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TESTBANK for Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition Janice J. Hoffman

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TESTBANK for Davis Advantage for Medical-Surgical Nursing Making Connections to Practice 2nd Edition Janice J. Hoffman

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, TESTBANK for Davis Advantage for Medical-
Surgical Nursing Making Connections to Practice
2nd Edition Janice J. Hoffman
Notes
1- The file is chapter after chapter.
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3- The file contains all Appendix and Excel
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new editions waiting you.
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,Chapter 1: Foundations for Medical-Surgical Nursing

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. Which type of nursing is the root of all other nursing practice areas?
1. Pediatric nursing
2. Maternal child nursing
3. Medical-surgical nursing
4. Mental health–psychiatric nursing

____ 2. Which competency did the Nursing Executive Center of the Advisory Board identify as the
greatest academic-practice gap for new graduate nurses?
1. Knowledge of pharmacology
2. Interpretation of assessment data
3. Knowledge of pathophysiology
4. Decision making

____ 3. In the Nursing Executive Center of the Advisory Board report, what recommendations are made to
address the academic practice gap for new graduate nurses?
1. Mandatory number of clinical hours
2. Increased credits in all entry level courses
3. Residency programs
4. Additional science prerequisite courses

____ 4. The medical-surgical nurse wants to determine if a policy change is needed for an identified
clinical problem. Which is the nurse’s first action?
1. Developing a question
2. Disseminating the findings
3. Conducting a review of the literature
4. Evaluating outcomes of practice change

____ 5. 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 four basic steps: assessment, planning, implementation,
and evaluation.”
4. “The nursing process is being replaced by the implementation of evidence-based
practice.”

____ 6. The nurse develops a research question based on observations noted while providing care to
patients on the medical-surgical unit. Which step does the nurse implement next during the process
of evidence-based practice?
Copyright © 2020 F. A. Davis Company

, 1. Search for the best evidence.
2. Evaluate the quality of the evidence.
3. Integrate the evidence into unit practice.
4. Disseminate the evidence to the staff on the unit.

____ 7. 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 controlled study
2. Quasi-experimental study
3. Case-control study
4. Cohort study

____ 8. 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

____ 9. 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

____ 10. 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

____ 11. To deliver patient-centered care, the nurse needs to understand the implications of findings from
which organization that provides a standardized approach to the collection of data from patients
regarding their experiences within the healthcare system?
1. The Joint Commission (TJC)
2. Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
3. The Nursing Executive Center of the Advisory Board
4. American Nurse Credentialing Center Magnet® Recognition program

____ 12. The nurse manager is preparing a staff education presentation in preparation for The Joint
Commission (TJC) visit. Which data does the nurse manager include that specifically address
aspects of patient-centered care?
Copyright © 2020 F. A. Davis Company

, 1. Licensure requirements of staff
2. Patient participation in plan of care
3. Communication between providers and staff
4. Staffing ratios

____ 13. 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 3 on a 10-point numerical scale.”
3. “The patient has no significant issues in the medical history.”
4. “I believe the patient needs to be prescribed a medication for pain.”

____ 14. 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 heart rate is 110.”
2. “I think this patient needs to be transferred to the critical care unit.”
3. “The patient is a 68-year-old man admitted last night.”
4. “The patient is complaining of chest pain.”

____ 15. 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 on admission
4. Decreasing the amount of pain medication administered

____ 16. 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 before implementing discharge instructions
4. Assessing the right drug before administering a prescribed patient medication

____ 17. The medical-surgical nurse is providing patient care. Which circumstance would necessitate the
nurse verifying the patient’s identification using at least two sources?
1. Before delivering a meal tray
2. Before passive range of motion
3. Before medication administration
4. Before documenting in the medical record

____ 18. The nurse is providing care to several patients on a medical-surgical unit. Which situation would
necessitate the nurse to use SBAR during the hand-off process?
1. Wound care
Copyright © 2020 F. A. Davis Company

