Medical-Surgical Nursing 11th
Edition Test Bank by Donna D.
Ignatavicius – Comprehensive 100%
Verified Question Bank with
Rationales for Exam Success 2025
September 6, 2025
,1 Chapter 1: Overview of Professional Nursing
Concepts for Medical-Surgical Nursing
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 client’s basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
Correct Answer: A
Rationale: Competency in client-focused care is demonstrated when the
nurse focuses on communication, culture, respect, compassion, client edu-
cation, and empowerment. By assessing the effect of the client’s culture on
health care, this nurse is practicing client-focused care. Providing for ba-
sic needs does not demonstrate this competence. Simply telling the client
about all upcoming tests is not providing empowering education. Orient-
ing the client and family to the room is an important safety measure, but
not directly related to demonstrating client-centered care.
2. A nurse is caring for a postoperative client on the surgical unit. The client’s
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
b. Document and continue to monitor
c. Notify the primary care provider
d. Repeat blood pressure measurement in 15 minutes
Correct Answer: A
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene
when clients are deteriorating before they suffer either respiratory or car-
diac arrest. 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 vital, but the nurse
must do more than document. The primary care provider should be no-
tified, but this is not the priority over calling the RRT. The client’s blood
pressure should be reassessed frequently, but the priority is getting rapid
care to the client.
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
1
, c. Offer the family the opportunity to stay with the client
d. Tell the client to always wear his or her armband
Correct Answer: A
Rationale: Each action could be important for the client or family to per-
form. 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.
4. A new nurse is working with a preceptor on an inpatient medical-surgical
unit. The preceptor advises the student 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
Correct Answer: B
Rationale: All actions are appropriate for the professional nurse. How-
ever, 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 client’s safety.
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 doctor’s 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
Correct Answer: A
Rationale: Providing a comprehensive list of medications, including their
purposes, helps prevent medication errors by ensuring accurate reconcili-
ation and administration during the hospital stay.
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
2
Edition Test Bank by Donna D.
Ignatavicius – Comprehensive 100%
Verified Question Bank with
Rationales for Exam Success 2025
September 6, 2025
,1 Chapter 1: Overview of Professional Nursing
Concepts for Medical-Surgical Nursing
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 client’s basic needs are met
c. Tells the client and family about all upcoming tests
d. Thoroughly orients the client and family to the room
Correct Answer: A
Rationale: Competency in client-focused care is demonstrated when the
nurse focuses on communication, culture, respect, compassion, client edu-
cation, and empowerment. By assessing the effect of the client’s culture on
health care, this nurse is practicing client-focused care. Providing for ba-
sic needs does not demonstrate this competence. Simply telling the client
about all upcoming tests is not providing empowering education. Orient-
ing the client and family to the room is an important safety measure, but
not directly related to demonstrating client-centered care.
2. A nurse is caring for a postoperative client on the surgical unit. The client’s
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
b. Document and continue to monitor
c. Notify the primary care provider
d. Repeat blood pressure measurement in 15 minutes
Correct Answer: A
Rationale: The purpose of the Rapid Response Team (RRT) is to intervene
when clients are deteriorating before they suffer either respiratory or car-
diac arrest. 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 vital, but the nurse
must do more than document. The primary care provider should be no-
tified, but this is not the priority over calling the RRT. The client’s blood
pressure should be reassessed frequently, but the priority is getting rapid
care to the client.
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
1
, c. Offer the family the opportunity to stay with the client
d. Tell the client to always wear his or her armband
Correct Answer: A
Rationale: Each action could be important for the client or family to per-
form. 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.
4. A new nurse is working with a preceptor on an inpatient medical-surgical
unit. The preceptor advises the student 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
Correct Answer: B
Rationale: All actions are appropriate for the professional nurse. How-
ever, 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 client’s safety.
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 doctor’s 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
Correct Answer: A
Rationale: Providing a comprehensive list of medications, including their
purposes, helps prevent medication errors by ensuring accurate reconcili-
ation and administration during the hospital stay.
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
2
