Question 1

Which statement regarding the use of the nursing process in clinical practice is accurate?&#10;A) &#34;The nursing process is closely related to clinical decision-making.&#34;&#10;B) &#34;The nursing process is used by all members of the interprofessional team to plan care.&#34;&#10;C) &#34;The nursing process has 4 basic steps: assessment,planning,implementation,evaluation.&#34;&#10;D) &#34;The nursing process is being replaced by the implementation of evidence-based practice.&#34;&#10;

Accepted Answer

The nursing process is a systematic approach that helps to identify, plan, and evaluate nursing care. It involves assessing the patient's needs, developing a plan of care, implementing that plan, and evaluating the effectiveness of the care provided. Clinical decision-making is closely related to this process because the nurse must use critical thinking and judgment to make decisions at each step of the nursing process. Therefore, option A is the most accurate statement regarding the use of the nursing process in clinical practice. Option B may not be accurate because other members of the healthcare team may not use the nursing process. Option C is partially correct but does not fully describe the nursing process. Option D is incorrect as evidence-based practice is not a replacement for the nursing process but rather a process of making clinical decisions based on the most current evidence available.

Question 2

The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem.Which is the first action the nurse should implement?&#10;A) Developing a question&#10;B) Disseminating the findings&#10;C) Conducting a review of the literature&#10;D) Evaluating outcomes of practice change&#10;

Accepted Answer

Developing a question is the first step in the evidence-based practice process. By formulating a clear and specific question, the nurse can focus their search for relevant evidence and determine if a policy change is necessary.

Question 3

Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new graduate nurses?&#10;A) Patient advocacy&#10;B) Patient education&#10;C) Disease pathophysiology&#10;D) Therapeutic communication&#10;

Accepted Answer

Disease pathophysiology

Question 4

The nurse is reviewing evidence from a quasi-experimental research study.Which level of evidence should the nurse identify for this research study?&#10;A) Level I&#10;B) Level II&#10;C) Level III&#10;D) Level IV&#10;

Accepted Answer

Quasi-experimental research studies are considered Level III evidence. This type of research involves an intervention or treatment being given to a group, but without randomization or a control group. Therefore, it has higher risk of bias than randomized controlled trials (Level I) and controlled clinical trials (Level II). Level IV evidence refers to expert opinion or anecdotal evidence.

Question 5

Which aspect of patient-centered care should the nurse manager evaluate prior to The Joint Commission site visit for accreditation?&#10;A) Visitation rights&#10;B) Education level of staff&#10;C) Fall prevention protocol&#10;D) Infection control practices&#10;

Accepted Answer

Visitation rights are a key aspect of patient-centered care, focusing on the patient's preferences and needs, which The Joint Commission evaluates during accreditation.

Question 6

The medical-surgical unit recently implemented a patient-centered care model.Which action implemented by the nurse supports this model?&#10;A) Evaluating care&#10;B) Assessing needs&#10;C) Diagnosing problems&#10;D) Providing compassion&#10;

Accepted Answer

Providing compassion is a key aspect of patient-centered care, as it involves recognizing and addressing the emotional, psychological, and spiritual needs of the patient in addition to their physical needs. While evaluating care, assessing needs, and diagnosing problems are important nursing actions, they do not necessarily reflect a patient-centered care model on their own.

Question 7

Which is the basis of nursing care practices and protocols?&#10;A) Assessment&#10;B) Evaluation&#10;C) Diagnosis&#10;D) Research&#10;

Accepted Answer

Research is the basis of nursing care practices and protocols as it provides evidence-based information to guide clinical decision-making and improve patient outcomes.

Question 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?&#10;A) Level IV&#10;B) Level V&#10;C) Level VI&#10;D) Level VII&#10;

Accepted Answer

Level VII evidence is considered the lowest level of evidence and consists of expert opinion or consensus statements. It does not involve any systematic research, and therefore does not provide strong support for a practice change. Levels IV, V, and VI all involve some level of research, such as case series, case reports, or expert opinions with literature review, but they still may not provide strong support for a practice change.

