CACI WGU KEY EXAM QUESTIONS AND
CORRECT ANSWERS
What is the role of the registered nurse (RN) as a member of the (ICT) - CORRECT
ANSWERS To be the clients advocate
As a member of the ICT the RN is the clients advocate intervening on behalf of the client to
ensure appropriate care. The RN teaches the client to facilitate positive outcomes after
discharge, including hand off and level of care.
The medical surgical nurse is caring for a client who has undergone open heart surgery. The
client complains of pain in the peripheral areas of the body. Which nursing action best
illustrates the use of evidence based practice? - CORRECT ANSWERS Researching and
evaluating data found on the internet regarding post traumatic pain treatment.
Conducting a literature review to assess the current state of the science around peripheral pain
after open heart surgery and evaluating the quality of the data found and shares it with the
medical team. This is an example of evidence based practice.
Arrange the order of steps in which the nurse needs to proceed with evidence based practice. -
CORRECT ANSWERS 1. Develop the question
2. search and collate the best evidence
3. Evaluate the quality of the evidence
4. Integrate the evidence into practice
5. Evaluate the outcome of the change in practice
6. Circulate the evidence to the stakeholders
,The nurse is a member of a research group that is studying the electroencephalographic
features of ischemic heart disease of a group of rayon factory workers. which levels of evidence
based practice is this? - CORRECT ANSWERS Level IV
A group of workers in a rayon factory qualifies as a cohort. Evidence from a case control and
cohort studies are level IV of evidence based practice.
The client care simulation laboratory of a nursing training institute uses high fidelity
mannequins to train a group of student nurses to practice interprofessional communication and
teamwork. which statement describes the outcomes of this training program? - CORRECT
ANSWERS This training program increases the safety and quality of client care.
Educating future health care providers is an important step in enhancing interprofessional
communication and teamwork. This increases safety and quality of care in hospitals as well as
enhancing continuity of care.
Which nursing competency results in delivering cost effective care to the client? - CORRECT
ANSWERS Evidenced based practice
Evidence based practice principles are incorporated to provide the highest quality and most cost
effective care to clients and families. Evidence based acre is based upon the use of the best
available evidence, clinical expertise and client preference.
A nurse is preparing for certification in medical surgical nursing. Which competencies,
specifically related to medical surgical nursing, should the nurse develop? Select all the apply. -
CORRECT ANSWERS -Pharmacological implications of medications
-Pathophysiology of client conditions
-Knowledge of Anatomy and Physiology
,The nurse implementing evidenced based practice must evaluate the quality of evidence before
it is implemented. Arrange the types of evidence from the highest to the lowest level of
evidence. - CORRECT ANSWERS 1. Evidence from systematic reviews of randomized
control studies.
2. Evidence from at lease 1 randomized control study.
3. Evidence from quasi-experimental studies.
4. Evidence from case control studies.
5. Evidence from systematic reviews of descriptive or qualitative studies.
6. Evidence from a single descriptive of qualitative study.
7. Evidence from expert authorities of committees.
What is the biggest challenge for medical surgical nurses in terms of providing client centered
care at an acute health care facility? - CORRECT ANSWERS Short length of client stay at
the facility.
The client typically stays for a shorter time at the health care facility reducing the one on one
time the nurse spends with the client. The nurse must in turn be able to provide client centered
care in the short time that the client stays at the facility.
What should the medical surgical nurse do to improve client safety? Select all that apply -
CORRECT ANSWERS -Use a standard method of communication
-Prevent interruptions while preparing medications
-Implement time outs for marking surgical sites
The health care facility employs a standard method of communication among its heal care
providers that state the: situation, background, assessment, and recommendation (SBAR).
Which feature adds value to the method of communication? - CORRECT
ANSWERS Recommendation
, The recommendation feature adds value to the SBAR method of communication by focusing on
a definitive approach to addressing the issue of clinical problem.
What competency helps the nurse most in the role of care coordinator in the health care
facility? - CORRECT ANSWERS Effective communication
As the primary direct provider in the acute care setting, the medical surgical nurse is the clients
care coordinator. The nurse must be able to communicate effectively with various health care
members, specialists and consults.
Which interventions by the medical surgical nurse helps to prevent readmission to the health
care facility after acute care? Select all that apply - CORRECT ANSWERS 1. Arrange post
discharge follow up services
3. Teaching about symptoms that need immediate treatment.
4. Review prescribed medication
5. Coordinating with care providers in discharge setting.
Which competencies enable a nurse to work efficiently as a transitional care nurse (TCN)? Select
all that apply - CORRECT ANSWERS -Ability to collaborate with other members of the
health care team.
-Knowledge of community based social services
-Effective communication skills
A medical surgical nurse in a member of the interprofessional care team (ICT) caring for a client.
What is the purpose of this team? - CORRECT ANSWERS To provide efficient and cost
effective client care
The purpose of the ICT is to collaborate to provide efficient and cost effective care. The team
makes efficient use of time and resources to meet contemporary health care challenges.
