8/29/23,79:137A Medical7Surgical7Nursing7Making7Connections7to7Practice72nd7Edition7Hof
M f…
Davis7Advantage7for7Medical-
Surgical7Nursing:7 Making7 Connections7 to7 Pr
actice7 2nd7edition7Hoffman7Sullivan7Test7Ban
k
Chapter7 1:7 Foundations7 for7 Medical-Surgical7 Nursing
Multiple7Choice
Identify7the7choice7that7best7completes7the7statement7or7answers7the7 question.
7 7777 1.7The7medical-
surgical7nurse7identifies7a7clinical7practice7issue7and7wants7to7determine7if7there7is7sufficient7evide
nce7to7support7a7change7in7practice.7Which7type7of7study7provides7the7strongest7evidence7to7suppo
rt7a7practice7change?
1) Randomized7control7study
2) Quasi-experimental7study
3) Case-control7study
4) Cohort7study
7 7777 2.7 The7medical-surgical7unit7recently7implemented7a7patient-
centered7care7model.7Which7action7implemented7by7the7nurse7supports7this7model?
1) Evaluating7care
2) Assessing7needs
3) Diagnosing7problems
4) Providing7compassion
7 7777 3.7 Which7action7should7the7nurse7implement7when7providing7patient7care7in7order7to7support7The7Joint
Commission9s7(TJC)7National7Patient7Safety7 Goals7(NPSG)?
1) Silencing7a7cardiorespiratory7 monitor
2) Identifying7each7patient7using7one7source
3) Determining7patient7safety7issues7upon7admission
4) Decreasing7the7amount7of7pain7 medication7administered
7
7777 4.7 Which7interprofessional7role7does7the7nurse7often7assume7when7 providing7p
atient7care7in7an7acute7care7setting?
1) Social7worker
2) Client7advocate
3) Care7coordinator
4) Massage7therapist
7 7777 5.7 The7medical-
surgical7nurse7wants7to7determine7if7a7policy7change7is7needed7for7an7 identified7clinical7problem.
Which7is7the7first7action7the7nurse7should7implement?
1) Developing7a7question
2) Disseminating7the7findings
3) Conducting7a7review7of7the7literature
4) Evaluating7outcomes7of7practice7change
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M f…
7
7777 6.7 The7nurse7is7evaluating7the7level7of7evidence7found7during7a7recent7review7of7t
he7literature.7Which7evidence7carries7the7lowest7level7of7support7for7a7practice7change?
1) Level7IV
2) Level7V
3) Level7VI
4) Level7VII
7 7777 7.7 The7nurse7is7reviewing7evidence7from7a7quasi-
experimental7research7study.7Which7level7of7evidence7should7the7nurse7identify7for7this7research7stud
y?
1) Level7I
2) Level7II
3) Level7III
4) Level7IV
7
7777 8.7 Which7level7of7evidence7should7the7nurse7identify7when7reviewing7evidence7from7
a7single7descriptive7research7study?
1) Level7IV
2) Level7V
3) Level7VI
4) Level7VII
7
7777 9.7 Which7statement7should7the7nurse7make7when7communicating7 the7<S=7in7the7SBAR7approach7for7effe
ctive
communication?
1) <The7patient7presented7to7the7emergency7department7at702007with7lower7left7abdominal
pain.=
2) <The7patient7rated7the7pain7upon7admission7as7a797 on7a710-point7numeric7scale.=
3) <The7patient7has7no7significant7issues7in7the7medical7history.=
4) <The7patient7was7given7a7prescribed7opioid7 analgesic7at70300.=
7
77 10.7 The7staff7nurse7is7communicating7with7 the7change7nurse7about7the7change7of7stat
us7of7the7patient.77The7nurse7would7begin7her7communication7with7which7statement7if7correctly7using
7the7SBAR7format?
1) <The7patient9s7heartrate7is7110.=
2) <I7think7this7patient7needs7to7be7transferred7to7the7critical7care7unit.=
3) <The7patient7is7a768-year-old7male7patient7admitted7last7night.=
4) <The7patient7is7complaining7of7chest7pain.=
7
77 11.7 Which7nursing7action7exemplifies7the7Quality7 and7Safety7Education7for7Nursin
g7(QSEN)7competency7 of7safety?
