MEDICAL SURGICAL NURSING
PRACTICE EXAMS REVIEWS
Med Surg nurses - CORRECT ANSWER-To ensure patient safety as the priority in
practice
Scope of Med Surg - CORRECT ANSWER-Requires specialized knowledge and clinical
skills to manage actual or potential health problems
Institute of Medicine - CORRECT ANSWER-Publicized preventable deaths and ways to
prevent errors
NPSG's - CORRECT ANSWER-Goals require health care organization focus on specific
priority safety practices, involves establishing nursing and health systems
-Address high risk issues such as safe drug administration effectiveness or falls
The Joint Commission - CORRECT ANSWER-Offer peer evaluation for accreditation
every 3 years
Published 1st annual National Patient Safety Goals
-Speak up campaign
IHI - CORRECT ANSWER-Protect patients from incidents of medical harm
-Created the Rapid response team: decrease risk of harm by providing care before
respiratory or cardiac arrest
-ICU nurse, respiratory therapist, intensivist, or hospitalist
IOM - CORRECT ANSWER-Published a report called Heath professions Education: A
bridge to quality- identified 5 core competencies for health care professionals to ensure
pt safety
QSEN Core Compentencies - CORRECT ANSWER--Patient centered care (Speak up)
-Teamwork and Collaboration (SBAR)
-Evidence based practice
-Quality improvement
,-Safety
-Informatics
KSA's - CORRECT ANSWER--QSEN created specific knowledge, skills and attitudes
-Focus on communication, compassion, culture, patient education, and zempowerment
zand zrespect zfor zpatients zand zfamilies
QSEN z- zCORRECT zANSWER-Validated zthe zIOM zcompetencies zand zadded zsafety
SBAR z- zCORRECT zANSWER-Formal zmethod zof zcommunication zbetween z2 zor zmore
zmembers zof zhealth zcare zteam- z4 zsteps
Situation- zwhat zis zhappening
Background- zexplain zrelevant zbackground zinfo
zAssessments- zprovide zan zanalysis zof zthe
zproblem zRecommendation- zstate zwhat zis
zneeded zor zdesired
Delegation z- zCORRECT zANSWER-Nurse zis zalways zaccountable zfor zthe ztask
zdelegated
Supervision z- zCORRECT zANSWER-Guidance zor zdirection, zevaluation, zand zfollow zup
5 zrights zof zdelegation zand zsupervision z- zCORRECT zANSWER-Right ztask
zRight zcircumstances
Right zcommunication
zRight zperson
Right zsupervision
Maxson z- zCORRECT zANSWER-Process zfor zshift zreporting zfrom zone znurse zto
zanother zdosing zbedside zrounds
Evidence-based zpractice z- zCORRECT zANSWER-Integration zof zthe zbest zcurrent
zevidence zto zmake zdecisions zabout zpatient zcare
Quality zimprovement z- zCORRECT zANSWER-Med zsurge znurses zidentify zindicators zto
zmonitor zquality zand zeffectiveness zof znursing zcare
-Collect zdate zto zmonitor zthe zquality zand zeffectiveness zof znursing zcare
-Implement zactivities zto zimprove zthe zquality zof znursing zcare
Informatics z- zCORRECT zANSWER-Involves zusing zinfo zand ztechnology zto
zcommunicate, zmanage zknowledge, zmitigate zerror, zand zsupport zdecision zmaking
-Emphasis zof zthe zKSA's zis zdocumentation, zelectronic zdate, zand zdata zutilization
National zCouncil zof zStage zBoards zof zNursing z- zCORRECT zANSWER-Published
zfinds zof zan zextensive zstudy zof znursing zpractice
-Medication zadministration, zcommunicating zpatient zdata zand zclinical zassessments,
zattentiveness, zclinical zreasoning, zprevention zof zerrors, zintervention, zinterpretation zof
zorders, zprofessional zresponsibility zand zpatient zadvocacy, zand zmandatory zreporting
, Autonomy z- zCORRECT zANSWER-Self zdetermination zor zself zmanagement
Beneficence z- zCORRECT zANSWER-Promotes zpositive zactions; zto zdo zgood
Nonmaleficence z- zCORRECT zANSWER-Prevent zharm
Fidelity z- zCORRECT zANSWER-Keep zobligations zor zpromises
