,Chapter 1: Foundations for Medical-Surgical Nursing
MULTIPLE CHOICE :
1. Which type of nursing is the root of all other nursing practice areas?
A. Pediatric nursing
B. Maternal-child nursing
C. Medical-surgical nursing
D. Mental health–psychiatric nursing
ANS: C
Chapter number and title: 1, Foundations for Medical-Surgical Nursing
Chapter learning objective: 1. Describing the role and competencies of medical-surgical nursing
Chapter page reference: p. 2
Heading: Introduction
Integrated Processes: N/A
Client Need: N/A
Cognitive Level: Knowledge [Remembering]
Concept: Professionalism
Difficulty: Easy
Feedback
A Pediatric nursing is only focused on the care of younger persons.
B Maternal-child nursing focuses on the care of pregnant women and families in
the childbearing years.
C Medical-surgical nursing is the root of all nursing practice as care provided here
can be implemented in all other areas of nursing practice.
D Mental health–psychiatric nursing focuses on emotional and behavioral
concerns and disorders.
PTS: 1 CON: Professionalism
2. Which competency did the Nursing Executive Center of the Advisory Board identify as the greatest
academic practice gap for new graduate nurses?
A. Knowledge of pharmacology
B. Interpretation of assessment data
C. Knowledge of pathophysiology
D. Decision making
ANS: C
Chapter number and title: 1, Foundations for Medical-Surgical Nursing
Chapter learning objective: 1. Describing the role and competencies of medical-surgical nursing
Chapter page reference: p. 3
Heading: Competencies in Medical-Surgical Nursing
Integrated Processes: N/A
Client Need: N/A
, Cognitive Level: Knowledge [Remembering]
Concept: Professionalism
Difficulty: Easy
Feedback
A 28% of nursing executives identified knowledge of pharmacological
implications of medications as the largest academic practice gap.
B 18% of nursing executives identified interpretation of assessment data as the
largest academic practice gap.
C 34% of nursing executives identified knowledge of pathophysiology of patient
conditions as the largest academic practice gap.
D 20% of nursing executives identified decision making based on the nursing
process as the largest academic practice gap.
PTS: 1 CON: Professionalism
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?
A. Mandatory number of clinical hours
B. Increased credits in all entry level courses
C. Residency programs
D. Additional science prerequisite courses
ANS: C
Chapter number and title: 1, Foundations for Medical-Surgical Nursing
Chapter learning objective: 1. Describing the role and competencies of medical-surgical nursing
Chapter page reference: p. 3
Heading: Competencies in Medical-Surgical Nursing
Integrated Processes: N/A
Client Need: N/A
Cognitive Level: Comprehension [Understanding]
Concept: Healthcare Systems
Difficulty: Moderate
Feedback
A Clinical hours in nursing programs are not a specific recommendation related to
the academic practice gap, and clinical hours are more related to state
regulations, academic institutional policies, and accreditation standards.
B Total credits of nursing programs are not a recommendation to address the
academic practice gap. Credits are primarily based on state, university, or higher
education regulatory bodies recommendations or requirements.
C Suggested strategies to better prepare the nurse graduate for the realities of
practice include the increased use of simulation in nursing education programs,
extended transition-to-practice and residency programs, as well as the
establishment of academic service partnerships.
, D Prerequisite courses for nursing programs were not specifically addressed in
relation to the academic practice gap. Decisions related to prerequisite courses
are typically determined by school and/or university curriculum committees.
PTS: 1 CON: Healthcare Systems
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?
A. Developing a question
B. Disseminating the findings
C. Conducting a review of the literature
D. Evaluating outcomes of practice change
ANS: A
Chapter number and title: 1, Foundations for Medical-Surgical Nursing
Chapter learning objective: 3. Discussing the incorporation of evidence-based practices into medical-
surgical nursing
Chapter page reference: p. 4
Heading: Evidence-Based Nursing Care/Box 1.3 Steps of Evidence-Based Practice
Integrated Processes: Nursing Process: Implementation
Client Need: Safe and Effective Care Environment/Management of Care
Cognitive Level: Comprehension
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
A The first step of evidence-based practice is to develop a question based on the
clinical issue.
B The last step of evidence-based practice is to disseminate findings.
C The second step of evidence-based practice is to conduct a review of the
literature, or current evidence, available.
D The fifth step of evidence-based practice is to evaluate the outcomes associated
with the practice change.
PTS: 1 CON: Evidence-Based Practice
5. Which statement regarding the use of the nursing process in clinical practice is accurate?
A. “The nursing process is closely related to clinical decision making.”
B. “The nursing process is used by all members of the interprofessional team to plan
care.”
C. “The nursing process has four basic steps: assessment, planning, implementation,
and evaluation.”
D. “The nursing process is being replaced by the implementation of evidence-based
practice.”
