10/31/23, Test bank -
n n n medical n surgical n nursing n 10th n edition
5:28 ignatavicius
Medical Surgical Nursing 10th n n n
EditionIgnatavicius Workman
n n
Test Bank
n n
Chapter 01: Overview of Professional Nursing Concepts for Medical-
n n n n n n n n
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
n n n n n n
MULTIPLE
n CHOIC
E
1. A n new n nurse n is n working n with n a n preceptor n on n a n medical-surgical
n unit. n The n preceptor n advises n the n new n nurse n that n which n is n the
n priority n when n working n as n a n professional n nurse?
a. Attending n to n holistic n client n needs
b. Ensuring n client n safety
c. Not n making n medication n errors
d. Providing n client-focused n care
ANS: n B
All n actions n are n appropriate n for n the n professional n nurse. nmHowever, n ensuring
n client n safety n is n the n priority. n Health n care n errors n have nm been n widely
n reported n for n 25 n years, n many n of n which n result n in n client n injury,
nm death, n and n increased n health n care n costs. n There n are n several n national
n and n international n organizations n that n have n either n recommended n or
n mandated n safety nminitiatives.
Every n nurse n has n the n responsibility nmto nmguard n the n client’s n safety. n The
n other n actions n are n important
for n quality n nursing, n but n they nmare nmnotnmas n vital n as n providing n safety. n Not
n making n medication n errors n does n provide nm safety, n but n is n too n narrow n in
n scope n to n be n the n best n answer.
DIF: Understanding TOP: n Integrated n Process: n Nursing
n Process: n Intervention nKEY: n Client nmsafety
MSC: n Client n Needs n Category: n Safe n and n Effective n Care n Environment: n Safety n and
n Infection n Control
2. A n nurse nmis nm orienting n a n new n client n and n family n to n the n medical-
surgical n unit. n What n information n does n the n nurse n provide n to n best n help
n the n client n promote n his
mor n her nmown nmsafety?
a. Encourage n the n client n and n family n to n be n active n partners.
b. Havenmthe n client n monitor n hand n hygiene n in n caregivers.
c. Offer n the n family n the n opportunity n to n stay n with n the n client.
d. Tell n the n client n to n always n wear n his n or n her n armband.
ANS: n A
Each n action n could n be n important n for n the n client n or n family n to
n perform. n However, n encouraging n the n client n to n be n active n in n his n or
n her n health n care n as n a n safety n partner n is n the n most n critical. n The
n other n actions n are n very n limited n in n scope n and n do n not n provide n the
n broad n protection n that n being n active n and n involved n does.
DIF: Understanding TOP: n Integrated
n Process: n Teaching/Learning nKEY: n Client n safety
MSC: n n Client n Needs n Category: n Safe n and n Effective n Care n Environment: n Safety
n and n Infection
Control
3. A n nurse n is n caring n for n a n postoperative n client n on n the n surgical n unit.
n The n client’s n blood n pressure n was n 142/76 n mm n Hg n 30 n minutes
n ago, n and n now n is n 88/50 n mm n Hg. n What n action n would n the n nurse
about:blank 1/593
,10/31/23, Test n bank n - n medical n surgical n nursing n 10th n edition
5:28 ntake n first?
ignatavicius
a. Call n the n Rapid n Response n Team.
b. Document n and n continue n to n monitor.
c. Notify n the n primary n health n care n provider.
d. Repeat n the n blood n pressure n in n 15 n minutes.
about:blank 2/593
,10/31/23, Test bank -
n n n medical n surgical n nursing n 10th n edition
5:28 ignatavicius
Btestbanks.com
about:blank 3/593
, 10/31/23, Test bank -
n n n medical n surgical n nursing n 10th n edition
5:28 ignatavicius
ANS: n A
The n purpose n of n the n Rapid n Response n Team n (RRT) n is n to n intervene
n when n clients n are n deteriorating n before n they n suffer n either n respiratory n or
n cardiac n arrest. n Since n the n client n has n manifested n a n significant n change,
n the n nurse n would n call n the n RRT. n Changes n in n blood n pressure,
n mental n status, n heart n rate, n temperature, n oxygen n saturation, n and n last
n 2 n hours’ n urine n output n are n particularly n significant n and n are n part n of
n the n Modified n Early n Warning n System n guide. n Documentation n is n vital,
n but n the n nurse n must n do n more n than n document. n The n primary n health
n care n provider n would n be n notified, n but n this n is n not n more n important
n than n calling n the n RRT. n The n client’s n blood n pressure n would n be
n reassessed n frequently, n but n the n priority n is n getting n the n rapid n care n to
n the n client.
DIF: Applying n TOP: n Integrated n Process: n Communication n and
n Documentation nKEY: n Rapid n Response n Team n (RRT), n Clinical
n judgment
MSC: n n Client n Needs n Category: n Physiological n Integrity: n Physiological n Adaptation
4. A n nurse n wishes n to n provide n client-centered n care n in n all n interactions. n Which
action n by n the n nurse
n
best n demonstrates n this n concept?
a. Assesses n for n cultural n influences n affecting n health n care.
b. Ensures n that n all n the n client’s n basic n needs n are n met.
c. Tells n the n client n and n family n about n all n upcoming nmtests.
d. Thoroughly n orients n the n client n and n family n to n the nmroom.
