TEST BANK
n
Copyright 2023 Med C File
,Chapter 1: Foundations for Medical-Surgical Nursing
n n n n n
MultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
n 1.nnThenmedical-
surgicalnnursenidentifiesnanclinicalnpracticenissuenandnwantsntondetermineni
fntherenisnsufficientnevidencentonsupportnanchangeninnpractice.nWhichntypen
ofnstudynprovidesnthenstrongestnevidencentonsupportnapracticenchange?
1) Randomizedncontrolnstudy
2) Quasi-experimentaln study
3) Case-controln study
4) Cohortnstudy
n 2.n Thenmedical-surgicalnunitnrecentlynimplementednanpatient-
centeredncarenmodel.nWhichnactionnimplementednby
thennursensupportsnthisnmodel?
1) Evaluatingncare
2) Assessingnneeds
3) Diagnosingnproblems
4) Providingncompassion
n 3.n WhichnactionnshouldnthennursenimplementnwhennprovidingnpatientncareninnorderntonsupportnThenJointn
Commission’sn(TJC)nNationalnPatientnSafetynGoalsn(NPSG)?
1) Silencingnancardiorespiratorynmonitor
2) Identifyingneachnpatientnusingnonensource
3) Determiningnpatientnsafetynissuesnuponnadmission
4) Decreasingnthenamountnofnpainnmedicationnadministered
n 4.nWhichninterprofessionalnrolendoesnthennursenoftennassumenwhennprovidingnpatientncareninnannacutencarens
etting?
1) Socialnworker
2) Clientnadvocate
3) Carencoordinator
4) Massagentherapist
n 5.n Thenmedical-surgicalnnursenwantsntondeterminenifnanpolicynchangenisnneedednfornannidentifiednclinicalnproblem.
Whichnisnthenfirstnactionnthennursenshouldnimplement?
1) Developingnanquestion
2) Disseminatingnthenfindings
3) Conductingnanreviewnofnthenliterature
4) Evaluatingnoutcomesnofnpracticenchange
,n 6.n Thennursenisnevaluatingnthenlevelnofnevidencenfoundnduringnanrecentnreviewnofnthenliterature.nWhichnevidencenc
arriesnthenlowestnlevelnofnsupportnfornanpracticenchange?
1) LevelnIV
2) LevelnV
3) LevelnVI
4) LevelnVII
n 7.n Thennursenisnreviewingnevidencenfromnanquasi-
experimentalnresearchnstudy.nWhichnlevelnofnevidencenshouldnthennursenidentifynfornthisnresearchnstudy?
1) LevelnI
2) LevelnII
3) LevelnIII
4) LevelnIV
n 8.n Whichnlevelnofnevidencenshouldnthennursenidentifynwhennreviewingnevidencenfromnansinglendescriptivenresearchns
tudy?
1) LevelnIV
2) LevelnV
3) LevelnVI
4) LevelnVII
n 9.n Whichnstatementnshouldnthennursenmakenwhenncommunicatingnthen“S”ninnthenSBARnapproachnforneffectivenc
ommunication?
1) “Thenpatientnpresentedntonthenemergencyndepartmentnatn0200nwithnlowernleftnabdominaln
pain.”
2) “Thenpatientnratednthenpainnuponnadmissionnasnan9nonnan10-pointnnumericnscale.”
3) “Thenpatientn hasn non significantn iN
ssU
ueRs S
inIthNeGmTeB
di.
caC
ln hOinsMtnory.”
4) “Thenpatientnwasngivennanprescribednopioidnanalgesicnatn0300.”
n 10.n Thenstaffnnursenisncommunicatingnwithnthenchangennursenaboutnthenchangenofnstatusnofnthenpatient.n Thennursen
wouldnbeginnherncommunicationnwithnwhichnstatementnifncorrectlynusingnthenSBARnformat?
1) “Thenpatient’snheartratenisn110.”
2) “Inthinknthisnpatientnneedsntonbentransferredntonthencriticalncarenunit.”
