Medical-Surgical Nursing 10th Edition Test Bank by Ignatavicius, Workman, Rebar & Heimgartner – All 69 Chapters Questions & Answers 2026

TEST BANK For Medical-Surgical Nursing
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10th Edition Concepts for Interprofessional
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a
b Collaborative Care, by Donna D. Ignatavicius,
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All chapters 1 – 69
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,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
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a
b Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
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MULTIPLE CHOICE a
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1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises
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b the new nurse that which is the priority when working as a professional nurse?
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a. Attending to holistic client needs a
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b. Ensuring client safety a
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c. Not making medication errors a
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d. Providing client-focused care a
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CORRECT ANSWER: b a




b a B
All actions are appropriate for the professional nurse. However, ensuring client safety is
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b the priority. Health care errors have been widely reported for 25 years, many of which
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b result in client injury, death, and increased health care costs. There are several national
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b and international organizations that have either recommended or mandated safety
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a
b initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
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a
b important for quality nursing, but they are not as vital as providing safety. Not making a
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b medication errors does provide safety, but is too narrow in scope to be the best answer. b a a
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DIF: Understanding TOP: Integrated Process: Nursing Process: b a a
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a
b Intervention KEY: Client safety a
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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2. A nurse is orienting a new client and family to the medical-surgical unit. What
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a
b information does the nurse provide to best help the client promote his or her own b a a
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a
b safety?
a. Encourage the client and family to be active partners. a
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b. Have the client monitor hand hygiene in caregivers. a
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c. Offer the family the opportunity to stay with the client. a
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d. Tell the client to always wear his or her armband. b a a
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CORRECT ANSWER: a
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b a A

, Each action could be important for the client or family to perform. However, encouraging
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a
b the client to be active in his or her health care as a safety partner is the most critical. The
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b other actions are very limited in scope and do not provide the broad protection that being
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b active and involved does.
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DIF: Understanding TOP: Integrated Process:
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b Teaching/Learning KEY: Client safety a
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MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
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3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood
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a
b pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
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a
b would the nurse take first?
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a. Call the Rapid Response Team.
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b. Document and continue to monitor. a
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c. Notify the primary health care provider.
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d. Repeat the blood pressure in 15 minutes. a
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, CORRECT ANSWER: A b a b a




The purpose of the Rapid Response Team (RRT) is to intervene when clients are
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b deteriorating before they suffer either respiratory or cardiac arrest. Since the client has a
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b manifested a significant change, the nurse would call the RRT. Changes in blood a
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b pressure, mental status, heart rate, temperature, oxygen saturation, and last 2 hours’
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a
b urine output are particularly significant and are part of the Modified Early Warning
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a
b System guide. Documentation is vital, but the nurse must do more than document. The
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a
b primary health care provider would be notified, but this is not more important than calling
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a
b the RRT. The client’s blood pressure would be reassessed frequently, but the priority is
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a
b getting the rapid care to the client. b a a
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DIF: Applying TOP: Integrated Process: Communication and b a a
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a
b Documentation KEY: Rapid Response Team (RRT), Clinical judgment a
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MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
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4. A nurse wishes to provide client-centered care in all interactions. Which action by the nurse
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best demonstrates this concept?
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a. Assesses for cultural influences affecting health care. a
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b. Ensures that all the client’s basic needs are met. b a a
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c. Tells the client and family about all upcoming tests. b a a
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d. Thoroughly orients the client and family to the room. b a b a a
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CORRECT ANSWER: A b a b a




Showing respect for the client and family’s preferences and needs is essential to ensure
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b a holistic or “whole-person” approach to care. By assessing the effect of the client’s
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b culture on health care, this nurse is practicing client-focused care. Providing for basic
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b needs does not demonstrate this competence. Simply telling the client about all
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b upcoming tests is not providing empowering education. Orienting the client and family to a
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b the room is an important safety measure, but not directly related to demonstrating client-
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centered care. a
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DIF: Understanding TOP: Integrated Process: Culture and Spirituality a
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a
b KEY: Client-centered care, Culture
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b MSC: Client Needs Category: Psychosocial b a a
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a
b Integrity

5. A client is going to be admitted for a scheduled surgical procedure. Which action does
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a
b the nurse explain is the most important thing the client can do to protect against
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a
b errors?
a. Bring a list of all medications and what they are for. a
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b. Keep the provider’s phone number by the telephone. b a b a a
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c. Make sure that all providers wash hands before entering the room. b a a
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