Timby's Fundamental Nursing Skills and Concepts 12th Edition by Moreno Timby Test Bank
ChapterK1
NursingKFoundations
MultipleKChoice
K
IdentifyK theK choiceK thatK bestK completesK theK statementK orK answersK theK question.
1. TheKmedical-
surgicalKnurseKidentifiesKaKclinicalKpracticeKissueKandKwantsKtoKdetermineKifKthereKis
KsufficientKevidenceKtoKsupportKaKchangeKinKpractice.KWhichKtypeKofKstudyKprovides
KtheKstrongestKevidenceKtoKsupportKaKpracticeKchange?
• RandomizedK controlK study
• Quasi-experimentalK study
• Case-controlK study
• CohortK study
2. TheKmedical-surgicalKunitKrecentlyKimplementedKaKpatient-
centeredKcareKmodel.KWhichKactionKimplementedKbyKtheKnurseKsupportsKthisKmodel?
• EvaluatingK care
• AssessingK needs
• DiagnosingK problems
• ProvidingK compassion
3. WhichKactionKshouldKtheKnurseKimplementKwhenKprovidingKpatientKcareKinKorder
KtoKsupportKTheKJoint
Commission’sK (TJC)K NationalK PatientK SafetyK GoalsK (NPSG)?
• SilencingK aK cardiorespiratoryK monitor
• IdentifyingK eachK patientK usingK oneKsource
• DeterminingK patientK safetyK issuesK uponKadmission
• DecreasingK theK amountK ofK painK medicationKadministered
4. WhichKinterprofessionalKroleKdoesKtheKnurseKoftenKassume
KwhenKprovidingKpatientKcareKinKanKacuteKcareKsetting?
• SocialK worker
• ClientK advocate
• CareKcoordinator
• MassageK therapist
5. TheKmedical-
surgicalKnurseKwantsKtoKdetermineKifKaKpolicyKchangeKisKneededKforKanKidentifiedKclinicalKpro
blem.
WhichKisKtheKfirstKactionKtheKnurseKshouldKimplement?
• DevelopingK aK question
• DisseminatingK theK findings
• ConductingK aK reviewK ofK theKliterature
• EvaluatingK outcomesK ofK practiceKchange
, 6. TheKnurseKisKevaluatingKtheKlevelKofKevidenceKfoundKduringKaKrecen
tKreviewKofKtheKliterature.KWhichKevidenceKcarriesKtheKlowestKlevelKofKsupportKforKaKp
racticeKchange?
• LevelK IV
• LevelKV
• LevelKVI
• LevelKVII
7. TheKnurseKisKreviewingKevidenceKfromKaKquasi-
experimentalKresearchKstudy.KWhichKlevelKofKevidenceKshouldKtheKnurseKidentifyKfo
rKthisKresearchKstudy?
• LevelK I
• LevelK II
• LevelK III
• LevelK IV
8. WhichKlevelKofKevidenceKshouldKtheKnurseKidentifyKwhenKreviewing
evidenceKfromKaKsingleKdescriptiveKresearchKstudy?
K
• LevelK IV
• LevelKV
• LevelKVI
• LevelKVII
9. WhichKstatementKshouldKtheKnurseKmakeKwhenKcommunicatingKtheK“S”KinKth
eKSBARKapproachKforKeffective
communication?
• “TheKpatientKpresentedKtoKtheKemergencyKdepartmentKatK0200KwithKlowerKleftKabdomina
lKpain.”
• “TheK patientK ratedKtheK painK uponK admissionK asK aK 9KonK aK 10-pointK numericKscale.”
• “TheKpatientKhasK noKsignificantKissuesKinKtheKmedicalKhistory.”
• “TheK patientK wasK givenK aK prescribedK opioidK analgesicK atK0300.”
10. TheKstaffKnurseKisKcommunicatingKwithKtheKchangeKnurseKaboutKthe
KchangeKofKstatusKofKtheKpatient.KTheKnurseKwouldKbeginKherKcommunicationKwit
hKwhichKstatementKifKcorrectlyKusingKtheKSBARKformat?
• “TheKpatient’sK heartrateKisK110.”
