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TEST BANK FOR
MEDICAL SURGICAL :CONCEPTS
FOR INTERPROFFESSIONAL
COLLABORATIVE CARE 9TH
EDITION IGNATAVICIUS
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Distribution of this document is illegal
, lOMoAR cPSD| 60 78199
Test Bank - Medical-SurgicalSN
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1
Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
MULTIPLE CHOICE
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
ANS: A
Competency in client-focused care is demonstrated when the nursefocuses 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 andfamily to theroom is animportantsafetymeasure,
butnotdirectlyrelatedtodemonstratingclient-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
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 isbest?
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.
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they
suffereitherrespiratoryorcardiacarrest. Sincetheclienthasmanifestedasignificantchange, thenurseshould
call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly significant.
Documentation is vital, but the nursemust 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 theclient.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse
provide to help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
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, encouraging the client to be
active in his or her health care as a partner is the most critical. The other actions are very limited in
scope and do not provide the broad protection that being active and involveddoes.
DIF: Understanding/Comprehension REF: 3
KEY: Patient safety
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, lOMoAR cPSD| 60 78199
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 2
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. A new nurse is working with a preceptor on an inpatientmedical-surgical unit. The preceptor advises
the student that which is the priority when working as a professionalnurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Up to
98,000 deaths result each year from errors in hospital care, according to the 2000 Institute of Medicine
report. Many more clients have suffered injuries and less serious outcomes. Every nurse has the
responsibility to guard the clients safety.
DIF: Understanding/Comprehension REF: 2
KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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 againsterrors?
a. Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS: A
Medication errors are the most common type of health care mistake. The Joint Commissions Speak Up
campaign encourages clients to help ensure their safety. One recommendation is for clients to know all their
medications and why they take them. This will help prevent medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6. 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
ANS: A
Autonomy is self-determination. The client should make decisions regarding care. When the nurseobtainsa
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.
DIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
7. A student nurse asks the faculty to explain best practices when communicating with a person from the
lesbian, gay, bisexual, transgender, andqueer/questioning (LGBTQ) community. Whatanswerbythe faculty
is most accurate?
a. Avoid embarrassing the client by asking questions.
b. Dont make assumptions about their health needs.
c. Most LGBTQ people do not want to share information.
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Distribution oof thhis d o c u m e n t is ileeggaal
, lOMoAR cPSD| 60 78199
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 3
d. No differences exist in communicating with this population.
ANS: B
Manymembersofthe LGBTQcommunity have faceddiscrimination from health care providersandmaybe
reluctant to seek health care. The nurse should never make assumptions about the needs of members of this
population. Rather, respectful questionsareappropriate. If approached with sensitivity, the clientwith any
health care need is more likely to answer honestly.
DIF: Understanding/Comprehension REF: 4
KEY: LGBTQ| diversity
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Psychosocial Integrity
8. A bnurse bis bcalling bthe bon-call bphysician babout ba bclient bwho bhad ba bhysterectomy b2 bdays bago
band bhas bpain bthat bis bunrelieved bby bthe bprescribed bnarcotic bpain bmedication. bWhich bstatement
bis bpart bof bthe bSBAR bformat bfor bcommunication?
a. A: bI bwould blike byou bto border ba bdifferent bpain bmedication.
b. B: bThis bclient bhas ballergies bto bmorphine band bcodeine.
c. R: bDr. bSmith bdoesnt blike bnonsteroidal banti-inflammatory bmeds.
d. S: bThis bclient bhad ba bvaginal bhysterectomy b2 bdays bago.
ANS: bB
SBAR bis ba brecommended bform bof bcommunication, band bthe bacronym bstands bfor bSituation,
bBackground, bAssessment, band bRecommendation. bAppropriatebackgroundinformationincludesallergies
bto bmedicationsthe bon-callphysicianmightorder. bSituationdescribeswhat bis bhappening brightnow
bthatmustbecommunicated; bthe bclients bsurgery b2 bdays bago bwould bbe bconsidered bbackground.
bAssessment bwould binclude ban banalysis bof bthe bclients bproblem; basking bfor ba bdifferent bpain
bmedication bis ba brecommendation. bRecommendation bis ba bstatement bof bwhat bis bneeded bor bwhat
boutcome bis bdesired; bthis binformation babout bthe bsurgeons bpreference bmight bbe bbetter bplaced bin
bbackground.
