1|Page
TEST BANK FOR IGNATAVICIUS MEDICAL
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
Nursing
MULTIPLE CHOICE
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
- ANSWER- B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in client
injury, death, and increased health care costs. There are several national and international
organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client9s safety. The other actions are important
for quality nursing, but they are not as vital as providing safety. Not making medication errors
does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention KEY: Client
safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What
information does the nurse provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
,2|Page
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.
- ANSWER- A
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 safety 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 TOP: Integrated Process: Teaching/Learning KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the
nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
- ANSWER- A
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 would call the RRT. Changes in blood pressure, mental status, heart rate,
temperature, oxygen saturation, and last 2 hours9 urine output are particularly significant and are
part of the Modified Early Warning System guide. Documentation is vital, but the nurse must do
more than document. The primary health care provider would be notified, but this is not more
important than calling the RRT. The client9s blood pressure would be reassessed frequently, but
the priority is getting the rapid care to the client.
DIF: Applying TOP: Integrated Process: Communication and Documentation KEY:
Rapid Response Team (RRT), Clinical judgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
,3|Page
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 client9s basic needs are met.
c. Tells the client and family about all upcoming tests.
d. Thoroughly orients the client and family to the room.
- ANSWER- A
Showing respect for the client and family9s preferences and needs is essential to ensure a holistic
or <whole-person= approach to care. By assessing the effect of the client9s 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.
DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY: Client-centered
care, Culture MSC: Client Needs Category: Psychosocial Integrity
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 provider9s 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.
- ANSWER- A
Medication reconciliation is a formal process in which the client9s actual current medications are
compared to the prescribed medications at the time of admission, transfer, or discharge. This
National client Safety Goal is important to reduce medication errors. The client would not have
to be responsible for providers washing their hands, and even if the client does so, this is too
narrow to be the most important action to prevent errors. Keeping the provider9s phone number
nearby and documenting everyone who enters the room also do not guarantee safety.
DIF: Applying TOP: Integrated Process: Teaching/Learning KEY: Client safety,
Informatics
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
, 4|Page
6. Which vaction vby vthe vnurse vworking vwith va vclient vbest vdemonstrates vrespect vfor vautonomy?
a. Asks vif vthe vclient vhas vquestions vbefore vsigning va vconsent.
b. Gives vthe vclient vaccurate vinformation vwhen vquestioned.
c. Keeps vthe vpromises vmade vto vthe vclient vand vfamily.
d. Treats vthe vclient vfairly vcompared vto vother vclients.
- vANSWER- vA
Autonomy vis vself-determination. vThe vclient vwould vmake vdecisions vregarding vcare. vWhen vthe
vnurse vobtains va vsignature von vthe vconsent vform, vassessing vif vthe vclient vstill vhas vquestions vis vvital,
vbecause vwithout vfull vinformation vthe vclient vcannot vpractice vautonomy. vGiving vaccurate
vinformation vis vpracticing vwith vveracity. vKeeping vpromises vis vupholding vfidelity. vTreating vthe
vclient vfairly vis vproviding vsocial vjustice.
DIF: Applying TOP: vIntegrated vProcess: vCaring KEY: vEthics, vAutonomy vMSC:
vClient vNeeds vCategory: vSafe vand vEffective vCare vEnvironment: vManagement vof vCare
7. A vnurse vasks va vmore vseasoned vcolleague vto vexplain vbest vpractices vwhen
vcommunicating vwith va vperson vfrom vthe vlesbian, vgay, vbisexual, vtransgender, vand
vquestioning/queer v(LGBTQ) vcommunity. vWhat vanswer vby vthe vfaculty vis vmost vaccurate?
a. Avoid vembarrassing vthe vclient vby vasking vquestions.
b. Don9t vmake vassumptions vabout vhis vor vher vhealth vneeds.
c. Most vLGBTQ vpeople vdo vnot vwant vto vshare vinformation.
d. No vdifferences vexist vin vcommunicating vwith vthis vpopulation.
- vANSWER- vB
Many vmembers vof vthe vLGBTQ vcommunity vhave vfaced vdiscrimination vfrom vhealth vcare
vproviders vand vmay vbe vreluctant vto vseek vhealth vcare. vThe vnurse vwould vnever vmake vassumptions
vabout vthe vneeds vof vmembers vof vthis vpopulation. vRather, vrespectful vquestions vare vappropriate. vIf
vapproached vwith vsensitivity, vthe vclient vwith vany vhealth vcare vneed vis vmore vlikely vto vanswer
vhonestly.
