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