Updated/Latest Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition Hoffman and Sullivan Test Bank Comprehensive Examination Questions and Answers Study Guide for Adult Health Nursing Medical-Surgical Care Clinical Reaso

TES BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN
J




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




Chapter 1: Foundations for Medical-Surgical Nursing

Multiple Choice
Identify the choice tha bes completes the statemen or answers the question.
J J J




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




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




practice change? J




1) Randomizedcontrolstudy J J




2) Quasi-experimental study J




3) Case-controlstudy J




4) Cohortstudy J




2. The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by
J J J J J J J J J J J J J




the nurse supports this model?
J J NURSINGTB.COM J J




1) Evaluatingcare J




2) Assessing needs J




3) Diagnosing problems J




4) Providingcompassion J




3. Which action should the nurse implement when providing patient care in order to support The Joint
J J J J J J J J J J J J J J J J J




Commission’s(TJC)NationalPatient SafetyGoals(NPSG)? J J J J J J




1) Silencinga cardiorespiratory monitor J J J




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




3) Determiningpatientsafetyissuesuponadmission J J J J J




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




4. Which interprofessional role does the nurse often assume when providing patient care in an acute care
J J J J J J J J J J J J J J J J J




setting?
1) Socialworker J




2) Client advocate J




3) Care coordinator J




4) Massagetherapist J




5. The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem.
J J J J J J J J J J J J J J J J J J




Which is the first action the nurse should implement?
J J J J J J J J




1) Developinga question J J




2) Disseminatingthefindings J J




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




4) Evaluatingoutcomes of practicechange J J J J




NURSINGTB.COM

, TES BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN
J




6. The nurse is evaluating the level of evidence found during a recent review of the literature. Which evidence
J J J J J J J J J J J J J J J J J J J




carries the lowest level of support for a practice change?
J J J J J J J J J




1) Level IV J




2) Level V J




3) Level VI J




4) Level VII J




7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence should the
J J J J J J J J J J J J J J J J J




nurse identify for this research study?
J J J J J




1) Level I J




2) Level II J




3) Level III J




4) Level IV J




8. Which level of evidence should the nurse identify when reviewing evidence from a single descriptive research
J J J J J J J J J J J J J J J J J




study?
1) Level IV J




2) Level V J




3) Level VI J




4) Level VII J




9. Which statement should the nurse make when communicating the “S” in the SBAR approach for effective
J J J J J J J J J J J J J J J J




communication?
1) “The patient presented to the emergency department at 0200 with lower left abdominal
J J J J J J J J J J J J




pain.”
2) “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
J J J J J J J J J J J J J J




3) “Thepatienthasnosignificant iN ssUueRsS
inIthNeGmTeB
di.
caC
l hOisMtor y.”
J J J J J J J




4) “The patient was given a prescribed opioid analgesic at 0300.”
J J J J J J J J J




J 10. The staff nurse is communicating with the change nurse about the change of status of the patient. The nurse
J J J J J J J J J J J J J J J J J J J J




would begin her communication with which statement if correctly using the SBAR format?
J J J J J J J J J J J J




1) “The patient’s heartrate is 110.” J J J J




2) “I think this patient needs to be transferred to the critical care unit.”
J J J J J J J J J J J J




3) “The patient is a 68-year-old male patient admitted last night.”
J J J J J J J J J




4) “The patient is complaining of chest pain.” J J J J J J




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




safety?
1) Advocating for a patient who is experiencing pain J J J J J J J




2) Consideringthepatient’sculture whenplanningcare J J J J J J




3) Evaluatingpatient learningstyleprior toimplementing dischargeinstructions J J J J J J J J




4) Assessing the right drug prior to administering a prescribed patient medication J J J J J J J J J J




J 12. Which type of nursing is the root of all other nursing practice areas?
J J J J J J J J J J J J J




1) Pediatricnursing J




2) Geriatric nursing J




3) Medical-surgical nursing J




4) Mentalhealth-psychiatricnursing J J




J 13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new
J J J J J J J J J J J J J J J J J J




graduate nurses? J




1) Patientadvocacy J




2) Patienteducation J




NURSINGTB.COM

, TES BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN
J




3) Disease pathophysiology J




4) Therapeuticcommunication J




J 14. Which statement regarding the use of the nursing process in clinical practice is accurate?
J J J J J J J J J J J J J J




1) “Thenursing process is closely related to clinical decision-making.”
J J J J J J J J




2) “The nursing process is used by all members of the interprofessional teamto plan care.”
J J J J J J J J J J J J J J




3) “The nursingprocess has4 basic steps: assessment, planning, implementation,
J J J J J J J J J




evaluation.”
4) “Thenursing process is being replaced bythe implementation of evidence-based practice.”
J J J J J J J J J J J




J 15. Which is the basis of nursing care practices and protocols?
J J J J J J J J J J