• “IKthinkK thisK patientK needsK toK beKtransferredKtoKtheKcriticalKcareKunit.”
• “TheK patientK isK aK 68-year-oldK maleK patientK admittedK lastKnight.”
• “TheK patientK isK complainingK ofK chestKpain.”
11. WhichKnursingKactionKexemplifiesKtheKQualityKandKSafetyKEducation
KforKNursingK(QSEN)KcompetencyKofKsafety?
• AdvocatingK forK aK patientK whoK isK experiencingKpain
• ConsideringK theK patient’sK cultureK whenK planningKcare
• EvaluatingK patientK learningK styleK priorK toK implementingK dischargeKinstructions
• AssessingK theK rightK drugK priorK toK administeringK aK prescribedK patientKmedication
12. WhichK typeK ofK nursingK isK theK rootK ofK allK otherK nursingK practiceK areas?
• PediatricK nursing
, • GeriatricK nursing
• Medical-surgicalK nursing
• MentalK health-psychiatricK nursing
13. WhichKdidKtheKNursingKExecutiveKCenterKofKTheKAdvisoryKBoardKidentif
yKasKanKacademic-practiceKgapKforKnewKgraduateKnurses?
• PatientK advocacy
• PatientK education
• DiseaseK pathophysiology
• TherapeuticK communication
14. WhichKstatementKregardingKtheKuseKofKtheKnursingKprocessKinKclinicalKpracticeKi
sKaccurate?
• “TheK nursingK processK isK closelyK relatedK toK clinicalKdecision-making.”
• “TheK nursingK processK isK usedK byK allK membersK ofK theK interprofessionalK teamK toK planKcare.”
• “TheKnursingKprocessKhasK4KbasicKsteps:Kassessment,Kplanning,Kimplementation,
Kevaluation.”
• “TheKnursingKprocessKisKbeingKreplacedKbyKtheKimplementationKofKevidence-
basedKpractice.”
15. WhichKisKtheKbasisKofK nursingKcareKpracticesKandK protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. WhichKisKaKcommonKthemeKregardingKpatientKdissatisfactionKrelatedKtoKcareKprovided
inKtheKhospitalKsetting?
K
• SpaceK inK hospitalKrooms
• MedicationsK receivedK toK treatKpain
• TimeK spentK withK theK health-careKteam
• PoorK qualityK foodK receivedK fromKdietary
17. TheKnurseKmanagerKisKpreparingKaKmedical-
surgicalKunitKforKTheKJointKCommissionK(TJC)KvisitKWithKtheKnurseKmanagerKpresenti
ngKstaffKeducationKfocusingKonKTJCKbenchmarks,KwhichKofKtheKfollowingKtopicsKwou
ldKbeKmostKappropriate?
• ImplementationK ofK evidence-basedK practice
• ImplementationK ofK patient-centeredK care
• ImplementationK ofK medicalK asepsisK practices
• ImplementationK ofK interprofessionalK care
18. WhichKaspectKofKpatient-
centeredKcareKshouldKtheKnurseKmanagerKevaluateKpriorKtoKTheKJointKCommissionKsiteK
visitKforKaccreditation?
• VisitationKrights
• EducationK levelK ofKstaff
• FallK preventionK protocol
• InfectionK controlK practices
, 19. TheKmedical-
surgicalKnurseKisKprovidingKpatientKcare.KWhichKcircumstanceKwouldKnecessitateKtheKnurse
verifyingK theK patient’sK identificationK usingK atKleastK twoK sources?
• PriorK toK deliveringK aK mealKtray
• PriorK toK passiveK rangeK ofKmotion
• PriorK toK medicationK administration
• PriorK toK documentingK inK theK medicalKrecord
20. TheKnurseKisKprovidingKcareKtoKseveralKpatientsKonKaKmedical-
surgicalKunit.KWhichKsituationKwouldKnecessitateKtheKnurseKtoKuseKSBARKduringKthe
Khand-offKprocess?
• WoundKcare
• DischargeK toKhome
• TransferKtoKradiology
• MedicationKeducation
MultipleKResponse
K
IdentifyK oneK orK moreK choicesK thatK bestK completeK theK statementK orK answerK theK question.