Veracity z- zCORRECT zANSWER-Obligated zto ztell zthe ztruth
Social zJustice z- zCORRECT zANSWER-Equality zand zfairness
Case zmanagement z- zCORRECT zANSWER-Provide zquality zand zcost zeffective
zservices zand zresources zto zachieve zpositive zoutcomes
-Coordinates zinpatient zand zcommunity zbased zcare zbefore zdischarge
National zPatient zSafety zGoal z- zCORRECT zANSWER-Mandated zthat znurses
zcontinue zpatient zeducation zto zpost zdischarge zcaregivers, zpain zmanagement zor
zrespiratory zsupport
CMS z- zCORRECT zANSWER-Quality zmeasures zare zreported zdata zthat zis zused zfor
ztracking zpt zoutcomes zand zensuring zpatient zcentered zcare zand zaccountability
Joint zCommission z- zCORRECT zANSWER-Developed za zplan zfor zthe zreduction
zand zeventual zelimination zof zpreventable zsurgical zcomplications zknown zas
zsurgical zcare zimprovement zproject z(SCIP)
-NPSG's zrequire zto zprovide zinfo zabout zinformed zconsent, zdietary zrestrictions
zand zpreparation zfor zsurgery; zverify zcorrect zsite
SCIP z- zCORRECT zANSWER-Focuses zon zinfection zprevention, zprevention zof zserious
zcardiac zevents, zand zprevention zof zvenous zthromboembolism
-Require zprophylaxis
Pre zop z- zCORRECT zANSWER-Begins zwhen zpatient zis zscheduled zfor zsurgery zand
zends zat zthe ztime zof ztransfer zto zsurgical zsuite
-Emphasis zon zsafety, zadvocacy, zand zpatient zeducation
-Focuses zon zpreparing zpatient zfor zsurgery zand zensure zpatient zsafety
-Inpatient zcommunication zand zcollaboration zare zessential z(NPSG's)
Outpatient z- zCORRECT zANSWER-Patient zwho zgoes zto zsurgical zarea zthe zday zof
zsurgery zand zreturns zhome zsame zday
Beta zblocking zdrugs z- zCORRECT zANSWER-Peri zoperative ztherapy zfor zcardiac
zdisease
Carboxyhemoglobin z- zCORRECT zANSWER-Smoking zincreases zblood zlevel
-Decreases zO2 zto zorgans
PRACTICE EXAMS REVIEWS
Med Surg nurses - CORRECT ANSWER-To ensure patient safety as the priority in
practice
Scope of Med Surg - CORRECT ANSWER-Requires specialized knowledge and clinical
skills to manage actual or potential health problems
Institute of Medicine - CORRECT ANSWER-Publicized preventable deaths and ways to
prevent errors
NPSG's - CORRECT ANSWER-Goals require health care organization focus on specific
priority safety practices, involves establishing nursing and health systems
-Address high risk issues such as safe drug administration effectiveness or falls
The Joint Commission - CORRECT ANSWER-Offer peer evaluation for accreditation
every 3 years
Published 1st annual National Patient Safety Goals
-Speak up campaign
IHI - CORRECT ANSWER-Protect patients from incidents of medical harm
-Created the Rapid response team: decrease risk of harm by providing care before
respiratory or cardiac arrest
-ICU nurse, respiratory therapist, intensivist, or hospitalist
IOM - CORRECT ANSWER-Published a report called Heath professions Education: A
bridge to quality- identified 5 core competencies for health care professionals to ensure
pt safety
QSEN Core Compentencies - CORRECT ANSWER--Patient centered care (Speak up)
-Teamwork and Collaboration (SBAR)
-Evidence based practice
-Quality improvement
,-Safety
-Informatics
KSA's - CORRECT ANSWER--QSEN created specific knowledge, skills and attitudes
-Focus on communication, compassion, culture, patient education, and zempowerment
zand zrespect zfor zpatients zand zfamilies
QSEN z- zCORRECT zANSWER-Validated zthe zIOM zcompetencies zand zadded zsafety
SBAR z- zCORRECT zANSWER-Formal zmethod zof zcommunication zbetween z2 zor zmore
zmembers zof zhealth zcare zteam- z4 zsteps
Situation- zwhat zis zhappening
Background- zexplain zrelevant zbackground zinfo
zAssessments- zprovide zan zanalysis zof zthe