, 2. Discharge to home
3. Transfer to radiology
4. Medication education

____ 19. The medical-surgical nurse transports a patient to the surgical suite for a hip replacement surgery.
Which action does the nurse complete during the “time-out” process with the surgical team?
1. Verifying the patient’s informed consent is signed
2. Identifying the patient by asking, “Are you Mrs. Smith?”
3. Asking the patient, “Which side are you having surgery on today?”
4. Ensuring the patient’s surgical checklist is complete and placed on the medical
record

____ 20. The medical-surgical nurse prepares to transfer a patient to the rehabilitation unit. Which is the
best nursing action to enhance patient safety in this situation?
1. Identify the patient using two identifiers.
2. Perform hand hygiene before touching the patient.
3. Conduct a time-out when handing off care to the new unit.
4. Provide a written handoff communication using the SBAR method.

____ 21. Which interprofessional role does the nurse often assume when providing patient care in an acute
care setting?
1. Social worker
2. Primary healthcare provider
3. Care coordinator
4. Rehabilitation specialist


Multiple Response
Identify one or more choices that best complete the statement or answer the question.

____ 22. Which professional nursing organizations provide certification in medical-surgical nursing? Select
all that apply.
1. Academy of Medical Surgical Nursing
2. American Nurse Credentialing Center
3. Beryl Institute
4. Medical Surgical Nursing Certification Board
5. Nursing Executive Center

____ 23. The staff nurse is teaching a group of student nurses the situations that necessitate hand-off
communication. Which student responses indicate the need for further education related to this
procedure? Select all that apply.
1. “A hand-off is required before administering a medication.”
2. “A hand-off is required during change of shift.”
3. “A hand-off is required for a patient who is transferred to the surgical suite.”
4. “A hand-off is required whenever the nurse receives a new patient assignment.”
Copyright © 2020 F. A. Davis Company

, 5. “A hand-off is required before family visitation.”

____ 24. In preparing an educational program on Quality and Safety Education for Nursing (QSEN), the
nurse incorporates which competencies? Select all that apply.
1. Patient-centered care
2. Legal implications of nursing care
3. Evidence-based practice
4. Informatics
5. Cost containment measures

____ 25. Which actions by the nurse enhance patient safety during medication administration? Select all
that apply.
1. Answering the call bell while transporting medications for a different patient
2. Identifying the patient using two sources before administering the medication
3. Holding a medication if the patient’s diagnosis does not support its use
4. Holding a medication because it arrived from the pharmacy 2 hours after the
scheduled administration time
5. Having another nurse verify the prescribed dose of insulin the patient is to receive

____ 26. The nurse provides care to patients on the medical-surgical unit. Which nursing actions support the
Joint Commission’s National Patient Safety Goals when providing patient care? Select all that
apply.
1. Silencing a patient’s cardiorespiratory monitor while the family visits
2. Asking the unlicensed assistive personnel to remove clutter from the patient’s
room
3. Using the SBAR method to provide patient information to radiology before
transfer
4. Encouraging the patient’s healthcare provider to wash the hands before assessing a
surgical wound
5. Identifying the patient before administering medication by asking, “What is your
date of birth?”

____ 27. The medical-surgical nurse assumes care for a patient who is receiving continuous cardiac
monitoring. Which actions by the nurse enhance safety for this patient? Select all that apply.
1. Silencing the alarm during family visitation
2. Assessing the alarm parameters at the start of the shift
3. Responding to the alarm in a timely fashion
4. Decreasing the alarm volume to enhance restful sleep
5. Adjusting alarm parameters based on specified practitioner prescription

____ 28. The nurse is planning an interprofessional care conference for a patient who is approaching
discharge from the hospital. Which members of the interprofessional team should the nurse invite
to attend? Select all that apply.
1. Physician
2. Pharmacist
Copyright © 2020 F. A. Davis Company

