1|Page
New Test Bank: Timby's Introductory Medical-
Surgical Nursing Newest Exam Preparation With
Complete Questions And Correct Answers With
Rationales Already Graded A+ Brand New Version!!
1. A new nurse is working with a preceptor on an inpatient medical-
surgical unit. The preceptor advises the student 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
Answer: B) Ensuring client safety
Rationale: While all actions listed are appropriate for the professional
nurse, ensuring client safety is the priority. The landmark Institute of
Medicine report "To Err Is Human" highlighted that up to 98,000 deaths
result each year from errors in hospital care. Every nurse has the
responsibility to guard the client's safety as the foundational
component of professional practice.
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2. A nurse is orienting a new client and family to the inpatient unit.
What information does the nurse provide to 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.
Answer: A) Encourage the client and family to be active partners.
Rationale: 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 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.
3. A nurse is caring for a postoperative client on the surgical unit. The
client's blood pressure was 142/76 mm Hg 30 minutes ago, and now is
88/50 mm Hg. What action by the nurse is best?
A) Call the Rapid Response Team.
B) Document and continue to monitor.
C) Notify the primary care provider.
D) Repeat blood pressure measurement in 15 minutes.
Answer: A) Call the Rapid Response Team.
,3|Page
Rationale: The purpose of the Rapid Response Team (RRT) is to
intervene when clients are deteriorating before they suffer either
respiratory or cardiac arrest. Since the client has manifested a
significant change, the nurse should call the RRT. Changes in blood
pressure, mental status, heart rate, and pain are particularly significant.
4. A nurse wishes to provide client-centered care in all interactions.
Which action by the nurse 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
Answer: A) Assesses for cultural influences affecting health care
Rationale: Competency in client-focused care is demonstrated when the
nurse focuses on communication, culture, respect, compassion, client
education, and empowerment. By assessing the effect of the client's
culture on health care, this nurse is practicing client-focused care.
5. A client is going to be admitted for a scheduled surgical procedure.
Which action does the nurse explain is the most important thing the
client can do to protect against errors?
A) Bring a list of all medications and what they are for.
B) Keep the doctor's phone number by the telephone.
C) Make sure all providers wash hands before entering the room.
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D) Write down the name of each caregiver who comes in the room.
Answer: A) Bring a list of all medications and what they are for.
Rationale: Medication errors are the most common type of health care
mistake. The Joint Commission's Speak Up campaign encourages clients
to help ensure their safety. One recommendation is for clients to know
all their medications and why they take them to help prevent
medication errors.
6. Which action by the nurse working with a client best demonstrates
respect for 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
Answer: A) Asks if the client has questions before signing a consent
Rationale: Autonomy is self-determination. The client should make
decisions regarding care. When the nurse obtains a signature on the
consent form, assessing if the client still has questions is vital because
without full information the client cannot practice autonomy.
7. A student nurse asks the faculty to explain best practices when
communicating with a person from the LGBTQ community. What
answer by the faculty is most accurate?
New Test Bank: Timby's Introductory Medical-
Surgical Nursing Newest Exam Preparation With
Complete Questions And Correct Answers With
Rationales Already Graded A+ Brand New Version!!
1. A new nurse is working with a preceptor on an inpatient medical-
surgical unit. The preceptor advises the student 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
Answer: B) Ensuring client safety
Rationale: While all actions listed are appropriate for the professional
nurse, ensuring client safety is the priority. The landmark Institute of
Medicine report "To Err Is Human" highlighted that up to 98,000 deaths
result each year from errors in hospital care. Every nurse has the
responsibility to guard the client's safety as the foundational
component of professional practice.
,2|Page
2. A nurse is orienting a new client and family to the inpatient unit.
What information does the nurse provide to 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.
Answer: A) Encourage the client and family to be active partners.
Rationale: 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 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.
3. A nurse is caring for a postoperative client on the surgical unit. The
client's blood pressure was 142/76 mm Hg 30 minutes ago, and now is
88/50 mm Hg. What action by the nurse is best?
A) Call the Rapid Response Team.
B) Document and continue to monitor.
C) Notify the primary care provider.
D) Repeat blood pressure measurement in 15 minutes.
Answer: A) Call the Rapid Response Team.
,3|Page
Rationale: The purpose of the Rapid Response Team (RRT) is to
intervene when clients are deteriorating before they suffer either
respiratory or cardiac arrest. Since the client has manifested a
significant change, the nurse should call the RRT. Changes in blood
pressure, mental status, heart rate, and pain are particularly significant.
4. A nurse wishes to provide client-centered care in all interactions.
Which action by the nurse 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
Answer: A) Assesses for cultural influences affecting health care
Rationale: Competency in client-focused care is demonstrated when the
nurse focuses on communication, culture, respect, compassion, client
education, and empowerment. By assessing the effect of the client's
culture on health care, this nurse is practicing client-focused care.
5. A client is going to be admitted for a scheduled surgical procedure.
Which action does the nurse explain is the most important thing the
client can do to protect against errors?
A) Bring a list of all medications and what they are for.
B) Keep the doctor's phone number by the telephone.
C) Make sure all providers wash hands before entering the room.
, 4|Page
D) Write down the name of each caregiver who comes in the room.
Answer: A) Bring a list of all medications and what they are for.
Rationale: Medication errors are the most common type of health care
mistake. The Joint Commission's Speak Up campaign encourages clients
to help ensure their safety. One recommendation is for clients to know
all their medications and why they take them to help prevent
medication errors.
6. Which action by the nurse working with a client best demonstrates
respect for 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
Answer: A) Asks if the client has questions before signing a consent
Rationale: Autonomy is self-determination. The client should make
decisions regarding care. When the nurse obtains a signature on the
consent form, assessing if the client still has questions is vital because
without full information the client cannot practice autonomy.
7. A student nurse asks the faculty to explain best practices when
communicating with a person from the LGBTQ community. What
answer by the faculty is most accurate?