3) “Thenpatientnisnan68-year-oldnmalenpatientnadmittednlastnnight.”
4) “Thenpatientnisncomplainingnofnchestnpain.”
n 11.n WhichnnursingnactionnexemplifiesnthenQualitynandnSafetynEducationnfornNursingn(QSEN)ncompetencynofns
afety?
1) Advocatingnfornanpatientnwhonisnexperiencingnpain
2) Consideringnthenpatient’snculturenwhennplanningncare
3) Evaluatingnpatientnlearningnstylenpriorntonimplementingndischargeninstructions
4) Assessingnthenrightndrugnpriorntonadministeringnanprescribednpatientnmedication
n 12.n Whichntypenofnnursingnisnthenrootnofnallnothernnursingnpracticenareas?
1) Pediatricnnursing
2) Geriatricn nursing
3) Medical-surgicaln nursing
4) Mentaln health-psychiatricn nursing
n 13.n WhichndidnthenNursingnExecutivenCenternofnThenAdvisorynBoardnidentifynasnannacademic-
practicengapnfornnewngraduatennurses?
1) Patientnadvocacy
2) Patientneducation
, 3) Diseasenpathophysiology
4) Therapeuticn communication
n14.n Whichnstatementnregardingnthenusenofnthennursingnprocessninnclinicalnpracticenisnaccurate?
1) “Thennursingnprocessnisncloselynrelatedntonclinicalndecision-making.”
2) “Thennursingnprocessnisnusednbynallnmembersnofntheninterprofessionalnteamntonplanncare.”
3) “Thennursingnprocessnhasn4nbasicnsteps:nassessment,nplanning,nimplementation,n
evaluation.”
4) “Thennursingnprocessnisnbeingnreplacednbynthenimplementationnofnevidence-basednpractice.”
n15.n Whichnisnthenbasisnofnnursingncarenpracticesnandnprotocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
n16.n Whichnisnancommonnthemenregardingnpatientndissatisfactionnrelatedntoncarenprovidedninnthenhospitalnsetting?
1) Spaceninnhospitalnrooms
2) Medicationsnreceivedntontreatnpain
3) Timenspentnwithnthenhealth-carenteam
4) Poornqualitynfoodnreceivednfromndietary
n17.nThennursenmanagernisnpreparingnanmedical-
surgicalnunitnfornThenJointnCommissionn(TJC)nvisitnWithnthennursenmanagernpresentingnstaffneducationnfocus
ingnonnTJCnbenchmarks,nwhichnofnthenfollowingntopicsnwouldnbenmostnappropriate?
1) Implementationn ofn evidence-basedn practice
2) Implementationn ofn patient-cnenntne Nr ne Ud nR
cnaSreINGTB.CO
3) Implementationnofnmedicalnasepsisnpractices
4) Implementationn ofn interprofessionaln care
n18.nWhichnaspectnofnpatient-
centeredncarenshouldnthennursenmanagernevaluatenpriorntonThenJointnCommissionnsitenvisitnfornaccreditation?
1) Visitationnrights
2) Educationnlevelnofnstaff
3) Fallnpreventionnprotocol
4) Infectionncontrolnpractices
n19.n Thenmedical-
surgicalnnursenisnprovidingnpatientncare.nWhichncircumstancenwouldnnecessitatenthennursenverifyingnth
enpatient’snidentificationnusingnatnleastntwonsources?
1) Priorntondeliveringnanmealntray
2) Priorntonpassivenrangenofnmotion
3) Priorntonmedicationnadministration
4) Priorntondocumentingninnthenmedicalnrecord
n20.nThennursenisnprovidingncarentonseveralnpatientsnonnanmedical-
surgicalnunit.nWhichnsituationnwouldnnecessitatenthennursentonusenSBARnduringnthenhand-offnprocess?
