TEST BANK For Medical-Surgical Nursing
6 6 6 6 6
10th Edition Concepts for Interprofessional Collabor
6 6 6 6 6
ative Care, by Donna D. Ignatavicius,
6 6 6 6 6 6
All chapters 1 – 69
6 6 6 6
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
6 6 6 6 6 6 6 6
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
6 6 6 6 6 6
MULTIPLE6CHOICE
1. A6new6nurse6is6working6with6a6preceptor6on6a6medical-
surgical6unit.6The6preceptor6advises6the6new6nurse6that6which6is6the6priority6when6working6as
6a6professional6nurse?
a. Attending6to6holistic6client6needs
b. Ensuring6client6safety
c. Not6making6medication6errors
d. Providing6client-focused6care
CORRECT6ANSWER:6 B
All6actions6are6appropriate6for6the6professional6nurse.6However,6ensuring6client6safety6is6the6p
riority.6Health6care6errors6have6been6widely6reported6for6256years,6many6of6which6result6in6clie
nt6injury,6death,6and6increased6health6care6costs.6There6are6several6national6and6international6
organizations6that6have6either6recommended6or6mandated6safety6initiatives.
Every6nurse6has6the6responsibility6to6guard6the6client’s6safety.6The6other6actions6are6importan
t6for6quality6nursing,6but6they6are6not6as6vital6as6providing6safety.6Not6making6medication6erro
rs6does6provide6safety,6but6is6too6narrow6in6scope6to6be6the6best6answer.
DIF: Understanding
TOP:6 Integrated6Process:6Nursing6Process:6Intervention6KEY:6Client6safety
MSC:6 Client6Needs6Category:6Safe6and6Effective6Care6Environment:6Safety6and6Infection6Control
2. A6nurse6is6orienting6a6new6client6and6family6to6the6medical-
surgical6unit.6What6information6does6the6nurse6provide6to6best6help6the6client6promote6his
6or6her6own6safety?
a. Encourage6the6client6and6family6to6be6active6partners.
b. Have6the6client6monitor6hand6hygiene6in6caregivers.
c. Offer6the6family6the6opportunity6to6stay6with6the6client.
d. Tell6the6client6to6always6wear6his6or6her6armband.
CORRECT6ANSWER:6 A
, Each6action6could6be6important6for6the6client6or6family6to6perform.6However,6encouraging6the6
client6to6be6active6in6his6or6her6health6care6as6a6safety6partner6is6the6most6critical.6The6other6ac
tions6are6very6limited6in6scope6and6do6not6provide6the6broad6protection6that6being6active6and6i
nvolved6does.
DIF: Understanding
TOP:6Integrated6Process:6Teaching/Learning6KEY:6Client6safety
MSC:6 Client6Needs6Category:6Safe6and6Effective6Care6Environment:6Safety6and6Infection6Control
3. A6nurse6is6caring6for6a6postoperative6client6on6the6surgical6unit.6The6client’s6blood6pressure6
was6142/766mm6Hg6306minutes6ago,6and6now6is688/506mm6Hg.6What6action6would6the6nurse
6take6first?
a. Call6the6Rapid6Response6Team.
b. Document6and6continue6to6monitor.
c. Notify6the6primary6health6care6provider.
d. Repeat6the6blood6pressure6in6156minutes.
, CORRECT6ANSWER:6 A
The6purpose6of6the6Rapid6Response6Team6(RRT)6is6to6intervene6when6clients6are6deteriorating6
before6they6suffer6either6respiratory6or6cardiac6arrest.6Since6the6client6has6manifested6a6signifi
cant6change,6the6nurse6would6call6the6RRT.6Changes6in6blood6pressure,6mental6status,6heart6ra
te,6temperature,6oxygen6saturation,6and6last626hours’6urine6output6are6particularly6significant6
and6are6part6of6the6Modified6Early6Warning6System6guide.6Documentation6is6vital,6but6the6nur
se6must6do6more6than6document.6The6primary6health6care6provider6would6be6notified,6but6thi
s6is6not6more6important6than6calling6the6RRT.6The6client’s6blood6pressure6would6be6reassessed
6frequently,6but6the6priority6is6getting6the6rapid6care6to6the6client.
