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