Timby's Fundamental Nursing Skills and Concep
3 3 3 3 3
ts 12th Edition by Moreno Timby Test Bank
3 3 3 3 3 3 3
Chapter3 1
Nursing3Foun
dations3 Multiple3 Choice
Identify3 the3 choice3 that3 best3 completes3 the3 statement3 or3 answers3 the3 question.
1. The3 medical-
surgical3 nurse3 identifies3 a3 clinical3 practice3 issue3and3 wants3 to3 determine3 if3 t
here3 is3 sufficient3 evidence3 to3 support3 a3 change3 in3practice.3 Which3 type3 of3 s
tudy3 provides3 the3 strongest3 evidence3 to3 support a3practice3 change?
u
• Randomized3 control3 study
• Quasi-experimental3 3 study
• Case-control3 study
• Cohort3 study
2. The3medical-surgical3unit3recently3implemented3a3patient-
3centered3care3model.3Which3action3implemented3by3the3nurse3supports3this3m
odel?
• Evaluating3 care
• Assessing3 needs
• Diagnosing3 problems
• Providing3 compassion
3. Which3 action3 should3 the3 nurse3 implement3 when3 providing3 patient3 care3 i
n3order3 to3 support3The3Joint
Commission’s3 (TJC)3 National3 Patient3 Safety3 Goals3 (NPSG)?
• Silencing3 a3 cardiorespiratory 3 monitor
• Identifying3 each3 patient3 using3 one3 source
• Determining3 patient3 safety3 issues3 upon3 admission
• Decreasing3 the3 amount3 of3 pain3 medication3 administered
4. Which3 interprofessional3 role3 does3 the3 nurse3 ofte
n3assume3when3 providing3 patient3 care3 in3 an3 acute3 care3 setting?
• Social3 worker
• Client3 advocate
• Care3 coordinator
• Massage3 therapist
5. The3 medical-
surgical3 nurse3 wants3 to3 determine3 if3 a3 policy3 change3 is3 needed3for3 an3 identified3 clinic
al3problem.
Which3 is3 the3 first3 action3 the3 nurse3 should3 implement?
• Developing3 a3 question
• Disseminating3 the3 findings
• Conducting3 a3 review3 of3 the3 literature
,• Evaluating3 outcomes3 of3 practice3 change
, 6. The3 nurse3 is3 evaluating3 the3 level3 of3 evidence3 found3 during3 a3r
ecent3review3 of3 the3 literature.3Which3 evidence3 carries3 the3 lowest3 level3 of3 suppor
t3for3 a3 practice3 change?
• Level3 IV
• Level3 V
• Level3 VI
• Level3 VII
7. The3 nurse3 is3 reviewing3 evidence3 from3 a3 quasi-
experimental3research3 study.3Which3 level3 of3 evidence3 should3 the3 nurse3 iden
tify3 for3 this3research3 study?
• Level3 I
• Level3 II
• Level3 III
• Level3 IV
8. Which3 level3 of3 evidence3 should3 the3 nurse3 identify3 whe
n3reviewing3 evidence3 from3 a3 single3 descriptive3 research3 study?
• Level3 IV
• Level3 V
• Level3 VI
• Level3 VII
9. Which3 statement3 should3 the3 nurse3 make3 when3 communicating3 the3 “S”3 i
n3the3 SBAR3 approach3 for3effective
communication?
• “The3 patient3 presented3 to3 the3 emergency3 department3 at3 02003 with3 lower3 le
ft3abdominal3 pain.”
• “The3 patient3 rated3 the3 pain3 upon3 admission3 as3 a3 93 on3 a3 10-point3 numeric3scale.”
• “The3 patient3 has3 no3 significant3 issues3 in3 the3 medical3 history.”
• “The3 patient3 was3 given3 a3 prescribed3 opioid3 analgesic3 at30300.”
10. The3 staff3 nurse3 is3 communicating 3 with3 the3 change3 nurse3 abou
t3the3 change3 of3 status3 of3 the3 patient.3 The3 nurse3 would3 begin3 her3communi
cation3 with3 which3 statement3 if3 correctly3 using3 the3 SBAR3format?
• “The3 patient’s3 heartrate3 is3 110.”
• “I3 think3 this3 patient3 needs3 to3 be3 transferred3 to3 the3 critical3 care3unit.”
• “The3 patient3 is3 a3 68-year-old3 male3 patient3 admitted3 last3night.”
• “The3 patient3 is3 complaining3 of3 chest3 pain.”
11. Which nursing action exemplifies the Quality and
Safety3Education3 for3 Nursing3 (QSEN)3 competency3 of3 safety?
