Test Bank For Medical-
Surgical Nursing, Cli nical
Reasoning 6th Edition By
LeMone Burke
,Chapter 1
Question 1
Type: MCSA
The nurse/ is/ instructing/ a/ patient/ on/ the/ role/ of/ diet,/ exercise,/ and/ medication/ to/ control/ type/ 2/ diabetes/ mellitus./
Which/ core/ competency/ for/ healthcare/ professionals/ is/ the/ nurse/ implementing?
1. Quality/ improvement
2. Evidence-based/ practice
3. Patient-centered/care
4. Teamwork/ and/ collaboration
Correct/ Answer:/ 3
Rationale/ 1:/ Identifying/ safety/ hazards/ and/ measuring/ quality/ is/ an/ example/ of/ the/ core/ competency/ quality/
improvement.
Rationale/ 2:/ Using/ best/ research/ when/ providing/ patient/ care/ is/ an/ example/ of/ the/ core/ competency/ evidence-/
based/ practice.
Rationale/ 3:/ The/ nurse/ instructing/ the/ patient/ is/ an/ example/ of/ the/ competency/ patient-centered/ care.
Rationale/ 4:/ The/ core/ competency/ teamwork/ and/ collaboration/ involves/ collaboration/ between/ disciplines/ to/
provide/ continuous/ and/ reliable/ care.
Global/ Rationale:/ In/ 2003,/ the/ National/ Academy/ of/ Sciences/ proposed/ a/ set/ of/ five/ core/ competencies/ that/ all/
healthcare/ professionals/ should/ possess/ to/ meet/ the/ needs/ of/ the/ 21st/ century./ The/ nurse/ instructing/ the/ patient/ is/
an/ example/ of/ the/ competency/ patient-centered/ care./ Identifying/ safety/ hazards/ and/ measuring/ quality/ are/
examples/ of/ the/ core/ competency/ quality/ improvement./ Using/ best/ research/ when/ providing/ patient/ care/ is/ an/
example/ of/ the/ core/ competency/ evidence-based/ practice./ Collaboration/ between/ disciplines/ to/ provide/
continuous/ and/ reliable/ care/ is/ an/ example/ of/ the/ core/ competency/ teamwork/ and/ collaboration.
Cognitive/ Level:/ Applying
Client/ Need:/ Safe/ and/ Effective/ Care/ Environment
Client/ Need/ Sub:/ Management/ of/ Care
QSEN/ Competencies:/ I.A.1./ Integrate/ understanding/ of/ multiple/ dimensions/ of/ patient/ centered/ care
AACN/ Essential/ Competencies:/ IX.7./ Provide/ appropriate/ patient/ teaching/ that/ reflects/ developmental/ stage,/
age,/ culture,/ spirituality,/ patient/ preferences,/ and/ health/ literacy/ considerations/ to/ foster/ patient/ engagement/ in/
their/ care
NLN/ Competencies:/ Relationship/ Centered/ Care:/ Learn/ cooperatively,/ facilitate/ the/ learning/ of/ others
Nursing/Integrated/ Concepts:/ Nursing/ Process:/ Implementation/
LeMone/Burke/Bauldoff/Gubrud,/ Medical-Surgical/ Nursing/ 6th/ Edition/ Test/ Bank/
Copyright/ 2015/ by/ Pearson/ Education,/ Inc.
,Learning/ Outcome:/ 1./ Describe/ the/ core/ competencies/ for/ healthcare/ professionals:/ patient-centered/ care,/
interprofessional/ teams,/ evidence-based/ practice,/ quality/ improvement,/ safety,/ and/ health/ information/ technology./
MNL/ Learning/ Outcome:/ 10.5.4./ Utilize/ the/ nursing/ process/ in/ care/ of/ client.
Page/ Number:/ 4
Question/ 2/
Type:/MCSA
The/ nurse/ is/ planning/ to/ utilize/ the/ core/ competency/ use/ informatics/ when/ providing/ patient/ care./ Which/ action/
should/ the/ nurse/ perform/ when/ using/ this/ core/ competency?
