Med-Surg Exam 2 Practice
Questions Updated 2022
Chapter 2 Med-Surg Exam 2 Practice Questions
1. Examples of EBP may include:
a. Strict adherence to written procedures
b. Checking with a health care provider about how to carry out
anorder
c. Securing the client’s preference about the care being provided
d. Accessing an evidence summary
2. The following present obstacles to moving research rapidly
intoroutine patient care:
a. Time and money
b. Volume and complexity of science and technology
c. Lack of access to a health science library
d. Computer-based systematic reviews of evidence
3. Knowledge transformation:
a. Occurs when clinicians consult together about patient care
b. Involves discovery, manipulation, and integration
c. Is documentation about how well a nursing intervention
workedfor a particular patient
d. Is necessary before research results are usable in
clinicaldecision making
4. Major features of EBP include:
a. Repackaging procedures for clinician use
b. Provider and patient dissatisfaction
c. Interdisciplinary research
d. Budget neutrality
5. To obtain evidence-based practice guidance go to:
a. http://www.ncms.gov
b. http://www.careguidelines.gov
c. http://www.cochrane.org
d. http://www.hcfa.org
6. The ACE Star Model of EBP:
a. Names various forms of knowledge in sequence
b. Derives from a single source
c. Suggests that knowledge emanates from five “ways
ofknowing”
d. Names the steps of knowledge transformation
7. A systematic review of evidence includes:
a. Formulating the question, surveying practitioners, and
, selecting relevant studies
b. Formulating the question, locating relevant studies,
selectingand appraising the studies
c. Formulating the question, summarizing, and
synthesizingpopulations across studies
d. Formulating the question, locating relevant studies, and
choosing the study that best matches your clinical
situation
8. Using research evidence in nursing practice:
a. Increases certainty and predictability in the effect of
thepractice on the outcome
b. Is not feasible at this time, given the resources available
c. Is becoming more in demand by patients
d. Is appropriate only for advanced practice nurses
9. A criterion for quality improvement through EBP identified by the
Institute of Medicine is to:
a. Cut the cost of health care
b. Expand the care covered by Medicare and Medicaid
c. Close gaps between best practice care and usual care
d. Provide EBP to those who need it most, the young and
theelderly
10. EBP is another name for:
a. Science-based care
b. Quality improvement
c. Research utilization
d. Expert care
Chapter 5 Med-Surg
1. Beneficence is the ethical principle that describes:
a. Client decision making capacity
b. Client preferences
c. Providing care that is equal for all clients
d. Providing care that maximizes health
2. A client with Parkinson’s disease is treated with levodopa and
hassevere side effects. The decision to give him the medication
in thebeginning of his condition was prefaced with the
knowledge that most clients respond well to this medication
strategy. Which ethical theory is this describing?
a. Deontology
b. Utilitarian
c. Rights based
, d. Ethics of care
3. The ANA Code of Ethics for Nurses provides:
a. General guidelines for clinical practice
b. Definition and guidance to the moral sense of the
nursingprofession
c. Definition and guidance to the social sense of the
nursingprofession
d. Procedural steps for corporate compliance
4. A nurse may feel a sense of moral distress when:
a. Not being able to fulfill an action thought to be the
rightthing to do
b. Not being able to change a client’s mind about a procedure
c. Being late for work
d. Having a disagreement with a coworker
5. The 1996 act known as HIPAA:
a. Does not allow nurses to share any client information
b. Allows for the sharing of all electronic client information
c. Does not address client information shared in public places
d. Covers disclosure of all client personal health information
6. A mother is emotionally positive and accepting of her child’s
terminal condition and the fact that the parents have agreed to
not have another surgery for the genetic disorder. The ethical
decision-making model ascribed to by this mother is:
a. Client preferences
b. Contextual features
c. Integrated model
d. Quality of life
7. The concept of double effect related to pain management:
a. Is considered active euthanasia
b. Is illegal in most states within the United States
c. Is acceptable as a consequence of pain management in
end-of-life care
d. Should be avoided so as not to cause addiction to
painmedication
8. Legal forms of advance directives for health care include:
a. Living Will
b. Verbal client preferences
c. DPAHC
d. 1, 3
e. 1, 2, 3
, 9. The first document to provide a framework for research ethics was:
a. The Nuremberg Code
b. JCAHO Standards
c. The Belmont Report
d. The Department of Health and Human Subjects report
10.Client have the right to refuse medically necessary
treatments:
a. If they have been evaluated by a psychiatrist
b. If they have decisional capacity
c. For minor treatments only
d. After the next of kin has been contacted
ATI Funds Chapter 1
1. A nurse is discussing restorative health care with a newly
licensednurse. Which of the following examples should the nurse
include in the teaching? (Select all that apply.)
a. Home health care
b. Rehabilitation facilities
c. Diagnostic centers
d. Skilled nursing facilities
e. Oncology centers
2. A nurse is explaining the various types of health care coverage
clients might have to a group of nursing students. Which of the
following health care financing mechanisms are federally
funded?(Select all that apply.)
a. Preferred provider organization (PPO)
b. Medicare
c. Long-term care insurance
d. Exclusive provider organization (EPO)
e. Medicaid
3. A nurse manager is developing strategies to care for the
increasingnumber of clients who have obesity. Which of the
following actions should the nurse include as a primary health
care strategy?