1) Woundncare
2) Dischargentonhome
3) Transferntonradiology
4) Medicationneducation
MultiplenResponse
n
Copyright 2023 Med C File
,Chapter 1: Foundations for Medical-Surgical Nursing
n n n n n
MultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
n 1.nnThenmedical-
surgicalnnursenidentifiesnanclinicalnpracticenissuenandnwantsntondetermineni
fntherenisnsufficientnevidencentonsupportnanchangeninnpractice.nWhichntypen
ofnstudynprovidesnthenstrongestnevidencentonsupportnapracticenchange?
1) Randomizedncontrolnstudy
2) Quasi-experimentaln study
3) Case-controln study
4) Cohortnstudy
n 2.n Thenmedical-surgicalnunitnrecentlynimplementednanpatient-
centeredncarenmodel.nWhichnactionnimplementednby
thennursensupportsnthisnmodel?
1) Evaluatingncare
2) Assessingnneeds
3) Diagnosingnproblems
4) Providingncompassion
n 3.n WhichnactionnshouldnthennursenimplementnwhennprovidingnpatientncareninnorderntonsupportnThenJointn
Commission’sn(TJC)nNationalnPatientnSafetynGoalsn(NPSG)?
1) Silencingnancardiorespiratorynmonitor
2) Identifyingneachnpatientnusingnonensource
3) Determiningnpatientnsafetynissuesnuponnadmission
4) Decreasingnthenamountnofnpainnmedicationnadministered
n 4.nWhichninterprofessionalnrolendoesnthennursenoftennassumenwhennprovidingnpatientncareninnannacutencarens
etting?
1) Socialnworker
2) Clientnadvocate
3) Carencoordinator
4) Massagentherapist
n 5.n Thenmedical-surgicalnnursenwantsntondeterminenifnanpolicynchangenisnneedednfornannidentifiednclinicalnproblem.
Whichnisnthenfirstnactionnthennursenshouldnimplement?
1) Developingnanquestion
2) Disseminatingnthenfindings
3) Conductingnanreviewnofnthenliterature
4) Evaluatingnoutcomesnofnpracticenchange
,n 6.n Thennursenisnevaluatingnthenlevelnofnevidencenfoundnduringnanrecentnreviewnofnthenliterature.nWhichnevidencenc
arriesnthenlowestnlevelnofnsupportnfornanpracticenchange?
1) LevelnIV
2) LevelnV
3) LevelnVI
4) LevelnVII
n 7.n Thennursenisnreviewingnevidencenfromnanquasi-
experimentalnresearchnstudy.nWhichnlevelnofnevidencenshouldnthennursenidentifynfornthisnresearchnstudy?
1) LevelnI
2) LevelnII
3) LevelnIII
4) LevelnIV
n 8.n Whichnlevelnofnevidencenshouldnthennursenidentifynwhennreviewingnevidencenfromnansinglendescriptivenresearchns
tudy?
1) LevelnIV
2) LevelnV
3) LevelnVI
4) LevelnVII
n 9.n Whichnstatementnshouldnthennursenmakenwhenncommunicatingnthen“S”ninnthenSBARnapproachnforneffectivenc
ommunication?
1) “Thenpatientnpresentedntonthenemergencyndepartmentnatn0200nwithnlowernleftnabdominaln
pain.”
2) “Thenpatientnratednthenpainnuponnadmissionnasnan9nonnan10-pointnnumericnscale.”
3) “Thenpatientn hasn non significantn iN
ssU
ueRs S
inIthNeGmTeB
di.
caC
ln hOinsMtnory.”
4) “Thenpatientnwasngivennanprescribednopioidnanalgesicnatn0300.”
n 10.n Thenstaffnnursenisncommunicatingnwithnthenchangennursenaboutnthenchangenofnstatusnofnthenpatient.n Thennursen
wouldnbeginnherncommunicationnwithnwhichnstatementnifncorrectlynusingnthenSBARnformat?
1) “Thenpatient’snheartratenisn110.”
2) “Inthinknthisnpatientnneedsntonbentransferredntonthencriticalncarenunit.”
