TEST BANK
m
Copyrightm2023mMedmCmFi
le
,Chapterm1:mFoundationsmformMedical-SurgicalmNursing
MultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersmthemquestion.
m 1.mThemmedical-
surgicalmnursemidentifiesmamclinicalmpracticemissuemandmwantsmtomdeter
minemifmtheremismsufficientmevidencemtomsupportmamchangeminmpractice
.mWhichmtypemofmstudymprovidesmthemstrongestmevidencemtomsupportma
practicemchange?
1) Randomizedmcontrolmstudy
2) Quasi-experimentalmstudy
3) Case-controlmstudy
4) Cohortmstudy
m 2. m Themmedical-surgicalmunitmrecentlymimplementedma mpatient-
centeredmcaremmodel.mWhichmactionmimplementedmby
themnursemsupportsmthismmodel?
1) Evaluatingmcare
2) Assessingmneeds
3) Diagnosingmproblems
4) Providingmcompassion
m 3.m Whichmactionmshouldmthe mnursemimplementmwhenmprovidingmpatientmcareminmordermtomsupportm
ThemJointmCommission’sm(TJC)mNationalmPatientmSafetymGoalsm(NPSG)?
1) Silencingmamcardiorespiratorymmonitor
2) Identifyingmeachmpatientmusingmonemsource
3) Determiningmpatientmsafetymissuesmuponmadmission
4) Decreasingmthemamountmofmpainmmedicationmadministered
m 4. mWhichminterprofessional mrolemdoesmthemnursemoftenmassumemwhenmprovidingmpatientmcareminmanm
acutemcaremsetting?
1) Socialmworker
2) Clientmadvocate
3) Caremcoordinator
4) Massagemtherapist
m 5. m Themmedical-
surgicalmnursemwantsmtomdeterminemifmampolicymchangemismneededmformanmidentifiedmclinicalmproblem.
Whichmismthemfirstmactionmthemnursemshouldmimplement?
1) Developingmamquestion
2) Disseminatingmthemfindings
3) Conductingmamreviewmofmthemliterature
4) Evaluatingmoutcomesmofmpracticemchange
,m 6.m Themnursemismevaluatingmthemlevelmofmevidencemfoundmduringmamrecentmreviewmofmthemliterature.mWhi
chmevidencemcarriesmthemlowestmlevelmofmsupportmformampracticemchange?
1) LevelmIV
2) LevelmV
3) LevelmVI
4) LevelmVII
m 7.m Themnursemismreviewingmevidencemfrommamquasi-
experimentalmresearchmstudy.mWhichmlevelmofmevidencemshouldmthemnursemidentifymformthismresearchmst
udy?
1) LevelmI
2) LevelmII
3) LevelmIII
4) LevelmIV
m 8.m Whichmlevelmofmevidencemshouldmthemnursemidentifymwhenmreviewingmevidencemfrommamsinglemdescriptiv
emresearchmstudy?
1) LevelmIV
2) LevelmV
3) LevelmVI
4) LevelmVII
m 9.m Whichmstatementmshouldmthemnursemmakemwhenmcommunicatingmthem“S”minmthemSBARmapproachmfo
rmeffectivemcommunication?
1) “Thempatientmpresentedmtomthememergencymdepartmentmatm0200mwithmlowermleftmabd
ominalmpain.”
2) “Thempatientmratedmthempainmuponmadmissionmasmam9monmam10-pointmnumericmscale.”
3) “Thempatientmhasm nom significantm iN
ssU
ueRs S
inIthNeGmTeB
di.
caC
lm hOimsMtmory.”
4) “Thempatientmwasmgivenmamprescribedmopioidmanalgesicmatm0300.”
m 10.m Themstaffmnursemismcommunicatingmwithmthemchangemnursemaboutmthemchangemofmstatusmofmthempatient.
m ThemnursemwouldmbeginmhermcommunicationmwithmwhichmstatementmifmcorrectlymusingmthemSBARmfo
rmat?
1) “Thempatient’smheartratemism110.”
