Identify the choice that best completes the statement or answers the question.
xy xy xy xy xy xy xy xy xy xy xy
1. x y The medical-surgical nurse identifies a clinical practice issue and wants to determine if there is
xy xy xy xy xy xy xy xy xy xy xy xy xy xy
xy sufficient evidence to support a change in practice. Which type of study provides the strongest
xy xy xy xy xy xy xy xy xy xy xy xy xy xy
xy evidence to support a practice change?
xy xy xy xy xy
1) Randomized control study xy xy
2) Quasi-experimental study xy
3) Case-control study xy
4) Cohort study xy
2. The medical-surgical unit recently implemented a patient-centered care model. Which action
x y xy xy xy xy xy xy xy xy xy xy
implemented by
xy xy
the nurse supports this
xy NURSINGTB.COM
xy xy
model? xy
1) Evaluating care xy
2) Assessing needs xy
3) Diagnosing problems xy
4) Providing compassion xy
3. xy xy Which action should the nurse implement when providing patient care in order to support The Joint
xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy
4) Decreasing the amount of pain medication administered
xy xy xy xy xy xy
4. x y Which interprofessional role does the nurse often assume when providing patient care in an
xy xy xy xy xy xy xy xy xy xy xy xy xy
xy acute care setting?
xy xy
1) Social worker xy
2) Client advocate xy
3) Care coordinator xy
4) Massage therapist xy
5. xy xy The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical
xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy
problem.
xy
Which is the first action the nurse should implement?
xy xy xy xy xy xy xy xy
1) Developing a question xy xy
2) Disseminating the findings xy xy
3) Conducting a review of the literature xy xy xy xy xy
4) Evaluating outcomes of practice change xy xy xy xy
, TEST BANK FOR MEDICAL SURGICAL NURSING 3RD EDITION BY HOFFMAN
6. The nurse is evaluating the level of evidence found during a recent review of the literature. Which
xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy
evidence carries the lowest level of support for a practice change?
xy xy xy xy xy xy xy xy xy xy xy
1) Level IV xy
2) Level V xy
3) Level VI xy
4) Level VII xy
7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence
xy xy xy xy xy xy xy xy xy xy xy xy xy
should the nurse identify for this research study?
xy xy xy xy xy xy xy xy
1) Level I xy
2) Level II xy
3) Level III xy
4) Level IV xy
8. Which level of evidence should the nurse identify when reviewing evidence from a single descriptive
xy xy xy xy xy xy xy xy xy xy xy xy xy xy
research study?
xy xy
1) Level IV xy
2) Level V xy
3) Level VI xy
4) Level VII xy
9. Which statement should the nurse make when communicating the “S” in the SBAR approach for effective
xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy
communication?
1) “The patient presented to the emergency department at 0200 with lower left abdominal
xy xy xy xy xy xy xy xy xy xy xy xy
pain.”
2) “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
xy xy xy xy xy xy xy xy xy xy xy xy xy xy
3) “The patient has no significant iN
xy ssU
ueRsS
inIthNeGmTeB
di.
caC
l hOisMt ory. ”
xy xy xy xy xy xy
4) “The patient was given a prescribed opioid analgesic at 0300.”
xy xy xy xy xy xy xy xy xy
10. The staff nurse is communicating with the change nurse about the change of status of the patient.
xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy
The nurse would begin her communication with which statement if correctly using the SBAR
x y xy xy xy xy xy xy xy xy xy xy xy xy xy
format?
xy
1) “The patient’s heartrate is 110.”
xy xy xy xy
2) “I think this patient needs to be transferred to the critical care unit.”
xy xy xy xy xy xy xy xy xy xy xy xy
3) “The patient is a 68-year-old male patient admitted last night.”
xy xy xy xy xy xy xy xy xy
4) “The patient is complaining of chest pain.”
xy xy xy xy xy xy
11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN)
xy xy xy xy xy xy xy xy xy xy xy
competency of safety?
xy xy xy
1) Advocating for a patient who is experiencing pain xy xy xy xy xy xy xy
2) Considering the patient’s culture when planning carexy xy xy xy xy xy
4) Assessing the right drug prior to administering a prescribed patient medication
xy xy xy xy xy xy xy xy xy xy
12. Which type of nursing is the root of all other nursing practice areas?
xy xy xy xy xy xy xy xy xy xy xy xy
1) Pediatric nursing xy
2) Geriatric nursing xy
3) Medical-surgical nursing xy
4) Mental health-psychiatric nursing
xy xy
13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap
xy xy xy xy xy xy xy xy xy xy xy xy xy xy
for new graduate nurses?
xy xy xy xy
1) Patient advocacy xy
2) Patient education xy
, TEST BANK FOR MEDICAL SURGICAL NURSING 3RD EDITION BY HOFFMAN
3) Disease pathophysiology xy
4) Therapeutic communication xy
x y 14. x y Which statement regarding the use of the nursing process in clinical practice is accurate?
xy xy xy xy xy xy xy xy xy xy xy xy xy
1) “The nursing process is closely related to clinical decision-making.”
xy xy xy xy xy xy xy xy
2) “The nursing process is used by all members of the interprofessional team to plan care.”
xy xy xy xy xy xy xy xy xy xy xy xy xy xy
3) “The nursing process has 4 basic steps: assessment, planning, implementation,
xy xy xy xy xy xy xy xy xy
evaluation.”
