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