1. Change/ the/ sharps/ container/ in/ a/ patient’s/ room.
2. Document/ the/ effectiveness/ of/ pain/ medication/ for/ a/ patient.
3. Discuss/ the/ effectiveness/ of/ bedside/ physical/ therapy/ with/ the/ therapist.
4. Search/ through/ a/ database/ of/ articles/ to/ find/ current/ research/ on/ wound/ care.
Correct/ Answer:/ 4
Rationale/ 1:/ Changing/ the/ sharps/ container/ is/ an/ example/ of/ quality/ improvement.
Rationale/ 2:/ Documenting/ the/ effectiveness/ of/ pain/ medication/ for/ a/ patient/ is/ an/ example/ of/ patient-centered/
care.
Rationale/ 3:/ Discussing/ the/ effectiveness/ of/ bedside/ physical/ therapy/ with/ the/ therapist/ is/ an/ example/ of
teamwork/ and/ collaboration.
Rationale/ 4:/ Searching/ through/ a/ database/ of/ articles/ to/ find/ current/ research/ on/ wound/ care/ is/ an/ example/ of/ use/
informatics.
Global/ Rationale:/ Examples/ of/ the/ nurse/ using/ the/ core/ competency/ use/ informatics/ include/ the/ use/ of/
technology/ to/ communicate,/ manage/ knowledge,/ reduce/ errors,/ and/ support/ decision/ making./ The/ activity/ of/
searching/ through/ a/ database/ of/ articles/ to/ find/ current/ research/ on/ wound/ care/ is/ an/ example/ of/ use/ informatics./
Changing/ the/ sharps/ container/ in/ a/ patient’s/ room/ is/ an/ example/ of/ quality/ improvement./ Documenting/ the/
effectiveness/ of/ pain/ medication/ for/ a/ patient/ is/ an/ example/ of/ patient-centered/ care./ Discussing/ the/ effectiveness/
of/ bedside/ physical/ therapy/ with/ the/ therapist/ is/ an/ example/ of/ teamwork/ and/ collaboration.
Cognitive/ Level:/ Applying
Client/ Need:/ Safe/ and/ Effective/ Care/ Environment
Client/ Need/ Sub:/ Management/ of/ Care
QSEN/ Competencies:/ VI.B.2./ Apply/ technology/ and/ information/ management/ tools/ to/ support/ safe/ processes/ of/
care
AACN/ Essentials/ Competencies:/ IV.1./ Demonstrate/ skills/ in/ using/ patient/ care/ technologies,/ information/
systems,/ and/ communication/ devices/ that/ support/ safe/ nursing/ practice
LeMone/Burke/Bauldoff/Gubrud,/ Medical-Surgical/ Nursing/ 6th/ Edition/ Test/ Bank/
Copyright/ 2015/ by/ Pearson/ Education,/ Inc.
, NLN/ Competencies:/ Knowledge/ and/ Science:/ Electronic/ databases;/ literature/ retrieval;/ evaluating/ data/ for/
validity/ and/ reliability;/ evidence/ and/ best/ practices/ for/ nursing
Nursing/Integrated/ Concepts:/ Nursing/ Process:/ Planning
Learning/ Outcome:/ 1./ Describe/ the/ core/ competencies/ for/ healthcare/ professionals:/ patient-centered/ care,/
interprofessional/ teams,/ evidence-based/ practice,/ quality/ improvement,/ safety,/ and/ health/ information/
technology.
MNL/ Learning/ Outcome:/ 4.3.3./ Examine/ the/ treatments/ used/ for/ pressure/ ulcers.
Page/ Number:/ 4
Question/ 3/
Type:/MCMA
The/ nurse/ plans/ to/ implement/ evidence-based/ practice/ when/ providing/ patient/ care./ Which/ activities/ should/ the/
nurse/ perform?
Standard/ Text:/ Select/ all/ that/ apply.
