Full Test Bank – Medical-Surgical Nursing, 10th Edition by Ignatavicius & Workman, Chapters 1–68

TEST BANK For Medical-Surgical Nursing
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10th Edition Concepts for Interprofessional
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v Collaborative Care, by Donna D. Ignatavicius,
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All chapters 1 – 69
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,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
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Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE v




1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
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v new nurse that which is the priority when working as a professional nurse?
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a. Attending to holistic client needs v v v v




b. Ensuring client safety v v




c. Not making medication errors v v v




d. Providing client-focused care v v




CORRECT ANSWER: B v v




All actions are appropriate for the professional nurse. However, ensuring client safety is the
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v priority. Health care errors have been widely reported for 25 years, many of which result in client
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v injury, death, and increased health care costs. There are several national and international
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v organizations that have either recommended or mandated safety initiatives. v v v v v v v v




Every nurse has the responsibility to guard the client’s safety. The other actions are important
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v for quality nursing, but they are not as vital as providing safety. Not making medication errors
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v does provide safety, but is too narrow in scope to be the best answer.
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DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention
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v KEY: Client safety v v




MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
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2. A nurse is orienting a new client and family to the medical-surgical unit. What information
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v does the nurse provide to best help the client promote his or her own safety?
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a. Encourage the client and family to be active partners. v v v v v v v v




b. Have the client monitor hand hygiene in caregivers. v v v v v v v




c. Offer the family the opportunity to stay with the client. v v v v v v v v v




d. Tell the client to always wear his or her armband. v v v v v v v v v




CORRECT ANSWER: A v v




Each action could be important for the client or family to perform. However, encouraging the
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v client to be active in his or her health care as a safety partner is the most critical. The other
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, v actions are very limited in scope and do not provide the broad protection that being active and
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v involved does. v




DIF: Understanding TOP: Integrated Process: Teaching/Learning
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v KEY: Client safety
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MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
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3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure was
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v142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse take
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v first?
a. Call the Rapid Response Team.
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b. Document and continue to monitor. v v v v




c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes.
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, CORRECT ANSWER: A v v




The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
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v before they suffer either respiratory or cardiac arrest. Since the client has manifested a
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v significant change, the nurse would call the RRT. Changes in blood pressure, mental status, heart
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v rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly significant
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v and are part of the Modified Early Warning System guide. Documentation is vital, but the nurse
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v must do more than document. The primary health care provider would be notified, but this is not
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v more important than calling the RRT. The client’s blood pressure would be reassessed
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v frequently, but the priority is getting the rapid care to the client. v v v v v v v v v v v




DIF: Applying TOP: Integrated Process: Communication and Documentation
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v KEY: Rapid Response Team (RRT), Clinical judgment
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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4. A nurse wishes to provide client-centered care in all interactions. Which action bythe nurse
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best demonstrates this concept?
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a. Assesses for cultural influences affecting health care. v v v v v v




b. Ensures that all the client’s basic needs are met. v v v v v v v v




c. Tells the client and family about all upcoming tests. v v v v v v v v




d. Thoroughly orients the client and family to the room. v v v v v v v v




CORRECT ANSWER: A v v




Showing respect for the client and family’s preferences and needs is essential to ensure a holistic
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or “whole-person” approach to care. By assessing the effect of the client’s culture on health care,
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v this nurse is practicing client-focused care. Providing for basic needs does not demonstrate this
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v competence. Simply telling the client about all upcoming tests is not providing empowering v v v v v v v v v v v v




education. Orienting the client and family to the room is an important safety measure, but not
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v directly related to demonstrating client-centered care.
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DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY:
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v Client-centered care, Culture v v MSC: Client Needs Category: Psychosocial Integrity v v v v v




5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
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v nurse explain is the most important thing the client can do to protect against errors?
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a. Bring a list of all medications and what they are for. v v v v v v v v v v




b. Keep the provider’s phone number by the telephone. v v v v v v v




c. Make sure that all providers wash hands before entering the room. v v v v v v v v v v




d. Write down the name of each caregiver who comes in the room. v v v v v v v v v v v