TESTBANK
FOR
i
i
MEDICAL SURGICAL
i
i NURSING 8TH EDITION
i
i
i IGNAVATICIUS
,Chapter 1: Introduction to Medical-Surgical Nursing Practice
i i i i i i
Ignatavicius: Medical-Surgical Nursing, 8th Edition
i i i i i
MULTIPLE iCHOICE
1. A inew inurse iis iworking iwith ia ipreceptor ion ian iinpatient imedical-surgical iunit. iThe
ipreceptor iadvises ithe istudent ithat iwhich iis ithe ipriority iwhen iworking ias ia
iprofessional inurse?
a. Attending ito iholistic iclient ineeds
b. Ensuring iclient isafety
c. Not imaking imedication ierrors
d. Providing iclient-focused icare
ANS: i i B
All iactions iare iappropriate ifor ithe iprofessional inurse. iHowever, iensuring iclient isafety iis ithe
ipriority. iUp ito i98,000 ideaths iresult ieach iyear ifrom ierrors iin ihospital icare, iaccording ito ithe
i2000 iInstitute iof iMedicine ireport. iMany imore iclients ihave isuffered iinjuries iand iless iserious
ioutcomes. iEvery inurse ihas ithe iresponsibility ito iguard ithe iclient’s isafety.
DIF: Understanding/Comprehension REF: 2 KEY: i Patient
isafety iMSC: i Integrated iProcess: iNursing iProcess: iIntervention
NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection
iControl
2. A inurse iis iorienting ia inew iclient iand ifamily ito ithe iinpatient iunit. iWhat iinformation idoes
ithe inurse iprovide ito ihelp ithe iclient ipromote ihis ior iher iown isafety?
a. Encourage ithe iclient iand ifamily ito ibe iactive ipartners.
b. Have ithe iclient imonitor ihand ihygiene iin icaregivers.
c. Offer ithe ifamily ithe iopportunity ito istay iwith ithe iclient.
d. Tell ithe iclient ito ialways iwear ihis ior iher iarmband.
ANS: i i A
Each iaction icould ibe iimportant ifor ithe iclient ior ifamily ito iperform. iHowever, iencouraging
ithe iclient ito ibe iactive iin ihis ior iher ihealth icare ias ia ipartner iis ithe imost icritical. iThe iother
iactions iare ivery ilimited iin iscope iand ido inot iprovide ithe ibroad iprotection ithat ibeing iactive
iand iinvolved idoes.
DIF: Understanding/Comprehension REF: 3 KEY: i Patient
isafety iMSC: i Integrated iProcess: iTeaching/Learning
NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection
iControl
3. A inurse iis icaring ifor ia ipostoperative iclient ion ithe isurgical iunit. iThe iclient’s iblood
ipressure iwas i142/76 imm iHg i30 iminutes iago, iand inow iis i88/50 imm iHg. iWhat iaction iby
ithe inurse iis ibest?
a. Call ithe iRapid iResponse iTeam.
b. Document iand icontinue ito imonitor.
c. Notify ithe iprimary icare iprovider.
d. Repeat iblood ipressure imeasurement iin i15 iminutes.
, ANS: i i A
The ipurpose iof ithe iRapid iResponse iTeam i(RRT) iis ito iintervene iwhen iclients iare
ideteriorating ibefore ithey isuffer ieither irespiratory ior icardiac iarrest. iSince ithe iclient ihas
imanifested ia isignificant ichange, ithe inurse ishould icall ithe iRRT. iChanges iin iblood
ipressure, imental istatus, iheart irate, iand ipain iare iparticularly isignificant. iDocumentation iis
ivital, ibut ithe inurse imust ido imore ithan idocument. iThe iprimary icare iprovider ishould ibe
inotified, ibut ithis iis inot ithe ipriority iover icalling ithe iRRT. iThe iclient’s iblood ipressure
ishould ibe ireassessed ifrequently, ibut ithe ipriority iis igetting ithe irapid icare ito ithe iclient.
