TEST BANK FOR
MEDICAL-SURGICAL
NURSING, 10TH EDITION,
DONNA D.
IGNATAVICIUS, LINDA
WORKMAN, CHERIE R.
REBAR, NICOLE M.
HEIMGARTNER
, abirb.com/test
WWW.NURSYLAB.COM
Chapter c01: cOverview cof cProfessional cNursing cConcepts cfor cMedical-Surgical cNursing
cIgnatavicius: cMedical-Surgicalabirb.com/test
cNursing, c10th cEdition
MULTIPLE cCHOICE abirb.com/test
1. A cnew cnurse cis cworking cwith ca cpreceptor con ca cmedical-surgical cunit. cThe cpreceptor
cadvises cthe cnew cnurse cthat cwhich cis cthe cpriority cwhen cworking cas ca cprofessional
cnurse? abirb.com/test
a. Attending cto cholistic cclient cneeds
b. Ensuring cclient csafety
c. Not cmaking cmedication cerrors
ab irb.com/test
d. Providing cclient-focused ccare c
ANS: c B
All cactions care cappropriate cfor cthe cprofessional cnurse. cHowever, censuring cclient csafety
abirb .com/tes t
cis cthe cpriority. cHealth ccare cerrors chave been c widely reported c for c25 cyears, cmany cof
cwhich cresult cin cclient cinjury, cdeath, cand cincreased chealth ccare ccosts. cThere care
cseveral cnational cand
international corganizations cthat chave ceither crecommended cor cmandated csafety cinitiatives.
cEvery cnurse chas cthe cresponsibility cto cguard cthe cclient’s csafety. cThe cother cactions care
abirb.com/test
cimportant cfor cquality cnursing, cbut cthey care cnot cas cvital cas cproviding csafety. cNot cmaking
cmedication cerrors cdoes cprovide csafety, cbut cis ctoo cnarrow cin cscope cto cbe cthe cbest
canswer.
DIF: Understanding
cKEY: c Client
abirb.c o m /test
T O P : c c Integrated cProcess: cNursing cProcess: cIntervention
csafety
MSC: c Client cNeeds cCategory: cSafe cand cEffective cCare cEnvironment: cSafety cand cInfection cControl
ab irb.com / t e s t
2. A cnurse cis corienting ca cnew cclient cand family to ct h e m e d i c a l - surgical cunit. cWhat
cinformation cdoes cthe cnurse cprovide cto cbest chelp cthe cclient cpromote chis cor cher cown
csafety?
a. Encourage cthe cclient cand cfamily cto cbe cactive cpartners.
b. Have cthe cclient cmonitor chand chygiene cin ccaregivers.
c. abirb.com/test
Offer cthe cfamily cthe copportunity cto cstay cwith cthe cclient.
d. Tell cthe cclient cto calways cwear chis cor cher carmband.
ANS: abirb.com/test
c A
Each caction ccould cbe cimportant cfor cthe cclient cor cfamily cto cperform. cHowever,
cencouraging cthe cclient cto cbe cactive cin chis cor cher chealth ccare cas ca csafety cpartner cis cthe
cmost ccritical. cThe cother
actions care cvery climited cin cscope cand cdo cnot cprovide cthe cbroad cprotection cthat cbeing cactive
cand
involved cdoes. abirb.com/test
DIF: Understanding TOP: c Integrated cProcess: cTeaching/Learning
KEY: c Client abirb.com/test
csafety
MSC: c Client cNeeds cCategory: cSafe cand cEffective cCare cEnvironment: cSafety cand cInfection cControl
3. A cnurse cis ccaring cfor ca cpostoperative cclient con cthe csurgical cunit. cThe cclient’s cblood
cpressure cwas c142/76 cmm cHg c30 cminutes
take
abagior,ban.dcnoowmis/8t8e/5s0tmm cHg. cWhat caction
cfirst? WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
cwould cthe cnurse
a. Call cthe cRapid cResponse cTeam.
b. Document cand ccontinue cto cmonitor.
c. abirb.com/test
Notify cthe cprimary chealth ccare cprovider.
d. Repeat cthe cblood cpressure cin c15 cminutes.
abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
ANS:
abirb.com/te s t
A cpurpose cof cthe cRapid cResponse Team (RRT) is ct o intervene cwhen cclients care
cThe
cdeteriorating cbefore cthey csuffer ceither crespiratory cor ccardiac carrest. cSince cthe cclient chas
cmanifested ca csignificant cchange, cthe cnurse cwould ccall cthe cRRT. cChanges cin cblood
abirb.com/test
cpressure, cmental cstatus, cheart crate, ctemperature, coxygen csaturation, cand clast c2 chours’
curine coutput care cparticularly csignificant cand care cpart cof cthe cModified cEarly cWarning
cSystem cguide. cDocumentation cis cvital, cbut cthe cnurse cmust cdo cmore cthan cdocument.
cThe cprimary chealth ccare cprovider cwould cbe cnotified, cbut cthis cis cnot cmore cimportant
abirb.com/test
cthan ccalling cthe cRRT. cThe cclient’s cblood cpressure cwould cbe creassessed cfrequently, cbut
cthe cpriority cis cgetting cthe crapid ccare cto cthe cclient.
DIF: Applying TOP: c Integrated cProcess: cCommunication cand
cDocumentation cKEY: c Rapid cResponse cTeam c(RRT), cClinical cjudgment
abirb.com/test
MSC: c Client cNeeds cCategory: cPhysiological cIntegrity: cPhysiological cAdaptation
4. A cnurse cwishes cto cprovide cclient-centered ccare cin call cinteractions. cWhich caction cby cthe
cnurse
best cdemonstrates cthis cconcep t? a birb.com/test
a. Assesses cfor ccultural cinfluences caffecting chealth ccare.
b. Ensures cthat call cthe cclient’s cbasic cneeds care cmet.
c. Tells cthe cclient cand cfamily cabout call cupcoming ctests.
abirb.com/test
d. Thoroughly corients cthe cclient cand cfamily cto cthe croom.
ANS: c A
Showing crespect cfor cthe cclient cand cfamily’s cpreferences cand cneeds cis cessential cto censure
abirb.com/test
ca cholistic cor c“whole-person” capproach cto ccare. cBy cassessing cthe ceffect cof cthe cclient’s
cculture con chealth ccare, cthis cnurse cis cpracticing cclient-focused ccare. cProviding cfor cbasic
cneeds cdoes cnot cdemonstrate cthis ccompetence. cSimply ctelling cthe cclient cabout call
cupcoming ctests cis cnot
abirb.com/tes t
providing cempowering ceducation. Orienting the clientc and cfamily cto cthe croom cis can
cimportant csafety cmeasure, cbut cnot cdirectly crelated cto cdemonstrating cclient-centered ccare.
DIF: Understanding T OP : c c Integrated cProcess: cCulture cand cSpirituality
KEY: c Client-centered ccare, cCultureabirb.c o cm
MSC: Client/ctNeeds
estcCategory: cPsychosocial cIntegrity
5. A cclient cis cgoing cto cbe cadmitted cfor ca cscheduled csurgical cprocedure. cWhich caction
abirb.com/test
cdoes cthe cnurse cexplain cis cthe cmost cimportant cthing cthe cclient ccan cdo cto cprotect
cagainst cerrors?
a. Bring ca clist cof call cmedications cand cwhat cthey care cfor.
b. Keep cthe cprovider’s cphone cnumber cby cthe ctelephone.
c. Make csure cthat call cproviders cwash chands cbefore centering cthe croom.
d. abirb.com/test
Write cdown cthe cname cof ceach ccaregiver cwho ccomes cin cthe croom.
ANS: c A
Medication creconciliation cis ca cformal cprocess cin cwhich cthe cclient’s cactual ccurrent
abirb.com/test
cmedications care ccompared cto cthe cprescribed cmedications cat cthe ctime cof cadmission,
ctransfer, cor cdischarge. cThis cNational cclient cSafety cGoal cis cimportant cto creduce
cmedication cerrors. cThe cclient cwould cnot chave cto cbe cresponsible cfor cproviders cwashing
abirb.com/test
ctheir chands, cand ceven cif cthe cclient cdoes cso, cthis cis ctoo cnarrow cto cbe cthe cmost
cimportant caction cto cprevent cerrors. cKeeping cthe cprovider’s cphone cnumber cnearby cand
cdocumenting ceveryone cwho centers cthe croom calso cdo cnot cguarantee csafety.
DIF: Applying TOP:
c a b i rb . c o m / t e s t
Int eg rat e d Pr o ce ss: Te ac h in g/ Learning cKEY: c Client csafety,
WWW.NURSYLAB.COM
abirb.com/test
MEDICAL-SURGICAL
NURSING, 10TH EDITION,
DONNA D.
