TEST BANK FOR INTRODUCTORY MEDICAL-SURGICAL
NURSING 13TH EDITION BY TIMBY
Chapter 1: Introduction to Medical Surgical Nursing Practice
Ignatavicius: Medical-Surgical Nursing, 8th Edition
Q. A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of
competency. Which areas should the manager assess to determine if the nursing staff demonstrate competency
according to the Institute of Medicine (IOM) report Health Professions Education: A Bridge to Quality?
(Select all that apply.) - Correct Ans✓✓
a. Collaborating with an interdisciplinary team
b. Implementing evidence-based cared.
d. Routinely using informatics in practice
e. Using quality improvement in client care
Q. A nurse is interested in making interdisciplinary work a high priority. Which actions by the nurse best
demonstrate this skill?
(Select all that apply.) - Correct Ans✓✓
a. Consults with other disciplines on client care
b. Coordinates discharge planning for home safety
c. Participates in comprehensive client rounding
d. Routinely asks other disciplines about client progress
Q. The nurse utilizing evidence-based practice (EBP) considers which factors when planning care?
(Select all that apply.) - Correct Ans✓✓
b. Nurses expertise
1|Page
,c. Client preferences
d. Research findings
e. Values of the client
Q. A nurse manager wants to improve hand-off communication among the staff. What actions by the manager
would best help achieve this goal?
(Select all that apply.) - Correct Ans✓✓
a. Attend hand-off rounds to coach and mentor.
b. Conduct audits of staff using a new template.
c. Create a template of topics to include in report.
d. Encourage staff to ask questions during hand-off.
Q. A nursing faculty member working with students explains that the fastest growing subset of the older
population is which group? - Correct Ans✓✓ Old Old
Q. A nurse working with older adults in the community plans programming to improve morale and emotional
health in this population. What activity would best meet this goal? - Correct Ans✓✓ Exercise program to
improve physical function
Q. A nurse caring for an older client on a medical-surgical unit notices the client reports frequent constipation
and only wants to eat softer foods such as rice, bread, and puddings. What assessment should the nurse perform
first? - Correct Ans✓✓ Perform an oral assessment.
Q. A nurse caring for an older adult has provided education on high-fiber foods. Which menu selection by the
client demonstrates a need for further review? - Correct Ans✓✓ White rice
2|Page
,Q. A nurse is working with an older client admitted with mild dehydration. What teaching does the nurse
provide to best address this issue? - Correct Ans✓✓ Have something to drink every 1 to 2 hours.
Q. A home health care nurse is planning an exercise program with an older client who lives at home
independently but whose mobility issues prevent much activity outside the home. Which exercise regimen
would be most beneficial to this adult? - Correct Ans✓✓ Building strength and flexibility
Q. An older adult recently retired and reports being depressed and lonely. What information should the nurse
assess as a priority? - Correct Ans✓✓ Role of work in the adults life
Q. A nurse is assessing coping in older women in a support group for recent widows. Which statement by a
participant best indicates potential for successful coping? - Correct Ans✓✓ I have had the same best friend for
decades.
Q. A home health care nurse has conducted a home safety assessment for an older adult. There are five concrete
steps leading out from the front door. Which intervention would be most helpful in keeping the older adult safe
on the steps? - Correct Ans✓✓ Install contrasting color strips at the edge of each step.
Q. n older adult is brought to the emergency department because of sudden onset of confusion. After the client
is stabilized and comfortable, what assessment by the nurse is most important? - Correct Ans✓✓ Determine if
there are new medications.
Q. An older adult client takes medication three times a day and becomes confused about which medication
should be taken at which time. The client refuses to use a pill sorter with slots for different times, saying Those
are for old people. What action by the nurse would be most helpful? - Correct Ans✓✓ Put color-coded stickers
on the bottle caps.
3|Page
, Q. An older adult client is in the hospital. The client is ambulatory and independent. What intervention by the
nurse would be most helpful in preventing falls in this client? - Correct Ans✓✓ Keep the light on in the
bathroom at night.
Q. An older client had hip replacement surgery and the surgeon prescribed morphine sulfate for pain. The client
is allergic to morphine and reports pain and muscle spasms. When the nurse calls the surgeon, which medication
should he or she suggest in place of the morphine? - Correct Ans✓✓ Hydromorphone hydrochloride (Dilaudid)
Q. A nurse admits an older client from a home environment where she lives with her adult son and daughter-in-
law. The client has urine burns on her skin, no dentures, and several pressure ulcers. What action by the nurse is
most appropriate? - Correct Ans✓✓ Report the findings as per agency policy.
Q. A nurse caring for an older client in the hospital is concerned the client is not competent to give consent for
upcoming surgery. What action by the nurse is best? - Correct Ans✓✓ Discuss concerns with the health care
team.
Q. A nursing student working in an Adult Care for Elders unit learns that frailty in the older population includes
which components? (Select all that apply.) - Correct Ans✓✓ b. Exhaustion
c. Slowed physical activity
d. Weakness
Q. A home health care nurse assesses an older client for the intake of nutrients needed in larger amounts than in
younger adults. Which foods found in an older adults kitchen might indicate an adequate intake of these
nutrients? (Select all that apply.) - Correct Ans✓✓ a. 1% milk
b. Carrots
d. Oranges
e. Vitamin D supplements
4|Page
NURSING 13TH EDITION BY TIMBY
Chapter 1: Introduction to Medical Surgical Nursing Practice
Ignatavicius: Medical-Surgical Nursing, 8th Edition
Q. A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of
competency. Which areas should the manager assess to determine if the nursing staff demonstrate competency
according to the Institute of Medicine (IOM) report Health Professions Education: A Bridge to Quality?