21. TheKstaffKnurseKisKteachingKaKgroupKofKstudentKnursesKtheKsituationsKthatKnecessitat
eKhand-offKcommunication.
WhichKstudentKresponsesKindicateKtheKneedKforKfurtherKeducationKrelatedKtoKthisKproc
edure?KSelectKallKthatKapply.
• “AKhand-offK isK requiredK priorK toKadministeringK aKmedication.”
• “AKhand-offK isK requiredK duringK changeK ofKshift.”
• “AKhand-offK isK requiredK forK aK patientKisK transferredK toK theK surgicalKsuite.”
• “AKhand-offK isK requiredKwheneverK theK nurseK receivesK aK newK patientKassignment.”
• “AKhand-offK isK requiredK priorK toK familyK visitation.”
22. WhichKactionsKbyKtheKnurseKenhanceKpatientKsafetyKduringKmedication
administration?KSelectKallKthatKapply.
K
• AnsweringK theK callK bellK whileK transportingK medicationsK forK aK differentKpatient
• IdentifyingK theK patientK usingK twoK sourcesK priorK toK administeringK theKmedication
• HoldingKaK medicationKifK theK patient’sK diagnosisK doesK notK supportKitsKuse
• AdministeringK theK medicationK twoK hoursK afterK theK scheduledKtime
• HavingK anotherK nurseK verifyK theK prescribedK doseK ofK insulinK theK patientK isK toKreceive
23. TheKmedical-
surgicalKnurseKassumesKcareKforKaKpatientKwhoKisKreceivingKcontinuousKcar
diopulmonaryKmonitoring.KWhichKactionsKbyKtheKnurseKenhanceKsafetyKfor
KthisKpatient? KSelectKallKthatKapply.
• SilencingK theK alarmK duringK familyK visitation
• AssessingK theK alarmK parametersK atK theK startKofK theKshift
• RespondingK toK theK alarmKinK aK timelyKfashion
• DecreasingK theK alarmK volumeK toK enhanceK restfulKsleep
• AdjustingK alarmK parametersK basedK onK specifiedK practitionerKprescription
ChapterK1
NursingKFoundations
MultipleKChoice
K
IdentifyK theK choiceK thatK bestK completesK theK statementK orK answersK theK question.
1. TheKmedical-
surgicalKnurseKidentifiesKaKclinicalKpracticeKissueKandKwantsKtoKdetermineKifKthereKis
KsufficientKevidenceKtoKsupportKaKchangeKinKpractice.KWhichKtypeKofKstudyKprovides
KtheKstrongestKevidenceKtoKsupportKaKpracticeKchange?
• RandomizedK controlK study
• Quasi-experimentalK study
• Case-controlK study
• CohortK study
2. TheKmedical-surgicalKunitKrecentlyKimplementedKaKpatient-
centeredKcareKmodel.KWhichKactionKimplementedKbyKtheKnurseKsupportsKthisKmodel?
• EvaluatingK care
• AssessingK needs
• DiagnosingK problems
• ProvidingK compassion
3. WhichKactionKshouldKtheKnurseKimplementKwhenKprovidingKpatientKcareKinKorder
KtoKsupportKTheKJoint
Commission’sK (TJC)K NationalK PatientK SafetyK GoalsK (NPSG)?
• SilencingK aK cardiorespiratoryK monitor
• IdentifyingK eachK patientK usingK oneKsource
• DeterminingK patientK safetyK issuesK uponKadmission
• DecreasingK theK amountK ofK painK medicationKadministered
4. WhichKinterprofessionalKroleKdoesKtheKnurseKoftenKassume
KwhenKprovidingKpatientKcareKinKanKacuteKcareKsetting?
• SocialK worker
• ClientK advocate
• CareKcoordinator
• MassageK therapist
5. TheKmedical-
surgicalKnurseKwantsKtoKdetermineKifKaKpolicyKchangeKisKneededKforKanKidentifiedKclinicalKpro
blem.
WhichKisKtheKfirstKactionKtheKnurseKshouldKimplement?
