Exam 1: Introduction to Medical Surgical Nursing Practice

Which action by the nurse working with a client best demonstrates respect for autonomy?

A nurse wishes to provide client-centered care in all interactions.Which action by the nurse best demonstrates this concept?

A nurse is caring for a postoperative client on the surgical unit.The client's 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 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 nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive personnel (UAP).Four hours later,the nurse notes the client's blood pressure is much higher than previous readings,and the client's mental status has changed.What action by the nurse would most likely have prevented this negative outcome?

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.)

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 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 nurse is interested in making interdisciplinary work a high priority.Which actions by the nurse best demonstrate this skill? (Select all that apply.)

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 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 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?

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?

The nurse utilizing evidence-based practice (EBP)considers which factors when planning care? (Select all that apply.)

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.)