Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 2nd Edition Hoffman & Sullivan Test Bank Updated Latest 2026–2027 Comprehensive Exam Preparation Resource for Nursing Students Focused on Medical-Surgical Nursing, Clinical Reaso

TEST BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN




Davis Advantage for Medical-Surgical
Nursing: Making Connections to Practice 2nd
edition Hoffman Sullivan Test Bank

Chapter 1: Foundations for Medical-Surgical Nursing

Multiple Choice
Identify the choice that best completes the statement or answers the question.

1. The medical-surgical nurse identifies a clinical practice issue and wants to determine if there is sufficient T T T T T T T T T T T T T T



evidence to support a change in practice. Which type of study provides the strongest evidence to support a
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practice change? T



1) Randomized control study T T


2) Quasi-experimental study T



3) Case-control study T



4) Cohort study T




2. T The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by
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the nurse supports this model?
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1) Evaluating care T



2) Assessing needs T


3) Diagnosing problems T



4) Providing compassion T




3. Which action should the nurse implement when providing patient care in order to support The Joint
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Commission’s (TJC) National Patient Safety Goals (NPSG)?
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1) Silencing a cardiorespiratory monitor T T T



2) Identifying each patient using one source T T T T T



3) Determining patient safety issues upon admission T T T T T



4) Decreasing the amount of pain medication administered T T T T T T




4. Which interprofessional role does the nurse often assume when providing patient care in an acute care
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setting?
1) Social worker T



2) Client advocate T



3) Care coordinator T



4) Massage therapist T




5. The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem.
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Which is the first action the nurse should implement?
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1) Developing a question T T



2) Disseminating the findings T T



3) Conducting a review of the literature T T T T T



4) Evaluating outcomes of practice change T T T T




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6. The nurse is evaluating the level of evidence found during a recent review of the literature. Which evidence
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carries the lowest level of support for a practice change?
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1) Level IV T


2) Level V T



3) Level VI T



4) Level VII T




7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence should
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the nurse identify for this research study?
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1) Level I T



2) Level II T



3) Level III T



4) Level IV T




8. Which level of evidence should the nurse identify when reviewing evidence from a single descriptive research
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study?
1) Level IV T



2) Level V T



3) Level VI T



4) Level VII T




9. T Which statement should the nurse make when communicating the “S” in the SBAR approach for effective
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communication?
1) “The patient presented to the emergency department at 0200 with lower left abdominal
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pain.”
2) “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
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3) “The patient has no significant iN
ssU
TueRsS
inIthNeGmTeB
di.
caC
l hOisMtor y.”
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4) “The patient was given a prescribed opioid analgesic at 0300.”
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T 10. The staff nurse is communicating with the change nurse about the change of status of the patient. The
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nurse would begin her communication with which statement if correctly using the SBAR format?
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1) “The patient’s heartrate is 110.” T T T T



2) “I think this patient needs to be transferred to the critical care unit.”
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3) “The patient is a 68-year-old male patient admitted last night.”
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4) “The patient is complaining of chest pain.”T T T T T T




T 11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) competency
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of safety?T



1) Advocating for a patient who is experiencing pain T T T T T T T


2) Considering the patient’s culture when planning care T T T T T T



3) Evaluating patient learning style prior to implementing discharge instructions
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4) Assessing the right drug prior to administering a prescribed patient medication
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T 12. T Which type of nursing is the root of all other nursing practice areas?
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1) Pediatric nursing T



2) Geriatric nursing T



3) Medical-surgical nursing T


4) Mental health-psychiatric nursing T T




T 13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for
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new graduate nurses?
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1) Patient advocacy T



2) Patient education T




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3) Disease pathophysiology T



