TEST BANK For Medical-Surgical Nursing
10th Edition Concepts for Interprofessional Collaborative Care,
by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor
advises the new nurse that which is the priority when working as a professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
CORRECT ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client safety is
the priority. Health care errors have been widely reported for 25 years, many of which
result in client injury, death, and increased health care costs. There are several national
and international organizations that have either recommended or mandated safety
initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention KEY:
Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What
information does the nurse provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
CORRECT ANSWER: A
Each action could be important for the client or family to perform. However,
encouraging the client to be active in his or her health care as a safety partner is the most
critical. The other actions are very limited in scope and do not provide the broad
protection that being active and involved does.
DIF: Understanding TOP: Integrated Process: Teaching/Learning KEY: Client
safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
would the nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
,d. Repeat the blood pressure in 15 minutes.
CORRECT ANSWER: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
deteriorating before they suffer either respiratory or cardiac arrest. Since the client has
manifested a significant change, the nurse would call the RRT. Changes in blood
pressure, mental status, heart rate, temperature, oxygen saturation, and last 2 hours’ urine
output are particularly significant and are part of the Modified Early Warning System
guide. Documentation is vital, but the nurse must do more than document. The primary
health care provider would be notified, but this is not more important than calling the
RRT. The client’s blood pressure would be reassessed frequently, but the priority is
getting the rapid care to the client.
DIF: Applying TOP: Integrated Process: Communication and Documentation KEY:
Rapid Response Team (RRT), Clinical judgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. A dnurse dwishes dto dprovide dclient-centered dcare din dall dinteractions. dWhich
daction dby dthe dnurse
best ddemonstrates dthis dconcept?
a. Assesses dfor dcultural dinfluences daffecting dhealth dcare.
b. Ensures dthat dall dthe dclient’s dbasic dneeds dare dmet.
c. Tells dthe dclient dand dfamily dabout dall dupcoming dtests.
d. Thoroughly dorients dthe dclient dand dfamily dto dthe droom.
CORRECT dANSWER: dA
Showing drespect dfor dthe dclient dand dfamily’s dpreferences dand dneeds dis dessential dto
densure da dholistic dor d“whole-person” dapproach dto dcare. dBy dassessing dthe deffect dof
dthe dclient’s dculture don dhealth dcare, dthis dnurse dis dpracticing dclient-focused dcare.
dProviding dfor dbasic dneeds ddoes dnot ddemonstrate dthis dcompetence. dSimply dtelling dthe
dclient dabout dall dupcoming dtests dis dnot dproviding dempowering deducation. dOrienting
dthe dclient dand dfamily dto dthe droom dis dan dimportant dsafety dmeasure, dbut dnot ddirectly
drelated dto ddemonstrating dclient-centered dcare.
DIF: Understanding TOP: dIntegrated dProcess: dCulture dand dSpirituality dKEY:
dClient-centered dcare, dCulture MSC: dClient dNeeds dCategory: dPsychosocial dIntegrity
5. A dclient dis dgoing dto dbe dadmitted dfor da dscheduled dsurgical dprocedure. dWhich
daction ddoes dthe dnurse dexplain dis dthe dmost dimportant dthing dthe dclient dcan ddo dto
dprotect dagainst derrors?
a. Bring da dlist dof dall dmedications dand dwhat dthey dare dfor.
b. Keep dthe dprovider’s dphone dnumber dby dthe dtelephone.
c. Make dsure dthat dall dproviders dwash dhands dbefore dentering dthe droom.
d. Write ddown dthe dname dof deach dcaregiver dwho dcomes din dthe droom.
CORRECT dANSWER: dA
Medication dreconciliation dis da dformal dprocess din dwhich dthe dclient’s dactual dcurrent
dmedications dare dcompared dto dthe dprescribed dmedications dat dthe dtime dof dadmission,
dtransfer, dor ddischarge. dThis dNational dclient dSafety dGoal dis dimportant dto dreduce
dmedication derrors. dThe dclient dwould dnot dhave dto dbe dresponsible dfor dproviders
dwashing dtheir dhands, dand deven dif dthe dclient ddoes dso, dthis dis dtoo dnarrow dto dbe dthe
dmost dimportant daction dto dprevent derrors. dKeeping dthe dprovider’s dphone dnumber
dnearby dand ddocumenting deveryone dwho denters dthe droom dalso ddo dnot dguarantee
dsafety.
