TEST BANK FOR TIMBY'S INTRODUCTORY
MEDICAL-SURGICAL NURSING, 14TH EDITION
By Loretta A. Donnelly-Moreno, Brigitte Moseley
1|Page
,TEST BANK FOR TIMBY'S INTRODUCTORY MEDICAL-SURGICAL NURSING, 14TH EDITION
By Loretta A. Donnelly-Moreno, Brigitte Moseley
Chapter 1 – 72 | Complete Coverage | 450 Questions
CHAPTER 1: Concepts and Trends in Healthcare
Q1. A nurse is providing care based on Maslow's Hierarchy of Needs. Which client action should
the nurse address first?
A. A client expressing feelings of loneliness.
B. A client with an oxygen saturation of 88%.
C. A client worried about paying hospital bills.
D. A client requesting spiritual care.
Correct Answer: B. A client with an oxygen saturation of 88%.
Rationale: Maslow's Hierarchy prioritizes physiological needs first. Oxygen saturation of 88%
indicates hypoxemia, which is a life-threatening physiological need that must be addressed before
psychosocial or safety needs.
Q2. During the admission process, a client states, "I am allergic to strawberries." How should the
nurse document this information?
A. In the nursing care plan under "Client Goals."
B. In the medication administration record (MAR).
C. In the progress notes as a subjective complaint.
D. In the allergy section of the client's record and on an allergy armband.
Correct Answer: D. In the allergy section of the client's record and on an allergy armband.
Rationale: Allergies must be documented in the designated allergy section of the medical record
and communicated via an allergy armband to alert all caregivers and prevent accidental exposure.
Q3. A nurse is orienting a new client to the inpatient unit. Which instruction best helps the client
promote his or her own safety?
A. "You should monitor whether your caregivers perform hand hygiene."
B. "Have your family stay with you at all times."
C. "Be an active partner in your care and speak up with concerns."
D. "Always keep your armband on, even in the shower."
Correct Answer: C. "Be an active partner in your care and speak up with concerns."
Rationale: Encouraging clients to be active partners in their care provides the broadest
protection and aligns with The Joint Commission's Speak Up campaign. The other options are limited
in scope.
2|Page
, Q4. The nurse is caring for a postoperative client whose blood pressure was 142/76 mm Hg 30
minutes ago and is now 88/50 mm Hg. What action should the nurse take first?
A. Document the finding and continue to monitor.
B. Call the Rapid Response Team.
C. Notify the primary care provider.
D. Repeat the blood pressure measurement in 15 minutes.
Correct Answer: B. Call the Rapid Response Team.
Rationale: A significant drop in blood pressure indicates clinical deterioration. The Rapid
Response Team should be activated immediately to intervene before respiratory or cardiac arrest
occurs.
Q5. Which action by the nurse best demonstrates respect for client autonomy?
A. Asking if the client has questions before signing a consent form.
B. Giving the client accurate information when questioned.
C. Keeping promises made to the client and family.
D. Treating the client fairly compared to other clients.
Correct Answer: A. Asking if the client has questions before signing a consent form.
Rationale: Autonomy is self-determination. Ensuring the client has all information and no
unanswered questions before signing consent respects the client's right to make informed decisions.
Q6. A nurse wishes to provide client-centered care. Which action best demonstrates this
competency?
A. Ensuring all the client's basic needs are met.
B. Assessing for cultural influences affecting health care.
C. Telling the client about all upcoming tests.
D. Thoroughly orienting the client to the room.
Correct Answer: B. Assessing for cultural influences affecting health care.
Rationale: Client-centered care requires focusing on communication, culture, respect, and
empowerment. Assessing cultural influences demonstrates this competency most directly.
Q7. A client is being admitted for a scheduled surgical procedure. Which action does the nurse
explain is most important for protecting against errors?
A. Keep the doctor's phone number by the telephone.
B. Bring a list of all medications and what they are for.
C. Make sure all providers wash hands before entering.
D. Write down the name of each caregiver who enters.
3|Page
, Correct Answer: B. Bring a list of all medications and what they are for.
Rationale: Medication errors are the most common health care mistake. Knowing all
medications and their purposes helps prevent errors, as recommended by The Joint Commission's
Speak Up campaign.
Q8. The nurse is providing care based on primary, secondary, and tertiary levels. A client
receiving physical therapy after a stroke is receiving which level of care?
A. Primary care.
B. Secondary care.
C. Tertiary care.
D. Acute care.
Correct Answer: C. Tertiary care.
Rationale: Tertiary care focuses on rehabilitation, long-term care, and complex interventions.
Physical therapy following a stroke is rehabilitative and therefore tertiary care.
Q9. A client is referred to a cardiologist for a cardiac catheterization to determine if coronary
artery disease is present. What type of care is this?
A. Primary care.
B. Secondary care.
C. Tertiary care.
D. Palliative care.
Correct Answer: B. Secondary care.
Rationale: Secondary care includes referrals for additional testing, consultation, and diagnosis.
Cardiac catheterization for diagnostic purposes falls into this category.
Q10. Which is a goal of managed care organizations?
A. Providing hospice care to terminally ill clients.
B. Preventing illness through screening and health promotion.
C. Eliminating health disparities between populations.
D. Improving training of health care professionals.
Correct Answer: B. Preventing illness through screening and health promotion.
Rationale: Managed care organizations aim to control costs while maintaining quality by
emphasizing prevention, early detection, and health promotion.
Q11. A client with a chronic illness has adapted physically, emotionally, and socially to maintain
quality of life. How should the nurse interpret this client's health status?
