MEDICAL SURGICAL NURSING 10TH EDITION
IGNATAVICIUS WORKMAN TEST BANK/COMPLETE
GUIDE 2024-2025
,Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A new nurse practitioner is working with a preceptor on a medical-surgical unit. The
preceptor advises the new nurse practitioner that which is the priority when working as a
professional nurse practitioner?
a. Attending to holistic patient needs
b. Ensuring patient safety
c. Not making medication errors
d. Providing patient-focused care
SELECT ANSWER:- B
Explanation :->>>All actions are appropriate for the professional nurse practitioner.
However, ensuring patient safety is the priority. Primary care errors have been widely
reported for 25 years, many of which result in patient injury, death, and increased primary
care costs. There are several national and international organizations that have either
recommended or mandated safety initiatives.
Every nurse practitioner has the responsibility to guard the patient’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: Patient safety
MSC: Patient Needs Category: Safe and Effective Care Environment: Safety and Infection Control
2. A nurse practitioner is orienting a new patient and family to the medical-surgical unit.
What information does the nurse practitioner provide to best help the patient promote his
or her own safety?
a. Encourage the patient and family to be active partners.
b. Have the patient monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the patient.
d. Tell the patient to always wear his or her armband.
SELECT ANSWER:- A
Explanation :->>>Each action could be important for the patient or family to perform.
However, encouraging the patient to be active in his or her primary 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: Patient safety
MSC: Patient Needs Category: Safe and Effective Care Environment: Safety and Infection Control
3. A nurse practitioner is caring for a postoperative patient on the surgical unit. The patient’s
blood pressure was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action
would the nurse practitioner take first?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary primary care provider.
d. Repeat the blood pressure in 15 minutes.
, SELECT ANSWER:- A
Explanation :->>>The purpose of the Rapid Response Team (RRT) is to intervene when
patients are deteriorating before they suffer either respiratory or cardiac arrest. Since the
patient has manifested a significant change, the nurse practitioner 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 practitioner must do more than
document. The primary primary care provider would be notified, but this is not more
important than calling the RRT. The patient’s blood pressure would be reassessed frequently,
but the priority is getting the rapid care to the patient.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Rapid Response Team (RRT), Clinical judgment
MSC: Patient Needs Category: Physiological Integrity: Physiological Adaptation
4. A nurse practitioner wishes to provide patient-centered care in all interactions. Which action by
the nurse practitioner
best demonstrates this concept?
a. Assesses for cultural influences affecting primary care.
b. Ensures that all the patient’s basic needs are met.
c. Tells the patient and family about all upcoming tests.
d. Thoroughly orients the patient and family to the room.
SELECT ANSWER:- A
Explanation :->>>Showing respect for the patient and family’s preferences and needs is
essential to ensure a holistic or “whole-person” approach to care. By assessing the effect of
the patient’s culture on primary care, this nurse practitioner is practicing patient-focused care.
Providing for basic needs does not demonstrate this competence. Simply telling the patient
about all upcoming tests is not providing empowering education. Orienting the patient and
family to the room is an important safety measure, but not directly related to demonstrating
patient-centered care.
DIF: Understanding TOP: Integrated Process: Culture and Spirituality
KEY: Patient-centered care, Culture MSC: Patient Needs Category: Psychosocial
Integrity
5. A patient is going to be admitted for a scheduled surgical procedure. Which action does
the nurse practitioner explain is the most important thing the patient can do to protect
against errors?
a. Bring a list of all medications and what they are for.
b. Keep the provider’s 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.
SELECT ANSWER:- A
Explanation :->>>Medication reconciliation is a formal process in which the patient’s actual
current medications are compared to the prescribed medications at the time of admission,
transfer, or discharge. This National patient Safety Goal is important to reduce medication
errors. The patient would not have to be responsible for providers washing their hands, and
even if the patient does so, this is too narrow to be the most important action to prevent
errors. Keeping the provider’s phone number nearby and documenting everyone who enters
the room also do not guarantee safety.
DIF: Applying TOP: Integrated Process: Teaching/Learning
KEY: Patient safety, Informatics
MSC: Patient Needs Category: Safe and Effective Care Environment: Safety and Infection Control
, 6. Which action by the nurse practitioner working with a patient best demonstrates respect for
autonomy?
a. Asks if the patient has questions before signing a consent.
b. Gives the patient accurate information when questioned.
c. Keeps the promises made to the patient and family.
d. Treats the patient fairly compared to other patients.
SELECT ANSWER:- A
Explanation :->>>Autonomy is self-determination. The patient would make decisions
regarding care. When the nurse practitioner obtains a signature on the consent form, assessing if
the patient still has questions is vital, because without full information the patient cannot
practice autonomy. Giving accurate information is practicing with veracity. Keeping promises
is upholding fidelity. Treating the patient fairly is providing social justice.
DIF: Applying TOP: Integrated Process: Caring KEY: Ethics, Autonomy
MSC: Patient Needs Category: Safe and Effective Care Environment: Management of
Care
7. A nurse practitioner asks a more seasoned colleague to explain best practices when
communicating with a person from the lesbian, gay, bisexual, transgender, and
questioning/queer (LGBTQ) community. What answer by the faculty is most accurate?
a. Avoid embarrassing the patient by asking questions.
b. Don’t make assumptions about his or her health needs.
c. Most LGBTQ people do not want to share information.
d. No differences exist in communicating with this population.
SELECT ANSWER:- B
Explanation :->>>Many members of the LGBTQ community have faced discrimination
from primary care providers and may be reluctant to seek primary care. The nurse
practitioner would never make assumptions about the needs of members of this population.
Rather, respectful questions are appropriate. If approached with sensitivity, the patient with
any primary care need is more likely to answer honestly.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Primary care disparities, LGBTQ MSC: Patient Needs Category: Psychosocial Integrity
8. A nurse practitioner is calling the on-call primary care provider about a patient who had a
hysterectomy 2 days ago and has pain that is unrelieved by the prescribed opioid pain
medication. Which statement comprises the background portion of the SBAR format for
communication?
a. “I would like you to order a different pain medication.”
b. “This patient has allergies to morphine and codeine.”
c. “Dr. Smith doesn’t like nonsteroidal anti-inflammatory meds.”
d. “This patient had a vaginal hysterectomy 2 days ago.”
SELECT ANSWER:- B
