TESTnBANKnFORnMEDICALnSURGICALnNURSINGn2NDnEDITIONnBYnHOFFMAN
Davis Advantage for Medical-
n n n
Surgical Nursing: Making Connections to Pra
n n n n n
ctice 2ndedition Hoffman Sullivan Test Bank
n
n
n n n n
Chapter 1: Foundations for Medical-Surgical Nursing
n n n n n
MultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
n 1.nThenmedical-
surgicalnnursenidentifiesnanclinicalnpracticenissuenandnwantsntondeterminenifntherenisnsufficientnevidencentonsu
pportnanchangeninnpractice.nWhichntypenofnstudynprovidesnthenstrongestnevidencentonsupportnanpracticenchang
e?
1) Randomizedncontrolnstudy
2) Quasi-experimentalnstudy
3) Case-controlnstudy
4) Cohortnstudy
n 2.n Thenmedical-surgicalnunitnrecentlynimplementednanpatient-centeredncarenmodel.nWhichnactionnimplementednby
thennursensupportsnthisnmodel? NURSINGTB.COM
1) Evaluatingncare
2) Assessingnneeds
3) Diagnosingnproblems
4) Providingncompassion
n 3.n WhichnactionnshouldnthennursenimplementnwhennprovidingnpatientncareninnorderntonsupportnThenJoint
Commission’sn(TJC)nNationalnPatientnSafetynGoalsn(NPSG)?
1) Silencingnancardiorespiratorynmonitor
2) Identifyingneachnpatientnusingnonensource
3) Determiningnpatientnsafetynissuesnuponnadmission
4) Decreasingnthenamountnofnpainnmedicationnadministered
n
4.nWhichninterprofessionalnrolendoesnthennursenoftennassumenwhennprovidingnpatientncareninnann
acutencarensetting?
1) Socialnworker
2) Clientnadvocate
3) Carencoordinator
4) Massagentherapist
n 5.n Thenmedical-surgicalnnursenwantsntondeterminenifnanpolicynchangenisnneedednfornannidentifiednclinicalnproblem.
Whichnisnthenfirstnactionnthennursenshouldnimplement?
1) Developingnanquestion
2) Disseminatingnthenfindings
3) Conductingnanreviewnofnthenliterature
4) Evaluatingnoutcomesnofnpracticenchange
NURSINGTB.COM
, TESTnBANKnFORnMEDICALnSURGICALnNURSINGn2NDnEDITIONnBYnHOFFMAN
n
6.nThennursenisnevaluatingnthenlevelnofnevidencenfoundnduringnanrecentnreviewnofnthenliterature.nWhich
nevidencencarriesnthenlowestnlevelnofnsupportnfornanpracticenchange?
1) LevelnIV
2) LevelnV
3) LevelnVI
4) LevelnVII
n 7.nThennursenisnreviewingnevidencenfromnanquasi-
experimentalnresearchnstudy.nWhichnlevelnofnevidencenshouldnthennursenidentifynfornthisnresearchnstudy?
1) LevelnI
2) LevelnII
3) LevelnIII
4) LevelnIV
n
8.nWhichnlevelnofnevidencenshouldnthennursenidentifynwhennreviewingnevidencenfromnansinglendescriptiv
enresearchnstudy?
1) LevelnIV
2) LevelnV
3) LevelnVI
4) LevelnVII
n 9.n Whichnstatementnshouldnthennursenmakenwhenncommunicatingnthen“S”ninnthenSBARnapproachnforneffective
communication?
1) “Thenpatientnpresentedntonthenemergencyndepartmentnatn0200nwithnlowernleftnabdominal
pain.”
2) “Thenpatientnratednthenpainnuponnadmissionnasnan9nonnan10-pointnnumericnscale.”
3) “ThenpatientnhasnnonsignificantniN
ssU
ueRsnS
inIthNeGmTeB
di.
caC
lnhOisMtory.”
