Test Bank for Medical-Surgical Nursing:
Focus on Clinical Judgment
Which is an element of nursing as defined by the American Nurses Association? -
answers O c) Alleviating suffering by diagnosing and treating human responses to
health problems
Which is an advantage of primary nursing? - answers a) Ensures a consistent caregiver
who provides holistic care
Which management function involves a team effort to achieve patient care outcomes? -
answers d) Collaboration
According to Maslow, which category of needs represents the most basic on the
hierarchy? - answers Physiologic needs
The World Health Organization defines health as: - answers c) "a state of complete
physical, mental, and social well-being and not merely the absence of disease and
infirmity."
Which program focuses on processes used to provide care? - answers Continuous
quality improvement (CQJ)
Which program focuses on focuses on individual incidents or errors and mininimal
expectations? - answers a) Quality assurance (QA)
Which statement is true regarding population demographics? - answers b) The culturally
diverse population is increasing.
Which of these roles would be considered an expanded nursing role? - answers
Certified nurse practitioner (CNP)
A type of nursing that includes individualized care provided by the same nurse
throughout the period of care is defined as - answers d) primary nursing.
Which is a primary task of nursing research? - answers Contributing to the scientific
base of nursing practice
Which is an important role for a nurse in the health care delivery system? - answers
Identifying patient needs and working with patients to address them
A nursing student overhears a patient talking with a rehabilitation nurse. the patient
states I plan to recover from my stroke to my best ability I know I will always have some
limitations; however I will not let the limitations slow me down. which descriptor of health
,does the patient exemplify with this statement? - answers The concept of a health-
illness continuum.
Which of these statements best defines the term culture? - answers c) The learned
patterns of behavior, beliefs, and values that can be attributed to a particular group of
people
According to Maslow's hierarchy of human needs, which of the following is the highest
level of need(s)? - answers c) Self-actualization
A nurse with 20 years experience attends a hospital-required training session and
learns a new bibliography of peer-reviewed articles related to NG tube placement. The
nurse recognizes the change in procedure developed from which method? method for
assessing nasogastric (NG) tube placement. - answers c) Evidence-based practice
The nurse educator is planning a team session for nursing students related to the
treatment and management of just stational diabetes. The nurse educator arranges for
a dietitian, pharmacist, and a physician assistant to participate in the lesson plan. Which
professional nurse competency is the nurse educator demonstrating? - answers
Interdisciplinary teamwork
An advanced practice registered nurse (APRN) specializing in adult-gerontology has
accepted a new position in a different state. Which governing body does the APRN
need to consuit to verify prescriptive authority the new state? - answers b) The new
state's boards of nursing
A client has been admitted in the emergency care unit with conditions of respiratory
distress and pneumonia. The client's condition worsens and requires mechanical
ventilation. While visiting this client in the care hospital, the family observes members of
the health care team washing their hands upon entering and leaving the room. By
implementing recommended hand hyglene measures, which organtization's goals is the
health care team supporting? - answers d) The Joint Commission
A 54-year-old client on a fixed income has had an electrocardiogram (ECG) as part of
an annual physical examination. The physician notes an abnormal Q wave on an
otherwise unremarkable ECG. What legislation supports the focus on chronic disease
prevention, health promotion, and quality, affordable health care for everyone? -
answers Patient Protection and Affordable Care Act
A registered nurse is providing care to several clients on the unit. Which task would be
appropriate for the nurse to delegate nursing assistant? - answers obtaining a client's
vital signs
Health education of a client by the nurse - answers a) is an independent function of
nursing practice.
,Which factor refers to a client's experiential readiness to learn? - answers Educational
history and life experience
Which step of the nursing process determines whether the client understands the health
teaching that is provided? - answers a) Evaluation
Which item is considered the single most important factor in assisting the health
professional in arriving at a diagnosis or determining the client's needs? - answers
History of present illness
When a person works to prevent relapse and to sustain the gains made from actions
taken, he or she is in which stage of the Transtheoretical Model of Change? - answers
Maintenance
The nurse is planning a health education program for a group of high school students
regarding the dangers of texting and driving. Which action by the nurse illustrates the
nurse's understanding of health education as primary nursing responsibility? - answers
c)The nurse gathers evidenced-based information related to texting and driving and
coordinates the education with the school nurse.
Based on the nurse's knowledge of nonadherence to therapeutic regimens, which nurse
needs to place extra emphasis on adherence to the treatment plan? - answers d) The
nurse planning to teach adults aged 65 about congestive heart failure management
Which statement by the client indicates the client's experiential readiness to learn? -
answers b) "Do you have a video about my disease? I don't like to read."
Through which action does the nurse demonstrate the step of the nursing process that
determines whether the client understands the health teaching that is provided? -
answers c) Watching a return demonstration of insulin administration from a client newly
diagnosed with diabetes
Which action would be incorporated in a teaching strategy for a hearing-impaired client?
