MEDICAL SURGICAL NURSING PRACTICE
IGNATAVICIUS 8TH EDITION TEST BANK
Chapter1: Introductionto Medical-SurgicalNursing Practice Ignatavicius:
Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on an inpatient medical
-surgical unit. The
preceptoradvisesthestudentthatwhich is thepriority whenworkingas a professional
nurse?
a. Attendingto holisticclient needs
b. Ensuring clientsafety
c. Not making medicationerrors
d. Providing client-focusedcare
ANS: B
All actionsareappropriatefor theprofessionalnurse.However,ensuringclientsafetyis the
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the 2000
Instituteof Medicinereport.Many moreclientshavesufferedinjuries and lessserious outcomes.
Every nurse has the responsibility to guard the client’s safety.
DIF: Understanding/Comprehension REF: 2 KEY: Patientsafety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client NeedsCategory:Safeand EffectiveCare Environment:Safetyand InfectionControl
2. A nurseis orientinga newclientand family to theinpatientunit. What informationdoesthe nurse
provide to help the client promote his or her own safety?
a. Encouragetheclientand family to be activepartners.
b. Have the clientmonitorhand hygienein caregivers.
c. Offer the familytheopportunityto staywith theclient.
d. Tell theclientto alwayswearhis or her armband.
ANS: A
Each actioncould beimportantfor theclientor family to perform.However,encouraging the
client to be active in his or her health care as a partner is the most critical. The otherare
actions
verylimitedin scopeand do not providethebroadprotectionthatbeingactive and involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patientsafety
MSC: Integrated Process: Teaching/Learning
NOT: Client NeedsCategory:Safeand EffectiveCare Environment:Safetyand InfectionControl
,3. A nurse is caring for a postoperativeclient on the surgical unit. The client’s blood pressure was
142/76mm Hg 30 minutesago, andnow is 88/50mm Hg. What action bythenurseis best?
a. Call theRapid ResponseTeam.
b. Documentand continueto monitor.
c. Notify the primarycareprovider.
d. Repeatbloodpressuremeasurementin 15 minutes.
, 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 should call the RRT. Changes in blood pressure, mental
status,heartrate,and
pain areparticularlysignificant.Documentationis vital,but the nursemust do morethan
document.The primarycareprovidershouldbe notified,but this is not the priority over calling the
RRT. The client’s blood pressure should be reassessed frequently, but the priority is getting the
rapid care to the client.
DIF: Applying/Application REF: 3 KEY:
Rapid ResponseTeam (RRT)| medicalemergencies
MSC: IntegratedProcess:Communicationand Documentation
NOT: Client NeedsCategory:PhysiologicalIntegrity:PhysiologicalAdaptation
4. A nursewishesto provideclient-centeredcarein all interactions.Which actionby thenurse best
demonstrates this concept?
a. Assessesfor culturalinfluencesaffectinghealthcare
b. Ensuresthatall theclients’basicneedsaremet
c. Tells theclientand family about allupcomingtests
d. Thoroughlyorients theclient and familyto theroom
ANS: A
Competency in client -focused care is demonstrated when the nurse focuses on communication,
culture,respect,compassion,clienteducation,and empowerment.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
clientand family to theroom is an importantsafetymeasure, butnot directly related to
demonstrating client -centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient- centered care| culture MSC: IntegratedProcess:Caring
NOT: Client Needs Category: Psychosocial Integrity
5. A clientis going to beadmittedfor a scheduledsurgicalprocedure.Which actiondoesthe nurse
explain is the most important thing the client can do to protect against errors?
a. Bring a list ofall medications andwhat theyarefor.
b. Keep thedoctor’s phonenumberby thetelephone.
c. Makesure allproviderswashhandsbefore enteringtheroom.
d. Write down thenameof eachcaregiverwho comesin theroom.
ANS: A
Medication errors are the most common type of health care mistake. The Joint Commission’s
Speak Up campaign encourages clients to help ensure their safety. One recommendation
is for
clientsto know all theirmedicationsand why theytakethem.This will help prevent medication
errors.
