TEST BANK OF MEDICAL
SURGICAL NURSING
IGNATAVICIUS 7th EDITION
LATEST 2025
Chapter 1: introduction to medical-surgical nursing
Test bank
Multiple choice
Which action demonstrates that the nurse understands the purpose of the rapid
response team?
a. Monitoring the client for changes in postoperative status such as wound
infection
b. Documenting all changes observed in the client and maintaining a
postoperative flow sheet
c. Notifying the physician of the client’s change in blood pressure from 140 to
88 mm hg systolic
d. Notifying the physician of the client’s increase in restlessness after
medication change
, The joint commission focuses on safety in health care. Which action by the nurse
reflects the joint commission’s main objective?
a. Performing range-of-motion exercises on the client three times each day
b. Ensuring that the client is eating 100% of the meals served to him or her
c. Assessing the client’s respirations when administering opioids
d. Delegating to the nursing assistant to give the client a complete
Bath daily
Which action by the nurse shows an understanding of the principle of self-
determination?
a. Allowing a postoperative client to decide to take medication with fruit
juice rather than water
b. Allowing a teenager to decide not to go to a clinic when there is evidence
that she is having profuse vaginal bleeding
c. Allowing a parent to decide not to proceed with a lifesaving operation for
a 12- year-old client
d. Allowing an older client with dementia to decide not to take cardiac
medication throughout the shift
The nurse is initiating a series of teaching sessions with an older client. What is the
nurse’s highest-priority, client-centered action before beginning the session?
a. Ensure that the client’s family is present and will participate.
b. Make certain that the client is wearing his glasses.
c. Have printed handouts ready to use during the session.
d. Schedule the session for early evening after the client’s meal.
,Which action best demonstrates the nurse using client-centered care
, When planning a menu for a vietnamese client who is newly diagnosed with
diabetes?
a. Asking the client what food he or she would eat on a standard diabetic
menu
b. Asking family members to make selections for the client from a diabetic
menu
c. Ordering a typical diabetic meal for the client and planning diet teaching
d. Researching the vietnamese culture before discussing diabetic meal
planning
The institute for healthcare improvement (ihi) identified interventions to save client
lives. Which actions are within the scope of nursing practice to improve quality of
care?
a. Insert a central line to give intravenous fluid to a dehydrated client.
b. Use sterile technique when changing dressings on a new surgical site.
c. Intubate a client whose oxygen saturation is 92 %.
d. Prescribe aspirin for a client who presents with an acute myocardial infarction
SURGICAL NURSING
IGNATAVICIUS 7th EDITION
LATEST 2025
Chapter 1: introduction to medical-surgical nursing
Test bank
Multiple choice
Which action demonstrates that the nurse understands the purpose of the rapid
response team?
a. Monitoring the client for changes in postoperative status such as wound
infection
b. Documenting all changes observed in the client and maintaining a
postoperative flow sheet
c. Notifying the physician of the client’s change in blood pressure from 140 to
88 mm hg systolic
d. Notifying the physician of the client’s increase in restlessness after
medication change
, The joint commission focuses on safety in health care. Which action by the nurse
reflects the joint commission’s main objective?
a. Performing range-of-motion exercises on the client three times each day
b. Ensuring that the client is eating 100% of the meals served to him or her
c. Assessing the client’s respirations when administering opioids
d. Delegating to the nursing assistant to give the client a complete
Bath daily
Which action by the nurse shows an understanding of the principle of self-
determination?
a. Allowing a postoperative client to decide to take medication with fruit
juice rather than water
b. Allowing a teenager to decide not to go to a clinic when there is evidence
that she is having profuse vaginal bleeding
c. Allowing a parent to decide not to proceed with a lifesaving operation for
a 12- year-old client
d. Allowing an older client with dementia to decide not to take cardiac
medication throughout the shift
The nurse is initiating a series of teaching sessions with an older client. What is the
nurse’s highest-priority, client-centered action before beginning the session?
a. Ensure that the client’s family is present and will participate.
b. Make certain that the client is wearing his glasses.
c. Have printed handouts ready to use during the session.
d. Schedule the session for early evening after the client’s meal.
,Which action best demonstrates the nurse using client-centered care
, When planning a menu for a vietnamese client who is newly diagnosed with
diabetes?
a. Asking the client what food he or she would eat on a standard diabetic
menu
b. Asking family members to make selections for the client from a diabetic
menu
c. Ordering a typical diabetic meal for the client and planning diet teaching
d. Researching the vietnamese culture before discussing diabetic meal
planning
The institute for healthcare improvement (ihi) identified interventions to save client
lives. Which actions are within the scope of nursing practice to improve quality of
care?
a. Insert a central line to give intravenous fluid to a dehydrated client.
b. Use sterile technique when changing dressings on a new surgical site.
c. Intubate a client whose oxygen saturation is 92 %.
d. Prescribe aspirin for a client who presents with an acute myocardial infarction
