Test Bank for Medical-Surgical Nursing:
Concepts for Interprofessional
Collaborative Care, 2-Volume Set
9th Edition By Ignatavicius
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 1
Table of Contents
Table of Contents 1
Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing 3
Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing 8
Chapter 03: Common Health Problems of Older Adults 13
Chapter 04: Assessment and Care of Patients with Pain 20
Chapter 05: Genetic Concepts for Medical-Surgical Nursing 32
Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems 38
Chapter 07: End-of-Life Care 44
Chapter 08: Concepts of Emergency and Trauma Nursing 50
Chapter 09: Care of Patients with Common Environmental Emergencies 56
Chapter 10: Concepts of Emergency and Disaster Preparedness 62
Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances 68
Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances 76
Chapter 13: Infusion Therapy 83
Chapter 14: Care of Preoperative Patients 94
Chapter 15: Care of Intraoperative Patients 103
Chapter 16: Care of Postoperative Patients 109
Chapter 17: Inflammation and Immunity 116
Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases 122
Chapter 19: Care of Patients with HIV Disease 138
Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity 147
Chapter 21: Cancer Development 152
Chapter 22: Care of Patients with Cancer 157
Chapter 23: Care of Patients with Infection 167
Chapter 24: Assessment of the Skin, Hair, and Nails 174
Chapter 25: Care of Patients with Skin Problems 179
Chapter 26: Care of Patients with Burns 196
Chapter 27: Assessment of the Respiratory System 213
Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy 220
Chapter 29: Care of Patients with Noninfectious Upper Respiratory Problems 226
Chapter 30: Care of Patients with Noninfectious Lower Respiratory Problems 233
Chapter 31: Care of Patients with Infectious Respiratory Problems 245
Chapter 32: Care of Critically Ill Patients with Respiratory Problems 256
Chapter 33: Assessment of the Cardiovascular System 269
Chapter 34: Care of Patients with Dysrhythmias 278
Chapter 35: Care of Patients with Cardiac Problems 287
Chapter 36: Care of Patients with Vascular Problems 298
Chapter 37: Care of Patients with Shock 310
Chapter 38: Care of Patients with Acute Coronary Syndromes 317
Chapter 39: Assessment of the Hematologic System 327
Chapter 40: Care of Patients with Hematologic Problems 331
Chapter 41: Assessment of the Nervous System 343
Chapter 42: Care of Patients with Problems of the CNS: The Brain 353
Chapter 43: Care of Patients with Problems of the CNS: The Spinal Cord 364
Chapter 44: Care of Patients with Problems of the Peripheral Nervous System 374
Chapter 45: Care of Critically Ill Patients with Neurologic Problems 380
Chapter 46: Assessment of the Eye and Vision 394
Chapter 47: Care of Patients with Eye and Vision Problems 397
Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems 403
Chapter 49: Assessment of the Musculoskeletal System 410
Chapter 50: Care of Patients with Musculoskeletal Problems 415
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 2
Chapter 51: Care of Patients with Musculoskeletal Trauma 424
Chapter 52: Assessment of the Gastrointestinal System 435
Chapter 53: Care of Patients with Oral Cavity Problems 441
Chapter 54: Care of Patients with Esophageal Problems 445
Chapter 55: Care of Patients with Stomach Disorders 454
Chapter 56: Care of Patients with Noninflammatory Intestinal Disorders 461
Chapter 57: Care of Patients with Inflammatory Intestinal Disorders 471
Chapter 58: Care of Patients with Liver Problems 481
Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas 489
Chapter 60: Care of Patients with Malnutrition: Undernutrition and Obesity 497
Chapter 61: Assessment of the Endocrine System 506
Chapter 62: Care of Patients with Pituitary and Adrenal Gland Problems 512
Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands 520
Chapter 64: Care of Patients with Diabetes Mellitus 527
Chapter 65: Assessment of the Renal/Urinary System 549
Chapter 66: Care of Patients with Urinary Problems 557
Chapter 67: Care of Patients with Kidney Disorders 568
Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease 575
Chapter 69: Assessment of the Reproductive System 587
Chapter 70: Care of Patients with Breast Disorders 591
Chapter 71: Care of Patients with Gynecologic Problems 598
Chapter 72: Care of Patients with Male Reproductive Problems 605
Chapter 73: Care of Transgender Patients 614
Chapter 74: Care of Patients with Sexually Transmitted Diseases 618
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 3
Chapter 01: Overview of Professional Nursing Concepts for Medical-
Surgical Nursing
MULTIPLE CHOICE
1. 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 clients 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
Competency in client-focused care is demonstrated when the nurse focuses on communication, culture, respect,
compassion, client education, and empowerment. By assessing the effect of the clients 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 client
and family to the room is an important safety measure, but not directly related to demonstrating client-centered
care.
