Timby'sk Fundamentalk Nursingk Skillsk andk Conceptsk 12thk Editionk byk Morenok TimbykTestk Bank
Chapterk1
NursingkFoundationsk
MultiplekChoice
Identifyk thek choicek thatk bestk completesk thek statementk ork answersk thek question.
1. Thekmedical-
surgicalknursekidentifieskakclinicalkpracticekissuekandkwantsktokdeterminekifktherekisksuf
ficientkevidencektoksupportkakchangekinkpractice.kWhichktypekofkstudykprovideskthekstr
ongestkevidencektoksupportkakpracticekchange?
• Randomizedk controlk study
• Quasi-experimentalk study
• Case-controlk study
• Cohortk study
2. Thekmedical-surgicalkunitkrecentlykimplementedkakpatient-
centeredkcarekmodel.kWhichkactionkimplementedkbyktheknurseksupportskthiskmodel?
• Evaluatingk care
• Assessingk needs
• Diagnosingk problems
• Providingk compassion
3. Whichkactionkshouldktheknursekimplementkwhenkprovidingkpatientkcarekinkorderkto
ksupportkThekJoint
Commission’sk (TJC)k Nationalk Patientk Safetyk Goalsk (NPSG)?
• Silencingk ak cardiorespiratoryk monitor
• Identifyingk eachk patientk usingk onek source
• Determiningk patientk safetyk issuesk uponk admission
• Decreasingk thek amountk ofk paink medicationk administered
4. Whichkinterprofessionalkrolekdoesktheknursekoftenkassumek
whenkprovidingkpatientkcarekinkankacutekcareksetting?
• Socialk worker
• Clientk advocate
• Carekcoordinator
• Massagek therapist
5. Thekmedical-
surgicalknursekwantsktokdeterminekifkakpolicykchangekiskneededkforkankidentifiedkclinicalkproble
m.
Whichk isk thek firstk actionk thek nursek shouldk implement?
• Developingk ak question
• Disseminatingk thek findings
• Conductingk ak reviewk ofk thekliterature
• Evaluatingk outcomesk ofk practicek change
, 6. Theknursekiskevaluatingktheklevelkofkevidencekfoundkduringkakrecentkr
eviewkofkthekliterature.kWhichkevidencekcarriesktheklowestklevelkofksupportkforkakpractic
ekchange?
• Levelk IV
• Levelk V
• Levelk VI
• Levelk VII
7. Theknursekiskreviewingkevidencekfromkakquasi-
experimentalkresearchkstudy.kWhichklevelkofkevidencekshouldktheknursekidentifykforkt
hiskresearchkstudy?
• Levelk I
• Levelk II
• Levelk III
• Levelk IV
8. Whichklevelkofkevidencekshouldktheknursekidentifykwhenkreviewingke
videncekfromkaksinglekdescriptivekresearchkstudy?
• Levelk IV
• Levelk V
• Levelk VI
• Levelk VII
9. Whichkstatementkshouldktheknursekmakekwhenkcommunicatingkthek“S”kinkthekS
BARkapproachkforkeffective
communication?
• “Thekpatientkpresentedktokthekemergencykdepartmentkatk0200kwithklowerkleftkabdominalkp
ain.”
• “Thek patientk ratedk thek paink uponk admissionk ask ak 9k onk ak 10-pointk numerickscale.”
• “Thek patientk hask nok significantkissuesk ink thek medicalkhistory.”
• “Thek patientk wask givenk ak prescribedk opioidk analgesick atk0300.”
10. Thekstaffknursekiskcommunicatingkwithkthekchangeknursekaboutkthekch
angekofkstatuskofkthekpatient.kTheknursekwouldkbeginkherkcommunicationkwithkwhi
chkstatementkifkcorrectlykusingkthekSBARkformat?
• “Thek patient’sk heartratek isk110.”
• “Ik thinkk thisk patientk needsk tok bek transferredk tok thek criticalk carekunit.”
• “Thek patientk isk ak 68-year-oldk malek patientk admittedk lastknight.”
• “Thek patientk isk complainingk ofk chestk pain.”
11. WhichknursingkactionkexemplifieskthekQualitykandkSafetykEducationkf
orkNursingk(QSEN)kcompetencykofksafety?
• Advocatingk fork ak patientk whok isk experiencingk pain
• Consideringk thek patient’sk culturek whenk planningkcare
• Evaluatingk patientk learningk stylek priork tok implementingk dischargekinstructions
• Assessingk thek rightk drugk priork tok administeringk ak prescribedk patientkmedication
12. Whichk typek ofk nursingk isk thek rootk ofk allk otherk nursingk practicek areas?
• Pediatrick nursing
, • Geriatrick nursing
• Medical-surgicalk nursing
• Mentalk health-psychiatrick nursing
13. WhichkdidkthekNursingkExecutivekCenterkofkThekAdvisorykBoardkidentifyka
skankacademic-practicekgapkforknewkgraduateknurses?
