Timby's Fundamental Nursing Skills and Concepts 12th
Edition by Moreno Timby Test Bank
, Chapter 1 Nursing
Foundations Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The medical-surgical nurse identifies a clinical practice issue
and wants to determine if there is sufficient evidence to support a change in
practice. Which type of study provides the strongest evidence to support a u
practice change?
• Randomized control study
• Quasi-experimental study
• Case-control study
• Cohort study
2. The medical-surgical unit recently implemented a patient-
centered care model. Which action implemented by the nurse supports this
model?
• Evaluating care
• Assessing needs
• Diagnosing problems
• Providing compassion
3. Which action should the nurse implement when providing patient care in
order to support The Joint
Commission’s (TJC) National Patient Safety Goals (NPSG)?
• Silencing a cardiorespiratory monitor
• Identifying each patient using one source
• Determining patient safety issues upon admission
• Decreasing the amount of pain medication administered
4. Which interprofessional role does the nurse often
assume when providing patient care in an acute care setting?
• Social worker
• Client advocate
• Care coordinator
• Massage therapist
5. The medical-surgical nurse wants to determine if a policy change is needed
for an identified clinical problem.
Which is the first action the nurse should implement?
• Developing a question
• Disseminating the findings
• Conducting a review of the literature
• Evaluating outcomes of practice change
, 6. The nurse is evaluating the level of evidence found during a
recent review of the literature. Which evidence carries the lowest level of support
for a practice change?
• Level IV
• Level V
• Level VI
• Level VII
7. The nurse is reviewing evidence from a quasi-experimental
research study. Which level of evidence should the nurse identify for this
research study?
• Level I
• Level II
• Level III
• Level IV
8. Which level of evidence should the nurse identify when
reviewing evidence from a single descriptive research study?
• Level IV
• Level V
• Level VI
• Level VII
9. Which statement should the nurse make when communicating the “S” in
the SBAR approach for effective
communication?
• “The patient presented to the emergency department at 0200 with lower left
abdominal pain.”
• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
• “The patient has no significant issues in the medical history.”
• “The patient was given a prescribed opioid analgesic at 0300.”
10. The staff nurse is communicating with the change nurse about
the change of status of the patient. The nurse would begin her
communication with which statement if correctly using the SBAR format?
• “The patient’s heartrate is 110.”
• “I think this patient needs to be transferred to the critical care unit.”
• “The patient is a 68-year-old male patient admitted last night.”
• “The patient is complaining of chest pain.”
11. Which nursing action exemplifies the Quality and Safety
Education for Nursing (QSEN) competency of safety?
• Advocating for a patient who is experiencing pain
• Considering the patient’s culture when planning care
• Evaluating patient learning style prior to implementing discharge instructions
• Assessing the right drug prior to administering a prescribed patient medication
12. Which type of nursing is the root of all other nursing practice areas?
• Pediatric nursing
, • Geriatric nursing
• Medical-surgical nursing
• Mental health-psychiatric nursing
13. Which did the Nursing Executive Center of The Advisory Board
identify as an academic-practice gap for new graduate nurses?
• Patient advocacy
• Patient education
• Disease pathophysiology
• Therapeutic communication
14. Which statement regarding the use of the nursing process in clinical
practice is accurate?
• “The nursing process is closely related to clinical decision-making.”
• “The nursing process is used by all members of the interprofessional team to plan
care.”
• “The nursing process has 4 basic steps: assessment, planning,
implementation, evaluation.”
• “The nursing process is being replaced by the implementation of evidence-
based practice.”
15. Which is the basis of nursing care practices and protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related to care
provided in the hospital setting?
• Space in hospital rooms
• Medications received to treat pain
• Time spent with the health-care team
• Poor quality food received from dietary
17. The nurse manager is preparing a medical-surgical unit for The Joint
Commission (TJC) visit With the nurse manager presenting staff education
focusing on TJC benchmarks, which of the following topics would be most
appropriate?
• Implementation of evidence-based practice
• Implementation of patient-centered care
• Implementation of medical asepsis practices
• Implementation of interprofessional care
18. Which aspect of patient-centered care should the nurse manager
evaluate prior to The Joint Commission site visit for accreditation?