DIF: Applying/Application REF: 3
i KEY: i Rapid iResponse iTeam i(RRT)| imedical
iemergencies
MSC: i Integrated iProcess: iCommunication iand iDocumentation
NOT: i Client iNeeds iCategory: iPhysiological iIntegrity: iPhysiological iAdaptation
4. A inurse iwishes ito iprovide iclient-centered icare iin iall iinteractions. iWhich iaction iby ithe
inurse ibest idemonstrates ithis iconcept?
a. Assesses ifor icultural iinfluences iaffecting ihealth icare
b. Ensures ithat iall ithe iclients’ ibasic ineeds iare imet
c. Tells ithe iclient iand ifamily iabout iall iupcoming itests
d. Thoroughly iorients ithe iclient iand ifamily ito ithe iroom
ANS: i i A
Competency iin iclient-focused icare iis idemonstrated iwhen ithe inurse ifocuses ion
icommunication, iculture, irespect, icompassion, iclient ieducation, iand iempowerment. iBy
iassessing ithe ieffect iof ithe iclient’s iculture ion ihealth icare, ithis inurse iis ipracticing
client-focused icare. iProviding ifor ibasic ineeds idoes inot idemonstrate ithis icompetence.
iSimply itelling ithe iclient iabout iall iupcoming itests iis inot iproviding iempowering
ieducation. iOrienting ithe iclient iand ifamily ito ithe iroom iis ian iimportant isafety imeasure, ibut
inot idirectly irelated ito idemonstrating iclient-centered icare.
DIF: Understanding/Comprehension REF: 3
KEY: i Patient-centered icare| iculture MSC: i Integrated iProcess:
iCaring iNOT: i Client iNeeds iCategory: iPsychosocial iIntegrity
5. A iclient iis igoing ito ibe iadmitted ifor ia ischeduled isurgical iprocedure. iWhich iaction idoes
ithe inurse iexplain iis ithe imost iimportant ithing ithe iclient ican ido ito iprotect iagainst
ierrors?
a. Bring ia ilist iof iall imedications iand iwhat ithey iare ifor.
b. Keep ithe idoctor’s iphone inumber iby ithe itelephone.
c. Make isure iall iproviders iwash ihands ibefore ientering ithe iroom.
d. Write idown ithe iname iof ieach icaregiver iwho icomes iin ithe iroom.
ANS: i i A
Medication ierrors iare ithe imost icommon itype iof ihealth icare imistake. iThe iJoint
iCommission’s iSpeak iUp icampaign iencourages iclients ito ihelp iensure itheir isafety. iOne
irecommendation iis ifor iclients ito iknow iall itheir imedications iand iwhy ithey itake ithem. iThis
iwill ihelp iprevent imedication ierrors.
DIF: Applying/Application REF: 4
KEY: i Speak iUp icampaign| ipatient isafety MSC: i Integrated iProcess: iTeaching/Learning
, NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection
iControl
6. Which iaction iby ithe inurse iworking iwith ia iclient ibest idemonstrates irespect ifor iautonomy?
a. Asks iif ithe iclient ihas iquestions ibefore isigning ia iconsent
b. Gives ithe iclient iaccurate iinformation iwhen iquestioned
c. Keeps ithe ipromises imade ito ithe iclient iand ifamily
d. Treats ithe iclient ifairly icompared ito iother iclients
ANS: i i A
Autonomy iis iself-determination. iThe iclient ishould imake idecisions iregarding icare. iWhen
ithe inurse iobtains ia isignature ion ithe iconsent iform, iassessing iif ithe iclient i still ihas
iquestions iis ivital, ibecause iwithout ifull iinformation ithe iclient icannot ipractice iautonomy.
iGiving iaccurate iinformation iis ipracticing iwith iveracity. iKeeping ipromises iis iupholding
ifidelity. iTreating ithe iclient ifairly iis iproviding isocial ijustice.
DIF: Applying/Application REF: 4
KEY: i Autonomy| iethical iprinciples MSC: i Integrated iProcess: iCaring
NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iManagement iof
iCare
7. A istudent inurse iasks ithe ifaculty ito iexplain ibest ipractices iwhen icommunicating iwith
ia iperson ifrom ithe ilesbian, igay, ibisexual, itransgender, iand iqueer/questioning
i(LGBTQ) icommunity. iWhat ianswer iby ithe ifaculty iis imost iaccurate?
a. Avoid iembarrassing ithe iclient iby iasking iquestions.
b. Don’t imake iassumptions iabout itheir ihealth ineeds.
c. Most iLGBTQ ipeople ido inot iwant ito ishare iinformation.
d. No idifferences iexist iin icommunicating iwith ithis ipopulation.