IGNATAVICIUS, LINDA
WORKMAN, CHERIE R.
REBAR, NICOLE M.
HEIMGARTNER
, abirb.com/test
WWW.NURSYLAB.COM
Chapter c01: cOverview cof cProfessional cNursing cConcepts cfor cMedical-Surgical cNursing
cIgnatavicius: cMedical-Surgicalabirb.com/test
cNursing, c10th cEdition
MULTIPLE cCHOICE abirb.com/test
1. A cnew cnurse cis cworking cwith ca cpreceptor con ca cmedical-surgical cunit. cThe cpreceptor
cadvises cthe cnew cnurse cthat cwhich cis cthe cpriority cwhen cworking cas ca cprofessional
cnurse? abirb.com/test
a. Attending cto cholistic cclient cneeds
b. Ensuring cclient csafety
c. Not cmaking cmedication cerrors
ab irb.com/test
d. Providing cclient-focused ccare c
ANS: c B
All cactions care cappropriate cfor cthe cprofessional cnurse. cHowever, censuring cclient csafety
abirb .com/tes t
cis cthe cpriority. cHealth ccare cerrors chave been c widely reported c for c25 cyears, cmany cof
cwhich cresult cin cclient cinjury, cdeath, cand cincreased chealth ccare ccosts. cThere care
cseveral cnational cand
international corganizations cthat chave ceither crecommended cor cmandated csafety cinitiatives.
cEvery cnurse chas cthe cresponsibility cto cguard cthe cclient’s csafety. cThe cother cactions care
abirb.com/test
cimportant cfor cquality cnursing, cbut cthey care cnot cas cvital cas cproviding csafety. cNot cmaking
cmedication cerrors cdoes cprovide csafety, cbut cis ctoo cnarrow cin cscope cto cbe cthe cbest
canswer.
DIF: Understanding
cKEY: c Client
abirb.c o m /test
T O P : c c Integrated cProcess: cNursing cProcess: cIntervention
csafety
MSC: c Client cNeeds cCategory: cSafe cand cEffective cCare cEnvironment: cSafety cand cInfection cControl
ab irb.com / t e s t
2. A cnurse cis corienting ca cnew cclient cand family to ct h e m e d i c a l - surgical cunit. cWhat
cinformation cdoes cthe cnurse cprovide cto cbest chelp cthe cclient cpromote chis cor cher cown
csafety?
a. Encourage cthe cclient cand cfamily cto cbe cactive cpartners.
b. Have cthe cclient cmonitor chand chygiene cin ccaregivers.
c. abirb.com/test
Offer cthe cfamily cthe copportunity cto cstay cwith cthe cclient.
d. Tell cthe cclient cto calways cwear chis cor cher carmband.
ANS: abirb.com/test
c A
Each caction ccould cbe cimportant cfor cthe cclient cor cfamily cto cperform. cHowever,
cencouraging cthe cclient cto cbe cactive cin chis cor cher chealth ccare cas ca csafety cpartner cis cthe
cmost ccritical. cThe cother
actions care cvery climited cin cscope cand cdo cnot cprovide cthe cbroad cprotection cthat cbeing cactive
cand
involved cdoes. abirb.com/test
DIF: Understanding TOP: c Integrated cProcess: cTeaching/Learning
KEY: c Client abirb.com/test
csafety
MSC: c Client cNeeds cCategory: cSafe cand cEffective cCare cEnvironment: cSafety cand cInfection cControl
3. A cnurse cis ccaring cfor ca cpostoperative cclient con cthe csurgical cunit. cThe cclient’s cblood
cpressure cwas c142/76 cmm cHg c30 cminutes
take
abagior,ban.dcnoowmis/8t8e/5s0tmm cHg. cWhat caction
cfirst? WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
cwould cthe cnurse
a. Call cthe cRapid cResponse cTeam.
b. Document cand ccontinue cto cmonitor.
c. abirb.com/test
Notify cthe cprimary chealth ccare cprovider.
d. Repeat cthe cblood cpressure cin c15 cminutes.
