TESTmBANKmFORmMEDICALmSURGICALmNURSINGm2NDmEDITIONmBYmHOFFMAN
Davis Advantage for Medical-Surgical
m m m
Nursing: Making Connections to Practice 2nd
m m m m m
m
edition Hoffman Sullivan Test Bank
m m m m
Chapter m1:mFoundations mformMedical-SurgicalmNursing
MultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersmthemquestion.
1. Themmedical-
surgicalmnursemidentifiesmamclinicalmpracticemissuemand mwantsmto mdeterminemifmtheremismsufficientmevidencem
to msupportmamchangemin mpractice.mWhichmtypemofmstudymprovidesmthemstrongestmevidencemtomsupportmamprac
ticemchange?
1) Randomized mcontrolmstudy
2) Quasi-experimentalm study
3) Case-controlmstudy
4) Cohortmstudy
2. Themmedical-surgicalmunitmrecently mimplemented mampatient-
centered mcaremmodel.mWhich maction mimplemented mby
themnursemsupportsmthismmodel NURSINGKING.COM
?
1) Evaluatingmcare
2) Assessingmneeds
3) Diagnosingmproblems
4) Providingmcompassion
3. Which maction mshould mthemnurse mimplementmwhen mprovidingmpatientmcaremin mordermto msupportmThemJoint
Commission’sm(TJC)mNationalmPatientmSafety mGoalsm(NPSG)?
1) Silencingmamcardiorespiratory mmonitor
2) Identifyingmeach mpatientmusingmonemsource
3) Determiningmpatientmsafety missuesmupon madmission
4) Decreasingmthemamountmof mpain mmedication madministered
4. Which minterprofessionalmrolemdoesmthemnursemoftenmassumemwhenmprovidingmpatientmcaremin manmacutem
caremsetting?
1) Socialmworker
2) Clientmadvocate
3) Caremcoordinator
4) Massagemtherapist
5. Themmedical-
surgicalmnursemwantsmto mdeterminemifmampolicy mchangemismneeded mforman midentifiedmclinicalmproblem.mWhich mi
smthemfirstmaction mthemnurse mshould mimplement?
1) Developingmamquestion
2) Disseminatingmthemfindings
3) Conductingmamreviewmof mthemliterature
4) Evaluatingmoutcomesmof mpractice mchange
NURSINGKING.COMm #1mU.Sm NURSINGmTESTmBANKSmSTORE
, TESTmBANKmFORmMEDICALmSURGICALmNURSINGm2NDmEDITIONmBYmHOFFMAN
6.m Themnursemismevaluatingmthemlevelmofmevidencemfoundmduringmamrecentmreviewmofmthemliterature.m
Which mevidence mcarriesmthemlowestmlevelmof msupportmformampractice mchange?
1) LevelmIV
2) LevelmV
3) LevelmVI
4) LevelmVII
7.m Themnurse mismreviewingmevidence mfrommamquasi-
experimentalmresearchmstudy.mWhichmlevelmofmevidencemshouldmthemnursemidentifymformthismresearchmstudy?
1) LevelmI
2) LevelmII
3) LevelmIII
4) LevelmIV
8.m Which mlevelmofmevidence mshould mthemnursemidentifymwhenmreviewingmevidencemfrommamsinglemdesc
riptivemresearch mstudy?
1) LevelmIV
2) LevelmV
3) LevelmVI
4) LevelmVII
9.m m Which mstatementmshouldmthemnursemmakemwhenmcommunicatingmthem“S”minmthemSBARmapproach mformeffective
communication?
1) “Thempatientmpresented mto mthememergency mdepartmentmatm0200 mwith mlowermleftmabdominal
pain.”
2) “Thempatientmrated mthempain mupon madmission masmam9 mon mam10-pointmnumeric mscale.”
3) “Thempatientmhasmno msign if ican N
t miU
ssR
u eSsmI
inNthGeKmIeN
d iG
c a.
lmhCisOtoMry.”
