Timby'sm Fundamentalm Nursingm Skillsm andm Conceptsm 12thm Editionm bym Morenom TimbymTestm Ba
nk
Chapterm1
NursingmFoundations
mMultiplemChoice
Identifymthemchoicem thatm bestm completesm them statementm orm answersm them question.
1. Themmedical-
surgicalmnursemidentifiesmamclinicalmpracticemissuemandmwantsmtomdeterminemifmtheremi
smsufficientmevidencemtomsupportmamchangeminmpractice.mWhichmtypemofmstudymprovid
esmthemstrongestmevidencemtomsupportmampracticemchange?
• Randomizedm controlm study
• Quasi-experimentalm study
• Case-controlm study
• Cohortm study
2. Themmedical-surgicalmunitmrecentlymimplementedmampatient-
centeredmcaremmodel.mWhichmactionmimplementedmbymthemnursemsupportsmthismmodel?
• Evaluatingm care
• Assessingm needs
• Diagnosingm problems
• Providingm compassion
3. Whichmactionmshouldmthemnursemimplementmwhenmprovidingmpatientmcareminmorde
rmtomsupportmThemJoint
Commission’sm (TJC)m Nationalm Patientm Safetym Goalsm (NPSG)?
• Silencingm am cardiorespiratorym monitor
• Identifyingm eachm patientm usingm onem source
• Determiningm patientm safetym issuesm uponm admission
• Decreasingm them amountm ofm painm medicationm administered
4. Whichminterprofessionalmrolemdoesmthemnursemoftenmassum
emwhenmprovidingmpatientmcareminmanmacutemcaremsetting?
• Socialm worker
• Clientm advocate
• Carem coordinator
• Massagem therapist
5. Themmedical-
surgicalmnursemwantsmtomdeterminemifmampolicymchangemismneededmformanmidentifiedmclinicalmpr
oblem.
Whichmism them firstmactionmthem nursem shouldmimplement?
• Developingm am question
• Disseminatingm them findings
• Conductingm am reviewm ofm themliterature
• Evaluatingm outcomesm ofm practicem change
, 6. Themnursemismevaluatingmthemlevelmofmevidencemfoundmduringmamrece
ntmreviewmofmthemliterature.mWhichmevidencemcarriesmthemlowestmlevelmofmsupportmforma
mpracticemchange?
• Levelm IV
• Levelm V
• Levelm VI
• Levelm VII
7. Themnursemismreviewingmevidencemfrommamquasi-
experimentalmresearchmstudy.mWhichmlevelmofmevidencemshouldmthemnursemidentifymf
ormthismresearchmstudy?
• Levelm I
• Levelm II
• Levelm III
• Levelm IV
8. Whichmlevelmofmevidencemshouldmthemnursemidentifymwhenmreviewin
gmevidencemfrommamsinglemdescriptivemresearchmstudy?
• Levelm IV
• Levelm V
• Levelm VI
• Levelm VII
9. Whichmstatementmshouldmthemnursemmakemwhenmcommunicatingmthem“S”minmth
emSBARmapproachmformeffective
communication?
• “Thempatientmpresentedmtomthememergencymdepartmentmatm0200mwithmlowermleftmabdomin
almpain.”
• “Them patientm ratedm them painm uponm admissionm asm am 9m onm am 10-pointm numericmscale.”
• “Them patientm hasm nom significantm issuesm inmthem medicalmhistory.”
• “Them patientm wasm givenm am prescribedm opioidm analgesicm atm0300.”
10. Themstaffmnursemismcommunicatingmwithmthemchangemnursemaboutmth
emchangemofmstatusmofmthempatient.mThemnursemwouldmbeginmhermcommunicationm
withmwhichmstatementmifmcorrectlymusingmthemSBARmformat?
• “Them patient’sm heartratem ism110.”
• “Im thinkm thism patientm needsm tom bem transferredmtom them criticalm caremunit.”
• “Them patientm ism am 68-year-oldm malem patientm admittedm lastmnight.”
• “Them patientm ism complainingm ofm chestm pain.”
11. WhichmnursingmactionmexemplifiesmthemQualitymandmSafetymEducatio
nmformNursingm(QSEN)mcompetencymofmsafety?
• Advocatingm form am patientm whom ism experiencingm pain
• Consideringm them patient’sm culturem whenm planningmcare
• Evaluatingm patientm learningm stylem priorm tom implementingm dischargeminstructions
• Assessingm them rightm drugm priorm tom administeringm am prescribedm patientmmedication
12. Whichm typem ofm nursingm ism them rootm ofm allm otherm nursingm practicem areas?
• Pediatricm nursing
, • Geriatricm nursing
• Medical-surgicalm nursing
• Mentalm health-psychiatricm nursing
13. WhichmdidmthemNursingmExecutivemCentermofmThemAdvisorymBoardmidentif
ymasmanmacademic-practicemgapmformnewmgraduatemnurses?