1) Advocating7for7a7patient7who7is7experiencing7 pain
2) Considering7the7patient9s7culture7when7planning7 care
3) Evaluating7patient7learning7style7prior7to7implementing7discharge7instructions
4) Assessing7the7right7drug7prior7to7administering7a7prescribed7patient7medication
7 77 12.7 Which7type7of7nursing7is7the7root7of7all7other7nursing7practice7areas?
1) Pediatric7nursing
2) Geriatric7nursing
3) Medical-surgical7nursing
4) Mental7health-psychiatric7nursing
7 77 13.7 Which7did7the7Nursing7Executive7Center7of7The7Advisory7Board7identify7as7an7academic-
practice7gap7for7new7graduate7nurses?
1) Patient7advocacy
2) Patient7education
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M f…
3) Disease7pathophysiology
4) Therapeutic7communication
7 77 14.7 Which7statement7regarding7the7use7of7the7nursing7process7in7clinical7practice7is7accurate?
1) <The7nursing7process7is7closely7related7to7 clinical7decision-making.=
2) <The7nursing7process7is7used7by7all7members7of7the7interprofessional7team7to7plan7care.=
3) <The7nursing7process7has747basic7steps:7assessment,7planning,7implementation,
evaluation.=
4) <The7nursing7process7is7being7replaced7by7the7implementation7of7evidence-based7practice.=
7 77 15.7 Which7is7the7basis7of7nursing7care7practices7and7protocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
7
77 16.7 Which7is7a7common7theme7regarding7patient7dissatisfaction7related7to7care7provided7in7the7hospital7setti
ng?
1) Space7in7hospital7rooms
2) Medications7received7to7treat7pain
3) Time7spent7with7the7health-care7team
4) Poor7quality7food7received7from7dietary
7 77 17.7 The7nurse7manager7is7preparing7a7medical-
surgical7unit7for7The7Joint7Commission7(TJC)7visit7With7the7nurse7manager7presenting7staff7education
7focusing7on7TJC7benchmarks,7which7of7the7following7topics7would7be7most7appropriate?
1) Implementation7of7evidence-based7practice
2) Implementation7of7patient-centered7care
3) Implementation7of7medical7asepsis7practices
4) Implementation7of7interprofessional7care
7 77 18.7 Which7aspect7of7patient-
centered7care7should7the7nurse7manager7evaluate7prior7to7The7Joint7Commission7site7visit7for7accredit
ation?
1) Visitation7rights
2) Education7level7of7staff
3) Fall7prevention7protocol
4) Infection7control7practices
7 77 19.7 The7medical-surgical7nurse7is7providing7patient7care.7Which7circumstance7would7necessitate7the7nurse
verifying7the7patient9s7identification7using7 at7least7two7sources?
1) Prior7to7delivering7a7meal7tray
2) Prior7to7passive7range7of7motion
3) Prior7to7medication7administration
4) Prior7to7documenting7in7the7medical7record
7 77 20.7 The7nurse7is7providing7care7to7several7patients7on7a7medical-
surgical7unit.7Which7situation7would7necessitate7the7nurse7to7use7SBAR7during7the7hand-off7process?
1) Wound7care
2) Discharge7to7home
3) Transfer7to7radiology
4) Medication7education
Multiple7Response
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, 8/29/23,79:137A Medical7Surgical7Nursing7Making7Connections7to7Practice72nd7Edition7Hof
M f…
Identify7one7or7more7choices7that7best7complete7the7statement7or7answer7the7question.
7 77 21.7 The7staff7nurse7is7teaching7a7group7of7student7nurses7the7situations7that7necessitate7hand-
off7communication.
Which7student7responses7indicate7the7need7for7further7education7related7to7this7procedure?7Select7al
l7that7apply.
1) <A7hand-off7is7required7prior7to7administering7a7medication.=
2) <A7hand-off7is7required7during7change7of7shift.=
3) <A7hand-off7is7required7for7a7patient7 is7transferred7to7the7surgical7suite.=
4) <A7hand-off7is7required7whenever7the7nurse7receives7a7new7patient7assignment.=
5) <A7hand-off7is7required7prior7to7family7 visitation.=
7
77 22.7 Which7actions7by7the7nurse7enhance7patient7safety7 during7medication7administration?7Select7all7that7app
ly.