4) “Thenpatientnwasngivennanprescribednopioidnanalgesicnatn0300.”
n
nn10.nThenstaffnnursenisncommunicatingnwithnthenchangennursenaboutnthenchangenofnstatusnofnthenpatien
t.nThennursenwouldnbeginnherncommunicationnwithnwhichnstatementnifncorrectlynusingnthenSBARnformat?
1) “Thenpatient’snheartratenisn110.”
2) “Inthinknthisnpatientnneedsntonbentransferredntonthencriticalncarenunit.”
3) “Thenpatientnisnan68-year-oldnmalenpatientnadmittednlastnnight.”
4) “Thenpatientnisncomplainingnofnchestnpain.”
n
nn 11.nWhichnnursingnactionnexemplifiesnthenQualitynandnSafetynEducationnfornNursingn(QSEN)nco
mpetencynofnsafety?
1) Advocatingnfornanpatientnwhonisnexperiencingnpain
2) Consideringnthenpatient’snculturenwhennplanningncare
3) Evaluatingnpatientnlearningnstylenpriorntonimplementingndischargeninstructions
4) Assessingnthenrightndrugnpriorntonadministeringnanprescribednpatientnmedication
n nn 12.n Whichntypenofnnursingnisnthenrootnofnallnothernnursingnpracticenareas?
1) Pediatricnnursing
2) Geriatricnnursing
3) Medical-surgicalnnursing
4) Mentalnhealth-psychiatricnnursing
n nn 13.nWhichndidnthenNursingnExecutivenCenternofnThenAdvisorynBoardnidentifynasnannacademic-
practicengapnfornnewngraduatennurses?
1) Patientnadvocacy
2) Patientneducation
NURSINGTB.COM
, TESTnBANKnFORnMEDICALnSURGICALnNURSINGn2NDnEDITIONnBYnHOFFMAN
3) Diseasenpathophysiology
4) Therapeuticncommunication
n nn 14.n Whichnstatementnregardingnthenusenofnthennursingnprocessninnclinicalnpracticenisnaccurate?
1) “Thennursingnprocessnisncloselynrelatedntonclinicalndecision-making.”
2) “Thennursingnprocessnisnusednbynallnmembersnofntheninterprofessionalnteamntonplanncare.”
3) “Thennursingnprocessnhasn4nbasicnsteps:nassessment,nplanning,nimplementation,
evaluation.”
4) “Thennursingnprocessnisnbeingnreplacednbynthenimplementationnofnevidence-basednpractice.”
n nn 15.n Whichnisnthenbasisnofnnursingncarenpracticesnandnprotocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
n nn 16.n Whichnisnancommonnthemenregardingnpatientndissatisfactionnrelatedntoncarenprovidedninnthenhospitalnsetting?
1) Spaceninnhospitalnrooms
2) Medicationsnreceivedntontreatnpain
3) Timenspentnwithnthenhealth-carenteam
4) Poornqualitynfoodnreceivednfromndietary
n nn 17.nThennursenmanagernisnpreparingnanmedical-
surgicalnunitnfornThenJointnCommissionn(TJC)nvisitnWithnthennursenmanagernpresentingnstaffneducationnfocusi
ngnonnTJCnbenchmarks,nwhichnofnthenfollowingntopicsnwouldnbenmostnappropriate?
1) Implementationnofnevidence-basednpractice
2) Implementationnofnpatient-centeNreU
dnR
caS
reINGTB.COM
3) Implementationnofnmedicalnasepsisnpractices
4) Implementationnofninterprofessionalncare
n nn 18.nWhichnaspectnofnpatient-
centeredncarenshouldnthennursenmanagernevaluatenpriorntonThenJointnCommissionnsitenvisitnfornaccreditation?
1) Visitationnrights
2) Educationnlevelnofnstaff
3) Fallnpreventionnprotocol
4) Infectionncontrolnpractices
n nn 19.n Thenmedical-surgicalnnursenisnprovidingnpatientncare.nWhichncircumstancenwouldnnecessitatenthennurse
verifyingnthenpatient’snidentificationnusingnatnleastntwonsources?