• Patientk advocacy
• Patientk education
• Diseasek pathophysiology
• Therapeutick communication
14. Whichkstatementkregardingkthekusekofktheknursingkprocesskinkclinicalkpracticekiskac
curate?
• “Thek nursingk processk isk closelyk relatedk tok clinicalkdecision-making.”
• “Thek nursingk processk isk usedk byk allk membersk ofk thek interprofessionalk teamk tok plankcare.”
• “Theknursingkprocesskhask4kbasicksteps:kassessment,kplanning,kimplementation,ke
valuation.”
• “Theknursingkprocesskiskbeingkreplacedkbykthekimplementationkofkevidence-
basedkpractice.”
15. Whichk isk thek basisk ofk nursingk carek practicesk andk protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Whichkiskakcommonkthemekregardingkpatientkdissatisfactionkrelatedktokcarekprovidedkin
thekhospitalksetting?
k
• Spacek ink hospitalk rooms
• Medicationsk receivedk tok treatk pain
• Timek spentk withk thek health-carekteam
• Poork qualityk foodk receivedk fromk dietary
17. Theknursekmanagerkiskpreparingkakmedical-
surgicalkunitkforkThekJointkCommissionk(TJC)kvisitkWithktheknursekmanagerkpresentingk
staffkeducationkfocusingkonkTJCkbenchmarks,kwhichkofkthekfollowingktopicskwouldkbek
mostkappropriate?
• Implementationk ofk evidence-basedk practice
• Implementationk ofk patient-centeredk care
• Implementationk ofk medicalk asepsisk practices
• Implementationk ofk interprofessionalk care
18. Whichkaspectkofkpatient-
centeredkcarekshouldktheknursekmanagerkevaluatekpriorktokThekJointkCommissionksitekvisi
tkforkaccreditation?
• Visitationkrights
• Educationk levelk ofk staff
• Fallk preventionk protocol
• Infectionk controlk practices
, 19. Thekmedical-
surgicalknursekiskprovidingkpatientkcare.kWhichkcircumstancekwouldknecessitatektheknurse
verifyingk thek patient’sk identificationk usingk atk leastk twok sources?
• Priork tok deliveringk ak mealktray
• Priork tok passivek rangek ofkmotion
• Priork tok medicationk administration
• Priork tok documentingk ink thek medicalk record
20. Theknursekiskprovidingkcarektokseveralkpatientskonkakmedical-
surgicalkunit.kWhichksituationkwouldknecessitatektheknursektokusekSBARkduringkthekha
nd-offkprocess?
• Woundkcare
• Dischargek tok home
• Transferk tokradiology
• Medicationkeducationk
MultiplekResponse
Identifykonek ork morek choicesk thatk bestk completek thek statementk ork answerk thek question.
21. Thekstaffknursekiskteachingkakgroupkofkstudentknursesktheksituationskthatknecessitatekh
and-offkcommunication.
Whichkstudentkresponseskindicatekthekneedkforkfurtherkeducationkrelatedktokthiskproced
ure?kSelectkallkthatkapply.
• “Akhand-offk isk requiredk priork tok administeringk akmedication.”
• “Akhand-offk isk requiredk duringk changek ofkshift.”
• “Akhand-offk isk requiredk fork ak patientk isk transferredk tok thek surgicalksuite.”
• “Akhand-offk isk requiredk wheneverk thek nursek receivesk ak newk patientkassignment.”
• “Akhand-offk isk requiredk priork tok familyk visitation.”
22. Whichkactionskbyktheknursekenhancekpatientksafetykduringkmedicationka
dministration?kSelectkallkthatkapply.
• Answeringk thek callk bellk whilek transportingk medicationsk fork ak differentkpatient
• Identifyingk thek patientk usingk twok sourcesk priork tok administeringk thekmedication
• Holdingk ak medicationk ifk thek patient’sk diagnosisk doesk notk supportk itskuse
• Administeringk thek medicationk twok hoursk afterk thek scheduledktime
• Havingk anotherk nursek verifyk thek prescribedk dosek ofk insulink thek patientk isk tokreceive
23. Thekmedical-
surgicalknursekassumeskcarekforkakpatientkwhokiskreceivingkcontinuouskcardio
pulmonarykmonitoring.kWhichkactionskbyktheknursekenhanceksafetykforkthisk
patient?kSelectkallkthatkapply.
• Silencingk thek alarmk duringk familyk visitation
• Assessingk thek alarmk parametersk atk thek startk ofk thekshift
• Respondingk tok thek alarmk ink ak timelyk fashion
• Decreasingk thek alarmk volumek tok enhancek restfulksleep
• Adjustingk alarmk parametersk basedk onk specifiedk practitionerk prescription
Chapterk1
NursingkFoundationsk
MultiplekChoice
Identifyk thek choicek thatk bestk completesk thek statementk ork answersk thek question.