4) “The nursing process is being replaced by the implementation of evidence-based practice.”
xy xy xy xy xy xy xy xy xy xy xy
x y 15. x y Which is the basis of nursing care practices and protocols?
xy xy xy xy xy xy xy xy xy
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
x y 16. x y Which is a common theme regarding patient dissatisfaction related to care provided in the hospital
xy xy xy xy xy xy xy xy xy xy xy xy xy xy
setting?
xy
1) Space in hospital rooms
xy xy xy
2) Medications received to treat pain xy xy xy xy
3) Time spent with the health-care team
xy xy xy xy xy
4) Poor quality food received from dietary
xy xy xy xy xy
x y 17. The nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit
x y xy xy xy xy xy xy xy xy xy xy xy xy xy
With the nurse manager presenting staff education focusing on TJC benchmarks, which of the
xy xy xy xy xy xy xy xy xy xy xy xy xy xy
following topics would be most appropriate?
xy xy xy xy xy xy
1) Implementation of evidence-based practice xy xy xy
2) Implementation of patient-c e nt eNreUd R
caSreINGTB.COM xy xy xy
3) Implementation of medical asepsis practices xy xy xy xy
4) Implementation of interprofessional care xy xy xy
x y 18. Which aspect of patient-centered care should the nurse manager evaluate prior to The Joint
x y xy xy xy xy xy xy xy xy xy xy xy xy xy
Commission site visit for accreditation?
xy xy xy xy xy
1) Visitation rights xy
2) Education level of staff xy xy xy
3) Fall prevention protocol
xy xy
4) Infection control practices xy xy
x y 19. x y The medical-surgical nurse is providing patient care. Which circumstance would necessitate the
xy xy xy xy xy xy xy xy xy xy xy
nurse
xy
verifying the patient’s identification using at least two sources?
xy xy xy xy xy xy xy xy
1) Prior to delivering a meal tray
xy xy xy xy xy
2) Prior to passive range of motion
xy xy xy xy xy
3) Prior to medication administration
xy xy xy
4) Prior to documenting in the medical record
xy xy xy xy xy xy
x y 20. The nurse is providing care to several patients on a medical-surgical unit. Which situation would
x y xy xy xy xy xy xy xy xy xy xy xy xy xy xy
necessitate the nurse to use SBAR during the hand-off process?
xy xy xy xy xy xy xy xy xy xy
1) Wound care xy
2) Discharge to home xy xy
3) Transfer to radiology xy xy
4) Medication education xy
Multiple Response
xy
, TEST BANK FOR MEDICAL SURGICAL NURSING 3RD EDITION BY HOFFMAN
Identify one or more choices that best complete the statement or answer the question.
xy xy xy xy xy xy xy xy xy xy xy xy xy
21.
x y The staff nurse is teaching a group of student nurses the situations that necessitate hand-off
x y xy xy xy xy xy xy xy xy xy xy xy xy xy xy
xy communication.
Which student responses indicate the need for further education related to this procedure? Select all
xy xy xy xy xy xy xy xy xy xy xy xy xy xy
that apply.xy xy
1) “A hand-off is required prior to administering a medication.”
xy xy xy xy xy xy xy xy
2) “A hand-off is required during change of shift.”
xy xy xy xy xy xy xy
3) “A hand-off is required for a patient is transferred to the surgical suite.”
xy xy xy xy xy xy xy xy xy xy xy xy
4) “A hand-off is required whenever the nurse receives a new patient assignment.”
xy xy xy xy xy xy xy xy xy xy xy
5) “A hand-off is required prior to family visitation.”
xy xy xy xy xy xy xy
x y 22. x y Which actions by the nurse enhance patient safety during medication administration? Select all that
xy xy xy xy xy xy xy xy xy xy xy xy xy
xy apply.
1) Answering the call bell while transporting medications for a different patient
xy xy xy xy xy xy xy xy xy xy
2) Identifying the patient using two sources prior to administering the medication
xy xy xy xy xy xy xy xy xy xy
3) Holding a medication if the patient’s diagnosis does not support its use
xy xy xy xy xy xy xy xy xy xy xy
4) Administering the medication two hours after the scheduled time xy xy xy xy xy xy xy xy
5) Having another nurse verify the prescribed dose of insulin the patient is to receive
xy xy xy xy xy xy xy xy xy xy xy xy xy
x y 23. The medical-surgical nurse assumes care for a patient who is receiving continuous
x y xy xy xy xy xy xy xy xy xy xy xy
cardiopulmonary monitoring. Which actions by the nurse enhance safety for this patient?
xy xy xy xy xy xy xy xy xy xy xy xy
Select all that apply.
xy xy xy xy
1) Silencing the alarm during family visitation xy xy xy xy xy
2) Assessing the alarm parameters at the start of the shift
xy xy xy xy xy xy xy xy xy
3) Responding to the alarm in a timely fashion xy xy xy xy xy xy xy
4) Decreasing the alarm volume to enhance restful sleep xy xy xy xy xy xy xy
5) Adjusting alarm parameters based on specified practitioner prescription
xy xy xy xy xy xy xy
x y xy 24. The nurse is planning an i n t e r p r o f e s sNi oUn aRl S
x y xy xy caIreNcG
xy onTfeBre.nC
ceOfM
or a patient who is approaching
xy xy xy x y xy xy xy xy
discharge from the hospital. Which members of the interprofessional team should the nurse invite to
xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy
attend? Select all that apply.
xy xy xy xy xy
1) Physician
2) Pharmacist
3) Unit secretary xy
4) Social worker xy
5) Home care aide xy xy
x y 25. The nurse manager wants to designate a member of the nursing team as the care coordinator for a
x y xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy xy
patient who will require significant care during the hospitalization. Which skills should this nurse
xy xy xy xy xy xy xy xy xy xy xy xy xy xy
possess in order to assume this role? Select all that apply.
xy xy xy xy xy xy xy xy xy xy xy
1) Effective clinical reasoning xy xy
2) Effective communication skills xy xy
3) Effective infection control procedures xy xy xy
4) Effective documentation xy
5) Effective intravenous skills xy xy
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