Fundamentals Nursing Unit 1 Latest Exam Bank 2025

Which organization is preparing future nurses to have the knowledge, skills, and attitudes (KSAs) of evidence-based practices necessary to continuously improve the quality and safety of the health care systems within which they work? a. The Joint Commission b. Quality and Safety Education for Nurses (QSEN) c. The National Database of Nursing Quality Improvement (NDNQI) d. The Agency for Health care Research and Quality (AHRQ) - Correct Ans-Quality and Safety Education for Nurses (QSEN) A registered nurse questioned the nurses on the neonatal intensive care unit about the practice of kangaroo care for neonates. The nurse had read literature supporting the practice, but the nurses that work on the neonatal unit stated that they had never done anything like that at their institution. The nurse continued to ask questions and began a literature review. Which behavior was the nurse demonstrating? a. Variables b. Peer review c. Evidence-based practice d. Process measurement - Correct Ans-Evidence-based practice A registered nurse wants to review the latest information regarding prevention of a health care acquired infection. Where is the best place for the nurse to obtain this information? a. Online information b. Peer-reviewed nursing journal c. Latest edition of a nursing textbook d. Most recent edition of a popular magazine - Correct Ans-Latest edition of a nursing textbook Nursing Nursing A 15-year-old patient was admitted to the hospital with a bowel obstruction. The patient underwent surgery and was experiencing postoperative pain. The nurse caring for the patient had recently read a research article in which a study had been done with neonatal (infant) patients and the use of therapeutic touch to assist with pain control. Which factor is most important for the nurse to consider in this case when applying research to clinical practice? a. The patients gender b. The patients preference c. The patients allergies d. The patients roommate - Correct Ans-The patients preference A nurse is using evidence-based practice (EBP) to provide care. Which action should the nurse take first? a. Collect the most relevant and best evidence. b. Integrate evidence with ones clinical expertise. c. Critically appraise the evidence gathered. d. Ask a clinical question. - Correct Ans-Ask a clinical question. The nurse manager of a 30-bed medical surgical unit has noticed that the fall rate of postoperative patients has increased in the past 2 months. The nurse manager wants to address this situation using evidence-based practice. Which type of trigger did the nurse manager use? a. Literature-focused trigger b. Problem-focused trigger c. Knowledge-focused trigger d. Expectations-focused trigger - Correct Ans-Problem-focused trigger A registered nurse who works for a surgical intensive care unit (ICU) has recently read several articles in professional nursing journals about the use of quiet time in the ICU to enhance patient outcomes. The nurse would like to apply the research findings to the unit. How did the nurse formulate the clinical question? a. Measurement-focused trigger b. Nursing Nursing Problem-focused trigger c. Knowledge-focused trigger d. Expectations-focused trigger - Correct Ans-Knowledge-focused trigger A nurses manager has suggested that a nurse formulate a PICO question to clarify the topic before doing a literature review. When the nurse asks what the acronym PICO stands for, how should the nurse manager respond? a. Policy, information, comparison, outcome b. Patient, information, collection, outcome c. Patient, intervention, comparison, outcome d. Policy, intervention, communication, outcome - Correct Ans-Patient, intervention, comparison, outcome A nurse working on a PICO question has found a large amount of literature available on the topic with multiple studies that have been published. Which type of study should have the best evidence? a. Meta-analysis of randomized control trials b. Opinion of an expert committee c. One well-designed randomized control trial d. Systematic review of descriptive and qualitative studies - Correct Ans-Meta-analysis of randomized control trials .A registered nurse is concerned about the patients perceptions and feelings about the quality of life that they experience after a diagnosis of liver cancer. Which is the most appropriate type of research study the nurse should use to gather information about this situation? a. Quantitative study b. Randomized trial c. Qualitative study d. Case controlled study - Correct Ans-Qualitative study Nursing Nursing A nurse works for a facility in which the facility sends information to The National Data Base for Nursing Quality Improvement (NDNQI) regarding patient falls, pressure ulcer incidence, and nursing satisfaction. The nurse works at which facility? a. The Joint Commission b. A magnet-designated hospital c. The Centers for Disease Control and Prevention d. The American