4) “Thempatientmwasmgiven mamprescribed mopioid manalgesic matm0300.”
m 10.m Themstaffmnursemismcommunicatingmwith mthemchangemnursemaboutmthemchangemofmstatusmofmthempatient.m Them
nurse mwould mbegin mhermcommunication mwith mwhich mstatementmif mcorrectly musingmthemSBARmformat?
1) “Thempatient’smheartrate mism110.”
2) “Imthink mthismpatientmneedsmto mbemtransferred mto mthemcriticalmcaremunit.”
3) “Thempatientmismam68-year-old mmalempatientmadmitted mlastmnight.”
4) “Thempatientmismcomplainingmof mchestmpain.”
m 11.m Which mnursingmactionmexemplifiesmthemQualitymand mSafetymEducationmformNursingm(QSEN)mcompetenc
y mof msafety?
1) Advocatingmformampatientmwho mismexperiencingmpain
2) Consideringmthempatient’smculture mwhen mplanningmcare
3) Evaluatingmpatientmlearningmstylempriormto mimplementingmdischarge minstructions
4) Assessingmthemrightmdrugmpriormto madministeringmamprescribed mpatientmmedication
m 12.m Which mtypemof mnursingmismthemrootmof mallmothermnursingmpracticemareas?
1) Pediatric mnursing
2) Geriatric mnursing
3) Medical-surgicalm nursing
4) Mentalmhealth-psychiatric mnursing
m 13.m Which mdid mthemNursingmExecutive mCentermof mThemAdvisory mBoard midentify masman macademic-
practice mgap mformnewmgraduatemnurses?
1) Patientmadvocacy
2) Patientmeducation
NURSINGKING.COMm #1mU.Sm NURSINGmTESTmBANKSmSTORE
, TESTmBANKmFORmMEDICALmSURGICALmNURSINGm2NDmEDITIONmBYmHOFFMAN
3) Disease mpathophysiology
4) Therapeutic mcommunication
m 14.m Which mstatementmregardingmthemusemof mthemnursingmprocessmin mclinicalmpracticemismaccurate?
1) “Themnursingmprocessmismclosely mrelated mto mclinicalmdecision-making.”
2) “Themnursingmprocessmismused mby mallmmembersmof mtheminterprofessionalmteammto mplan mcare.”
3) “Themnursingmprocessmhasm4 mbasicmsteps:massessment, mplanning,mimplementation,
evaluation.”
4) “Themnursingmprocessmismbeingmreplaced mby mthemimplementation mof mevidence-based mpractice.”
m 15.m Which mismthembasismof mnursingmcarempracticesmand mprotocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
m 16.m Which mismamcommonmthememregardingmpatientmdissatisfaction mrelatedmtomcaremprovidedmin mthemhospitalmsetting
?
1) Space min mhospitalmrooms
2) Medicationsmreceived mto mtreatmpain
3) Timemspentmwith mthemhealth-caremteam
4) Poormquality mfood mreceived mfrommdietary
m 17.m Themnursemmanagermismpreparingmammedical-
surgicalmunitmformThemJointmCommissionm(TJC)mvisitmWith mthemnursemmanagermpresentingmstaffmeducationmfo
cusingmon mTJCmbenchmarks, mwhich mof mthemfollowingmtopicsmwould mbemmostmappropriate?
1) Implementation mof mevidence-based mpractice
2) Implementationm ofm patient-c e n Nt e U
r eR
d mS
caI
reNGKING.COM
3) Implementation mof mmedicalmasepsismpractices
4) Implementation mof minterprofessionalmcare
m 18.m Which maspectmof mpatient-
centered mcaremshouldmthemnursemmanagermevaluatempriormtomThemJointmCommissionmsitemvisitmformaccreditati
on?
1) Visitation mrights
2) Education mlevelmof mstaff
3) Fallmprevention mprotocol
4) Infection mcontrolmpractices
m 19.m Themmedical-surgicalmnursemismprovidingmpatientmcare.mWhich mcircumstance mwould mnecessitate mthemnurse
verifyingmthempatient’smidentification musingmatmleastmtwo msources?
