Test Bank for Medical Surgical Nursing Concepts For Interprofessional
Collaborative Care 9th Edition
, Table of Contents
1
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical P
NursingChapter 02: Overview of Health Concepts for Medical-Surgical Nursing r
Chapter 03: Common Health Problems of Older Adults o
Chapter 04: Assessment and Care of Patients with Pain b
Chapter 05: Genetic Concepts for Medical-Surgical l
Nursing e
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health m
ProblemsChapter 07: End-of-Life Care s
Chapter 08: Concepts of Emergency and Trauma Nursing
Chapter 09: Care of Patients with Common Environmental C
EmergenciesChapter 10: Concepts of Emergency and Disaster h
Preparedness a
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte p
ImbalancesChapter 12: Assessment and Care of Patients with Acid-Base t
Imbalances e
Chapter 13: Infusion Therapy r
Chapter 14: Care of Preoperative
Patients Chapter 15: Care of 4
Intraoperative PatientsChapter 16: Care 1
of Postoperative PatientsChapter 17: :
Inflammation and Immunity
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue A
DiseasesChapter 19: Care of Patients with HIV Disease s
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and s
AutoimmunityChapter 21: Cancer Development e
Chapter 22: Care of Patients with s
Cancer Chapter 23: Care of Patients s
with Infection m
Chapter 24: Assessment of the Skin, Hair, and e
NailsChapter 25: Care of Patients with Skin n
Problems Chapter 26: Care of Patients with Burns t
Chapter 27: Assessment of the Respiratory System
o
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy
Chapter 29: Care of Patients with Noninfectious Upper Respiratory f
ProblemsChapter 30: Care of Patients with Noninfectious Lower
Respiratory ProblemsChapter 31: Care of Patients with Infectious t
Respiratory Problems h
e
Chapter 32: Care of Critically Ill Patients with Respiratory
ProblemsChapter 33: Assessment of the Cardiovascular System
N
Chapter 34: Care of Patients with Dysrhythmias
e
Chapter 35: Care of Patients with Cardiac
r
Problems Chapter 36: Care of Patients with
v
Vascular ProblemsChapter 37: Care of Patients
o
with Shock
u
Chapter 38: Care of Patients with Acute Coronary
s
SyndromesChapter 39: Assessment of the Hematologic
System
S
Chapter 40: Care of Patients with Hematologic
,ystem 3
Chapter 42: Care of Patients with Problems of the CNS: The Brain 8
Chapter 43: Care of Patients with Problems of the CNS: The Spinal 13
Cord 20
Chapter 44: Care of Patients with Problems of the Peripheral Nervous 32
SystemChapter 45: Care of Critically Ill Patients with Neurologic Problems 38
Chapter 46: Assessment of the Eye and Vision 44
Chapter 47: Care of Patients with Eye and Vision Problems 50
Chapter 48: Assessment and Care of Patients with Ear and Hearing 56
ProblemsChapter 49: Assessment of the Musculoskeletal System 62
Chapter 50: Care of Patients with Musculoskeletal Problems 68
76
83
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
MULTIPLE CHOICE
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 clients basic needs are met
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.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
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. 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
notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed
frequently, but the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: 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
Collaborative Care 9th Edition
, Table of Contents
1
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical P
NursingChapter 02: Overview of Health Concepts for Medical-Surgical Nursing r
Chapter 03: Common Health Problems of Older Adults o
Chapter 04: Assessment and Care of Patients with Pain b
Chapter 05: Genetic Concepts for Medical-Surgical l
Nursing e
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health m
ProblemsChapter 07: End-of-Life Care s
Chapter 08: Concepts of Emergency and Trauma Nursing
Chapter 09: Care of Patients with Common Environmental C
EmergenciesChapter 10: Concepts of Emergency and Disaster h
Preparedness a
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte p
ImbalancesChapter 12: Assessment and Care of Patients with Acid-Base t
Imbalances e
Chapter 13: Infusion Therapy r
Chapter 14: Care of Preoperative
Patients Chapter 15: Care of 4
Intraoperative PatientsChapter 16: Care 1
of Postoperative PatientsChapter 17: :
Inflammation and Immunity
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue A
DiseasesChapter 19: Care of Patients with HIV Disease s
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and s
AutoimmunityChapter 21: Cancer Development e
Chapter 22: Care of Patients with s
Cancer Chapter 23: Care of Patients s
with Infection m
Chapter 24: Assessment of the Skin, Hair, and e
NailsChapter 25: Care of Patients with Skin n
Problems Chapter 26: Care of Patients with Burns t
Chapter 27: Assessment of the Respiratory System
o
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy
Chapter 29: Care of Patients with Noninfectious Upper Respiratory f
ProblemsChapter 30: Care of Patients with Noninfectious Lower
Respiratory ProblemsChapter 31: Care of Patients with Infectious t
Respiratory Problems h
e
Chapter 32: Care of Critically Ill Patients with Respiratory
ProblemsChapter 33: Assessment of the Cardiovascular System
N
Chapter 34: Care of Patients with Dysrhythmias
e
Chapter 35: Care of Patients with Cardiac
r
Problems Chapter 36: Care of Patients with
v
Vascular ProblemsChapter 37: Care of Patients
o
with Shock
u
Chapter 38: Care of Patients with Acute Coronary
s
SyndromesChapter 39: Assessment of the Hematologic
System
S
Chapter 40: Care of Patients with Hematologic
,ystem 3
Chapter 42: Care of Patients with Problems of the CNS: The Brain 8
Chapter 43: Care of Patients with Problems of the CNS: The Spinal 13
Cord 20
Chapter 44: Care of Patients with Problems of the Peripheral Nervous 32
SystemChapter 45: Care of Critically Ill Patients with Neurologic Problems 38
Chapter 46: Assessment of the Eye and Vision 44
Chapter 47: Care of Patients with Eye and Vision Problems 50
Chapter 48: Assessment and Care of Patients with Ear and Hearing 56
ProblemsChapter 49: Assessment of the Musculoskeletal System 62
Chapter 50: Care of Patients with Musculoskeletal Problems 68
76
83
, Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
MULTIPLE CHOICE
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 clients basic needs are met
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.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
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. 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
notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed
frequently, but the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: 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
