Test Bank
DAVIS ADVANTAGE for
MEDICAL-SURGICAL NURSING
Making Connections to Practice
2nd Edition
By Janice J. Hoffman
,Table of Contents
Unit I Professional Foundations of Medical-Surgical Nursing
1 Foundations for Medical-Surgical Nursing
2 Interprofessional Collaboration and Care Coordination
3 Cultural Considerations
4 Ethical Concepts
5 Palliative Care and End-of-Life Issues
Unit II Clinical Principles of Medical-Surgical Nursing
6 Geriatric Implications for Medical-Surgical Nursing
7 Oxygen Therapy Management
8 Fluid and Electrolyte Management
9 Acid-Base Balance
10 Overview of Infusion Therapies
11 Pain Management
12 Complementary and Alternative Care Initiatives
13 Overview of Cancer Care
14 Overview of Shock and Sepsis
Unit III Managing the Surgical Experience
15 Priorities for the Preoperative Patient
16 Priorities for the Intraoperative Patient
17 Priorities for the Postoperative Patient
Unit IV Promoting Health in Patients with Immune Disorders
18 Assessment of Immune Function
19 Coordinating Care for Patients with Immune Disorders
20 Coordinating Care for Patients with Connective Tissue Disorders
21 Coordinating Care for Patients with Multidrug-Resistant Organism Infectious Disorders
22 Coordinating Care for Patients with HIV
Unit V Promoting Health in Patients with Oxygenation Disorders
23 Assessment of Respiratory Function
24 Coordinating Care for Patients with Infectious Respiratory Disorders
25 Coordinating Care for Patients with Upper Airway Disorders
26 Coordinating Care for Patients with Lower Airway Disorders
27 Coordinating Care for Critically Ill Patients with Respiratory Dysfunction
Unit VI Promoting Health in Patients with Circulatory or Perfusion Disorders
28 Assessment of Cardiovascular Function
29 Coordinating Care for Patients with Cardiac Dysrhythmia
30 Coordinating Care for Patients with Cardiac Disorders
31 Coordinating Care for Patients with Vascular Disorders
32 Coordinating Care for Critically Ill Patients with Cardiovascular Dysfunction
Unit VII Promoting Health in Patients with Hematological Disorders
33 Assessment of Hematological Function
34 Coordinating Care for Patients with Hematological Disorders
Unit VIII Promoting Health in Patients with Neurological Disorders
35 Assessment of Neurological Function
36 Coordinating Care for Patients with Brain Disorders
37 Coordinating Care for Patients with Spinal Cord Disorders
,38 Coordinating Care for Patients with Peripheral Nervous System Disorders
39 Coordinating Care for Critically Ill Patients with Neurological Dysfunction
Unit IX Promoting Health in Patients with Endocrine Disorders
40 Assessment of Endocrine Function
41 Coordinating Care for Patients with Pituitary Disorders
42 Coordinating Care for Patients with Adrenal Disorders
43 Coordinating Care for Patients with Thyroid and Parathyroid Disorders
44 Coordinating Care for Patients with Diabetes Mellitus
Unit X Promoting Health in Patients with Sensory System Disorders
45 Assessment of Visual Function
46 Coordinating Care for Patients with Visual Disorders
47 Assessment of Auditory Function
48 Coordinating Care for Patients with Hearing Disorders
Unit XI Promoting Health in Patients with Integumentary Disorders
49 Assessment of Integumentary Function
50 Coordinating Care for Patients with Skin Disorders
51 Coordinating Care for Patients with Burns
Unit XII Promoting Health in Patients with Musculoskeletal Disorders
52 Assessment of Musculoskeletal Function
53 Coordinating Care for Patients with Musculoskeletal Disorders
54 Coordinating Care for Patients with Musculoskeletal Trauma
Unit XIII Promoting Health in Patients with Gastrointestinal Disorders
55 Assessment of Gastrointestinal Function
56 Coordinating Care for Patients with Oral and Esophageal Disorders
57 Coordinating Care for Patients with Stomach Disorders
58 Coordinating Care for Patients with Intestinal Disorders
59 Coordinating Care for Patients with Hepatic Disorders
60 Coordinating Care for Patients with Biliary and Pancreatic Disorders
Unit XIV Promoting Health in Patients with Renal Disorders
61 Assessment of Renal and Urinary Function
62 Coordinating Care for Patients with Renal Disorders
63 Coordinating Care for Patients with Urinary Disorders
Unit XV Promoting Health in Patients with Reproductive Disorders
64 Assessment of Reproductive Function
65 Coordinating Care for Female Patients with Reproductive and Breast Disorders
66 Coordinating Care for Male Patients with Reproductive and Breast Disorders
67 Coordinating Care for Patients with Sexually Transmitted Infection
Unit XVI Promoting Health in Special Populations
68 Managing Care for the Adult Patient with Obesity
69 Substance Use Disorders in the Adult Population
70 Emergency, Trauma, and Environmental Injuries
71 Disasters, Mass Casualty Incidents, and Complex Emergencies
, Davis Advantage for Medical-Surgical
Nursing: Making Connections to Practice 2nd
edition Hoffman Sullivan Test Bank
Chapter 1: Foundations for Medical-Surgical Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The medical-surgical nurse 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
____ 2. The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by
the nurse supports this model?
