Timby's Introductory Medical-Surgical
Nursing 13th Edition Moreno Test Bank
2026/27
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,Chapter 1 x Concepts and Trends in Healthcare x x x x
◦
A new nurse is working with a preceptor on an inpatient medical-
x x x x x x x x x x x
surgical unit. The preceptor advises the student that which is the priority w x x x x x x x x x x x x
hen working as a professional nurse? x x x x x
◦ Attending to holistic client needs x x x x
◦ Ensuring client safety x x
◦ Not making medication errorsx x x
◦
Providing cliet- x
focused care A x x x
NS: B x
◦ All actions are appropriate for the professional nurse. However, en x x x x x x x x x
suring client safety is the priority. Up to 98,000 deaths result each year from erro
x x x x x x x x x x x x x x
rs in hospital care, according to the 2000 Institute of Medicine report. Many more cl
x x x x x x x x x x x x x x
ients have suffered injuries and less serious outcomes. Every nurse has the respons
x x x x x x x x x x x x
ibility to guard the clients safety.
x x x x x
◦ DIF: Understanding/Comprehension RE x x
F: 2 KEY: Patient safety MSC: Integrated Process: Nursin
x x x x x x x x
g Process: Intervention
x x
◦ NOT: Client Needs Category: Safe and Effective Ca x x x x x x x
re Environment: Safety and Infection Control
x x x x x
◦ A nurse is orienting a new client and family to the inpatient unit. What inf
x x x x x x x x x x x x x x
ormation does the nurse provide to help the client promote his or her ow
x x x x x x x x x x x x x
n safety?
x
◦ Encourage the client and family to be active partners. x x x x x x x x
◦ Have the client monitor hand hygiene in caregivers.
x x x x x x x
◦ Offer the family the opportunity to stay with the client.
x x x x x x x x x
◦
Tell the client to always wear his o x x x x x x x
r her armband. ANS: A x x x x
◦ Each action could be important for the client or family to perform. x x x x x x x x x x x
However, encouraging the client to be active in his or her health care as a partne
x x x x x x x x x x x x x x x x
r is the most critical. The other actions are
x x x x x x x x
◦
◦ very limited in scope and do not provide the broad protection t x x x x x x x x x x x
hat being active and involved does.
x x x x x
◦ DIF: Understanding/Comprehension RE
x x
,F: 3 KEY: Patient safety MSC: Integrated Process: Teachi
x x x x x x x x
ng/ Learning
x
◦ NOT: Client Needs Category: Safe and Effective Care
x x x x x x x
, Environment: Safety and Infection Control x x x x
◦ A nurse is caring for a postoperative client on the surgical unit. The clients blo
x x x x x x x x x x x x x x
od pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. Wh
x x x x x x x x x x x x x x x
at action by the nurse is best?
x x x x x x
◦ Call the Rapid Response Team.
x x x x
◦ Document and continue to monitor. x x x x
◦ Notify the primary care provider. x x x x
◦Repeat blood pressure measurem x x x
ent in 15 minutes. ANS: A x x x x x
◦ The purpose of the Rapid Response Team (RRT) is to intervene when x x x x x x x x x x x
clients are deteriorating before they suffer either respiratory or cardiac arrest. Sinc
x x x x x x x x x x x x
e the client has manifested a significant change, the nurse should call the RRT. Chan
x x x x x x x x x x x x x x
ges in blood pressure, mental status, heart rate, and pain are particularly significan
x x x x x x x x x x x x
t. Documentation is vital, but the nurse must do more than document. The primary
x x x x x x x x x x x x x x
care provider should be notified, but this is not the priority over calling the RRT. T
x x x x x x x x x x x x x x x
he clients blood pressure should be reassessed frequently, but the priority is gettin
x x x x x x x x x x x x
g the rapid care to the client. x x x x x
◦ DIF: Applying/Application REF: 3 x x x
◦ KEY: Rapid Response Team (RRT) x x x x
| medical emergencies MSC: Integrated Process:
x x x x x
Communication and Documentation x x
◦ NOT: Client Needs Category: Physiological Integrity: Physiological Adaptatio x x x x x x x
n
◦
◦ A nurse wishes to provide client-
x x x x x
centered care in all interactions. Which action by the nurse best demo x x x x x x x x x x x
nstrates this concept? x x
◦ Assesses for cultural influences affecting health care x x x x x x
◦ Ensures that all the clients basic needs are met x x x x x x x x
◦ Tells the client and family about all upcoming tests
x x x x x x x x
◦
Thoroughly orients the client a x x x x
nd family to the room ANS: A x x x x x x
◦ Competency in client- x x
focused care is demonstrated when the nurse focuses on communication, cult
x x x x x x x x x x
ure, respect, compassion, client education, and empowerment. By assessing th
x x x x x x x x x
e effect of the
x x x
◦
◦ clients culture on health care, this nurse is practicing client- x x x x x x x x x
focused care. Providing for basic needs does not demonstrate this competence. Si
x x x x x x x x x x x
Nursing 13th Edition Moreno Test Bank
2026/27
◦
◦
◦
◦
◦
◦
◦
◦
◦
◦
◦
◦
◦
◦
◦
,Chapter 1 x Concepts and Trends in Healthcare x x x x
◦
A new nurse is working with a preceptor on an inpatient medical-
x x x x x x x x x x x
surgical unit. The preceptor advises the student that which is the priority w x x x x x x x x x x x x
hen working as a professional nurse? x x x x x
◦ Attending to holistic client needs x x x x
◦ Ensuring client safety x x
◦ Not making medication errorsx x x
◦
Providing cliet- x
focused care A x x x
NS: B x
◦ All actions are appropriate for the professional nurse. However, en x x x x x x x x x
suring client safety is the priority. Up to 98,000 deaths result each year from erro
x x x x x x x x x x x x x x
rs in hospital care, according to the 2000 Institute of Medicine report. Many more cl
x x x x x x x x x x x x x x
ients have suffered injuries and less serious outcomes. Every nurse has the respons
x x x x x x x x x x x x
ibility to guard the clients safety.