2) “Imthinkmthismpatientmneedsmtombemtransferredmtomthemcriticalmcaremunit.”
3) “Thempatientmismam68-year-oldmmalempatientmadmittedmlastmnight.”
4) “Thempatientmismcomplainingmofmchestmpain.”
m 11. m WhichmnursingmactionmexemplifiesmthemQualitymandmSafetymEducationmformNursingm(QSEN)mcomp
etencymofmsafety?
1) Advocatingmformampatientmwhomismexperiencingmpain
2) Consideringmthempatient’smculturemwhenmplanningmcare
3) Evaluatingmpatientmlearningmstylempriormtomimplementingmdischargeminstructions
4) Assessingmthemrightmdrugmpriormtomadministeringmamprescribedmpatientmmedication
m 12. m Whichmtypemofmnursingmismthemrootmofmallmothermnursingmpracticemareas?
1) Pediatricmnursing
2) Geriatricmnursing
3) Medical-surgicalm nursing
4) Mentalmhealth-psychiatricm nursing
m 13. m WhichmdidmthemNursingmExecutivemCentermofmThemAdvisorymBoardmidentifymasmanmacademic-
practicemgapmformnewmgraduatemnurses?
1) Patientmadvocacy
2) Patientmeducation
, 3) Diseasempathophysiology
4) Therapeuticmcommunication
m14.m Whichmstatementmregardingmthemusemofmthemnursingmprocessminmclinicalmpracticemismaccurate?
1) “Themnursingmprocessmismcloselymrelatedmtomclinicalmdecision-making.”
2) “Themnursingmprocessmismusedmbymallmmembersmofmtheminterprofessionalmteammtomplanmcare.”
3) “Themnursingmprocessmhasm4mbasicmsteps:massessment,mplanning,mimplement
ation,mevaluation.”
4) “Themnursingmprocessmismbeingmreplacedmbymthemimplementationmofmevidence-basedmpractice.”
m15. m Whichmismthembasismofmnursingmcarempracticesmandmprotocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
m16. m Whichmismamcommonmthememregardingmpatientmdissatisfactionmrelatedmtomcaremprovidedminmthemhospitalmsetting
?
1) Spaceminmhospitalmrooms
2) Medicationsmreceivedmtomtreatmpain
3) Timemspentmwithmthemhealth-caremteam
4) Poormqualitymfoodmreceivedmfrommdietary
m17.mThemnursemmanager mismpreparingmammedical-
surgicalmunitmformThemJointmCommissionm(TJC)mvisitmWithmthemnursemmanagermpresentingmstaffmeducat
ionmfocusingmonmTJCmbenchmarks,mwhichmofmthemfollowingmtopicsmwouldmbemmostmappropriate?
1) Implementationmofmevidence-basedmpractice
2) Implementationmofmpatient-cmenmtme Nr me Ud mR
cmaSreINGTB.CO
3) Implementationmofmmedicalmasepsismpractices
4) Implementationmofminterprofessionalmcare
m18.mWhichmaspectmofmpatient-
centeredmcaremshouldmthemnursemmanagermevaluatempriormtomThemJointmCommissionmsitemvisitmformaccr
editation?
1) Visitationmrights
2) Educationmlevelmofmstaff
3) Fallmpreventionmprotocol
4) Infectionmcontrolmpractices
m19.m The mmedical-
surgicalmnursemismprovidingmpatientmcare.mWhichmcircumstancemwouldmnecessitatemthemnursemveri
fyingmthempatient’smidentificationmusingmatmleastmtwomsources?
1) Priormtomdeliveringmammealmtray
2) Priormtompassivemrangemofmmotion
3) Priormtommedicationmadministration
4) Priormtomdocumentingminmthemmedicalmrecord
m20.mThemnursemismprovidingmcaremtomseveralmpatientsmon mammedical-
surgicalmunit.mWhichmsituationmwouldmnecessitatemthemnursemtomusemSBARmduringmthemhand-
offmprocess?
