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Test Bank Medical-Surgical Nursing Concepts for
Interprofessional Collaborative Care 10th
Edition by Donna D. Ignatavicius Chapter 1-69
|Complete Guide A+ guaranteed pass
Ace your test with ease
, lOMoARcPSD|240 059 64
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
NursingIgnatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor
advises thenew 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 thepriority. Health care errors have been widely reported for 25 years, many of
which result inclient 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 client9s 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:
InterventionKEY: 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
informationdoes 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 theclient 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 andinvolved does.
DIF: Understanding TOP: Integrated Process:
Teaching/LearningKEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
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Control
3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
would the nursetake 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.
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ANS>> A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
deterioratingbefore 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 hours9
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 client9s blood pressure would be reassessed frequently,
but the priority is getting the rapid care to the client.
DIF: Applying TOP: Integrated Process: Communication and
DocumentationKEY: 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 client9s 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 family9s preferences and needs is essential to
ensure a holistic or <whole-person= approach to care. By assessing the effect of the
client9s culture onhealth 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 importantsafety measure, but not directly related to
demonstrating client-centered care.
DIF: Understanding TOP: Integrated Process: Culture and
Spirituality KEY: Client-centered care, Culture MSC: Client Needs Category:
Psychosocial Integrity
5. A client is going to be admitted for a scheduled surgical procedure. Which action
does thenurse explain is the most important thing the client can do to protect
against errors?
a. Bring a list of all medications and what they are for.
b. Keep the provider9s phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS>> A
Medication reconciliation is a formal process in which the client9s actual current
medicationsare compared to the prescribed medications at the time of admission,
transfer, or discharge. This National client Safety Goal is important to reduce
medication errors. The client would not have to be responsible for providers
washing their hands, and even if the client does so, this is too narrow to be the most
important action to prevent errors. Keeping the provider9s phone number nearby
Ace your test with ease
Test Bank Medical-Surgical Nursing Concepts for
Interprofessional Collaborative Care 10th
Edition by Donna D. Ignatavicius Chapter 1-69
|Complete Guide A+ guaranteed pass
Ace your test with ease
, lOMoARcPSD|240 059 64
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical
NursingIgnatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on a medical-surgical unit. The preceptor
advises thenew 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 thepriority. Health care errors have been widely reported for 25 years, many of
which result inclient 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 client9s 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:
InterventionKEY: 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
informationdoes 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 theclient 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 andinvolved does.
DIF: Understanding TOP: Integrated Process:
Teaching/LearningKEY: Client safety
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Ace your test with ease
, lOMoARcPSD|240 059 64
Control
3. A nurse is caring for a postoperative client on the surgical unit. The client9s blood
pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
would the nursetake 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.
Ace your test with ease
, lOMoARcPSD|240 059 64
ANS>> A
The purpose of the Rapid Response Team (RRT) is to intervene when clients are
deterioratingbefore 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 hours9
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 client9s blood pressure would be reassessed frequently,
but the priority is getting the rapid care to the client.
DIF: Applying TOP: Integrated Process: Communication and
DocumentationKEY: 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 client9s 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 family9s preferences and needs is essential to
ensure a holistic or <whole-person= approach to care. By assessing the effect of the
client9s culture onhealth 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 importantsafety measure, but not directly related to
demonstrating client-centered care.
DIF: Understanding TOP: Integrated Process: Culture and
Spirituality KEY: Client-centered care, Culture MSC: Client Needs Category:
Psychosocial Integrity
5. A client is going to be admitted for a scheduled surgical procedure. Which action
does thenurse explain is the most important thing the client can do to protect
against errors?
a. Bring a list of all medications and what they are for.
b. Keep the provider9s phone number by the telephone.
c. Make sure that all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS>> A
Medication reconciliation is a formal process in which the client9s actual current
medicationsare compared to the prescribed medications at the time of admission,
transfer, or discharge. This National client Safety Goal is important to reduce
medication errors. The client would not have to be responsible for providers
washing their hands, and even if the client does so, this is too narrow to be the most
important action to prevent errors. Keeping the provider9s phone number nearby
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