Test Bank: Medical-Surgical Nursing 11th Edition (Ignatavicius) | 700+ NCLEX-Style Q&A with Rationales for Clinical Judgment & Collaborative Care

Designed to accompany the leading medical-surgical nursing textbook, this comprehensive test bank is your essential study tool for acing your exams and building the clinical judgment skills needed for modern nursing practice. Covering all key concepts from client-centered care and safety to complex pathophysiology, this resource provides a powerful way to test your knowledge and identify areas for improvement. This test bank is more than just a collection of questions; it's a complete learning system designed for effective preparation. Each of the 700+ questions follows a rigorous, NCLEX-style format, challenging you to apply theoretical knowledge to realistic patient scenarios. Every answer is accompanied by a detailed rationale that explains why the correct option is right and why the others are wrong, promoting deep understanding rather than rote memorization. Test Bank For Medical Surgical Nursing 11th Edition Concepts for Clinical Judgement and Collaborative Care, by Donna D. Ignatavicius, All Chapters 1 – 74 Inclusive TABLE OF CONTENTS Chapter Topic Questions 1 Client-Centered Care & Professional Nursing 1-35 2 Safety & Quality Improvement 36-70 3 Communication & Collaboration 71-105 4 Ethical & Legal Issues 106-140 5 Evidence-Based Practice 141-175 6 Fluid & Electrolyte Balance 176-210 7 Acid-Base Balance 211-245 8 Cellular Regulation & Oncology 246-280 9 Hematologic Function 281-315 10 Neurologic Function 316-350 11 Cardiovascular Function 351-385 12 Respiratory Function 386-420 13 Gastrointestinal Function 421-455 14 Renal & Urinary Function 456-490 15 Endocrine Function 491-525 16 Musculoskeletal Function 526-560 17 Immunologic Function 561-595 18 Integumentary Function 596-630 19 Perioperative Nursing 631-665 20 Emergency & Critical Care 666-700 ________________________________________ CHAPTER 1: CLIENT-CENTERED CARE & PROFESSIONAL NURSING Questions 1-35 ________________________________________ 1. A nurse demonstrates client-centered care by: A. Assessing cultural influences affecting healthcare B. Ensuring all basic needs are met C. Telling the client about all upcoming tests D. Orienting the client to the room Correct Answer: A 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 healthcare, this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this competence. Simply telling the client about all upcoming tests is not providing empowering education. Orienting the client and family to the room is an important safety measure but not directly related to demonstrating client-centered care. DIF: Understanding/Comprehension REF: 3 KEY: Patient-centered care| Culture MSC: Integrated Process: Caring NOT: Client Needs Category: Psychosocial Integrity ________________________________________ 2. The nurse notes a postoperative client's blood pressure dropped from 142/76 mm Hg to 88/50 mm Hg. What action is best? A. Call the Rapid Response Team B. Document and continue to monitor C. Notify the primary care provider D. Repeat blood pressure in 15 minutes Correct Answer: A 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. Documentation is vital, but the nurse must do more than document. The primary care provider should be notified, but this is not the priority over calling the RRT. The client's blood pressure should be reassessed frequently, but the priority is getting rapid care to the client. DIF: Applying/Application REF: 3 KEY: Rapid Response Team (RRT)| Medical emergencies MSC: Integrated Process: Communication and Documentation NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation ________________________________________ 3. 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 Correct Answer: A Rationale: Each action could be important for the client or family to perform. However, encouraging the client to be active in his or her healthcare 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. DIF: Understanding/Comprehension REF: 3 KEY: Patient safety MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control ________________________________________ 4. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises 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 Rationale: All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Up to 98,000 deaths result each year from errors in hospital care, according to the 2000 Institute of Medicine report. Many more clients have suffered injuries and less serious outcomes. Every nurse has the responsibility to guard the client's safety. DIF: Understanding/Comprehension REF: 2 KEY: Patient safety MSC: Integrated Process: Nursing Process: Intervention NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control ________________________________________ 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 D. Write down the name of each caregiver who comes in the room Correct Answer: A Rationale: Medication errors are the most common type of healthcare 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. This will help prevent medication errors. DIF: Applying/Application REF: 4 KEY: Speak Up campaign| Patient safety MSC: Integrated Process: Teaching/Learning NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control