1) Priorntondeliveringnanmealntray
2) Priorntonpassivenrangenofnmotion
3) Priorntonmedicationnadministration
4) Priorntondocumentingninnthenmedicalnrecord
n nn 20.nThennursenisnprovidingncarentonseveralnpatientsnonnanmedical-
surgicalnunit.nWhichnsituationnwouldnnecessitatenthennursentonusenSBARnduringnthenhand-offnprocess?
1) Woundncare
2) Dischargentonhome
3) Transferntonradiology
4) Medicationneducation
MultiplenResponse
NURSINGTB.COM
, TESTnBANKnFORnMEDICALnSURGICALnNURSINGn2NDnEDITIONnBYnHOFFMAN
Identifynonenornmorenchoicesnthatnbestncompletenthenstatementnornanswernthenquestion.
n nn 21.n Thenstaffnnursenisnteachingnangroupnofnstudentnnursesnthensituationsnthatnnecessitatenhand-offncommunication.
Whichnstudentnresponsesnindicatenthenneednfornfurtherneducationnrelatedntonthisnprocedure?nSelectnallnthatn
apply.
1) “Anhand-offnisnrequirednpriorntonadministeringnanmedication.”
2) “Anhand-offnisnrequirednduringnchangenofnshift.”
3) “Anhand-offnisnrequirednfornanpatientnisntransferredntonthensurgicalnsuite.”
4) “Anhand-offnisnrequirednwhenevernthennursenreceivesnannewnpatientnassignment.”
5) “Anhand-offnisnrequirednpriorntonfamilynvisitation.”
n nn 22.n Whichnactionsnbynthennursenenhancenpatientnsafetynduringnmedicationnadministration?nSelectnallnthatnapply.
1) Answeringnthencallnbellnwhilentransportingnmedicationsnfornandifferentnpatient
2) Identifyingnthenpatientnusingntwonsourcesnpriorntonadministeringnthenmedication
3) Holdingnanmedicationnifnthenpatient’sndiagnosisndoesnnotnsupportnitsnuse
4) Administeringnthenmedicationntwonhoursnafternthenscheduledntime
5) Havingnanothernnursenverifynthenprescribedndosenofninsulinnthenpatientnisntonreceive
n nn 23.nThenmedical-
surgicalnnursenassumesncarenfornanpatientnwhonisnreceivingncontinuousncardiopulmonarynmonitoring.n
Whichnactionsnbynthennursenenhancensafetynfornthisnpatient?nSelectnallnthatnapply.
1) Silencingnthenalarmnduringnfamilynvisitation
2) Assessingnthenalarmnparametersnatnthenstartnofnthenshift
3) Respondingntonthenalarmninnantimelynfashion
4) Decreasingnthenalarmnvolumentonenhancenrestfulnsleep
5) Adjustingnalarmnparametersnbasednonnspecifiednpractitionernprescription
nnnnnnnnnnn 24.nnn ThennursenisnplanningnanninterprofessN
ioU
naRlnS
caI
reNcG
onTfeBre.nC
ceOfM
ornanpatientnwhonisnapproachingndischargenfromnth
enhospital.nWhichnmembersnofntheninterprofessionalnteamnshouldnthennurseninvitentonattend?nSelectnallnthatnap
ply.
1) Physician
2) Pharmacist
3) Unitnsecretary
4) Socialnworker
5) Homencarenaide
n
nn 25.nThennursenmanagernwantsntondesignatenanmembernofnthennursingnteamnasnthencarencoordinatornfornan
patientnwhonwillnrequirensignificantncarenduringnthenhospitalization.nWhichnskillsnshouldnthisnnursenpossessninnor
derntonassumenthisnrole?nSelectnallnthatnapply.
