A. MEDSURG IGNATAVICIUS 11TH EDITION CH 1-4
QUESTIONS WITH ACCURATE ANSWERS
. A newly graduated nurse in the hospital states that because of being so new,
participation in quality improvement (QI) projects is not wise. What response by
the precepting nurse is best?
a. "All staff nurses are required to participate in quality improvement here."
b. "Even being new, you can implement activities designed to improve care."
c. "It's easy to identify what indicators would be used to measure quality."
d. "You should ask to be assigned to the research and quality committee." correct
answer B
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 correct answer B
All actions are appropriate for the professional nurse.
A client had a recent thromboembolism and must resume work which requires
frequent car and plane travel. What self-care measure does the nurse teach to
reduce the risk of impaired clotting in this client? a. Get up and walk around at
least every 2 hours while traveling. b. Use a soft toothbrush and an electric razor
for safety. c. Be sure to sit with the legs elevated as much as possible. d. Increase
fiber in the diet so as not to strain to move the bowels correct answer A
,A client has impaired tissue integrity and a nonhealing wound. The nurse has
taught the client about diet changes to improve wound healing. What diet
selections does the nurse evaluate as good understanding by the client? (Select all
that apply.) a. Chicken breast b. Orange juice c. Boost supplement d. Spinach
salad e. Cantaloupe f. Whole wheat breaD correct answer A, B, C, D Protein and
vitamin C are important for wound healing. Foods high in protein include meat
sources such as chicken and nutritional supplements. Foods high in vitamin C
include orange juice and spinach. Cantaloupe is a good source of vitamin A.
Whole wheat bread, while healthy, does not contribute directly to wound healing.
A client has urinary incontinence. Which assessment finding indicates that
outcomes for a priority nursing diagnosis have been met? a. Client reports
satisfaction with undergarments for incontinence. b. Client reports drinking 8 to 9
glasses of water each day. c. Skin in perineal area is intact without redness on
inspection. d. Family states that client is more active and socializes more. correct
answer C
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 provider's phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room. correct
answer A
, A home health care nurse assesses an older adult for the intake of nutrients
needed in larger amounts than in younger adults. Which foods found in an older
adult's kitchen might indicate an adequate intake of these nutrients? (Select all
that apply.) a. 1% milk b. Carrots c. Lean ground beef
d. Oranges e. Vitamin D supplements f. Cheese sticks correct answer A, B, D, E
A home health care nurse has conducted a home safety assessment for an older
adult. There are five concrete steps leading out from the front door. Which
intervention would be most helpful in keeping the older adult safe on the steps?
a. Have the client use a walker or cane on the steps. b. Teach the client to hold
the handrail when using the steps c. Instruct the client to use the garage door
instead. d. Tell the client to use a two-footed gait on the steps. correct answer B
A home health care nurse is planning an exercise program with an older adult
who lives at home independently but whose mobility issues prevent much activity
outside the home. Which exercise regimen would be most beneficial to this adult?
a. Building strength and flexibility b. Improving exercise endurance c. Increasing
aerobic capacity d. Providing personal training correct answer A
A hospitalized older adult has been assessed at high risk for skin breakdown.
Which actions does the registered nurse (RN) delegate to the assistive personnel
(AP)? (Select all that apply.) a. Assess skin redness when turning. b. Document
Braden Scale results. c. Keep the client's skin dry. d. Obtain a pressure-relieving
mattress. e. Turn the client every 2 hours. correct answer C, D, E
A nurse admits an older adult from a home environment. The client lives with an
adult son and daughter-in-law. The client has urine burns on the skin, no
dentures, and several pressure injuries. What action by the nurse is most
appropriate? a. Ask the family how these problems occurred. b. Call the police
department and file a report. c. Notify Adult Protective Services. d. Report the
findings as per agency policy. correct answer D
QUESTIONS WITH ACCURATE ANSWERS
. A newly graduated nurse in the hospital states that because of being so new,
participation in quality improvement (QI) projects is not wise. What response by
the precepting nurse is best?
a. "All staff nurses are required to participate in quality improvement here."
b. "Even being new, you can implement activities designed to improve care."
c. "It's easy to identify what indicators would be used to measure quality."
d. "You should ask to be assigned to the research and quality committee." correct
answer B
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 correct answer B
All actions are appropriate for the professional nurse.
A client had a recent thromboembolism and must resume work which requires
frequent car and plane travel. What self-care measure does the nurse teach to
reduce the risk of impaired clotting in this client? a. Get up and walk around at
least every 2 hours while traveling. b. Use a soft toothbrush and an electric razor
for safety. c. Be sure to sit with the legs elevated as much as possible. d. Increase
fiber in the diet so as not to strain to move the bowels correct answer A
,A client has impaired tissue integrity and a nonhealing wound. The nurse has
taught the client about diet changes to improve wound healing. What diet
selections does the nurse evaluate as good understanding by the client? (Select all
that apply.) a. Chicken breast b. Orange juice c. Boost supplement d. Spinach
salad e. Cantaloupe f. Whole wheat breaD correct answer A, B, C, D Protein and
vitamin C are important for wound healing. Foods high in protein include meat
sources such as chicken and nutritional supplements. Foods high in vitamin C
include orange juice and spinach. Cantaloupe is a good source of vitamin A.
Whole wheat bread, while healthy, does not contribute directly to wound healing.
A client has urinary incontinence. Which assessment finding indicates that
outcomes for a priority nursing diagnosis have been met? a. Client reports
satisfaction with undergarments for incontinence. b. Client reports drinking 8 to 9
glasses of water each day. c. Skin in perineal area is intact without redness on
inspection. d. Family states that client is more active and socializes more. correct
answer C
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 provider's phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room. correct
answer A
, A home health care nurse assesses an older adult for the intake of nutrients
needed in larger amounts than in younger adults. Which foods found in an older
adult's kitchen might indicate an adequate intake of these nutrients? (Select all
that apply.) a. 1% milk b. Carrots c. Lean ground beef
d. Oranges e. Vitamin D supplements f. Cheese sticks correct answer A, B, D, E
A home health care nurse has conducted a home safety assessment for an older
adult. There are five concrete steps leading out from the front door. Which
intervention would be most helpful in keeping the older adult safe on the steps?
a. Have the client use a walker or cane on the steps. b. Teach the client to hold
the handrail when using the steps c. Instruct the client to use the garage door
instead. d. Tell the client to use a two-footed gait on the steps. correct answer B
A home health care nurse is planning an exercise program with an older adult
who lives at home independently but whose mobility issues prevent much activity
outside the home. Which exercise regimen would be most beneficial to this adult?
a. Building strength and flexibility b. Improving exercise endurance c. Increasing
aerobic capacity d. Providing personal training correct answer A
A hospitalized older adult has been assessed at high risk for skin breakdown.
Which actions does the registered nurse (RN) delegate to the assistive personnel
(AP)? (Select all that apply.) a. Assess skin redness when turning. b. Document
Braden Scale results. c. Keep the client's skin dry. d. Obtain a pressure-relieving
mattress. e. Turn the client every 2 hours. correct answer C, D, E
A nurse admits an older adult from a home environment. The client lives with an
adult son and daughter-in-law. The client has urine burns on the skin, no
dentures, and several pressure injuries. What action by the nurse is most
appropriate? a. Ask the family how these problems occurred. b. Call the police
department and file a report. c. Notify Adult Protective Services. d. Report the
findings as per agency policy. correct answer D