1) Evaluating care
2) Assessing needs
3) Diagnosing problems
4) Providing compassion
____ 3. Which action should the nurse implement when providing patient care in order to support The Joint
Commission’s (TJC) National Patient Safety Goals (NPSG)?
1) Silencing a cardiorespiratory monitor
2) Identifying each patient using one source
3) Determining patient safety issues upon admission
4) Decreasing the amount of pain medication administered
____ 4. Which interprofessional role does the nurse often assume when providing patient care in an acute care
setting?
1) Social worker
2) Client advocate
3) Care coordinator
4) Massage therapist
____ 5. The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem.
Which is the first action the nurse should implement?
1) Developing a question
2) Disseminating the findings
3) Conducting a review of the literature
4) Evaluating outcomes of practice change
,____ 6. The nurse 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
____ 7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence should
the nurse identify for this research study?
1) Level I
2) Level II
3) Level III
4) Level IV
____ 8. Which level of evidence should the nurse identify when reviewing evidence from a single descriptive research
study?
1) Level IV
2) Level V
3) Level VI
4) Level VII
____ 9. Which statement should the nurse make when communicating the “S” in the SBAR approach for effective
communication?
1) “The patient presented to the emergency department at 0200 with lower left abdominal
pain.”
2) “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
3) “The patient has no significant issues in the medical history.”
4) “The patient was given a prescribed opioid analgesic at 0300.”
____ 10. The staff nurse is communicating with the change nurse about the change of status of the patient. The nurse
would begin her communication with which statement if correctly using the SBAR format?
1) “The patient’s heartrate is 110.”
2) “I think this patient needs to be transferred to the critical care unit.”
3) “The patient is a 68-year-old male patient admitted last night.”
4) “The patient is complaining of chest pain.”
____ 11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) competency of
safety?
1) Advocating for a patient who is experiencing pain
2) Considering the patient’s culture when planning care
3) Evaluating patient learning style prior to implementing discharge instructions
4) Assessing the right drug prior to administering a prescribed patient medication
____ 12. Which type of nursing is the root of all other nursing practice areas?
1) Pediatric nursing
2) Geriatric nursing
3) Medical-surgical nursing
4) Mental health-psychiatric nursing
____ 13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new
graduate nurses?
1) Patient advocacy
2) Patient education
, 3) Disease pathophysiology
4) Therapeutic communication
____ 14. 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.”
____ 15. Which is the basis of nursing care practices and protocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
____ 16. Which is a common theme regarding patient 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
____ 17. The nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit With the nurse
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 patient-centered care
3) Implementation of medical asepsis practices
4) Implementation of interprofessional care
____ 18. Which aspect of patient-centered care should the nurse 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
____ 19. The medical-surgical nurse is providing patient care. Which circumstance would necessitate the nurse
verifying the patient’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
____ 20. The nurse is providing care to several patients on a medical-surgical unit. Which situation would necessitate
the nurse to use SBAR during the hand-off process?