DIF: Understanding/Comprehension REF: 3
KEY: Patient-centered care| culture MSC: Integrated Process: Caring
NOT: Client Needs Category: Psychosocial Integrity
2. A nurse is caring for a postoperative client on the surgical unit. The clients blood pressure was 142/76 mm
Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 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, heart rate, and pain are particularly significant.
Documentation is vital, but the nurse must do more than document. The primary care provider should be
notified, but this is not the priority over calling the RRT. The clients blood pressure should be reassessed
frequently, but the priority is getting the rapid care to the client.
DIF: Applying/Application REF: 3
KEY: Rapid Response Team (RRT)| medical emergencies
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Physiological Integrity: Physiological Adaptation
3. A nurse is orienting a new client and family to the inpatient unit. What information does the nurse provide to
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 the client to be
active in his or her health care as a 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/Comprehension REF: 3
KEY: Patient safety
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 4
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
4. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The preceptor advises the
student 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 the priority. Up to
98,000 deaths result each year from errors in hospital care, according to the 2000 Institute of Medicine report.
Many more clients have suffered injuries and less serious outcomes. Every nurse has the responsibility to
guard the clients safety.
DIF: Understanding/Comprehension REF: 2
KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
5. A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse 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 doctors phone number by the telephone.
c. Make sure all providers wash hands before entering the room.
d. Write down the name of each caregiver who comes in the room.
ANS: A
Medication errors are the most common type of health care mistake. The Joint Commissions Speak Up
campaign encourages clients to help ensure their safety. One recommendation is for clients to know all their
medications and why they take them. This will help prevent medication errors.
DIF: Applying/Application REF: 4
KEY: Speak Up campaign| patient safety MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
6. Which action by the nurse working with a client best demonstrates respect for autonomy?
a. Asks if the client has questions before signing a consent
b. Gives the client accurate information when questioned
c. Keeps the promises made to the client and family
d. Treats the client fairly compared to other clients
ANS: A
Autonomy is self-determination. The client should make decisions regarding care. When the nurse obtains a
signature on the consent form, assessing if the client still has questions is vital, because without full
information the client cannot practice autonomy. Giving accurate information is practicing with veracity.
Keeping promises is upholding fidelity. Treating the client fairly is providing social justice.
DIF: Applying/Application REF: 4
KEY: Autonomy| ethical principles MSC: Integrated Process: Caring
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
7. A student nurse asks the faculty to explain best practices when communicating with a person from the
lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) community. What answer by the faculty is
most accurate?
a. Avoid embarrassing the client by asking questions.
b. Dont make assumptions about their health needs.
c. Most LGBTQ people do not want to share information.
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 5
d. No differences exist in communicating with this population.
ANS: B
Many members of the LGBTQ community have faced discrimination from health care providers and may be
reluctant to seek health care. The nurse should never make assumptions about the needs of members of this
population. Rather, respectful questions are appropriate. If approached with sensitivity, the client with any
health care need is more likely to answer honestly.
DIF: Understanding/Comprehension REF: 4
KEY: LGBTQ| diversity
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Psychosocial Integrity
8. A nurse is calling the on-call physician about a client who had a hysterectomy 2 days ago and has pain that
is unrelieved by the prescribed narcotic pain medication. Which statement is part of the SBAR format for
communication?
a. A: I would like you to order a different pain medication.
b. B: This client has allergies to morphine and codeine.
c. R: Dr. Smith doesnt like nonsteroidal anti-inflammatory meds.
d. S: This client had a vaginal hysterectomy 2 days ago.
ANS: B
SBAR is a recommended form of communication, and the acronym stands for Situation, Background,
Assessment, and Recommendation. Appropriate background information includes allergies to medications the
on-call physician might order. Situation describes what is happening right now that must be communicated; the
clients surgery 2 days ago would be considered background. Assessment would include an analysis of the
clients problem; asking for a different pain medication is a recommendation. Recommendation is a statement
of what is needed or what outcome is desired; this information about the surgeons preference might be better
placed in background.
DIF: Applying/Application REF: 5
KEY: SBAR| communication
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
9. A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive
personnel (UAP). Four hours later, the nurse notes the clients blood pressure is much higher than previous
readings, and the clients mental status has changed. What action by the nurse would most likely have
prevented this negative outcome?
a. Determining if the UAP knew how to take blood pressure
b. Double-checking the UAP by taking another blood pressure
c. Providing more appropriate supervision of the UAP
d. Taking the blood pressure instead of delegating the task
ANS: C
Supervision is one of the five rights of delegation and includes directing, evaluating, and following up on
delegated tasks. The nurse should either have asked the UAP about the vital signs or instructed the UAP to
report them right away. An experienced UAP should know how to take vital signs and the nurse should not
have to assess this at this point. Double-checking the work defeats the purpose of delegation. Vital signs are
within the scope of practice for a UAP and are permissible to delegate. The only appropriate answer is that the
nurse did not provide adequate instruction to the UAP.
