Timby'sm Fundamentalm Nursing m Skillsm andm Conceptsm 12thm Editionm by m Moreno mTimby mTestm Ba
nk
Chapterm1
NursingmFoundations
mMultiple mChoice
Identifym them choicem thatm bestm completesm them statementm orm answersm them question.
1. Themmedical-
surgicalmnursemidentifiesmamclinicalmpractice missuemand mwantsmto mdetermine mif mtheremi
smsufficientmevidence mto msupportmamchangemin mpractice.mWhich mtypemof mstudy mprovid
esmthemstrongestmevidence mto msupportmampracticemchange?
• Randomized m controlm study
• Quasi-experimentalm study
• Case-controlm study
• Cohortm study
2. Themmedical-surgicalmunitmrecently mimplemented mampatient-
centered mcaremmodel.mWhich maction mimplemented mby mthemnursemsupportsmthismmodel?
• Evaluatingm care
• Assessingm needs
• Diagnosingm problems
• Providingm compassion
3. Which maction mshould mthemnursemimplementmwhen mprovidingmpatientmcaremin morde
rmto msupportmThemJoint
Commission’sm (TJC)m Nationalm Patientm Safety m Goalsm (NPSG)?
• Silencingm am cardiorespiratory m monitor
• Identifyingm each m patientm usingm onemsource
• Determiningm patientm safety m issuesm upon madmission
• Decreasingm them amountm of m pain m medication madministered
4. Which minterprofessionalmrolemdoesmthemnursemoften massum
emwhen mprovidingmpatientmcaremin man macutemcaremsetting?
• Socialm worker
• Clientm advocate
• Caremcoordinator
• Massagem therapist
5. Themmedical-
surgicalmnursemwantsmto mdetermine mif mampolicy mchangemismneeded mforman midentified mclinicalmpr
oblem.
Which mismthem firstmaction m themnursem should mimplement?
• Developingm am question
• Disseminatingm them findings
• Conductingm am reviewm of m themliterature
• Evaluatingm outcomesm of m practice m change
, 6. Themnursemismevaluatingmthemlevelmof mevidence mfound mduringmamrece
ntmreviewmof mthemliterature.mWhich mevidence mcarriesmthemlowestmlevelmof msupportmforma
mpractice mchange?
• Levelm IV
• LevelmV
• LevelmVI
• LevelmVII
7. Themnursemismreviewingmevidence mfrommamquasi-
experimentalmresearch mstudy.mWhich mlevelmof mevidencemshouldmthemnursemidentify mf
ormthismresearch mstudy?
• Levelm I
• Levelm II
• Levelm III
• Levelm IV
8. Which mlevelmof mevidence mshould mthemnursemidentify mwhen mreviewin
gmevidence mfrommamsinglemdescriptive mresearch mstudy?
• Levelm IV
• LevelmV
• LevelmVI
• LevelmVII
9. Which mstatementmshould mthemnurse mmakemwhen mcommunicatingmthem“S”min mth
emSBARmapproach mformeffective
communication?
• “Thempatientmpresented mto mthememergency mdepartmentmatm0200 mwith mlowermleftmabdomin
almpain.”
• “Them patientm rated m them pain m upon m admission m asm am 9 m on m am 10-pointm numeric mscale.”
• “Thempatientm hasm no m significantm issuesmin m them medicalmhistory.”
• “Them patientm wasm given m am prescribed m opioid m analgesic m atm0300.”
10. Themstaff mnursemismcommunicatingmwith mthemchangemnursemaboutmth
emchange mof mstatusmof mthempatient.mThemnursemwould mbegin mhermcommunication m
with mwhich mstatementmif mcorrectly musingmthemSBARmformat?
• “Them patient’sm heartrate m ism110.”
• “Im think m thism patientm needsm to m bem transferred m to m them criticalm caremunit.”
• “Them patientm ism am 68-year-old m malem patientm admitted m lastmnight.”
• “Them patientm ism complainingm of m chestmpain.”
11. Which mnursingmaction mexemplifiesmthemQuality mand mSafety mEducatio
n mformNursingm(QSEN)mcompetency mof msafety?
• Advocatingm form am patientm who m ism experiencingmpain
• Consideringm them patient’sm culturem when m planningmcare
• Evaluatingm patientm learningm stylem priorm to m implementingm discharge minstructions
• Assessingm them rightm drugm priorm to m administeringm am prescribed m patientmmedication
12. Which m typem of m nursingm ism them rootm of m allm otherm nursingm practice m areas?
• Pediatricm nursing
, • Geriatricm nursing
• Medical-surgicalm nursing
• Mentalm health-psychiatric m nursing
13. Which mdid mthemNursingmExecutive mCentermof mThemAdvisory mBoard midentif
y masman macademic-practice mgap mformnewmgraduate mnurses?