ANS: n A
Showing n respect n for n the n client n and nmfamily’s nmpreferences n and n needs n is
n essential n to n ensure n a n holistic n or n ―whole-person‖ nm approach n to n care.
n By n assessing n the n effect n of n the n client’s n culture n on n health nmcare, n this
n nurse n is n practicing n client- n focused n care. n Providing n for n basic nm needs
nmdoes n not n demonstrate n this n competence.
Simply n telling n the n client n about nmall nmupcoming n tests n is n not
n providing n empowering n education. n Orienting nmthe nmclient n and n family n to
n the n room n is n an n important n safety n measure, nm but nmnot nmdirectly n related n to
n demonstrating n client- n centered n care.
DIF: Understanding TOP: n Integrated n Process: n Culture n and
n Spirituality n KEY: nm nClient-centered n care, n Culture MSC: n Client
n Needs n Category: n Psychosocial nmIntegrity
5. A n clientnmis nmgoing nmto n be n admitted n for n a
n scheduled n surgical n procedure.
n Which n actionnmdoesnmthemnurse n explain n is n the n most n important n thing
n the n client n can n do n mto n protect n magainst n errors?
a. Bring nma n list n of n all n medications n and n what n they n are n for.
b. Keep nmthe n provider’s n phone n number n by n the n telephone.
c. Make n sure n that n all n providers n wash n hands n before n entering n the n room.
d. Write n down n the n name n of n each n caregiver n who n comes n in n the n room.
ANS: n A
Medication n reconciliation n is n a n formal n process n in n which n the n client’s n actual
n current n medications n are n compared n to n the n prescribed n medications n at
n the n time n of n admission, n transfer, n or n discharge. n This n National n client
n Safety n Goal n is n important n to n reduce n medication n errors. n The n client
n would n not n have n to n be n responsible n for n providers n washing n their
n hands, n and n even n if n the n client n does n so, n this n is n too n narrow n to
n be n the n most n important n action n to n prevent n errors. n Keeping n the
n provider’s n phone n number n nearby n and n documenting n everyone n who
n enters n the n room n also n do n not n guarantee n safety.
DIF: Applying n TOP: n Integrated n Process:
Teaching/Learning n KEY: n Client n safety, n Informatics
MSC: n Client n Needs n Category: n Safe n and n Effective n Care n Environment: n Safety n and
about:blank 4/593
n n n medical n surgical n nursing n 10th n edition
5:28 ignatavicius
Medical Surgical Nursing 10th n n n
EditionIgnatavicius Workman
n n
Test Bank
n n
Chapter 01: Overview of Professional Nursing Concepts for Medical-
n n n n n n n n
Surgical Nursing Ignatavicius: Medical-Surgical Nursing, 10th Edition
n n n n n n
MULTIPLE
n CHOIC
E
1. A n new n nurse n is n working n with n a n preceptor n on n a n medical-surgical
n unit. n The n preceptor n advises n the n new n nurse n that n which n is n the
n priority n when n working n as n a n professional n nurse?
a. Attending n to n holistic n client n needs
b. Ensuring n client n safety
c. Not n making n medication n errors
d. Providing n client-focused n care
ANS: n B
All n actions n are n appropriate n for n the n professional n nurse. nmHowever, n ensuring
n client n safety n is n the n priority. n Health n care n errors n have nm been n widely
n reported n for n 25 n years, n many n of n which n result n in n client n injury,
nm death, n and n increased n health n care n costs. n There n are n several n national
n and n international n organizations n that n have n either n recommended n or
n mandated n safety nminitiatives.
Every n nurse n has n the n responsibility nmto nmguard n the n client’s n safety. n The
n other n actions n are n important
for n quality n nursing, n but n they nmare nmnotnmas n vital n as n providing n safety. n Not
n making n medication n errors n does n provide nm safety, n but n is n too n narrow n in
n scope n to n be n the n best n answer.
DIF: Understanding TOP: n Integrated n Process: n Nursing
n Process: n Intervention nKEY: n Client nmsafety
MSC: n Client n Needs n Category: n Safe n and n Effective n Care n Environment: n Safety n and
n Infection n Control
2. A n nurse nmis nm orienting n a n new n client n and n family n to n the n medical-
surgical n unit. n What n information n does n the n nurse n provide n to n best n help
n the n client n promote n his
mor n her nmown nmsafety?
a. Encourage n the n client n and n family n to n be n active n partners.
b. Havenmthe n client n monitor n hand n hygiene n in n caregivers.
c. Offer n the n family n the n opportunity n to n stay n with n the n client.
d. Tell n the n client n to n always n wear n his n or n her n armband.
ANS: n A
Each n action n could n be n important n for n the n client n or n family n to
n perform. n However, n encouraging n the n client n to n be n active n in n his n or
n her n health n care n as n a n safety n partner n is n the n most n critical. n The
n other n actions n are n very n limited n in n scope n and n do n not n provide n the
n broad n protection n that n being n active n and n involved n does.