1) Wound care
2) Discharge to home
3) Transfer to radiology
4) Medication education
Multiple Response
DAVIS ADVANTAGE for
MEDICAL-SURGICAL NURSING
Making Connections to Practice
2nd Edition
By Janice J. Hoffman
,Table of Contents
Unit I Professional Foundations of Medical-Surgical Nursing
1 Foundations for Medical-Surgical Nursing
2 Interprofessional Collaboration and Care Coordination
3 Cultural Considerations
4 Ethical Concepts
5 Palliative Care and End-of-Life Issues
Unit II Clinical Principles of Medical-Surgical Nursing
6 Geriatric Implications for Medical-Surgical Nursing
7 Oxygen Therapy Management
8 Fluid and Electrolyte Management
9 Acid-Base Balance
10 Overview of Infusion Therapies
11 Pain Management
12 Complementary and Alternative Care Initiatives
13 Overview of Cancer Care
14 Overview of Shock and Sepsis
Unit III Managing the Surgical Experience
15 Priorities for the Preoperative Patient
16 Priorities for the Intraoperative Patient
17 Priorities for the Postoperative Patient
Unit IV Promoting Health in Patients with Immune Disorders
18 Assessment of Immune Function
19 Coordinating Care for Patients with Immune Disorders
20 Coordinating Care for Patients with Connective Tissue Disorders
21 Coordinating Care for Patients with Multidrug-Resistant Organism Infectious Disorders
22 Coordinating Care for Patients with HIV
Unit V Promoting Health in Patients with Oxygenation Disorders
23 Assessment of Respiratory Function
24 Coordinating Care for Patients with Infectious Respiratory Disorders
25 Coordinating Care for Patients with Upper Airway Disorders
26 Coordinating Care for Patients with Lower Airway Disorders
27 Coordinating Care for Critically Ill Patients with Respiratory Dysfunction
Unit VI Promoting Health in Patients with Circulatory or Perfusion Disorders
28 Assessment of Cardiovascular Function
29 Coordinating Care for Patients with Cardiac Dysrhythmia
30 Coordinating Care for Patients with Cardiac Disorders
31 Coordinating Care for Patients with Vascular Disorders
32 Coordinating Care for Critically Ill Patients with Cardiovascular Dysfunction
Unit VII Promoting Health in Patients with Hematological Disorders
33 Assessment of Hematological Function
34 Coordinating Care for Patients with Hematological Disorders
Unit VIII Promoting Health in Patients with Neurological Disorders
35 Assessment of Neurological Function
36 Coordinating Care for Patients with Brain Disorders
37 Coordinating Care for Patients with Spinal Cord Disorders
,38 Coordinating Care for Patients with Peripheral Nervous System Disorders
39 Coordinating Care for Critically Ill Patients with Neurological Dysfunction
Unit IX Promoting Health in Patients with Endocrine Disorders
40 Assessment of Endocrine Function
41 Coordinating Care for Patients with Pituitary Disorders
42 Coordinating Care for Patients with Adrenal Disorders
43 Coordinating Care for Patients with Thyroid and Parathyroid Disorders
44 Coordinating Care for Patients with Diabetes Mellitus
Unit X Promoting Health in Patients with Sensory System Disorders
45 Assessment of Visual Function
46 Coordinating Care for Patients with Visual Disorders
47 Assessment of Auditory Function
48 Coordinating Care for Patients with Hearing Disorders
Unit XI Promoting Health in Patients with Integumentary Disorders
49 Assessment of Integumentary Function
50 Coordinating Care for Patients with Skin Disorders
51 Coordinating Care for Patients with Burns
Unit XII Promoting Health in Patients with Musculoskeletal Disorders
52 Assessment of Musculoskeletal Function
53 Coordinating Care for Patients with Musculoskeletal Disorders
54 Coordinating Care for Patients with Musculoskeletal Trauma
Unit XIII Promoting Health in Patients with Gastrointestinal Disorders
55 Assessment of Gastrointestinal Function
56 Coordinating Care for Patients with Oral and Esophageal Disorders
57 Coordinating Care for Patients with Stomach Disorders
58 Coordinating Care for Patients with Intestinal Disorders
59 Coordinating Care for Patients with Hepatic Disorders
60 Coordinating Care for Patients with Biliary and Pancreatic Disorders
Unit XIV Promoting Health in Patients with Renal Disorders
61 Assessment of Renal and Urinary Function
62 Coordinating Care for Patients with Renal Disorders
63 Coordinating Care for Patients with Urinary Disorders
Unit XV Promoting Health in Patients with Reproductive Disorders
64 Assessment of Reproductive Function
65 Coordinating Care for Female Patients with Reproductive and Breast Disorders
66 Coordinating Care for Male Patients with Reproductive and Breast Disorders
67 Coordinating Care for Patients with Sexually Transmitted Infection
Unit XVI Promoting Health in Special Populations
68 Managing Care for the Adult Patient with Obesity
69 Substance Use Disorders in the Adult Population
70 Emergency, Trauma, and Environmental Injuries
71 Disasters, Mass Casualty Incidents, and Complex Emergencies
, Davis Advantage for Medical-Surgical
Nursing: Making Connections to Practice 2nd
edition Hoffman Sullivan Test Bank
Chapter 1: Foundations for Medical-Surgical Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The medical-surgical nurse 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
____ 2. The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by
the nurse supports this model?
