Ch 1 med surg test bank exam
questions with verified answers
6. A group of nursing students are participating in a community health clinic. When
providing care in this context, what should the students teach participants about
disease prevention?
A) It is best achieved through attending self-help groups.
B) It is best achieved by reducing psychological stress.
C) It is best achieved by being an active participant in the community.
D) It is best achieved by exhibiting behaviors that promote health - Answer-Ans: D
Feedback:
Today, increasing emphasis is placed on health, health promotion, wellness, and
self-care. Health is seen
as resulting from a lifestyle oriented toward wellness. Nurses in community health
clinics do not teach
that disease prevention is best achieved through attending self-help groups, by
reducing stress, or by
being an active participant in the community, though each of these activities is
consistent with a healthy
lifestyle.
7. A nurse on a medical-surgical unit has asked to represent the unit on the hospitals
quality committee. When describing quality improvement programs to nursing
colleagues and members of other health
disciplines, what characteristic should the nurse cite?
A) These programs establish consequences for health care professionals actions.
B) These programs focus on the processes used to provide care.
C) These programs identify specific incidents related to quality.
D) These programs seek to justify health care costs and systems. - Answer-Ans: B
Feedback:
Numerous models seek to improve the quality of health care delivery. A commonality
among them is a
focus on the processes that are used to provide care. Consequences, a focus on
incidents, and
justification for health care costs are not universal characteristics of quality
improvement efforts.
8. Nurses in acute care settings must work with other health care team members to
maintain quality care
while facing pressures to care for patients who are hospitalized for shorter periods of
time than in the
past. To ensure positive health outcomes when patients return to their homes, what
action should the
nurse prioritize?
A) Promotion of health literacy during hospitalization
B) Close communication with insurers
C) Thorough and evidence-based discharge planning
D) Participation in continuing education initiatives - Answer-Ans: C
, Feedback:
Following discharges that occur after increasingly short hospital stays, nurses in the
community care for
patients who need high-technology acute care services as well as long-term care in
the home. This is
dependent on effective discharge planning to a greater degree than continuing
education, communication
with insurers, or promotion of health literacy.
9. You are admitting a patient to your medical unit after the patient has been
transferred from the
emergency department. What is your priority nursing action at this time?
A) Identifying the immediate needs of the patient
B) Checking the admitting physicians orders
C) Obtaining a baseline set of vital signs
D) Allowing the family to be with the patient - Answer-Ans: A
Feedback: Among the nurses important functions in health care delivery, identifying
the patients immediate needs and working in concert with the patient to address
them is most important. The other nursing functions are important, but they are not
the most important functions.
10. A nurse on a postsurgical unit is providing care based on a clinical pathway.
When performing
assessments and interventions with the aid of a pathway, the nurse should prioritize
what goal?
A) Helping the patient to achieve specific outcomes
B) Balancing risks and benefits of interventions
C) Documenting the patients response to therapy
D) Staying accountable to the interdisciplinary team - Answer-Ans: A
Feedback:
Pathways are an EBP tool that is used primarily to move patients toward
predetermined outcomes. Documentation, accountability, and balancing risks and
benefits are appropriate, but helping the patient
achieve outcomes is paramount.
11. Staff nurses in an ICU setting have noticed that their patients required lower and
fewer doses of
analgesia when noise levels on the unit were consciously reduced. They informed an
advanced practice
RN of this and asked the APRN to quantify the effects of noise on the pain levels of
hospitalized
patients. How does this demonstrate a role of the APRN?
A) Involving patients in their care while hospitalized
B) Contributing to the scientific basis of nursing practice
C) Critiquing the quality of patient care
D) Explaining medical studies to patients and RNs - Answer-Ans: B
Feedback:
Research is within the purview of the APRN. The activity described does not
exemplify explaining studies to RNs, critiquing care, or involving patients in their
care.
questions with verified answers
6. A group of nursing students are participating in a community health clinic. When
providing care in this context, what should the students teach participants about
disease prevention?
A) It is best achieved through attending self-help groups.
B) It is best achieved by reducing psychological stress.
C) It is best achieved by being an active participant in the community.
D) It is best achieved by exhibiting behaviors that promote health - Answer-Ans: D
Feedback:
Today, increasing emphasis is placed on health, health promotion, wellness, and
self-care. Health is seen
as resulting from a lifestyle oriented toward wellness. Nurses in community health
clinics do not teach
that disease prevention is best achieved through attending self-help groups, by
reducing stress, or by
being an active participant in the community, though each of these activities is
consistent with a healthy
lifestyle.
7. A nurse on a medical-surgical unit has asked to represent the unit on the hospitals
quality committee. When describing quality improvement programs to nursing
colleagues and members of other health
disciplines, what characteristic should the nurse cite?
A) These programs establish consequences for health care professionals actions.
B) These programs focus on the processes used to provide care.
C) These programs identify specific incidents related to quality.
D) These programs seek to justify health care costs and systems. - Answer-Ans: B
Feedback:
Numerous models seek to improve the quality of health care delivery. A commonality
among them is a
focus on the processes that are used to provide care. Consequences, a focus on
incidents, and
justification for health care costs are not universal characteristics of quality
improvement efforts.
8. Nurses in acute care settings must work with other health care team members to
maintain quality care
while facing pressures to care for patients who are hospitalized for shorter periods of
time than in the
past. To ensure positive health outcomes when patients return to their homes, what
action should the
nurse prioritize?
A) Promotion of health literacy during hospitalization
B) Close communication with insurers
C) Thorough and evidence-based discharge planning
D) Participation in continuing education initiatives - Answer-Ans: C
, Feedback:
Following discharges that occur after increasingly short hospital stays, nurses in the
community care for
patients who need high-technology acute care services as well as long-term care in
the home. This is
dependent on effective discharge planning to a greater degree than continuing
education, communication
with insurers, or promotion of health literacy.
9. You are admitting a patient to your medical unit after the patient has been
transferred from the
emergency department. What is your priority nursing action at this time?
A) Identifying the immediate needs of the patient
B) Checking the admitting physicians orders
C) Obtaining a baseline set of vital signs
D) Allowing the family to be with the patient - Answer-Ans: A
Feedback: Among the nurses important functions in health care delivery, identifying
the patients immediate needs and working in concert with the patient to address
them is most important. The other nursing functions are important, but they are not
the most important functions.
10. A nurse on a postsurgical unit is providing care based on a clinical pathway.
When performing
assessments and interventions with the aid of a pathway, the nurse should prioritize
what goal?
A) Helping the patient to achieve specific outcomes
B) Balancing risks and benefits of interventions
C) Documenting the patients response to therapy
D) Staying accountable to the interdisciplinary team - Answer-Ans: A
Feedback:
Pathways are an EBP tool that is used primarily to move patients toward
predetermined outcomes. Documentation, accountability, and balancing risks and
benefits are appropriate, but helping the patient
achieve outcomes is paramount.
11. Staff nurses in an ICU setting have noticed that their patients required lower and
fewer doses of
analgesia when noise levels on the unit were consciously reduced. They informed an
advanced practice
RN of this and asked the APRN to quantify the effects of noise on the pain levels of
hospitalized
patients. How does this demonstrate a role of the APRN?
A) Involving patients in their care while hospitalized
B) Contributing to the scientific basis of nursing practice
C) Critiquing the quality of patient care
D) Explaining medical studies to patients and RNs - Answer-Ans: B
Feedback:
Research is within the purview of the APRN. The activity described does not
exemplify explaining studies to RNs, critiquing care, or involving patients in their
care.