zproblem zRecommendation- zstate zwhat zis
zneeded zor zdesired
Delegation z- zCORRECT zANSWER-Nurse zis zalways zaccountable zfor zthe ztask
zdelegated
Supervision z- zCORRECT zANSWER-Guidance zor zdirection, zevaluation, zand zfollow zup
5 zrights zof zdelegation zand zsupervision z- zCORRECT zANSWER-Right ztask
zRight zcircumstances
Right zcommunication
zRight zperson
Right zsupervision
Maxson z- zCORRECT zANSWER-Process zfor zshift zreporting zfrom zone znurse zto
zanother zdosing zbedside zrounds
Evidence-based zpractice z- zCORRECT zANSWER-Integration zof zthe zbest zcurrent
zevidence zto zmake zdecisions zabout zpatient zcare
Quality zimprovement z- zCORRECT zANSWER-Med zsurge znurses zidentify zindicators zto
zmonitor zquality zand zeffectiveness zof znursing zcare
-Collect zdate zto zmonitor zthe zquality zand zeffectiveness zof znursing zcare
-Implement zactivities zto zimprove zthe zquality zof znursing zcare
Informatics z- zCORRECT zANSWER-Involves zusing zinfo zand ztechnology zto
zcommunicate, zmanage zknowledge, zmitigate zerror, zand zsupport zdecision zmaking
-Emphasis zof zthe zKSA's zis zdocumentation, zelectronic zdate, zand zdata zutilization
National zCouncil zof zStage zBoards zof zNursing z- zCORRECT zANSWER-Published
zfinds zof zan zextensive zstudy zof znursing zpractice
-Medication zadministration, zcommunicating zpatient zdata zand zclinical zassessments,
zattentiveness, zclinical zreasoning, zprevention zof zerrors, zintervention, zinterpretation zof
zorders, zprofessional zresponsibility zand zpatient zadvocacy, zand zmandatory zreporting
, Autonomy z- zCORRECT zANSWER-Self zdetermination zor zself zmanagement
Beneficence z- zCORRECT zANSWER-Promotes zpositive zactions; zto zdo zgood
Nonmaleficence z- zCORRECT zANSWER-Prevent zharm
Fidelity z- zCORRECT zANSWER-Keep zobligations zor zpromises
Veracity z- zCORRECT zANSWER-Obligated zto ztell zthe ztruth
Social zJustice z- zCORRECT zANSWER-Equality zand zfairness
Case zmanagement z- zCORRECT zANSWER-Provide zquality zand zcost zeffective
zservices zand zresources zto zachieve zpositive zoutcomes
-Coordinates zinpatient zand zcommunity zbased zcare zbefore zdischarge
National zPatient zSafety zGoal z- zCORRECT zANSWER-Mandated zthat znurses
zcontinue zpatient zeducation zto zpost zdischarge zcaregivers, zpain zmanagement zor
zrespiratory zsupport
CMS z- zCORRECT zANSWER-Quality zmeasures zare zreported zdata zthat zis zused zfor
ztracking zpt zoutcomes zand zensuring zpatient zcentered zcare zand zaccountability
Joint zCommission z- zCORRECT zANSWER-Developed za zplan zfor zthe zreduction
zand zeventual zelimination zof zpreventable zsurgical zcomplications zknown zas
zsurgical zcare zimprovement zproject z(SCIP)
-NPSG's zrequire zto zprovide zinfo zabout zinformed zconsent, zdietary zrestrictions
zand zpreparation zfor zsurgery; zverify zcorrect zsite
SCIP z- zCORRECT zANSWER-Focuses zon zinfection zprevention, zprevention zof zserious
zcardiac zevents, zand zprevention zof zvenous zthromboembolism
-Require zprophylaxis
Pre zop z- zCORRECT zANSWER-Begins zwhen zpatient zis zscheduled zfor zsurgery zand
zends zat zthe ztime zof ztransfer zto zsurgical zsuite
-Emphasis zon zsafety, zadvocacy, zand zpatient zeducation
-Focuses zon zpreparing zpatient zfor zsurgery zand zensure zpatient zsafety
-Inpatient zcommunication zand zcollaboration zare zessential z(NPSG's)
Outpatient z- zCORRECT zANSWER-Patient zwho zgoes zto zsurgical zarea zthe zday zof
zsurgery zand zreturns zhome zsame zday
Beta zblocking zdrugs z- zCORRECT zANSWER-Peri zoperative ztherapy zfor zcardiac
zdisease
Carboxyhemoglobin z- zCORRECT zANSWER-Smoking zincreases zblood zlevel
-Decreases zO2 zto zorgans