a. Collaborating with providers to perform obesity
screeningsduring routine office visits
b. Ensuring the availability of specialized beds in rehabilitation
centers for clients who have obesity
c. Providing specialized intraoperative training
regardingsurgical treatments for obesity
d. educating acute care nurses on postoperative
Questions Updated 2022
Chapter 2 Med-Surg Exam 2 Practice Questions
1. Examples of EBP may include:
a. Strict adherence to written procedures
b. Checking with a health care provider about how to carry out
anorder
c. Securing the client’s preference about the care being provided
d. Accessing an evidence summary
2. The following present obstacles to moving research rapidly
intoroutine patient care:
a. Time and money
b. Volume and complexity of science and technology
c. Lack of access to a health science library
d. Computer-based systematic reviews of evidence
3. Knowledge transformation:
a. Occurs when clinicians consult together about patient care
b. Involves discovery, manipulation, and integration
c. Is documentation about how well a nursing intervention
workedfor a particular patient
d. Is necessary before research results are usable in
clinicaldecision making
4. Major features of EBP include:
a. Repackaging procedures for clinician use
b. Provider and patient dissatisfaction
c. Interdisciplinary research
d. Budget neutrality
5. To obtain evidence-based practice guidance go to:
a. http://www.ncms.gov
b. http://www.careguidelines.gov
c. http://www.cochrane.org
d. http://www.hcfa.org
6. The ACE Star Model of EBP:
a. Names various forms of knowledge in sequence
b. Derives from a single source
c. Suggests that knowledge emanates from five “ways
ofknowing”
d. Names the steps of knowledge transformation
7. A systematic review of evidence includes:
a. Formulating the question, surveying practitioners, and
, selecting relevant studies
b. Formulating the question, locating relevant studies,
selectingand appraising the studies
c. Formulating the question, summarizing, and
synthesizingpopulations across studies
d. Formulating the question, locating relevant studies, and
choosing the study that best matches your clinical
situation
8. Using research evidence in nursing practice:
a. Increases certainty and predictability in the effect of
thepractice on the outcome
b. Is not feasible at this time, given the resources available
c. Is becoming more in demand by patients
d. Is appropriate only for advanced practice nurses
9. A criterion for quality improvement through EBP identified by the
Institute of Medicine is to:
a. Cut the cost of health care
b. Expand the care covered by Medicare and Medicaid
c. Close gaps between best practice care and usual care
d. Provide EBP to those who need it most, the young and
theelderly
10. EBP is another name for:
a. Science-based care
b. Quality improvement
c. Research utilization
d. Expert care
Chapter 5 Med-Surg
1. Beneficence is the ethical principle that describes:
a. Client decision making capacity
b. Client preferences
c. Providing care that is equal for all clients
d. Providing care that maximizes health
2. A client with Parkinson’s disease is treated with levodopa and
hassevere side effects. The decision to give him the medication
in thebeginning of his condition was prefaced with the
knowledge that most clients respond well to this medication
strategy. Which ethical theory is this describing?
a. Deontology
b. Utilitarian
c. Rights based
, d. Ethics of care
3. The ANA Code of Ethics for Nurses provides:
a. General guidelines for clinical practice
b. Definition and guidance to the moral sense of the
nursingprofession
c. Definition and guidance to the social sense of the
nursingprofession
d. Procedural steps for corporate compliance
4. A nurse may feel a sense of moral distress when:
a. Not being able to fulfill an action thought to be the
rightthing to do
b. Not being able to change a client’s mind about a procedure
c. Being late for work
d. Having a disagreement with a coworker
5. The 1996 act known as HIPAA:
a. Does not allow nurses to share any client information
b. Allows for the sharing of all electronic client information
c. Does not address client information shared in public places
d. Covers disclosure of all client personal health information
6. A mother is emotionally positive and accepting of her child’s
terminal condition and the fact that the parents have agreed to
not have another surgery for the genetic disorder. The ethical
decision-making model ascribed to by this mother is:
a. Client preferences
b. Contextual features
c. Integrated model
d. Quality of life
7. The concept of double effect related to pain management:
a. Is considered active euthanasia
b. Is illegal in most states within the United States
c. Is acceptable as a consequence of pain management in
end-of-life care
d. Should be avoided so as not to cause addiction to
painmedication
8. Legal forms of advance directives for health care include:
a. Living Will
b. Verbal client preferences
c. DPAHC
d. 1, 3
e. 1, 2, 3
, 9. The first document to provide a framework for research ethics was:
a. The Nuremberg Code
b. JCAHO Standards
c. The Belmont Report
d. The Department of Health and Human Subjects report
10.Client have the right to refuse medically necessary
treatments:
a. If they have been evaluated by a psychiatrist
b. If they have decisional capacity
c. For minor treatments only
d. After the next of kin has been contacted
ATI Funds Chapter 1
1. A nurse is discussing restorative health care with a newly
licensednurse. Which of the following examples should the nurse
include in the teaching? (Select all that apply.)
a. Home health care
b. Rehabilitation facilities
c. Diagnostic centers
d. Skilled nursing facilities
e. Oncology centers
2. A nurse is explaining the various types of health care coverage
clients might have to a group of nursing students. Which of the
following health care financing mechanisms are federally
funded?(Select all that apply.)
a. Preferred provider organization (PPO)
b. Medicare
c. Long-term care insurance
d. Exclusive provider organization (EPO)
e. Medicaid
3. A nurse manager is developing strategies to care for the
increasingnumber of clients who have obesity. Which of the
following actions should the nurse include as a primary health
care strategy?
a. Collaborating with providers to perform obesity
screeningsduring routine office visits
b. Ensuring the availability of specialized beds in rehabilitation
centers for clients who have obesity
c. Providing specialized intraoperative training
regardingsurgical treatments for obesity
d. educating acute care nurses on postoperative