1. Thekmedical-
surgicalknursekidentifieskakclinicalkpracticekissuekandkwantsktokdeterminekifktherekisksuf
ficientkevidencektoksupportkakchangekinkpractice.kWhichktypekofkstudykprovideskthekstr
ongestkevidencektoksupportkakpracticekchange?
• Randomizedk controlk study
• Quasi-experimentalk study
• Case-controlk study
• Cohortk study
2. Thekmedical-surgicalkunitkrecentlykimplementedkakpatient-
centeredkcarekmodel.kWhichkactionkimplementedkbyktheknurseksupportskthiskmodel?
• Evaluatingk care
• Assessingk needs
• Diagnosingk problems
• Providingk compassion
3. Whichkactionkshouldktheknursekimplementkwhenkprovidingkpatientkcarekinkorderkto
ksupportkThekJoint
Commission’sk (TJC)k Nationalk Patientk Safetyk Goalsk (NPSG)?
• Silencingk ak cardiorespiratoryk monitor
• Identifyingk eachk patientk usingk onek source
• Determiningk patientk safetyk issuesk uponk admission
• Decreasingk thek amountk ofk paink medicationk administered
4. Whichkinterprofessionalkrolekdoesktheknursekoftenkassumek
whenkprovidingkpatientkcarekinkankacutekcareksetting?
• Socialk worker
• Clientk advocate
• Carekcoordinator
• Massagek therapist
5. Thekmedical-
surgicalknursekwantsktokdeterminekifkakpolicykchangekiskneededkforkankidentifiedkclinicalkproble
m.
Whichk isk thek firstk actionk thek nursek shouldk implement?
• Developingk ak question
• Disseminatingk thek findings
• Conductingk ak reviewk ofk thekliterature
• Evaluatingk outcomesk ofk practicek change
, 6. Theknursekiskevaluatingktheklevelkofkevidencekfoundkduringkakrecentkr
eviewkofkthekliterature.kWhichkevidencekcarriesktheklowestklevelkofksupportkforkakpractic
ekchange?
• Levelk IV
• Levelk V
• Levelk VI
• Levelk VII
7. Theknursekiskreviewingkevidencekfromkakquasi-
experimentalkresearchkstudy.kWhichklevelkofkevidencekshouldktheknursekidentifykforkt
hiskresearchkstudy?
• Levelk I
• Levelk II
• Levelk III
• Levelk IV
8. Whichklevelkofkevidencekshouldktheknursekidentifykwhenkreviewingke
videncekfromkaksinglekdescriptivekresearchkstudy?
• Levelk IV
• Levelk V
• Levelk VI
• Levelk VII
9. Whichkstatementkshouldktheknursekmakekwhenkcommunicatingkthek“S”kinkthekS
BARkapproachkforkeffective
communication?
• “Thekpatientkpresentedktokthekemergencykdepartmentkatk0200kwithklowerkleftkabdominalkp
ain.”
• “Thek patientk ratedk thek paink uponk admissionk ask ak 9k onk ak 10-pointk numerickscale.”
• “Thek patientk hask nok significantkissuesk ink thek medicalkhistory.”
• “Thek patientk wask givenk ak prescribedk opioidk analgesick atk0300.”
10. Thekstaffknursekiskcommunicatingkwithkthekchangeknursekaboutkthekch
angekofkstatuskofkthekpatient.kTheknursekwouldkbeginkherkcommunicationkwithkwhi
chkstatementkifkcorrectlykusingkthekSBARkformat?
• “Thek patient’sk heartratek isk110.”
• “Ik thinkk thisk patientk needsk tok bek transferredk tok thek criticalk carekunit.”
• “Thek patientk isk ak 68-year-oldk malek patientk admittedk lastknight.”
• “Thek patientk isk complainingk ofk chestk pain.”
11. WhichknursingkactionkexemplifieskthekQualitykandkSafetykEducationkf
orkNursingk(QSEN)kcompetencykofksafety?
• Advocatingk fork ak patientk whok isk experiencingk pain
• Consideringk thek patient’sk culturek whenk planningkcare
• Evaluatingk patientk learningk stylek priork tok implementingk dischargekinstructions
• Assessingk thek rightk drugk priork tok administeringk ak prescribedk patientkmedication
12. Whichk typek ofk nursingk isk thek rootk ofk allk otherk nursingk practicek areas?
• Pediatrick nursing
, • Geriatrick nursing
• Medical-surgicalk nursing
• Mentalk health-psychiatrick nursing
13. WhichkdidkthekNursingkExecutivekCenterkofkThekAdvisorykBoardkidentifyka
skankacademic-practicekgapkforknewkgraduateknurses?
