Test Bank Medical-Surgical Nursing Concepts for
Interprofessional Collaborative Care 10th
Edition by Donna D. Ignatavicius Chapter 1-69
|Complete Guide A+
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
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 wh
en working as a professional nurse?
a. Attending to holistic client needs
b. Ensuring80client80safety
c. Not making medication errors
d. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safe
ty is the priority. Health care errors have been widely reported for 25 years, man
y of which result in client injury, death, and increased health care costs. There a
re 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. N
ot making medication errors does provide safety, but is too narrow in scope to b
e 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 Co
ntrol
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. Encourage80the80client80and80family80to80be80active80partners.
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.
ANS: A
Each action could be important for the client or family to perform. However, enc
ouraging 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 Co
ntrol
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. Call80the80Rapid80Response80Team.
b. Document and continue to monitor.
,c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
, ANS: 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 Earl
y Warning System guide. Documentation is vital, but the nurse must do more tha
n 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 reass
essed 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
4. A’ ‘ nurse’ ‘ wishes’ ‘ to’ ‘ provide’ ‘ client-
centered’ ‘ care’ ‘ in’ ‘ all’ ‘ interactions.’ ‘ Which’ ‘ action’ ‘ by’ ‘ the’ ‘
nurse’‘best’ ‘ demonstrates’ ‘ this’ ‘ concept?
a. Assesses80for80cultural80influences80affecting80health80care.
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.
ANS:’ ‘ ‘ ‘ A
Showing’ ‘ respect’ ‘ for’ ‘ the’ ‘ client’ ‘ and’ ‘ family9s’ ‘ preferences’ ‘ and’ ‘ needs’ ‘ is’ ‘ ess
ential’ ‘ 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’ ‘ compet
ence.’ ‘ Si’‘mply’ ‘ telling’ ‘ the’ ‘ client’ ‘ about’ ‘ all’ ‘ upcoming’ ‘ tests’ ‘ is’ ‘ not’ ‘ providin
g’ ‘ empowering’ ‘ educ’‘ation.’ ‘ Orienting’ ‘ the’ ‘ client’ ‘ and’ ‘ family’ ‘ to’ ‘ the’ ‘ room’ ‘ is
’ ‘ an’ ‘ important ’ ‘ safety’ ‘ measure,’‘but’ ‘ not’ ‘ directly’ ‘ related’ ‘ to’ ‘ demonstrating’ ‘ cli
ent-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’ ‘ ac’‘tion’ ‘ does’ ‘ the’ ‘ nurse’ ‘ explain’ ‘ is’ ‘ the’ ‘ most’ ‘ important’ ‘ thing’ ‘ the
’ ‘client’ ‘ can’ ‘ do’ ‘ to’‘protect’ ‘ against’ ‘ errors?
a. Bring80a80list80of80all80medications80and80what80they80are80for.
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.
ANS:’ ‘ ‘ ‘ A
Medication’ ‘ reconciliation’ ‘ is’ ‘ a’ ‘ formal’ ‘ process’ ‘ in’ ‘ which’ ‘ the’ ‘ client9s’ ‘ actual’ ‘
current’ ‘ m’‘edications’ ‘ are’ ‘ compared’ ‘ to’ ‘ the’ ‘ prescribed’ ‘ medications’ ‘ at’ ‘ the’ ‘ ti
me’ ‘ of’ ‘ admission,’ ‘ t’ ‘ ransfer,’ ‘ or’ ‘ discharge.’ ‘ This’ ‘ National’ ‘ client’ ‘ Safety’ ‘ Goal
’ ‘ is’ ‘ important’ ‘ to’ ‘ reduce’ ‘ me’ ‘ dication’ ‘ errors.’ ‘ The’ ‘ client’ ‘ would’ ‘ not’ ‘ have’
‘ to’ ‘ be’ ‘ responsible’ ‘ for’ ‘ providers’ ‘ washin’‘g’ ‘ their’ ‘ hands,’ ‘ and’ ‘ even’ ‘ if’ ‘ the
’ ‘ client’ ‘ does’ ‘ so,’ ‘ this’ ‘ is’ ‘ too’ ‘ narrow’ ‘ to’ ‘ be’ ‘ the’ ‘ mo’‘st’ ‘ important’ ‘ action
’ ‘ to’ ‘ prevent’ ‘ errors.’ ‘ Keeping’ ‘ the’ ‘ provider9s’ ‘ phone’ ‘ number’ ‘ nearb’‘y’ ‘ and’ ‘
documenting’ ‘ everyone’ ‘ who’ ‘ enters’ ‘ the’ ‘ room’ ‘ also’ ‘ do’ ‘ not’ ‘ guarantee’ ‘ safety.