, DIF: Applying TOP: dIntegrated dProcess: dTeaching/Learning dKEY: dClient dsafety,
dInformatics
MSC: dClient dNeeds dCategory: dSafe dand dEffective dCare dEnvironment: dSafety dand
dInfection dControl
d
6. Which daction dby dthe dnurse dworking dwith da dclient dbest ddemonstrates drespect
dfor dautonomy?
a. Asks dif dthe dclient dhas dquestions dbefore dsigning da dconsent.
b. Gives dthe dclient daccurate dinformation dwhen dquestioned.
c. Keeps dthe dpromises dmade dto dthe dclient dand dfamily.
d. Treats dthe dclient dfairly dcompared dto dother dclients.
CORRECT dANSWER: dA
Autonomy dis dself-determination. dThe dclient dwould dmake ddecisions dregarding dcare.
dWhen dthe dnurse dobtains da dsignature don dthe dconsent dform, dassessing dif dthe dclient
dstill dhas dquestions dis dvital, dbecause dwithout dfull dinformation dthe dclient dcannot
dpractice dautonomy. dGiving daccurate dinformation dis dpracticing dwith dveracity. dKeeping
dpromises dis dupholding dfidelity. dTreating dthe dclient dfairly dis dproviding dsocial djustice.
DIF: Applying TOP: dIntegrated dProcess: dCaring KEY: dEthics, dAutonomy
dMSC: dClient dNeeds dCategory: dSafe dand dEffective dCare dEnvironment: dManagement
dof dCare
7. A dnurse dasks da dmore dseasoned dcolleague dto dexplain dbest dpractices dwhen
dcommunicating dwith da dperson dfrom dthe dlesbian, dgay, dbisexual, dtransgender, dand
dquestioning/queer d(LGBTQ) dcommunity. dWhat danswer dby dthe dfaculty dis dmost
daccurate?
a. Avoid dembarrassing dthe dclient dby dasking dquestions.
b. Don’t dmake dassumptions dabout dhis dor dher dhealth dneeds.
c. Most dLGBTQ dpeople ddo dnot dwant dto dshare dinformation.
d. No ddifferences dexist din dcommunicating dwith dthis dpopulation.
CORRECT dANSWER: dB
Many dmembers dof dthe dLGBTQ dcommunity dhave dfaced ddiscrimination dfrom dhealth
dcare dproviders dand dmay dbe dreluctant dto dseek dhealth dcare. dThe dnurse dwould dnever
dmake dassumptions dabout dthe dneeds dof dmembers dof dthis dpopulation. dRather,
drespectful dquestions dare dappropriate. dIf dapproached dwith dsensitivity, dthe dclient dwith
dany dhealth dcare dneed dis dmore dlikely dto danswer dhonestly.
DIF: Understanding TOP: dIntegrated dProcess: dTeaching/Learning
KEY: dHealth dcare ddisparities, dLGBTQ MSC: dClient dNeeds dCategory:
dPsychosocial dIntegrity
8. A dnurse dis dcalling dthe don-call dhealth dcare dprovider dabout da dclient dwho dhad da
dhysterectomy d2 ddays dago dand dhas dpain dthat dis dunrelieved dby dthe dprescribed dopioid
dpain dmedication. dWhich dstatement dcomprises dthe dbackground dportion dof dthe dSBAR
dformat dfor dcommunication?
a. “I dwould dlike dyou dto dorder da ddifferent dpain dmedication.”
b. “This dclient dhas dallergies dto dmorphine dand dcodeine.”
c. “Dr. dSmith ddoesn’t dlike dnonsteroidal danti-inflammatory dmeds.”
d. “This dclient dhad da dvaginal dhysterectomy d2 ddays dago.”
CORRECT dANSWER: dB
d
SBAR dis da drecommended dform dof dcommunication, dand dthe dacronym dstands dfor
10th Edition Concepts for Interprofessional Collaborative Care,
by Donna D. Ignatavicius,
All chapters 1 – 69
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor
advises the new nurse that which is the priority when working as a professional nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
CORRECT ANSWER: B
All actions are appropriate for the professional nurse. However, ensuring client safety is
the priority. Health care errors have been widely reported for 25 years, many of which
result in client injury, death, and increased health care costs. There are several national
and international organizations that have either recommended or mandated safety
initiatives.