DIF: bApplying/ApplicationREF: b5
bKEY: bSBAR| bcommunication
MSC: bIntegrated bProcess: bCommunication band bDocumentation
NOT: bClient bNeeds bCategory: bSafe band bEffective bCare bEnvironment: bManagement bof bCare
9. A bnurse bworking bon ba bcardiac bunit bdelegated btaking bvital bsigns bto ban bexperienced
bunlicensed bassistive bpersonnel b(UAP). bFour bhours blater, bthe bnurse bnotes bthe bclients bblood
bpressure bis bmuch bhigherthan bprevious breadings, band bthe bclients bmental bstatus bhas bchanged.
bWhat baction bby bthe bnurse bwould bmost blikely bhave bprevented bthis bnegative boutcome?
a. Determining bif bthe bUAP bknew bhow bto btake bblood bpressure
b. Double-checking bthe bUAP bby btaking banother bblood bpressure
c. Providing bmore bappropriate bsupervision bof bthe bUAP
d. Taking bthe bblood bpressure binstead bof bdelegating bthe btask
ANS: bC
Supervision bis bone bof bthe bfive brights bof bdelegation band bincludes bdirecting, bevaluating, band
bfollowing bup bon bdelegated btasks. bThe bnurse bshould beither bhave basked bthe bUAP babout bthe bvital
bsigns bor binstructed bthe bUAP bto breport bthem bright baway. bAn bexperienced bUAP bshould bknow
bhow bto btake bvital bsigns band bthe bnurse bshould bnot bhave bto bassess bthis bat bthis bpoint. bDouble-
checking bthe bwork bdefeats bthe bpurpose bof bdelegation. bVital bsigns bare bwithin bthe bscope bof bpractice
bfor ba bUAP band bare bpermissible bto bdelegate. bThe bonly bappropriate banswer bis bthat bthe bnurse bdid
bnot bprovide badequate binstruction bto bthe bUAP.
DIF: bApplying/Application bREF: b6
KEY: bSupervision| bdelegation| bunlicensed bassistive
bpersonnel bMSC: bIntegrated bProcess: bCommunication b and
bDocumentation
NOT: bClient bNeeds bCategory: bSafe band bEffective bCare bEnvironment: bManagement bof bCare
10. A bnurse bis btalking bwith ba bclient bwho bis bmoving bto ba bnew bstate band bneeds bto bfind ba
bnew bdoctor band bhospital bthere. bWhat badvice bby bthe bnurse bis bbest?
Distribution oof thhis d o c u m e n t is ileeggaal
TEST BANK FOR
MEDICAL SURGICAL :CONCEPTS
FOR INTERPROFFESSIONAL
COLLABORATIVE CARE 9TH
EDITION IGNATAVICIUS
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, lOMoAR cPSD| 60 78199
Test Bank - Medical-SurgicalSN
tuu
viras.cin
og
m: - C
Toh enc
Meaprktestpflo
a cr eIn
toteBrupyraonfe
d sSseilo
l ynoaulr C
S touldlya bMoarteeartiiavl e Care 9e
1
Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
MULTIPLE CHOICE
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
ANS: A
Competency in client-focused care is demonstrated when the nursefocuses 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 andfamily to theroom is animportantsafetymeasure,
butnotdirectlyrelatedtodemonstratingclient-centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
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 isbest?
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.
ANS: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating before they
suffereitherrespiratoryorcardiacarrest. Sincetheclienthasmanifestedasignificantchange, thenurseshould
call the RRT. Changes in blood pressure, mental status, heart rate, and pain are particularly significant.
Documentation is vital, but the nursemust 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 theclient.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse
provide to help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
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, encouraging the client to be
active in his or her health care as a partner is the most critical. The other actions are very limited in
scope and do not provide the broad protection that being active and involveddoes.
DIF: Understanding/Comprehension REF: 3
KEY: Patient safety
Downloaded by: PASSGRADES |
Distribution of this document is illegal
, lOMoAR cPSD| 60 78199
Stuvia.com - TThhee Marketplace too B u y aanndd Sell yyoouur Study Material
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 2
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. A new nurse is working with a preceptor on an inpatientmedical-surgical unit. The preceptor advises
the student that which is the priority when working as a professionalnurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the priority. Up to
98,000 deaths result each year from errors in hospital care, according to the 2000 Institute of Medicine
report. Many more clients have suffered injuries and less serious outcomes. Every nurse has the
responsibility to guard the clients safety.
DIF: Understanding/Comprehension REF: 2
KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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 againsterrors?
a. Bring a list of all medications and what they are for.
b. Keep the doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS: A
Medication errors are the most common type of health care mistake. The Joint Commissions Speak Up
campaign encourages clients to help ensure their safety. One recommendation is for clients to know all their
medications and why they take them. This will help prevent medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6. 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
ANS: A
Autonomy is self-determination. The client should make decisions regarding care. When the nurseobtainsa
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.
DIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
7. A student nurse asks the faculty to explain best practices when communicating with a person from the
lesbian, gay, bisexual, transgender, andqueer/questioning (LGBTQ) community. Whatanswerbythe faculty
is most accurate?
a. Avoid embarrassing the client by asking questions.
b. Dont make assumptions about their health needs.
c. Most LGBTQ people do not want to share information.