1. Participate/ in/ education/ and/ research/ activities/ when/ possible.
2. Integrate/ research/ findings/ with/ clinical/ care/ to/ maximize/ patient/ outcomes.
3. Serve/ on/ the/ committee/ to/ create/ critical/ pathways/ for/ patient/ care.
4. Reinforce/ hand/ hygiene/ techniques/ with/ unlicensed/ assistive/ personnel.
5. Contact/ Environmental/ Services/ to/ report/ a/ malfunctioning/ infusion/ pump.
Correct/ Answer:/ 1,/ 2
Rationale/ 1:/ Participating/ in/ education/ and/ research/ activities/ when/ possible/ is/ an/ example/ of/ implementing
evidence-based/ practice/ in/ the/ provision/ of/ patient/ care.
Rationale/ 2:/ Integrating/ research/ findings/ with/ clinical/ care/ to/ maximize/ patient/ outcomes/ is/ an/ example/ of/
implementing/ evidence-based/ practice/ in/ the/ provision/ of/ patient/ care.
Rationale/ 3:/ Serving/ on/ the/ committee/ to/ create/ critical/ pathways/ for/ patient/ care/ is/ an/ example/ of/ teamwork/ and/
collaboration.
Rationale/ 4:/ Reinforcing/ hand/ hygiene/ techniques/ with/ unlicensed/ assistive/ personnel/ is/ an/ example/ of/ quality/
improvement.
Rationale/ 5:/ Contacting/ Environmental/ Services/ to/ report/ a/ malfunctioning/ infusion/ pump/ is/ an/ example/ of
quality/ improvement.
Global/ Rationale:/ Participating/ in/ education/ and/ research/ activities/ when/ possible/ is/ an/ example/ of/ implementing/
evidence-based/ practice/ in/ the/ provision/ of/ patient/ care./ Integrating/ research/ findings/ with/ clinical/ care/ to/
maximize/ patient/ outcomes/ is/ an/ example/ of/ implementing/ evidence-based/ practice/ in/ the/ provision/ of/ patient
LeMone/Burke/Bauldoff/Gubrud,/ Medical-Surgical/ Nursing/ 6th/ Edition/ Test/ Bank/
Copyright/ 2015/ by/ Pearson/ Education,/ Inc.
Surgical Nursing, Cli nical
Reasoning 6th Edition By
LeMone Burke
,Chapter 1
Question 1
Type: MCSA
The nurse/ is/ instructing/ a/ patient/ on/ the/ role/ of/ diet,/ exercise,/ and/ medication/ to/ control/ type/ 2/ diabetes/ mellitus./
Which/ core/ competency/ for/ healthcare/ professionals/ is/ the/ nurse/ implementing?
1. Quality/ improvement
2. Evidence-based/ practice
3. Patient-centered/care
4. Teamwork/ and/ collaboration
Correct/ Answer:/ 3
Rationale/ 1:/ Identifying/ safety/ hazards/ and/ measuring/ quality/ is/ an/ example/ of/ the/ core/ competency/ quality/
improvement.
Rationale/ 2:/ Using/ best/ research/ when/ providing/ patient/ care/ is/ an/ example/ of/ the/ core/ competency/ evidence-/
based/ practice.
Rationale/ 3:/ The/ nurse/ instructing/ the/ patient/ is/ an/ example/ of/ the/ competency/ patient-centered/ care.
Rationale/ 4:/ The/ core/ competency/ teamwork/ and/ collaboration/ involves/ collaboration/ between/ disciplines/ to/
provide/ continuous/ and/ reliable/ care.
Global/ Rationale:/ In/ 2003,/ the/ National/ Academy/ of/ Sciences/ proposed/ a/ set/ of/ five/ core/ competencies/ that/ all/
healthcare/ professionals/ should/ possess/ to/ meet/ the/ needs/ of/ the/ 21st/ century./ The/ nurse/ instructing/ the/ patient/ is/
an/ example/ of/ the/ competency/ patient-centered/ care./ Identifying/ safety/ hazards/ and/ measuring/ quality/ are/
examples/ of/ the/ core/ competency/ quality/ improvement./ Using/ best/ research/ when/ providing/ patient/ care/ is/ an/
example/ of/ the/ core/ competency/ evidence-based/ practice./ Collaboration/ between/ disciplines/ to/ provide/
continuous/ and/ reliable/ care/ is/ an/ example/ of/ the/ core/ competency/ teamwork/ and/ collaboration.