DIF: Applying/Application REF: 6
KEY: Supervision| delegation| unlicensed assistive personnel
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
10. A nurse is talking with a client who is moving to a new state and needs to find a new doctor and hospital
there. What advice by the nurse is best?
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 6
a. Ask the hospitals there about standard nurse-client ratios.
b. Choose the hospital that has the newest technology.
c. Find a hospital that is accredited by The Joint Commission.
d. Use a facility affiliated with a medical or nursing school.
ANS: C
Accreditation by The Joint Commission (TJC) or other accrediting body gives assurance that the facility has a
focus on safety. Nurse-client ratios differ by unit type and change over time. New technology doesnt
necessarily mean the hospital is safe. Affiliation with a health professions school has several advantages, but
safety is most important.
DIF: Understanding/Comprehension REF: 2
KEY: The Joint Commission (TJC)| accreditation
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
11. A newly graduated nurse in the hospital states that, since she is so new, she cannot participate in quality
improvement (QI) projects. What response by the precepting nurse is best?
a. All staff nurses are required to participate in quality improvement here.
b. Even being new, you can implement activities designed to improve care.
c. Its easy to identify what indicators should be used to measure quality.
d. You should ask to be assigned to the research and quality committee.
ANS: B
The preceptor should try to reassure the nurse that implementing QI measures is not out of line for a newly
licensed nurse. Simply stating that all nurses are required to participate does not help the nurse understand how
that is possible and is dismissive. Identifying indicators of quality is not an easy, quick process and would not
be the best place to suggest a new nurse to start. Asking to be assigned to the QI committee does not give the
nurse information about how to implement QI in daily practice.
DIF: Applying/Application REF: 6
KEY: Quality improvement
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
MULTIPLE RESPONSE
1. A nurse is interested in making interdisciplinary work a high priority. Which actions by the nurse best
demonstrate this skill? (Select all that apply.)
a. Consults with other disciplines on client care
b. Coordinates discharge planning for home safety
c. Participates in comprehensive client rounding
d. Routinely asks other disciplines about client progress
e. Shows the nursing care plans to other disciplines
ANS: A, B, C, D
Collaborating with the interdisciplinary team involves planning, implementing, and evaluating client care as a
team with all other disciplines included. Simply showing other caregivers the nursing care plan is not actively
involving them or collaborating with them.
DIF: Applying/Application REF: 4
KEY: Collaboration| interdisciplinary team
MSC: Integrated Process: Communication and Documentation
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
2. A nurse manager wishes to ensure that the nurses on the unit are practicing at their highest levels of
competency. Which areas should the manager assess to determine if the nursing staff demonstrate competency
according to the Institute of Medicine (IOM) report Health Professions Education: A Bridge to Quality?
(Select all that apply.)
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Test Bank - Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care 9e 7
a. Collaborating with an interdisciplinary team
b. Implementing evidence-based care
c. Providing family-focused care
d. Routinely using informatics in practice
e. Using quality improvement in client care
ANS: A, B, D, E
The IOM report lists five broad core competencies that all health care providers should practice. These include
collaborating with the interdisciplinary team, implementing evidence-based practice, providing client-focused
care, using informatics in client care, and using quality improvement in client care.
DIF: Remembering/Knowledge REF: 3
KEY: Competencies| Institute of Medicine (IOM)
MSC: Integrated Process: Nursing Process: Assessment
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
3. The nurse utilizing evidence-based practice (EBP) considers which factors when planning care? (Select all
that apply.)
a. Cost-saving measures
b. Nurses expertise
c. Client preferences
d. Research findings
e. Values of the client
ANS: B, C, D, E
EBP consists of utilizing current evidence, the clients values and preferences, and the nurses expertise when
planning care. It does not include cost-saving measures.
DIF: Remembering/Knowledge REF: 6
KEY: Evidence-based practice (EBP)
MSC: Integrated Process: Nursing Process: Planning
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
4. A nurse manager wants to improve hand-off communication among the staff. What actions by the manager
would best help achieve this goal? (Select all that apply.)
a. Attend hand-off rounds to coach and mentor.
b. Conduct audits of staff using a new template.
c. Create a template of topics to include in report.
d. Encourage staff to ask questions during hand-off.
e. Give raises based on compliance with reporting.
ANS: A, B, C, D
A good tool for standardizing hand-off reports and other critical communication is the SHARE model. SHARE
stands for standardize critical information, hardwire within your system, allow opportunities to ask questions,
reinforce quality and measurement, and educate and coach. Attending hand-off report gives the manager
opportunities to educate and coach. Conducting audits is part of reinforcing quality. Creating a template is
hardwiring within the system. Encouraging staff to ask questions and think critically about the information is
allowing opportunities to ask questions. The manager may need to tie raises into compliance if the staff is
resistive and other measures have failed, but this is not part of the SHARE model.
DIF: Applying/Application REF: 5
KEY: SHARE| hand-off communication
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Management of Care
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