ChapterA1
NursingAFoundations
MultipleAChoice
A
IdentifyA theA choiceA thatA bestA completesA theA statementA orA answersA theA question.
1. TheAmedical-
surgicalAnurseAidentifiesAaAclinicalApracticeAissueAandAwantsAtoAdetermineAifAthereAis
AsufficientAevidenceAtoAsupportAaAchangeAinApractice.AWhichAtypeAofAstudyAprovides
AtheAstrongestAevidenceAtoAsupportAaApracticeAchange?
• RandomizedA controlA study
• Quasi-experimentalA study
• Case-controlA study
• CohortA study
2. TheAmedical-surgicalAunitArecentlyAimplementedAaApatient-
centeredAcareAmodel.AWhichAactionAimplementedAbyAtheAnurseAsupportsAthisAmodel?
• EvaluatingA care
• AssessingA needs
• DiagnosingA problems
• ProvidingA compassion
3. WhichAactionAshouldAtheAnurseAimplementAwhenAprovidingApatientAcareAinAorder
AtoAsupportATheAJoint
Commission’sA (TJC)A NationalA PatientA SafetyA GoalsA (NPSG)?
• SilencingA aA cardiorespiratoryA monitor
• IdentifyingA eachA patientA usingA oneAsource
• DeterminingA patientA safetyA issuesA uponAadmission
• DecreasingA theA amountA ofA painA medicationAadministered
4. WhichAinterprofessionalAroleAdoesAtheAnurseAoftenAassume
A whenAprovidingApatientAcareAinAanAacuteAcareAsetting?
• SocialA worker
• ClientA advocate
• CareAcoordinator
• MassageA therapist
5. TheAmedical-
surgicalAnurseAwantsAtoAdetermineAifAaApolicyAchangeAisAneededAforAanAidentifiedAclinicalApro
blem.
WhichAisAtheAfirstAactionA theAnurseAshouldAimplement?
• DevelopingA aA question
• DisseminatingA theA findings
• ConductingA aA reviewA ofAtheAliterature
• EvaluatingA outcomesA ofA practiceAchange
, 6. TheAnurseAisAevaluatingAtheAlevelAofAevidenceAfoundAduringAaArecen
tAreviewAofAtheAliterature.AWhichAevidenceAcarriesAtheAlowestAlevelAofAsupportAforAaAp
racticeAchange?
• LevelA IV
• LevelAV
• LevelAVI
• LevelAVII
7. TheAnurseAisAreviewingAevidenceAfromAaAquasi-
experimentalAresearchAstudy.AWhichAlevelAofAevidenceAshouldAtheAnurseAidentifyAfo
rAthisAresearchAstudy?
• LevelA I
• LevelA II
• LevelA III
• LevelA IV
8. WhichAlevelAofAevidenceAshouldAtheAnurseAidentifyAwhenAreviewing
evidenceAfromAaAsingleAdescriptiveAresearchAstudy?
A
• LevelA IV
• LevelAV
• LevelAVI
• LevelAVII
9. WhichAstatementAshouldAtheAnurseAmakeAwhenAcommunicatingAtheA“S”AinAth
eASBARAapproachAforAeffective
communication?
• “TheApatientApresentedAtoAtheAemergencyAdepartmentAatA0200AwithAlowerAleftAabdomina
lApain.”
• “TheA patientA ratedAtheA painA uponA admissionA asA aA 9AonA aA 10-pointA numericAscale.”
• “TheApatientAhasAnoAsignificantAissuesAinAtheAmedicalAhistory.”
• “TheA patientA wasA givenA aA prescribedA opioidA analgesicA atA0300.”
10. TheAstaffAnurseAisAcommunicatingAwithAtheAchangeAnurseAaboutAthe
AchangeAofAstatusAofAtheApatient.ATheAnurseAwouldAbeginAherAcommunicationAwit
hAwhichAstatementAifAcorrectlyAusingAtheASBARAformat?
• “TheApatient’sA heartrateAisA110.”
• “IAthinkAthisA patientA needsA toA beAtransferredAtoAtheAcriticalAcareAunit.”
• “TheA patientA isA aA 68-year-oldA maleA patientA admittedA lastAnight.”
• “TheA patientA isA complainingA ofA chestApain.”
11. WhichAnursingAactionAexemplifiesAtheAQualityAandASafetyAEducation
AforANursingA(QSEN)AcompetencyAofAsafety?
• AdvocatingA forA aA patientA whoA isA experiencingApain
• ConsideringA theA patient’sA cultureA whenA planningAcare
• EvaluatingA patientA learningA styleA priorA toA implementingA dischargeAinstructions
• AssessingA theA rightA drugA priorA toA administeringA aA prescribedA patientAmedication
12. WhichA typeA ofA nursingA isAtheA rootA ofAallA otherA nursingA practiceA areas?
• PediatricA nursing
, • GeriatricA nursing
• Medical-surgicalA nursing
• MentalA health-psychiatricA nursing
13. WhichAdidAtheANursingAExecutiveACenterAofATheAAdvisoryABoardAidentif
yAasAanAacademic-practiceAgapAforAnewAgraduateAnurses?
