~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~`Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition
Test Bank – Janice J Hoffman & Nancy J Sullivan!!!!!!!!!!!!!!!!!!!!!!!!!!
test bank for Davis Advantage for Medical-Surgical Nursing:
Making Connections to Practice, 2nd Edition by Janice J. Hoffman and Nancy J. Sullivan. It includes exam-style questions
and answers designed to help nursing students review essential medical-surgical nursing concepts and strengthen clinical
reasoning skills. The material supports exam preparation, practice testing, and reinforcement of key topics commonly
covered in medical-surgical nursing courses.
CH 01: 2e
Multiple Choice
1. A medical-surgical nurse identifies a clinical problem and wants to determine if research supports changing current
practice. Which study design provides the strongest evidence?
A. Randomized controlled trial
B. Quasi-experimental study
C. Case-control study
D. Cohort study
Actual Answer: - A
Randomized controlled trial
Explanation:
Randomized controlled trials are considered the highest level of research evidence because participants are randomly
assigned to groups, reducing bias and increasing reliability.
2. A medical-surgical unit adopts a patient-centered care model. Which nursing action best supports this approach?
,~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~`Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition
Test Bank – Janice J Hoffman & Nancy J Sullivan!!!!!!!!!!!!!!!!!!!!!!!!!!
A. Evaluating care outcomes
B. Assessing patient needs
C. Identifying nursing diagnoses
D. Showing compassion and empathy
Actual Answer: - D
Showing compassion
Explanation:
Patient-centered care focuses on respect, empathy, and partnership with the patient. Compassionate care helps address
emotional and psychological needs.
3.Which nursing action supports The Joint Commission National Patient Safety Goals (NPSG)?
A. Turning off cardiac monitor alarms
B. Identifying patients using only one identifier
C. Assessing safety risks when the patient is admitted
D. Reducing prescribed pain medication
Actual Answer: - C
Assessing safety risks on admission
Explanation:
One NPSG focuses on identifying patient safety risks such as falls, infection, or suicide risk when the patient is admitted.
4. In an acute care hospital, which interprofessional role does the nurse frequently perform?
A. Social worker
B. Patient advocate
C. Care coordinator
D. Massage therapist
Actual Answer: - C
Care coordinator
Explanation:
Nurses often coordinate patient care by communicating with physicians, therapists, pharmacists, and other professionals.
5. A nurse believes a clinical policy should be changed. What is the first step of evidence-based practice?
A. Formulating a clinical question
B. Sharing results with colleagues
C. Reviewing research literature
D. Evaluating patient outcomes
Actual Answer: - A
Formulating a question
,~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~`Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition
Test Bank – Janice J Hoffman & Nancy J Sullivan!!!!!!!!!!!!!!!!!!!!!!!!!!
Explanation:
Evidence-based practice begins by clearly defining the clinical question that needs investigation.
6. When evaluating levels of evidence, which level provides the weakest support for practice changes?
A. Level IV
B. Level V
C. Level VI
D. Level VII
Actual Answer: - D
Level VII
Explanation:
Level VII evidence usually consists of expert opinion or committee reports and provides the lowest level of scientific
support.
7. A quasi-experimental study is classified as which level of evidence?
A. Level I
B. Level II
C. Level III
D. Level IV
Actual Answer: - C
Level III
Explanation:
Quasi-experimental studies test interventions but lack randomization, placing them at Level III evidence.
8. A single descriptive research study is considered which level of evidence?
A. Level IV
B. Level V
C. Level VI
D. Level VII
Actual Answer: - C
Level VI
Explanation:
Single descriptive or qualitative studies provide useful information but offer limited evidence compared to experimental
studies.
9. When using the SBAR communication method, which statement represents the “Situation”?
A. “The patient arrived in the emergency department with left lower abdominal pain.”
B. “The patient rated the pain as 9 out of 10.”
C. “The patient has no significant medical history.”
D. “The patient received pain medication at 0300.”
,~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~`Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition
Test Bank – Janice J Hoffman & Nancy J Sullivan!!!!!!!!!!!!!!!!!!!!!!!!!!
Actual Answer: - A
Current situation
Explanation:
The “Situation” in SBAR briefly describes the immediate problem or reason for communication.