abirb.com/test
WWW.NURSYLAB.COM
abirb.com/test
, abirb.com/test
WWW.NURSYLAB.COM
ANS:
abirb.com/te s t
A cpurpose cof cthe cRapid cResponse Team (RRT) is ct o intervene cwhen cclients care
cThe
cdeteriorating cbefore cthey csuffer ceither crespiratory cor ccardiac carrest. cSince cthe cclient chas
cmanifested ca csignificant cchange, cthe cnurse cwould ccall cthe cRRT. cChanges cin cblood
abirb.com/test
cpressure, cmental cstatus, cheart crate, ctemperature, coxygen csaturation, cand clast c2 chours’
curine coutput care cparticularly csignificant cand care cpart cof cthe cModified cEarly cWarning
cSystem cguide. cDocumentation cis cvital, cbut cthe cnurse cmust cdo cmore cthan cdocument.
cThe cprimary chealth ccare cprovider cwould cbe cnotified, cbut cthis cis cnot cmore cimportant
abirb.com/test
cthan ccalling cthe cRRT. cThe cclient’s cblood cpressure cwould cbe creassessed cfrequently, cbut
cthe cpriority cis cgetting cthe crapid ccare cto cthe cclient.
DIF: Applying TOP: c Integrated cProcess: cCommunication cand
cDocumentation cKEY: c Rapid cResponse cTeam c(RRT), cClinical cjudgment
abirb.com/test
MSC: c Client cNeeds cCategory: cPhysiological cIntegrity: cPhysiological cAdaptation
4. A cnurse cwishes cto cprovide cclient-centered ccare cin call cinteractions. cWhich caction cby cthe
cnurse
best cdemonstrates cthis cconcep t? a birb.com/test
a. Assesses cfor ccultural cinfluences caffecting chealth ccare.
b. Ensures cthat call cthe cclient’s cbasic cneeds care cmet.
c. Tells cthe cclient cand cfamily cabout call cupcoming ctests.
abirb.com/test
d. Thoroughly corients cthe cclient cand cfamily cto cthe croom.
ANS: c A
Showing crespect cfor cthe cclient cand cfamily’s cpreferences cand cneeds cis cessential cto censure
abirb.com/test
ca cholistic cor c“whole-person” capproach cto ccare. cBy cassessing cthe ceffect cof cthe cclient’s
cculture con chealth ccare, cthis cnurse cis cpracticing cclient-focused ccare. cProviding cfor cbasic
cneeds cdoes cnot cdemonstrate cthis ccompetence. cSimply ctelling cthe cclient cabout call
cupcoming ctests cis cnot
abirb.com/tes t
providing cempowering ceducation. Orienting the clientc and cfamily cto cthe croom cis can
cimportant csafety cmeasure, cbut cnot cdirectly crelated cto cdemonstrating cclient-centered ccare.
DIF: Understanding T OP : c c Integrated cProcess: cCulture cand cSpirituality
KEY: c Client-centered ccare, cCultureabirb.c o cm
MSC: Client/ctNeeds
estcCategory: cPsychosocial cIntegrity
5. A cclient cis cgoing cto cbe cadmitted cfor ca cscheduled csurgical cprocedure. cWhich caction
abirb.com/test
cdoes cthe cnurse cexplain cis cthe cmost cimportant cthing cthe cclient ccan cdo cto cprotect
cagainst cerrors?
a. Bring ca clist cof call cmedications cand cwhat cthey care cfor.
b. Keep cthe cprovider’s cphone cnumber cby cthe ctelephone.
c. Make csure cthat call cproviders cwash chands cbefore centering cthe croom.
d. abirb.com/test
Write cdown cthe cname cof ceach ccaregiver cwho ccomes cin cthe croom.
ANS: c A
Medication creconciliation cis ca cformal cprocess cin cwhich cthe cclient’s cactual ccurrent
abirb.com/test
cmedications care ccompared cto cthe cprescribed cmedications cat cthe ctime cof cadmission,
ctransfer, cor cdischarge. cThis cNational cclient cSafety cGoal cis cimportant cto creduce
cmedication cerrors. cThe cclient cwould cnot chave cto cbe cresponsible cfor cproviders cwashing
abirb.com/test
ctheir chands, cand ceven cif cthe cclient cdoes cso, cthis cis ctoo cnarrow cto cbe cthe cmost
cimportant caction cto cprevent cerrors. cKeeping cthe cprovider’s cphone cnumber cnearby cand
cdocumenting ceveryone cwho centers cthe croom calso cdo cnot cguarantee csafety.
DIF: Applying TOP:
c a b i rb . c o m / t e s t
Int eg rat e d Pr o ce ss: Te ac h in g/ Learning cKEY: c Client csafety,
WWW.NURSYLAB.COM
abirb.com/test
