TEST BANK

FOR MEDICAL SURGICAL

NURSING 9TH EDITION

IGNATAVICIUS

Test Bank Questions with Complete

Solutions for all Chapters

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Document Chapter Content:

Chapter 01: Overview of Professional Nursing Concepts for Medical-Surgical Nursing

Chapter 02: Overview of Health Concepts for Medical-Surgical Nursing

Chapter 03: Common Health Problems of Older Adults

Chapter 04: Assessment and Care of Patients with Pain

Chapter 05: Genetic Concepts for Medical-Surgical Nursing

Chapter 06: Rehabilitation Concepts for Chronic and Disabling Health Problems

Chapter 07: End-of-Life Care

Chapter 08: Concepts of Emergency and Trauma Nursing

Chapter 09: Care of Patients with Common Environmental Emergencies

Chapter 10: Concepts of Emergency and Disaster Preparedness

Chapter 11: Assessment and Care of Patients with Fluid and Electrolyte Imbalances

Chapter 12: Assessment and Care of Patients with Acid-Base Imbalances

Chapter 13: Infusion Therapy

Chapter 14: Care of Preoperative Patients

Chapter 15: Care of Intraoperative Patients

Chapter 17: Inflammation and Immunity

Chapter 18: Care of Patients with Arthritis and Other Connective Tissue Diseases

Chapter 19: Care of Patients with HIV Disease

Chapter 20: Care of Patients with Hypersensitivity (Allergy) and Autoimmunity

Chapter 21: Cancer Development

Chapter 22: Care of Patients with Cancer

Chapter 23: Care of Patients with Infection

Chapter 24: Assessment of the Skin, Hair, and Nails

Chapter 25: Care of Patients with Skin Problems Chapter

26: Care of Patients with Burns

Chapter 27: Assessment of the Respiratory System

Chapter 28: Care of Patients Requiring Oxygen Therapy or Tracheostomy

Chapter 29: Care of Patients with Noninfectious Upper Respiratory ProblemsChapter 30:

Care of Patients with Noninfectious Lower Respiratory Problems

Chapter 31: Care of Patients with Infectious Respiratory Problems

Chapter 32: Care of Critically Ill Patients with Respiratory Problems

Chapter 33: Assessment of the Cardiovascular System

Chapter 34: Care of Patients with Dysrhythmias

Chapter 35: Care of Patients with Cardiac Problems

Chapter 36: Care of Patients with Vascular Problems

Chapter 37: Care of Patients with Shock

Chapter 38: Care of Patients with Acute Coronary Syndromes

Chapter 39: Assessment of the Hematologic System

Chapter 40: Care of Patients with Hematologic Problems

Chapter 41: Assessment of the Nervous System

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Chapter 42: Care of Patients with Problems of the CNS: The Brain

Chapter 43: Care of Patients with Problems of the CNS: The Spinal Cord

Chapter 44: Care of Patients with Problems of the Peripheral Nervous System

Chapter 45: Care of Critically Ill Patients with Neurologic Problems

Chapter 46: Assessment of the Eye and Vision

Chapter 47: Care of Patients with Eye and Vision Problems

Chapter 48: Assessment and Care of Patients with Ear and Hearing Problems

Chapter 49: Assessment of the Musculoskeletal System

Chapter 50: Care of Patients with Musculoskeletal Problems

Chapter 51: Care of Patients with Musculoskeletal Trauma

Chapter 52: Assessment of the Gastrointestinal System

Chapter 53: Care of Patients with Oral Cavity Problems

Chapter 54: Care of Patients with Esophageal Problems

Chapter 55: Care of Patients with Stomach Disorders

Chapter 56: Care of Patients with Noninflammatory Intestinal Disorders

Chapter 57: Care of Patients with Inflammatory Intestinal Disorders

Chapter 58: Care of Patients with Liver Problems

Chapter 59: Care of Patients with Problems of the Biliary System and Pancreas

Chapter 60: Care of Patients with Malnutrition: Undernutrition and Obesity

Chapter 61: Assessment of the Endocrine System

Chapter 62: Care of Patients with Pituitary and Adrenal Gland Problems

Chapter 63: Care of Patients with Problems of the Thyroid and Parathyroid Glands

Chapter 64: Care of Patients with Diabetes Mellitus

Chapter 65: Assessment of the Renal/Urinary System

Chapter 66: Care of Patients with Urinary Problems

Chapter 67: Care of Patients with Kidney Disorders

Chapter 68: Care of Patients with Acute Kidney Injury and Chronic Kidney Disease

Chapter 69: Assessment of the Reproductive System

Chapter 70: Care of Patients with Breast Disorders

Chapter 71: Care of Patients with Gynecologic Problems

Chapter 72: Care of Patients with Male Reproductive Problems

Chapter 73: Care of Transgender Patients

Chapter 74: Care of Patients with Sexually Transmitted Diseases

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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 benotified, but this is not the priority over calling the RRT. The clients blood pressure should be

reassessedfrequently, 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.

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