1) Priormto mdeliveringmammealmtray
2) Priormto mpassive mrangemof mmotion
3) Priormto mmedication madministration
4) Priormto mdocumentingmin mthemmedicalmrecord
m 20.m Themnursemismprovidingmcaremto mseveralmpatientsmon mammedical-
surgicalmunit.mWhichmsituation mwould mnecessitate mthemnurse mto musemSBARmduringmthemhand-off mprocess?
1) Wound mcare
2) Discharge mto mhome
3) Transfermto mradiology
4) Medication meducation
MultiplemResponse
NURSINGKING.COMm #1mU.Sm NURSINGmTESTmBANKSmSTORE
, TESTmBANKmFORmMEDICALmSURGICALmNURSINGm2NDmEDITIONmBYmHOFFMAN
Identifymonemormmore mchoicesmthatmbestmcomplete mthemstatementmormanswermthemquestion.
21.m Themstaff mnursemismteachingmamgroup mof mstudentmnursesmthemsituationsmthatmnecessitate mhand-
m
off mcommunication.
Which mstudentmresponsesmindicatemthemneedmformfurthermeducationmrelatedmto mthismprocedure?mSelectmallmtha
tmapply.
1) “Amhand-off mismrequired mpriormto madministeringmammedication.”
2) “Amhand-off mismrequired mduringmchangemof mshift.”
3) “Amhand-off mismrequired mformampatientmismtransferred mto mthemsurgicalmsuite.”
4) “Amhand-off mismrequired mwhenevermthemnurse mreceivesmamnewmpatientmassignment.”
5) “Amhand-off mismrequired mpriormto mfamily mvisitation.”
m 22.m Which mactionsmby mthemnursemenhance mpatientmsafetymduringmmedication madministration?mSelectmallmthatmapply.
1) Answeringmthemcallmbellmwhilemtransportingmmedicationsmformamdifferentmpatient
2) Identifyingmthempatientmusingmtwo msourcesmpriormto madministeringmthemmedication
3) Holdingmammedication mif mthempatient’smdiagnosismdoesmnotmsupportmitsmuse
4) Administeringmthemmedication mtwo mhoursmaftermthemscheduled mtime
5) Havingmanothermnursemverify mthemprescribed mdosemof minsulin mthempatientmismto mreceive
m 23.m Themmedical-
surgicalmnursemassumesmcaremformampatientmwhomismreceivingmcontinuousmcardiopulmonary mmonitori
ng.mWhich mactionsmby mthemnurse menhance msafety mformthismpatient? mSelectmallmthatmapply.
1) Silencingmthemalarmmduringmfamily mvisitation
2) Assessingmthemalarmmparametersmatmthemstartmof mthemshift
3) Respondingmto mthemalarmmin mamtimely mfashion
4) Decreasingmthemalarmmvolumemto menhance mrestfulmsleep
5) Adjustingmalarmmparametersmbased mon mspecified mpractitionermprescription
mm 24.m Themnursemismplanningman mi n t e r p r o f e Ns sUi o Rn aSl mI
caNreGcK
onIfeNreGn.
ceCfO
o rMa m patientmwho mismapproachingmdischargemf
rommthemhospital.mWhich mmembersmof mtheminterprofessionalmteammshould mthemnurseminvitemto mattend?mSelec
tmallmthatmapply.
1) Physician
2) Pharmacist
3) Unitmsecretary
4) Socialmworker
5) Home mcaremaide
m 25.m Themnursemmanagermwantsmtomdesignatemammembermofmthemnursingmteammasmthemcaremcoordinatormformampatient
mwho mwillmrequiremsignificantmcare mduringmthemhospitalization. mWhichmskillsmshouldmthismnurse mpossess min mor
dermto massume mthismrole?mSelectmallmthatmapply.
