Medical-Surgical Nursing – Ignatavicius 11th Edition
65-Chapter Review with NCLEX-Style Practice
Questions
Medical-Surgical Nursing – Ignatavicius 11th Edition 65-Chapter Review with
NCLEX-Style Practice Questions
TEXTBOOK OVERVIEW
Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care,
11th Edition by Donna D. Ignatavicius is a comprehensive resource emphasizing
clinical judgment, systems thinking, and collaborative care in nursing practice .
The 11th edition includes:
- NEW! Updated content aligning with current national and international
guidelines
- NEW! Next-Generation NCLEX® (NGN) question types aligned with the
NCSBN Clinical Judgment Measurement Model
- NEW! Full-color design and illustrations to clarify key concepts
CHAPTER 1: FOUNDATIONS OF PROFESSIONAL NURSING
1
,# Q1. 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
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. Providing for basic needs does not
demonstrate this competence. Simply telling the client about all upcoming tests is
not providing empowering education .
# Q2. The nurse is caring for a postoperative client who has just returned from
surgery. The client's blood pressure has dropped from 120/80 mmHg to 90/60
mmHg, and the heart rate has increased from 80 to 110 bpm. What is the priority
nursing action?
A) Document the findings
B) Call the primary care provider
2
,C) Activate the Rapid Response Team
D) Reassess the blood pressure in 15 minutes
Correct Answer: C
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 significant changes in vital signs, the nurse should call
the RRT. Changes in blood pressure, mental status, heart rate, and pain are
particularly significant. The primary care provider should be notified, but this is
not the priority over calling the RRT .
# Q3. 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
Correct Answer: A
3
, 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. Giving accurate information is practicing with veracity.
Keeping promises is upholding fidelity. Treating the client fairly is providing social
justice .
# Q4. A patient with chicken pox (varicella) and disseminated herpes zoster will
require which type of precautions?
A) Contact precautions only
B) Airborne precautions only
C) Airborne and contact precautions
D) Standard precautions only
Correct Answer: C
Rationale: Varicella (chickenpox) and disseminated herpes zoster require both
airborne and contact precautions due to the mode of transmission. Airborne
precautions are needed because the virus is transmitted through small droplet
nuclei that remain suspended in the air. Contact precautions are required because
the virus can also be transmitted through direct contact with vesicular fluid .
4
65-Chapter Review with NCLEX-Style Practice
Questions
Medical-Surgical Nursing – Ignatavicius 11th Edition 65-Chapter Review with
NCLEX-Style Practice Questions
TEXTBOOK OVERVIEW
Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care,
11th Edition by Donna D. Ignatavicius is a comprehensive resource emphasizing
clinical judgment, systems thinking, and collaborative care in nursing practice .
The 11th edition includes:
- NEW! Updated content aligning with current national and international
guidelines
- NEW! Next-Generation NCLEX® (NGN) question types aligned with the
NCSBN Clinical Judgment Measurement Model
- NEW! Full-color design and illustrations to clarify key concepts
CHAPTER 1: FOUNDATIONS OF PROFESSIONAL NURSING
1
,# Q1. 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
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. Providing for basic needs does not
demonstrate this competence. Simply telling the client about all upcoming tests is
not providing empowering education .
# Q2. The nurse is caring for a postoperative client who has just returned from
surgery. The client's blood pressure has dropped from 120/80 mmHg to 90/60
mmHg, and the heart rate has increased from 80 to 110 bpm. What is the priority
nursing action?
A) Document the findings
B) Call the primary care provider
2
,C) Activate the Rapid Response Team
D) Reassess the blood pressure in 15 minutes
Correct Answer: C
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 significant changes in vital signs, the nurse should call
the RRT. Changes in blood pressure, mental status, heart rate, and pain are
particularly significant. The primary care provider should be notified, but this is
not the priority over calling the RRT .
# Q3. 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
Correct Answer: A
3
, 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. Giving accurate information is practicing with veracity.
Keeping promises is upholding fidelity. Treating the client fairly is providing social
justice .
# Q4. A patient with chicken pox (varicella) and disseminated herpes zoster will
require which type of precautions?
A) Contact precautions only
B) Airborne precautions only
C) Airborne and contact precautions
D) Standard precautions only
Correct Answer: C
Rationale: Varicella (chickenpox) and disseminated herpes zoster require both
airborne and contact precautions due to the mode of transmission. Airborne
precautions are needed because the virus is transmitted through small droplet
nuclei that remain suspended in the air. Contact precautions are required because
the virus can also be transmitted through direct contact with vesicular fluid .
4
