Fundamental Nursing Skills and Concepts: Complete Test Bank (Chapters 1-38)

Timby's Fundamental Nursing Skills and Concepts 12th
Edition by Moreno Timby Test Bank


Chapter 1
Nursing Foundations M



Multiple Choice M



Identify the choice that best completes the statement or answers the question.
M M M M M M M M M M M




1. The medical- M



surgical nurse identifies a clinical practice issue and wants to determine if there is
M M M M M M M M M M M M M



sufficient evidence to support a change in practice. Which type of study provides
M M M M M M M M M M M M M



the strongest evidence to support a practice change?
M M M M M M M M



• Randomized control study M M



• Quasi-experimental study M



• Case-control study M



• Cohort study M




2. The medical-surgical unit recently implemented a patient- M M M M M M



centered care model. Which action implemented by the nurse supports this
M M M M M M M M M M M



model?
M



• Evaluating care M



• Assessing needs M



• Diagnosing problems M



• Providing compassion M




3. Which action should the nurse implement when providing patient care in order M M M M M M M M M M M



to support The Joint
M M M M



Commission’s (TJC) National Patient Safety Goals (NPSG)?
M M M M M M



• Silencing a cardiorespiratory monitor M M M



• Identifying each patient using one source M M M M M



• Determining patient safety issues upon admission M M M M M



• Decreasing the amount of pain medication administered M M M M M M




4. Which interprofessional role does the nurse often assume M M M M M M M



M when providing patient care in an acute care setting?
M M M M M M M M



• Social worker M



• Client advocate M



• Care coordinator M



• Massage therapist M




5. The medical- M



surgical nurse wants to determine if a policy change is needed for an identified clinical
M M M M M M M M M M M M M M



pro blem.
M M



Which is the first action the nurse should implement?
M M M M M M M M



• Developing a question M M



• Disseminating the findings M M



• Conducting a review of the literature M M M M M



• Evaluating outcomes of practice change M M M M

, 6. The nurse is evaluating the level of evidence found during a M M M M M M M M M M



recen t review of the literature. Which evidence carries the lowest level of
M M M M M M M M M M M M M



support for a p ractice change?
M M M M M M



• Level IV M



• Level V M



• Level VI M



• Level VII M




7. The nurse is reviewing evidence from a quasi- M M M M M M M



experimental research study. Which level of evidence should the nurse identify
M M M M M M M M M M



Mfo r this research study?
M M M M



• Level I M



• Level II M



• Level III M



• Level IV M




8. Which level of evidence should the nurse identify when reviewing M M M M M M M M M



evidence from a single descriptive research study?
M M M M M M M



• Level IV M



• Level V M



• Level VI M



• Level VII M




9. Which statement should the nurse make when communicating the “S” in th M M M M M M M M M M M



e SBARAapproach for effective
M M M M



communication?
• “The patient presented to the emergency department at 0200 with lower left
M M M M M M M M M M M



abdomina l pain.” M M M



• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
M M M M M M M M M M M M M M



• “The patient has no significant issues in the medical history.”
M M M M M M M M M



• “The patient was given a prescribed opioid analgesic at 0300.”
M M M M M M M M M




10. The staff nurse is communicating with the change nurse about the
M M M M M M M M M M



M change of status of the patient. The nurse would begin her communication
M M M M M M M M M M M



M wit h which statement if correctly using the SBARAformat?
M M M M M M M M



• “The patient’s heartrate is 110.” M M M M



• “I think this patient needs to be transferred to the critical care unit.”
M M M M M M M M M M M M



• “The patient is a 68-year-old male patient admitted last night.”
M M M M M M M M M



• “The patient is complaining of chest pain.”
M M M M M M




11. Which nursing action exemplifies the Quality and Safety Education
M M M M M M M M



for
M M Nursing (QSEN) competency of safety?
M M M M



• Advocating for a patient who is experiencing pain
M M M M M M M



• Considering the patient’s culture when planning care
M M M M M M



• Evaluating patient learning style prior to implementing discharge instructions
M M M M M M M M



• Assessing the right drug prior to administering a prescribed patient medication
M M M M M M M M M M