• Advocating3 for3 a3 patient3 who3 is3 experiencing3 pain
• Considering3 the3 patient’s3 culture3 when3 planning3 care
• Evaluating3 patient3 learning3 style3 prior3 to3 implementing3 discharge3 instructions
• Assessing3 the3 right3 drug3 prior3 to3 administering3 a3 prescribed3 patient3 medication
12. Which3 type3 of3 nursing3 is3 the3 root3 of3 all3 other3 nursing3 practice3 areas?
• Pediatric3 nursing
, • Geriatric3 nursing
• Medical-surgical3 nursing
• Mental3 health-psychiatric3 nursing
13. Which3 did3 the3 Nursing3 Executive3 Center3 of3The3Advisory3 Boar
d3identify3 as3 an3 academic-practice3 gap3 for3 new3 graduate3 nurses?
• Patient3 advocacy
• Patient3 education
• Disease3 3 pathophysiology
• Therapeutic communication
14. Which3 statement3 regarding3 the3 use3 of3 the3 nursing3 process3 in3 clinic
al3practice3 is3 accurate?
• “The3 nursing3 process3 is3 closely3 related3 to3 clinical3 decision-making.”
• “The3 nursing3 process3 is3 used3 by3 all3 members3 of3 the3 interprofessional3 team3 to3 pl
an3care.”
• “The3 nursing3 process3 has3 43 basic3 steps:3 assessment,3 planning
,3implementation,3 evaluation.”
• “The3 nursing3 process3 is3 being3 replaced3 by3 the3 implementation3 of3 evidence
-3based3practice.”
15. Which3 is3 the3 basis3 of3 nursing3 care3 practices3 and3 protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which3 is3 a3 common3 theme3 regarding3 patient3 dissatisfaction3 related3 to3 car
e3provided3in3 the3 hospital3setting?
• Space3 in3 hospital3 rooms
• Medications3 received3 to3 treat3 pain
• Time3 spent3 with3 the3 health-care3 team
• Poor3 quality3 food3 received3 from3 dietary
17. The3 nurse3 manager3 is3 preparing3 a3 medical-
surgical3 unit3 for3The3 Joint3Commission3 (TJC)3 visit3 With3 the3 nurse3 manager3 pre
senting3 staff3 education3focusing3 on3 TJC3 benchmarks,3 which3 of3 the3 following3 to
pics3 would3 be3 most3appropriate?
• Implementation3 of3 evidence-based3 practice
• Implementation3 of3 patient-centered3 care
• Implementation3 of3 medical3 asepsis3 practices
• Implementation3 of3 interprofessional3 care
18. Which3 aspect3 of3 patient-
centered3 care3 should3 the3 nurse3 manager3evaluate3 prior3 to3 The3 Joint3 Commi
ssion3 site3 visit3 for3 accreditation?
• Visitation3 rights
• Education3 level3 of3 staff
• Fall3 prevention3 protocol
• Infection3 control3 practices
3 3 3 3 3
ts 12th Edition by Moreno Timby Test Bank
3 3 3 3 3 3 3
Chapter3 1
Nursing3Foun
dations3 Multiple3 Choice
Identify3 the3 choice3 that3 best3 completes3 the3 statement3 or3 answers3 the3 question.
1. The3 medical-
surgical3 nurse3 identifies3 a3 clinical3 practice3 issue3and3 wants3 to3 determine3 if3 t
here3 is3 sufficient3 evidence3 to3 support3 a3 change3 in3practice.3 Which3 type3 of3 s
tudy3 provides3 the3 strongest3 evidence3 to3 support a3practice3 change?
u
• Randomized3 control3 study
• Quasi-experimental3 3 study
• Case-control3 study
• Cohort3 study
2. The3medical-surgical3unit3recently3implemented3a3patient-
3centered3care3model.3Which3action3implemented3by3the3nurse3supports3this3m
odel?
• Evaluating3 care
• Assessing3 needs
• Diagnosing3 problems
• Providing3 compassion
3. Which3 action3 should3 the3 nurse3 implement3 when3 providing3 patient3 care3 i
n3order3 to3 support3The3Joint
Commission’s3 (TJC)3 National3 Patient3 Safety3 Goals3 (NPSG)?
• Silencing3 a3 cardiorespiratory 3 monitor
• Identifying3 each3 patient3 using3 one3 source
• Determining3 patient3 safety3 issues3 upon3 admission
• Decreasing3 the3 amount3 of3 pain3 medication3 administered
4. Which3 interprofessional3 role3 does3 the3 nurse3 ofte
n3assume3when3 providing3 patient3 care3 in3 an3 acute3 care3 setting?
• Social3 worker
• Client3 advocate
• Care3 coordinator
• Massage3 therapist
5. The3 medical-
surgical3 nurse3 wants3 to3 determine3 if3 a3 policy3 change3 is3 needed3for3 an3 identified3 clinic
al3problem.
Which3 is3 the3 first3 action3 the3 nurse3 should3 implement?
• Developing3 a3 question
• Disseminating3 the3 findings
• Conducting3 a3 review3 of3 the3 literature
,• Evaluating3 outcomes3 of3 practice3 change
, 6. The3 nurse3 is3 evaluating3 the3 level3 of3 evidence3 found3 during3 a3r
ecent3review3 of3 the3 literature.3Which3 evidence3 carries3 the3 lowest3 level3 of3 suppor
t3for3 a3 practice3 change?
