TEST BANK For Medical-Surgical Nursing
#I& #I & #I& #I& #I&
10th Edition Concepts for Interprofessional
#I & #I & #I& #I &
Collaborative Care, by Donna D. Ignatavicius,
#I& #I& #I& #I& #I& #I & #I&
All chapters 1 – 69 Revised edition Newest
#I& #I& #I& #I & # I& #I& #I &
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
#I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& Ignatavicius: Medical-Surgical Nursing, 10th Edition #I& #I& #I& # I&
MULTIPLE CHOICE #I&
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
new nurse that which is the priority when working as a professional nurse?
#I& #I & #I& #I& #I& #I& #I& #I& #I& #I& #I& #I & #I&
a. Attending to holistic client needs #I& #I& #I& #I&
b. Ensuring client safety #I& #I&
c. Not making medication errors #I& #I& #I&
d. Providing client-focused care #I& #I&
CORRECT ANSWER: B #I& # I &
All actions are appropriate for the professional nurse. However, ensuring client safetyis the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
priority. Health care errors have been widely reported for 25 years, many of which result in
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
client injury, death, and increased health care costs. There are several national and
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
international organizations that have either recommended or mandated safety initiatives.
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
Every nurse has the responsibility to guard the client’s safety. The other actions are important
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
for quality nursing, but they are not as vital as providing safety. Not making medication errors
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
does provide safety, but is too narrow in scope to be the best answer.
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
DIF: Understanding TOP: IntegratedProcess:Nursing Process:Intervention # I & #I& #I& #I& #I&
KEY: Client safety
#I& #I& #I&
MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
# I & #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
does the nurse provide to best help the client promote his or her own safety?
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
a. Encourage the client and family to be active partners. #I& #I& #I& #I& #I& #I& #I& #I&
b. Have the client monitor hand hygiene in caregivers. #I& #I& #I& #I& #I& #I& #I&
c. Offer the familythe opportunityto stay with the client. #I& #I& #I& #I & #I& #I& #I& #I& #I&
d. Tell the client to always wear his or her armband. #I& #I& #I& #I& #I& #I& #I& #I& #I&
CORRECT ANSWER: A #I& # I &
Each action could be important for the client or family to perform. However, encouraging the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
client to be active in his or her health care as a safety partner is the most critical. The other
#I& #I& #I& #I& #I& #I & #I& #I& #I& #I& #I& #I& #I & #I& #I& #I& #I& #I& #I& #I&
, actions are very limited in scope and do not provide the broad protection that being active and
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
involved does.
#I& #I&
DIF: Understanding TOP:IntegratedProcess:Teaching/Learning
#I& #I& #I&
KEY: Client safety
#I& #I& #I&
MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
# I & #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
take first?
#I& #I&
a. Call the Rapid Response Team. #I& #I& #I& #I&
b. Document and continue to monitor. #I& #I& #I& #I&
c. Notify the primaryhealth care provider. #I& #I& #I& #I& #I&
d. Repeat the blood pressure in 15 minutes. #I& #I& #I& #I& #I& #I&
, CORRECT ANSWER: A #I& # I &
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& before they suffer either respiratory or cardiac arrest. Since the client has manifested a
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& significant change, the nurse would call the RRT. Changes in blood pressure, mental status, #I& #I& #I& #I& #I& #I& #I& #I & #I& #I& #I& #I& #I&
#I& heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& significant and are part of the Modified Early Warning System guide. Documentation is vital, but #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& the nurse must do more than document. The primary health care provider would be notified,
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& but this is not more important than calling the RRT. The client’s blood pressure would be
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& reassessed frequently, but the priority is getting the rapid care to the client. #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
DIF: Applying TOP: IntegratedProcess: CommunicationandDocumentation # I & #I& #I& #I& #I&
#I& KEY: Rapid Response Team (RRT), Clinical judgment
#I& #I& #I& #I& #I& #I&
MSC: ClientNeedsCategory: PhysiologicalIntegrity:PhysiologicalAdaptation
# I & #I& #I& #I& #I& #I& #I&
4. A nurse wishes to provide client-centered care in all interactions. Which action bythe nurse
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
best demonstrates this concept?
