Final Exam
Chapter one Evolve
1. Which important aspect of coordinating care within the interdisciplinary team is facilitated by
use of the “SBAR” and “PACE” procedures?
a. Communication
b. Implementation
c. Policymaking
d. Protocol development
2. The nurse educator is instructing newly hired registered nurses about patient-centered
care. Which competency categories are included in this content?
a. Attitudes
b. Environments
c. Judgements
d. Knowledge
e. Skills
f. Values
3. Bedside computers are an example of informatics used in health care primarily for
which purpose?
a. Documenting interdisciplinary care
b. Enhancing collaboration and coordination of care
c. Offering client access to e-mail and the internet
d. Retrieving data from evidence-based practice
4. The nurse has recently been assigned to a medical-surgical clinical rotation. According to the
scope of medical-surgical nursing, what type of client assignment does the nurse expect to
see?
a. Hospitalized children with acute and chronic
illnesses b. Hospitalized adults with acute and chronic
illnesses
c. Older adult in a nursing home
d. Working adults in a corporate setting
5. Which of these hospital staff members will the nurse manager assign to coordinate the
discharge of a client who will need community-based rehabilitation services after a traumatic
injury?
a. The nurse responsible for the client’s case management
b. The physical therapist who developed the client’s exercise program
c. The health care provider assigned as the client’s medial resident
d. The unit-based RN who has cared for the client during the hospital stay
6. The nurse is asked to collaborate with other to implement an interdisciplinary plan of care for
a client. Which health care team members are essential for the client’s daily care regimen?
a. Anesthesiologist
b. Case manager
c. Health care provider
d. Occupational therapist
e. Chaplain
7. Which principal nursing action best support a focus on client safety?
a. Client restraints
b. Handwashing
, c. Preoperative checklist
d. Respect of others
e. Five rights of drug administration
8. The nurse is appointed to a hospital committee whose goal is to “improve the safety of
nursing practice.” Which areas of practice are included in the committee’s task?
a. Attentiveness/surveillance of
client b. Mandatory reporting
c. Medication administration
d. Participation in professional
organizations e. Prevention of errors or
complications
f. Teaching clients about the care regimens
9. An older client who has had a total hip replacement will be transferred to rehabilitation center
for continuing care before going home the joint commission, along with national patient safety
goal standards, mandates communication between hospital nurses and other providers to ensure
adequate transition management. Which aspects of this client’s care plan are most important for
the nurse to communicate to the rehabilitation center care team?
a. Third-party payer information
b. Pain medication needs
c. Primary care provider
d. Medical history of osteoarthritis
10. The nurse supports the client and family in deciding on the “Do Not Resuscitate” order.
Which ethical principle that guides nursing clinical decision making is demonstrated in this
situation?
a. Beneficence
b. Justice
c. Legality
d. Self-determination
11. The nursing student asks the supervising nurse whether a certain fall protocol used on the
nursing unit is effective. To demonstrate effectiveness, what does the supervising nurse identify?
a. Information about how to implement a fall protocol and what nurses need to document
b. Data about the number of falls after the protocol was introduced compared with previous
fall rates
c. The number of clients who currently have a fall protocol in place
d. National statistics about the use of fall protocols to prevent serious injury from falls
12. A previously stable postoperative client on the medical-surgical unite now has a blood pressure of
88/40 mm Hg and a heart rate of 124 beats/min. after placing the client in Trendelenburg
position, which action does the nurse perform next?
a. Activate the rapid response team
b. Call for a code blue
c. Determine the cause of the changes
d. Re-check the vital signs in 5 minutes
13. When developing a standardized plan of care for clients with a diagnosis of pneumonia, how
does the nurse find the best information about providing optimal nursing care?
a. Access a website that reports on randomized controlled studies on nursing care for
clients with pneumonia
, b. Research the most recent articles in nursing magazines that discuss care for clients
with pneumonia
c. Review the chart to determine what primary health care provider’s prescriptions
are frequently written for clients with pneumonia.
d. Survey experienced RNs about which nursing action effective when caring for
clients with pneumonia.