4) Therapeutic communication T




T 14. T Which statement regarding the use of the nursing process in clinical practice is accurate?
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1) “The nursing process is closely related to clinical decision-making.”
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2) “The nursing process is used by all members of the interprofessional team to plan care.”
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3) “The nursing process has 4 basic steps: assessment, planning, implementation,
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evaluation.”
4) “The nursing process is being replaced by the implementation of evidence-based practice.”
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T 15. T Which is the basis of nursing care practices and protocols?
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1) Assessment
2) Evaluation
3) Diagnosis
4) Research
T 16. T Which is a common theme regarding patient dissatisfaction related to care provided in the hospital setting?
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1) Space in hospital rooms T T T



2) Medications received to treat pain T T T T



3) Time spent with the health-care team
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4) Poor quality food received from dietary
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T 17. The nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit With the
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nurse manager presenting staff education focusing on TJC benchmarks, which of the following topics
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would be most appropriate?
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1) Implementation of evidence-based practice T T T



2) Implementation of patient-c e n t eNr eUd R
caSreINGTB.COM T T T


3) Implementation of medical asepsis practices T T T T


4) Implementation of interprofessional care T T T




T 18. Which aspect of patient-centered care should the nurse manager evaluate prior to The Joint Commission
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site visit for accreditation?
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1) Visitation rights T



2) Education level of staff T T T



3) Fall prevention protocol T T



4) Infection control practices T T




T 19. T The medical-surgical nurse is providing patient care. Which circumstance would necessitate the nurse
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verifying the patient’s identification using at least two sources?
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1) Prior to delivering a meal tray
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2) Prior to passive range of motion
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3) Prior to medication administration
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4) Prior to documenting in the medical record
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T 20. The nurse is providing care to several patients on a medical-surgical unit. Which situation would
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necessitate the nurse to use SBAR during the hand-off process?
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1) Wound care T



2) Discharge to home T T



3) Transfer to radiology T T



4) Medication education T




Multiple Response
T




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Identify one or more choices that best complete the statement or answer the question.
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T 21. T The staff nurse is teaching a group of student nurses the situations that necessitate hand-off communication.
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Which student responses indicate the need for further education related to this procedure? Select all that
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apply.
1) “A hand-off is required prior to administering a medication.”
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2) “A hand-off is required during change of shift.”
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3) “A hand-off is required for a patient is transferred to the surgical suite.”
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4) “A hand-off is required whenever the nurse receives a new patient assignment.”
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5) “A hand-off is required prior to family visitation.”
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T 22. T Which actions by the nurse enhance patient safety during medication administration? Select all that apply.
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1) Answering the call bell while transporting medications for a different patient
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2) Identifying the patient using two sources prior to administering the medication
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3) Holding a medication if the patient’s diagnosis does not support its use
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4) Administering the medication two hours after the scheduled time T T T T T T T T



5) Having another nurse verify the prescribed dose of insulin the patient is to receive
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T 23. The medical-surgical nurse assumes care for a patient who is receiving continuous
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cardiopulmonary monitoring. Which actions by the nurse enhance safety for this patient? Select all
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that apply. T



1) Silencing the alarm during family visitation T T T T T


2) Assessing the alarm parameters at the start of the shift T T T T T T T T T



3) Responding to the alarm in a timely fashion T T T T T T T



4) Decreasing the alarm volume to enhance restful sleep T T T T T T T



5) Adjusting alarm parameters based on specified practitioner prescription
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T T 24. The nurse is planning an i nt er p r o f es sNi oUnaRl S
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reNcG
onTfeBre.nC
ceOfM
or a patient who is approaching discharge from
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the hospital. Which members of the interprofessional team should the nurse invite to attend? Select all that
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apply.
1) Physician
2) Pharmacist
3) Unit secretary T



4) Social worker T



5) Home care aide T T




T 25. The nurse manager wants to designate a member of the nursing team as the care coordinator for a patient
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who will require significant care during the hospitalization. Which skills should this nurse possess in order to
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assume this role? Select all that apply.
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1) Effective clinical reasoning T T



2) Effective communication skills T T



3) Effective infection control procedures T T T



4) Effective documentation T



5) Effective intravenous skills T T





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