Timby's Fundamental Nursing Skills and Concepts 12th Edition by Moreno Timby Tes
c x c x c x c x c x c x c x c x c x c x c x
t Bank
cx
Chapter 1 c x
Nursing Foun cx
dations Multiple Choice c x c x
Identify the choice that best completes the statement or answers the question.
c x c x c x c x c x c x c x c x c x c x c x
1. The medical- c x
surgical nurse identifies a clinical practice issue and wants to determine if
c x c x c x c x c x c x cx c x c x c x c x
there is sufficient evidence to support a change in practice. Which type
c x c x c x c x c x c x c x c x c x cx c x c x c
xof study provides the strongest evidence to support a practice change?
c x c x c x c x c x c x c x u cx c x
• Randomized control study c x c x
• Quasi-experimental study cx cx
• Case-control study c x
• Cohort study c x
2. The medical-surgical unit recently implemented a patient- cx cx cx cx cx cx
centered care model. Which action implemented by the nurse supports this mo
cx cx cx cx cx cx cx cx cx cx cx cx
del?
• Evaluating care c x
• Assessing needs c x
• Diagnosing problems c x
• Providing compassion c x
3. Which action should the nurse implement when providing patient care c x c x c x c x c x c x c x c x c x
in order to support The Joint
c x cx c x c x cx cx
Commission’s (TJC) National Patient Safety Goals (NPSG)? c x c x c x c x c x c x
• Silencing a cardiorespiratory monitor c x c x c x
• Identifying each patient using one source c x c x c x c x c x
• Determining patient safety issues upon admission c x c x c x c x c x
• Decreasing the amount of pain medication administered c x c x c x c x c x c x
4. Which interprofessional role does the nurse oft c x c x c x c x c x c x
en assume when providing patient care in an acute care setting
cx cx c x c x c x c x c x c x c x c x
?
• Social worker c x
• Client advocate c x
• Care coordinator c x
• Massage therapist c x
5. The medical- c x
surgical nurse wants to determine if a policy change is needed for an identified cli
c x c x c x c x c x c x c x c x c x c x cx c x c x c x
nical problem. cx
Which is the first action the nurse should implement?
c x c x c x c x c x c x c x c x
• Developing a question c x c x
• Disseminating the findings c x c x
• Conducting a review of the literature c x c x c x c x cx
• Evaluating outcomes of practice change c x c x c x c x
, 6. The nurse is evaluating the level of evidence found during c x c x c x c x c x c x c x c x c x c x
a recent review of the literature. Which evidence carries the lowest level of su
cx cx c x c x c x cx c x c x c x c x c x c x c x
pport for a practice change?
cx c x c x c x
• Level IV c x
• Level V cx
• Level VI c x
• Level VII c x
7. The nurse is reviewing evidence from a quasi- c x c x c x c x c x c x c x
experimental research study. Which level of evidence should the nurse id
cx c x cx c x c x c x c x c x c x c x
entify for this research study?
c x c x cx c x
• Level I c x
• Level II c x
• Level III c x
• Level IV c x
8. Which level of evidence should the nurse identify w c x c x c x c x c x c x c x c x
hen reviewing evidence from a single descriptive research study?
cx c x c x c x c x c x c x c x
• Level IV c x
• Level V cx
• Level VI c x
• Level VII c x
9. Which statement should the nurse make when communicating the “S” c x c x c x c x c x c x c x c x c x
in the SBAR approach for effective
c x cx c x c x c x cx
communication?
• “The patient presented to the emergency department at 0200 with lower
c x c x c x c x c x c x c x c x c x c x c
left abdominal pain.” x cx c x
• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
c x c x c x c x c x c x c x c x c x c x c x c x c x cx
• “The patient has no significant issues in the medical history.”
c x c x c x c x c x c x c x c x cx
• “The patient was given a prescribed opioid analgesic at 0300.”
c x c x c x c x c x c x c x c x cx
10. The staff nurse is communicating with the change nurse abc x c x c x c x c x c x c x c x c x
out the change of status of the patient. The nurse would begin her com
cx c x c x c x c x c x c x c x c x c x c x c x cx
munication with which statement if correctly using the SBAR format?
c x c x c x c x c x c x c x c x cx
• “The patient’s heartrate is 110.” c x c x c x cx
• “I think this patient needs to be transferred to the critical care unit.”
cx c x c x c x c x c x c x cx c x c x c x cx
• “The patient is a 68-year-old male patient admitted last night.”
