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Chapter 1: Foundations for Medical-Surgical Nursing
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Multiple Choice
q
Identify the choice that best completes the statement or answers the question.
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1. The medical-surgical nurse identifies a clinical practice issue and wants to determine if there is
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sufficient evidence to support a change in practice. Which type of study provides the strongest evidence
q q q q q q q q q q q q q q q q
to support a practice change?
q q q q q
1) Randomized control study q q
2) Quasi-experimental study q
3) Case-control study q
4) Cohort study q
2. The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by
q q q q q q q q q q q q
the nurse supports this model?
q q q q q
1) Evaluating care q
2) Assessing needs q
3) Diagnosing problems q
4) Providing compassion q
3. Which action should the nurse implement when providing patient care in order to support The Joint
q q q q q q q q q q q q q q q
Commission‘s (TJC) National Patient Safety Goals (NPSG)?
q q q q q q q
1) Silencing a cardiorespiratory monitor q q q
2) Identifying each patient using one source q q q q q
3) Determining patient safety issues upon admission q q q q q
4) Decreasing the amount of pain medication administered q q q q q q
4. Which interprofessional role does the nurse often assume when providing patient care in an acute care
q q q q q q q q q q q q q q q
setting?q
1) Social worker q
2) Client advocate q
3) Care coordinator q
4) Massage therapist q
5. The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem.
q q q q q q q q q q q q q q q q
Which is the first action the nurse should implement?
q q q q q q q q q
1) Developing a question q q
2) Disseminating the findings q q
3) Conducting a review of the literature q q q q q
4) Evaluating outcomes of practice change q q q q
6. The nurse is evaluating the level of evidence found during a recent review of the literature. Which evidence
q q q q q q q q q q q q q q q q q
carries the lowest level of support for a practice change?
q q q q q q q q q q
1) Level IV q
2) Level V q
3) Level VI q
4) Level VII q
7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence should
q q q q q q q q q q q q q q
the nurse identify for this research study?
q q q q q q q
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1) Level I q
2) Level II q
3) Level III q
4) Level IV q
q 8. Which level of evidence should the nurse identify when reviewing evidence from a single descriptive
q q q q q q q q q q q q q q q
research study?
q q
1) Level IV q
2) Level V q
3) Level VI q
4) Level VII q
q 9. Which statement should the nurse make when communicating the ―S‖ in the SBAR approach for
q q q q q q q q q q q q q q q
effective communication?
q q
1) ―The patient presented to the emergency department at 0200 with lower left abdominal
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pain.‖ q
2) ―The patient rated the pain upon admission as a 9 on a 10-point numeric scale.‖
q q q q q q q q q q q q q q
3) ―The patient has no significant issues in the medical history.‖
q q q q q q q q q
4) ―The patient was given a prescribed opioid analgesic at 0300.‖
q q q q q q q q q
q 10. The staff nurse is communicating with the change nurse about the change of status of the patient. The
q q q q q q q q q q q q q q q q q q
nurse would begin her communication with which statement if correctly using the SBAR format?
q q q q q q q q q q q q q q
1) ―The patient‘s heartrate is 110.‖ q q q q
2) ―I think this patient needs to be transferred to the critical care unit.‖
q q q q q q q q q q q q
3) ―The patient is a 68-year-old male patient admitted last night.‖
q q q q q q q q q
4) ―The patient is complaining of chest pain.‖ q q q q q q
q 11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) competency
q q q q q q q q q q q q q
of safety?
q q
1) Advocating for a patient who is experiencing pain q q q q q q q
2) Considering the patient‘s culture when planning care q q q q q q
3) Evaluating patient learning style prior to implementing discharge instructions
q q q q q q q q
4) Assessing the right drug prior to administering a prescribed patient medication
q q q q q q q q q q
q 12. q Which type of nursing is the root of all other nursing practice areas?
q q q q q q q q q q q q q
1) Pediatric nursing q
2) Geriatric nursing q
3) Medical-surgical nursing q
4) Mental health-psychiatric nursing q q
q 13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for
q q q q q q q q q q q q q q q q
new graduate nurses?
q q q
1) Patient advocacy q
2) Patient education q
3) Disease pathophysiology q
4) Therapeutic communication q
q 14. q Which statement regarding the use of the nursing process in clinical practice is accurate?
q q q q q q q q q q q q q q
1) ―The nursing process is closely related to clinical decision-making.‖
q q q q q q q q
2) ―The nursing process is used by all members of the interprofessional team to plan care.‖
q q q q q q q q q q q q q q
3) ―The nursing process has 4 basic steps: assessment, planning, implementation, evaluation.‖
q q q q q q q q q q
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4) ―The nursing process is being replaced by the implementation of evidence-based practice.‖
q q q q q q q q q q q
q 15. q Which is the basis of nursing care practices and protocols?
q q q q q q q q q q
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
q 16. q Which is a common theme regarding patient dissatisfaction related to care provided in the hospital setting?
