Test Bank for Medical Surgical Nursing
Questions and Correct Answers/ Latest
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The nurse is caring for a client who has heart failure and encourages
the client to alternate rest and activity periods to reduce cardiac
workload. Which phase of the nursing process is the nurse
demonstrating?
a. Planning
b. Diagnosis
c. Evaluation
d. Implementation
Ans: d. Implementation
The nurse is planning care for a client and uses a visual diagram of
client problems and interventions to illustrate the relationships among
pertinent clinical data. Which format is the nurse using to plan care?
a. Concept map
b. Critical pathway
c. Clinical pathway
d. Nursing care plan
Ans: a. Concept map
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Which of the following statements represents the "O" component of
the SOAP process for documentation?
a. More pain at present
b. Temperature 39.4°C (102.9°F)
c. Risk for infection
d. Notify surgeon
Ans: b. Temperature 39.4°C (102.9°F)
The nurse caring for postoperative clients developed the following
clinical question: In adult postoperative clients, how does guided
imagery compared with music therapy affect analgesia use within the
first 24 hours after surgery? Applying the PICOT framework, which of
the following would be the "I" element in this question?
a. Guided imagery
b. Music therapy
c. Analgesia use
d. Adult postoperative clients
Ans: a. Guided imagery
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The nurse is investigating ways in which to improve interprofessional
team communication and has chosen the SBAR model. Which of the
following reflects the meaning of the "R" in the SBAR model?
a. Risk assessment
b. Recommendation
c. Responsibility of action
d. Roles of health team members Incorrect
Ans: b. Recommendation
A team of nurses have a vision to implement evidence-informed
practice (EIP) for care of clients with pressure ulcers. Which of the
following sources of evidence would this change in practice
encompass? (Select all that apply.)
a. Consulting with the wound care and ostomy nurse
b. The preferences of clients and their particular circumstances
c. Nurses' expertise and their bodies of experience and knowledge
d. The traditions that surround pressure ulcer practises on the unit
e. Journal articles that address the care of clients with pressure ulcers
Ans: a. Consulting with the wound care and ostomy nurse
b. The preferences of clients and their particular circumstances
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c. Nurses' expertise and their bodies of experience and
knowledge
e. Journal articles that address the care of clients with pressure
ulcers
Which of the following clients is most likely to experience health care
disparities?
a. A 65-year-old upper class Chinese male living in the city
b. A 78-year-old Indigenous male living on a reservation
c. A 50-year-old middle class white female living in a rural area
d. A 72-year-old professional Caribbean female living in a condo
Ans: b. A 78-year-old Indigenous male living on a reservation
Which of the following is the first step towards cultural competence in
clinical care?
a. Acquire knowledge specific to populations and aspects of care.
b. Develop an understanding of one's own culture through reflection
and self-assessment.
c. Establish a trusting therapeutic relationship and develop common
goals.
d. Use open-ended questions to understand clients' priorities and
perceptions.
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