3) “Thenpatientnisnan68-year-oldnmalenpatientnadmittednlastnnight.”
4) “Thenpatientnisncomplainingnofnchestnpain.”
n 11.n WhichnnursingnactionnexemplifiesnthenQualitynandnSafetynEducationnfornNursingn(QSEN)ncompetencynofns
afety?
1) Advocatingnfornanpatientnwhonisnexperiencingnpain
2) Consideringnthenpatient’snculturenwhennplanningncare
3) Evaluatingnpatientnlearningnstylenpriorntonimplementingndischargeninstructions
4) Assessingnthenrightndrugnpriorntonadministeringnanprescribednpatientnmedication
n 12.n Whichntypenofnnursingnisnthenrootnofnallnothernnursingnpracticenareas?
1) Pediatricnnursing
2) Geriatricn nursing
3) Medical-surgicaln nursing
4) Mentaln health-psychiatricn nursing
n 13.n WhichndidnthenNursingnExecutivenCenternofnThenAdvisorynBoardnidentifynasnannacademic-
practicengapnfornnewngraduatennurses?
1) Patientnadvocacy
2) Patientneducation
, 3) Diseasenpathophysiology
4) Therapeuticn communication
n14.n Whichnstatementnregardingnthenusenofnthennursingnprocessninnclinicalnpracticenisnaccurate?
1) “Thennursingnprocessnisncloselynrelatedntonclinicalndecision-making.”
2) “Thennursingnprocessnisnusednbynallnmembersnofntheninterprofessionalnteamntonplanncare.”
3) “Thennursingnprocessnhasn4nbasicnsteps:nassessment,nplanning,nimplementation,n
evaluation.”
4) “Thennursingnprocessnisnbeingnreplacednbynthenimplementationnofnevidence-basednpractice.”
n15.n Whichnisnthenbasisnofnnursingncarenpracticesnandnprotocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
n16.n Whichnisnancommonnthemenregardingnpatientndissatisfactionnrelatedntoncarenprovidedninnthenhospitalnsetting?
1) Spaceninnhospitalnrooms
2) Medicationsnreceivedntontreatnpain
3) Timenspentnwithnthenhealth-carenteam
4) Poornqualitynfoodnreceivednfromndietary
n17.nThennursenmanagernisnpreparingnanmedical-
surgicalnunitnfornThenJointnCommissionn(TJC)nvisitnWithnthennursenmanagernpresentingnstaffneducationnfocus
ingnonnTJCnbenchmarks,nwhichnofnthenfollowingntopicsnwouldnbenmostnappropriate?
1) Implementationn ofn evidence-basedn practice
2) Implementationn ofn patient-cnenntne Nr ne Ud nR
cnaSreINGTB.CO
3) Implementationnofnmedicalnasepsisnpractices
4) Implementationn ofn interprofessionaln care
n18.nWhichnaspectnofnpatient-
centeredncarenshouldnthennursenmanagernevaluatenpriorntonThenJointnCommissionnsitenvisitnfornaccreditation?
1) Visitationnrights
2) Educationnlevelnofnstaff
3) Fallnpreventionnprotocol
4) Infectionncontrolnpractices
n19.n Thenmedical-
surgicalnnursenisnprovidingnpatientncare.nWhichncircumstancenwouldnnecessitatenthennursenverifyingnth
enpatient’snidentificationnusingnatnleastntwonsources?
1) Priorntondeliveringnanmealntray
2) Priorntonpassivenrangenofnmotion
3) Priorntonmedicationnadministration
4) Priorntondocumentingninnthenmedicalnrecord
n20.nThennursenisnprovidingncarentonseveralnpatientsnonnanmedical-
surgicalnunit.nWhichnsituationnwouldnnecessitatenthennursentonusenSBARnduringnthenhand-offnprocess?
1) Woundncare
2) Dischargentonhome
3) Transferntonradiology
4) Medicationneducation
MultiplenResponse