• Patientm advocacy
• Patientm education
• Diseasem pathophysiology
• Therapeutic m communication
14. Which mstatementmregardingmthemusemof mthemnursingmprocessmin mclinicalmpractice mi
smaccurate?
• “Them nursingm processm ism closely m related m to m clinicalmdecision-making.”
• “Them nursingm processm ism used m by m allm membersm of m them interprofessionalm teamm to m plan mcare.”
• “Themnursingmprocessmhasm4 mbasicmsteps:massessment, mplanning,mimplementation
,mevaluation.”
• “Themnursingmprocessmismbeingmreplaced mby mthemimplementation mof mevidence-
based mpractice.”
15. Which m ism them basism of m nursingm carem practicesm and m protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which mismamcommon mthememregardingmpatientmdissatisfaction mrelated mto mcaremprovide
d min mthemhospitalmsetting?
• Spacem in m hospitalm rooms
• Medicationsm received m to m treatmpain
• Timem spentm with m them health-caremteam
• Poorm quality m food m received m frommdietary
17. Themnursemmanagermismpreparingmammedical-
surgicalmunitmformThemJointmCommission m(TJC)mvisitmWith mthemnursemmanagermpresent
ingmstaff meducation mfocusingmon mTJCmbenchmarks, mwhich mofmthemfollowingmtopicsmwo
uld mbemmostmappropriate?
• Implementation m of m evidence-based m practice
• Implementation m of m patient-centered m care
• Implementation m of m medicalm asepsism practices
• Implementation m of m interprofessionalm care
18. Which maspectmof mpatient-
centered mcaremshould mthemnursemmanagermevaluate mpriormto mThemJointmCommission msitem
visitmformaccreditation?
• Visitation mrights
• Education m levelm of m staff
• Fallm prevention m protocol
• Infection m controlm practices
, 19. Themmedical-
surgicalmnursemismprovidingmpatientmcare.mWhich mcircumstance mwould mnecessitate mthemnurs
e
verifyingm them patient’sm identification m usingm atm leastm two m sources?
• Priorm to m deliveringm am mealmtray
• Priorm to m passive m rangem of mmotion
• Priorm to m medication m administration
• Priorm to m documentingm in m them medicalmrecord
20. Themnursemismprovidingmcaremto mseveralmpatientsmon mammedical-
surgicalmunit.mWhich msituation mwould mnecessitate mthemnursemto musemSBARmduringmth
emhand-off mprocess?
• Wound mcare
• Discharge m to m home
• Transfermto mradiology
• Medication meducation
MultiplemResponse
m
Identifym onem orm morem choicesm thatm bestm complete m them statementm orm answerm them question.
21. Themstaff mnursemismteachingmamgroup mof mstudentmnursesmthemsituationsmthatmnecessitat
emhand-off mcommunication.
Which mstudentmresponsesmindicate mthemneed mformfurthermeducation mrelated mto mthismpro
cedure? mSelectmallmthatmapply.
• “Amhand-off m ism required m priorm to m administeringm ammedication.”
• “Amhand-off m ism required m duringm change m of mshift.”
• “Amhand-off m ism required m form am patientm ism transferred m to m them surgicalmsuite.”
• “Amhand-off m ism required m wheneverm them nursem receivesm am newm patientmassignment.”
• “Amhand-off m ism required m priorm to m family mvisitation.”
22. Which mactionsmby mthemnursemenhance mpatientmsafety mduringmmedicatio
n madministration? mSelectmallmthatmapply.
• Answeringm them callm bellm whilem transportingm medicationsm form am differentmpatient
• Identifyingm them patientm usingm two m sourcesm priorm to m administeringm themmedication
• Holdingm am medication m if m them patient’sm diagnosism doesm notm supportm itsmuse
• Administeringm them medication m two m hoursm afterm them scheduled mtime
• Havingm anotherm nurse m verify m them prescribed m dosem of m insulin m them patientm ism to mreceive
23. Themmedical-
surgicalmnursemassumesmcaremformampatientmwho mismreceivingmcontinuousmca
rdiopulmonary mmonitoring.mWhich mactionsmby mthemnurse menhancemsafetymfo
rmthismpatient? mSelectmallmthatmapply.
• Silencingm them alarmm duringm family mvisitation
• Assessingm them alarmm parametersm atm them startm of m themshift
• Respondingm to m them alarmm in m am timely mfashion
• Decreasingm them alarmm volumem to m enhance m restfulmsleep
• Adjustingm alarmm parametersm based m on m specified m practitionermprescription
nk
Chapterm1
NursingmFoundations
mMultiple mChoice
Identifym them choicem thatm bestm completesm them statementm orm answersm them question.