1) Effective mclinicalmreasoning
2) Effective mcommunication mskills
3) Effective minfection mcontrolmprocedures
4) Effective mdocumentation
5) Effective mintravenousmskills
NURSINGKING.COMm #1mU.Sm NURSINGmTESTmBANKSmSTORE
Davis Advantage for Medical-Surgical
m m m
Nursing: Making Connections to Practice 2nd
m m m m m
m
edition Hoffman Sullivan Test Bank
m m m m
Chapter m1:mFoundations mformMedical-SurgicalmNursing
MultiplemChoice
Identifymthemchoicemthatmbestmcompletesmthemstatementmormanswersmthemquestion.
1. Themmedical-
surgicalmnursemidentifiesmamclinicalmpracticemissuemand mwantsmto mdeterminemifmtheremismsufficientmevidencem
to msupportmamchangemin mpractice.mWhichmtypemofmstudymprovidesmthemstrongestmevidencemtomsupportmamprac
ticemchange?
1) Randomized mcontrolmstudy
2) Quasi-experimentalm study
3) Case-controlmstudy
4) Cohortmstudy
2. Themmedical-surgicalmunitmrecently mimplemented mampatient-
centered mcaremmodel.mWhich maction mimplemented mby
themnursemsupportsmthismmodel NURSINGKING.COM
?
1) Evaluatingmcare
2) Assessingmneeds
3) Diagnosingmproblems
4) Providingmcompassion
3. Which maction mshould mthemnurse mimplementmwhen mprovidingmpatientmcaremin mordermto msupportmThemJoint
Commission’sm(TJC)mNationalmPatientmSafety mGoalsm(NPSG)?
1) Silencingmamcardiorespiratory mmonitor
2) Identifyingmeach mpatientmusingmonemsource
3) Determiningmpatientmsafety missuesmupon madmission
4) Decreasingmthemamountmof mpain mmedication madministered
4. Which minterprofessionalmrolemdoesmthemnursemoftenmassumemwhenmprovidingmpatientmcaremin manmacutem
caremsetting?
1) Socialmworker
2) Clientmadvocate
3) Caremcoordinator
4) Massagemtherapist
5. Themmedical-
surgicalmnursemwantsmto mdeterminemifmampolicy mchangemismneeded mforman midentifiedmclinicalmproblem.mWhich mi
smthemfirstmaction mthemnurse mshould mimplement?
1) Developingmamquestion
2) Disseminatingmthemfindings
3) Conductingmamreviewmof mthemliterature
4) Evaluatingmoutcomesmof mpractice mchange
NURSINGKING.COMm #1mU.Sm NURSINGmTESTmBANKSmSTORE
, TESTmBANKmFORmMEDICALmSURGICALmNURSINGm2NDmEDITIONmBYmHOFFMAN
6.m Themnursemismevaluatingmthemlevelmofmevidencemfoundmduringmamrecentmreviewmofmthemliterature.m
Which mevidence mcarriesmthemlowestmlevelmof msupportmformampractice mchange?
1) LevelmIV
2) LevelmV
3) LevelmVI
4) LevelmVII
7.m Themnurse mismreviewingmevidence mfrommamquasi-
experimentalmresearchmstudy.mWhichmlevelmofmevidencemshouldmthemnursemidentifymformthismresearchmstudy?
1) LevelmI
2) LevelmII
3) LevelmIII
4) LevelmIV
8.m Which mlevelmofmevidence mshould mthemnursemidentifymwhenmreviewingmevidencemfrommamsinglemdesc
riptivemresearch mstudy?
1) LevelmIV
2) LevelmV
3) LevelmVI
4) LevelmVII
9.m m Which mstatementmshouldmthemnursemmakemwhenmcommunicatingmthem“S”minmthemSBARmapproach mformeffective
communication?
1) “Thempatientmpresented mto mthememergency mdepartmentmatm0200 mwith mlowermleftmabdominal
pain.”
2) “Thempatientmrated mthempain mupon madmission masmam9 mon mam10-pointmnumeric mscale.”
3) “Thempatientmhasmno msign if ican N
t miU
ssR
u eSsmI
inNthGeKmIeN
d iG
c a.
lmhCisOtoMry.”