ANS: A
Chapter number and title: 1, Foundations for Medical-Surgical Nursing
Chapter learning objective: 1. Describing the role and competencies of medical-surgical nursing
MULTIPLE CHOICE :
1. Which type of nursing is the root of all other nursing practice areas?
A. Pediatric nursing
B. Maternal-child nursing
C. Medical-surgical nursing
D. Mental health–psychiatric nursing
ANS: C
Chapter number and title: 1, Foundations for Medical-Surgical Nursing
Chapter learning objective: 1. Describing the role and competencies of medical-surgical nursing
Chapter page reference: p. 2
Heading: Introduction
Integrated Processes: N/A
Client Need: N/A
Cognitive Level: Knowledge [Remembering]
Concept: Professionalism
Difficulty: Easy
Feedback
A Pediatric nursing is only focused on the care of younger persons.
B Maternal-child nursing focuses on the care of pregnant women and families in
the childbearing years.
C Medical-surgical nursing is the root of all nursing practice as care provided here
can be implemented in all other areas of nursing practice.
D Mental health–psychiatric nursing focuses on emotional and behavioral
concerns and disorders.
PTS: 1 CON: Professionalism
2. Which competency did the Nursing Executive Center of the Advisory Board identify as the greatest
academic practice gap for new graduate nurses?
A. Knowledge of pharmacology
B. Interpretation of assessment data
C. Knowledge of pathophysiology
D. Decision making
ANS: C
Chapter number and title: 1, Foundations for Medical-Surgical Nursing
Chapter learning objective: 1. Describing the role and competencies of medical-surgical nursing
Chapter page reference: p. 3
Heading: Competencies in Medical-Surgical Nursing
Integrated Processes: N/A
Client Need: N/A
, Cognitive Level: Knowledge [Remembering]
Concept: Professionalism
Difficulty: Easy
Feedback
A 28% of nursing executives identified knowledge of pharmacological
implications of medications as the largest academic practice gap.
B 18% of nursing executives identified interpretation of assessment data as the
largest academic practice gap.
C 34% of nursing executives identified knowledge of pathophysiology of patient
conditions as the largest academic practice gap.
D 20% of nursing executives identified decision making based on the nursing
process as the largest academic practice gap.
PTS: 1 CON: Professionalism
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?
A. Mandatory number of clinical hours
B. Increased credits in all entry level courses
C. Residency programs
D. Additional science prerequisite courses
ANS: C
Chapter number and title: 1, Foundations for Medical-Surgical Nursing
Chapter learning objective: 1. Describing the role and competencies of medical-surgical nursing
Chapter page reference: p. 3
Heading: Competencies in Medical-Surgical Nursing
Integrated Processes: N/A
Client Need: N/A
Cognitive Level: Comprehension [Understanding]
Concept: Healthcare Systems
Difficulty: Moderate
Feedback
A Clinical hours in nursing programs are not a specific recommendation related to
the academic practice gap, and clinical hours are more related to state
regulations, academic institutional policies, and accreditation standards.
B Total credits of nursing programs are not a recommendation to address the
academic practice gap. Credits are primarily based on state, university, or higher
education regulatory bodies recommendations or requirements.
C Suggested strategies to better prepare the nurse graduate for the realities of
practice include the increased use of simulation in nursing education programs,
extended transition-to-practice and residency programs, as well as the
establishment of academic service partnerships.
, D Prerequisite courses for nursing programs were not specifically addressed in
relation to the academic practice gap. Decisions related to prerequisite courses
are typically determined by school and/or university curriculum committees.
PTS: 1 CON: Healthcare Systems
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?
A. Developing a question
B. Disseminating the findings
C. Conducting a review of the literature
D. Evaluating outcomes of practice change
ANS: A
Chapter number and title: 1, Foundations for Medical-Surgical Nursing
Chapter learning objective: 3. Discussing the incorporation of evidence-based practices into medical-
surgical nursing
Chapter page reference: p. 4
Heading: Evidence-Based Nursing Care/Box 1.3 Steps of Evidence-Based Practice
Integrated Processes: Nursing Process: Implementation
Client Need: Safe and Effective Care Environment/Management of Care
Cognitive Level: Comprehension
Concept: Evidence-Based Practice
Difficulty: Moderate
Feedback
A The first step of evidence-based practice is to develop a question based on the
clinical issue.
B The last step of evidence-based practice is to disseminate findings.
C The second step of evidence-based practice is to conduct a review of the
literature, or current evidence, available.
D The fifth step of evidence-based practice is to evaluate the outcomes associated
with the practice change.
PTS: 1 CON: Evidence-Based Practice
5. Which statement regarding the use of the nursing process in clinical practice is accurate?
A. “The nursing process is closely related to clinical decision making.”
B. “The nursing process is used by all members of the interprofessional team to plan
care.”
C. “The nursing process has four basic steps: assessment, planning, implementation,
and evaluation.”
D. “The nursing process is being replaced by the implementation of evidence-based
practice.”
ANS: A
Chapter number and title: 1, Foundations for Medical-Surgical Nursing
Chapter learning objective: 1. Describing the role and competencies of medical-surgical nursing