14. Which nursing activity is best for the charge nurse on the medical-surgical unit to delegate to
staff members who are unlicensed assistive personnel (UPAs)?
a. Feeding a client whose hands are affect by rheumatoid arthritis
b. Increasing the oxygen flow rate for a client who has wheezes
c. Position a client who has just returned from hip surgery
d. Taking vital signs for a client who is having acute chest pain
15. Which nursing action demonstrates use of the principle of justice?
a. A 32-year-old client is prevented from falling during the initial postoperative period
following her hysterectomy
b. A 67-year-old client with dementia is shown the same respect as his 47-year-old
roommate with prostate cancer
c. An 82-year-old client is provided access to the hospital patient advocate for processing
of a compliant
d. The parent of a 13-year-old are included in discussion about the course of their
teen’s treatment and care.
16. Which role of the medical-surgical nurse is demonstrated when writing a plan of care for a
client who is newly admitted to the hospital?
a. Advocate
b. Caregiver
c. Communicator
d. Educator
17. When transferring a client who was admitted with chest pain from the emergency
department (ED), which information is essential for the ED nurse to communicate to the
nurse on the medical-surgical unite? Select all that apply
a. The client is being admitted for ongoing monitoring of pain and vital signs
b. The client has private insurance and is also covered by Medicare
c. Nitroglycerin and morphine sulfate were given to relieve the
pain
d. Frequent reassurance is needed because the client has a high anxiety level
e. The client has a family history of heart disease and hypertension
f. A coronary arteriogram should be scheduled as soon as possible
18. Which action does the nurse take first when preparing to do discharge teaching for a 73-year-
old client who is being discharged after prostate surgery?
a. Ask what the client knows about self-care after prostate surgery
b. Have family members available during the teaching
c. Provide written information about post discharge care
d. Plan to teach early in the morning after the client has eaten.
19. The nurse is working in the intensive care unite. When does the nurse call the rapid response
team (RRT)?
, a. An 87-year old client awakens confused, then reorients quickly
b. A newly admitted client request pain medication
c. A postoperative client’s dressing has bloody drainage
d. A postoperative client’s blood pressure suddenly drops
20. The nursing student has been assigned to the hospital rapid response team (RRT). Which
statement by the student indicates a correct understanding of the RRT member’s
purpose?
a. I will be caring for clients in the hospital
b. I will be riding along in the hospital’s ambulance
c. I will be admitting clients to the hospital
d. I will be participating in code blude resuscitation
Chapter two Evolve
1. The nurse is teaching a health and wellness class at a local senior citizen center. When
discussing methods to promote cognition, which options should be included?
a. Play card games
b. Take music lessons
c. Read the newspaper
d. Learn a new language
e. Complete crossword puzzles
2. The nurse cares for a client that is immobile. The client is most at risk of develop
which complication?
a. Diarrhea
b. Renal calculi
c. Hypertension
d. Muscle hypertrophy
3. The nurse cares for a client reporting moderate pain. Which nursing action is MOST important
to provide the client effective pain relief?
a. Teach the client about pain
b. Establish a trusting relationship
c. Provide alternative measure to relieve pain
d. Determine how various relaxation techniques affect the pain
4. The nurse evaluates a client’s fluid balance. Which finding most likely requires an intervention?
a. Output is equal to intake
b. Output of1500mL in 24 hours
c. Output 200 mL more than
intake d. Output 700 ml less than
intake
5. The nurse cares for a client diagnosed with polycythemia. What should the nurse include in
the client teaching?
a. Watch for excessive bruising
b. Avoid crowds and people who are ill
c. Report any pain, redness, or swelling in calves
d. Do not take nonsteroidal anti-inflammatory (NSAIDs) medications
6. The nurse on a medical unit just received report. Which client should the nrue anticipate on
order for arterial blood gases?