c x c x c x c x c x c x c x c x cx
• “The patient is complaining of chest pain.”
c x c x c x c x c x cx
11. Which nursing action exemplifies the Quality and
Safety Education for Nursing (QSEN) competency of safety?
cx c x c x c x c x c x c x
• Advocating for a patient who is experiencing pain c x c x c x c x c x c x c x
• Considering the patient’s culture when planning care c x c x c x c x c x cx
• Evaluating patient learning style prior to implementing discharge instructions
c x c x c x c x c x c x c x cx
• Assessing the right drug prior to administering a prescribed patient medication
c x c x c x c x c x c x c x c x c x cx
12. Which type of nursing is the root of all other nursing practice areas?
c x c x c x c x c x c x c x c x c x c x c x c x
• Pediatric nursing c x
, • Geriatric nursing c x
• Medical-surgical nursing c x
• Mental health-psychiatric nursing c x c x
13. Which did the Nursing Executive Center of The Advisory Boac x c x c x c x c x c x cx cx c x
rd identify as an academic-practice gap for new graduate nurses?
cx c x c x c x c x c x c x c x c x
• Patient advocacy c x
• Patient education c x
• Disease pathophysiology c x c x
• Therapeutic communication
14. Which statement regarding the use of the nursing process in clin
c x c x c x c x c x c x c x c x c x c x
ical practice is accurate?
cx c x c x
• “The nursing process is closely related to clinical decision-making.”
c x c x c x c x c x c x c x cx
• “The nursing process is used by all members of the interprofessional team to
c x c x c x c x c x c x c x c x c x c x c x c x c x
plan care.” cx
• “The nursing process has 4 basic steps: assessment, planni
c x c x c x c x c x c x c x c x
ng, implementation, evaluation.” cx c x
• “The nursing process is being replaced by the implementation of evide
c x c x c x c x c x c x c x c x c x c x
nce- based practice.”
cx cx
15. Which is the basis of nursing care practices and protocols?
c x c x c x c x c x c x c x c x c x
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related to
c x c x c x c x c x c x c x c x c x c x
care provided in the hospital setting?
cx cx c x c x cx
• Space in hospital rooms c x c x c x
• Medications received to treat pain c x c x c x c x
• Time spent with the health-care team
c x c x c x c x cx
• Poor quality food received from dietary
c x c x c x c x c x
17. The nurse manager is preparing a medical- c x c x c x c x c x c x
surgical unit for The Joint Commission (TJC) visit With the nurse manager p
c x c x cx c x cx c x c x c x c x c x c x c x
resenting staff education focusing on TJC benchmarks, which of the followin
c x c x cx c x c x c x c x c x c x c x
g topics would be most appropriate?
c x c x c x c x cx
• Implementation of evidence-based practice c x c x c x
• Implementation of patient-centered care c x c x c x
• Implementation of medical asepsis practices c x c x c x c x
• Implementation of interprofessional care c x c x c x
18. Which aspect of patient- c x c x c x
centered care should the nurse manager evaluate prior to The Joint Com
c x c x c x c x c x cx c x c x c x c x c x
mission site visit for accreditation?
c x c x c x c x
• Visitation rights c x
• Education level of staff c x c x c x
• Fall prevention protocol c x c x
• Infection control practices c x c x
, 19. The medical- c x
surgical nurse is providing patient care. Which circumstance would necessitate
c x c x c x c x c x c x c x cx c x c
the nurse x c x
verifying the patient’s identification using at least two sources?
c x c x c x c x c x c x c x c x
• Prior to delivering a meal tray c x c x c x c x cx
• Prior to passive range of motion c x c x c x c x cx
• Prior to medication administration c x c x c x
• Prior to documenting in the medical record
c x c x c x c x c x c x
20. The nurse is providing care to several patients on a medical-
c x c x c x c x c x c x c x c x c x c x
surgical unit. Which situation would necessitate the nurse to use SBAR du
cx c x cx c x c x c x c x c x c x c x c x c x
ring the hand-off process?
cx c x c x
• Wound care c x
• Discharge to home c x c x
• Transfer to radiology c x c x
• Medication cx
education Multiple cx cx
Response
Identify one or more choices that best complete the statement or answer the question.
c x c x c x c x c x c x c x c x c x c x c x c x c x
21. The staff nurse is teaching a group of student nurses the situations
c x c x c x c x c x c x c x c x c x c x c x c x
that necessitate hand-off communication.