1) Answering7the7call7bell7while7transporting7medications7for7a7different7patient
2) Identifying7the7patient7using7two7sources7prior7to7administering7the7medication
3) Holding7a7medication7if7the7patient9s7diagnosis7does7not7 support7its7use
4) Administering7the7medication7two7hours7after7the7scheduled7time
5) Having7another7nurse7verify7the7prescribed7dose7of7insulin7the7patient7is7to7receive
7 77 23.7 The7medical-
surgical7nurse7assumes7care7for7a7patient7who7is7receiving7continuous7cardiopulmonary7monito
ring.7Which7actions7by7the7nurse7enhance7safety7for7this7patient?7 Select7all7that7apply.
1) Silencing7the7alarm7during7family7visitation
2) Assessing7the7alarm7parameters7at7the7start7of7the7shift
3) Responding7to7the7alarm7in7a7timely7fashion
4) Decreasing7the7alarm7volume7to7enhance7restful7sleep
5) Adjusting7alarm7parameters7based7on7 specified7practitioner7prescription
77777777777 24.7The7nurse7is7planning7an7interprofessional7care7conference7for7a7patient7who7is7approaching7dis
charge7from7the7hospital.7Which7members7of7the7interprofessional7team7should7the7nurse7invite7to7at
tend?7Select7all7that7apply.
1) Physician
2) Pharmacist
3) Unit7secretary
4) Social7worker
5) Home7care7aide
7
77 25.7 The7nurse7manager7wants7to7designate7a7member7of7the7nursing7team7as7the7care7
coordinator7for7a7patient7who7will7require7significant7care7during7the7hospitalization.7Which7skills7shou
ld7this7nurse7possess7in7order7to7assume7this7role?7Select7all7that7apply.
1) Effective7clinical7reasoning
2) Effective7communication7skills
3) Effective7infection7control7procedures
4) Effective7documentation
5) Effective7intravenous7skills
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M f…
Davis7Advantage7for7Medical-
Surgical7Nursing:7 Making7 Connections7 to7 Pr
actice7 2nd7edition7Hoffman7Sullivan7Test7Ban
k
Chapter7 1:7 Foundations7 for7 Medical-Surgical7 Nursing
Multiple7Choice
Identify7the7choice7that7best7completes7the7statement7or7answers7the7 question.
7 7777 1.7The7medical-
surgical7nurse7identifies7a7clinical7practice7issue7and7wants7to7determine7if7there7is7sufficient7evide
nce7to7support7a7change7in7practice.7Which7type7of7study7provides7the7strongest7evidence7to7suppo
rt7a7practice7change?
1) Randomized7control7study
2) Quasi-experimental7study
3) Case-control7study
4) Cohort7study
7 7777 2.7 The7medical-surgical7unit7recently7implemented7a7patient-
centered7care7model.7Which7action7implemented7by7the7nurse7supports7this7model?
1) Evaluating7care
2) Assessing7needs
3) Diagnosing7problems
4) Providing7compassion
7 7777 3.7 Which7action7should7the7nurse7implement7when7providing7patient7care7in7order7to7support7The7Joint
Commission9s7(TJC)7National7Patient7Safety7 Goals7(NPSG)?
1) Silencing7a7cardiorespiratory7 monitor
2) Identifying7each7patient7using7one7source
3) Determining7patient7safety7issues7upon7admission
4) Decreasing7the7amount7of7pain7 medication7administered
7
7777 4.7 Which7interprofessional7role7does7the7nurse7often7assume7when7 providing7p
atient7care7in7an7acute7care7setting?
1) Social7worker
2) Client7advocate
3) Care7coordinator
4) Massage7therapist
7 7777 5.7 The7medical-
surgical7nurse7wants7to7determine7if7a7policy7change7is7needed7for7an7 identified7clinical7problem.
Which7is7the7first7action7the7nurse7should7implement?