4|Page
MEDICAL-SURGICAL NURSING, 14TH EDITION
By Loretta A. Donnelly-Moreno, Brigitte Moseley
1|Page
,TEST BANK FOR TIMBY'S INTRODUCTORY MEDICAL-SURGICAL NURSING, 14TH EDITION
By Loretta A. Donnelly-Moreno, Brigitte Moseley
Chapter 1 – 72 | Complete Coverage | 450 Questions
CHAPTER 1: Concepts and Trends in Healthcare
Q1. A nurse is providing care based on Maslow's Hierarchy of Needs. Which client action should
the nurse address first?
A. A client expressing feelings of loneliness.
B. A client with an oxygen saturation of 88%.
C. A client worried about paying hospital bills.
D. A client requesting spiritual care.
Correct Answer: B. A client with an oxygen saturation of 88%.
Rationale: Maslow's Hierarchy prioritizes physiological needs first. Oxygen saturation of 88%
indicates hypoxemia, which is a life-threatening physiological need that must be addressed before
psychosocial or safety needs.
Q2. During the admission process, a client states, "I am allergic to strawberries." How should the
nurse document this information?
A. In the nursing care plan under "Client Goals."
B. In the medication administration record (MAR).
C. In the progress notes as a subjective complaint.
D. In the allergy section of the client's record and on an allergy armband.
Correct Answer: D. In the allergy section of the client's record and on an allergy armband.
Rationale: Allergies must be documented in the designated allergy section of the medical record
and communicated via an allergy armband to alert all caregivers and prevent accidental exposure.
Q3. A nurse is orienting a new client to the inpatient unit. Which instruction best helps the client
promote his or her own safety?
A. "You should monitor whether your caregivers perform hand hygiene."
B. "Have your family stay with you at all times."
C. "Be an active partner in your care and speak up with concerns."
D. "Always keep your armband on, even in the shower."
Correct Answer: C. "Be an active partner in your care and speak up with concerns."
Rationale: Encouraging clients to be active partners in their care provides the broadest
protection and aligns with The Joint Commission's Speak Up campaign. The other options are limited
in scope.
2|Page
, Q4. The nurse is caring for a postoperative client whose blood pressure was 142/76 mm Hg 30
minutes ago and is now 88/50 mm Hg. What action should the nurse take first?
A. Document the finding and continue to monitor.
B. Call the Rapid Response Team.
C. Notify the primary care provider.
D. Repeat the blood pressure measurement in 15 minutes.
Correct Answer: B. Call the Rapid Response Team.
Rationale: A significant drop in blood pressure indicates clinical deterioration. The Rapid
Response Team should be activated immediately to intervene before respiratory or cardiac arrest
occurs.
Q5. Which action by the nurse best demonstrates respect for client autonomy?
A. Asking if the client has questions before signing a consent form.
B. Giving the client accurate information when questioned.
C. Keeping promises made to the client and family.
D. Treating the client fairly compared to other clients.
Correct Answer: A. Asking if the client has questions before signing a consent form.
Rationale: Autonomy is self-determination. Ensuring the client has all information and no
unanswered questions before signing consent respects the client's right to make informed decisions.
Q6. A nurse wishes to provide client-centered care. Which action best demonstrates this
competency?
A. Ensuring all the client's basic needs are met.
B. Assessing for cultural influences affecting health care.
C. Telling the client about all upcoming tests.
D. Thoroughly orienting the client to the room.
Correct Answer: B. Assessing for cultural influences affecting health care.
Rationale: Client-centered care requires focusing on communication, culture, respect, and
empowerment. Assessing cultural influences demonstrates this competency most directly.
Q7. A client is being admitted for a scheduled surgical procedure. Which action does the nurse
explain is most important for protecting against errors?
A. Keep the doctor's phone number by the telephone.
B. Bring a list of all medications and what they are for.
C. Make sure all providers wash hands before entering.
D. Write down the name of each caregiver who enters.
3|Page
, Correct Answer: B. Bring a list of all medications and what they are for.
Rationale: Medication errors are the most common health care mistake. Knowing all
medications and their purposes helps prevent errors, as recommended by The Joint Commission's
Speak Up campaign.
Q8. The nurse is providing care based on primary, secondary, and tertiary levels. A client
receiving physical therapy after a stroke is receiving which level of care?
A. Primary care.
B. Secondary care.
C. Tertiary care.
D. Acute care.
Correct Answer: C. Tertiary care.
Rationale: Tertiary care focuses on rehabilitation, long-term care, and complex interventions.
Physical therapy following a stroke is rehabilitative and therefore tertiary care.
Q9. A client is referred to a cardiologist for a cardiac catheterization to determine if coronary
artery disease is present. What type of care is this?
A. Primary care.
B. Secondary care.
C. Tertiary care.
D. Palliative care.
Correct Answer: B. Secondary care.
Rationale: Secondary care includes referrals for additional testing, consultation, and diagnosis.
Cardiac catheterization for diagnostic purposes falls into this category.
Q10. Which is a goal of managed care organizations?
A. Providing hospice care to terminally ill clients.
B. Preventing illness through screening and health promotion.
C. Eliminating health disparities between populations.
D. Improving training of health care professionals.
Correct Answer: B. Preventing illness through screening and health promotion.
Rationale: Managed care organizations aim to control costs while maintaining quality by
emphasizing prevention, early detection, and health promotion.
Q11. A client with a chronic illness has adapted physically, emotionally, and socially to maintain
quality of life. How should the nurse interpret this client's health status?
4|Page