• DevelopingK aK question
• DisseminatingK theK findings
• ConductingK aK reviewK ofK theKliterature
• EvaluatingK outcomesK ofK practiceKchange
, 6. TheKnurseKisKevaluatingKtheKlevelKofKevidenceKfoundKduringKaKrecen
tKreviewKofKtheKliterature.KWhichKevidenceKcarriesKtheKlowestKlevelKofKsupportKforKaKp
racticeKchange?
• LevelK IV
• LevelKV
• LevelKVI
• LevelKVII
7. TheKnurseKisKreviewingKevidenceKfromKaKquasi-
experimentalKresearchKstudy.KWhichKlevelKofKevidenceKshouldKtheKnurseKidentifyKfo
rKthisKresearchKstudy?
• LevelK I
• LevelK II
• LevelK III
• LevelK IV
8. WhichKlevelKofKevidenceKshouldKtheKnurseKidentifyKwhenKreviewing
evidenceKfromKaKsingleKdescriptiveKresearchKstudy?
K
• LevelK IV
• LevelKV
• LevelKVI
• LevelKVII
9. WhichKstatementKshouldKtheKnurseKmakeKwhenKcommunicatingKtheK“S”KinKth
eKSBARKapproachKforKeffective
communication?
• “TheKpatientKpresentedKtoKtheKemergencyKdepartmentKatK0200KwithKlowerKleftKabdomina
lKpain.”
• “TheK patientK ratedKtheK painK uponK admissionK asK aK 9KonK aK 10-pointK numericKscale.”
• “TheKpatientKhasK noKsignificantKissuesKinKtheKmedicalKhistory.”
• “TheK patientK wasK givenK aK prescribedK opioidK analgesicK atK0300.”
10. TheKstaffKnurseKisKcommunicatingKwithKtheKchangeKnurseKaboutKthe
KchangeKofKstatusKofKtheKpatient.KTheKnurseKwouldKbeginKherKcommunicationKwit
hKwhichKstatementKifKcorrectlyKusingKtheKSBARKformat?
• “TheKpatient’sK heartrateKisK110.”
• “IKthinkK thisK patientK needsK toK beKtransferredKtoKtheKcriticalKcareKunit.”
• “TheK patientK isK aK 68-year-oldK maleK patientK admittedK lastKnight.”
• “TheK patientK isK complainingK ofK chestKpain.”
11. WhichKnursingKactionKexemplifiesKtheKQualityKandKSafetyKEducation
KforKNursingK(QSEN)KcompetencyKofKsafety?
• AdvocatingK forK aK patientK whoK isK experiencingKpain
• ConsideringK theK patient’sK cultureK whenK planningKcare
• EvaluatingK patientK learningK styleK priorK toK implementingK dischargeKinstructions
• AssessingK theK rightK drugK priorK toK administeringK aK prescribedK patientKmedication
12. WhichK typeK ofK nursingK isK theK rootK ofK allK otherK nursingK practiceK areas?
• PediatricK nursing
, • GeriatricK nursing
• Medical-surgicalK nursing
• MentalK health-psychiatricK nursing
13. WhichKdidKtheKNursingKExecutiveKCenterKofKTheKAdvisoryKBoardKidentif
yKasKanKacademic-practiceKgapKforKnewKgraduateKnurses?
• PatientK advocacy
• PatientK education
• DiseaseK pathophysiology
• TherapeuticK communication
14. WhichKstatementKregardingKtheKuseKofKtheKnursingKprocessKinKclinicalKpracticeKi
sKaccurate?
• “TheK nursingK processK isK closelyK relatedK toK clinicalKdecision-making.”
• “TheK nursingK processK isK usedK byK allK membersK ofK theK interprofessionalK teamK toK planKcare.”
• “TheKnursingKprocessKhasK4KbasicKsteps:Kassessment,Kplanning,Kimplementation,
Kevaluation.”
• “TheKnursingKprocessKisKbeingKreplacedKbyKtheKimplementationKofKevidence-
basedKpractice.”
15. WhichKisKtheKbasisKofK nursingKcareKpracticesKandK protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. WhichKisKaKcommonKthemeKregardingKpatientKdissatisfactionKrelatedKtoKcareKprovided
inKtheKhospitalKsetting?