1) Evaluating care
2) Assessing needs
3) Diagnosing problems
4) Providing compassion
____ 3. Which action should the nurse implement when providing patient care in order to support The Joint
Commission’s (TJC) National Patient Safety Goals (NPSG)?
1) Silencing a cardiorespiratory monitor
2) Identifying each patient using one source
3) Determining patient safety issues upon admission
4) Decreasing the amount of pain medication administered
____ 4. Which interprofessional role does the nurse often assume when providing patient care in an acute care
setting?
1) Social worker
2) Client advocate
3) Care coordinator
4) Massage therapist
____ 5. The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem.
Which is the first action the nurse should implement?
1) Developing a question
2) Disseminating the findings
3) Conducting a review of the literature
4) Evaluating outcomes of practice change
,____ 6. The nurse 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
____ 7. The nurse is reviewing evidence from a quasi-experimental research study. Which level of evidence should
the nurse identify for this research study?
1) Level I
2) Level II
3) Level III
4) Level IV
____ 8. Which level of evidence should the nurse identify when reviewing evidence from a single descriptive research
study?
1) Level IV
2) Level V
3) Level VI
4) Level VII
____ 9. Which statement should the nurse make when communicating the “S” in the SBAR approach for effective
communication?
1) “The patient presented to the emergency department at 0200 with lower left abdominal
pain.”
2) “The patient rated the pain upon admission as a 9 on a 10-point numeric scale.”
3) “The patient has no significant issues in the medical history.”
4) “The patient was given a prescribed opioid analgesic at 0300.”
____ 10. The staff nurse is communicating with the change nurse about the change of status of the patient. The nurse
would begin her communication with which statement if correctly using the SBAR format?
1) “The patient’s heartrate is 110.”
2) “I think this patient needs to be transferred to the critical care unit.”
3) “The patient is a 68-year-old male patient admitted last night.”
4) “The patient is complaining of chest pain.”
____ 11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) competency of
safety?
1) Advocating for a patient who is experiencing pain
2) Considering the patient’s culture when planning care
3) Evaluating patient learning style prior to implementing discharge instructions
4) Assessing the right drug prior to administering a prescribed patient medication
____ 12. Which type of nursing is the root of all other nursing practice areas?
1) Pediatric nursing
2) Geriatric nursing
3) Medical-surgical nursing
4) Mental health-psychiatric nursing
____ 13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new
graduate nurses?
1) Patient advocacy
2) Patient education
, 3) Disease pathophysiology
4) Therapeutic communication
____ 14. 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.”
____ 15. Which is the basis of nursing care practices and protocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
____ 16. Which is a common theme regarding patient 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
____ 17. The nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit With the nurse
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 patient-centered care
3) Implementation of medical asepsis practices
4) Implementation of interprofessional care
____ 18. Which aspect of patient-centered care should the nurse 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
____ 19. The medical-surgical nurse is providing patient care. Which circumstance would necessitate the nurse
verifying the patient’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
____ 20. The nurse is providing care to several patients on a medical-surgical unit. Which situation would necessitate
the nurse to use SBAR during the hand-off process?
1) Wound care
2) Discharge to home
3) Transfer to radiology
4) Medication education
Multiple Response