Every nurse has the responsibility to guard the client’s safety. The other actions are
important for quality nursing, but they are not as vital as providing safety. Not making
medication errors does provide safety, but is too narrow in scope to be the best answer.
DIF: Understanding TOP: Integrated Process: Nursing Process: Intervention KEY:
Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
2. A nurse is orienting a new client and family to the medical-surgical unit. What
information does the nurse provide to best help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
CORRECT ANSWER: A
Each action could be important for the client or family to perform. However,
encouraging the client to be active in his or her health care as a safety partner is the most
critical. The other actions are very limited in scope and do not provide the broad
protection that being active and involved does.
DIF: Understanding TOP: Integrated Process: Teaching/Learning KEY: Client
safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and
Infection Control
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
would the nurse take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary health care provider.
,d. Repeat the blood pressure in 15 minutes.
CORRECT ANSWER: A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
deteriorating before they suffer either respiratory or cardiac arrest. Since the client has
manifested a significant change, the nurse would call the RRT. Changes in blood
pressure, mental status, heart rate, temperature, oxygen saturation, and last 2 hours’ urine
output are particularly significant and are part of the Modified Early Warning System
guide. Documentation is vital, but the nurse must do more than document. The primary
health care provider would be notified, but this is not more important than calling the
RRT. The client’s blood pressure would be reassessed frequently, but the priority is
getting the rapid care to the client.
DIF: Applying TOP: Integrated Process: Communication and Documentation KEY:
Rapid Response Team (RRT), Clinical judgment
MSC: Client Needs Category: Physiological Integrity: Physiological Adaptation
4. A dnurse dwishes dto dprovide dclient-centered dcare din dall dinteractions. dWhich
daction dby dthe dnurse
best ddemonstrates dthis dconcept?
a. Assesses dfor dcultural dinfluences daffecting dhealth dcare.
b. Ensures dthat dall dthe dclient’s dbasic dneeds dare dmet.
c. Tells dthe dclient dand dfamily dabout dall dupcoming dtests.
d. Thoroughly dorients dthe dclient dand dfamily dto dthe droom.
CORRECT dANSWER: dA
Showing drespect dfor dthe dclient dand dfamily’s dpreferences dand dneeds dis dessential dto
densure da dholistic dor d“whole-person” dapproach dto dcare. dBy dassessing dthe deffect dof
dthe dclient’s dculture don dhealth dcare, dthis dnurse dis dpracticing dclient-focused dcare.
dProviding dfor dbasic dneeds ddoes dnot ddemonstrate dthis dcompetence. dSimply dtelling dthe
dclient dabout dall dupcoming dtests dis dnot dproviding dempowering deducation. dOrienting
dthe dclient dand dfamily dto dthe droom dis dan dimportant dsafety dmeasure, dbut dnot ddirectly
drelated dto ddemonstrating dclient-centered dcare.
DIF: Understanding TOP: dIntegrated dProcess: dCulture dand dSpirituality dKEY:
dClient-centered dcare, dCulture MSC: dClient dNeeds dCategory: dPsychosocial dIntegrity
5. A dclient dis dgoing dto dbe dadmitted dfor da dscheduled dsurgical dprocedure. dWhich
daction ddoes dthe dnurse dexplain dis dthe dmost dimportant dthing dthe dclient dcan ddo dto
dprotect dagainst derrors?
a. Bring da dlist dof dall dmedications dand dwhat dthey dare dfor.
b. Keep dthe dprovider’s dphone dnumber dby dthe dtelephone.
c. Make dsure dthat dall dproviders dwash dhands dbefore dentering dthe droom.
d. Write ddown dthe dname dof deach dcaregiver dwho dcomes din dthe droom.