cx c x c x
Which student responses indicate the need for further education related to
c x c x c x c x c x c x c x c x c x c x c
this procedure? Select all that apply.
x cx c x c x c x c x
• “A hand-off is required prior to administering a medication.”
cx c x c x c x c x c x c x cx
• “A hand-off is required during change of shift.”
cx c x c x c x c x c x cx
• “A hand-off is required for a patient is transferred to the surgical suite.”
cx c x c x c x c x c x c x c x c x c x c x cx
• “A hand-off is required whenever the nurse receives a new patient assignment.”
cx c x c x c x c x c x c x c x c x c x cx
• “A hand-off is required prior to family visitation.”
cx c x c x c x c x c x c x
22. Which actions by the nurse enhance patient safety dur c x c x c x c x c x c x c x c x
ing medication administration? Select all that apply.
cx c x c x c x c x c x
• Answering the call bell while transporting medications for a different patient
c x c x c x c x c x c x c x c x c x cx
• Identifying the patient using two sources prior to administering the medication
c x c x c x c x c x c x c x c x c x cx
• Holding a medication if the patient’s diagnosis does not support its use
c x c x c x c x c x c x c x c x c x c x cx
• Administering the medication two hours after the scheduled time c x c x c x c x c x c x c x cx
• Having another nurse verify the prescribed dose of insulin the patient is to receive
c x c x c x c x c x c x c x c x c x c x c x c x cx
23. The medical- c x
surgical nurse assumes care for a patient who is receiving continu
c x c x c x c x c x c x c x cx c x c x
ous cardiopulmonary monitoring. Which actions by the nurse enha
c x c x c x c x cx c x cx c x
nce safety for this patient? Select all that apply.
c x c x c x c x c x c x c x cx
• Silencing the alarm during family visitation c x c x c x c x cx
• Assessing the alarm parameters at the start of the shift c x c x c x c x c x c x c x c x cx
• Responding to the alarm in a timely fashion c x c x c x c x c x c x cx
• Decreasing the alarm volume to enhance restful sleep c x c x c x c x c x c x cx
• Adjusting alarm parameters based on specified practitioner prescription
c x c x c x c x c x c x c x
c x c x c x c x c x c x c x c x c x c x c x
t Bank
cx
Chapter 1 c x
Nursing Foun cx
dations Multiple Choice c x c x
Identify the choice that best completes the statement or answers the question.
c x c x c x c x c x c x c x c x c x c x c x
1. The medical- c x
surgical nurse identifies a clinical practice issue and wants to determine if
c x c x c x c x c x c x cx c x c x c x c x
there is sufficient evidence to support a change in practice. Which type
c x c x c x c x c x c x c x c x c x cx c x c x c
xof study provides the strongest evidence to support a practice change?
c x c x c x c x c x c x c x u cx c x
• Randomized control study c x c x
• Quasi-experimental study cx cx
• Case-control study c x
• Cohort study c x
2. The medical-surgical unit recently implemented a patient- cx cx cx cx cx cx
centered care model. Which action implemented by the nurse supports this mo
cx cx cx cx cx cx cx cx cx cx cx cx
del?
• Evaluating care c x
• Assessing needs c x
• Diagnosing problems c x
• Providing compassion c x
3. Which action should the nurse implement when providing patient care c x c x c x c x c x c x c x c x c x
in order to support The Joint
c x cx c x c x cx cx
Commission’s (TJC) National Patient Safety Goals (NPSG)? c x c x c x c x c x c x
• Silencing a cardiorespiratory monitor c x c x c x
• Identifying each patient using one source c x c x c x c x c x
• Determining patient safety issues upon admission c x c x c x c x c x
• Decreasing the amount of pain medication administered c x c x c x c x c x c x
4. Which interprofessional role does the nurse oft c x c x c x c x c x c x
en assume when providing patient care in an acute care setting
cx cx c x c x c x c x c x c x c x c x
?