x x x x x
◦ DIF: Understanding/Comprehension RE x x
F: 2 KEY: Patient safety MSC: Integrated Process: Nursin
x x x x x x x x
g Process: Intervention
x x
◦ NOT: Client Needs Category: Safe and Effective Ca x x x x x x x
re Environment: Safety and Infection Control
x x x x x
◦ A nurse is orienting a new client and family to the inpatient unit. What inf
x x x x x x x x x x x x x x
ormation does the nurse provide to help the client promote his or her ow
x x x x x x x x x x x x x
n safety?
x
◦ Encourage the client and family to be active partners. x x x x x x x x
◦ Have the client monitor hand hygiene in caregivers.
x x x x x x x
◦ Offer the family the opportunity to stay with the client.
x x x x x x x x x
◦
Tell the client to always wear his o x x x x x x x
r her armband. ANS: A x x x x
◦ Each action could be important for the client or family to perform. x x x x x x x x x x x
However, encouraging the client to be active in his or her health care as a partne
x x x x x x x x x x x x x x x x
r is the most critical. The other actions are
x x x x x x x x
◦
◦ very limited in scope and do not provide the broad protection t x x x x x x x x x x x
hat being active and involved does.
x x x x x
◦ DIF: Understanding/Comprehension RE
x x
,F: 3 KEY: Patient safety MSC: Integrated Process: Teachi
x x x x x x x x
ng/ Learning
x
◦ NOT: Client Needs Category: Safe and Effective Care
x x x x x x x
, Environment: Safety and Infection Control x x x x
◦ A nurse is caring for a postoperative client on the surgical unit. The clients blo
x x x x x x x x x x x x x x
od pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. Wh
x x x x x x x x x x x x x x x
at action by the nurse is best?
x x x x x x
◦ Call the Rapid Response Team.
x x x x
◦ Document and continue to monitor. x x x x
◦ Notify the primary care provider. x x x x
◦Repeat blood pressure measurem x x x
ent in 15 minutes. ANS: A x x x x x
◦ The purpose of the Rapid Response Team (RRT) is to intervene when x x x x x x x x x x x
clients are deteriorating before they suffer either respiratory or cardiac arrest. Sinc
x x x x x x x x x x x x
e the client has manifested a significant change, the nurse should call the RRT. Chan
x x x x x x x x x x x x x x
ges in blood pressure, mental status, heart rate, and pain are particularly significan
x x x x x x x x x x x x
t. Documentation is vital, but the nurse must do more than document. The primary
x x x x x x x x x x x x x x
care provider should be notified, but this is not the priority over calling the RRT. T
x x x x x x x x x x x x x x x
he clients blood pressure should be reassessed frequently, but the priority is gettin
x x x x x x x x x x x x
g the rapid care to the client. x x x x x
◦ DIF: Applying/Application REF: 3 x x x
◦ KEY: Rapid Response Team (RRT) x x x x
| medical emergencies MSC: Integrated Process:
x x x x x
Communication and Documentation x x
◦ NOT: Client Needs Category: Physiological Integrity: Physiological Adaptatio x x x x x x x
n
◦
◦ A nurse wishes to provide client-
x x x x x
centered care in all interactions. Which action by the nurse best demo x x x x x x x x x x x
nstrates this concept? x x
◦ Assesses for cultural influences affecting health care x x x x x x
◦ Ensures that all the clients basic needs are met x x x x x x x x
◦ Tells the client and family about all upcoming tests
x x x x x x x x
◦
Thoroughly orients the client a x x x x
nd family to the room ANS: A x x x x x x
◦ Competency in client- x x
focused care is demonstrated when the nurse focuses on communication, cult
x x x x x x x x x x
ure, respect, compassion, client education, and empowerment. By assessing th
x x x x x x x x x
e effect of the
x x x
◦
◦ clients culture on health care, this nurse is practicing client- x x x x x x x x x
focused care. Providing for basic needs does not demonstrate this competence. Si
x x x x x x x x x x x