12. Which type of nursing is the root of all other nursing practice areas?
M M M M M M M M M M M M



• Pediatric nursing M

, • Geriatric nursing M



• Medical-surgical nursing M



• Mental health-psychiatric nursing
M M




13. Which did the Nursing Executive Center of The Advisory Board identif
M M M M M M M M M M



M y as an academic-practice gap for new graduate nurses?
M M M M M M M M



• Patient advocacy M



• Patient education M




• Disease pathophysiology M



• Therapeutic communication M




14. Which statement regarding the use of the nursing process in clinical practice i
M M M M M M M M M M M M



M s accurate?
M



• “The nursing process is closely related to clinical decision-making.”
M M M M M M M M



• “The nursing process is used by all members of the interprofessional team to plan care.”
M M M M M M M M M M M M M M



• “The nursing process has 4 basic steps: assessment, planning, implementation,
M M M M M M M M M



evaluation.” M



• “The nursing process is being replaced by the implementation of evidence-
M M M M M M M M M M



Mbased practice.”
M




15. Which is the basis of nursing care practices and protocols?
M M M M M M M M M



• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related to care provided
M M M M M M M M M M M



in the hospital setting?
M M M M



• Space in hospital rooms
M M M



• Medications received to treat pain M M M M



• Time spent with the health-care team
M M M M M



• Poor quality food received from dietary
M M M M M




17. The nurse manager is preparing a medical-
M M M M M M



surgical unit for The Joint Commission (TJC) visit With the nurse manager presenti
M M M M M M M M M M M M



Mng staff education focusing on TJC benchmarks, which of the following topics wou
M M M M M M M M M M M M



Mld be most appropriate?
M M M



• Implementation of evidence-based practice M M M



• Implementation of patient-centered care M M M



• Implementation of medical asepsis practices M M M M



• Implementation of interprofessional care M M M




18. Which aspect of patient- M M M



centered care should the nurse manager evaluate prior to The Joint Commission site
M M M M M M M M M M M M



Mvisit for accreditation?
M M



• Visitation rights M



• Education level of staff M M M



• Fall prevention protocol
M M



• Infection control practices M M

, 19. The medical- M



surgical nurse is providing patient care. Which circumstance would necessitate the nurse
M M M M M M M M M M M



verifying the patient’s identification using at least two sources?
M M M M M M M M M



• Prior to delivering a meal tray M M M M M



• Prior to passive range of motion M M M M M



• Prior to medication administration M M M



• Prior to documenting in the medical record
M M M M M M




20. The nurse is providing care to several patients on a medical-
M M M M M M M M M M



surgical unit. Which situation would necessitate the nurse to use SBAR during the
M M M M M M M M M M M M



hand-off process?
M M



• Wound care M



• Discharge to home M M



• Transfer to radiology M M



• Medication education M




Multiple Response
M M




Identify one orAmore choices that best complete the statement or answer the question.
M M M M M M M M M M M M




21. The staff nurse is teaching a group of student nurses the situations that necessitat
M M M M M M M M M M M M M



e hand-off communication.
M M M



Which student responses indicate the need for further education related to this proc
M M M M M M M M M M M M



edure? Select all that apply.
M M M M M



• “A hand-off is required prior to administering a medication.”
M M M M M M M M



• “A hand-off is required during change of shift.”
M M M M M M M



• “A hand-off is required for a patient is transferred to the surgical suite.”
M M M M M M M M M M M M



• “A hand-off is required whenever the nurse receives a new patient assignment.”
M M M M M M M M M M M



• “A hand-off is required prior to family visitation.”
M M M M M M M




22. Which actions by the nurse enhance patient safety during medication
M M M M M M M M M



administration? Select all that apply.
M M M M M



• Answering the call bell while transporting medications for a different patient
M M M M M M M M M M



• Identifying the patient using two sources prior to administering the medication
M M M M M M M M M M



• Holding a medication if the patient’s diagnosis does not support its use
M M M M M M M M M M M



• Administering the medication two hours after the scheduled time M M M M M M M M



• Having another nurse verify the prescribed dose of insulin the patient is to receive
M M M M M M M M M M M M M




23. The medical- M



surgical nurse assumes care for a patient who is receiving continuous car
M M M M M M M M M M M



Mdiopulmonary monitoring. Which actions by the nurse enhance safety
M M M M M M M M



Mfor this patient? Select all that apply.
M M M M M M



• Silencing the alarm during family visitation M M M M M



• Assessing the alarm parameters at the start of the shift M M M M M M M M M



• Responding to the alarm in a timely fashion M M M M M M M



• Decreasing the alarm volume to enhance restful sleep M M M M M M M



• Adjusting alarm parameters based on specified practitioner prescription
M M M M M M M