Med Surgical Chapter 1, 8, 9, 13
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 - ANS-a
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 - ANS-d
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 - ANS-c
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 - ANS-c
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 - ANS-a
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 - ANS-d
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 - ANS-c
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 - ANS-c
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." - ANS-a
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." - ANS-d
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 - ANS-d
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 - ANS-c
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 - ANS-c
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." -
ANS-a
Which is the basis of nursing care practices and protocols?
1)
Assessment
2)
Evaluation
3)
Diagnosis
4)
Research - ANS-d
Which is a common theme regarding patient dissatisfaction related to care provided in the
hospital setting?
1)
Space in hospital rooms
2)
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 - ANS-a
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 - ANS-d
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 - ANS-c
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 - ANS-c
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 - ANS-a
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 - ANS-d
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 - ANS-c
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 - ANS-c
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." - ANS-a
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." - ANS-d
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 - ANS-d
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 - ANS-c
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 - ANS-c
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." -
ANS-a
Which is the basis of nursing care practices and protocols?
1)
Assessment
2)
Evaluation
3)
Diagnosis
4)
Research - ANS-d
Which is a common theme regarding patient dissatisfaction related to care provided in the
hospital setting?
1)
Space in hospital rooms
2)