, 3. Unit secretary
4. Social worker
5. Home care aide

____ 29. The nurse manager wants to designate a member of the nursing team as the care coordinator for a
patient who will require significant care during the hospitalization. Which skills should this nurse
possess in order to assume this role? Select all that apply.
1. Clinical reasoning
2. Communication skills
3. Advanced life support training
4. Documentation skills
5. Intravenous therapy skills




Copyright © 2020 F. A. Davis Company

,Chapter 1: Foundations for Medical-Surgical Nursing
Answer Section

MULTIPLE CHOICE

1. ANS: 3
Chapter number and title: 1, Foundations of Medical-Surgical Nursing
Chapter learning objective: 1. Describing the role and competencies of medical-surgical nursing
Chapter page reference: 2
Heading: Introduction
Integrated Processes: N/A
Client Need: N/A
Cognitive Level: Knowledge [Remembering]
Concept: Nursing Roles
Difficulty: Easy

Feedback
1 Pediatric nursing is only focused on the care of younger persons.
2 Maternal-child nursing focuses on the care of pregnant women and families in
the childbearing years.
3 Medical-surgical nursing is the root of all nursing practice as care provided here
can be implemented in all other areas of nursing practice.
4 Mental health–psychiatric nursing focuses on emotional and behavioral
concerns and disorders.

PTS: 1 CON: Nursing Roles
2. ANS: 3
Chapter number and title: 1, Foundations of Medical-Surgical Nursing
Chapter learning objective: 1. Describing the role and competencies of medical-surgical nursing
Chapter page reference: 2-3
Heading: Competencies in Medical-Surgical Nursing
Integrated Processes: N/A
Client Need: N/A
Cognitive Level: Knowledge [Remembering]
Concept: Nursing Roles
Difficulty: Easy

Feedback
1 28% of nursing executives identified knowledge of pharmacological
implications of medications as the largest academic practice gap.
2 18% of nursing executives identified interpretation of assessment data as the
largest academic practice gap.
Copyright © 2020 F. A. Davis Company

, 3 34% of nursing executives identified knowledge of pathophysiology of patient
conditions as the largest academic practice gap.
4 20% of nursing executives identified decision making based on the nursing
process as the largest academic practice gap.

PTS: 1 CON: Nursing Roles
3. ANS: 3
Chapter number and title: 1, Foundations of Medical-Surgical Nursing
Chapter learning objective: 1. Describing the role and competencies of medical-surgical nursing
Chapter page reference: 2-3
Heading: Competencies in Medical-Surgical Nursing
Integrated Processes: N/A
Client Need: N/A
Cognitive Level: Comprehension [Understanding]
Concept: Healthcare System
Difficulty: Moderate

Feedback
1 Clinical hours in nursing programs are not a specific recommendation related to
the academic-practice gap, and clinical hours are more related to state
regulations, academic institutional policies, and accreditation standards.
2 Total credits of nursing programs are not a recommendation to address the
academic-practice gap. Credits are primarily based on state, university, or higher
education regulatory bodies recommendations or requirements.
3 Suggested strategies to better prepare the nurse graduate for the realities of
practice include the increased use of simulation in nursing education programs,
extended transition-to-practice and residency programs, as well as the
establishment of academic service partnerships.
4 Prerequisite courses for nursing programs were not specifically addressed in
relation to the academic-practice gap. Decisions related to prerequisite courses
are typically determined by school and/or university curriculum committees.

PTS: 1 CON: Healthcare System
4. ANS: 1
Chapter number and title: 1, Foundations of Medical-Surgical Practice
Chapter learning objective: 2. Discussing the incorporation of evidence-based practices into
medical-surgical nursing
Chapter page reference: 3-4
Heading: Evidence-Based Nursing Care/Box 1.3 Steps of Evidence-Based Practice
Integrated Processes: Nursing Process: Implementation
Client Need: Safe and Effective Care Environment/Management of Care
Cognitive Level: Comprehension
Copyright © 2020 F. A. Davis Company

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