Cognitive/ Level:/ Applying
Client/ Need:/ Safe/ and/ Effective/ Care/ Environment
Client/ Need/ Sub:/ Management/ of/ Care
QSEN/ Competencies:/ I.A.1./ Integrate/ understanding/ of/ multiple/ dimensions/ of/ patient/ centered/ care
AACN/ Essential/ Competencies:/ IX.7./ Provide/ appropriate/ patient/ teaching/ that/ reflects/ developmental/ stage,/
age,/ culture,/ spirituality,/ patient/ preferences,/ and/ health/ literacy/ considerations/ to/ foster/ patient/ engagement/ in/
their/ care
NLN/ Competencies:/ Relationship/ Centered/ Care:/ Learn/ cooperatively,/ facilitate/ the/ learning/ of/ others
Nursing/Integrated/ Concepts:/ Nursing/ Process:/ Implementation/
LeMone/Burke/Bauldoff/Gubrud,/ Medical-Surgical/ Nursing/ 6th/ Edition/ Test/ Bank/
Copyright/ 2015/ by/ Pearson/ Education,/ Inc.
,Learning/ Outcome:/ 1./ Describe/ the/ core/ competencies/ for/ healthcare/ professionals:/ patient-centered/ care,/
interprofessional/ teams,/ evidence-based/ practice,/ quality/ improvement,/ safety,/ and/ health/ information/ technology./
MNL/ Learning/ Outcome:/ 10.5.4./ Utilize/ the/ nursing/ process/ in/ care/ of/ client.
Page/ Number:/ 4
Question/ 2/
Type:/MCSA
The/ nurse/ is/ planning/ to/ utilize/ the/ core/ competency/ use/ informatics/ when/ providing/ patient/ care./ Which/ action/
should/ the/ nurse/ perform/ when/ using/ this/ core/ competency?
1. Change/ the/ sharps/ container/ in/ a/ patient’s/ room.
2. Document/ the/ effectiveness/ of/ pain/ medication/ for/ a/ patient.
3. Discuss/ the/ effectiveness/ of/ bedside/ physical/ therapy/ with/ the/ therapist.
4. Search/ through/ a/ database/ of/ articles/ to/ find/ current/ research/ on/ wound/ care.
Correct/ Answer:/ 4
Rationale/ 1:/ Changing/ the/ sharps/ container/ is/ an/ example/ of/ quality/ improvement.
Rationale/ 2:/ Documenting/ the/ effectiveness/ of/ pain/ medication/ for/ a/ patient/ is/ an/ example/ of/ patient-centered/
care.
Rationale/ 3:/ Discussing/ the/ effectiveness/ of/ bedside/ physical/ therapy/ with/ the/ therapist/ is/ an/ example/ of
teamwork/ and/ collaboration.
Rationale/ 4:/ Searching/ through/ a/ database/ of/ articles/ to/ find/ current/ research/ on/ wound/ care/ is/ an/ example/ of/ use/
informatics.
Global/ Rationale:/ Examples/ of/ the/ nurse/ using/ the/ core/ competency/ use/ informatics/ include/ the/ use/ of/
technology/ to/ communicate,/ manage/ knowledge,/ reduce/ errors,/ and/ support/ decision/ making./ The/ activity/ of/
searching/ through/ a/ database/ of/ articles/ to/ find/ current/ research/ on/ wound/ care/ is/ an/ example/ of/ use/ informatics./
Changing/ the/ sharps/ container/ in/ a/ patient’s/ room/ is/ an/ example/ of/ quality/ improvement./ Documenting/ the/
effectiveness/ of/ pain/ medication/ for/ a/ patient/ is/ an/ example/ of/ patient-centered/ care./ Discussing/ the/ effectiveness/
of/ bedside/ physical/ therapy/ with/ the/ therapist/ is/ an/ example/ of/ teamwork/ and/ collaboration.