#I& #I& #I&
a. Assesses for cultural influences affecting health care. #I& #I& #I& #I& #I& #I&
b. Ensures that all the client’s basic needs are met. #I& #I& #I& #I& #I& #I& #I& #I&
c. Tells the client and family about all upcoming tests. #I& #I& #I& #I& #I& #I& #I& #I&
d. Thoroughlyorients the client and familyto the room. #I& #I& #I& #I& #I& #I& #I& #I&
CORRECT ANSWER: A #I& # I &
Showing respect for the client and family’s preferences and needs is essential to ensure a
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& holistic or “whole-person” approach to care. By assessing the effect of the client’s culture on
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& health care, this nurse is practicing client-focused care. Providing for basic needs does not
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& demonstrate this competence. Simply telling the client about all upcoming tests is not #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& providing empowering education. Orienting the client and family to the room is an important #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& safety measure, but not directly related to demonstrating client-centered care.
#I& #I& #I& #I& #I& #I& #I& #I& #I&
DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY: #I& #I& #I& #I& #I& #I&
# I & Client-centered care, Culture #I& #I& MSC: ClientNeeds Category:PsychosocialIntegrity # I & #I& #I& #I& #I&
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& nurse explain is the most important thing the client can do to protect against errors?
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I & #I& #I& #I&
a. Bring a list of all medications and what theyare for. #I& #I& #I & #I& #I& #I& #I& #I& #I& #I&
b. Keep the provider’s phone number bythe telephone. #I& #I& #I& #I& #I& #I& #I&
c. Make sure that all providers wash hands before entering the room. #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
d. Write down the name of each caregiver who comes in the room. #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& #I & #I& #I& #I&
10th Edition Concepts for Interprofessional
#I & #I & #I& #I &
Collaborative Care, by Donna D. Ignatavicius,
#I& #I& #I& #I& #I& #I & #I&
All chapters 1 – 69 Revised edition Newest
#I& #I& #I& #I & # I& #I& #I &
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
#I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& Ignatavicius: Medical-Surgical Nursing, 10th Edition #I& #I& #I& # I&
MULTIPLE CHOICE #I&
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor advises the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
new nurse that which is the priority when working as a professional nurse?
#I& #I & #I& #I& #I& #I& #I& #I& #I& #I& #I& #I & #I&
a. Attending to holistic client needs #I& #I& #I& #I&
b. Ensuring client safety #I& #I&
c. Not making medication errors #I& #I& #I&
d. Providing client-focused care #I& #I&
CORRECT ANSWER: B #I& # I &
All actions are appropriate for the professional nurse. However, ensuring client safetyis the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
priority. Health care errors have been widely reported for 25 years, many of which result in
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
client injury, death, and increased health care costs. There are several national and
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
international organizations that have either recommended or mandated safety initiatives.
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
Every nurse has the responsibility to guard the client’s safety. The other actions are important
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
for quality nursing, but they are not as vital as providing safety. Not making medication errors
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
does provide safety, but is too narrow in scope to be the best answer.
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
DIF: Understanding TOP: IntegratedProcess:Nursing Process:Intervention # I & #I& #I& #I& #I&
KEY: Client safety
#I& #I& #I&
MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
# I & #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
2. A nurse is orienting a new client and family to the medical-surgical unit. What information
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
does the nurse provide to best help the client promote his or her own safety?
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
a. Encourage the client and family to be active partners. #I& #I& #I& #I& #I& #I& #I& #I&
b. Have the client monitor hand hygiene in caregivers. #I& #I& #I& #I& #I& #I& #I&
c. Offer the familythe opportunityto stay with the client. #I& #I& #I& #I & #I& #I& #I& #I& #I&
d. Tell the client to always wear his or her armband. #I& #I& #I& #I& #I& #I& #I& #I& #I&
CORRECT ANSWER: A #I& # I &
Each action could be important for the client or family to perform. However, encouraging the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
client to be active in his or her health care as a safety partner is the most critical. The other
#I& #I& #I& #I& #I& #I & #I& #I& #I& #I& #I& #I& #I & #I& #I& #I& #I& #I& #I& #I&
, actions are very limited in scope and do not provide the broad protection that being active and
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
involved does.