• Social worker c x
• Client advocate c x
• Care coordinator c x
• Massage therapist c x
5. The medical- c x
surgical nurse wants to determine if a policy change is needed for an identified cli
c x c x c x c x c x c x c x c x c x c x cx c x c x c x
nical problem. cx
Which is the first action the nurse should implement?
c x c x c x c x c x c x c x c x
• Developing a question c x c x
• Disseminating the findings c x c x
• Conducting a review of the literature c x c x c x c x cx
• Evaluating outcomes of practice change c x c x c x c x
, 6. The nurse is evaluating the level of evidence found during c x c x c x c x c x c x c x c x c x c x
a recent review of the literature. Which evidence carries the lowest level of su
cx cx c x c x c x cx c x c x c x c x c x c x c x
pport for a practice change?
cx c x c x c x
• Level IV c x
• Level V cx
• Level VI c x
• Level VII c x
7. The nurse is reviewing evidence from a quasi- c x c x c x c x c x c x c x
experimental research study. Which level of evidence should the nurse id
cx c x cx c x c x c x c x c x c x c x
entify for this research study?
c x c x cx c x
• Level I c x
• Level II c x
• Level III c x
• Level IV c x
8. Which level of evidence should the nurse identify w c x c x c x c x c x c x c x c x
hen reviewing evidence from a single descriptive research study?
cx c x c x c x c x c x c x c x
• Level IV c x
• Level V cx
• Level VI c x
• Level VII c x
9. Which statement should the nurse make when communicating the “S” c x c x c x c x c x c x c x c x c x
in the SBAR approach for effective
c x cx c x c x c x cx
communication?
• “The patient presented to the emergency department at 0200 with lower
c x c x c x c x c x c x c x c x c x c x c
left abdominal pain.” x cx c x
• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
c x c x c x c x c x c x c x c x c x c x c x c x c x cx
• “The patient has no significant issues in the medical history.”
c x c x c x c x c x c x c x c x cx
• “The patient was given a prescribed opioid analgesic at 0300.”
c x c x c x c x c x c x c x c x cx
10. The staff nurse is communicating with the change nurse abc x c x c x c x c x c x c x c x c x
out the change of status of the patient. The nurse would begin her com
cx c x c x c x c x c x c x c x c x c x c x c x cx
munication with which statement if correctly using the SBAR format?
c x c x c x c x c x c x c x c x cx
• “The patient’s heartrate is 110.” c x c x c x cx
• “I think this patient needs to be transferred to the critical care unit.”
cx c x c x c x c x c x c x cx c x c x c x cx
• “The patient is a 68-year-old male patient admitted last night.”
c x c x c x c x c x c x c x c x cx
• “The patient is complaining of chest pain.”
c x c x c x c x c x cx
11. Which nursing action exemplifies the Quality and
Safety Education for Nursing (QSEN) competency of safety?
cx c x c x c x c x c x c x
• Advocating for a patient who is experiencing pain c x c x c x c x c x c x c x
• Considering the patient’s culture when planning care c x c x c x c x c x cx
• Evaluating patient learning style prior to implementing discharge instructions
c x c x c x c x c x c x c x cx
• Assessing the right drug prior to administering a prescribed patient medication
c x c x c x c x c x c x c x c x c x cx
12. Which type of nursing is the root of all other nursing practice areas?
c x c x c x c x c x c x c x c x c x c x c x c x
• Pediatric nursing c x
, • Geriatric nursing c x
• Medical-surgical nursing c x
• Mental health-psychiatric nursing c x c x
13. Which did the Nursing Executive Center of The Advisory Boac x c x c x c x c x c x cx cx c x
rd identify as an academic-practice gap for new graduate nurses?
cx c x c x c x c x c x c x c x c x
• Patient advocacy c x
• Patient education c x
• Disease pathophysiology c x c x
• Therapeutic communication
14. Which statement regarding the use of the nursing process in clin
c x c x c x c x c x c x c x c x c x c x
ical practice is accurate?
cx c x c x
• “The nursing process is closely related to clinical decision-making.”
c x c x c x c x c x c x c x cx
• “The nursing process is used by all members of the interprofessional team to
c x c x c x c x c x c x c x c x c x c x c x c x c x
plan care.” cx
• “The nursing process has 4 basic steps: assessment, planni
c x c x c x c x c x c x c x c x
ng, implementation, evaluation.” cx c x
• “The nursing process is being replaced by the implementation of evide
c x c x c x c x c x c x c x c x c x c x
nce- based practice.”
cx cx
15. Which is the basis of nursing care practices and protocols?
c x c x c x c x c x c x c x c x c x
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related to
c x c x c x c x c x c x c x c x c x c x
care provided in the hospital setting?
