TEST BANK FOR Medical-Surgical Nursing: Concepts for Clinical
Judgment and Collaborative Care (Evolve) 11th Edition by
Donna D. Ignatavicius
GP
OR
LOD
Complete Test Bank with Questions and Answers
FTD
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
UO
MULTIPLE CHOICE
TC
1. A nurse wishes to provide client-centered care in all interactions. Which action by the
nurse best demonstrates this concept?
O
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
R
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 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.
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 is best?
a. Call the Rapid Response Team.
GP
b. Document and continue to monitor.
c. Notify the primary care provider.
OR
d. Repeat blood pressure measurement in 15 minutes.
LOD
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.
FTD
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
UO
vital, but the nurse must do more than document. The primary care provider should be notified,
but thisis not the priority over calling the RRT. The clients blood pressure should
TC
be reassessed frequently, but the priority is getting the rapid care to the client.
O
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
R
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 involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
GP
4. A new nurse is working with a preceptor on an in-patient medical-surgical unit. The
OR
preceptor advises the student that which is the priority when working as a professional
nurse?
LOD
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
FTD
d. Providing client-focused care
UO
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
TC
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.
O
Every nurse has the responsibility to guard the clients safety.
R
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 against errors?
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
GP
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
OR
Control
LOD
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
FTD
c. Keeps the promises made to the client and family
d. Treats the client fairly compared to other clients
UO
ANS: A
TC
Autonomy is self-determination. The client should make decisions regarding care. When the
nurse obtains a signature on the consent form, assessing if the client still has questions is vital,
O
because without full information the client cannot practice autonomy. Giving accurate
information is practicing with veracity. Keeping promises is upholding fidelity. Treating the
R
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, and queer/questioning (LGBTQ)
community.What answer by the faculty is most accurate?
a. Avoid embarrassing the client by asking questions.
Judgment and Collaborative Care (Evolve) 11th Edition by
Donna D. Ignatavicius
GP
OR
LOD
Complete Test Bank with Questions and Answers
FTD
Chapter 01: Overview of Professional Nursing Concepts for Medical- Surgical Nursing
UO
MULTIPLE CHOICE
TC
1. A nurse wishes to provide client-centered care in all interactions. Which action by the
nurse best demonstrates this concept?
O
a. Assesses for cultural influences affecting health care
b. Ensures that all the clients basic needs are met
R
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 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.
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 is best?
a. Call the Rapid Response Team.
GP
b. Document and continue to monitor.
c. Notify the primary care provider.
OR
d. Repeat blood pressure measurement in 15 minutes.
LOD
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.
FTD
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
UO
vital, but the nurse must do more than document. The primary care provider should be notified,
but thisis not the priority over calling the RRT. The clients blood pressure should
TC
be reassessed frequently, but the priority is getting the rapid care to the client.
O
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies MSC: Integrated Process:
R
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 involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
GP
4. A new nurse is working with a preceptor on an in-patient medical-surgical unit. The
OR
preceptor advises the student that which is the priority when working as a professional
nurse?
LOD
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
FTD
d. Providing client-focused care
UO
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
TC
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.
O
Every nurse has the responsibility to guard the clients safety.
R
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 against errors?
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
GP
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
OR
Control
LOD
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
FTD
c. Keeps the promises made to the client and family
d. Treats the client fairly compared to other clients
UO
ANS: A
TC
Autonomy is self-determination. The client should make decisions regarding care. When the
nurse obtains a signature on the consent form, assessing if the client still has questions is vital,
O
because without full information the client cannot practice autonomy. Giving accurate
information is practicing with veracity. Keeping promises is upholding fidelity. Treating the
R
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, and queer/questioning (LGBTQ)
community.What answer by the faculty is most accurate?
a. Avoid embarrassing the client by asking questions.