1) Effectivenclinicalnreasoning
2) Effectivencommunicationnskills
3) Effectiveninfectionncontrolnprocedures
4) Effectivendocumentation
5) Effectivenintravenousnskills
NURSINGTB.COM
Davis Advantage for Medical-
n n n
Surgical Nursing: Making Connections to Pra
n n n n n
ctice 2ndedition Hoffman Sullivan Test Bank
n
n
n n n n
Chapter 1: Foundations for Medical-Surgical Nursing
n n n n n
MultiplenChoice
Identifynthenchoicenthatnbestncompletesnthenstatementnornanswersnthenquestion.
n 1.nThenmedical-
surgicalnnursenidentifiesnanclinicalnpracticenissuenandnwantsntondeterminenifntherenisnsufficientnevidencentonsu
pportnanchangeninnpractice.nWhichntypenofnstudynprovidesnthenstrongestnevidencentonsupportnanpracticenchang
e?
1) Randomizedncontrolnstudy
2) Quasi-experimentalnstudy
3) Case-controlnstudy
4) Cohortnstudy
n 2.n Thenmedical-surgicalnunitnrecentlynimplementednanpatient-centeredncarenmodel.nWhichnactionnimplementednby
thennursensupportsnthisnmodel? NURSINGTB.COM
1) Evaluatingncare
2) Assessingnneeds
3) Diagnosingnproblems
4) Providingncompassion
n 3.n WhichnactionnshouldnthennursenimplementnwhennprovidingnpatientncareninnorderntonsupportnThenJoint
Commission’sn(TJC)nNationalnPatientnSafetynGoalsn(NPSG)?
1) Silencingnancardiorespiratorynmonitor
2) Identifyingneachnpatientnusingnonensource
3) Determiningnpatientnsafetynissuesnuponnadmission
4) Decreasingnthenamountnofnpainnmedicationnadministered
n
4.nWhichninterprofessionalnrolendoesnthennursenoftennassumenwhennprovidingnpatientncareninnann
acutencarensetting?
1) Socialnworker
2) Clientnadvocate
3) Carencoordinator
4) Massagentherapist
n 5.n Thenmedical-surgicalnnursenwantsntondeterminenifnanpolicynchangenisnneedednfornannidentifiednclinicalnproblem.
Whichnisnthenfirstnactionnthennursenshouldnimplement?
1) Developingnanquestion
2) Disseminatingnthenfindings
3) Conductingnanreviewnofnthenliterature
4) Evaluatingnoutcomesnofnpracticenchange
NURSINGTB.COM
, TESTnBANKnFORnMEDICALnSURGICALnNURSINGn2NDnEDITIONnBYnHOFFMAN
n
6.nThennursenisnevaluatingnthenlevelnofnevidencenfoundnduringnanrecentnreviewnofnthenliterature.nWhich
nevidencencarriesnthenlowestnlevelnofnsupportnfornanpracticenchange?
1) LevelnIV
2) LevelnV
3) LevelnVI
4) LevelnVII
n 7.nThennursenisnreviewingnevidencenfromnanquasi-
experimentalnresearchnstudy.nWhichnlevelnofnevidencenshouldnthennursenidentifynfornthisnresearchnstudy?
1) LevelnI
2) LevelnII
3) LevelnIII
4) LevelnIV
n
8.nWhichnlevelnofnevidencenshouldnthennursenidentifynwhennreviewingnevidencenfromnansinglendescriptiv
enresearchnstudy?
1) LevelnIV
2) LevelnV
3) LevelnVI
4) LevelnVII
n 9.n Whichnstatementnshouldnthennursenmakenwhenncommunicatingnthen“S”ninnthenSBARnapproachnforneffective
communication?
1) “Thenpatientnpresentedntonthenemergencyndepartmentnatn0200nwithnlowernleftnabdominal
pain.”
2) “Thenpatientnratednthenpainnuponnadmissionnasnan9nonnan10-pointnnumericnscale.”
3) “ThenpatientnhasnnonsignificantniN
ssU
ueRsnS
inIthNeGmTeB
di.
caC
lnhOisMtory.”