• Patientk advocacy
• Patientk education
• Diseasek pathophysiology
• Therapeutick communication
14. Whichkstatementkregardingkthekusekofktheknursingkprocesskinkclinicalkpracticekiskac
curate?
• “Thek nursingk processk isk closelyk relatedk tok clinicalkdecision-making.”
• “Thek nursingk processk isk usedk byk allk membersk ofk thek interprofessionalk teamk tok plankcare.”
• “Theknursingkprocesskhask4kbasicksteps:kassessment,kplanning,kimplementation,ke
valuation.”
• “Theknursingkprocesskiskbeingkreplacedkbykthekimplementationkofkevidence-
basedkpractice.”
15. Whichk isk thek basisk ofk nursingk carek practicesk andk protocols?
• Assessment
• Evaluation
• Diagnosis
• Research
16. Whichkiskakcommonkthemekregardingkpatientkdissatisfactionkrelatedktokcarekprovidedkin
thekhospitalksetting?
k
• Spacek ink hospitalk rooms
• Medicationsk receivedk tok treatk pain
• Timek spentk withk thek health-carekteam
• Poork qualityk foodk receivedk fromk dietary
17. Theknursekmanagerkiskpreparingkakmedical-
surgicalkunitkforkThekJointkCommissionk(TJC)kvisitkWithktheknursekmanagerkpresentingk
staffkeducationkfocusingkonkTJCkbenchmarks,kwhichkofkthekfollowingktopicskwouldkbek
mostkappropriate?
• Implementationk ofk evidence-basedk practice
• Implementationk ofk patient-centeredk care
• Implementationk ofk medicalk asepsisk practices
• Implementationk ofk interprofessionalk care
18. Whichkaspectkofkpatient-
centeredkcarekshouldktheknursekmanagerkevaluatekpriorktokThekJointkCommissionksitekvisi
tkforkaccreditation?
• Visitationkrights
• Educationk levelk ofk staff
• Fallk preventionk protocol
• Infectionk controlk practices
, 19. Thekmedical-
surgicalknursekiskprovidingkpatientkcare.kWhichkcircumstancekwouldknecessitatektheknurse
verifyingk thek patient’sk identificationk usingk atk leastk twok sources?
• Priork tok deliveringk ak mealktray
• Priork tok passivek rangek ofkmotion
• Priork tok medicationk administration
• Priork tok documentingk ink thek medicalk record
20. Theknursekiskprovidingkcarektokseveralkpatientskonkakmedical-
surgicalkunit.kWhichksituationkwouldknecessitatektheknursektokusekSBARkduringkthekha
nd-offkprocess?
• Woundkcare
• Dischargek tok home
• Transferk tokradiology
• Medicationkeducationk
MultiplekResponse
Identifykonek ork morek choicesk thatk bestk completek thek statementk ork answerk thek question.
21. Thekstaffknursekiskteachingkakgroupkofkstudentknursesktheksituationskthatknecessitatekh
and-offkcommunication.
Whichkstudentkresponseskindicatekthekneedkforkfurtherkeducationkrelatedktokthiskproced
ure?kSelectkallkthatkapply.
• “Akhand-offk isk requiredk priork tok administeringk akmedication.”
• “Akhand-offk isk requiredk duringk changek ofkshift.”
• “Akhand-offk isk requiredk fork ak patientk isk transferredk tok thek surgicalksuite.”
• “Akhand-offk isk requiredk wheneverk thek nursek receivesk ak newk patientkassignment.”
• “Akhand-offk isk requiredk priork tok familyk visitation.”
22. Whichkactionskbyktheknursekenhancekpatientksafetykduringkmedicationka
dministration?kSelectkallkthatkapply.
• Answeringk thek callk bellk whilek transportingk medicationsk fork ak differentkpatient
• Identifyingk thek patientk usingk twok sourcesk priork tok administeringk thekmedication
• Holdingk ak medicationk ifk thek patient’sk diagnosisk doesk notk supportk itskuse
• Administeringk thek medicationk twok hoursk afterk thek scheduledktime
• Havingk anotherk nursek verifyk thek prescribedk dosek ofk insulink thek patientk isk tokreceive
23. Thekmedical-
surgicalknursekassumeskcarekforkakpatientkwhokiskreceivingkcontinuouskcardio
pulmonarykmonitoring.kWhichkactionskbyktheknursekenhanceksafetykforkthisk
patient?kSelectkallkthatkapply.
• Silencingk thek alarmk duringk familyk visitation
• Assessingk thek alarmk parametersk atk thek startk ofk thekshift
• Respondingk tok thek alarmk ink ak timelyk fashion
• Decreasingk thek alarmk volumek tok enhancek restfulksleep
• Adjustingk alarmk parametersk basedk onk specifiedk practitionerk prescription