1) Woundmcare
2) Dischargemtomhome
3) Transfermtomradiology
4) Medicationmeducation
MultiplemResponse
m
Copyrightm2023mMedmCmFi
le
,Chapterm1:mFoundationsmformMedical-SurgicalmNursing
MultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersmthemquestion.
m 1.mThemmedical-
surgicalmnursemidentifiesmamclinicalmpracticemissuemandmwantsmtomdeter
minemifmtheremismsufficientmevidencemtomsupportmamchangeminmpractice
.mWhichmtypemofmstudymprovidesmthemstrongestmevidencemtomsupportma
practicemchange?
1) Randomizedmcontrolmstudy
2) Quasi-experimentalmstudy
3) Case-controlmstudy
4) Cohortmstudy
m 2. m Themmedical-surgicalmunitmrecentlymimplementedma mpatient-
centeredmcaremmodel.mWhichmactionmimplementedmby
themnursemsupportsmthismmodel?
1) Evaluatingmcare
2) Assessingmneeds
3) Diagnosingmproblems
4) Providingmcompassion
m 3.m Whichmactionmshouldmthe mnursemimplementmwhenmprovidingmpatientmcareminmordermtomsupportm
ThemJointmCommission’sm(TJC)mNationalmPatientmSafetymGoalsm(NPSG)?
1) Silencingmamcardiorespiratorymmonitor
2) Identifyingmeachmpatientmusingmonemsource
3) Determiningmpatientmsafetymissuesmuponmadmission
4) Decreasingmthemamountmofmpainmmedicationmadministered
m 4. mWhichminterprofessional mrolemdoesmthemnursemoftenmassumemwhenmprovidingmpatientmcareminmanm
acutemcaremsetting?
1) Socialmworker
2) Clientmadvocate
3) Caremcoordinator
4) Massagemtherapist
m 5. m Themmedical-
surgicalmnursemwantsmtomdeterminemifmampolicymchangemismneededmformanmidentifiedmclinicalmproblem.
Whichmismthemfirstmactionmthemnursemshouldmimplement?
1) Developingmamquestion
2) Disseminatingmthemfindings
3) Conductingmamreviewmofmthemliterature
4) Evaluatingmoutcomesmofmpracticemchange
,m 6.m Themnursemismevaluatingmthemlevelmofmevidencemfoundmduringmamrecentmreviewmofmthemliterature.mWhi
chmevidencemcarriesmthemlowestmlevelmofmsupportmformampracticemchange?
1) LevelmIV
2) LevelmV
3) LevelmVI
4) LevelmVII
m 7.m Themnursemismreviewingmevidencemfrommamquasi-
experimentalmresearchmstudy.mWhichmlevelmofmevidencemshouldmthemnursemidentifymformthismresearchmst
udy?
1) LevelmI
2) LevelmII
3) LevelmIII
4) LevelmIV
m 8.m Whichmlevelmofmevidencemshouldmthemnursemidentifymwhenmreviewingmevidencemfrommamsinglemdescriptiv
emresearchmstudy?
1) LevelmIV
2) LevelmV
3) LevelmVI
4) LevelmVII
m 9.m Whichmstatementmshouldmthemnursemmakemwhenmcommunicatingmthem“S”minmthemSBARmapproachmfo
rmeffectivemcommunication?
1) “Thempatientmpresentedmtomthememergencymdepartmentmatm0200mwithmlowermleftmabd
ominalmpain.”
2) “Thempatientmratedmthempainmuponmadmissionmasmam9monmam10-pointmnumericmscale.”
3) “Thempatientmhasm nom significantm iN
ssU
ueRs S
inIthNeGmTeB
di.
caC
lm hOimsMtmory.”
4) “Thempatientmwasmgivenmamprescribedmopioidmanalgesicmatm0300.”
m 10.m Themstaffmnursemismcommunicatingmwithmthemchangemnursemaboutmthemchangemofmstatusmofmthempatient.
m ThemnursemwouldmbeginmhermcommunicationmwithmwhichmstatementmifmcorrectlymusingmthemSBARmfo
rmat?
1) “Thempatient’smheartratemism110.”