4) “Thenpatientnwasngivennanprescribednopioidnanalgesicnatn0300.”
n
nn10.nThenstaffnnursenisncommunicatingnwithnthenchangennursenaboutnthenchangenofnstatusnofnthenpatien
t.nThennursenwouldnbeginnherncommunicationnwithnwhichnstatementnifncorrectlynusingnthenSBARnformat?
1) “Thenpatient’snheartratenisn110.”
2) “Inthinknthisnpatientnneedsntonbentransferredntonthencriticalncarenunit.”
3) “Thenpatientnisnan68-year-oldnmalenpatientnadmittednlastnnight.”
4) “Thenpatientnisncomplainingnofnchestnpain.”
n
nn 11.nWhichnnursingnactionnexemplifiesnthenQualitynandnSafetynEducationnfornNursingn(QSEN)nco
mpetencynofnsafety?
1) Advocatingnfornanpatientnwhonisnexperiencingnpain
2) Consideringnthenpatient’snculturenwhennplanningncare
3) Evaluatingnpatientnlearningnstylenpriorntonimplementingndischargeninstructions
4) Assessingnthenrightndrugnpriorntonadministeringnanprescribednpatientnmedication
n nn 12.n Whichntypenofnnursingnisnthenrootnofnallnothernnursingnpracticenareas?
1) Pediatricnnursing
2) Geriatricnnursing
3) Medical-surgicalnnursing
4) Mentalnhealth-psychiatricnnursing
n nn 13.nWhichndidnthenNursingnExecutivenCenternofnThenAdvisorynBoardnidentifynasnannacademic-
practicengapnfornnewngraduatennurses?
1) Patientnadvocacy
2) Patientneducation
NURSINGTB.COM
, TESTnBANKnFORnMEDICALnSURGICALnNURSINGn2NDnEDITIONnBYnHOFFMAN
3) Diseasenpathophysiology
4) Therapeuticncommunication
n nn 14.n Whichnstatementnregardingnthenusenofnthennursingnprocessninnclinicalnpracticenisnaccurate?
1) “Thennursingnprocessnisncloselynrelatedntonclinicalndecision-making.”
2) “Thennursingnprocessnisnusednbynallnmembersnofntheninterprofessionalnteamntonplanncare.”
3) “Thennursingnprocessnhasn4nbasicnsteps:nassessment,nplanning,nimplementation,
evaluation.”
4) “Thennursingnprocessnisnbeingnreplacednbynthenimplementationnofnevidence-basednpractice.”
n nn 15.n Whichnisnthenbasisnofnnursingncarenpracticesnandnprotocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
n nn 16.n Whichnisnancommonnthemenregardingnpatientndissatisfactionnrelatedntoncarenprovidedninnthenhospitalnsetting?
1) Spaceninnhospitalnrooms
2) Medicationsnreceivedntontreatnpain
3) Timenspentnwithnthenhealth-carenteam
4) Poornqualitynfoodnreceivednfromndietary
n nn 17.nThennursenmanagernisnpreparingnanmedical-
surgicalnunitnfornThenJointnCommissionn(TJC)nvisitnWithnthennursenmanagernpresentingnstaffneducationnfocusi
ngnonnTJCnbenchmarks,nwhichnofnthenfollowingntopicsnwouldnbenmostnappropriate?
1) Implementationnofnevidence-basednpractice
2) Implementationnofnpatient-centeNreU
dnR
caS
reINGTB.COM
3) Implementationnofnmedicalnasepsisnpractices
4) Implementationnofninterprofessionalncare
n nn 18.nWhichnaspectnofnpatient-
centeredncarenshouldnthennursenmanagernevaluatenpriorntonThenJointnCommissionnsitenvisitnfornaccreditation?
1) Visitationnrights
2) Educationnlevelnofnstaff
3) Fallnpreventionnprotocol
4) Infectionncontrolnpractices
n nn 19.n Thenmedical-surgicalnnursenisnprovidingnpatientncare.nWhichncircumstancenwouldnnecessitatenthennurse
verifyingnthenpatient’snidentificationnusingnatnleastntwonsources?