q q q q q q q q q q q q q q q q
1) Space in hospital rooms q q q
2) Medications received to treat pain q q q q
3) Time spent with the health-care team q q q q q
4) Poor quality food received from dietary
q q q q q
q 17. The nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit With the
q q q q q q q q q q q q q q q q
nurse manager presenting staff education focusing on TJC benchmarks, which of the following topics
q q q q q q q q q q q q q q
would be most appropriate?
q q q q
1) Implementation of evidence-based practice q q q
2) Implementation of patient-centered care q q q
3) Implementation of medical asepsis practices q q q q
4) Implementation of interprofessional care q q q
q 18. Which aspect of patient-centered care should the nurse manager evaluate prior to The Joint Commission
q q q q q q q q q q q q q q q
site visit for accreditation?
q q q q
1) Visitation rights q
2) Education level of staff q q q
3) Fall prevention protocol q q
4) Infection control practices q q
q 19. The medical-surgical nurse is providing patient care. Which circumstance would necessitate the
q q q q q q q q q q q q
nurse verifying the patient‘s identification using at least two sources?
q q q q q q q q q q
1) Prior to delivering a meal tray q q q q q
2) Prior to passive range of motion q q q q q
3) Prior to medication administration q q q
4) Prior to documenting in the medical record q q q q q q
q 20. The nurse is providing care to several patients on a medical-surgical unit. Which situation would
q q q q q q q q q q q q q q q
necessitate the nurse to use SBAR during the hand-off process?
q q q q q q q q q q
1) Wound care q
2) Discharge to home q q
3) Transfer to radiology q q
4) Medication education q
Multiple Response
q
Identify one or more choices that best complete the statement or answer the question.
q q q q q q q q q q q q q
q 21. q The staff nurse is teaching a group of student nurses the situations that necessitate hand-off communication.
q q q q q q q q q q q q q q q q
Which student responses indicate the need for further education related to this procedure? Select all that
q q q q q q q q q q q q q q q
qapply.
1) ―A hand-off is required prior to administering a medication.‖
q q q q q q q q
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Distribution of this document is illegal
Material
Downloaded qby: qSophiie q|
Distribution of this document is illegal
, Stuvia.com q- qThe qMarketplace qto qBuy qand qSell qyour qStudy
Material
Chapter 1: Foundations for Medical-Surgical Nursing
q q q q q
Multiple Choice
q
Identify the choice that best completes the statement or answers the question.
q q q q q q q q q q q
1. The medical-surgical nurse identifies a clinical practice issue and wants to determine if there is
q q q q q q q q q q q q q q
sufficient evidence to support a change in practice. Which type of study provides the strongest evidence
q q q q q q q q q q q q q q q q
to support a practice change?
q q q q q
1) Randomized control study q q
2) Quasi-experimental study q
3) Case-control study q
4) Cohort study q
2. The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by
q q q q q q q q q q q q
the nurse supports this model?
q q q q q
1) Evaluating care q
2) Assessing needs q
3) Diagnosing problems q
4) Providing compassion q
3. Which action should the nurse implement when providing patient care in order to support The Joint
q q q q q q q q q q q q q q q
Commission‘s (TJC) National Patient Safety Goals (NPSG)?
q q q q q q q
1) Silencing a cardiorespiratory monitor q q q
2) Identifying each patient using one source q q q q q
3) Determining patient safety issues upon admission q q q q q
4) Decreasing the amount of pain medication administered q q q q q q
4. Which interprofessional role does the nurse often assume when providing patient care in an acute care
q q q q q q q q q q q q q q q
setting?q
1) Social worker q
2) Client advocate q
3) Care coordinator q
4) Massage therapist q
5. The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem.
q q q q q q q q q q q q q q q q
Which is the first action the nurse should implement?
q q q q q q q q q
1) Developing a question q q
2) Disseminating the findings q q
3) Conducting a review of the literature q q q q q
4) Evaluating outcomes of practice change q q q q
6. The nurse is evaluating the level of evidence found during a recent review of the literature. Which evidence
q q q q q q q q q q q q q q q q q
carries the lowest level of support for a practice change?
q q q q q q q q q q
1) Level IV q
2) Level V q
3) Level VI q
4) Level VII q
7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence should
q q q q q q q q q q q q q q
the nurse identify for this research study?
q q q q q q q
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Distribution of this document is illegal
, Stuvia.com q- qThe qMarketplace qto qBuy qand qSell qyour qStudy
Material
1) Level I q
2) Level II q
3) Level III q
4) Level IV q
q 8. Which level of evidence should the nurse identify when reviewing evidence from a single descriptive
q q q q q q q q q q q q q q q
research study?
q q
1) Level IV q
2) Level V q
3) Level VI q
4) Level VII q
q 9. Which statement should the nurse make when communicating the ―S‖ in the SBAR approach for
q q q q q q q q q q q q q q q
effective communication?