• Level3 IV
• Level3 V
• Level3 VI
• Level3 VII
7. The3 nurse3 is3 reviewing3 evidence3 from3 a3 quasi-
experimental3research3 study.3Which3 level3 of3 evidence3 should3 the3 nurse3 iden
tify3 for3 this3research3 study?
• Level3 I
• Level3 II
• Level3 III
• Level3 IV
8. Which3 level3 of3 evidence3 should3 the3 nurse3 identify3 whe
n3reviewing3 evidence3 from3 a3 single3 descriptive3 research3 study?
• Level3 IV
• Level3 V
• Level3 VI
• Level3 VII
9. Which3 statement3 should3 the3 nurse3 make3 when3 communicating3 the3 “S”3 i
n3the3 SBAR3 approach3 for3effective
communication?
• “The3 patient3 presented3 to3 the3 emergency3 department3 at3 02003 with3 lower3 le
ft3abdominal3 pain.”
• “The3 patient3 rated3 the3 pain3 upon3 admission3 as3 a3 93 on3 a3 10-point3 numeric3scale.”
• “The3 patient3 has3 no3 significant3 issues3 in3 the3 medical3 history.”
• “The3 patient3 was3 given3 a3 prescribed3 opioid3 analgesic3 at30300.”
10. The3 staff3 nurse3 is3 communicating 3 with3 the3 change3 nurse3 abou
t3the3 change3 of3 status3 of3 the3 patient.3 The3 nurse3 would3 begin3 her3communi
cation3 with3 which3 statement3 if3 correctly3 using3 the3 SBAR3format?
• “The3 patient’s3 heartrate3 is3 110.”
• “I3 think3 this3 patient3 needs3 to3 be3 transferred3 to3 the3 critical3 care3unit.”
• “The3 patient3 is3 a3 68-year-old3 male3 patient3 admitted3 last3night.”
• “The3 patient3 is3 complaining3 of3 chest3 pain.”
11. Which nursing action exemplifies the Quality and
Safety3Education3 for3 Nursing3 (QSEN)3 competency3 of3 safety?
• Advocating3 for3 a3 patient3 who3 is3 experiencing3 pain
• Considering3 the3 patient’s3 culture3 when3 planning3 care
• Evaluating3 patient3 learning3 style3 prior3 to3 implementing3 discharge3 instructions
• Assessing3 the3 right3 drug3 prior3 to3 administering3 a3 prescribed3 patient3 medication
12. Which3 type3 of3 nursing3 is3 the3 root3 of3 all3 other3 nursing3 practice3 areas?
• Pediatric3 nursing
, • Geriatric3 nursing
• Medical-surgical3 nursing
• Mental3 health-psychiatric3 nursing
13. Which3 did3 the3 Nursing3 Executive3 Center3 of3The3Advisory3 Boar
d3identify3 as3 an3 academic-practice3 gap3 for3 new3 graduate3 nurses?
• Patient3 advocacy
• Patient3 education
• Disease3 3 pathophysiology
• Therapeutic communication
14. Which3 statement3 regarding3 the3 use3 of3 the3 nursing3 process3 in3 clinic
al3practice3 is3 accurate?
• “The3 nursing3 process3 is3 closely3 related3 to3 clinical3 decision-making.”
• “The3 nursing3 process3 is3 used3 by3 all3 members3 of3 the3 interprofessional3 team3 to3 pl
an3care.”
• “The3 nursing3 process3 has3 43 basic3 steps:3 assessment,3 planning
,3implementation,3 evaluation.”
• “The3 nursing3 process3 is3 being3 replaced3 by3 the3 implementation3 of3 evidence
-3based3practice.”
15. Which3 is3 the3 basis3 of3 nursing3 care3 practices3 and3 protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which3 is3 a3 common3 theme3 regarding3 patient3 dissatisfaction3 related3 to3 car
e3provided3in3 the3 hospital3setting?
• Space3 in3 hospital3 rooms
• Medications3 received3 to3 treat3 pain
• Time3 spent3 with3 the3 health-care3 team
• Poor3 quality3 food3 received3 from3 dietary
17. The3 nurse3 manager3 is3 preparing3 a3 medical-
surgical3 unit3 for3The3 Joint3Commission3 (TJC)3 visit3 With3 the3 nurse3 manager3 pre
senting3 staff3 education3focusing3 on3 TJC3 benchmarks,3 which3 of3 the3 following3 to
pics3 would3 be3 most3appropriate?
• Implementation3 of3 evidence-based3 practice
• Implementation3 of3 patient-centered3 care
• Implementation3 of3 medical3 asepsis3 practices
• Implementation3 of3 interprofessional3 care
18. Which3 aspect3 of3 patient-
centered3 care3 should3 the3 nurse3 manager3evaluate3 prior3 to3 The3 Joint3 Commi
ssion3 site3 visit3 for3 accreditation?
• Visitation3 rights
• Education3 level3 of3 staff
• Fall3 prevention3 protocol
• Infection3 control3 practices