• Patientm advocacy
• Patientm education
• Diseasem pathophysiology
• Therapeuticm communication
14. Whichmstatementmregardingmthemusemofmthemnursingmprocessminmclinicalmpracticemi
smaccurate?
• “Them nursingm processm ism closelym relatedm tom clinicalmdecision-making.”
• “Them nursingm processm ism usedm bym allm membersm ofm them interprofessionalm teamm tom planmcare.”
• “Themnursingmprocessmhasm4mbasicmsteps:massessment,mplanning,mimplementation
,mevaluation.”
• “Themnursingmprocessmismbeingmreplacedmbymthemimplementationmofmevidence-
basedmpractice.”
15. Whichm ism them basism ofm nursingm carem practicesm andm protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Whichmismamcommonmthememregardingmpatientmdissatisfactionmrelatedmtomcaremprovide
dminmthemhospitalmsetting?
• Spacem inm hospitalm rooms
• Medicationsm receivedm tom treatm pain
• Timem spentm withm them health-caremteam
• Poorm qualitym foodm receivedm fromm dietary
17. Themnursemmanagermismpreparingmammedical-
surgicalmunitmformThemJointmCommissionm(TJC)mvisitmWithmthemnursemmanagermpresent
ingmstaffmeducationmfocusingmonmTJCmbenchmarks,mwhichmofmthemfollowingmtopicsmwo
uldmbemmostmappropriate?
• Implementationm ofm evidence-basedm practice
• Implementationm ofm patient-centeredm care
• Implementationm ofm medicalm asepsism practices
• Implementationm ofm interprofessionalm care
18. Whichmaspectmofmpatient-
centeredmcaremshouldmthemnursemmanagermevaluatempriormtomThemJointmCommissionmsitem
visitmformaccreditation?
• Visitationmrights
• Educationm levelm ofm staff
• Fallm preventionm protocol
• Infectionm controlm practices
, 19. Themmedical-
surgicalmnursemismprovidingmpatientmcare.mWhichmcircumstancemwouldmnecessitatemthemnurs
e
verifyingm them patient’sm identificationm usingm atm leastm twom sources?
• Priorm tom deliveringm am mealmtray
• Priorm tom passivem rangem ofmmotion
• Priorm tom medicationm administration
• Priorm tom documentingm inm them medicalm record
20. Themnursemismprovidingmcaremtomseveralmpatientsmonmammedical-
surgicalmunit.mWhichmsituationmwouldmnecessitatemthemnursemtomusemSBARmduringmth
emhand-offmprocess?
• Woundmcare
• Dischargem tom home
• Transfermtomradiology
• Medicationmeducation
m MultiplemResponse
Identifymonem orm morem choicesm thatmbestm completemthem statementmormanswerm them question.
21. Themstaffmnursemismteachingmamgroupmofmstudentmnursesmthemsituationsmthatmnecessitat
emhand-offmcommunication.
Whichmstudentmresponsesmindicatemthemneedmformfurthermeducationmrelatedmtomthismpro
cedure?mSelectmallmthatmapply.
• “Amhand-offm ism requiredm priorm tom administeringm ammedication.”
• “Amhand-offm ism requiredm duringm changem ofmshift.”
• “Amhand-offm ism requiredm form am patientm ism transferredm tom them surgicalmsuite.”
• “Amhand-offm ism requiredm wheneverm them nursem receivesm am newm patientmassignment.”
• “Amhand-offm ism requiredm priorm tom familym visitation.”
22. Whichmactionsmbymthemnursemenhancempatientmsafetymduringmmedicatio
nmadministration?mSelectmallmthatmapply.
• Answeringm them callm bellm whilem transportingm medicationsm form am differentmpatient
• Identifyingm them patientm usingm twom sourcesm priorm tom administeringm themmedication
• Holdingmam medicationm ifm them patient’sm diagnosism doesm notm supportm itsmuse
• Administeringm them medicationm twom hoursm afterm them scheduledmtime
• Havingm anotherm nursem verifym them prescribedm dosem ofm insulinm them patientm ism tomreceive
23. Themmedical-
surgicalmnursemassumesmcaremformampatientmwhomismreceivingmcontinuousmca
rdiopulmonarymmonitoring.mWhichmactionsmbymthemnursemenhancemsafetymfo
rmthismpatient?mSelectmallmthatmapply.
• Silencingm them alarmm duringm familym visitation
• Assessingm them alarmm parametersm atm them startm ofm themshift
• Respondingm tom them alarmm inm am timelymfashion
• Decreasingm them alarmm volumem tom enhancem restfulmsleep
• Adjustingm alarmm parametersm basedm onm specifiedm practitionerm prescription
nk
Chapterm1
NursingmFoundations
mMultiplemChoice
Identifymthemchoicem thatm bestm completesm them statementm orm answersm them question.