DIF: Understanding TOP: n Integrated
n Process: n Teaching/Learning nKEY: n Client n safety
MSC: n n Client n Needs n Category: n Safe n and n Effective n Care n Environment: n Safety
n and n Infection
Control
3. A n nurse n is n caring n for n a n postoperative n client n on n the n surgical n unit.
n The n client’s n blood n pressure n was n 142/76 n mm n Hg n 30 n minutes
n ago, n and n now n is n 88/50 n mm n Hg. n What n action n would n the n nurse
about:blank 1/593
,10/31/23, Test n bank n - n medical n surgical n nursing n 10th n edition
5:28 ntake n first?
ignatavicius
a. Call n the n Rapid n Response n Team.
b. Document n and n continue n to n monitor.
c. Notify n the n primary n health n care n provider.
d. Repeat n the n blood n pressure n in n 15 n minutes.
about:blank 2/593
,10/31/23, Test bank -
n n n medical n surgical n nursing n 10th n edition
5:28 ignatavicius
Btestbanks.com
about:blank 3/593
, 10/31/23, Test bank -
n n n medical n surgical n nursing n 10th n edition
5:28 ignatavicius
ANS: n A
The n purpose n of n the n Rapid n Response n Team n (RRT) n is n to n intervene
n when n clients n are n deteriorating n before n they n suffer n either n respiratory n or
n cardiac n arrest. n Since n the n client n has n manifested n a n significant n change,
n the n nurse n would n call n the n RRT. n Changes n in n blood n pressure,
n mental n status, n heart n rate, n temperature, n oxygen n saturation, n and n last
n 2 n hours’ n urine n output n are n particularly n significant n and n are n part n of
n the n Modified n Early n Warning n System n guide. n Documentation n is n vital,
n but n the n nurse n must n do n more n than n document. n The n primary n health
n care n provider n would n be n notified, n but n this n is n not n more n important
n than n calling n the n RRT. n The n client’s n blood n pressure n would n be
n reassessed n frequently, n but n the n priority n is n getting n the n rapid n care n to
n the n client.
DIF: Applying n TOP: n Integrated n Process: n Communication n and
n Documentation nKEY: n Rapid n Response n Team n (RRT), n Clinical
n judgment
MSC: n n Client n Needs n Category: n Physiological n Integrity: n Physiological n Adaptation
4. A n nurse n wishes n to n provide n client-centered n care n in n all n interactions. n Which
action n by n the n nurse
n
best n demonstrates n this n concept?
a. Assesses n for n cultural n influences n affecting n health n care.
b. Ensures n that n all n the n client’s n basic n needs n are n met.
c. Tells n the n client n and n family n about n all n upcoming nmtests.
d. Thoroughly n orients n the n client n and n family n to n the nmroom.
ANS: n A
Showing n respect n for n the n client n and nmfamily’s nmpreferences n and n needs n is
n essential n to n ensure n a n holistic n or n ―whole-person‖ nm approach n to n care.
n By n assessing n the n effect n of n the n client’s n culture n on n health nmcare, n this
n nurse n is n practicing n client- n focused n care. n Providing n for n basic nm needs
nmdoes n not n demonstrate n this n competence.
Simply n telling n the n client n about nmall nmupcoming n tests n is n not
n providing n empowering n education. n Orienting nmthe nmclient n and n family n to
n the n room n is n an n important n safety n measure, nm but nmnot nmdirectly n related n to
n demonstrating n client- n centered n care.
DIF: Understanding TOP: n Integrated n Process: n Culture n and
n Spirituality n KEY: nm nClient-centered n care, n Culture MSC: n Client
n Needs n Category: n Psychosocial nmIntegrity
5. A n clientnmis nmgoing nmto n be n admitted n for n a
n scheduled n surgical n procedure.
n Which n actionnmdoesnmthemnurse n explain n is n the n most n important n thing
n the n client n can n do n mto n protect n magainst n errors?
a. Bring nma n list n of n all n medications n and n what n they n are n for.
b. Keep nmthe n provider’s n phone n number n by n the n telephone.
c. Make n sure n that n all n providers n wash n hands n before n entering n the n room.
d. Write n down n the n name n of n each n caregiver n who n comes n in n the n room.
ANS: n A
Medication n reconciliation n is n a n formal n process n in n which n the n client’s n actual
n current n medications n are n compared n to n the n prescribed n medications n at
n the n time n of n admission, n transfer, n or n discharge. n This n National n client
n Safety n Goal n is n important n to n reduce n medication n errors. n The n client
n would n not n have n to n be n responsible n for n providers n washing n their
n hands, n and n even n if n the n client n does n so, n this n is n too n narrow n to
n be n the n most n important n action n to n prevent n errors. n Keeping n the
n provider’s n phone n number n nearby n and n documenting n everyone n who
n enters n the n room n also n do n not n guarantee n safety.
DIF: Applying n TOP: n Integrated n Process:
Teaching/Learning n KEY: n Client n safety, n Informatics
MSC: n Client n Needs n Category: n Safe n and n Effective n Care n Environment: n Safety n and
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