• Visitation rights
• Education level of staff
• Fall prevention protocol
• Infection control practices
Edition by Moreno Timby Test Bank
, Chapter 1 Nursing
Foundations Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The medical-surgical nurse identifies a clinical practice issue
and wants to determine if there is sufficient evidence to support a change in
practice. Which type of study provides the strongest evidence to support a u
practice change?
• Randomized control study
• Quasi-experimental study
• Case-control study
• Cohort study
2. The medical-surgical unit recently implemented a patient-
centered care model. Which action implemented by the nurse supports this
model?
• Evaluating care
• Assessing needs
• Diagnosing problems
• Providing compassion
3. Which action should the nurse implement when providing patient care in
order to support The Joint
Commission’s (TJC) National Patient Safety Goals (NPSG)?
• Silencing a cardiorespiratory monitor
• Identifying each patient using one source
• Determining patient safety issues upon admission
• Decreasing the amount of pain medication administered
4. Which interprofessional role does the nurse often
assume when providing patient care in an acute care setting?
• Social worker
• Client advocate
• Care coordinator
• Massage therapist
5. The medical-surgical nurse wants to determine if a policy change is needed
for an identified clinical problem.
Which is the first action the nurse should implement?
• Developing a question
• Disseminating the findings
• Conducting a review of the literature
• Evaluating outcomes of practice change
, 6. The nurse is evaluating the level of evidence found during a
recent review of the literature. Which evidence carries the lowest level of support
for a practice change?
• Level IV
• Level V
• Level VI
• Level VII
7. The nurse is reviewing evidence from a quasi-experimental
research study. Which level of evidence should the nurse identify for this
research study?
• Level I
• Level II
• Level III
• Level IV
8. Which level of evidence should the nurse identify when
reviewing evidence from a single descriptive research study?
• Level IV
• Level V
• Level VI
• Level VII
9. Which statement should the nurse make when communicating the “S” in
the SBAR approach for effective
communication?
• “The patient presented to the emergency department at 0200 with lower left
abdominal pain.”
• “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
• “The patient has no significant issues in the medical history.”
• “The patient was given a prescribed opioid analgesic at 0300.”
10. The staff nurse is communicating with the change nurse about
the change of status of the patient. The nurse would begin her
communication with which statement if correctly using the SBAR format?
• “The patient’s heartrate is 110.”
• “I think this patient needs to be transferred to the critical care unit.”
• “The patient is a 68-year-old male patient admitted last night.”
• “The patient is complaining of chest pain.”
11. Which nursing action exemplifies the Quality and Safety
Education for Nursing (QSEN) competency of safety?
• Advocating for a patient who is experiencing pain
• Considering the patient’s culture when planning care
• Evaluating patient learning style prior to implementing discharge instructions
• Assessing the right drug prior to administering a prescribed patient medication
12. Which type of nursing is the root of all other nursing practice areas?
• Pediatric nursing
, • Geriatric nursing
• Medical-surgical nursing
• Mental health-psychiatric nursing
13. Which did the Nursing Executive Center of The Advisory Board
identify as an academic-practice gap for new graduate nurses?
• Patient advocacy
• Patient education
• Disease pathophysiology
• Therapeutic communication
14. Which statement regarding the use of the nursing process in clinical
practice is accurate?
• “The nursing process is closely related to clinical decision-making.”
• “The nursing process is used by all members of the interprofessional team to plan
care.”
• “The nursing process has 4 basic steps: assessment, planning,
implementation, evaluation.”
• “The nursing process is being replaced by the implementation of evidence-
based practice.”
15. Which is the basis of nursing care practices and protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which is a common theme regarding patient dissatisfaction related to care
provided in the hospital setting?
• Space in hospital rooms
• Medications received to treat pain
• Time spent with the health-care team
• Poor quality food received from dietary
17. The nurse manager is preparing a medical-surgical unit for The Joint
Commission (TJC) visit With the nurse manager presenting staff education
focusing on TJC benchmarks, which of the following topics would be most
appropriate?
• Implementation of evidence-based practice
• Implementation of patient-centered care
• Implementation of medical asepsis practices
• Implementation of interprofessional care
18. Which aspect of patient-centered care should the nurse manager
evaluate prior to The Joint Commission site visit for accreditation?
• Visitation rights
• Education level of staff
• Fall prevention protocol
• Infection control practices
