Test Bank For OpenStax Medical-Surgical Nursing.

Test Bank For OpenStax Medical-Surgical Nursing. Which scenario best illustrates interprofessional collaborative care? Explanation: A. The nurse independently modifies the plan of care B. The nurse delegates tasks to unlicensed assistive personnel C. The nurse coordinates care with physical therapy, pharmacy, and social work D. The nurse follows physician orders exactly as written Correct Answer: C Explanation: Interprofessional collaboration involves multiple disciplines working together to achieve optimal patient outcomes, each contributing unique expertise. 6. Which statement best describes the role of The Joint Commission in nursing practice? A. Regulates nurse licensure B. Establishes nursing curricula C. Accredits health-care organizations and sets safety standards D. Develops nursing scope of practice Correct Answer: C The Joint Commission accredits health-care organizations and establishes standards that guide safe, high-quality care and reimbursement eligibility. 7. A nurse verifies two patient identifiers before medication administration. This practice is most directly linked to which initiative? A. Magnet recognition B. National Patient Safety Goals (NPSGs) C. Evidence-based practice D. Systems-based practice Correct Answer: B Explanation: Accurate patient identification is a core National Patient Safety Goal, aimed at reducing preventable errors. 8. Which situation represents a systems-based practice approach? A. Educating a patient about disease management B. Identifying discharge delays caused by poor communication between departments C. Performing a focused physical assessment D. Administering medications safely Correct Answer: B Explanation: Systems-based practice examines how components of the health-care system interact and seeks improvements to enhance patient care delivery. 9. A nurse evaluates outcomes after implementing a fall-prevention protocol and modifies the plan based on results. This reflects which QSEN competency? A. Safety B. Informatics C. Quality improvement D. Teamwork Correct Answer: C Quality improvement involves continuous evaluation and refinement of processes to improve patient outcomes. 10. Which ethical principle is most closely associated with respecting a patient’s informed refusal of treatment? A. Beneficence B. Nonmaleficence C. Justice D. Autonomy Correct Answer: D Explanation: Autonomy supports a patient’s right to make informed decisions about their own care, including refusal of treatment. Explanation: 5. A nurse uses current research to change wound-care practices, resulting in reduced infection rates. This reflects which principle? A. Systems-based practice B. Quality improvement C. Evidence-based practice (EBP) D. Informatics Correct Answer: C Explanation: EBP integrates best research evidence, clinical expertise, and patient values to improve outcomes, as demonstrated by practice change based on research. 11. A nurse accesses the electronic health record to trend laboratory values over time. Which QSEN competency is demonstrated? A. Safety B. Informatics C. Patient-centered care D. Teamwork Correct Answer: B Explanation: Informatics involves using information technology to communicate, manage knowledge, and support clinical decision-making. 12. Which nursing action best demonstrates professional accountability? A. Completing tasks assigned by the charge nurse B. Practicing within state-defined scope of practice C. Relying on experienced colleagues for decisions D. Prioritizing speed over accuracy Correct Answer: B Professional accountability requires adherence to legal and regulatory standards, including practicing within the nurse’s defined scope. 13. A nurse includes family members—identified by the patient—in bedside shift report. This practice primarily supports which care model? A. Evidence-based practice B. Quality improvement C. Patient-centered care D. Systems-based practice Correct Answer: C Explanation: Patient-centered care values patient-defined family involvement and shared decision-making. 14. Which factor most strongly contributes to the nurse’s role as the first responder to clinical deterioration? A. Prescriptive authority B. Continuous bedside presence C. Advanced diagnostic training D. Administrative responsibility Correct Answer: B Explanation: Nurses’ continuous presence enables early recognition of subtle changes, making them critical first responders to patient decline.