the Biliary System and Pancreas
55. Concepts of Care for Patients With Malnutrition: Undernutrition and Obesity
,56. Assessment of the Endocrine System
57. Concepts of Care for Patients With Pituitary and Adrenal Gland Problems
58. Concepts of Care for Patients With Problems of the Thyroid and Parathyroid Glands
59. Concepts of Care for Patients With Diabetes Mellitus
60. Assessment of the Renal/Urinary System
61. Concepts of Care for Patients With Urinary Problems
62. Concepts of Care for Patients With Kidney Disorders
63. Concepts of Care for Patients With Acute Kidney Injury and Chronic Kidney Disease
64. Assessment of the Reproductive System
65. Concepts of Care for Patients with Breast Disorders
66. Concepts of Care for Patients With Gynaecologic Problems
67. Concepts of Care for Clients With Male Reproductive Problems
68. Concepts of Care for Transgender Patients
69. Concepts of Care for Patients With Sexually Transmitted Infections
, Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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
ANS: 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 client9s 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.
ANS: 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 client9s 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.