DoDwonwlonalodaeddedbyb:yP:A
ruSbSriG
cgRuAruDE
| H
Su|scslienitnownhwoasnajn
alea@
4@
gm
gm
aila.cil.ocm
om
Distribution oof thhis d o c u m e n t is ileeggaal
, lOMoAR cPSD| 60 78199
Stuvia.com - TThhee Marketplace too B u y aanndd Sell yyoouur Study Material
Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 3
d. No differences exist in communicating with this population.
ANS: B
Manymembersofthe LGBTQcommunity have faceddiscrimination from health care providersandmaybe
reluctant to seek health care. The nurse should never make assumptions about the needs of members of this
population. Rather, respectful questionsareappropriate. If approached with sensitivity, the clientwith any
health care need is more likely to answer honestly.
DIF: Understanding/Comprehension REF: 4
KEY: LGBTQ| diversity
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Psychosocial Integrity
8. A bnurse bis bcalling bthe bon-call bphysician babout ba bclient bwho bhad ba bhysterectomy b2 bdays bago
band bhas bpain bthat bis bunrelieved bby bthe bprescribed bnarcotic bpain bmedication. bWhich bstatement
bis bpart bof bthe bSBAR bformat bfor bcommunication?
a. A: bI bwould blike byou bto border ba bdifferent bpain bmedication.
b. B: bThis bclient bhas ballergies bto bmorphine band bcodeine.
c. R: bDr. bSmith bdoesnt blike bnonsteroidal banti-inflammatory bmeds.
d. S: bThis bclient bhad ba bvaginal bhysterectomy b2 bdays bago.
ANS: bB
SBAR bis ba brecommended bform bof bcommunication, band bthe bacronym bstands bfor bSituation,
bBackground, bAssessment, band bRecommendation. bAppropriatebackgroundinformationincludesallergies
bto bmedicationsthe bon-callphysicianmightorder. bSituationdescribeswhat bis bhappening brightnow
bthatmustbecommunicated; bthe bclients bsurgery b2 bdays bago bwould bbe bconsidered bbackground.
bAssessment bwould binclude ban banalysis bof bthe bclients bproblem; basking bfor ba bdifferent bpain
bmedication bis ba brecommendation. bRecommendation bis ba bstatement bof bwhat bis bneeded bor bwhat
boutcome bis bdesired; bthis binformation babout bthe bsurgeons bpreference bmight bbe bbetter bplaced bin
bbackground.
DIF: bApplying/ApplicationREF: b5
bKEY: bSBAR| bcommunication
MSC: bIntegrated bProcess: bCommunication band bDocumentation
NOT: bClient bNeeds bCategory: bSafe band bEffective bCare bEnvironment: bManagement bof bCare
9. A bnurse bworking bon ba bcardiac bunit bdelegated btaking bvital bsigns bto ban bexperienced
bunlicensed bassistive bpersonnel b(UAP). bFour bhours blater, bthe bnurse bnotes bthe bclients bblood
bpressure bis bmuch bhigherthan bprevious breadings, band bthe bclients bmental bstatus bhas bchanged.
bWhat baction bby bthe bnurse bwould bmost blikely bhave bprevented bthis bnegative boutcome?
a. Determining bif bthe bUAP bknew bhow bto btake bblood bpressure
b. Double-checking bthe bUAP bby btaking banother bblood bpressure
c. Providing bmore bappropriate bsupervision bof bthe bUAP
d. Taking bthe bblood bpressure binstead bof bdelegating bthe btask
ANS: bC
Supervision bis bone bof bthe bfive brights bof bdelegation band bincludes bdirecting, bevaluating, band
bfollowing bup bon bdelegated btasks. bThe bnurse bshould beither bhave basked bthe bUAP babout bthe bvital
bsigns bor binstructed bthe bUAP bto breport bthem bright baway. bAn bexperienced bUAP bshould bknow
bhow bto btake bvital bsigns band bthe bnurse bshould bnot bhave bto bassess bthis bat bthis bpoint. bDouble-
checking bthe bwork bdefeats bthe bpurpose bof bdelegation. bVital bsigns bare bwithin bthe bscope bof bpractice
bfor ba bUAP band bare bpermissible bto bdelegate. bThe bonly bappropriate banswer bis bthat bthe bnurse bdid
bnot bprovide badequate binstruction bto bthe bUAP.
DIF: bApplying/Application bREF: b6
KEY: bSupervision| bdelegation| bunlicensed bassistive
bpersonnel bMSC: bIntegrated bProcess: bCommunication b and
bDocumentation
NOT: bClient bNeeds bCategory: bSafe band bEffective bCare bEnvironment: bManagement bof bCare
10. A bnurse bis btalking bwith ba bclient bwho bis bmoving bto ba bnew bstate band bneeds bto bfind ba
bnew bdoctor band bhospital bthere. bWhat badvice bby bthe bnurse bis bbest?
Distribution oof thhis d o c u m e n t is ileeggaal
