Medical Surgical Nursing
10th Edition
[Type the document subtitle]
Medical Surgical Nursing 10th
Edition Ignatavicius Workman
Test Bank
JIMSE
6/14/2025
, lOMoARcPSD| 240 059 64
Medical Surgical Nursing 10th Edition Ignatavicius
Workman Test Bank
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 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 wer.
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.
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.
1
, lOMoARcPSD| 240 059 64
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
2
, lOMoARcPSD| 240 059 64
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
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, trANSWER fer, 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
3
10th Edition
[Type the document subtitle]
Medical Surgical Nursing 10th
Edition Ignatavicius Workman
Test Bank
JIMSE
6/14/2025
, lOMoARcPSD| 240 059 64
Medical Surgical Nursing 10th Edition Ignatavicius
Workman Test Bank
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 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 wer.
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.
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.
1
, lOMoARcPSD| 240 059 64
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
2
, lOMoARcPSD| 240 059 64
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
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, trANSWER fer, 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
3