DIF: UnderstandingvTOP: vIntegrated vProcess: vTeaching/Learning
KEY: vHealth vcare vdisparities, vLGBTQ MSC: vClient vNeeds vCategory: vPsychosocial
vIntegrity
TEST BANK FOR IGNATAVICIUS MEDICAL
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
Nursing
MULTIPLE CHOICE
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
- ANSWER- B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in client
injury, death, and increased health care costs. There are several national and international
organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client9s safety. The other actions are important
for quality nursing, but they are not as vital as providing safety. Not making medication errors
does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention KEY: Client
safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What
information does the nurse provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
,2|Page
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.
- ANSWER- A
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 safety 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 TOP: Integrated Process: Teaching/Learning KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the
nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
- ANSWER- A
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 would call the RRT. Changes in blood pressure, mental status, heart rate,
temperature, oxygen saturation, and last 2 hours9 urine output are particularly significant and are
part of the Modified Early Warning System guide. Documentation is vital, but the nurse must do
more than document. The primary health care provider would be notified, but this is not more
important than calling the RRT. The client9s blood pressure would be reassessed frequently, but
the priority is getting the rapid care to the client.
DIF: Applying TOP: Integrated Process: Communication and Documentation KEY:
Rapid Response Team (RRT), Clinical judgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
,3|Page
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 client9s basic needs are met.
c. Tells the client and family about all upcoming tests.
d. Thoroughly orients the client and family to the room.
- ANSWER- A
Showing respect for the client and family9s preferences and needs is essential to ensure a holistic
or <whole-person= approach to care. By assessing the effect of the client9s 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.
DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY: Client-centered
care, Culture MSC: Client Needs Category: Psychosocial Integrity
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 provider9s 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.
- ANSWER- A
Medication reconciliation is a formal process in which the client9s actual current medications are
compared to the prescribed medications at the time of admission, transfer, or discharge. This
National client Safety Goal is important to reduce medication errors. The client would not have
to be responsible for providers washing their hands, and even if the client does so, this is too
narrow to be the most important action to prevent errors. Keeping the provider9s phone number
nearby and documenting everyone who enters the room also do not guarantee safety.
DIF: Applying TOP: Integrated Process: Teaching/Learning KEY: Client safety,
Informatics
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
, 4|Page
6. Which vaction vby vthe vnurse vworking vwith va vclient vbest vdemonstrates vrespect vfor vautonomy?
a. Asks vif vthe vclient vhas vquestions vbefore vsigning va vconsent.
b. Gives vthe vclient vaccurate vinformation vwhen vquestioned.
c. Keeps vthe vpromises vmade vto vthe vclient vand vfamily.
d. Treats vthe vclient vfairly vcompared vto vother vclients.
- vANSWER- vA
Autonomy vis vself-determination. vThe vclient vwould vmake vdecisions vregarding vcare. vWhen vthe
vnurse vobtains va vsignature von vthe vconsent vform, vassessing vif vthe vclient vstill vhas vquestions vis vvital,
vbecause vwithout vfull vinformation vthe vclient vcannot vpractice vautonomy. vGiving vaccurate
vinformation vis vpracticing vwith vveracity. vKeeping vpromises vis vupholding vfidelity. vTreating vthe
vclient vfairly vis vproviding vsocial vjustice.
DIF: Applying TOP: vIntegrated vProcess: vCaring KEY: vEthics, vAutonomy vMSC:
vClient vNeeds vCategory: vSafe vand vEffective vCare vEnvironment: vManagement vof vCare
7. A vnurse vasks va vmore vseasoned vcolleague vto vexplain vbest vpractices vwhen
vcommunicating vwith va vperson vfrom vthe vlesbian, vgay, vbisexual, vtransgender, vand
vquestioning/queer v(LGBTQ) vcommunity. vWhat vanswer vby vthe vfaculty vis vmost vaccurate?
a. Avoid vembarrassing vthe vclient vby vasking vquestions.
b. Don9t vmake vassumptions vabout vhis vor vher vhealth vneeds.
c. Most vLGBTQ vpeople vdo vnot vwant vto vshare vinformation.
d. No vdifferences vexist vin vcommunicating vwith vthis vpopulation.
- vANSWER- vB
Many vmembers vof vthe vLGBTQ vcommunity vhave vfaced vdiscrimination vfrom vhealth vcare
vproviders vand vmay vbe vreluctant vto vseek vhealth vcare. vThe vnurse vwould vnever vmake vassumptions
vabout vthe vneeds vof vmembers vof vthis vpopulation. vRather, vrespectful vquestions vare vappropriate. vIf
vapproached vwith vsensitivity, vthe vclient vwith vany vhealth vcare vneed vis vmore vlikely vto vanswer
vhonestly.
DIF: UnderstandingvTOP: vIntegrated vProcess: vTeaching/Learning
KEY: vHealth vcare vdisparities, vLGBTQ MSC: vClient vNeeds vCategory: vPsychosocial
vIntegrity
