Medical-Surgical Nursing, 12th Edition Brand
New 2025.
The nurse is providing education to nursing staff on quality care initiatives. Which statement is an
accurate description of the impact of health care financing on quality care?
a. "If a patient develops a catheter-related infection, the hospital receives additional
funding."
b. "Payment for patient care is primarily based on clinical outcomes and patient
satisfaction."
c. "Hospitals are reimbursed for all costs incurred if care is documented
electronically."
d. "Because hospitals are accountable for overall care, it is not nursing's
responsibility to monitor care delivered by others."
B
The nurse documenting the patient's progress in the electronic health record is demonstrating
competency in which area?
a. Patient-centered care
b. Evidence-based practice
c. Quality improvement
d. Informatics and technology
D
Which information will the nurse consider when deciding what nursing actions to delegate to a
licensed practical/vocational nurse (LPN/VN) who is working on a medical-surgical unit? (Select all
that apply.)
a. Agency policies
b. Stability of the patients
c. State nurse practice act
d. LPN/VN teaching abilities
e. Experience of the LPN/VN
ABCE
Which actions by the nurse administering medications are consistent with promoting safe delivery of
patient care? (Select all that apply.)
a. Discards a medication that is not labeled.
b. Uses hand sanitizer before preparing a medication.
c. Identifies the patient by the room number on the door.
d. Checks laboratory test results before administering a diuretic.
e. Gives the patient a list of current medications upon discharge.
, ABDE
Which actions by a nurse would demonstrate an aspect of nursing clinical judgment? (Select all that
apply.)
a. Identifying priority problems
b. Noticing a change in patient status
c. Memorizing the steps of a procedure
d. Assessing data about a patient situation
e. Generating possible solutions to a patient problem
f. Making decisions based on the implications of a patient's situation
ABDEF
Which data from the patient's health history would be the nurse's focus for patient teaching?
a. Family history
b. Age and gender
c. Dietary fat intake
d. Race and ethnicity
C
The nurse works in a clinic located in a community where many of the residents are Hispanic. Which
strategy, if implemented by the nurse, would decrease health care disparities and promote health
equity for this community?
a. Improve public transportation to the clinic.
B. Update equipment and supplies at the clinic
c. Teach clinic staff about cultural health beliefs.
d. Obtain low-cost medications for clinic patients.
C
Which information would the nurse collect as a measure of community health?
a. Air pollution levels
b. Number of healthy food stores
c. Most common causes of death
d. Education level of the individuals
C
The nurse is caring for a patient who has traditional Native American beliefs about health and illness.
Which action by the nurse would demonstrate cultural competence?
a. Explain the hospital schedule for meal times, care, and family visits.
b. Ask the patient whether it is important that a cultural healer is contacted.
c. Avoid asking health questions unless the patient initiates the conversation.
d. Obtain information about the patient's cultural beliefs from a family member.
B
New 2025.
The nurse is providing education to nursing staff on quality care initiatives. Which statement is an
accurate description of the impact of health care financing on quality care?
a. "If a patient develops a catheter-related infection, the hospital receives additional
funding."
b. "Payment for patient care is primarily based on clinical outcomes and patient
satisfaction."
c. "Hospitals are reimbursed for all costs incurred if care is documented
electronically."
d. "Because hospitals are accountable for overall care, it is not nursing's
responsibility to monitor care delivered by others."
B
The nurse documenting the patient's progress in the electronic health record is demonstrating
competency in which area?
a. Patient-centered care
b. Evidence-based practice
c. Quality improvement
d. Informatics and technology
D
Which information will the nurse consider when deciding what nursing actions to delegate to a
licensed practical/vocational nurse (LPN/VN) who is working on a medical-surgical unit? (Select all
that apply.)
a. Agency policies
b. Stability of the patients
c. State nurse practice act
d. LPN/VN teaching abilities
e. Experience of the LPN/VN
ABCE
Which actions by the nurse administering medications are consistent with promoting safe delivery of
patient care? (Select all that apply.)
a. Discards a medication that is not labeled.
b. Uses hand sanitizer before preparing a medication.
c. Identifies the patient by the room number on the door.
d. Checks laboratory test results before administering a diuretic.
e. Gives the patient a list of current medications upon discharge.
, ABDE
Which actions by a nurse would demonstrate an aspect of nursing clinical judgment? (Select all that
apply.)
a. Identifying priority problems
b. Noticing a change in patient status
c. Memorizing the steps of a procedure
d. Assessing data about a patient situation
e. Generating possible solutions to a patient problem
f. Making decisions based on the implications of a patient's situation
ABDEF
Which data from the patient's health history would be the nurse's focus for patient teaching?
a. Family history
b. Age and gender
c. Dietary fat intake
d. Race and ethnicity
C
The nurse works in a clinic located in a community where many of the residents are Hispanic. Which
strategy, if implemented by the nurse, would decrease health care disparities and promote health
equity for this community?
a. Improve public transportation to the clinic.
B. Update equipment and supplies at the clinic
c. Teach clinic staff about cultural health beliefs.
d. Obtain low-cost medications for clinic patients.
C
Which information would the nurse collect as a measure of community health?
a. Air pollution levels
b. Number of healthy food stores
c. Most common causes of death
d. Education level of the individuals
C
The nurse is caring for a patient who has traditional Native American beliefs about health and illness.
Which action by the nurse would demonstrate cultural competence?
a. Explain the hospital schedule for meal times, care, and family visits.
b. Ask the patient whether it is important that a cultural healer is contacted.
c. Avoid asking health questions unless the patient initiates the conversation.
d. Obtain information about the patient's cultural beliefs from a family member.
B