a. Admitted with chronic pancreatitis
Chapter one Evolve
1. Which important aspect of coordinating care within the interdisciplinary team is facilitated by
use of the “SBAR” and “PACE” procedures?
a. Communication
b. Implementation
c. Policymaking
d. Protocol development
2. The nurse educator is instructing newly hired registered nurses about patient-centered
care. Which competency categories are included in this content?
a. Attitudes
b. Environments
c. Judgements
d. Knowledge
e. Skills
f. Values
3. Bedside computers are an example of informatics used in health care primarily for
which purpose?
a. Documenting interdisciplinary care
b. Enhancing collaboration and coordination of care
c. Offering client access to e-mail and the internet
d. Retrieving data from evidence-based practice
4. The nurse has recently been assigned to a medical-surgical clinical rotation. According to the
scope of medical-surgical nursing, what type of client assignment does the nurse expect to
see?
a. Hospitalized children with acute and chronic
illnesses b. Hospitalized adults with acute and chronic
illnesses
c. Older adult in a nursing home
d. Working adults in a corporate setting
5. Which of these hospital staff members will the nurse manager assign to coordinate the
discharge of a client who will need community-based rehabilitation services after a traumatic
injury?
a. The nurse responsible for the client’s case management
b. The physical therapist who developed the client’s exercise program
c. The health care provider assigned as the client’s medial resident
d. The unit-based RN who has cared for the client during the hospital stay
6. The nurse is asked to collaborate with other to implement an interdisciplinary plan of care for
a client. Which health care team members are essential for the client’s daily care regimen?
a. Anesthesiologist
b. Case manager
c. Health care provider
d. Occupational therapist
e. Chaplain
7. Which principal nursing action best support a focus on client safety?
a. Client restraints
b. Handwashing
, c. Preoperative checklist
d. Respect of others
e. Five rights of drug administration
8. The nurse is appointed to a hospital committee whose goal is to “improve the safety of
nursing practice.” Which areas of practice are included in the committee’s task?
a. Attentiveness/surveillance of
client b. Mandatory reporting
c. Medication administration
d. Participation in professional
organizations e. Prevention of errors or
complications
f. Teaching clients about the care regimens
9. An older client who has had a total hip replacement will be transferred to rehabilitation center
for continuing care before going home the joint commission, along with national patient safety
goal standards, mandates communication between hospital nurses and other providers to ensure
adequate transition management. Which aspects of this client’s care plan are most important for
the nurse to communicate to the rehabilitation center care team?
a. Third-party payer information
b. Pain medication needs
c. Primary care provider
d. Medical history of osteoarthritis
10. The nurse supports the client and family in deciding on the “Do Not Resuscitate” order.
Which ethical principle that guides nursing clinical decision making is demonstrated in this
situation?
a. Beneficence
b. Justice
c. Legality
d. Self-determination
11. The nursing student asks the supervising nurse whether a certain fall protocol used on the
nursing unit is effective. To demonstrate effectiveness, what does the supervising nurse identify?
a. Information about how to implement a fall protocol and what nurses need to document
b. Data about the number of falls after the protocol was introduced compared with previous
fall rates
c. The number of clients who currently have a fall protocol in place
d. National statistics about the use of fall protocols to prevent serious injury from falls
12. A previously stable postoperative client on the medical-surgical unite now has a blood pressure of
88/40 mm Hg and a heart rate of 124 beats/min. after placing the client in Trendelenburg
position, which action does the nurse perform next?
a. Activate the rapid response team
b. Call for a code blue
c. Determine the cause of the changes
d. Re-check the vital signs in 5 minutes
13. When developing a standardized plan of care for clients with a diagnosis of pneumonia, how
does the nurse find the best information about providing optimal nursing care?
a. Access a website that reports on randomized controlled studies on nursing care for
clients with pneumonia
, b. Research the most recent articles in nursing magazines that discuss care for clients
with pneumonia
c. Review the chart to determine what primary health care provider’s prescriptions
are frequently written for clients with pneumonia.
d. Survey experienced RNs about which nursing action effective when caring for
clients with pneumonia.