CORRECT dANSWER: dA
Medication dreconciliation dis da dformal dprocess din dwhich dthe dclient’s dactual dcurrent
dmedications dare dcompared dto dthe dprescribed dmedications dat dthe dtime dof dadmission,
dtransfer, dor ddischarge. dThis dNational dclient dSafety dGoal dis dimportant dto dreduce
dmedication derrors. dThe dclient dwould dnot dhave dto dbe dresponsible dfor dproviders
dwashing dtheir dhands, dand deven dif dthe dclient ddoes dso, dthis dis dtoo dnarrow dto dbe dthe
dmost dimportant daction dto dprevent derrors. dKeeping dthe dprovider’s dphone dnumber
dnearby dand ddocumenting deveryone dwho denters dthe droom dalso ddo dnot dguarantee
dsafety.
, DIF: Applying TOP: dIntegrated dProcess: dTeaching/Learning dKEY: dClient dsafety,
dInformatics
MSC: dClient dNeeds dCategory: dSafe dand dEffective dCare dEnvironment: dSafety dand
dInfection dControl
d
6. Which daction dby dthe dnurse dworking dwith da dclient dbest ddemonstrates drespect
dfor dautonomy?
a. Asks dif dthe dclient dhas dquestions dbefore dsigning da dconsent.
b. Gives dthe dclient daccurate dinformation dwhen dquestioned.
c. Keeps dthe dpromises dmade dto dthe dclient dand dfamily.
d. Treats dthe dclient dfairly dcompared dto dother dclients.
CORRECT dANSWER: dA
Autonomy dis dself-determination. dThe dclient dwould dmake ddecisions dregarding dcare.
dWhen dthe dnurse dobtains da dsignature don dthe dconsent dform, dassessing dif dthe dclient
dstill dhas dquestions dis dvital, dbecause dwithout dfull dinformation dthe dclient dcannot
dpractice dautonomy. dGiving daccurate dinformation dis dpracticing dwith dveracity. dKeeping
dpromises dis dupholding dfidelity. dTreating dthe dclient dfairly dis dproviding dsocial djustice.
DIF: Applying TOP: dIntegrated dProcess: dCaring KEY: dEthics, dAutonomy
dMSC: dClient dNeeds dCategory: dSafe dand dEffective dCare dEnvironment: dManagement
dof dCare
7. A dnurse dasks da dmore dseasoned dcolleague dto dexplain dbest dpractices dwhen
dcommunicating dwith da dperson dfrom dthe dlesbian, dgay, dbisexual, dtransgender, dand
dquestioning/queer d(LGBTQ) dcommunity. dWhat danswer dby dthe dfaculty dis dmost
daccurate?
a. Avoid dembarrassing dthe dclient dby dasking dquestions.
b. Don’t dmake dassumptions dabout dhis dor dher dhealth dneeds.
c. Most dLGBTQ dpeople ddo dnot dwant dto dshare dinformation.
d. No ddifferences dexist din dcommunicating dwith dthis dpopulation.
CORRECT dANSWER: dB
Many dmembers dof dthe dLGBTQ dcommunity dhave dfaced ddiscrimination dfrom dhealth
dcare dproviders dand dmay dbe dreluctant dto dseek dhealth dcare. dThe dnurse dwould dnever
dmake dassumptions dabout dthe dneeds dof dmembers dof dthis dpopulation. dRather,
drespectful dquestions dare dappropriate. dIf dapproached dwith dsensitivity, dthe dclient dwith
dany dhealth dcare dneed dis dmore dlikely dto danswer dhonestly.
DIF: Understanding TOP: dIntegrated dProcess: dTeaching/Learning
KEY: dHealth dcare ddisparities, dLGBTQ MSC: dClient dNeeds dCategory:
dPsychosocial dIntegrity
8. A dnurse dis dcalling dthe don-call dhealth dcare dprovider dabout da dclient dwho dhad da
dhysterectomy d2 ddays dago dand dhas dpain dthat dis dunrelieved dby dthe dprescribed dopioid
dpain dmedication. dWhich dstatement dcomprises dthe dbackground dportion dof dthe dSBAR
dformat dfor dcommunication?
a. “I dwould dlike dyou dto dorder da ddifferent dpain dmedication.”
b. “This dclient dhas dallergies dto dmorphine dand dcodeine.”
c. “Dr. dSmith ddoesn’t dlike dnonsteroidal danti-inflammatory dmeds.”
d. “This dclient dhad da dvaginal dhysterectomy d2 ddays dago.”
CORRECT dANSWER: dB
d
SBAR dis da drecommended dform dof dcommunication, dand dthe dacronym dstands dfor
