Medical-Surgical Nursing
Test Bank For Medical-Surgical Nursing: Concepts For Clinical
Judgment And Collaborative Care 11th Edition( Donna D.
Ignatavicius) Newest Edition Complete Solution
, Test Bank for Medical-Surgical Nursing Concepts for Clinical
Judgment and Collaborative Care 11th Edition( Donna D.
Ignatavicius) Newest Edition complete solution
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
CORRECT ANSWER: 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.
CORRECT ANSWER: 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 tohelp 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.
CORRECT ANSWER: 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: 3KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
4. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
preceptor advises thestudent 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
All actions are appropriate for the professional nurse. However, 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 toqguard the clients safety.
DIF: Understanding/Comprehension
REF: 2KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
nurse explain isthe 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 doctors 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
Test Bank For Medical-Surgical Nursing: Concepts For Clinical
Judgment And Collaborative Care 11th Edition( Donna D.
Ignatavicius) Newest Edition Complete Solution
, Test Bank for Medical-Surgical Nursing Concepts for Clinical
Judgment and Collaborative Care 11th Edition( Donna D.
Ignatavicius) Newest Edition complete solution
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
CORRECT ANSWER: 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.
CORRECT ANSWER: 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 tohelp 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.
CORRECT ANSWER: 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: 3KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
4. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
preceptor advises thestudent 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
All actions are appropriate for the professional nurse. However, 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 toqguard the clients safety.
DIF: Understanding/Comprehension
REF: 2KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
nurse explain isthe 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 doctors 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
