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Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 2nd Edition Test Bank by Janice J. Hoffman $19.49   Add to cart

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Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 2nd Edition Test Bank by Janice J. Hoffman

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  • Davis Advantage for Medical-Surgical Nursing
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Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 2nd Edition
Test Bank

Chapter 1: Foundations for Medical-Surgical Nursing




Multiple Choice




Identify the choice that best completes the statement or answers the question.

____ 1. Which type of nursing is the root of all other nursing practice areas?

1. Pediatric nursing
2. Maternal child nursing
3. Medical-surgical nursing
4. Mental health–psychiatric nursing
____ 2. Which competency did the Nursing Executive Center of the Advisory Board identify as the
greatest academic-practice gap for new graduate nurses?
1. Knowledge of pharmacology
2. Interpretation of assessment data
3. Knowledge of pathophysiology
4. Decision making
____ 3. In the Nursing Executive Center of the Advisory Board report, what recommendations are
made to address the academic practice gap for new graduate nurses?
1. Mandatory number of clinical hours
2. Increased credits in all entry level courses
3. Residency programs
4. Additional science prerequisite courses
____ 4. The medical-surgical nurse wants to determine if a policy change is needed for an identified
clinical problem. Which is the nurse’s first action?
1. Developing a question
2. Disseminating the findings
3. Conducting a review of the literature
4. Evaluating outcomes of practice change
____ 5. Which statement regarding the use of the nursing process in clinical practice is accurate?
1. “The nursing process is closely related to clinical decision making.”
2. “The nursing process is used by all members of the interprofessional team to plan
care.”
3. “The nursing process has four basic steps: assessment, planning, implementation,
and evaluation.”
4. “The nursing process is being replaced by the implementation of evidence-based
practice.”

Copyright © 2020 F. A. Davis Company

, Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 2nd Edition
Test Bank
____ 6. The nurse develops a research question based on observations noted while providing care to
patients on the medical-surgical unit. Which step does the nurse implement next during the
process of evidence-based practice?
1. Search for the best evidence.
2. Evaluate the quality of the evidence.
3. Integrate the evidence into unit practice.
4. Disseminate the evidence to the staff on the unit.
____ 7. 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 controlled study
2. Quasi-experimental study
3. Case-control study
4. Cohort study
____ 8. The nurse is evaluating the level of evidence found during a recent review of the literature.
Which evidence carries the lowest level of support for a practice change?
1. Level IV
2. Level V
3. Level VI
4. Level VII
____ 9. The nurse is reviewing evidence from a quasi-experimental research study. Which level of
evidence should the nurse identify for this research study?
1. Level I
2. Level II
3. Level III
4. Level IV
____ 10. Which level of evidence should the nurse identify when reviewing evidence from a single
descriptive research study?
1. Level IV
2. Level V
3. Level VI
4. Level VII
____ 11. To deliver patient-centered care, the nurse needs to understand the implications of findings
from which organization that provides a standardized approach to the collection of data from
patients regarding their experiences within the healthcare system?
1. The Joint Commission (TJC)
2. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
3. The Nursing Executive Center of the Advisory Board
4. American Nurse Credentialing Center Magnet® Recognition program
____ 12. The nurse manager is preparing a staff education presentation in preparation for The Joint
Commission (TJC) visit. Which data does the nurse manager include that specifically address
aspects of patient-centered care?
1. Licensure requirements of staff
2. Patient participation in plan of care
3. Communication between providers and staff
Copyright © 2020 F. A. Davis Company

, Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 2nd Edition
Test Bank
4. Staffing ratios
____ 13. Which statement should the nurse make when communicating the “S” in the SBAR approach
for effective communication?
1. “The patient presented to the emergency department at 0200 with lower left
abdominal pain.”
2. “The patient rated the pain upon admission as a 3 on a 10-point numerical scale.”
3. “The patient has no significant issues in the medical history.”
4. “I believe the patient needs to be prescribed a medication for pain.”
____ 14. The staff nurse is communicating with the change nurse about the change of status of the
patient. The nurse would begin her communication with which statement if correctly using the
SBAR format?
1. “The patient’s heart rate is 110.”
2. “I think this patient needs to be transferred to the critical care unit.”
3. “The patient is a 68-year-old man admitted last night.”
4. “The patient is complaining of chest pain.”
____ 15. 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 on admission
4. Decreasing the amount of pain medication administered
____ 16. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN)
competency of safety?
1. Advocating for a patient who is experiencing pain
2. Considering the patient’s culture when planning care
3. Evaluating patient learning style before implementing discharge instructions
4. Assessing the right drug before administering a prescribed patient medication
____ 17. The medical-surgical nurse is providing patient care. Which circumstance would necessitate
the nurse verifying the patient’s identification using at least two sources?
1. Before delivering a meal tray
2. Before passive range of motion
3. Before medication administration
4. Before documenting in the medical record
____ 18. The nurse is providing care to several patients on a medical-surgical unit. Which situation
would necessitate the nurse to use SBAR during the hand-off process?
1. Wound care
2. Discharge to home
3. Transfer to radiology
4. Medication education
____ 19. The medical-surgical nurse transports a patient to the surgical suite for a hip replacement
surgery. Which action does the nurse complete during the “time-out” process with the surgical
team?
1. Verifying the patient’s informed consent is signed
2. Identifying the patient by asking, “Are you Mrs. Smith?”
3. Asking the patient, “Which side are you having surgery on today?”
Copyright © 2020 F. A. Davis Company

, Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 2nd Edition
Test Bank
4. Ensuring the patient’s surgical checklist is complete and placed on the medical
record
____ 20. The medical-surgical nurse prepares to transfer a patient to the rehabilitation unit. Which is
the best nursing action to enhance patient safety in this situation?
1. Identify the patient using two identifiers.
2. Perform hand hygiene before touching the patient.
3. Conduct a time-out when handing off care to the new unit.
4. Provide a written handoff communication using the SBAR method.
____ 21. Which interprofessional role does the nurse often assume when providing patient care in an
acute care setting?
1. Social worker
2. Primary healthcare provider
3. Care coordinator
4. Rehabilitation specialist

Multiple Response
Identify one or more choices that best complete the statement or answer the question.

____ 22. Which professional nursing organizations provide certification in medical-surgical nursing?
Select all that apply.
1. Academy of Medical Surgical Nursing
2. American Nurse Credentialing Center
3. Beryl Institute
4. Medical Surgical Nursing Certification Board
5. Nursing Executive Center
____ 23. The staff nurse is teaching a group of student nurses the situations that necessitate hand-off
communication. Which student responses indicate the need for further education related to
this procedure? Select all that apply.
1. “A hand-off is required before administering a medication.”
2. “A hand-off is required during change of shift.”
3. “A hand-off is required for a patient who is transferred to the surgical suite.”
4. “A hand-off is required whenever the nurse receives a new patient assignment.”
5. “A hand-off is required before family visitation.”
____ 24. In preparing an educational program on Quality and Safety Education for Nursing (QSEN),
the nurse incorporates which competencies? Select all that apply.
1. Patient-centered care
2. Legal implications of nursing care
3. Evidence-based practice
4. Informatics
5. Cost containment measures
____ 25. Which actions by the nurse enhance patient safety during medication administration? Select
all that apply.
1. Answering the call bell while transporting medications for a different patient
2. Identifying the patient using two sources before administering the medication
3. Holding a medication if the patient’s diagnosis does not support its use

Copyright © 2020 F. A. Davis Company

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