• PatientA advocacy
• PatientA education
• DiseaseA pathophysiology
• TherapeuticA communication
14. WhichAstatementAregardingAtheAuseAofAtheAnursingAprocessAinAclinicalApracticeAi
sAaccurate?
• “TheA nursingA processA isA closelyA relatedA toA clinicalAdecision-making.”
• “TheA nursingA processA isA usedA byA allA membersA ofA theA interprofessionalA teamA toA planAcare.”
• “TheAnursingAprocessAhasA4AbasicAsteps:Aassessment,Aplanning,Aimplementation,
Aevaluation.”
• “TheAnursingAprocessAisAbeingAreplacedAbyAtheAimplementationAofAevidence-
basedApractice.”
15. WhichAisAtheAbasisAofA nursingAcareApracticesAandA protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. WhichAisAaAcommonAthemeAregardingApatientAdissatisfactionArelatedAtoAcareAprovided
inAtheAhospitalAsetting?
A
• SpaceA inA hospitalA rooms
• MedicationsA receivedA toA treatApain
• TimeA spentA withA theA health-careAteam
• PoorA qualityA foodA receivedA fromAdietary
17. TheAnurseAmanagerAisApreparingAaAmedical-
surgicalAunitAforATheAJointACommissionA(TJC)AvisitAWithAtheAnurseAmanagerApresenti
ngAstaffAeducationAfocusingAonATJCAbenchmarks,AwhichAofAtheAfollowingAtopicsAwou
ldAbeAmostAappropriate?
• ImplementationA ofA evidence-basedA practice
• ImplementationA ofA patient-centeredA care
• ImplementationA ofA medicalA asepsisA practices
• ImplementationA ofA interprofessionalA care
18. WhichAaspectAofApatient-
centeredAcareAshouldAtheAnurseAmanagerAevaluateApriorAtoATheAJointACommissionAsiteA
visitAforAaccreditation?
• VisitationArights
• EducationA levelA ofAstaff
• FallA preventionA protocol
• InfectionA controlA practices
, 19. TheAmedical-
surgicalAnurseAisAprovidingApatientAcare.AWhichAcircumstanceAwouldAnecessitateAtheAnurse
verifyingA theA patient’sA identificationA usingAatAleastA twoA sources?
• PriorA toA deliveringAaA mealAtray
• PriorA toA passiveA rangeAofAmotion
• PriorA toA medicationA administration
• PriorA toA documentingA inA theA medicalArecord
20. TheAnurseAisAprovidingAcareAtoAseveralApatientsAonAaAmedical-
surgicalAunit.AWhichAsituationAwouldAnecessitateAtheAnurseAtoAuseASBARAduringAthe
Ahand-offAprocess?
• WoundAcare
• DischargeA toAhome
• TransferAtoAradiology
• MedicationAeducation
MultipleAResponse
A
IdentifyAoneA orA moreA choicesA thatA bestA completeA theA statementA orA answerA theA question.
21. TheAstaffAnurseAisAteachingAaAgroupAofAstudentAnursesAtheAsituationsAthatAnecessitat
eAhand-offAcommunication.
WhichAstudentAresponsesAindicateAtheAneedAforAfurtherAeducationArelatedAtoAthisAproc
edure?ASelectAallAthatAapply.
• “AAhand-offA isA requiredA priorA toAadministeringA aAmedication.”
• “AAhand-offA isA requiredA duringA changeA ofAshift.”
• “AAhand-offA isA requiredA forA aA patientAisA transferredA toA theA surgicalAsuite.”
• “AAhand-offA isA requiredAwheneverAtheA nurseA receivesA aA newA patientAassignment.”
• “AAhand-offA isA requiredA priorA toA familyAvisitation.”
22. WhichAactionsAbyAtheAnurseAenhanceApatientAsafetyAduringAmedication
administration?ASelectAallAthatAapply.
A
• AnsweringA theA callA bellA whileA transportingA medicationsA forA aA differentApatient
• IdentifyingA theA patientA usingA twoA sourcesA priorA toA administeringA theAmedication
• HoldingAaA medicationAifA theA patient’sA diagnosisA doesA notA supportAitsAuse
• AdministeringA theA medicationA twoA hoursA afterA theA scheduledAtime
• HavingA anotherA nurseA verifyA theA prescribedA doseA ofA insulinA theA patientA isA toAreceive
23. TheAmedical-
surgicalAnurseAassumesAcareAforAaApatientAwhoAisAreceivingAcontinuousAcar
diopulmonaryAmonitoring.AWhichAactionsAbyAtheAnurseAenhanceAsafetyAfor
AthisApatient?ASelectAallAthatAapply.
• SilencingA theA alarmA duringA familyAvisitation
• AssessingA theA alarmA parametersA atA theA startAofA theAshift
• RespondingAtoA theA alarmAinA aA timelyAfashion
• DecreasingA theA alarmA volumeA toA enhanceA restfulAsleep
• AdjustingA alarmA parametersA basedA onA specifiedA practitionerAprescription