- answers c) Use of slow, directed, and deliberate speech
When a client who has successfully completed a smoking cessation program removes
ashtrays from their home and takes a short walk after work instead of joining the usual
group of coworkers at the local hangout, which stage of the Transtheoretical Model of
Change is the patient portraying? - answers c) Maintenance
The termination stage of the Transtheoretical Model of Change begins when which
action occurs? - answers a) The person has the ability to resist relapsing back to
unhealthy behavior
A nursing student observes the home care nurse provide education to a client with
congestive heart failure (CHF). The nurse teaches the client how to read food labels
, and calculate sodium content. The nursing student recognizes that the home care nurse
is aware of which basic principle of patient education - answers Patient instruction
related to self-care activities promotes patient independence
The school nurse informs the mother of a second-grade student that lice were found in
the child's hair. The mother explains to the nurse that she has another child to pick up
and cannot stay to receive education related to the treatment of lice at this time. The
mother reassures the nurse that she will "look up treatment options on the Internet and
take care of the child." What would be the best action of the school nurse in this
situation? - answers a) Provide the mother with a list of credible websites related to the
treatment of lice
Which phase of the process of patient teaching ends when the strategies have been
completed and when the client's responses to the actions have been recorded? -
answers c) Evaluation
Which phase of the nursing process encompasses the establishment of expected
outcomes? - answers d) Planning
Which is an example of a direct measurement technique used to evaluate the teaching-
learning process? - answers Behavioral observation
Which is an example of a behavior that facilitates health? - answers Self-monitoring for
signs and symptoms of illness
Nonadherence to therapeutic regimens is a significant problem, especially in the elderly
population. Nonadherence can lead to which outcome? - answers a) Increased cost of
treatment
A 42-year-old client displays symptoms that indicate a risk for developing hypertension.
Which immediate measures would the nurse recommend? - answers a) Routine
screening and follow-up appointments
During a teaching session with a client with a new walker, the nurse provides frequent
reinforcement to the client to get up from a chair that has arms by holding the top of the
chair arm with one hand. Once standing and stable, the client can grasp either the other
side of the walker or both sides of the walker. The nurse knows that this educational
strategy is most effective with which type of disability? - answers Input disability
A weight-loss and exercise program is recommended for a client with type 2 diabetes.
When teaching the client about lifestyle changes, what type of assessment would the
nurse prioritize? - answers a) Individual cultural assessment
Chapter A nurse is discussing the need for a client to increase activity level and eat a
heart-healthy diet. The client tells the nurse, "l eat just fine and I'm not that fond of
Focus on Clinical Judgment
Which is an element of nursing as defined by the American Nurses Association? -
answers O c) Alleviating suffering by diagnosing and treating human responses to
health problems
Which is an advantage of primary nursing? - answers a) Ensures a consistent caregiver
who provides holistic care
Which management function involves a team effort to achieve patient care outcomes? -
answers d) Collaboration
According to Maslow, which category of needs represents the most basic on the
hierarchy? - answers Physiologic needs
The World Health Organization defines health as: - answers c) "a state of complete
physical, mental, and social well-being and not merely the absence of disease and
infirmity."
Which program focuses on processes used to provide care? - answers Continuous
quality improvement (CQJ)
Which program focuses on focuses on individual incidents or errors and mininimal
expectations? - answers a) Quality assurance (QA)
Which statement is true regarding population demographics? - answers b) The culturally
diverse population is increasing.
Which of these roles would be considered an expanded nursing role? - answers
Certified nurse practitioner (CNP)
A type of nursing that includes individualized care provided by the same nurse
throughout the period of care is defined as - answers d) primary nursing.
Which is a primary task of nursing research? - answers Contributing to the scientific
base of nursing practice
Which is an important role for a nurse in the health care delivery system? - answers
Identifying patient needs and working with patients to address them
A nursing student overhears a patient talking with a rehabilitation nurse. the patient
states I plan to recover from my stroke to my best ability I know I will always have some
limitations; however I will not let the limitations slow me down. which descriptor of health
,does the patient exemplify with this statement? - answers The concept of a health-
illness continuum.