1. Themmedical-
surgicalmnursemidentifiesmamclinicalmpractice missuemand mwantsmto mdetermine mif mtheremi
smsufficientmevidence mto msupportmamchangemin mpractice.mWhich mtypemof mstudy mprovid
esmthemstrongestmevidence mto msupportmampracticemchange?
• Randomized m controlm study
• Quasi-experimentalm study
• Case-controlm study
• Cohortm study
2. Themmedical-surgicalmunitmrecently mimplemented mampatient-
centered mcaremmodel.mWhich maction mimplemented mby mthemnursemsupportsmthismmodel?
• Evaluatingm care
• Assessingm needs
• Diagnosingm problems
• Providingm compassion
3. Which maction mshould mthemnursemimplementmwhen mprovidingmpatientmcaremin morde
rmto msupportmThemJoint
Commission’sm (TJC)m Nationalm Patientm Safety m Goalsm (NPSG)?
• Silencingm am cardiorespiratory m monitor
• Identifyingm each m patientm usingm onemsource
• Determiningm patientm safety m issuesm upon madmission
• Decreasingm them amountm of m pain m medication madministered
4. Which minterprofessionalmrolemdoesmthemnursemoften massum
emwhen mprovidingmpatientmcaremin man macutemcaremsetting?
• Socialm worker
• Clientm advocate
• Caremcoordinator
• Massagem therapist
5. Themmedical-
surgicalmnursemwantsmto mdetermine mif mampolicy mchangemismneeded mforman midentified mclinicalmpr
oblem.
Which mismthem firstmaction m themnursem should mimplement?
• Developingm am question
• Disseminatingm them findings
• Conductingm am reviewm of m themliterature
• Evaluatingm outcomesm of m practice m change
, 6. Themnursemismevaluatingmthemlevelmof mevidence mfound mduringmamrece
ntmreviewmof mthemliterature.mWhich mevidence mcarriesmthemlowestmlevelmof msupportmforma
mpractice mchange?
• Levelm IV
• LevelmV
• LevelmVI
• LevelmVII
7. Themnursemismreviewingmevidence mfrommamquasi-
experimentalmresearch mstudy.mWhich mlevelmof mevidencemshouldmthemnursemidentify mf
ormthismresearch mstudy?
• Levelm I
• Levelm II
• Levelm III
• Levelm IV
8. Which mlevelmof mevidence mshould mthemnursemidentify mwhen mreviewin
gmevidence mfrommamsinglemdescriptive mresearch mstudy?
• Levelm IV
• LevelmV
• LevelmVI
• LevelmVII
9. Which mstatementmshould mthemnurse mmakemwhen mcommunicatingmthem“S”min mth
emSBARmapproach mformeffective
communication?
• “Thempatientmpresented mto mthememergency mdepartmentmatm0200 mwith mlowermleftmabdomin
almpain.”
• “Them patientm rated m them pain m upon m admission m asm am 9 m on m am 10-pointm numeric mscale.”
• “Thempatientm hasm no m significantm issuesmin m them medicalmhistory.”
• “Them patientm wasm given m am prescribed m opioid m analgesic m atm0300.”
10. Themstaff mnursemismcommunicatingmwith mthemchangemnursemaboutmth
emchange mof mstatusmof mthempatient.mThemnursemwould mbegin mhermcommunication m
with mwhich mstatementmif mcorrectly musingmthemSBARmformat?
• “Them patient’sm heartrate m ism110.”
• “Im think m thism patientm needsm to m bem transferred m to m them criticalm caremunit.”
• “Them patientm ism am 68-year-old m malem patientm admitted m lastmnight.”
• “Them patientm ism complainingm of m chestmpain.”
11. Which mnursingmaction mexemplifiesmthemQuality mand mSafety mEducatio
n mformNursingm(QSEN)mcompetency mof msafety?
• Advocatingm form am patientm who m ism experiencingmpain
• Consideringm them patient’sm culturem when m planningmcare
• Evaluatingm patientm learningm stylem priorm to m implementingm discharge minstructions
• Assessingm them rightm drugm priorm to m administeringm am prescribed m patientmmedication
12. Which m typem of m nursingm ism them rootm of m allm otherm nursingm practice m areas?
• Pediatricm nursing
, • Geriatricm nursing
• Medical-surgicalm nursing
• Mentalm health-psychiatric m nursing
13. Which mdid mthemNursingmExecutive mCentermof mThemAdvisory mBoard midentif
y masman macademic-practice mgap mformnewmgraduate mnurses?