1) Developing7a7question
2) Disseminating7the7findings
3) Conducting7a7review7of7the7literature
4) Evaluating7outcomes7of7practice7change
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M f…
7
7777 6.7 The7nurse7is7evaluating7the7level7of7evidence7found7during7a7recent7review7of7t
he7literature.7Which7evidence7carries7the7lowest7level7of7support7for7a7practice7change?
1) Level7IV
2) Level7V
3) Level7VI
4) Level7VII
7 7777 7.7 The7nurse7is7reviewing7evidence7from7a7quasi-
experimental7research7study.7Which7level7of7evidence7should7the7nurse7identify7for7this7research7stud
y?
1) Level7I
2) Level7II
3) Level7III
4) Level7IV
7
7777 8.7 Which7level7of7evidence7should7the7nurse7identify7when7reviewing7evidence7from7
a7single7descriptive7research7study?
1) Level7IV
2) Level7V
3) Level7VI
4) Level7VII
7
7777 9.7 Which7statement7should7the7nurse7make7when7communicating7 the7<S=7in7the7SBAR7approach7for7effe
ctive
communication?
1) <The7patient7presented7to7the7emergency7department7at702007with7lower7left7abdominal
pain.=
2) <The7patient7rated7the7pain7upon7admission7as7a797 on7a710-point7numeric7scale.=
3) <The7patient7has7no7significant7issues7in7the7medical7history.=
4) <The7patient7was7given7a7prescribed7opioid7 analgesic7at70300.=
7
77 10.7 The7staff7nurse7is7communicating7with7 the7change7nurse7about7the7change7of7stat
us7of7the7patient.77The7nurse7would7begin7her7communication7with7which7statement7if7correctly7using
7the7SBAR7format?
1) <The7patient9s7heartrate7is7110.=
2) <I7think7this7patient7needs7to7be7transferred7to7the7critical7care7unit.=
3) <The7patient7is7a768-year-old7male7patient7admitted7last7night.=
4) <The7patient7is7complaining7of7chest7pain.=
7
77 11.7 Which7nursing7action7exemplifies7the7Quality7 and7Safety7Education7for7Nursin
g7(QSEN)7competency7 of7safety?
1) Advocating7for7a7patient7who7is7experiencing7 pain
2) Considering7the7patient9s7culture7when7planning7 care
3) Evaluating7patient7learning7style7prior7to7implementing7discharge7instructions
4) Assessing7the7right7drug7prior7to7administering7a7prescribed7patient7medication
7 77 12.7 Which7type7of7nursing7is7the7root7of7all7other7nursing7practice7areas?
1) Pediatric7nursing
2) Geriatric7nursing
3) Medical-surgical7nursing
4) Mental7health-psychiatric7nursing
7 77 13.7 Which7did7the7Nursing7Executive7Center7of7The7Advisory7Board7identify7as7an7academic-
practice7gap7for7new7graduate7nurses?
1) Patient7advocacy
2) Patient7education
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M f…
3) Disease7pathophysiology
4) Therapeutic7communication
7 77 14.7 Which7statement7regarding7the7use7of7the7nursing7process7in7clinical7practice7is7accurate?
1) <The7nursing7process7is7closely7related7to7 clinical7decision-making.=
2) <The7nursing7process7is7used7by7all7members7of7the7interprofessional7team7to7plan7care.=
3) <The7nursing7process7has747basic7steps:7assessment,7planning,7implementation,
evaluation.=
4) <The7nursing7process7is7being7replaced7by7the7implementation7of7evidence-based7practice.=
7 77 15.7 Which7is7the7basis7of7nursing7care7practices7and7protocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
7
77 16.7 Which7is7a7common7theme7regarding7patient7dissatisfaction7related7to7care7provided7in7the7hospital7setti
ng?
1) Space7in7hospital7rooms
2) Medications7received7to7treat7pain
3) Time7spent7with7the7health-care7team
4) Poor7quality7food7received7from7dietary
7 77 17.7 The7nurse7manager7is7preparing7a7medical-
surgical7unit7for7The7Joint7Commission7(TJC)7visit7With7the7nurse7manager7presenting7staff7education
7focusing7on7TJC7benchmarks,7which7of7the7following7topics7would7be7most7appropriate?
