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Medical Surgical Nursing An Integrated Approach 3rd Edition by Lois White -Test Bank
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,Chapter 1—Role of Medical Surgical NursingMULTIPLE CHOICE
1. The skill of providing care to a client in an order where the sicker client is seen first is called:
a. sequencing c. ordering of care
b. prioritization d. scheduling
ANS: B
Planning client care involves prioritization. The nurse reviews all clients who need care and
determines which client needs to be seen or cared for first. Different methods assist the nurse in
prioritizing care. These methods could include following the rule of ABC (airway, breathing,
circulation). Another method would be using Maslow’s hierarchy of needs and asking oneself which
client has the greatest need that should be met first.
PTS: 1 DIF: Comprehension REF: White (2013)
2. A nurse has just received shift report from the night nurse. One of the clients needs to have a dressing
changed at 0800. Another client has had trouble breathing overnight and has been put on oxygen via
nasal cannula. A third client has a test scheduled in the radiology suite in the afternoon. And, a fourth
client is requesting pain medication. Which client should the nurse see first on her rounds as she begins
her shift?
a. client with an 0800 dressing change c. client with a scheduled test
b. client with a respiratory condition d. client requesting pain medication
ANS: B
The nurse would begin her rounds with the client who has had respiratory problems overnight. Based
upon the A-B-C prioritization (airway, breathing, circulation), the nurse would want to see the client
on oxygen therapy first to assess the client’s breathing and respiratory status.
PTS: 1 DIF: Application REF: White (2013)
3. Asking another nurse for advice on how to prioritize a client’s care is called:
a. collaboration c. scheduling
b. inquiring d. decision-making
ANS: A
Working with other members of the healthcare to determine the best method to provide client care is
an example of collaboration. It is often helpful to “think out loud” with another healthcare team
member.
PTS: 1 DIF: Comprehension REF: White (2013)
4. A nurse has been caring for a client with an IV and the shift is about to end. The IV bag is scheduled to
run out 1.5 hours into the next nurse’s shift. The offgoing nurse should do which of the following prior
to the end of her shift?
a. hang a new IV bag
b. tell the nurse a new bag will be needed
c. ask client to call nurse for empty IV
d. have a replacement bag ready
ANS: D
When a client’s IV bag will run out within the first two hours of the oncoming shift, the offgoing nurse
should have a replacement bag available for the next nurse to hang.
, PTS: 1 DIF: Application REF: White (2013)
5. Which of these statements is TRUE?
a. Discharge planning begins upon admission.
b. Discharge planning begins the day before discharge.
c. Discharge planning occurs on the day of discharge.
d. Discharge planning occurs on the day before discharge.
ANS: A
Discharge planning begins at admission. Starting discharge planning early allows time for assessment
of the client’s home situation, and family support which can affect the discharge plan.
PTS: 1 DIF: Comprehension REF: White (2013)
6. The process of taking information that has been uncovered and clarified, and systematically processing
it to find an acceptable resolution to the problem, is called:
a. critical thinking c. data clarification
b. data collection d. problem solving
ANS: D
Problem solving is the process of taking information that has been uncovered and clarified, and
systematically processing it to find an acceptable resolution to problems. To problem solve, data must
be gathered, organized, analyzed, and conclusions must be drawn. When problem solving, the
individual continues to ask questions throughout the process. Asking questions clarifies data in an
attempt to obtain accurate information.
PTS: 1 DIF: Comprehension REF: White (2013)
7. Which of the following involves obtaining and using information by asking who, what, when, where
and how?
a. disciplined thinking c. problem solving
b. critical thinking d. nursing process
ANS: B
Critical thinking is the process of uncovering and clarifying information to make accurate judgments.
Problem solving and critical thinking skills learned during the student educational experience are the
basis of providing safe, quality client care. Critical thinking involves obtaining and using information
by asking: who, what, when, where, and how. Critical thinking also asks if the information is true,
accurate, and if variables have a bearing on the data collected.
PTS: 1 DIF: Application REF: White (2013)
8. A nurse is caring for a drug addicted client who states that he is experiencing postoperative pain from a
cholecystectomy. The client is requesting pain medication. The nurse should take which action next?
a. Withhold pain medication due to client’s drug history.
b. Give client half of the physician ordered dose so that client won’t become addicted again.
c. Question the client to see if he really has pain or is just drug seeking.
d. Assess the client and treat the client’s current pain level regardless of previous history.
ANS: D
, Critical thinking and problem solving requires an individual to put aside religion, political views, race,
and anything that could cloud a solid unbiased judgment. Understanding the difficulty in being
unbiased requires the nurse to remain objective and neutral when providing client care. For example, if
a known recovering drug addict states he is experiencing pain post-operatively and requests pain
medication, the nurse must remain unbiased and treat the client’s current pain level regardless of his
previous history.
PTS: 1 DIF: Application REF: White (2013)
9. Performing an assessment of a client provides which type of information?
a. subjective
b. objective
c. subjective and objective
d. data collected by visualization of client
ANS: C
Assessment provides subjective and objective information, and includes taking the clients vital signs,
acquiring data by visualizing the client physically and watching for client actions and responses,
touching the client, and smelling for odors. The nurse should listen to what the client says, the tone
used, and sounds made from the body by actively listening through a stethoscope. Secondary sources,
such as labs, are also considered. The LPN/LVN is taught to make observations, collect data, and
respond to particular situations.
PTS: 1 DIF: Comprehension REF: White (2013)
10. What type of diagnosis is formulated by gathering physical, psychological, social, emotional and
spiritual data?
a. medical diagnosis c. subjective diagnosis
b. objective diagnosis d. nursing diagnosis
ANS: D
A nursing diagnosis is formulated by gathering physical, psychological, social, emotional, and spiritual
data. Nursing diagnoses may be actual or potential client problems. Medical diagnoses can only be
made by a medical doctor, or appropriate licensed individual, and is based on a specific pathological
disease process being experienced by the client.
PTS: 1 DIF: Comprehension REF: White (2013)
11. When a nurse acquires all the data needed to make a nursing judgment, which concept is being used?
a. assumption c. relevance
b. depth d. assessment
ANS: B
Depth is a measurement from the beginning of a matter to the end. If a nurse is getting a measurement
of depth, in relation to a client concern, the nurse will gather all factual information making sure to ask
pertinent questions so data is not missed. Depth is obtained by acquiring all data to make a nursing
judgment.
PTS: 1 DIF: Comprehension REF: White (2013)
12. When a nurse examines a situation from all angles or another’s viewpoint, the nurse is demonstrating
which concept?
a. logic c. clarity
b. breadth d. depth
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