1. Themmedical-
surgicalmnursemidentifiesmamclinicalmpracticemissuemandmwantsmtomdeterminemifmtheremi
smsufficientmevidencemtomsupportmamchangeminmpractice.mWhichmtypemofmstudymprovid
esmthemstrongestmevidencemtomsupportmampracticemchange?
• Randomizedm controlm study
• Quasi-experimentalm study
• Case-controlm study
• Cohortm study
2. Themmedical-surgicalmunitmrecentlymimplementedmampatient-
centeredmcaremmodel.mWhichmactionmimplementedmbymthemnursemsupportsmthismmodel?
• Evaluatingm care
• Assessingm needs
• Diagnosingm problems
• Providingm compassion
3. Whichmactionmshouldmthemnursemimplementmwhenmprovidingmpatientmcareminmorde
rmtomsupportmThemJoint
Commission’sm (TJC)m Nationalm Patientm Safetym Goalsm (NPSG)?
• Silencingm am cardiorespiratorym monitor
• Identifyingm eachm patientm usingm onem source
• Determiningm patientm safetym issuesm uponm admission
• Decreasingm them amountm ofm painm medicationm administered
4. Whichminterprofessionalmrolemdoesmthemnursemoftenmassum
emwhenmprovidingmpatientmcareminmanmacutemcaremsetting?
• Socialm worker
• Clientm advocate
• Carem coordinator
• Massagem therapist
5. Themmedical-
surgicalmnursemwantsmtomdeterminemifmampolicymchangemismneededmformanmidentifiedmclinicalmpr
oblem.
Whichmism them firstmactionmthem nursem shouldmimplement?
• Developingm am question
• Disseminatingm them findings
• Conductingm am reviewm ofm themliterature
• Evaluatingm outcomesm ofm practicem change
, 6. Themnursemismevaluatingmthemlevelmofmevidencemfoundmduringmamrece
ntmreviewmofmthemliterature.mWhichmevidencemcarriesmthemlowestmlevelmofmsupportmforma
mpracticemchange?
• Levelm IV
• Levelm V
• Levelm VI
• Levelm VII
7. Themnursemismreviewingmevidencemfrommamquasi-
experimentalmresearchmstudy.mWhichmlevelmofmevidencemshouldmthemnursemidentifymf
ormthismresearchmstudy?
• Levelm I
• Levelm II
• Levelm III
• Levelm IV
8. Whichmlevelmofmevidencemshouldmthemnursemidentifymwhenmreviewin
gmevidencemfrommamsinglemdescriptivemresearchmstudy?
• Levelm IV
• Levelm V
• Levelm VI
• Levelm VII
9. Whichmstatementmshouldmthemnursemmakemwhenmcommunicatingmthem“S”minmth
emSBARmapproachmformeffective
communication?
• “Thempatientmpresentedmtomthememergencymdepartmentmatm0200mwithmlowermleftmabdomin
almpain.”
• “Them patientm ratedm them painm uponm admissionm asm am 9m onm am 10-pointm numericmscale.”
• “Them patientm hasm nom significantm issuesm inmthem medicalmhistory.”
• “Them patientm wasm givenm am prescribedm opioidm analgesicm atm0300.”
10. Themstaffmnursemismcommunicatingmwithmthemchangemnursemaboutmth
emchangemofmstatusmofmthempatient.mThemnursemwouldmbeginmhermcommunicationm
withmwhichmstatementmifmcorrectlymusingmthemSBARmformat?
• “Them patient’sm heartratem ism110.”
• “Im thinkm thism patientm needsm tom bem transferredmtom them criticalm caremunit.”
• “Them patientm ism am 68-year-oldm malem patientm admittedm lastmnight.”
• “Them patientm ism complainingm ofm chestm pain.”
11. WhichmnursingmactionmexemplifiesmthemQualitymandmSafetymEducatio
nmformNursingm(QSEN)mcompetencymofmsafety?
• Advocatingm form am patientm whom ism experiencingm pain
• Consideringm them patient’sm culturem whenm planningmcare
• Evaluatingm patientm learningm stylem priorm tom implementingm dischargeminstructions
• Assessingm them rightm drugm priorm tom administeringm am prescribedm patientmmedication
12. Whichm typem ofm nursingm ism them rootm ofm allm otherm nursingm practicem areas?
• Pediatricm nursing
, • Geriatricm nursing
• Medical-surgicalm nursing
• Mentalm health-psychiatricm nursing
13. WhichmdidmthemNursingmExecutivemCentermofmThemAdvisorymBoardmidentif
ymasmanmacademic-practicemgapmformnewmgraduatemnurses?