cx cx c x c x cx
• Space in hospital rooms c x c x c x
• Medications received to treat pain c x c x c x c x
• Time spent with the health-care team
c x c x c x c x cx
• Poor quality food received from dietary
c x c x c x c x c x
17. The nurse manager is preparing a medical- c x c x c x c x c x c x
surgical unit for The Joint Commission (TJC) visit With the nurse manager p
c x c x cx c x cx c x c x c x c x c x c x c x
resenting staff education focusing on TJC benchmarks, which of the followin
c x c x cx c x c x c x c x c x c x c x
g topics would be most appropriate?
c x c x c x c x cx
• Implementation of evidence-based practice c x c x c x
• Implementation of patient-centered care c x c x c x
• Implementation of medical asepsis practices c x c x c x c x
• Implementation of interprofessional care c x c x c x
18. Which aspect of patient- c x c x c x
centered care should the nurse manager evaluate prior to The Joint Com
c x c x c x c x c x cx c x c x c x c x c x
mission site visit for accreditation?
c x c x c x c x
• Visitation rights c x
• Education level of staff c x c x c x
• Fall prevention protocol c x c x
• Infection control practices c x c x
, 19. The medical- c x
surgical nurse is providing patient care. Which circumstance would necessitate
c x c x c x c x c x c x c x cx c x c
the nurse x c x
verifying the patient’s identification using at least two sources?
c x c x c x c x c x c x c x c x
• Prior to delivering a meal tray c x c x c x c x cx
• Prior to passive range of motion c x c x c x c x cx
• Prior to medication administration c x c x c x
• Prior to documenting in the medical record
c x c x c x c x c x c x
20. The nurse is providing care to several patients on a medical-
c x c x c x c x c x c x c x c x c x c x
surgical unit. Which situation would necessitate the nurse to use SBAR du
cx c x cx c x c x c x c x c x c x c x c x c x
ring the hand-off process?
cx c x c x
• Wound care c x
• Discharge to home c x c x
• Transfer to radiology c x c x
• Medication cx
education Multiple cx cx
Response
Identify one or more choices that best complete the statement or answer the question.
c x c x c x c x c x c x c x c x c x c x c x c x c x
21. The staff nurse is teaching a group of student nurses the situations
c x c x c x c x c x c x c x c x c x c x c x c x
that necessitate hand-off communication.
cx c x c x
Which student responses indicate the need for further education related to
c x c x c x c x c x c x c x c x c x c x c
this procedure? Select all that apply.
x cx c x c x c x c x
• “A hand-off is required prior to administering a medication.”
cx c x c x c x c x c x c x cx
• “A hand-off is required during change of shift.”
cx c x c x c x c x c x cx
• “A hand-off is required for a patient is transferred to the surgical suite.”
cx c x c x c x c x c x c x c x c x c x c x cx
• “A hand-off is required whenever the nurse receives a new patient assignment.”
cx c x c x c x c x c x c x c x c x c x cx
• “A hand-off is required prior to family visitation.”
cx c x c x c x c x c x c x
22. Which actions by the nurse enhance patient safety dur c x c x c x c x c x c x c x c x
ing medication administration? Select all that apply.
cx c x c x c x c x c x
• Answering the call bell while transporting medications for a different patient
c x c x c x c x c x c x c x c x c x cx
• Identifying the patient using two sources prior to administering the medication
c x c x c x c x c x c x c x c x c x cx
• Holding a medication if the patient’s diagnosis does not support its use
c x c x c x c x c x c x c x c x c x c x cx
• Administering the medication two hours after the scheduled time c x c x c x c x c x c x c x cx
• Having another nurse verify the prescribed dose of insulin the patient is to receive
c x c x c x c x c x c x c x c x c x c x c x c x cx
23. The medical- c x
surgical nurse assumes care for a patient who is receiving continu
c x c x c x c x c x c x c x cx c x c x
ous cardiopulmonary monitoring. Which actions by the nurse enha
c x c x c x c x cx c x cx c x
nce safety for this patient? Select all that apply.
c x c x c x c x c x c x c x cx
• Silencing the alarm during family visitation c x c x c x c x cx
• Assessing the alarm parameters at the start of the shift c x c x c x c x c x c x c x c x cx
• Responding to the alarm in a timely fashion c x c x c x c x c x c x cx
• Decreasing the alarm volume to enhance restful sleep c x c x c x c x c x c x cx
• Adjusting alarm parameters based on specified practitioner prescription
c x c x c x c x c x c x c x
