Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 2nd edition Hoffman Sullivan Test Bank

Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 2nd edition Hoffman Sullivan Test Bank
Chapter 1: Foundations for Medical-Surgical Nursing
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
practice change?
1) Randomized control study
2) Quasi-experimental study
3) Case-control study
4) Cohort study
____ 2. The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by
the nurse supports this model?
1) Evaluating care
2) Assessing needs
3) Diagnosing problems
4) 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)?
1) Silencing a cardiorespiratory monitor
2) Identifying each patient using one source
3) Determining patient safety issues upon admission
4) 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?
1) Social worker
2) Client advocate
3) Care coordinator
4) 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?
1) Developing a question
2) Disseminating the findings
3) Conducting a review of the literature
4) Evaluating outcomes of practice change
TEST BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN
NURSINGTB.CO
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TEST BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN
2) Patient education
1) Patient advocacy
graduate nurses?
13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new
4) Mental health-psychiatric nursing
3) Medical-surgical nursing
2) Geriatric nursing
1) Pediatric nursing
12. Which type of nursing is the root of all other nursing practice areas?
4) Assessing the right drug prior to administering a prescribed patient medication
3) Evaluating patient learning style prior to implementing discharge instructions
2) Considering the patient’s culture when planning care
1) Advocating for a patient who is experiencing pain
safety?
11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) competency of
4) “The patient is complaining of chest pain.”
3) “The patient is a 68-year-old male patient admitted last night.”
2) “I think this patient needs to be transferred to the critical care unit.”
1) “The patient’s heartrate is 110.”
would begin her communication with which statement if correctly using the SBAR format?
10. The staff nurse is communicating with the change nurse about the change of status of the patient. The nurse
4) “The patient was given a prescribed opioid analgesic at 0300.”
3) “The patient has no significant isNsuUesR iSn tIhNe GmTedBic.al Chi Ostory.” M
2) “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
pain.”
1) “The patient presented to the emergency department at 0200 with lower left abdominal
communication?
9. Which statement should the nurse make when communicating the “S” in the SBAR approach for effective
4) Level VII
3) Level VI
2) Level V
1) Level IV
study?
8. Which level of evidence should the nurse identify when reviewing evidence from a single descriptive research
4) Level IV
3) Level III
2) Level II
1) Level I
the nurse identify for this research study?
7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence should
4) Level VII
3) Level VI
2) Level V
1) Level IV
carries the lowest level of support for a practice change?
6. The nurse is evaluating the level of evidence found during a recent review of the literature. Which evidence
TEST BANK FOR MEDICAL SURGICAL NURSING 2ND EDITION BY HOFFMAN
Multiple Response
4) Medication education
3) Transfer to radiology
2) Discharge to home
1) Wound care
the nurse to use SBAR during the hand-off process?
____ 20. The nurse is providing care to several patients on a medical-surgical unit. Which situation would necessitate
4) Prior to documenting in the medical record
3) Prior to medication administration
2) Prior to passive range of motion
1) Prior to delivering a meal tray
verifying the patient’s identification using at least two sources?
____ 19. The medical-surgical nurse is providing patient care. Which circumstance would necessitate the nurse
4) Infection control practices
3) Fall prevention protocol
2) Education level of staff
1) Visitation rights
visit for accreditation?
____ 18. Which aspect of patient-centered care should the nurse manager evaluate prior to The Joint Commission site
4) Implementation of interprofessional care
3) Implementation of medical asepsis practices
2) Implementation of patient-centered care NURSINGTB.CO
1) Implementation of evidence-based practice
most appropriate?
manager presenting staff education focusing on TJC benchmarks, which of the following topics would be
____ 17. The nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit With the nurse
4) Poor quality food received from dietary
3) Time spent with the health-care team
2) Medications received to treat pain
1) Space in hospital rooms
____ 16. Which is a common theme regarding patient dissatisfaction related to care provided in the hospital setting?
4) Research
3) Diagnosis
2) Evaluation
1) Assessment
____ 15. Which is the basis of nursing care practices and protocols?
4) “The nursing process is being replaced by the implementation of evidence-based practice.”
evaluation.”
3) “The nursing process has 4 basic steps: assessment, planning, implementation,
2) “The nursing process is used by all members of the interprofessional team to plan care.”
1) “The nursing process is closely related to clinical decision-making.”
____ 14. Which statement regarding the use of the nursing process in clinical practice is accurate?
4) Therapeutic communication
3) Disease pathophysiology

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