ANS: i i B
Many imembers iof ithe iLGBTQ icommunity ihave ifaced idiscrimination ifrom ihealth icare
iproviders iand imay ibe ireluctant ito iseek ihealth icare. iThe inurse ishould inever imake
iassumptions iabout ithe ineeds iof imembers iof ithis ipopulation. iRather, irespectful iquestions
iare iappropriate. iIf iapproached iwith isensitivity, ithe iclient iwith iany ihealth icare ineed iis
imore ilikely ito ianswer ihonestly.
DIF: Understanding/Comprehension REF: 4 KEY: i LGBTQ|
idiversity iMSC: i Integrated iProcess: iTeaching/Learning
NOT: i Client iNeeds iCategory: iPsychosocial iIntegrity
8. A inurse iis icalling ithe ion-call iphysician iabout ia iclient iwho ihad ia ihysterectomy i2 idays
iago iand ihas ipain ithat iis iunrelieved iby ithe iprescribed inarcotic ipain imedication. iWhich
istatement iis ipart iof ithe iSBAR iformat ifor icommunication?
a. A: i“I iwould ilike iyou ito iorder ia idifferent ipain imedication.”
b. B: i“This iclient ihas iallergies ito imorphine iand icodeine.”
c. R: i“Dr. iSmith idoesn’t ilike inonsteroidal ianti-inflammatory imeds.”
d. S: i“This iclient ihad ia ivaginal ihysterectomy i2 idays
i ago.” iANS: i B
DownlD ooaw dendlobayd:eadcbayd:eS
muicpexrA
pe|ra
t i b|
i ip
eaksaiyn1g2g@
rad
omail.com
Distribution iof ithis idocument iis iillegal
FOR
i
i
MEDICAL SURGICAL
i
i NURSING 8TH EDITION
i
i
i IGNAVATICIUS
,Chapter 1: Introduction to Medical-Surgical Nursing Practice
i i i i i i
Ignatavicius: Medical-Surgical Nursing, 8th Edition
i i i i i
MULTIPLE iCHOICE
1. A inew inurse iis iworking iwith ia ipreceptor ion ian iinpatient imedical-surgical iunit. iThe
ipreceptor iadvises ithe istudent ithat iwhich iis ithe ipriority iwhen iworking ias ia
iprofessional inurse?
a. Attending ito iholistic iclient ineeds
b. Ensuring iclient isafety
c. Not imaking imedication ierrors
d. Providing iclient-focused icare
ANS: i i B
All iactions iare iappropriate ifor ithe iprofessional inurse. iHowever, iensuring iclient isafety iis ithe
ipriority. iUp ito i98,000 ideaths iresult ieach iyear ifrom ierrors iin ihospital icare, iaccording ito ithe
i2000 iInstitute iof iMedicine ireport. iMany imore iclients ihave isuffered iinjuries iand iless iserious
ioutcomes. iEvery inurse ihas ithe iresponsibility ito iguard ithe iclient’s isafety.
DIF: Understanding/Comprehension REF: 2 KEY: i Patient
isafety iMSC: i Integrated iProcess: iNursing iProcess: iIntervention
NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection
iControl
2. A inurse iis iorienting ia inew iclient iand ifamily ito ithe iinpatient iunit. iWhat iinformation idoes
ithe inurse iprovide ito ihelp ithe iclient ipromote ihis ior iher iown isafety?
a. Encourage ithe iclient iand ifamily ito ibe iactive ipartners.
b. Have ithe iclient imonitor ihand ihygiene iin icaregivers.
c. Offer ithe ifamily ithe iopportunity ito istay iwith ithe iclient.
d. Tell ithe iclient ito ialways iwear ihis ior iher iarmband.