(Select all that apply.) - Correct Ans✓✓
a. Collaborating with an interdisciplinary team
b. Implementing evidence-based cared.
d. Routinely using informatics in practice
e. Using quality improvement in client care
Q. A nurse is interested in making interdisciplinary work a high priority. Which actions by the nurse best
demonstrate this skill?
(Select all that apply.) - Correct Ans✓✓
a. Consults with other disciplines on client care
b. Coordinates discharge planning for home safety
c. Participates in comprehensive client rounding
d. Routinely asks other disciplines about client progress
Q. The nurse utilizing evidence-based practice (EBP) considers which factors when planning care?
(Select all that apply.) - Correct Ans✓✓
b. Nurses expertise
1|Page
,c. Client preferences
d. Research findings
e. Values of the client
Q. A nurse manager wants to improve hand-off communication among the staff. What actions by the manager
would best help achieve this goal?
(Select all that apply.) - Correct Ans✓✓
a. Attend hand-off rounds to coach and mentor.
b. Conduct audits of staff using a new template.
c. Create a template of topics to include in report.
d. Encourage staff to ask questions during hand-off.
Q. A nursing faculty member working with students explains that the fastest growing subset of the older
population is which group? - Correct Ans✓✓ Old Old
Q. A nurse working with older adults in the community plans programming to improve morale and emotional
health in this population. What activity would best meet this goal? - Correct Ans✓✓ Exercise program to
improve physical function
Q. A nurse caring for an older client on a medical-surgical unit notices the client reports frequent constipation
and only wants to eat softer foods such as rice, bread, and puddings. What assessment should the nurse perform
first? - Correct Ans✓✓ Perform an oral assessment.
Q. A nurse caring for an older adult has provided education on high-fiber foods. Which menu selection by the
client demonstrates a need for further review? - Correct Ans✓✓ White rice
2|Page
,Q. A nurse is working with an older client admitted with mild dehydration. What teaching does the nurse
provide to best address this issue? - Correct Ans✓✓ Have something to drink every 1 to 2 hours.
Q. A home health care nurse is planning an exercise program with an older client who lives at home
independently but whose mobility issues prevent much activity outside the home. Which exercise regimen
would be most beneficial to this adult? - Correct Ans✓✓ Building strength and flexibility
Q. An older adult recently retired and reports being depressed and lonely. What information should the nurse
assess as a priority? - Correct Ans✓✓ Role of work in the adults life
Q. A nurse is assessing coping in older women in a support group for recent widows. Which statement by a
participant best indicates potential for successful coping? - Correct Ans✓✓ I have had the same best friend for
decades.
Q. A home health care nurse has conducted a home safety assessment for an older adult. There are five concrete
steps leading out from the front door. Which intervention would be most helpful in keeping the older adult safe
on the steps? - Correct Ans✓✓ Install contrasting color strips at the edge of each step.
Q. n older adult is brought to the emergency department because of sudden onset of confusion. After the client
is stabilized and comfortable, what assessment by the nurse is most important? - Correct Ans✓✓ Determine if
there are new medications.
Q. An older adult client takes medication three times a day and becomes confused about which medication
should be taken at which time. The client refuses to use a pill sorter with slots for different times, saying Those
are for old people. What action by the nurse would be most helpful? - Correct Ans✓✓ Put color-coded stickers
on the bottle caps.
3|Page
, Q. An older adult client is in the hospital. The client is ambulatory and independent. What intervention by the
nurse would be most helpful in preventing falls in this client? - Correct Ans✓✓ Keep the light on in the
bathroom at night.
Q. An older client had hip replacement surgery and the surgeon prescribed morphine sulfate for pain. The client
is allergic to morphine and reports pain and muscle spasms. When the nurse calls the surgeon, which medication
should he or she suggest in place of the morphine? - Correct Ans✓✓ Hydromorphone hydrochloride (Dilaudid)
Q. A nurse admits an older client from a home environment where she lives with her adult son and daughter-in-
law. The client has urine burns on her skin, no dentures, and several pressure ulcers. What action by the nurse is
most appropriate? - Correct Ans✓✓ Report the findings as per agency policy.
Q. A nurse caring for an older client in the hospital is concerned the client is not competent to give consent for
upcoming surgery. What action by the nurse is best? - Correct Ans✓✓ Discuss concerns with the health care
team.
Q. A nursing student working in an Adult Care for Elders unit learns that frailty in the older population includes
which components? (Select all that apply.) - Correct Ans✓✓ b. Exhaustion
c. Slowed physical activity
d. Weakness
Q. A home health care nurse assesses an older client for the intake of nutrients needed in larger amounts than in
younger adults. Which foods found in an older adults kitchen might indicate an adequate intake of these
nutrients? (Select all that apply.) - Correct Ans✓✓ a. 1% milk
b. Carrots
d. Oranges
e. Vitamin D supplements
4|Page
