CHAPTER 01: OVERVIEW OF PROFESSIONAL NURSING CONCEPTS FOR
MEDICAL-SURGICAL NURSING QUESTIONS WITH ACCURATE ANSWERS
1. A nurse is interested in making interdisciplinary work a high priority. Which
actions by the nurse best
demonstrate this skill? (Select all that apply.)
a. Consults with other disciplines on client care
b. Coordinates discharge planning for home safety
c. Participates in comprehensive client rounding
d. Routinely asks other disciplines about client progress
e. Shows the nursing care plans to other disciplines correct answer a. Consults
with other disciplines on client care
b. Coordinates discharge planning for home safety
c. Participates in comprehensive client rounding
d. Routinely asks other disciplines about client progress
Collaborating with the interdisciplinary team involves planning, implementing,
and evaluating client care as a
team with all other disciplines included. Simply showing other caregivers the
nursing care plan is not actively
involving them or collaborating with them.
1. 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 clients 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. Assesses
for cultural influences affecting health care
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 clients 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. Orienting the client and family to the room
is an important safety measure, but not directly related to demonstrating client-
centered care.
2. A nurse is caring for a postoperative client on the surgical unit. The clients
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. correct answer a. Call the
Rapid Response Team.
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 clients blood pressure should be reassessed frequently, but the priority is
getting the rapid care to the client.
2. A nurse manager wishes to ensure that the nurses on the unit are practicing at
their highest levels of
competency. Which areas should the manager assess to determine if the nursing
staff demonstrate competency
according to the Institute of Medicine (IOM) report Health Professions Education:
A Bridge to Quality?
(Select all that apply.)
a. Collaborating with an interdisciplinary team
b. Implementing evidence-based care
c. Providing family-focused care
d. Routinely using informatics in practice
e. Using quality improvement in client care correct answer a. Collaborating with
an interdisciplinary team
b. Implementing evidence-based care
d. Routinely using informatics in practice
e. Using quality improvement in client care
MEDICAL-SURGICAL NURSING QUESTIONS WITH ACCURATE ANSWERS
1. A nurse is interested in making interdisciplinary work a high priority. Which
actions by the nurse best
demonstrate this skill? (Select all that apply.)
a. Consults with other disciplines on client care
b. Coordinates discharge planning for home safety
c. Participates in comprehensive client rounding
d. Routinely asks other disciplines about client progress
e. Shows the nursing care plans to other disciplines correct answer a. Consults
with other disciplines on client care
b. Coordinates discharge planning for home safety
c. Participates in comprehensive client rounding
d. Routinely asks other disciplines about client progress
Collaborating with the interdisciplinary team involves planning, implementing,
and evaluating client care as a
team with all other disciplines included. Simply showing other caregivers the
nursing care plan is not actively
involving them or collaborating with them.
1. 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 clients 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. Assesses
for cultural influences affecting health care
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 clients 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. Orienting the client and family to the room
is an important safety measure, but not directly related to demonstrating client-
centered care.
2. A nurse is caring for a postoperative client on the surgical unit. The clients
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. correct answer a. Call the
Rapid Response Team.
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 clients blood pressure should be reassessed frequently, but the priority is
getting the rapid care to the client.
2. A nurse manager wishes to ensure that the nurses on the unit are practicing at
their highest levels of
competency. Which areas should the manager assess to determine if the nursing
staff demonstrate competency
according to the Institute of Medicine (IOM) report Health Professions Education:
A Bridge to Quality?
(Select all that apply.)
a. Collaborating with an interdisciplinary team
b. Implementing evidence-based care
c. Providing family-focused care
d. Routinely using informatics in practice
e. Using quality improvement in client care correct answer a. Collaborating with
an interdisciplinary team
b. Implementing evidence-based care
d. Routinely using informatics in practice
e. Using quality improvement in client care