DIF: Applying
TOP:’ ‘ Integrated’ ‘ Process:’ ‘ Teaching/Learning’ ‘ KEY:’
Interprofessional Collaborative Care 10th
Edition by Donna D. Ignatavicius Chapter 1-69
|Complete Guide A+
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
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 wh
en working as a professional nurse?
a. Attending to holistic client needs
b. Ensuring80client80safety
c. Not making medication errors
d. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safe
ty is the priority. Health care errors have been widely reported for 25 years, man
y of which result in client injury, death, and increased health care costs. There a
re 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. N
ot making medication errors does provide safety, but is too narrow in scope to b
e 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 Co
ntrol
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. Encourage80the80client80and80family80to80be80active80partners.
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.
ANS: A
Each action could be important for the client or family to perform. However, enc
ouraging 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 Co
ntrol
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. Call80the80Rapid80Response80Team.
b. Document and continue to monitor.
,c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
, ANS: 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 Earl
y Warning System guide. Documentation is vital, but the nurse must do more tha
n 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 reass
essed 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
4. A’ ‘ nurse’ ‘ wishes’ ‘ to’ ‘ provide’ ‘ client-
centered’ ‘ care’ ‘ in’ ‘ all’ ‘ interactions.’ ‘ Which’ ‘ action’ ‘ by’ ‘ the’ ‘
nurse’‘best’ ‘ demonstrates’ ‘ this’ ‘ concept?
a. Assesses80for80cultural80influences80affecting80health80care.
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.
ANS:’ ‘ ‘ ‘ A
Showing’ ‘ respect’ ‘ for’ ‘ the’ ‘ client’ ‘ and’ ‘ family9s’ ‘ preferences’ ‘ and’ ‘ needs’ ‘ is’ ‘ ess
ential’ ‘ 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’ ‘ compet
ence.’ ‘ Si’‘mply’ ‘ telling’ ‘ the’ ‘ client’ ‘ about’ ‘ all’ ‘ upcoming’ ‘ tests’ ‘ is’ ‘ not’ ‘ providin
g’ ‘ empowering’ ‘ educ’‘ation.’ ‘ Orienting’ ‘ the’ ‘ client’ ‘ and’ ‘ family’ ‘ to’ ‘ the’ ‘ room’ ‘ is
’ ‘ an’ ‘ important ’ ‘ safety’ ‘ measure,’‘but’ ‘ not’ ‘ directly’ ‘ related’ ‘ to’ ‘ demonstrating’ ‘ cli
ent-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’ ‘ ac’‘tion’ ‘ does’ ‘ the’ ‘ nurse’ ‘ explain’ ‘ is’ ‘ the’ ‘ most’ ‘ important’ ‘ thing’ ‘ the
’ ‘client’ ‘ can’ ‘ do’ ‘ to’‘protect’ ‘ against’ ‘ errors?
a. Bring80a80list80of80all80medications80and80what80they80are80for.
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.
ANS:’ ‘ ‘ ‘ A
Medication’ ‘ reconciliation’ ‘ is’ ‘ a’ ‘ formal’ ‘ process’ ‘ in’ ‘ which’ ‘ the’ ‘ client9s’ ‘ actual’ ‘
current’ ‘ m’‘edications’ ‘ are’ ‘ compared’ ‘ to’ ‘ the’ ‘ prescribed’ ‘ medications’ ‘ at’ ‘ the’ ‘ ti
me’ ‘ of’ ‘ admission,’ ‘ t’ ‘ ransfer,’ ‘ or’ ‘ discharge.’ ‘ This’ ‘ National’ ‘ client’ ‘ Safety’ ‘ Goal
’ ‘ is’ ‘ important’ ‘ to’ ‘ reduce’ ‘ me’ ‘ dication’ ‘ errors.’ ‘ The’ ‘ client’ ‘ would’ ‘ not’ ‘ have’
‘ to’ ‘ be’ ‘ responsible’ ‘ for’ ‘ providers’ ‘ washin’‘g’ ‘ their’ ‘ hands,’ ‘ and’ ‘ even’ ‘ if’ ‘ the
’ ‘ client’ ‘ does’ ‘ so,’ ‘ this’ ‘ is’ ‘ too’ ‘ narrow’ ‘ to’ ‘ be’ ‘ the’ ‘ mo’‘st’ ‘ important’ ‘ action
’ ‘ to’ ‘ prevent’ ‘ errors.’ ‘ Keeping’ ‘ the’ ‘ provider9s’ ‘ phone’ ‘ number’ ‘ nearb’‘y’ ‘ and’ ‘
documenting’ ‘ everyone’ ‘ who’ ‘ enters’ ‘ the’ ‘ room’ ‘ also’ ‘ do’ ‘ not’ ‘ guarantee’ ‘ safety.
DIF: Applying
TOP:’ ‘ Integrated’ ‘ Process:’ ‘ Teaching/Learning’ ‘ KEY:’