Association of Critical Care Nurses - Correct Ans-A magnet-designated hospital A student nurse is looking for research articles that can be used to complete a research paper. Where can the nursing student look to quickly find out if an article is research or clinically based? a. p value b. Abstract c. Analysis d. Literature review - Correct Ans-Abstract A nurse working in an acute care setting wanted to determine the most accurate way to take patients temperatures. The nurse noticed that the tympanic thermometers used by the unit were often not accurate. The nurse found that the literature showed tympanic thermometers were not the most accurate method of obtaining a temperature. The nurse wants to change the nursing practice of the unit. What is the nurses most logical next step? a. Discuss the findings with a patient to gain support. b. Tell the aides to stop taking temperatures. c. Share the findings with the nursing policy and procedure committee. d. Write an editorial in the public newspaper to bring the community into the process. - Correct Ans-Share the findings with the nursing policy and procedure committee. .After a practice change has taken place in an organization because of a nurse following evidence-based practice in a task force, which final step should the nurse take? a. Evaluate b. Nursing Nursing Encourage c. Engage d. Execute - Correct Ans-Evaluate .The nursing unit staff has used evidence-based practice to implement a practice change. What is the next step in the process the nursing staff should implement? a. Review literature. b. Engage companies. c. Measure outcomes. d. Ask a clinical question. - Correct Ans-Measure outcomes. At a health care organization, patients are turned every 2 hours to help prevent pressure ulcers. Because of this nursing intervention, patients exhibit far fewer pressure ulcers than the national average. Which term should the nurse use to describe this finding? a. Sentinel event b. Qualitative research c. Manuscript narrative d. Nursing-sensitive outcome - Correct Ans-Nursing-sensitive outcome The quality improvement or performance improvement (QI/PI) process should begin at which level of nursing? a. Staff nurse b. Nurse manager c. Nurse administrator d. Advanced practice registered nurse - Correct Ans-Staff nurse The nurse is investigating an area of practice in which no research evidence is available. What types of non-research information should the nurse consider? (Select all that apply.) a. Performance improvement and risk management data Nursing Nursing b. International, national and local standards of care c. Study with pre- and post-test design d. Benchmarking e. Retrospective or concurrent chart reviews - Correct Ans-Performance improvement and risk management data International, national and local standards of care Benchmarking Retrospective or concurrent chart reviews A nurse is describing types of performance improvement models. Which information should the nurse include? (Select all that apply.) a. Six Sigma b. Balanced scorecard c. Plan-Do-Study-Act d. Root cause analysis e. Human subjects committee - Correct Ans-Six Sigma Balanced scorecard Plan-Do-Study-Act Root cause analysis A registered nurse is caring for a patient in the trauma unit who had been involved in a motor vehicle accident. Although the patient denied pain, during the nurses assessment, the nurse observed that the patient groaned when moving and was protective of the right arm. The nurse believed the patient had pain and reported it to the primary health care provider, who ordered a radiograph (x-ray) of the right arm. The radiograph revealed a fractured arm. Which technique did the nurse use? a. Intuition b. Critical thinking c. Nursing Nursing Perseverance d. Reflection - Correct Ans-Critical thinking A registered nurse is caring for a postoperative patient whose systolic blood pressure has dropped 10 points during the shift. The nurse remembers that this was similar to a situation that happened in the past when a patient developed an internal bleed. Based upon the nurses thoughts, which skill did the nurse use? a. Intuition b. Critical thinking c. Nursing process d. Reflection - Correct Ans-Reflection A nurse is admitting a 73-year-old woman with a fractured ulna and radius to the trauma unit of the hospital. The patients daughter and son-in-law are present. The nurse notices that the patient does not make eye contact when answering questions and the nurse senses that something is not right about the situation. Which technique did the nurse use? a. Intuition b. Critical thinking c. Nursing process d. Reflection - Correct Ans-Intuition A student nurse is administering an enema with an instructor in the room. The patient states that he or she can no longer hold the enema solution. The student nurse acknowledges the patients request and begins to tell the patient to go to the bathroom but asks the instructor if this is OK. The instructor suggests that the p