ACTUAL Questions and CORRECT
Answers
Which factors have led to the expansion of medicalsurgical nursing from traditional acute care facilities to
other settings? (Select all that apply.)
A. Increases in healthcare complexity
B. Shortage of registered nurses
C. Changes in insurance coverage
D. Shortened hospital lengths of stay
E. Low salaries for registered nurses in hospital - CORRECT ANSWER - ACD
In designing an evidence-based practice guideline for a medical-surgical unit, which source provides the
most reliable information?
A. Content from a textbook
B. Manuscript in a nursing journal
C. Results from research studies
D. Information from a professional activity - CORRECT ANSWER - C
The medical-surgical nurse needs to be knowledgeable of which organization that scores patient-centered
care via a telephone survey of selected patients after discharge?
A. The Joint Commission
B. The Beryl Institute
C. The Carnegie Institute
D. The Hospital Consumer Assessment of Healthcare Providers and Systems - CORRECT
ANSWER - D
The medical-surgical nurse implements SBAR to promote effectiveness in which aspect of quality and
safety in patient care?
A. Surveillance
B. Communication
,C. Organization D. Cost-effectiveness - CORRECT ANSWER - B
Which outcome of interprofessional teams is associated with an increased focus on educating health
professional students together?
A. Decreased hospital costs
B. Increased safety and quality
C. Decreased length of stay
D. Increased patient satisfaction - CORRECT ANSWER - B
According to the AMSN's Scope and Standards, registered nurses certified in this practice area are
prepared to work in which settings? (Select all that apply.)
A. Acute care inpatient settings
B. Long-term care facilities
C. Childcare agencies
D. Mental health clinics
E. Intermediate care units - CORRECT ANSWER - AB and E
2. The nurse recognizes that basing nursing care on evidence is most closely associated with which
outcome?
A. Quality patient care
B. Cost-effective care
C. Standardized care
D. Higher patient satisfaction - CORRECT ANSWER - A
3. Which nursing action is most reflective of patientcentered care?
A. Ensuring that all documentation is completed
on time
B. Providing diagnostic results to the healthcare
provider
C. Encouraging family members to provide direct care
,D. Including patients in decision-making - CORRECT ANSWER - D
Who publishes the National Patient Safety Goals
that focus on improving patient safety through goals
that focus on potential problems in the healthcare
setting?
A. The Department of Health and Human
Services
B. The HCAHPS
C. TJC
D. The Food and Drug Administration - CORRECT ANSWER - C
The goal of implementation of interprofessional
care teams is focused primarily on which
outcome?
A. Decreased costs
B. Improved patient safety
C. Enhanced patient satisfaction
D. Increased patient-centered care - CORRECT ANSWER - C
Which phase of care is most critical for medicalsurgical patients?
A. Acute hospital phase
B. Pre-hospital care phase
C. Transition phases
D. Discharge phase - CORRECT ANSWER - C
What is considered the hospital's span of responsibility
for the patient?
A. Admission to discharge
, B. Admission to 30 days post discharge
C. Admission to 15 days post discharge
D. Admission to full recovery - CORRECT ANSWER - B
What is the focus of transitional care programs?
(Select all that apply.)
A. Supporting the patient after hospital discharge
B. Coaching and teaching to enhance patient
understanding
C. Providing patient-centered discharge instructions
D. Ensuring evidence-based medical therapy
E. Providing adequate pain control while hospitalized - CORRECT ANSWER - ABC
What roles does the nurse have in transitional care
programs? (Select all that apply.)
A. Directing patient care in the inpatient setting
B. Coaching the patient after discharge
C. Managing chronic conditions after discharge
D. Direct patient care in the clinic setting
E. Assessing the patient's risk for readmission - CORRECT ANSWER - BCE
Which statement by the nurse indicates understanding
of the benefits of multidisciplinary care? (Select all
that apply.)
A. "I'm glad the social worker can focus on finding a
placement for this patient."
B. "I don't have time for this teaching; the nutritionist
can go over dietary plans."
C. "The OT evaluation made it clear there are more
ADL issues to resolve before this patient can be