Medical Surgical
Nursing 10th
Edition Ignatavicius
Workman Test
Bank
,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
ANS: 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.
ANS: 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.
Btestbanks.com
, ANS: 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 nurse wishes to provide client-centered care in all
interactions. Which action by the nurse
best demonstrates this concept?
a. Assesses for cultural influences affecting health care.
b. Ensures that all the client’s basic needs are met.
c. Tells the client and family about all upcoming tests.
d. Thoroughly orients the client and family to the room.
ANS: A
Showing respect for the client and family’s preferences and
needs is essential to ensure a holistic or “whole-person”
approach to care. By assessing the effect of the client’s
culture on health care, this nurse is practicing client-
focused care. Providing for basic needs does not
demonstrate this competence. Simply telling the client
about all upcoming tests is not providing empowering
education. Orienting the client and family to the room is an
important safety measure, but not directly related to
demonstrating client-centered care.
Nursing 10th
Edition Ignatavicius
Workman Test
Bank
,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
ANS: 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.
ANS: 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.
Btestbanks.com
, ANS: 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 nurse wishes to provide client-centered care in all
interactions. Which action by the nurse
best demonstrates this concept?
a. Assesses for cultural influences affecting health care.
b. Ensures that all the client’s basic needs are met.
c. Tells the client and family about all upcoming tests.
d. Thoroughly orients the client and family to the room.
ANS: A
Showing respect for the client and family’s preferences and
needs is essential to ensure a holistic or “whole-person”
approach to care. By assessing the effect of the client’s
culture on health care, this nurse is practicing client-
focused care. Providing for basic needs does not
demonstrate this competence. Simply telling the client
about all upcoming tests is not providing empowering
education. Orienting the client and family to the room is an
important safety measure, but not directly related to
demonstrating client-centered care.
