TEST BANK FOR IGNATAVICIUS MEDICAL
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
,1|P age
TEST BANK FOR IGNATAVICIUS MEDICAL
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
Nursing
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor
advises the new nurse 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
- ANSWER- B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in client
injury, death, and increased health care costs. There are several national and international
organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client9s safety. The other actions are important
for quality nursing, but they are not as vital as providing safety. Not making medication errors
does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention KEY: Client
safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What
information does the nurse provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
,210|10P10 a10
g10e
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.
- 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 safety 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 TOP: Integrated Process: Teaching/Learning KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the
nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
-10ANSWER-10A
The10purpose10of10the10Rapid10Response10Team10(RRT)10is10to10intervene10when10clients10are10d
eteriorating10before10they10suffer10either10respiratory10or10cardiac10arrest.10Since10the10client10has
10manifested10a10significant10change,10the10nurse10would10call10the10RRT.10Changes10in10blood10
pressure,10mental10status,10heart10rate,10temperature,10oxygen10saturation,10and10last10210hours910
urine10output10are10particularly10significant10and10are10part10of10the10Modified10Early10Warning10
System10guide.10Documentation10is10vital,10but10the10nurse10must10do10more10than10document.10
The10primary10health10care10provider10would10be10notified,10but10this10is10not10more10important1
0than10calling10the10RRT.10The10client9s10blood10pressure10would10be10reassessed10frequently,10
but10the10priority10is10getting10the10rapid10care10to10the10client.
DIF: Applying
TOP:10Integrated10Process:10Communication10and10Documentation10KEY:10Rapid10
Response10Team10(RRT),10Clinical10judgment
MSC:10Client10Needs10Category:10Physiological10Integrity:10Physiological10Adaptation
, 310|10P10 a10
g10e
4. A10nurse10wishes10to10provide10client-
centered10care10in10all10interactions.10Which10action10by10the10nurse
best10demonstrates10this10concept?
a. Assesses10for10cultural10influences10affecting10health10care.
b. Ensures10that10all10the10client9s10basic10needs10are10met.
c. Tells10the10client10and10family10about10all10upcoming10tests.
d. Thoroughly10orients10the10client10and10family10to10the10room.
-10ANSWER-10A
Showing10respect10for10the10client10and10family9s10preferences10and10needs10is10essential10to10ens
ure10a10holistic10or10<whole-
person=10approach10to10care.10By10assessing10the10effect10of10the10client9s10culture10on10health10
care,10this10nurse10is10practicing10client-
focused10care.10Providing10for10basic10needs10does10not10demonstrate10this10competence.10Simpl
y10telling10the10client10about10all10upcoming10tests10is10not10providing10empowering10education.1
0Orienting10the10client10and10family10to10the10room10is10an10important10safety10measure,10but10no
t10directly10related10to10demonstrating10client-centered10care.
DIF: Understanding10TOP:10Integrated10Process:10Culture10and10Spirituality10KEY:10Client-
centered10care,10Culture MSC:10Client10Needs10Category:10Psychosocial10Integrity
5. A10client10is10going10to10be10admitted10for10a10scheduled10surgical10procedure.10Which
10action10does10the10nurse10explain10is10the10most10important10thing10the10client10can10do10to1
0protect10against10errors?
a. Bring10a10list10of10all10medications10and10what10they10are10for.
b. Keep10the10provider9s10phone10number10by10the10telephone.
c. Make10sure10that10all10providers10wash10hands10before10entering10the10room.
d. Write10down10the10name10of10each10caregiver10who10comes10in10the10room.
-10ANSWER-10A
Medication10reconciliation10is10a10formal10process10in10which10the10client9s10actual10current10me
dications10are10compared10to10the10prescribed10medications10at10the10time10of10admission,10trans
fer,10or10discharge.10This10National10client10Safety10Goal10is10important10to10reduce10medication
10errors.10The10client10would10not10have10to10be10responsible10for10providers10washing10their10ha
nds,10and10even10if10the10client10does10so,10this10is10too10narrow10to10be10the10most10important10a
ction10to10prevent10errors.10Keeping10the10provider9s10phone10number10nearby10and10documenti
ng10everyone10who10enters10the10room10also10do10not10guarantee10safety.
DIF: Applying
TOP:10Integrated10Process:10Teaching/Learning10KEY:10Client10safety,10Informa
tics
MSC:10Client10Needs10Category:10Safe10and10Effective10Care10Environment:10Safety10and10
Infection10Control
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
,1|P age
TEST BANK FOR IGNATAVICIUS MEDICAL
SURGICAL NURSING CONCEPTS FOR
INTERPROFESSIONAL COLLABORATIVE CARE 10TH
EDITION BY DONNA D. IGNATAVICIUS FULL
TESTBANK ALL CHAPTERS 1-69|| LATEST AND
COMPLETE UPDATE GRADED A+
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
Nursing
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor
advises the new nurse 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
- ANSWER- B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Health care errors have been widely reported for 25 years, many of which result in client
injury, death, and increased health care costs. There are several national and international
organizations that have either recommended or mandated safety initiatives.