DIF: Applying
TOP:6 Integrated6Process:6Communication6and6Documentation6KEY:6Rapid6Re
sponse6Team6(RRT),6Clinical6judgment
MSC:6 Client6Needs6Category:6Physiological6Integrity:6Physiological6Adaptation
4. A6nurse6wishes6to6provide6client-centered6care6in6all6interactions.6Which6action6by6the6nurse
best6demonstrates6this6concept?
a. Assesses6for6cultural6influences6affecting6health6care.
b. Ensures6that6all6the6client’s6basic6needs6are6met.
c. Tells6the6client6and6family6about6all6upcoming6tests.
d. Thoroughly6orients6the6client6and6family6to6the6room.
CORRECT6ANSWER:6 A
Showing6respect6for6the6client6and6family’s6preferences6and6needs6is6essential6to6ensure6a6holi
stic6or6“whole-
person”6approach6to6care.6By6assessing6the6effect6of6the6client’s6culture6on6health6care,6this6nu
rse6is6practicing6client-
focused6care.6Providing6for6basic6needs6does6not6demonstrate6this6competence.6Simply6telling
6the6client6about6all6upcoming6tests6is6not6providing6empowering6education.6Orienting6the6clie
nt6and6family6to6the6room6is6an6important6safety6measure,6but6not6directly6related6to6demonst
rating6client-centered6care.
DIF: Understanding
TOP:6Integrated6Process:6Culture6and6Spirituality6KEY:6 Client-centered6care,6Culture
MSC:6 Client6Needs6Category:6Psychosocial6Integrity
5. A6client6is6going6to6be6admitted6for6a6scheduled6surgical6procedure.6Which6action6does6th
e6nurse6explain6is6the6most6important6thing6the6client6can6do6to6protect6against6errors?
a. Bring6a6list6of6all6medications6and6what6they6are6for.
6 6 6 6 6
10th Edition Concepts for Interprofessional Collabor
6 6 6 6 6
ative Care, by Donna D. Ignatavicius,
6 6 6 6 6 6
All chapters 1 – 69
6 6 6 6
,Chapter 01: Overview of Professional Nursing Concepts for Medical-
6 6 6 6 6 6 6 6
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
6 6 6 6 6 6
MULTIPLE6CHOICE
1. A6new6nurse6is6working6with6a6preceptor6on6a6medical-
surgical6unit.6The6preceptor6advises6the6new6nurse6that6which6is6the6priority6when6working6as
6a6professional6nurse?
a. Attending6to6holistic6client6needs
b. Ensuring6client6safety
c. Not6making6medication6errors
d. Providing6client-focused6care
CORRECT6ANSWER:6 B
All6actions6are6appropriate6for6the6professional6nurse.6However,6ensuring6client6safety6is6the6p
riority.6Health6care6errors6have6been6widely6reported6for6256years,6many6of6which6result6in6clie
nt6injury,6death,6and6increased6health6care6costs.6There6are6several6national6and6international6
organizations6that6have6either6recommended6or6mandated6safety6initiatives.
Every6nurse6has6the6responsibility6to6guard6the6client’s6safety.6The6other6actions6are6importan
t6for6quality6nursing,6but6they6are6not6as6vital6as6providing6safety.6Not6making6medication6erro
rs6does6provide6safety,6but6is6too6narrow6in6scope6to6be6the6best6answer.
DIF: Understanding
TOP:6 Integrated6Process:6Nursing6Process:6Intervention6KEY:6Client6safety
MSC:6 Client6Needs6Category:6Safe6and6Effective6Care6Environment:6Safety6and6Infection6Control
2. A6nurse6is6orienting6a6new6client6and6family6to6the6medical-
surgical6unit.6What6information6does6the6nurse6provide6to6best6help6the6client6promote6his
6or6her6own6safety?
a. Encourage6the6client6and6family6to6be6active6partners.
b. Have6the6client6monitor6hand6hygiene6in6caregivers.
c. Offer6the6family6the6opportunity6to6stay6with6the6client.
d. Tell6the6client6to6always6wear6his6or6her6armband.
