DAVIS ADVANTAGE FOR MEDICAL-SURGICAL NURSING:
MAKING CONNECTIONS TO PRACTICE
3RD 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 medical caretaker 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 hospital patient-centered care model. Which action
implemented by the medical caretaker supports this model?
1) Evaluating care
2) Assessing needs
3) Diagnosing problems
4) Providing compassion
3. Which action should the medical caretaker implement when providing hospital patient care in order to support The
Joint
Commission’s (TJC) National Hospital patient Safety Goals (NPSG)?
1) Silencing a cardiorespiratory monitor
2) Identifying each hospital patient using one source
3) Determining hospital patient safety issues upon admission
4) Decreasing the amount of pain medication administered
4. Which interprofessional role does the medical caretaker often assume when providing hospital patient
care in an acute care setting?
1) Social worker
2) Hospital patient advocate
3) Care coordinator
4) Massage therapist
5. The medical-surgical medical caretaker wants to determine if a policy change is needed for an identified clinical
problem.
Which is the first action the medical caretaker 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 3rd EDITION BY HOFFMAN
6. The medical caretaker 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
7. The medical caretaker is reviewing evidence from a quasi-experimental research study. Which level of
evidence should the medical caretaker identify for this research study?
1) Level I
2) Level II
3) Level III
4) Level IV
8. Which level of evidence should the medical caretaker identify when reviewing evidence from a single
descriptive research study?
1) Level IV
2) Level V
3) Level VI
4) Level VII
9. Which statement should the medical caretaker make when communicating the “S” in the SBAR approach for effecti
communication?
1) “The hospital patient presented to the emergency department at 0200 with lower left abdominal
pain.”
2) “The hospital patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
3) “The hospital patient has no significant iN
s s ue s in the medical history.”
4) “The hospital patient was given a prescribed opioid analgesic at 0300.”
10. The staff medical caretaker is communicating with the change medical caretaker about the change of status
of the hospital patient. The medical caretaker would begin her communication with which statement if
correctly using the SBAR format?
1) “The hospital patient’s heartrate is 110.”
2) “I think this hospital patient needs to be transferred to the critical care unit.”
3) “The hospital patient is a 68-year-old male hospital patient admitted last night.”
4) “The hospital patient is complaining of chest pain.”
11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) competency of
safety?
1) Advocating for a hospital patient who is experiencing pain
2) Considering the hospital patient’s culture when planning care
3) Evaluating hospital patient learning style prior to implementing discharge instructions
4) Assessing the right drug prior to administering a prescribed hospital patient medication
12. Which type of nursing is the root of all other nursing practice areas?
1) Pediatric nursing
2) Geriatric nursing
3) Medical-surgical nursing
4) Mental health-psychiatric nursing
13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new
graduate professional nurses?
, TEST BANK FOR MEDICAL SURGICAL NURSING 3rd EDITION BY HOFFMAN
3) Disease pathophysiology
4) Therapeutic communication
14. 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 4 basic steps: assessment, planning, implementation,
evaluation.”
4) “The nursing process is being replaced by the implementation of evidence-based practice.”
15. Which is the basis of nursing care practices and protocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
16. Which is a common theme regarding hospital patient dissatisfaction related to care provided in the clinic setting?
1) Space in clinic rooms
2) Medications received to treat pain
3) Time spent with the health-care team
4) Poor quality food received from dietary
17. The medical caretaker manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit
With the medical caretaker manager presenting staff education focusing on TJC benchmarks, which of the
following topics would be most appropriate?
1) Implementation of evidence-based practice
2) Implementation of hospital patient-centeN
red care
3) Implementation of medical asepsis practices
4) Implementation of interprofessional care
18. Which aspect of hospital patient-centered care should the medical caretaker manager evaluate prior to The
Joint Commission site visit for accreditation?
1) Visitation rights
2) Education level of staff
3) Fall prevention protocol
4) Infection control practices
19. The medical-surgical medical caretaker is providing hospital patient care. Which circumstance would necessitate th
professional nurse
verifying the hospital patient’s identification using at least two sources?
1) Prior to delivering a meal tray
2) Prior to passive range of motion
3) Prior to medication administration
4) Prior to documenting in the medical record
20. The medical caretaker is providing care to several hospital patients on a medical-surgical unit. Which
situation would necessitate the medical caretaker to use SBAR during the hand-off process?
1) Wound care
2) Discharge to home
3) Transfer to radiology
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