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