• Patientm advocacy
• Patientm education
• Diseasem pathophysiology
• Therapeutic m communication
14. Which mstatementmregardingmthemusemof mthemnursingmprocessmin mclinicalmpractice mi
smaccurate?
• “Them nursingm processm ism closely m related m to m clinicalmdecision-making.”
• “Them nursingm processm ism used m by m allm membersm of m them interprofessionalm teamm to m plan mcare.”
• “Themnursingmprocessmhasm4 mbasicmsteps:massessment, mplanning,mimplementation
,mevaluation.”
• “Themnursingmprocessmismbeingmreplaced mby mthemimplementation mof mevidence-
based mpractice.”
15. Which m ism them basism of m nursingm carem practicesm and m protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Which mismamcommon mthememregardingmpatientmdissatisfaction mrelated mto mcaremprovide
d min mthemhospitalmsetting?
• Spacem in m hospitalm rooms
• Medicationsm received m to m treatmpain
• Timem spentm with m them health-caremteam
• Poorm quality m food m received m frommdietary
17. Themnursemmanagermismpreparingmammedical-
surgicalmunitmformThemJointmCommission m(TJC)mvisitmWith mthemnursemmanagermpresent
ingmstaff meducation mfocusingmon mTJCmbenchmarks, mwhich mofmthemfollowingmtopicsmwo
uld mbemmostmappropriate?
• Implementation m of m evidence-based m practice
• Implementation m of m patient-centered m care
• Implementation m of m medicalm asepsism practices
• Implementation m of m interprofessionalm care
18. Which maspectmof mpatient-
centered mcaremshould mthemnursemmanagermevaluate mpriormto mThemJointmCommission msitem
visitmformaccreditation?
• Visitation mrights
• Education m levelm of m staff
• Fallm prevention m protocol
• Infection m controlm practices
, 19. Themmedical-
surgicalmnursemismprovidingmpatientmcare.mWhich mcircumstance mwould mnecessitate mthemnurs
e
verifyingm them patient’sm identification m usingm atm leastm two m sources?
• Priorm to m deliveringm am mealmtray
• Priorm to m passive m rangem of mmotion
• Priorm to m medication m administration
• Priorm to m documentingm in m them medicalmrecord
20. Themnursemismprovidingmcaremto mseveralmpatientsmon mammedical-
surgicalmunit.mWhich msituation mwould mnecessitate mthemnursemto musemSBARmduringmth
emhand-off mprocess?
• Wound mcare
• Discharge m to m home
• Transfermto mradiology
• Medication meducation
MultiplemResponse
m
Identifym onem orm morem choicesm thatm bestm complete m them statementm orm answerm them question.
21. Themstaff mnursemismteachingmamgroup mof mstudentmnursesmthemsituationsmthatmnecessitat
emhand-off mcommunication.
Which mstudentmresponsesmindicate mthemneed mformfurthermeducation mrelated mto mthismpro
cedure? mSelectmallmthatmapply.
• “Amhand-off m ism required m priorm to m administeringm ammedication.”
• “Amhand-off m ism required m duringm change m of mshift.”
• “Amhand-off m ism required m form am patientm ism transferred m to m them surgicalmsuite.”
• “Amhand-off m ism required m wheneverm them nursem receivesm am newm patientmassignment.”
• “Amhand-off m ism required m priorm to m family mvisitation.”
22. Which mactionsmby mthemnursemenhance mpatientmsafety mduringmmedicatio
n madministration? mSelectmallmthatmapply.
• Answeringm them callm bellm whilem transportingm medicationsm form am differentmpatient
• Identifyingm them patientm usingm two m sourcesm priorm to m administeringm themmedication
• Holdingm am medication m if m them patient’sm diagnosism doesm notm supportm itsmuse
• Administeringm them medication m two m hoursm afterm them scheduled mtime
• Havingm anotherm nurse m verify m them prescribed m dosem of m insulin m them patientm ism to mreceive
23. Themmedical-
surgicalmnursemassumesmcaremformampatientmwho mismreceivingmcontinuousmca
rdiopulmonary mmonitoring.mWhich mactionsmby mthemnurse menhancemsafetymfo
rmthismpatient? mSelectmallmthatmapply.
• Silencingm them alarmm duringm family mvisitation
• Assessingm them alarmm parametersm atm them startm of m themshift
• Respondingm to m them alarmm in m am timely mfashion
• Decreasingm them alarmm volumem to m enhance m restfulmsleep
• Adjustingm alarmm parametersm based m on m specified m practitionermprescription