4) “Thempatientmwasmgiven mamprescribed mopioid manalgesic matm0300.”
m 10.m Themstaffmnursemismcommunicatingmwith mthemchangemnursemaboutmthemchangemofmstatusmofmthempatient.m Them
nurse mwould mbegin mhermcommunication mwith mwhich mstatementmif mcorrectly musingmthemSBARmformat?
1) “Thempatient’smheartrate mism110.”
2) “Imthink mthismpatientmneedsmto mbemtransferred mto mthemcriticalmcaremunit.”
3) “Thempatientmismam68-year-old mmalempatientmadmitted mlastmnight.”
4) “Thempatientmismcomplainingmof mchestmpain.”
m 11.m Which mnursingmactionmexemplifiesmthemQualitymand mSafetymEducationmformNursingm(QSEN)mcompetenc
y mof msafety?
1) Advocatingmformampatientmwho mismexperiencingmpain
2) Consideringmthempatient’smculture mwhen mplanningmcare
3) Evaluatingmpatientmlearningmstylempriormto mimplementingmdischarge minstructions
4) Assessingmthemrightmdrugmpriormto madministeringmamprescribed mpatientmmedication
m 12.m Which mtypemof mnursingmismthemrootmof mallmothermnursingmpracticemareas?
1) Pediatric mnursing
2) Geriatric mnursing
3) Medical-surgicalm nursing
4) Mentalmhealth-psychiatric mnursing
m 13.m Which mdid mthemNursingmExecutive mCentermof mThemAdvisory mBoard midentify masman macademic-
practice mgap mformnewmgraduatemnurses?
1) Patientmadvocacy
2) Patientmeducation
NURSINGKING.COMm #1mU.Sm NURSINGmTESTmBANKSmSTORE
, TESTmBANKmFORmMEDICALmSURGICALmNURSINGm2NDmEDITIONmBYmHOFFMAN
3) Disease mpathophysiology
4) Therapeutic mcommunication
m 14.m Which mstatementmregardingmthemusemof mthemnursingmprocessmin mclinicalmpracticemismaccurate?
1) “Themnursingmprocessmismclosely mrelated mto mclinicalmdecision-making.”
2) “Themnursingmprocessmismused mby mallmmembersmof mtheminterprofessionalmteammto mplan mcare.”
3) “Themnursingmprocessmhasm4 mbasicmsteps:massessment, mplanning,mimplementation,
evaluation.”
4) “Themnursingmprocessmismbeingmreplaced mby mthemimplementation mof mevidence-based mpractice.”
m 15.m Which mismthembasismof mnursingmcarempracticesmand mprotocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
m 16.m Which mismamcommonmthememregardingmpatientmdissatisfaction mrelatedmtomcaremprovidedmin mthemhospitalmsetting
?
1) Space min mhospitalmrooms
2) Medicationsmreceived mto mtreatmpain
3) Timemspentmwith mthemhealth-caremteam
4) Poormquality mfood mreceived mfrommdietary
m 17.m Themnursemmanagermismpreparingmammedical-
surgicalmunitmformThemJointmCommissionm(TJC)mvisitmWith mthemnursemmanagermpresentingmstaffmeducationmfo
cusingmon mTJCmbenchmarks, mwhich mof mthemfollowingmtopicsmwould mbemmostmappropriate?
1) Implementation mof mevidence-based mpractice
2) Implementationm ofm patient-c e n Nt e U
r eR
d mS
caI
reNGKING.COM
3) Implementation mof mmedicalmasepsismpractices
4) Implementation mof minterprofessionalmcare
m 18.m Which maspectmof mpatient-
centered mcaremshouldmthemnursemmanagermevaluatempriormtomThemJointmCommissionmsitemvisitmformaccreditati
on?
1) Visitation mrights
2) Education mlevelmof mstaff
3) Fallmprevention mprotocol
4) Infection mcontrolmpractices
m 19.m Themmedical-surgicalmnursemismprovidingmpatientmcare.mWhich mcircumstance mwould mnecessitate mthemnurse
verifyingmthempatient’smidentification musingmatmleastmtwo msources?
