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k i Test Bank ki
Chapter 1 Nursing k i
Foundations Multiple
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Choice
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Identify the choice that best completes the statement or answers the question.
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1. The medical-surgical nurse identifies a clinical practice k i k i k i k i k i k i
k i issue and wants to determine if there is sufficient evidence to
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k i support a change in practice. Which type of study provides the
k i k i k i ki k i k i k i k i k i k i
k i strongest evidence to support a practice change?
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• Randomized control study k i k i
• Quasi-experimental study k i k i
• Case-control study k i
• Cohort study k i
2. The medical-surgical unit recently implemented a patient- ki ki ki ki ki ki
centered care model. Which action implemented by the nurse supports this
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model?
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• Evaluating care k i
• Assessing needs k i
• Diagnosing problems k i
• Providing compassion k i
3. Which action should the nurse implement when providing patient k i k i k i k i k i k i k i k i
care in order to support The Joint
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Commission’s (TJC) National Patient Safety Goals (NPSG)? k i k i k i k i k i k i
• Silencing a cardiorespiratory monitor k i k i k i
• Identifying each patient using one source k i k i k i k i k i
• Determining patient safety issues upon admission k i k i k i k i k i
• Decreasing the amount of pain medication administered k i k i k i k i k i k i
4. Which interprofessional role does the nurse k i k i k i k i k i
k i often assume when providing patient care in an acute care
ki ki k i k i k i k i k i k i k i
k i setting?
• Social worker k i
• Client advocate k i
• Care coordinator k i
• Massage therapist k i
5. The medical-surgical nurse wants to determine if a policy change is k i k i k i k i k i k i k i k i k i k i
needed for an identified clinical problem.
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Which is the first action the nurse should implement?
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• Developing a question k i k i
• Disseminating the findings k i k i
• Conducting a review of the literature k i k i k i k i ki
• Evaluating outcomes of practice change k i k i k i k i
, 6. The nurse is evaluating the level of evidence found k i k i k i k i k i k i k i k i
k i during a recent review of the literature. Which evidence carries the lowest
k i ki ki k i k i k i ki k i k i k i k i
k i level of support for a practice change?
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• Level IV k i
• Level V k i
• Level VI k i
• Level VII k i
7. The nurse is reviewing evidence from a quasi- k i k i k i k i k i k i k i
experimental research study. Which level of evidence should the nurse
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identify for this research study?
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• Level I k i
• Level II k i
• Level III k i
• Level IV k i
8. Which level of evidence should the nurse identify k i k i k i k i k i k i k i
k i when reviewing evidence from a single descriptive research
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k i study?
• Level IV k i
• Level V k i
• Level VI k i
• Level VII k i
9. Which statement should the nurse make when communicating the k i k i k i k i k i k i k i k i
“S” in the SBAR approach for effective
k i k i ki k i k i k i ki
communication?
• “The patient presented to the emergency department at 0200 with
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lower left abdominal pain.” k i k i ki k i
• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
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• “The patient has no significant issues in the medical history.”
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• “The patient was given a prescribed opioid analgesic at 0300.”
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10. The staff nurse is communicating with the change nurse k i k i k i k i k i k i k i k i
k i about the change of status of the patient. The nurse would begin
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k i her communication with which statement if correctly using the
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k i SBAR format? ki
• “The patient’s heartrate is 110.” k i k i k i ki
• “I think this patient needs to be transferred to the critical care unit.”
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• “The patient is a 68-year-old male patient admitted last night.”
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• “The patient is complaining of chest pain.”
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11. Which nursing action exemplifies the Quality and Safety
Education for Nursing (QSEN) competency of safety?
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• Advocating for a patient who is experiencing pain k i k i k i k i k i k i k i
• Considering the patient’s culture when planning care k i k i k i k i k i k i
• Evaluating patient learning style prior to implementing discharge instructionsk i k i k i k i k i k i k i ki
• Assessing the right drug prior to administering a prescribed patient medication
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12. Which type of nursing is the root of all other nursing practice areas?
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• Pediatric nursing k i
, • Geriatric nursing k i
• Medical-surgical nursing k i
• Mental health-psychiatric k i k i nursing
13. Which did the Nursing Executive Center of The Advisory k i k i k i k i k i k i ki ki
k i Board identify as an academic-practice gap for new graduate nurses?
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• Patient advocacy k i
• Patient education k i
• Disease pathophysiology k i k i
• Therapeutic communication
14. Which statement regarding the use of the nursing process in k i k i k i k i k i k i k i k i k i
k i clinical practice is accurate? ki k i k i
• “The nursing process is closely related to clinical decision-making.”
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• “The nursing process is used by all members of the interprofessional team
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to plan care.”
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• “The nursing process has 4 basic steps: assessment,
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planning, implementation, evaluation.” k i ki k i
• “The nursing process is being replaced by the implementation of
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evidence- based practice.”
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15. Which is the basis of nursing care practices and protocols? k i k i k i k i k i k i k i k i k i
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related k i k i k i k i k i k i k i k i
k i to care provided in the hospital setting?
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• Space in hospital rooms k i k i k i
• Medications received to treat pain k i k i k i k i
• Time spent with the health-care team
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• Poor quality food received from dietary
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17. The nurse manager is preparing a medical-surgical unit for The
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k i Joint Commission (TJC) visit With the nurse manager presenting staff
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k i education focusing on TJC benchmarks, which of the following topics
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k i would be most appropriate?
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• Implementation of evidence-based practice k i k i k i
• Implementation of patient-centered care k i k i k i
• Implementation of medical asepsis practices k i k i k i k i
• Implementation of interprofessional care k i k i k i
18. Which aspect of patient-centered care should the nurse k i k i k i k i k i k i k i
k i manager evaluate prior to The Joint Commission site visit for
ki k i k i k i k i k i k i k i k i
k i accreditation?
• Visitation rights k i
• Education level of staff k i k i k i
• Fall prevention protocol k i k i
• Infection control practices k i k i