10. When using SBAR, which statement correctly begins the communication?
A. “The patient’s heart rate is 110.”
B. “The patient should be transferred to ICU.”
C. “The patient is a 68-year-old admitted last night.”
D. “The patient is experiencing chest pain.”
Actual Answer: - D
Patient is experiencing chest pain
Explanation:
SBAR begins with the Situation, which explains the current issue requiring attention.
11. Which nursing action demonstrates the QSEN competency of safety?
A. Advocating for pain management
B. Respecting patient culture
C. Assessing learning style before teaching
D. Verifying the correct medication before administration
Actual Answer: - D
— Verifying medication
Explanation:
Checking the correct drug ensures safe medication administration and prevents errors.
12. Which specialty is considered the foundation of all nursing practice areas?
A. Pediatric nursing
B. Geriatric nursing
C. Medical-surgical nursing
D. Psychiatric nursing
Actual Answer: - C
— Medical-surgical nursing
Explanation:
Medical-surgical nursing provides broad clinical experience applicable to many other nursing specialties.
13. What gap has been identified between nursing education and practice for new graduates?
A. Patient advocacy skills
B. Patient education skills
, ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~`Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition
Test Bank – Janice J Hoffman & Nancy J Sullivan!!!!!!!!!!!!!!!!!!!!!!!!!!
C. Understanding disease pathophysiology
D. Therapeutic communication
Actual Answer: - C
— Disease pathophysiology
Explanation:
New graduates sometimes struggle with applying complex pathophysiology knowledge to clinical care.
14.
Which statement about the nursing process is correct?
A. It supports clinical decision-making.
B. It is used by all healthcare professionals.
C. It has four steps.
D. It will replace evidence-based practice.
Actual Answer: - A
— Supports decision-making
Explanation:
The nursing process guides critical thinking and clinical decisions.
15.
What forms the basis for nursing care protocols and standards?
A. Assessment
B. Evaluation
C. Diagnosis
D. Research
Actual Answer: - D
— Research
Explanation:
Research evidence provides scientific support for nursing interventions and care guidelines.
16.
A common cause of patient dissatisfaction in hospitals is:
A. Small hospital rooms
B. Pain medications given
C. Limited time with healthcare providers
D. Poor food quality
Actual Answer: - C
Test Bank – Janice J Hoffman & Nancy J Sullivan!!!!!!!!!!!!!!!!!!!!!!!!!!
test bank for Davis Advantage for Medical-Surgical Nursing:
Making Connections to Practice, 2nd Edition by Janice J. Hoffman and Nancy J. Sullivan. It includes exam-style questions
and answers designed to help nursing students review essential medical-surgical nursing concepts and strengthen clinical
reasoning skills. The material supports exam preparation, practice testing, and reinforcement of key topics commonly
covered in medical-surgical nursing courses.
CH 01: 2e
Multiple Choice
1. A medical-surgical nurse identifies a clinical problem and wants to determine if research supports changing current
practice. Which study design provides the strongest evidence?
A. Randomized controlled trial
B. Quasi-experimental study
C. Case-control study
D. Cohort study
Actual Answer: - A
Randomized controlled trial
Explanation:
Randomized controlled trials are considered the highest level of research evidence because participants are randomly
assigned to groups, reducing bias and increasing reliability.
2. A medical-surgical unit adopts a patient-centered care model. Which nursing action best supports this approach?
,~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~`Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition
Test Bank – Janice J Hoffman & Nancy J Sullivan!!!!!!!!!!!!!!!!!!!!!!!!!!
A. Evaluating care outcomes
B. Assessing patient needs
C. Identifying nursing diagnoses
D. Showing compassion and empathy
Actual Answer: - D
Showing compassion
Explanation:
Patient-centered care focuses on respect, empathy, and partnership with the patient. Compassionate care helps address
emotional and psychological needs.
3.Which nursing action supports The Joint Commission National Patient Safety Goals (NPSG)?
A. Turning off cardiac monitor alarms
B. Identifying patients using only one identifier
C. Assessing safety risks when the patient is admitted
D. Reducing prescribed pain medication
Actual Answer: - C
Assessing safety risks on admission
Explanation:
One NPSG focuses on identifying patient safety risks such as falls, infection, or suicide risk when the patient is admitted.