q q
1) ―The patient presented to the emergency department at 0200 with lower left abdominal
q q q q q q q q q q q q
pain.‖ q
2) ―The patient rated the pain upon admission as a 9 on a 10-point numeric scale.‖
q q q q q q q q q q q q q q
3) ―The patient has no significant issues in the medical history.‖
q q q q q q q q q
4) ―The patient was given a prescribed opioid analgesic at 0300.‖
q q q q q q q q q
q 10. The staff nurse is communicating with the change nurse about the change of status of the patient. The
q q q q q q q q q q q q q q q q q q
nurse would begin her communication with which statement if correctly using the SBAR format?
q q q q q q q q q q q q q q
1) ―The patient‘s heartrate is 110.‖ q q q q
2) ―I think this patient needs to be transferred to the critical care unit.‖
q q q q q q q q q q q q
3) ―The patient is a 68-year-old male patient admitted last night.‖
q q q q q q q q q
4) ―The patient is complaining of chest pain.‖ q q q q q q
q 11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) competency
q q q q q q q q q q q q q
of safety?
q q
1) Advocating for a patient who is experiencing pain q q q q q q q
2) Considering the patient‘s culture when planning care q q q q q q
3) Evaluating patient learning style prior to implementing discharge instructions
q q q q q q q q
4) Assessing the right drug prior to administering a prescribed patient medication
q q q q q q q q q q
q 12. q Which type of nursing is the root of all other nursing practice areas?
q q q q q q q q q q q q q
1) Pediatric nursing q
2) Geriatric nursing q
3) Medical-surgical nursing q
4) Mental health-psychiatric nursing q q
q 13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for
q q q q q q q q q q q q q q q q
new graduate nurses?
q q q
1) Patient advocacy q
2) Patient education q
3) Disease pathophysiology q
4) Therapeutic communication q
q 14. q Which statement regarding the use of the nursing process in clinical practice is accurate?
q q q q q q q q q q q q q q
1) ―The nursing process is closely related to clinical decision-making.‖
q q q q q q q q
2) ―The nursing process is used by all members of the interprofessional team to plan care.‖
q q q q q q q q q q q q q q
3) ―The nursing process has 4 basic steps: assessment, planning, implementation, evaluation.‖
q q q q q q q q q q
Downloaded qby: qSophiie q|
Distribution of this document is illegal
, Stuvia.com q- qThe qMarketplace qto qBuy qand qSell qyour qStudy
Material
4) ―The nursing process is being replaced by the implementation of evidence-based practice.‖
q q q q q q q q q q q
q 15. q Which is the basis of nursing care practices and protocols?
q q q q q q q q q q
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
q 16. q Which is a common theme regarding patient dissatisfaction related to care provided in the hospital setting?
q q q q q q q q q q q q q q q q
1) Space in hospital rooms q q q
2) Medications received to treat pain q q q q
3) Time spent with the health-care team q q q q q
4) Poor quality food received from dietary
q q q q q
q 17. The nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit With the
q q q q q q q q q q q q q q q q
nurse manager presenting staff education focusing on TJC benchmarks, which of the following topics
q q q q q q q q q q q q q q
would be most appropriate?
q q q q
1) Implementation of evidence-based practice q q q
2) Implementation of patient-centered care q q q
3) Implementation of medical asepsis practices q q q q
4) Implementation of interprofessional care q q q
q 18. Which aspect of patient-centered care should the nurse manager evaluate prior to The Joint Commission
q q q q q q q q q q q q q q q
site visit for accreditation?
q q q q
1) Visitation rights q
2) Education level of staff q q q
3) Fall prevention protocol q q
4) Infection control practices q q
q 19. The medical-surgical nurse is providing patient care. Which circumstance would necessitate the
q q q q q q q q q q q q
nurse verifying the patient‘s identification using at least two sources?
q q q q q q q q q q
1) Prior to delivering a meal tray q q q q q
2) Prior to passive range of motion q q q q q
3) Prior to medication administration q q q
4) Prior to documenting in the medical record q q q q q q
q 20. The nurse is providing care to several patients on a medical-surgical unit. Which situation would
q q q q q q q q q q q q q q q
necessitate the nurse to use SBAR during the hand-off process?
q q q q q q q q q q
1) Wound care q
2) Discharge to home q q
3) Transfer to radiology q q
4) Medication education q
Multiple Response
q
Identify one or more choices that best complete the statement or answer the question.
q q q q q q q q q q q q q
q 21. q The staff nurse is teaching a group of student nurses the situations that necessitate hand-off communication.
q q q q q q q q q q q q q q q q
Which student responses indicate the need for further education related to this procedure? Select all that
q q q q q q q q q q q q q q q
qapply.
1) ―A hand-off is required prior to administering a medication.‖
q q q q q q q q
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Distribution of this document is illegal