14. Which nursing activity is best for the charge nurse on the medical-surgical unit to delegate to
staff members who are unlicensed assistive personnel (UPAs)?
a. Feeding a client whose hands are affect by rheumatoid arthritis
b. Increasing the oxygen flow rate for a client who has wheezes
c. Position a client who has just returned from hip surgery
d. Taking vital signs for a client who is having acute chest pain
15. Which nursing action demonstrates use of the principle of justice?
a. A 32-year-old client is prevented from falling during the initial postoperative period
following her hysterectomy
b. A 67-year-old client with dementia is shown the same respect as his 47-year-old
roommate with prostate cancer
c. An 82-year-old client is provided access to the hospital patient advocate for processing
of a compliant
d. The parent of a 13-year-old are included in discussion about the course of their
teen’s treatment and care.
16. Which role of the medical-surgical nurse is demonstrated when writing a plan of care for a
client who is newly admitted to the hospital?
a. Advocate
b. Caregiver
c. Communicator
d. Educator
17. When transferring a client who was admitted with chest pain from the emergency
department (ED), which information is essential for the ED nurse to communicate to the
nurse on the medical-surgical unite? Select all that apply
a. The client is being admitted for ongoing monitoring of pain and vital signs
b. The client has private insurance and is also covered by Medicare
c. Nitroglycerin and morphine sulfate were given to relieve the
pain
d. Frequent reassurance is needed because the client has a high anxiety level
e. The client has a family history of heart disease and hypertension
f. A coronary arteriogram should be scheduled as soon as possible
18. Which action does the nurse take first when preparing to do discharge teaching for a 73-year-
old client who is being discharged after prostate surgery?
a. Ask what the client knows about self-care after prostate surgery
b. Have family members available during the teaching
c. Provide written information about post discharge care
d. Plan to teach early in the morning after the client has eaten.
19. The nurse is working in the intensive care unite. When does the nurse call the rapid response
team (RRT)?
, a. An 87-year old client awakens confused, then reorients quickly
b. A newly admitted client request pain medication
c. A postoperative client’s dressing has bloody drainage
d. A postoperative client’s blood pressure suddenly drops
20. The nursing student has been assigned to the hospital rapid response team (RRT). Which
statement by the student indicates a correct understanding of the RRT member’s
purpose?
a. I will be caring for clients in the hospital
b. I will be riding along in the hospital’s ambulance
c. I will be admitting clients to the hospital
d. I will be participating in code blude resuscitation
Chapter two Evolve
1. The nurse is teaching a health and wellness class at a local senior citizen center. When
discussing methods to promote cognition, which options should be included?
a. Play card games
b. Take music lessons
c. Read the newspaper
d. Learn a new language
e. Complete crossword puzzles
2. The nurse cares for a client that is immobile. The client is most at risk of develop
which complication?
a. Diarrhea
b. Renal calculi
c. Hypertension
d. Muscle hypertrophy
3. The nurse cares for a client reporting moderate pain. Which nursing action is MOST important
to provide the client effective pain relief?
a. Teach the client about pain
b. Establish a trusting relationship
c. Provide alternative measure to relieve pain
d. Determine how various relaxation techniques affect the pain
4. The nurse evaluates a client’s fluid balance. Which finding most likely requires an intervention?
a. Output is equal to intake
b. Output of1500mL in 24 hours
c. Output 200 mL more than
intake d. Output 700 ml less than
intake
5. The nurse cares for a client diagnosed with polycythemia. What should the nurse include in
the client teaching?
a. Watch for excessive bruising
b. Avoid crowds and people who are ill
c. Report any pain, redness, or swelling in calves
d. Do not take nonsteroidal anti-inflammatory (NSAIDs) medications
6. The nurse on a medical unit just received report. Which client should the nrue anticipate on
order for arterial blood gases?
a. Admitted with chronic pancreatitis
