A. Medsurg Ignatavicius 11th edition
chapters 1-4
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 - Ans--B
All actions are appropriate for the professional nurse.
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.
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
A nurse is caring for a postoperative client on the surgical unit. The client's
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. - Ans--A
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 client's 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
, A client is going to be admitted for a scheduled surgical procedure. Which
action does the nurse explain is the 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 provider's phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room. - Ans--A
Which action by the nurse working with a client best demonstrates respect
for autonomy?
a. Asks if the client has questions before signing a consent.
b. Gives the client accurate information when questioned.
c. Keeps the promises made to the client and family.
d. Treats the client fairly compared to other clients. - Ans--A
A nurse asks a more seasoned colleague to explain best practices when
communicating with a person from the lesbian, gay, bisexual, transgender,
and questioning/queer (LGBTQ) community. What answer by the faculty is
most accurate?
a. Avoid embarrassing the client by asking questions.
b. Don't make assumptions about his or her health needs.
c. Most LGBTQ people do not want to share information.
d. No differences exist in communicating with this population. - Ans--B
A nurse is calling the on-call health care provider about a client who had a
hysterectomy 2 days ago and has pain that is unrelieved by the prescribed
opioid pain medication. Which statement comprises the background
portion of the SBAR format for communication?
a. "I would like you to order a different pain medication."
b. "This client has allergies to morphine and codeine."
c. "Dr. Smith doesn't like nonsteroidal anti-inflammatory meds."
d. "This client had a vaginal hysterectomy 2 days ago." - Ans--B
A nurse working on a cardiac unit delegated taking vital signs to an
experienced assistive personnel (AP). Four hours later, the nurse notes
that the client's blood pressure taken by the AP was much higher than
chapters 1-4
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 - Ans--B
All actions are appropriate for the professional nurse.
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.
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
A nurse is caring for a postoperative client on the surgical unit. The client's
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. - Ans--A
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 client's 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
, A client is going to be admitted for a scheduled surgical procedure. Which
action does the nurse explain is the 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 provider's phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room. - Ans--A
Which action by the nurse working with a client best demonstrates respect
for autonomy?
a. Asks if the client has questions before signing a consent.
b. Gives the client accurate information when questioned.
c. Keeps the promises made to the client and family.
d. Treats the client fairly compared to other clients. - Ans--A
A nurse asks a more seasoned colleague to explain best practices when
communicating with a person from the lesbian, gay, bisexual, transgender,
and questioning/queer (LGBTQ) community. What answer by the faculty is
most accurate?
a. Avoid embarrassing the client by asking questions.
b. Don't make assumptions about his or her health needs.
c. Most LGBTQ people do not want to share information.
d. No differences exist in communicating with this population. - Ans--B
A nurse is calling the on-call health care provider about a client who had a
hysterectomy 2 days ago and has pain that is unrelieved by the prescribed
opioid pain medication. Which statement comprises the background
portion of the SBAR format for communication?
a. "I would like you to order a different pain medication."
b. "This client has allergies to morphine and codeine."
c. "Dr. Smith doesn't like nonsteroidal anti-inflammatory meds."
d. "This client had a vaginal hysterectomy 2 days ago." - Ans--B
A nurse working on a cardiac unit delegated taking vital signs to an
experienced assistive personnel (AP). Four hours later, the nurse notes
that the client's blood pressure taken by the AP was much higher than