1) Priormto mdeliveringmammealmtray
2) Priormto mpassive mrangemof mmotion
3) Priormto mmedication madministration
4) Priormto mdocumentingmin mthemmedicalmrecord
m 20.m Themnursemismprovidingmcaremto mseveralmpatientsmon mammedical-
surgicalmunit.mWhichmsituation mwould mnecessitate mthemnurse mto musemSBARmduringmthemhand-off mprocess?
1) Wound mcare
2) Discharge mto mhome
3) Transfermto mradiology
4) Medication meducation
MultiplemResponse
NURSINGKING.COMm #1mU.Sm NURSINGmTESTmBANKSmSTORE
, TESTmBANKmFORmMEDICALmSURGICALmNURSINGm2NDmEDITIONmBYmHOFFMAN
Identifymonemormmore mchoicesmthatmbestmcomplete mthemstatementmormanswermthemquestion.
21.m Themstaff mnursemismteachingmamgroup mof mstudentmnursesmthemsituationsmthatmnecessitate mhand-
m
off mcommunication.
Which mstudentmresponsesmindicatemthemneedmformfurthermeducationmrelatedmto mthismprocedure?mSelectmallmtha
tmapply.
1) “Amhand-off mismrequired mpriormto madministeringmammedication.”
2) “Amhand-off mismrequired mduringmchangemof mshift.”
3) “Amhand-off mismrequired mformampatientmismtransferred mto mthemsurgicalmsuite.”
4) “Amhand-off mismrequired mwhenevermthemnurse mreceivesmamnewmpatientmassignment.”
5) “Amhand-off mismrequired mpriormto mfamily mvisitation.”
m 22.m Which mactionsmby mthemnursemenhance mpatientmsafetymduringmmedication madministration?mSelectmallmthatmapply.
1) Answeringmthemcallmbellmwhilemtransportingmmedicationsmformamdifferentmpatient
2) Identifyingmthempatientmusingmtwo msourcesmpriormto madministeringmthemmedication
3) Holdingmammedication mif mthempatient’smdiagnosismdoesmnotmsupportmitsmuse
4) Administeringmthemmedication mtwo mhoursmaftermthemscheduled mtime
5) Havingmanothermnursemverify mthemprescribed mdosemof minsulin mthempatientmismto mreceive
m 23.m Themmedical-
surgicalmnursemassumesmcaremformampatientmwhomismreceivingmcontinuousmcardiopulmonary mmonitori
ng.mWhich mactionsmby mthemnurse menhance msafety mformthismpatient? mSelectmallmthatmapply.
1) Silencingmthemalarmmduringmfamily mvisitation
2) Assessingmthemalarmmparametersmatmthemstartmof mthemshift
3) Respondingmto mthemalarmmin mamtimely mfashion
4) Decreasingmthemalarmmvolumemto menhance mrestfulmsleep
5) Adjustingmalarmmparametersmbased mon mspecified mpractitionermprescription
mm 24.m Themnursemismplanningman mi n t e r p r o f e Ns sUi o Rn aSl mI
caNreGcK
onIfeNreGn.
ceCfO
o rMa m patientmwho mismapproachingmdischargemf
rommthemhospital.mWhich mmembersmof mtheminterprofessionalmteammshould mthemnurseminvitemto mattend?mSelec
tmallmthatmapply.
1) Physician
2) Pharmacist
3) Unitmsecretary
4) Socialmworker
5) Home mcaremaide
m 25.m Themnursemmanagermwantsmtomdesignatemammembermofmthemnursingmteammasmthemcaremcoordinatormformampatient
mwho mwillmrequiremsignificantmcare mduringmthemhospitalization. mWhichmskillsmshouldmthismnurse mpossess min mor
dermto massume mthismrole?mSelectmallmthatmapply.
1) Effective mclinicalmreasoning
2) Effective mcommunication mskills
3) Effective minfection mcontrolmprocedures
4) Effective mdocumentation
5) Effective mintravenousmskills
NURSINGKING.COMm #1mU.Sm NURSINGmTESTmBANKSmSTORE