CORRECT ANSWERS
What is the role of the registered nurse (RN) as a member of the (ICT) - CORRECT
ANSWERS To be the clients advocate
As a member of the ICT the RN is the clients advocate intervening on behalf of the client to
ensure appropriate care. The RN teaches the client to facilitate positive outcomes after
discharge, including hand off and level of care.
The medical surgical nurse is caring for a client who has undergone open heart surgery. The
client complains of pain in the peripheral areas of the body. Which nursing action best
illustrates the use of evidence based practice? - CORRECT ANSWERS Researching and
evaluating data found on the internet regarding post traumatic pain treatment.
Conducting a literature review to assess the current state of the science around peripheral pain
after open heart surgery and evaluating the quality of the data found and shares it with the
medical team. This is an example of evidence based practice.
Arrange the order of steps in which the nurse needs to proceed with evidence based practice. -
CORRECT ANSWERS 1. Develop the question
2. search and collate the best evidence
3. Evaluate the quality of the evidence
4. Integrate the evidence into practice
5. Evaluate the outcome of the change in practice
6. Circulate the evidence to the stakeholders
,The nurse is a member of a research group that is studying the electroencephalographic
features of ischemic heart disease of a group of rayon factory workers. which levels of evidence
based practice is this? - CORRECT ANSWERS Level IV
A group of workers in a rayon factory qualifies as a cohort. Evidence from a case control and
cohort studies are level IV of evidence based practice.
The client care simulation laboratory of a nursing training institute uses high fidelity
mannequins to train a group of student nurses to practice interprofessional communication and
teamwork. which statement describes the outcomes of this training program? - CORRECT
ANSWERS This training program increases the safety and quality of client care.
Educating future health care providers is an important step in enhancing interprofessional
communication and teamwork. This increases safety and quality of care in hospitals as well as
enhancing continuity of care.
Which nursing competency results in delivering cost effective care to the client? - CORRECT
ANSWERS Evidenced based practice
Evidence based practice principles are incorporated to provide the highest quality and most cost
effective care to clients and families. Evidence based acre is based upon the use of the best
available evidence, clinical expertise and client preference.
A nurse is preparing for certification in medical surgical nursing. Which competencies,
specifically related to medical surgical nursing, should the nurse develop? Select all the apply. -
CORRECT ANSWERS -Pharmacological implications of medications
-Pathophysiology of client conditions
-Knowledge of Anatomy and Physiology
,The nurse implementing evidenced based practice must evaluate the quality of evidence before
it is implemented. Arrange the types of evidence from the highest to the lowest level of
evidence. - CORRECT ANSWERS 1. Evidence from systematic reviews of randomized
control studies.
2. Evidence from at lease 1 randomized control study.
3. Evidence from quasi-experimental studies.
4. Evidence from case control studies.
5. Evidence from systematic reviews of descriptive or qualitative studies.
6. Evidence from a single descriptive of qualitative study.
7. Evidence from expert authorities of committees.
What is the biggest challenge for medical surgical nurses in terms of providing client centered
care at an acute health care facility? - CORRECT ANSWERS Short length of client stay at
the facility.
The client typically stays for a shorter time at the health care facility reducing the one on one
time the nurse spends with the client. The nurse must in turn be able to provide client centered
care in the short time that the client stays at the facility.
What should the medical surgical nurse do to improve client safety? Select all that apply -
CORRECT ANSWERS -Use a standard method of communication
-Prevent interruptions while preparing medications
-Implement time outs for marking surgical sites
The health care facility employs a standard method of communication among its heal care
providers that state the: situation, background, assessment, and recommendation (SBAR).
Which feature adds value to the method of communication? - CORRECT
ANSWERS Recommendation
, The recommendation feature adds value to the SBAR method of communication by focusing on
a definitive approach to addressing the issue of clinical problem.
What competency helps the nurse most in the role of care coordinator in the health care
facility? - CORRECT ANSWERS Effective communication
As the primary direct provider in the acute care setting, the medical surgical nurse is the clients
care coordinator. The nurse must be able to communicate effectively with various health care
members, specialists and consults.
Which interventions by the medical surgical nurse helps to prevent readmission to the health
care facility after acute care? Select all that apply - CORRECT ANSWERS 1. Arrange post
discharge follow up services
3. Teaching about symptoms that need immediate treatment.
4. Review prescribed medication
5. Coordinating with care providers in discharge setting.
Which competencies enable a nurse to work efficiently as a transitional care nurse (TCN)? Select
all that apply - CORRECT ANSWERS -Ability to collaborate with other members of the
health care team.
-Knowledge of community based social services
-Effective communication skills
A medical surgical nurse in a member of the interprofessional care team (ICT) caring for a client.
What is the purpose of this team? - CORRECT ANSWERS To provide efficient and cost
effective client care
The purpose of the ICT is to collaborate to provide efficient and cost effective care. The team
makes efficient use of time and resources to meet contemporary health care challenges.