#I& #I&
DIF: Understanding TOP:IntegratedProcess:Teaching/Learning
#I& #I& #I&
KEY: Client safety
#I& #I& #I&
MSC: Client Needs Category: Safe and Effective CareEnvironment: Safety and Infection Control
# I & #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action would the nurse
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
take first?
#I& #I&
a. Call the Rapid Response Team. #I& #I& #I& #I&
b. Document and continue to monitor. #I& #I& #I& #I&
c. Notify the primaryhealth care provider. #I& #I& #I& #I& #I&
d. Repeat the blood pressure in 15 minutes. #I& #I& #I& #I& #I& #I&
, CORRECT ANSWER: A #I& # I &
The purpose of the Rapid Response Team (RRT) is to intervene when clients are deteriorating
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& before they suffer either respiratory or cardiac arrest. Since the client has manifested a
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& significant change, the nurse would call the RRT. Changes in blood pressure, mental status, #I& #I& #I& #I& #I& #I& #I& #I & #I& #I& #I& #I& #I&
#I& heart rate, temperature, oxygen saturation, and last 2 hours’ urine output are particularly
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& significant and are part of the Modified Early Warning System guide. Documentation is vital, but #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& the nurse must do more than document. The primary health care provider would be notified,
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& but this is not more important than calling the RRT. The client’s blood pressure would be
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& reassessed frequently, but the priority is getting the rapid care to the client. #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
DIF: Applying TOP: IntegratedProcess: CommunicationandDocumentation # I & #I& #I& #I& #I&
#I& KEY: Rapid Response Team (RRT), Clinical judgment
#I& #I& #I& #I& #I& #I&
MSC: ClientNeedsCategory: PhysiologicalIntegrity:PhysiologicalAdaptation
# I & #I& #I& #I& #I& #I& #I&
4. A nurse wishes to provide client-centered care in all interactions. Which action bythe nurse
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
best demonstrates this concept?
#I& #I& #I&
a. Assesses for cultural influences affecting health care. #I& #I& #I& #I& #I& #I&
b. Ensures that all the client’s basic needs are met. #I& #I& #I& #I& #I& #I& #I& #I&
c. Tells the client and family about all upcoming tests. #I& #I& #I& #I& #I& #I& #I& #I&
d. Thoroughlyorients the client and familyto the room. #I& #I& #I& #I& #I& #I& #I& #I&
CORRECT ANSWER: A #I& # I &
Showing respect for the client and family’s preferences and needs is essential to ensure a
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& holistic or “whole-person” approach to care. By assessing the effect of the client’s culture on
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& health care, this nurse is practicing client-focused care. Providing for basic needs does not
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& demonstrate this competence. Simply telling the client about all upcoming tests is not #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& providing empowering education. Orienting the client and family to the room is an important #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& safety measure, but not directly related to demonstrating client-centered care.
#I& #I& #I& #I& #I& #I& #I& #I& #I&
DIF: Understanding TOP: Integrated Process: Culture and Spirituality KEY: #I& #I& #I& #I& #I& #I&
# I & Client-centered care, Culture #I& #I& MSC: ClientNeeds Category:PsychosocialIntegrity # I & #I& #I& #I& #I&
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
#I& nurse explain is the most important thing the client can do to protect against errors?
#I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I & #I& #I& #I&
a. Bring a list of all medications and what theyare for. #I& #I& #I & #I& #I& #I& #I& #I& #I& #I&
b. Keep the provider’s phone number bythe telephone. #I& #I& #I& #I& #I& #I& #I&
c. Make sure that all providers wash hands before entering the room. #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
d. Write down the name of each caregiver who comes in the room. #I& #I& #I& #I& #I& #I& #I& #I& #I& #I& #I&