Cognitive/ Level:/ Applying
Client/ Need:/ Safe/ and/ Effective/ Care/ Environment
Client/ Need/ Sub:/ Management/ of/ Care
QSEN/ Competencies:/ VI.B.2./ Apply/ technology/ and/ information/ management/ tools/ to/ support/ safe/ processes/ of/
care
AACN/ Essentials/ Competencies:/ IV.1./ Demonstrate/ skills/ in/ using/ patient/ care/ technologies,/ information/
systems,/ and/ communication/ devices/ that/ support/ safe/ nursing/ practice
LeMone/Burke/Bauldoff/Gubrud,/ Medical-Surgical/ Nursing/ 6th/ Edition/ Test/ Bank/
Copyright/ 2015/ by/ Pearson/ Education,/ Inc.
, NLN/ Competencies:/ Knowledge/ and/ Science:/ Electronic/ databases;/ literature/ retrieval;/ evaluating/ data/ for/
validity/ and/ reliability;/ evidence/ and/ best/ practices/ for/ nursing
Nursing/Integrated/ Concepts:/ Nursing/ Process:/ Planning
Learning/ Outcome:/ 1./ Describe/ the/ core/ competencies/ for/ healthcare/ professionals:/ patient-centered/ care,/
interprofessional/ teams,/ evidence-based/ practice,/ quality/ improvement,/ safety,/ and/ health/ information/
technology.
MNL/ Learning/ Outcome:/ 4.3.3./ Examine/ the/ treatments/ used/ for/ pressure/ ulcers.
Page/ Number:/ 4
Question/ 3/
Type:/MCMA
The/ nurse/ plans/ to/ implement/ evidence-based/ practice/ when/ providing/ patient/ care./ Which/ activities/ should/ the/
nurse/ perform?
Standard/ Text:/ Select/ all/ that/ apply.
1. Participate/ in/ education/ and/ research/ activities/ when/ possible.
2. Integrate/ research/ findings/ with/ clinical/ care/ to/ maximize/ patient/ outcomes.
3. Serve/ on/ the/ committee/ to/ create/ critical/ pathways/ for/ patient/ care.
4. Reinforce/ hand/ hygiene/ techniques/ with/ unlicensed/ assistive/ personnel.
5. Contact/ Environmental/ Services/ to/ report/ a/ malfunctioning/ infusion/ pump.
Correct/ Answer:/ 1,/ 2
Rationale/ 1:/ Participating/ in/ education/ and/ research/ activities/ when/ possible/ is/ an/ example/ of/ implementing
evidence-based/ practice/ in/ the/ provision/ of/ patient/ care.
Rationale/ 2:/ Integrating/ research/ findings/ with/ clinical/ care/ to/ maximize/ patient/ outcomes/ is/ an/ example/ of/
implementing/ evidence-based/ practice/ in/ the/ provision/ of/ patient/ care.
Rationale/ 3:/ Serving/ on/ the/ committee/ to/ create/ critical/ pathways/ for/ patient/ care/ is/ an/ example/ of/ teamwork/ and/
collaboration.
Rationale/ 4:/ Reinforcing/ hand/ hygiene/ techniques/ with/ unlicensed/ assistive/ personnel/ is/ an/ example/ of/ quality/
improvement.
Rationale/ 5:/ Contacting/ Environmental/ Services/ to/ report/ a/ malfunctioning/ infusion/ pump/ is/ an/ example/ of
quality/ improvement.
Global/ Rationale:/ Participating/ in/ education/ and/ research/ activities/ when/ possible/ is/ an/ example/ of/ implementing/
evidence-based/ practice/ in/ the/ provision/ of/ patient/ care./ Integrating/ research/ findings/ with/ clinical/ care/ to/
maximize/ patient/ outcomes/ is/ an/ example/ of/ implementing/ evidence-based/ practice/ in/ the/ provision/ of/ patient
LeMone/Burke/Bauldoff/Gubrud,/ Medical-Surgical/ Nursing/ 6th/ Edition/ Test/ Bank/
Copyright/ 2015/ by/ Pearson/ Education,/ Inc.
