ce z%
Identify the choice that best completes the statement or answers the question.
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1. The medical- z %
surgical nurse identifies a clinical practice issue and wants to det
z % z % z % z % z % z % z% z % z % z %
ermine i f there is sufficient evidence to support a change in pr
z % z% z % z % z % z % z % z % z % z % z % z%
actice. Which type z % z %
of study provides the strongest evidence to support a practice change?
z % z % z % z % z % z % z % z% z% z %
• Randomized control study z % z % z % z %
• Quasi-experimental study
• Case-control study
• Cohort study z % z %
2. The medical-surgical unit recently implemented a patient- z% z% z% z% z% z%
centered care model. Which action implemented by the nurse supports this
z% z% z% z% z% z% z% z% z% z% z% z%
mo del? z%
• Evaluating care
• Assessing needs
• Diagnosing problems
• Providing compassion
3. Which action should the nurse implement when providing patient car
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e inz %
,order to support The Joint
z % z % z% z%
Commission’s (TJC) National Patient Safety Goals (NPSG)?
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• Silencing a cardiorespiratory monitor z % z % z % z % z % z %
• Identifying each patient using one source z % z % z % z % z %
• Determining patient safety issues upon admission z % z% z% z % z % z %
• Decreasing the amount of pain medication administered z % z % z % z % z % z %
4. Which interprofessional role does the nurse o z % z % z % z % z % z %
ft en assume when providing patient care in an acute c
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are setting
z %
?
• Social worker z % z %
• Client advocate
• Care coordinator
• Massage therapist
5. The medical- z %
surgical nurse wants to determine if a policy change is needed for
z % z % z % z % z % z % z % z % z % z % bn z % an z % ide
ntified cli nical problem. z % z% z%
Which is the first action the nurse should implement?
z % z % z % z % z % z % z % z %
• Developing a question z % z % z %
• Disseminating the findings z % z % z % z %
• Conducting a review of the literature z % z % z % z % z %
• Evaluating outcomes of practice change z % z % z % z %
, 6. The nurse is evaluating the level of evidence found z % z % z % z % z % z % z % z %
z during a recent review of the literature. Which evidence carries the lowes
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t level of s upport for a practice change?
z % z % z % z% z% z % z % z %
• Level IV z %
• Level V z %
• Level VI z %
• Level VII z %
7. The nurse is reviewing evidence from a quasi- z % z % z % z % z % z % z %
z %experimental research study. Which level of evidence should z% z % z% z % z % z % z % z % the z
% nurse id entify for this research study?
z % z% z % z % z% z %
• Level I z %
• Level II z %
• Level III z %
• Level IV z %
8. Which level of evidence should the nurse identify z % z % z % z % z % z % z % z
% w hen reviewing evidence from a single descriptive research
z % z% z % z % z % z % z % z % z
% study?
• Level IV z %
• Level V z %
• Level VI z %
• Level VII z %
9. Which statement should the nurse make when communicating z % z % z % z % z % z % z % z
the “S ” in the SBAR approach for effective
% z % z% z % z% z % z % z % z%
communication?
• “The patient presented to the emergency department at 0200 with
z % z % z % z % z % z % z % z % z % z
lower left abdominal pain.” % z% bn z %
• “The patient rated the pain upon admission as a 9 on a 10-point numericscale.”
z % z % z % z % z % z % z % z % z % z % z % z % z %
• “The patient has no significant issues in the medical history.”
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• “The patient was given a prescribed opioid analgesic at 0300.”
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10. The staff nurse is communicating with the change z % z % z % z % z % z % z % z %
nurse ab out the change of status of the patient. The nurse w
z % z% z% z % z % z % z % z % z % z % z % z %
ould begin her co mmunication with which statement if correctly
z % z % z% z% z % z % z % z % z %
z using the SBAR format?
% z % z % bn
• “The patient’s heartrate is 110.” z % z % z % z %
• “I think this patient needs to be transferred to the critical care unit.”
z % z % z % z % z % z % z % z % z % z % z % z%
• “The patient is a 68-year-old male patient admitted last night.”
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• “The patient is complaining of chest pain.” z % z % z % z % z % z %
11. Which nursing action exemplifies the Quality and
Safety Education for Nursing (QSEN) competency of safety?
z% z % z % z % z % z % z %
• Advocating for a patient who is experiencing pain z % z % z % z % z % z % z %
• Considering the patient’s culture when planning care z % z % z % z % z % z %
• Evaluating patient learning style prior to implementing discharge instructions
z % z % z % z % z % z % z % z %
• Assessing the right drug prior to administering a prescribed patient medication
z % z % z % z % z % z % z % z % z % z %
12. Which type of nursing is the root of all other nursing practice
z % z % z % z % z % z % z % z % z % z % z % z % areas?
• Pediatric nursing z % z %