1
Timby's Introductory Medical-Surgical Nursing,
13th Edition 360 Questions & answers with
Rationales| Comprehensive Medical-Surgical
Nursing Exam | 100% Pass Guaranteed |
Graded A+
,2
1. A 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
Correct Answer: B
Explanation: 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. Every nurse has the responsibility to guard the client's
safety .
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?
,3
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
Explanation: 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.
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C. Notify the primary care provider.
D. Repeat blood pressure measurement in 15 minutes.
Correct Answer: A
Explanation: 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
Correct Answer: A
Explanation: Competency in client-focused care is demonstrated when the nurse focuses on
Timby's Introductory Medical-Surgical Nursing,
13th Edition 360 Questions & answers with
Rationales| Comprehensive Medical-Surgical
Nursing Exam | 100% Pass Guaranteed |
Graded A+
,2
1. A 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
Correct Answer: B
Explanation: 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. Every nurse has the responsibility to guard the client's
safety .
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?
,3
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
Explanation: 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.
, 4
C. Notify the primary care provider.
D. Repeat blood pressure measurement in 15 minutes.
Correct Answer: A
Explanation: 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
Correct Answer: A
Explanation: Competency in client-focused care is demonstrated when the nurse focuses on