, DIF: Applying/Application REF: 4
KEY: SpeakUp campaign|patientsafety MSC: IntegratedProcess:Teaching/Learning
IGNATAVICIUS 8TH EDITION TEST BANK
Chapter1: Introductionto Medical-SurgicalNursing Practice Ignatavicius:
Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on an inpatient medical
-surgical unit. The
preceptoradvisesthestudentthatwhich is thepriority whenworkingas a professional
nurse?
a. Attendingto holisticclient needs
b. Ensuring clientsafety
c. Not making medicationerrors
d. Providing client-focusedcare
ANS: B
All actionsareappropriatefor theprofessionalnurse.However,ensuringclientsafetyis the
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the 2000
Instituteof Medicinereport.Many moreclientshavesufferedinjuries and lessserious outcomes.
Every nurse has the responsibility to guard the client’s safety.
DIF: Understanding/Comprehension REF: 2 KEY: Patientsafety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client NeedsCategory:Safeand EffectiveCare Environment:Safetyand InfectionControl
2. A nurseis orientinga newclientand family to theinpatientunit. What informationdoesthe nurse
provide to help the client promote his or her own safety?
a. Encouragetheclientand family to be activepartners.
b. Have the clientmonitorhand hygienein caregivers.
c. Offer the familytheopportunityto staywith theclient.
d. Tell theclientto alwayswearhis or her armband.
ANS: A
Each actioncould beimportantfor theclientor family to perform.However,encouraging the
client to be active in his or her health care as a partner is the most critical. The otherare
actions
verylimitedin scopeand do not providethebroadprotectionthatbeingactive and involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patientsafety
MSC: Integrated Process: Teaching/Learning
NOT: Client NeedsCategory:Safeand EffectiveCare Environment:Safetyand InfectionControl
,3. A nurse is caring for a postoperativeclient on the surgical unit. The client’s blood pressure was
142/76mm Hg 30 minutesago, andnow is 88/50mm Hg. What action bythenurseis best?
a. Call theRapid ResponseTeam.
b. Documentand continueto monitor.
c. Notify the primarycareprovider.
d. Repeatbloodpressuremeasurementin 15 minutes.
, 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 should call the RRT. Changes in blood pressure, mental
status,heartrate,and
pain areparticularlysignificant.Documentationis vital,but the nursemust do morethan
document.The primarycareprovidershouldbe notified,but this is not the priority over calling the
RRT. The client’s blood pressure should be reassessed frequently, but the priority is getting the
rapid care to the client.
DIF: Applying/Application REF: 3 KEY:
Rapid ResponseTeam (RRT)| medicalemergencies
MSC: IntegratedProcess:Communicationand Documentation
NOT: Client NeedsCategory:PhysiologicalIntegrity:PhysiologicalAdaptation
4. A nursewishesto provideclient-centeredcarein all interactions.Which actionby thenurse best
demonstrates this concept?
a. Assessesfor culturalinfluencesaffectinghealthcare
b. Ensuresthatall theclients’basicneedsaremet
c. Tells theclientand family about allupcomingtests
d. Thoroughlyorients theclient and familyto theroom
ANS: A
Competency in client -focused care is demonstrated when the nurse focuses on communication,
culture,respect,compassion,clienteducation,and empowerment.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
clientand family to theroom is an importantsafetymeasure, butnot directly related to
demonstrating client -centered care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient- centered care| culture MSC: IntegratedProcess:Caring
NOT: Client Needs Category: Psychosocial Integrity
5. A clientis going to beadmittedfor a scheduledsurgicalprocedure.Which actiondoesthe nurse
explain is the most important thing the client can do to protect against errors?
a. Bring a list ofall medications andwhat theyarefor.
b. Keep thedoctor’s phonenumberby thetelephone.
c. Makesure allproviderswashhandsbefore enteringtheroom.
d. Write down thenameof eachcaregiverwho comesin theroom.
ANS: A
Medication errors are the most common type of health care mistake. The Joint Commission’s
Speak Up campaign encourages clients to help ensure their safety. One recommendation
is for
clientsto know all theirmedicationsand why theytakethem.This will help prevent medication
errors.
, DIF: Applying/Application REF: 4
KEY: SpeakUp campaign|patientsafety MSC: IntegratedProcess:Teaching/Learning