2) “Imthinkmthismpatientmneedsmtombemtransferredmtomthemcriticalmcaremunit.”
3) “Thempatientmismam68-year-oldmmalempatientmadmittedmlastmnight.”
4) “Thempatientmismcomplainingmofmchestmpain.”
m 11. m WhichmnursingmactionmexemplifiesmthemQualitymandmSafetymEducationmformNursingm(QSEN)mcomp
etencymofmsafety?
1) Advocatingmformampatientmwhomismexperiencingmpain
2) Consideringmthempatient’smculturemwhenmplanningmcare
3) Evaluatingmpatientmlearningmstylempriormtomimplementingmdischargeminstructions
4) Assessingmthemrightmdrugmpriormtomadministeringmamprescribedmpatientmmedication
m 12. m Whichmtypemofmnursingmismthemrootmofmallmothermnursingmpracticemareas?
1) Pediatricmnursing
2) Geriatricmnursing
3) Medical-surgicalm nursing
4) Mentalmhealth-psychiatricm nursing
m 13. m WhichmdidmthemNursingmExecutivemCentermofmThemAdvisorymBoardmidentifymasmanmacademic-
practicemgapmformnewmgraduatemnurses?
1) Patientmadvocacy
2) Patientmeducation
, 3) Diseasempathophysiology
4) Therapeuticmcommunication
m14.m Whichmstatementmregardingmthemusemofmthemnursingmprocessminmclinicalmpracticemismaccurate?
1) “Themnursingmprocessmismcloselymrelatedmtomclinicalmdecision-making.”
2) “Themnursingmprocessmismusedmbymallmmembersmofmtheminterprofessionalmteammtomplanmcare.”
3) “Themnursingmprocessmhasm4mbasicmsteps:massessment,mplanning,mimplement
ation,mevaluation.”
4) “Themnursingmprocessmismbeingmreplacedmbymthemimplementationmofmevidence-basedmpractice.”
m15. m Whichmismthembasismofmnursingmcarempracticesmandmprotocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
m16. m Whichmismamcommonmthememregardingmpatientmdissatisfactionmrelatedmtomcaremprovidedminmthemhospitalmsetting
?
1) Spaceminmhospitalmrooms
2) Medicationsmreceivedmtomtreatmpain
3) Timemspentmwithmthemhealth-caremteam
4) Poormqualitymfoodmreceivedmfrommdietary
m17.mThemnursemmanager mismpreparingmammedical-
surgicalmunitmformThemJointmCommissionm(TJC)mvisitmWithmthemnursemmanagermpresentingmstaffmeducat
ionmfocusingmonmTJCmbenchmarks,mwhichmofmthemfollowingmtopicsmwouldmbemmostmappropriate?
1) Implementationmofmevidence-basedmpractice
2) Implementationmofmpatient-cmenmtme Nr me Ud mR
cmaSreINGTB.CO
3) Implementationmofmmedicalmasepsismpractices
4) Implementationmofminterprofessionalmcare
m18.mWhichmaspectmofmpatient-
centeredmcaremshouldmthemnursemmanagermevaluatempriormtomThemJointmCommissionmsitemvisitmformaccr
editation?
1) Visitationmrights
2) Educationmlevelmofmstaff
3) Fallmpreventionmprotocol
4) Infectionmcontrolmpractices
m19.m The mmedical-
surgicalmnursemismprovidingmpatientmcare.mWhichmcircumstancemwouldmnecessitatemthemnursemveri
fyingmthempatient’smidentificationmusingmatmleastmtwomsources?
1) Priormtomdeliveringmammealmtray
2) Priormtompassivemrangemofmmotion
3) Priormtommedicationmadministration
4) Priormtomdocumentingminmthemmedicalmrecord
m20.mThemnursemismprovidingmcaremtomseveralmpatientsmon mammedical-
surgicalmunit.mWhichmsituationmwouldmnecessitatemthemnursemtomusemSBARmduringmthemhand-
offmprocess?
1) Woundmcare
2) Dischargemtomhome
3) Transfermtomradiology
4) Medicationmeducation
MultiplemResponse
