Comprehensive Test Bank for Medical-Surgical
Nursing: Concepts and Clinical Judgment
What should a nurse do first for a postoperative client with a significant drop in blood pressure?
- Call the Rapid Response Team.
What is the purpose of the Rapid Response Team (RRT)? - To intervene when clients are
deteriorating before they suffer respiratory or cardiac arrest.
What is the priority when working as a professional nurse? - Ensuring client safety
What should a nurse encourage to help a client promote their own safety? - Encourage the
client and family to be active partners.
What action by a nurse best demonstrates client-centered care? - Assesses for cultural
influences affecting health care.
What is the most important action a client can take to protect against errors before surgery? -
Bring a list of all medications and what they are for.
What demonstrates respect for a client's autonomy during consent? - Asks if the client has
questions before signing a consent.
What is the best practice when communicating with the LGBTQ community? - Don't make
assumptions about their health needs.
What is included in the background portion of the SBAR format for communication? - Allergies
to medications the on-call health care provider might order.
, What action could have prevented a negative outcome when delegating vital signs to an AP? -
Providing more appropriate supervision of the AP.
What is medication reconciliation? - A formal process comparing a client's actual current
medications to prescribed medications.
Why is documentation important in nursing care? - It is vital for tracking changes in a client's
condition.
What is the significance of changes in blood pressure, mental status, heart rate, and oxygen
saturation? - They are part of the Modified Early Warning System guide.
What is the role of the nurse in client-centered care? - To show respect for the client and
family's preferences and needs.
What should a nurse do if a client has pain unrelieved by prescribed medication? -
Communicate the client's allergies and pain status to the on-call health care provider.
What is the definition of autonomy in nursing? - Self-determination; allowing clients to make
decisions regarding their care.
What should a nurse do to ensure effective communication with a client from the LGBTQ
community? - Ask respectful questions and avoid assumptions.
What does SBAR stand for in nursing communication? - Situation, Background, Assessment,
Recommendation.
What is the importance of supervision in delegation? - It includes directing, evaluating, and
following up on delegated tasks.
What is a key component of client safety during hospitalization? - Ensuring accurate medication
reconciliation.
How can a nurse empower a client in their care? - By providing accurate information and
encouraging questions.
What should a nurse prioritize when a client's condition deteriorates? - Calling for immediate
assistance, such as the Rapid Response Team.
What is the impact of cultural influences on health care? - They affect client-centered care and
health outcomes.
What is the nurse's responsibility regarding client education? - To ensure clients understand
their care and treatment options.
What is the significance of keeping promises made to clients? - It upholds fidelity in the nurse-
client relationship.
What should a nurse assess before a client signs a consent form? - If the client has any
questions about the procedure.
Nursing: Concepts and Clinical Judgment
What should a nurse do first for a postoperative client with a significant drop in blood pressure?
- Call the Rapid Response Team.
What is the purpose of the Rapid Response Team (RRT)? - To intervene when clients are
deteriorating before they suffer respiratory or cardiac arrest.
What is the priority when working as a professional nurse? - Ensuring client safety
What should a nurse encourage to help a client promote their own safety? - Encourage the
client and family to be active partners.
What action by a nurse best demonstrates client-centered care? - Assesses for cultural
influences affecting health care.
What is the most important action a client can take to protect against errors before surgery? -
Bring a list of all medications and what they are for.
What demonstrates respect for a client's autonomy during consent? - Asks if the client has
questions before signing a consent.
What is the best practice when communicating with the LGBTQ community? - Don't make
assumptions about their health needs.
What is included in the background portion of the SBAR format for communication? - Allergies
to medications the on-call health care provider might order.
, What action could have prevented a negative outcome when delegating vital signs to an AP? -
Providing more appropriate supervision of the AP.
What is medication reconciliation? - A formal process comparing a client's actual current
medications to prescribed medications.
Why is documentation important in nursing care? - It is vital for tracking changes in a client's
condition.
What is the significance of changes in blood pressure, mental status, heart rate, and oxygen
saturation? - They are part of the Modified Early Warning System guide.
What is the role of the nurse in client-centered care? - To show respect for the client and
family's preferences and needs.
What should a nurse do if a client has pain unrelieved by prescribed medication? -
Communicate the client's allergies and pain status to the on-call health care provider.
What is the definition of autonomy in nursing? - Self-determination; allowing clients to make
decisions regarding their care.
What should a nurse do to ensure effective communication with a client from the LGBTQ
community? - Ask respectful questions and avoid assumptions.
What does SBAR stand for in nursing communication? - Situation, Background, Assessment,
Recommendation.
What is the importance of supervision in delegation? - It includes directing, evaluating, and
following up on delegated tasks.
What is a key component of client safety during hospitalization? - Ensuring accurate medication
reconciliation.
How can a nurse empower a client in their care? - By providing accurate information and
encouraging questions.
What should a nurse prioritize when a client's condition deteriorates? - Calling for immediate
assistance, such as the Rapid Response Team.
What is the impact of cultural influences on health care? - They affect client-centered care and
health outcomes.
What is the nurse's responsibility regarding client education? - To ensure clients understand
their care and treatment options.
What is the significance of keeping promises made to clients? - It upholds fidelity in the nurse-
client relationship.
What should a nurse assess before a client signs a consent form? - If the client has any
questions about the procedure.