ANS: i i A
Each iaction icould ibe iimportant ifor ithe iclient ior ifamily ito iperform. iHowever, iencouraging
ithe iclient ito ibe iactive iin ihis ior iher ihealth icare ias ia ipartner iis ithe imost icritical. iThe iother
iactions iare ivery ilimited iin iscope iand ido inot iprovide ithe ibroad iprotection ithat ibeing iactive
iand iinvolved idoes.
DIF: Understanding/Comprehension REF: 3 KEY: i Patient
isafety iMSC: i Integrated iProcess: iTeaching/Learning
NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection
iControl
3. A inurse iis icaring ifor ia ipostoperative iclient ion ithe isurgical iunit. iThe iclient’s iblood
ipressure iwas i142/76 imm iHg i30 iminutes iago, iand inow iis i88/50 imm iHg. iWhat iaction iby
ithe inurse iis ibest?
a. Call ithe iRapid iResponse iTeam.
b. Document iand icontinue ito imonitor.
c. Notify ithe iprimary icare iprovider.
d. Repeat iblood ipressure imeasurement iin i15 iminutes.
, ANS: i i A
The ipurpose iof ithe iRapid iResponse iTeam i(RRT) iis ito iintervene iwhen iclients iare
ideteriorating ibefore ithey isuffer ieither irespiratory ior icardiac iarrest. iSince ithe iclient ihas
imanifested ia isignificant ichange, ithe inurse ishould icall ithe iRRT. iChanges iin iblood
ipressure, imental istatus, iheart irate, iand ipain iare iparticularly isignificant. iDocumentation iis
ivital, ibut ithe inurse imust ido imore ithan idocument. iThe iprimary icare iprovider ishould ibe
inotified, ibut ithis iis inot ithe ipriority iover icalling ithe iRRT. iThe iclient’s iblood ipressure
ishould ibe ireassessed ifrequently, ibut ithe ipriority iis igetting ithe irapid icare ito ithe iclient.
DIF: Applying/Application REF: 3
i KEY: i Rapid iResponse iTeam i(RRT)| imedical
iemergencies
MSC: i Integrated iProcess: iCommunication iand iDocumentation
NOT: i Client iNeeds iCategory: iPhysiological iIntegrity: iPhysiological iAdaptation
4. A inurse iwishes ito iprovide iclient-centered icare iin iall iinteractions. iWhich iaction iby ithe
inurse ibest idemonstrates ithis iconcept?
a. Assesses ifor icultural iinfluences iaffecting ihealth icare
b. Ensures ithat iall ithe iclients’ ibasic ineeds iare imet
c. Tells ithe iclient iand ifamily iabout iall iupcoming itests
d. Thoroughly iorients ithe iclient iand ifamily ito ithe iroom
ANS: i i A
Competency iin iclient-focused icare iis idemonstrated iwhen ithe inurse ifocuses ion
icommunication, iculture, irespect, icompassion, iclient ieducation, iand iempowerment. iBy
iassessing ithe ieffect iof ithe iclient’s iculture ion ihealth icare, ithis inurse iis ipracticing
client-focused icare. iProviding ifor ibasic ineeds idoes inot idemonstrate ithis icompetence.
iSimply itelling ithe iclient iabout iall iupcoming itests iis inot iproviding iempowering
ieducation. iOrienting ithe iclient iand ifamily ito ithe iroom iis ian iimportant isafety imeasure, ibut
inot idirectly irelated ito idemonstrating iclient-centered icare.
DIF: Understanding/Comprehension REF: 3
KEY: i Patient-centered icare| iculture MSC: i Integrated iProcess:
iCaring iNOT: i Client iNeeds iCategory: iPsychosocial iIntegrity
5. A iclient iis igoing ito ibe iadmitted ifor ia ischeduled isurgical iprocedure. iWhich iaction idoes
ithe inurse iexplain iis ithe imost iimportant ithing ithe iclient ican ido ito iprotect iagainst
ierrors?
a. Bring ia ilist iof iall imedications iand iwhat ithey iare ifor.
b. Keep ithe idoctor’s iphone inumber iby ithe itelephone.
c. Make isure iall iproviders iwash ihands ibefore ientering ithe iroom.
d. Write idown ithe iname iof ieach icaregiver iwho icomes iin ithe iroom.