K
• SpaceK inK hospitalKrooms
• MedicationsK receivedK toK treatKpain
• TimeK spentK withK theK health-careKteam
• PoorK qualityK foodK receivedK fromKdietary
17. TheKnurseKmanagerKisKpreparingKaKmedical-
surgicalKunitKforKTheKJointKCommissionK(TJC)KvisitKWithKtheKnurseKmanagerKpresenti
ngKstaffKeducationKfocusingKonKTJCKbenchmarks,KwhichKofKtheKfollowingKtopicsKwou
ldKbeKmostKappropriate?
• ImplementationK ofK evidence-basedK practice
• ImplementationK ofK patient-centeredK care
• ImplementationK ofK medicalK asepsisK practices
• ImplementationK ofK interprofessionalK care
18. WhichKaspectKofKpatient-
centeredKcareKshouldKtheKnurseKmanagerKevaluateKpriorKtoKTheKJointKCommissionKsiteK
visitKforKaccreditation?
• VisitationKrights
• EducationK levelK ofKstaff
• FallK preventionK protocol
• InfectionK controlK practices
, 19. TheKmedical-
surgicalKnurseKisKprovidingKpatientKcare.KWhichKcircumstanceKwouldKnecessitateKtheKnurse
verifyingK theK patient’sK identificationK usingK atKleastK twoK sources?
• PriorK toK deliveringK aK mealKtray
• PriorK toK passiveK rangeK ofKmotion
• PriorK toK medicationK administration
• PriorK toK documentingK inK theK medicalKrecord
20. TheKnurseKisKprovidingKcareKtoKseveralKpatientsKonKaKmedical-
surgicalKunit.KWhichKsituationKwouldKnecessitateKtheKnurseKtoKuseKSBARKduringKthe
Khand-offKprocess?
• WoundKcare
• DischargeK toKhome
• TransferKtoKradiology
• MedicationKeducation
MultipleKResponse
K
IdentifyK oneK orK moreK choicesK thatK bestK completeK theK statementK orK answerK theK question.
21. TheKstaffKnurseKisKteachingKaKgroupKofKstudentKnursesKtheKsituationsKthatKnecessitat
eKhand-offKcommunication.
WhichKstudentKresponsesKindicateKtheKneedKforKfurtherKeducationKrelatedKtoKthisKproc
edure?KSelectKallKthatKapply.
• “AKhand-offK isK requiredK priorK toKadministeringK aKmedication.”
• “AKhand-offK isK requiredK duringK changeK ofKshift.”
• “AKhand-offK isK requiredK forK aK patientKisK transferredK toK theK surgicalKsuite.”
• “AKhand-offK isK requiredKwheneverK theK nurseK receivesK aK newK patientKassignment.”
• “AKhand-offK isK requiredK priorK toK familyK visitation.”
22. WhichKactionsKbyKtheKnurseKenhanceKpatientKsafetyKduringKmedication
administration?KSelectKallKthatKapply.
K
• AnsweringK theK callK bellK whileK transportingK medicationsK forK aK differentKpatient
• IdentifyingK theK patientK usingK twoK sourcesK priorK toK administeringK theKmedication
• HoldingKaK medicationKifK theK patient’sK diagnosisK doesK notK supportKitsKuse
• AdministeringK theK medicationK twoK hoursK afterK theK scheduledKtime
• HavingK anotherK nurseK verifyK theK prescribedK doseK ofK insulinK theK patientK isK toKreceive
23. TheKmedical-
surgicalKnurseKassumesKcareKforKaKpatientKwhoKisKreceivingKcontinuousKcar
diopulmonaryKmonitoring.KWhichKactionsKbyKtheKnurseKenhanceKsafetyKfor
KthisKpatient? KSelectKallKthatKapply.
• SilencingK theK alarmK duringK familyK visitation
• AssessingK theK alarmK parametersK atK theK startKofK theKshift
• RespondingK toK theK alarmKinK aK timelyKfashion
• DecreasingK theK alarmK volumeK toK enhanceK restfulKsleep
• AdjustingK alarmK parametersK basedK onK specifiedK practitionerKprescription