Every nurse has the responsibility to guard the client9s safety. The other actions are important
for quality nursing, but they are not as vital as providing safety. Not making medication errors
does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention KEY: Client
safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What
information does the nurse provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
,210|10P10 a10
g10e
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.
- 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 safety 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 TOP: Integrated Process: Teaching/Learning KEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the
nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
d. Repeat the blood pressure in 15 minutes.
-10ANSWER-10A
The10purpose10of10the10Rapid10Response10Team10(RRT)10is10to10intervene10when10clients10are10d
eteriorating10before10they10suffer10either10respiratory10or10cardiac10arrest.10Since10the10client10has
10manifested10a10significant10change,10the10nurse10would10call10the10RRT.10Changes10in10blood10
pressure,10mental10status,10heart10rate,10temperature,10oxygen10saturation,10and10last10210hours910
urine10output10are10particularly10significant10and10are10part10of10the10Modified10Early10Warning10
System10guide.10Documentation10is10vital,10but10the10nurse10must10do10more10than10document.10
The10primary10health10care10provider10would10be10notified,10but10this10is10not10more10important1
0than10calling10the10RRT.10The10client9s10blood10pressure10would10be10reassessed10frequently,10
but10the10priority10is10getting10the10rapid10care10to10the10client.
DIF: Applying
TOP:10Integrated10Process:10Communication10and10Documentation10KEY:10Rapid10
Response10Team10(RRT),10Clinical10judgment
MSC:10Client10Needs10Category:10Physiological10Integrity:10Physiological10Adaptation
, 310|10P10 a10
g10e
4. A10nurse10wishes10to10provide10client-
centered10care10in10all10interactions.10Which10action10by10the10nurse
best10demonstrates10this10concept?
a. Assesses10for10cultural10influences10affecting10health10care.
b. Ensures10that10all10the10client9s10basic10needs10are10met.
c. Tells10the10client10and10family10about10all10upcoming10tests.
d. Thoroughly10orients10the10client10and10family10to10the10room.
-10ANSWER-10A
Showing10respect10for10the10client10and10family9s10preferences10and10needs10is10essential10to10ens
ure10a10holistic10or10<whole-
person=10approach10to10care.10By10assessing10the10effect10of10the10client9s10culture10on10health10
care,10this10nurse10is10practicing10client-
focused10care.10Providing10for10basic10needs10does10not10demonstrate10this10competence.10Simpl
y10telling10the10client10about10all10upcoming10tests10is10not10providing10empowering10education.1
0Orienting10the10client10and10family10to10the10room10is10an10important10safety10measure,10but10no
t10directly10related10to10demonstrating10client-centered10care.
DIF: Understanding10TOP:10Integrated10Process:10Culture10and10Spirituality10KEY:10Client-
centered10care,10Culture MSC:10Client10Needs10Category:10Psychosocial10Integrity
5. A10client10is10going10to10be10admitted10for10a10scheduled10surgical10procedure.10Which
10action10does10the10nurse10explain10is10the10most10important10thing10the10client10can10do10to1
0protect10against10errors?
a. Bring10a10list10of10all10medications10and10what10they10are10for.
b. Keep10the10provider9s10phone10number10by10the10telephone.
c. Make10sure10that10all10providers10wash10hands10before10entering10the10room.
d. Write10down10the10name10of10each10caregiver10who10comes10in10the10room.
-10ANSWER-10A
Medication10reconciliation10is10a10formal10process10in10which10the10client9s10actual10current10me
dications10are10compared10to10the10prescribed10medications10at10the10time10of10admission,10trans
fer,10or10discharge.10This10National10client10Safety10Goal10is10important10to10reduce10medication
10errors.10The10client10would10not10have10to10be10responsible10for10providers10washing10their10ha
nds,10and10even10if10the10client10does10so,10this10is10too10narrow10to10be10the10most10important10a
ction10to10prevent10errors.10Keeping10the10provider9s10phone10number10nearby10and10documenti
ng10everyone10who10enters10the10room10also10do10not10guarantee10safety.
DIF: Applying
TOP:10Integrated10Process:10Teaching/Learning10KEY:10Client10safety,10Informa
tics
MSC:10Client10Needs10Category:10Safe10and10Effective10Care10Environment:10Safety10and10
Infection10Control