1) Assessment
2) Evaluation
3) Diagnosis
4) Research
J 16. Which is a common theme regarding patient dissatisfaction related to care provided in the hospital setting?
J J J J J J J J J J J J J J J J




1) Space in hospital rooms J J J




2) Medications received to treat pain J J J J




3) Time spent with the health-care team J J J J J




4) Poor quality food received fromdietary J J J J J




J 17. The nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit With the nurse
J J J J J J J J J J J J J J J J J J




manager presenting staff education focusing on TJC benchmarks, which of the following topics would be most
J J J J J J J J J J J J J J J J




appropriate?
1) Implementationof evidence-basedpractice J J J




2) Implementation of patient-c e n t eNr eUd R
c aSreINGTB.COM J J J




3) Implementation of medical asepsispractices J J J J




4) Implementationof interprofessionalcare J J J




J 18. Which aspect of patient-centered care should the nurse manager evaluate prior to The Joint Commission site visit
J J J J J J J J J J J J J J J J J J




for accreditation?
J




1) Visitation rights J




2) Education level of staff J J J




3) Fallpreventionprotocol J J




4) Infectioncontrolpractices J J




J 19. The medical-surgical nurse is providing patient care. Which circumstance would necessitate the nurse
J J J J J J J J J J J J J




verifying the patient’s identification using at least two sources?
J J J J J J J J




1) Prior to delivering a meal tray J J J J J




2) Prior to passive range of motion J J J J J




3) Prior to medication administration J J J




4) Prior to documenting in the medical record J J J J J J




J 20. The nurse is providing care to several patients on a medical-surgical unit. Which situation would necessitate the
J J J J J J J J J J J J J J J J J J




nurse to use SBAR during the hand-off process?
J J J J J J J




1) Wound care J




2) Dischargeto home J J




3) Transfer to radiology J J




4) Medicationeducation J




MultipleResponse
J




NURSINGTB.COM

, TES BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN
J




Identify one or more choices that best complete the statement or answer the question.
J J J J J J J J J J J J J




J 21. The staff nurse is teaching a group of student nurses the situations that necessitate hand-off communication.
J J J J J J J J J J J J J J J J




Which student responses indicate the need for further education related to this procedure? Select all that apply.
J J J J J J J J J J J J J J J J




1) “A hand-off is required prior to administering a medication.”
J J J J J J J J




2) “A hand-off is required during change of shift.”
J J J J J J J




3) “A hand-off is required for a patient is transferred to the surgical suite.”
J J J J J J J J J J J J




4) “A hand-off is required whenever the nurse receives a new patient assignment.”
J J J J J J J J J J J




5) “A hand-off is required prior to family visitation.”
J J J J J J J




J 22. Which actions by the nurse enhance patient safety during medication administration? Select all that apply.
J J J J J J J J J J J J J J J




1) Answering the callbell while transporting medications for a different patient J J J J J J J J J J




2) Identifyingthe patient using two sourcesprior to administering the medication J J J J J J J J J J




3) Holding a medication if the patient’s diagnosis does not support its use J J J J J J J J J J J




4) Administering the medication two hoursafter the scheduled time J J J J J J J J




5) Having another nurse verify the prescribed dose of insulin the patient is to receive
J J J J J J J J J J J J J




J 23. The medical-surgical nurse assumes care for a patient who is receiving continuous cardiopulmonary
J J J J J J J J J J J J J J




monitoring. Which actions by the nurse enhance safety for this patient? Select all that apply.
J J J J J J J J J J J J J J




1) Silencing thealarmduring family visitation J J J J J




2) Assessing the alarmparameters at the start of the shift J J J J J J J J J




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




4) Decreasing the alarmvolume to enhance restful sleep J J J J J J J




5) Adjustingalarmparameters basedonspecifiedpractitioner prescription J J J J J J J




J J 24. Thenurseisplanningani nt er p r o f es sNi oUnaRl S
J J J J caI
reNcG
onTfeBre.nC
ceOfM
or apatientwhoisapproachingdischargefrom the J J J J J J J J J J J J




hospital. Which members of the interprofessional team should the nurse invite to attend? Select all that apply.
J J J J J J J J J J J J J J J J




1) Physician
2) Pharmacist
3) Unit secretary J




4) Socialworker J




5) Home care aide J J




J 25. The nurse manager wants to designate a member of the nursing team as the care coordinator for a patient who will
J J J J J J J J J J J J J J J J J J J J J J




require significant care during the hospitalization. Which skills should this nurse possess in order to assume this
J J J J J J J J J J J J J J J J J




role? Select all that apply.
J J J J




1) Effectiveclinicalreasoning J J




2) Effectivecommunicationskills J J




3) Effectiveinfection controlprocedures J J J




4) Effectivedocumentation J




5) Effectiveintravenousskills J J





NURSINGTB.COM