CORRECT6ANSWER:6 A
, Each6action6could6be6important6for6the6client6or6family6to6perform.6However,6encouraging6the6
client6to6be6active6in6his6or6her6health6care6as6a6safety6partner6is6the6most6critical.6The6other6ac
tions6are6very6limited6in6scope6and6do6not6provide6the6broad6protection6that6being6active6and6i
nvolved6does.
DIF: Understanding
TOP:6Integrated6Process:6Teaching/Learning6KEY:6Client6safety
MSC:6 Client6Needs6Category:6Safe6and6Effective6Care6Environment:6Safety6and6Infection6Control
3. A6nurse6is6caring6for6a6postoperative6client6on6the6surgical6unit.6The6client’s6blood6pressure6
was6142/766mm6Hg6306minutes6ago,6and6now6is688/506mm6Hg.6What6action6would6the6nurse
6take6first?
a. Call6the6Rapid6Response6Team.
b. Document6and6continue6to6monitor.
c. Notify6the6primary6health6care6provider.
d. Repeat6the6blood6pressure6in6156minutes.
, CORRECT6ANSWER:6 A
The6purpose6of6the6Rapid6Response6Team6(RRT)6is6to6intervene6when6clients6are6deteriorating6
before6they6suffer6either6respiratory6or6cardiac6arrest.6Since6the6client6has6manifested6a6signifi
cant6change,6the6nurse6would6call6the6RRT.6Changes6in6blood6pressure,6mental6status,6heart6ra
te,6temperature,6oxygen6saturation,6and6last626hours’6urine6output6are6particularly6significant6
and6are6part6of6the6Modified6Early6Warning6System6guide.6Documentation6is6vital,6but6the6nur
se6must6do6more6than6document.6The6primary6health6care6provider6would6be6notified,6but6thi
s6is6not6more6important6than6calling6the6RRT.6The6client’s6blood6pressure6would6be6reassessed
6frequently,6but6the6priority6is6getting6the6rapid6care6to6the6client.
DIF: Applying
TOP:6 Integrated6Process:6Communication6and6Documentation6KEY:6Rapid6Re
sponse6Team6(RRT),6Clinical6judgment
MSC:6 Client6Needs6Category:6Physiological6Integrity:6Physiological6Adaptation
4. A6nurse6wishes6to6provide6client-centered6care6in6all6interactions.6Which6action6by6the6nurse
best6demonstrates6this6concept?
a. Assesses6for6cultural6influences6affecting6health6care.
b. Ensures6that6all6the6client’s6basic6needs6are6met.
c. Tells6the6client6and6family6about6all6upcoming6tests.
d. Thoroughly6orients6the6client6and6family6to6the6room.
CORRECT6ANSWER:6 A
Showing6respect6for6the6client6and6family’s6preferences6and6needs6is6essential6to6ensure6a6holi
stic6or6“whole-
person”6approach6to6care.6By6assessing6the6effect6of6the6client’s6culture6on6health6care,6this6nu
rse6is6practicing6client-
focused6care.6Providing6for6basic6needs6does6not6demonstrate6this6competence.6Simply6telling
6the6client6about6all6upcoming6tests6is6not6providing6empowering6education.6Orienting6the6clie
nt6and6family6to6the6room6is6an6important6safety6measure,6but6not6directly6related6to6demonst
rating6client-centered6care.
DIF: Understanding
TOP:6Integrated6Process:6Culture6and6Spirituality6KEY:6 Client-centered6care,6Culture
MSC:6 Client6Needs6Category:6Psychosocial6Integrity
5. A6client6is6going6to6be6admitted6for6a6scheduled6surgical6procedure.6Which6action6does6th
e6nurse6explain6is6the6most6important6thing6the6client6can6do6to6protect6against6errors?
a. Bring6a6list6of6all6medications6and6what6they6are6for.