1) Priorntondeliveringnanmealntray
2) Priorntonpassivenrangenofnmotion
3) Priorntonmedicationnadministration
4) Priorntondocumentingninnthenmedicalnrecord
n nn 20.nThennursenisnprovidingncarentonseveralnpatientsnonnanmedical-
surgicalnunit.nWhichnsituationnwouldnnecessitatenthennursentonusenSBARnduringnthenhand-offnprocess?
1) Woundncare
2) Dischargentonhome
3) Transferntonradiology
4) Medicationneducation
MultiplenResponse
NURSINGTB.COM
, TESTnBANKnFORnMEDICALnSURGICALnNURSINGn2NDnEDITIONnBYnHOFFMAN
Identifynonenornmorenchoicesnthatnbestncompletenthenstatementnornanswernthenquestion.
n nn 21.n Thenstaffnnursenisnteachingnangroupnofnstudentnnursesnthensituationsnthatnnecessitatenhand-offncommunication.
Whichnstudentnresponsesnindicatenthenneednfornfurtherneducationnrelatedntonthisnprocedure?nSelectnallnthatn
apply.
1) “Anhand-offnisnrequirednpriorntonadministeringnanmedication.”
2) “Anhand-offnisnrequirednduringnchangenofnshift.”
3) “Anhand-offnisnrequirednfornanpatientnisntransferredntonthensurgicalnsuite.”
4) “Anhand-offnisnrequirednwhenevernthennursenreceivesnannewnpatientnassignment.”
5) “Anhand-offnisnrequirednpriorntonfamilynvisitation.”
n nn 22.n Whichnactionsnbynthennursenenhancenpatientnsafetynduringnmedicationnadministration?nSelectnallnthatnapply.
1) Answeringnthencallnbellnwhilentransportingnmedicationsnfornandifferentnpatient
2) Identifyingnthenpatientnusingntwonsourcesnpriorntonadministeringnthenmedication
3) Holdingnanmedicationnifnthenpatient’sndiagnosisndoesnnotnsupportnitsnuse
4) Administeringnthenmedicationntwonhoursnafternthenscheduledntime
5) Havingnanothernnursenverifynthenprescribedndosenofninsulinnthenpatientnisntonreceive
n nn 23.nThenmedical-
surgicalnnursenassumesncarenfornanpatientnwhonisnreceivingncontinuousncardiopulmonarynmonitoring.n
Whichnactionsnbynthennursenenhancensafetynfornthisnpatient?nSelectnallnthatnapply.
1) Silencingnthenalarmnduringnfamilynvisitation
2) Assessingnthenalarmnparametersnatnthenstartnofnthenshift
3) Respondingntonthenalarmninnantimelynfashion
4) Decreasingnthenalarmnvolumentonenhancenrestfulnsleep
5) Adjustingnalarmnparametersnbasednonnspecifiednpractitionernprescription
nnnnnnnnnnn 24.nnn ThennursenisnplanningnanninterprofessN
ioU
naRlnS
caI
reNcG
onTfeBre.nC
ceOfM
ornanpatientnwhonisnapproachingndischargenfromnth
enhospital.nWhichnmembersnofntheninterprofessionalnteamnshouldnthennurseninvitentonattend?nSelectnallnthatnap
ply.
1) Physician
2) Pharmacist
3) Unitnsecretary
4) Socialnworker
5) Homencarenaide
n
nn 25.nThennursenmanagernwantsntondesignatenanmembernofnthennursingnteamnasnthencarencoordinatornfornan
patientnwhonwillnrequirensignificantncarenduringnthenhospitalization.nWhichnskillsnshouldnthisnnursenpossessninnor
derntonassumenthisnrole?nSelectnallnthatnapply.
1) Effectivenclinicalnreasoning
2) Effectivencommunicationnskills
3) Effectiveninfectionncontrolnprocedures
4) Effectivendocumentation
5) Effectivenintravenousnskills
NURSINGTB.COM