4. In an acute care hospital, which interprofessional role does the nurse frequently perform?
A. Social worker
B. Patient advocate
C. Care coordinator
D. Massage therapist
Actual Answer: - C
Care coordinator
Explanation:
Nurses often coordinate patient care by communicating with physicians, therapists, pharmacists, and other professionals.
5. A nurse believes a clinical policy should be changed. What is the first step of evidence-based practice?
A. Formulating a clinical question
B. Sharing results with colleagues
C. Reviewing research literature
D. Evaluating patient outcomes
Actual Answer: - A
Formulating a question
,~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~`Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition
Test Bank – Janice J Hoffman & Nancy J Sullivan!!!!!!!!!!!!!!!!!!!!!!!!!!
Explanation:
Evidence-based practice begins by clearly defining the clinical question that needs investigation.
6. When evaluating levels of evidence, which level provides the weakest support for practice changes?
A. Level IV
B. Level V
C. Level VI
D. Level VII
Actual Answer: - D
Level VII
Explanation:
Level VII evidence usually consists of expert opinion or committee reports and provides the lowest level of scientific
support.
7. A quasi-experimental study is classified as which level of evidence?
A. Level I
B. Level II
C. Level III
D. Level IV
Actual Answer: - C
Level III
Explanation:
Quasi-experimental studies test interventions but lack randomization, placing them at Level III evidence.
8. A single descriptive research study is considered which level of evidence?
A. Level IV
B. Level V
C. Level VI
D. Level VII
Actual Answer: - C
Level VI
Explanation:
Single descriptive or qualitative studies provide useful information but offer limited evidence compared to experimental
studies.
9. When using the SBAR communication method, which statement represents the “Situation”?
A. “The patient arrived in the emergency department with left lower abdominal pain.”
B. “The patient rated the pain as 9 out of 10.”
C. “The patient has no significant medical history.”
D. “The patient received pain medication at 0300.”
,~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~`Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition
Test Bank – Janice J Hoffman & Nancy J Sullivan!!!!!!!!!!!!!!!!!!!!!!!!!!
Actual Answer: - A
Current situation
Explanation:
The “Situation” in SBAR briefly describes the immediate problem or reason for communication.
10. When using SBAR, which statement correctly begins the communication?
A. “The patient’s heart rate is 110.”
B. “The patient should be transferred to ICU.”
C. “The patient is a 68-year-old admitted last night.”
D. “The patient is experiencing chest pain.”
Actual Answer: - D
Patient is experiencing chest pain
Explanation:
SBAR begins with the Situation, which explains the current issue requiring attention.
11. Which nursing action demonstrates the QSEN competency of safety?
A. Advocating for pain management
B. Respecting patient culture
C. Assessing learning style before teaching
D. Verifying the correct medication before administration
Actual Answer: - D
— Verifying medication
Explanation:
Checking the correct drug ensures safe medication administration and prevents errors.
12. Which specialty is considered the foundation of all nursing practice areas?
A. Pediatric nursing
B. Geriatric nursing
C. Medical-surgical nursing
D. Psychiatric nursing
Actual Answer: - C
— Medical-surgical nursing
Explanation:
Medical-surgical nursing provides broad clinical experience applicable to many other nursing specialties.
13. What gap has been identified between nursing education and practice for new graduates?
A. Patient advocacy skills
B. Patient education skills
, ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~`Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition
Test Bank – Janice J Hoffman & Nancy J Sullivan!!!!!!!!!!!!!!!!!!!!!!!!!!
C. Understanding disease pathophysiology
D. Therapeutic communication
Actual Answer: - C
— Disease pathophysiology
Explanation:
New graduates sometimes struggle with applying complex pathophysiology knowledge to clinical care.
14.
Which statement about the nursing process is correct?
A. It supports clinical decision-making.
B. It is used by all healthcare professionals.
C. It has four steps.
D. It will replace evidence-based practice.
Actual Answer: - A
— Supports decision-making
Explanation:
The nursing process guides critical thinking and clinical decisions.
15.
What forms the basis for nursing care protocols and standards?
A. Assessment
B. Evaluation
C. Diagnosis
D. Research
Actual Answer: - D
— Research
Explanation:
Research evidence provides scientific support for nursing interventions and care guidelines.
16.
A common cause of patient dissatisfaction in hospitals is:
A. Small hospital rooms
B. Pain medications given
C. Limited time with healthcare providers
D. Poor food quality
Actual Answer: - C