ANS: i i A
Medication ierrors iare ithe imost icommon itype iof ihealth icare imistake. iThe iJoint
iCommission’s iSpeak iUp icampaign iencourages iclients ito ihelp iensure itheir isafety. iOne
irecommendation iis ifor iclients ito iknow iall itheir imedications iand iwhy ithey itake ithem. iThis
iwill ihelp iprevent imedication ierrors.
DIF: Applying/Application REF: 4
KEY: i Speak iUp icampaign| ipatient isafety MSC: i Integrated iProcess: iTeaching/Learning
, NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iSafety iand iInfection
iControl
6. Which iaction iby ithe inurse iworking iwith ia iclient ibest idemonstrates irespect ifor iautonomy?
a. Asks iif ithe iclient ihas iquestions ibefore isigning ia iconsent
b. Gives ithe iclient iaccurate iinformation iwhen iquestioned
c. Keeps ithe ipromises imade ito ithe iclient iand ifamily
d. Treats ithe iclient ifairly icompared ito iother iclients
ANS: i i A
Autonomy iis iself-determination. iThe iclient ishould imake idecisions iregarding icare. iWhen
ithe inurse iobtains ia isignature ion ithe iconsent iform, iassessing iif ithe iclient i still ihas
iquestions iis ivital, ibecause iwithout ifull iinformation ithe iclient icannot ipractice iautonomy.
iGiving iaccurate iinformation iis ipracticing iwith iveracity. iKeeping ipromises iis iupholding
ifidelity. iTreating ithe iclient ifairly iis iproviding isocial ijustice.
DIF: Applying/Application REF: 4
KEY: i Autonomy| iethical iprinciples MSC: i Integrated iProcess: iCaring
NOT: i Client iNeeds iCategory: iSafe iand iEffective iCare iEnvironment: iManagement iof
iCare
7. A istudent inurse iasks ithe ifaculty ito iexplain ibest ipractices iwhen icommunicating iwith
ia iperson ifrom ithe ilesbian, igay, ibisexual, itransgender, iand iqueer/questioning
i(LGBTQ) icommunity. iWhat ianswer iby ithe ifaculty iis imost iaccurate?
a. Avoid iembarrassing ithe iclient iby iasking iquestions.
b. Don’t imake iassumptions iabout itheir ihealth ineeds.
c. Most iLGBTQ ipeople ido inot iwant ito ishare iinformation.
d. No idifferences iexist iin icommunicating iwith ithis ipopulation.
ANS: i i B
Many imembers iof ithe iLGBTQ icommunity ihave ifaced idiscrimination ifrom ihealth icare
iproviders iand imay ibe ireluctant ito iseek ihealth icare. iThe inurse ishould inever imake
iassumptions iabout ithe ineeds iof imembers iof ithis ipopulation. iRather, irespectful iquestions
iare iappropriate. iIf iapproached iwith isensitivity, ithe iclient iwith iany ihealth icare ineed iis
imore ilikely ito ianswer ihonestly.
DIF: Understanding/Comprehension REF: 4 KEY: i LGBTQ|
idiversity iMSC: i Integrated iProcess: iTeaching/Learning
NOT: i Client iNeeds iCategory: iPsychosocial iIntegrity
8. A inurse iis icalling ithe ion-call iphysician iabout ia iclient iwho ihad ia ihysterectomy i2 idays
iago iand ihas ipain ithat iis iunrelieved iby ithe iprescribed inarcotic ipain imedication. iWhich
istatement iis ipart iof ithe iSBAR iformat ifor icommunication?
a. A: i“I iwould ilike iyou ito iorder ia idifferent ipain imedication.”
b. B: i“This iclient ihas iallergies ito imorphine iand icodeine.”
c. R: i“Dr. iSmith idoesn’t ilike inonsteroidal ianti-inflammatory imeds.”
d. S: i“This iclient ihad ia ivaginal ihysterectomy i2 idays
i ago.” iANS: i B
DownlD ooaw dendlobayd:eadcbayd:eS
muicpexrA
pe|ra
t i b|
i ip
eaksaiyn1g2g@
rad
omail.com
Distribution iof ithis idocument iis iillegal