1) Implementation7of7evidence-based7practice
2) Implementation7of7patient-centered7care
3) Implementation7of7medical7asepsis7practices
4) Implementation7of7interprofessional7care
7 77 18.7 Which7aspect7of7patient-
centered7care7should7the7nurse7manager7evaluate7prior7to7The7Joint7Commission7site7visit7for7accredit
ation?
1) Visitation7rights
2) Education7level7of7staff
3) Fall7prevention7protocol
4) Infection7control7practices
7 77 19.7 The7medical-surgical7nurse7is7providing7patient7care.7Which7circumstance7would7necessitate7the7nurse
verifying7the7patient9s7identification7using7 at7least7two7sources?
1) Prior7to7delivering7a7meal7tray
2) Prior7to7passive7range7of7motion
3) Prior7to7medication7administration
4) Prior7to7documenting7in7the7medical7record
7 77 20.7 The7nurse7is7providing7care7to7several7patients7on7a7medical-
surgical7unit.7Which7situation7would7necessitate7the7nurse7to7use7SBAR7during7the7hand-off7process?
1) Wound7care
2) Discharge7to7home
3) Transfer7to7radiology
4) Medication7education
Multiple7Response
about:blank 3/1206
, 8/29/23,79:137A Medical7Surgical7Nursing7Making7Connections7to7Practice72nd7Edition7Hof
M f…
Identify7one7or7more7choices7that7best7complete7the7statement7or7answer7the7question.
7 77 21.7 The7staff7nurse7is7teaching7a7group7of7student7nurses7the7situations7that7necessitate7hand-
off7communication.
Which7student7responses7indicate7the7need7for7further7education7related7to7this7procedure?7Select7al
l7that7apply.
1) <A7hand-off7is7required7prior7to7administering7a7medication.=
2) <A7hand-off7is7required7during7change7of7shift.=
3) <A7hand-off7is7required7for7a7patient7 is7transferred7to7the7surgical7suite.=
4) <A7hand-off7is7required7whenever7the7nurse7receives7a7new7patient7assignment.=
5) <A7hand-off7is7required7prior7to7family7 visitation.=
7
77 22.7 Which7actions7by7the7nurse7enhance7patient7safety7 during7medication7administration?7Select7all7that7app
ly.
1) Answering7the7call7bell7while7transporting7medications7for7a7different7patient
2) Identifying7the7patient7using7two7sources7prior7to7administering7the7medication
3) Holding7a7medication7if7the7patient9s7diagnosis7does7not7 support7its7use
4) Administering7the7medication7two7hours7after7the7scheduled7time
5) Having7another7nurse7verify7the7prescribed7dose7of7insulin7the7patient7is7to7receive
7 77 23.7 The7medical-
surgical7nurse7assumes7care7for7a7patient7who7is7receiving7continuous7cardiopulmonary7monito
ring.7Which7actions7by7the7nurse7enhance7safety7for7this7patient?7 Select7all7that7apply.
1) Silencing7the7alarm7during7family7visitation
2) Assessing7the7alarm7parameters7at7the7start7of7the7shift
3) Responding7to7the7alarm7in7a7timely7fashion
4) Decreasing7the7alarm7volume7to7enhance7restful7sleep
5) Adjusting7alarm7parameters7based7on7 specified7practitioner7prescription
77777777777 24.7The7nurse7is7planning7an7interprofessional7care7conference7for7a7patient7who7is7approaching7dis
charge7from7the7hospital.7Which7members7of7the7interprofessional7team7should7the7nurse7invite7to7at
tend?7Select7all7that7apply.
1) Physician
2) Pharmacist
3) Unit7secretary
4) Social7worker
5) Home7care7aide
7
77 25.7 The7nurse7manager7wants7to7designate7a7member7of7the7nursing7team7as7the7care7
coordinator7for7a7patient7who7will7require7significant7care7during7the7hospitalization.7Which7skills7shou
ld7this7nurse7possess7in7order7to7assume7this7role?7Select7all7that7apply.
1) Effective7clinical7reasoning
2) Effective7communication7skills
3) Effective7infection7control7procedures
4) Effective7documentation
5) Effective7intravenous7skills
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