• Patientm advocacy
• Patientm education
• Diseasem pathophysiology
• Therapeuticm communication
14. Whichmstatementmregardingmthemusemofmthemnursingmprocessminmclinicalmpracticemi
smaccurate?
• “Them nursingm processm ism closelym relatedm tom clinicalmdecision-making.”
• “Them nursingm processm ism usedm bym allm membersm ofm them interprofessionalm teamm tom planmcare.”
• “Themnursingmprocessmhasm4mbasicmsteps:massessment,mplanning,mimplementation
,mevaluation.”
• “Themnursingmprocessmismbeingmreplacedmbymthemimplementationmofmevidence-
basedmpractice.”
15. Whichm ism them basism ofm nursingm carem practicesm andm protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Whichmismamcommonmthememregardingmpatientmdissatisfactionmrelatedmtomcaremprovide
dminmthemhospitalmsetting?
• Spacem inm hospitalm rooms
• Medicationsm receivedm tom treatm pain
• Timem spentm withm them health-caremteam
• Poorm qualitym foodm receivedm fromm dietary
17. Themnursemmanagermismpreparingmammedical-
surgicalmunitmformThemJointmCommissionm(TJC)mvisitmWithmthemnursemmanagermpresent
ingmstaffmeducationmfocusingmonmTJCmbenchmarks,mwhichmofmthemfollowingmtopicsmwo
uldmbemmostmappropriate?
• Implementationm ofm evidence-basedm practice
• Implementationm ofm patient-centeredm care
• Implementationm ofm medicalm asepsism practices
• Implementationm ofm interprofessionalm care
18. Whichmaspectmofmpatient-
centeredmcaremshouldmthemnursemmanagermevaluatempriormtomThemJointmCommissionmsitem
visitmformaccreditation?
• Visitationmrights
• Educationm levelm ofm staff
• Fallm preventionm protocol
• Infectionm controlm practices
, 19. Themmedical-
surgicalmnursemismprovidingmpatientmcare.mWhichmcircumstancemwouldmnecessitatemthemnurs
e
verifyingm them patient’sm identificationm usingm atm leastm twom sources?
• Priorm tom deliveringm am mealmtray
• Priorm tom passivem rangem ofmmotion
• Priorm tom medicationm administration
• Priorm tom documentingm inm them medicalm record
20. Themnursemismprovidingmcaremtomseveralmpatientsmonmammedical-
surgicalmunit.mWhichmsituationmwouldmnecessitatemthemnursemtomusemSBARmduringmth
emhand-offmprocess?
• Woundmcare
• Dischargem tom home
• Transfermtomradiology
• Medicationmeducation
m MultiplemResponse
Identifymonem orm morem choicesm thatmbestm completemthem statementmormanswerm them question.
21. Themstaffmnursemismteachingmamgroupmofmstudentmnursesmthemsituationsmthatmnecessitat
emhand-offmcommunication.
Whichmstudentmresponsesmindicatemthemneedmformfurthermeducationmrelatedmtomthismpro
cedure?mSelectmallmthatmapply.
• “Amhand-offm ism requiredm priorm tom administeringm ammedication.”
• “Amhand-offm ism requiredm duringm changem ofmshift.”
• “Amhand-offm ism requiredm form am patientm ism transferredm tom them surgicalmsuite.”
• “Amhand-offm ism requiredm wheneverm them nursem receivesm am newm patientmassignment.”
• “Amhand-offm ism requiredm priorm tom familym visitation.”
22. Whichmactionsmbymthemnursemenhancempatientmsafetymduringmmedicatio
nmadministration?mSelectmallmthatmapply.
• Answeringm them callm bellm whilem transportingm medicationsm form am differentmpatient
• Identifyingm them patientm usingm twom sourcesm priorm tom administeringm themmedication
• Holdingmam medicationm ifm them patient’sm diagnosism doesm notm supportm itsmuse
• Administeringm them medicationm twom hoursm afterm them scheduledmtime
• Havingm anotherm nursem verifym them prescribedm dosem ofm insulinm them patientm ism tomreceive
23. Themmedical-
surgicalmnursemassumesmcaremformampatientmwhomismreceivingmcontinuousmca
rdiopulmonarymmonitoring.mWhichmactionsmbymthemnursemenhancemsafetymfo
rmthismpatient?mSelectmallmthatmapply.
• Silencingm them alarmm duringm familym visitation
• Assessingm them alarmm parametersm atm them startm ofm themshift
• Respondingm tom them alarmm inm am timelymfashion
• Decreasingm them alarmm volumem tom enhancem restfulmsleep
• Adjustingm alarmm parametersm basedm onm specifiedm practitionerm prescription