Which of these statements best defines the term culture? - answers c) The learned
patterns of behavior, beliefs, and values that can be attributed to a particular group of
people
According to Maslow's hierarchy of human needs, which of the following is the highest
level of need(s)? - answers c) Self-actualization
A nurse with 20 years experience attends a hospital-required training session and
learns a new bibliography of peer-reviewed articles related to NG tube placement. The
nurse recognizes the change in procedure developed from which method? method for
assessing nasogastric (NG) tube placement. - answers c) Evidence-based practice
The nurse educator is planning a team session for nursing students related to the
treatment and management of just stational diabetes. The nurse educator arranges for
a dietitian, pharmacist, and a physician assistant to participate in the lesson plan. Which
professional nurse competency is the nurse educator demonstrating? - answers
Interdisciplinary teamwork
An advanced practice registered nurse (APRN) specializing in adult-gerontology has
accepted a new position in a different state. Which governing body does the APRN
need to consuit to verify prescriptive authority the new state? - answers b) The new
state's boards of nursing
A client has been admitted in the emergency care unit with conditions of respiratory
distress and pneumonia. The client's condition worsens and requires mechanical
ventilation. While visiting this client in the care hospital, the family observes members of
the health care team washing their hands upon entering and leaving the room. By
implementing recommended hand hyglene measures, which organtization's goals is the
health care team supporting? - answers d) The Joint Commission
A 54-year-old client on a fixed income has had an electrocardiogram (ECG) as part of
an annual physical examination. The physician notes an abnormal Q wave on an
otherwise unremarkable ECG. What legislation supports the focus on chronic disease
prevention, health promotion, and quality, affordable health care for everyone? -
answers Patient Protection and Affordable Care Act
A registered nurse is providing care to several clients on the unit. Which task would be
appropriate for the nurse to delegate nursing assistant? - answers obtaining a client's
vital signs
Health education of a client by the nurse - answers a) is an independent function of
nursing practice.
,Which factor refers to a client's experiential readiness to learn? - answers Educational
history and life experience
Which step of the nursing process determines whether the client understands the health
teaching that is provided? - answers a) Evaluation
Which item is considered the single most important factor in assisting the health
professional in arriving at a diagnosis or determining the client's needs? - answers
History of present illness
When a person works to prevent relapse and to sustain the gains made from actions
taken, he or she is in which stage of the Transtheoretical Model of Change? - answers
Maintenance
The nurse is planning a health education program for a group of high school students
regarding the dangers of texting and driving. Which action by the nurse illustrates the
nurse's understanding of health education as primary nursing responsibility? - answers
c)The nurse gathers evidenced-based information related to texting and driving and
coordinates the education with the school nurse.
Based on the nurse's knowledge of nonadherence to therapeutic regimens, which nurse
needs to place extra emphasis on adherence to the treatment plan? - answers d) The
nurse planning to teach adults aged 65 about congestive heart failure management
Which statement by the client indicates the client's experiential readiness to learn? -
answers b) "Do you have a video about my disease? I don't like to read."
Through which action does the nurse demonstrate the step of the nursing process that
determines whether the client understands the health teaching that is provided? -
answers c) Watching a return demonstration of insulin administration from a client newly
diagnosed with diabetes
Which action would be incorporated in a teaching strategy for a hearing-impaired client?
- answers c) Use of slow, directed, and deliberate speech
When a client who has successfully completed a smoking cessation program removes
ashtrays from their home and takes a short walk after work instead of joining the usual
group of coworkers at the local hangout, which stage of the Transtheoretical Model of
Change is the patient portraying? - answers c) Maintenance
The termination stage of the Transtheoretical Model of Change begins when which
action occurs? - answers a) The person has the ability to resist relapsing back to
unhealthy behavior
A nursing student observes the home care nurse provide education to a client with
congestive heart failure (CHF). The nurse teaches the client how to read food labels
, and calculate sodium content. The nursing student recognizes that the home care nurse
is aware of which basic principle of patient education - answers Patient instruction
related to self-care activities promotes patient independence
The school nurse informs the mother of a second-grade student that lice were found in
the child's hair. The mother explains to the nurse that she has another child to pick up
and cannot stay to receive education related to the treatment of lice at this time. The
mother reassures the nurse that she will "look up treatment options on the Internet and
take care of the child." What would be the best action of the school nurse in this
situation? - answers a) Provide the mother with a list of credible websites related to the
treatment of lice
Which phase of the process of patient teaching ends when the strategies have been
completed and when the client's responses to the actions have been recorded? -
answers c) Evaluation
Which phase of the nursing process encompasses the establishment of expected
outcomes? - answers d) Planning
Which is an example of a direct measurement technique used to evaluate the teaching-
learning process? - answers Behavioral observation
Which is an example of a behavior that facilitates health? - answers Self-monitoring for
signs and symptoms of illness
Nonadherence to therapeutic regimens is a significant problem, especially in the elderly
population. Nonadherence can lead to which outcome? - answers a) Increased cost of
treatment
A 42-year-old client displays symptoms that indicate a risk for developing hypertension.
Which immediate measures would the nurse recommend? - answers a) Routine
screening and follow-up appointments
During a teaching session with a client with a new walker, the nurse provides frequent
reinforcement to the client to get up from a chair that has arms by holding the top of the
chair arm with one hand. Once standing and stable, the client can grasp either the other
side of the walker or both sides of the walker. The nurse knows that this educational
strategy is most effective with which type of disability? - answers Input disability
A weight-loss and exercise program is recommended for a client with type 2 diabetes.
When teaching the client about lifestyle changes, what type of assessment would the
nurse prioritize? - answers a) Individual cultural assessment
Chapter A nurse is discussing the need for a client to increase activity level and eat a
heart-healthy diet. The client tells the nurse, "l eat just fine and I'm not that fond of
