Test Bank for Davis Advantage for Medical-Surgical Nursing: Making

Test Bank for Davis Advantage for Medical-Surgical Nursing: Making

Connections to Practice 3rd

edition by Hoffman and Sullivan

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Chapter 1: Foundations for Med-surg Nursing

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

• The med-surg nursing practitioner 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

• The med-surg unit recently implemented a client-centered care model. Which action implemented by the

nursing practitioner supports this model?1) Evaluating care 2) Assessing needs 3) Diagnosing problems 4) Providing compassion

• Which action should the nursing practitioner implement when providing client care in order to support The Joint

Commission’s (TJC) National Client Safety Goals (NPSG)?1) Silencing a cardiorespiratory monitor 2) Identifying each client using one source 3) Determining client safety issues upon admission 4) Decreasing the amount of pain medication administered

• Which interprofessional role does the nursing practitioner often assume when providing client care in

an acute care setting?1) Social worker 2) Client advocate 3) Care coordinator 4) Massage therapist

• The med-surg nursing practitioner wants to determine if a policy change is needed for an identified clinical problem.

Which is the first action the nursing practitioner should implement?1) Developing a question 2) Disseminating the findings 3) Conducting a review of the literature 4) Evaluating outcomes of practice change 2 / 4

• The nursing practitioner 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

• The nursing practitioner is reviewing evidence from a quasi-experimental research study. Which level of

evidence should the nursing practitioner identify for this research study?1) Level I 2) Level II 3) Level III 4) Level IV

• Which level of evidence should the nursing practitioner identify when reviewing evidence from a single

descriptive research study?1) Level IV 2) Level V 3) Level VI 4) Level VII

• Which statement should the nursing practitioner make when communicating the “S” in the SBAR approach for

effective communication?1) “The client presented to the emergency department at 0200 with lower left abdominal pain.” 2) “The client rated the pain upon admission as a 9 on a 10-point numeric scale.” 3) “The client has no significant iNssues in the medical history.” 4) “The client was given a prescribed opioid analgesic at 0300.”

• The staff nursing practitioner is communicating with the change nursing practitioner about the change of

status of the client. The nursing practitioner would begin her communication with which statement if correctly using the SBAR format?1) “The client’s heartrate is 110.” 2) “I think this client needs to be transferred to the critical care unit.” 3) “The client is a 68-year-old male client admitted last night.” 4) “The client is complaining of chest pain.”

• Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) competency of

safety?1) Advocating for a client who is experiencing pain 2) Considering the client’s culture when planning care 3) Evaluating client learning style prior to implementing discharge instructions 4) Assessing the right drug prior to administering a prescribed client medication

• Which type of nursing is the root of all other nursing practice areas?

1) Pediatric nursing 2) Geriatric nursing 3) Med-surg nursing 4) Mental health-psychiatric nursing

• Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new

graduate nursing practitioners?1) Client advocacy 2) Client education 3 / 4

3) Disease pathophysiology 4) Therapeutic communication

• 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.”

• Which is the basis of nursing care practices and protocols?

1) Assessment 2) Evaluation 3) Diagnosis 4) Research

• Which is a common theme regarding client dissatisfaction related to care provided in the hospital setting?

1) Space in hospital rooms 2) Medications received to treat pain 3) Time spent with the health-care team 4) Poor quality food received from dietary

• The nursing practitioner manager is preparing a med-surg unit for The Joint Commission (TJC) visit With

the nursing practitioner 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 client-centeNred care 3) Implementation of medical asepsis practices 4) Implementation of interprofessional care

• Which aspect of client-centered care should the nursing practitioner 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

• The med-surg nursing practitioner is providing client care. Which circumstance would necessitate the nursing

practitioner verifying the client’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

• The nursing practitioner is providing care to several clients on a med-surg unit. Which situation would

necessitate the nursing practitioner to use SBAR during the hand-off process?1) Wound care 2) Discharge to home 3) Transfer to radiology 4) Medication education

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