Question 9

The nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC)visit With the nurse manager presenting staff education focusing on TJC benchmarks,which of the following topics would be most appropriate?

A) Implementation of evidence-based practice
B) Implementation of patient-centered care
C) Implementation of medical asepsis practices
D) Implementation of interprofessional care

Accepted Answer

The Joint Commission places a strong emphasis on patient-centered care, which includes involving patients in their care, improving communication and responsiveness, and providing culturally competent care. Therefore, staff education on this topic would be most appropriate for preparing for a TJC visit. While evidence-based practice, medical asepsis practices, and interprofessional care are all important aspects of patient care, they may not be the specific focus of a TJC survey.

Question 10

Which action should the nurse implement when providing patient care in order to support The Joint Commission's (TJC)National Patient Safety Goals (NPSG)?&#10;A) Silencing a cardiorespiratory monitor&#10;B) Identifying each patient using one source&#10;C) Determining patient safety issues upon admission&#10;D) Decreasing the amount of pain medication administered&#10;

Accepted Answer

Determining patient safety issues upon admission aligns with TJC's National Patient Safety Goals, which emphasize identifying patient safety risks to prevent harm.

Question 11

Which type of nursing is the root of all other nursing practice areas?&#10;A) Pediatric nursing&#10;B) Geriatric nursing&#10;C) Medical-surgical nursing&#10;D) Mental health-psychiatric nursing&#10;

Accepted Answer

The answer of Which type of nursing is the root...

Question 12

Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN)competency of safety?&#10;A) Advocating for a patient who is experiencing pain&#10;B) Considering the patient's culture when planning care&#10;C) Evaluating patient learning style prior to implementing discharge instructions&#10;D) Assessing the right drug prior to administering a prescribed patient medication&#10;

Accepted Answer

The answer of Which nursing action exemplifies the Quality and...

Question 13

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?

A) Randomized control study
B) Quasi-experimental study
C) Case-control study
D) Cohort study

Accepted Answer

The answer of The medical-surgical nurse identifies a clinical practice...

Question 14

Which interprofessional role does the nurse often assume when providing patient care in an acute care setting?&#10;A) Social worker&#10;B) Client advocate&#10;C) Care coordinator&#10;D) Massage therapist&#10;

Accepted Answer

The answer of Which interprofessional role does the nurse often...

Question 15

Which statement should the nurse make when communicating the &#34;S&#34; in the SBAR approach for effective communication?&#10;A) &#34;The patient presented to the emergency department at 0200 with lower left abdominal pain.&#34;&#10;B) &#34;The patient rated the pain upon admission as a 9 on a 10-point numeric scale.&#34;&#10;C) &#34;The patient has no significant issues in the medical history.&#34;&#10;D) &#34;The patient was given a prescribed opioid analgesic at 0300.&#34;&#10;

Accepted Answer

The answer of Which statement should the nurse make when...

Question 16

Which is a common theme regarding patient dissatisfaction related to care provided in the hospital setting?&#10;A) Space in hospital rooms&#10;B) Medications received to treat pain&#10;C) Time spent with the health-care team&#10;D) Poor quality food received from dietary&#10;

Accepted Answer

The answer of Which is a common theme regarding patient...

Question 17

Which level of evidence should the nurse identify when reviewing evidence from a single descriptive research study?&#10;A) Level IV&#10;B) Level V&#10;C) Level VI&#10;D) Level VII&#10;

Accepted Answer

The answer of Which level of evidence should the nurse...

Question 18

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?&#10;A) &#34;The patient's heartrate is 110.&#34;&#10;B) &#34;I think this patient needs to be transferred to the critical care unit.&#34;&#10;C) &#34;The patient is a 68-year-old male patient admitted last night.&#34;&#10;D) &#34;The patient is complaining of chest pain.&#34;&#10;

Accepted Answer

The answer of The staff nurse is communicating with the...

Question 19

The medical-surgical nurse is providing patient care.Which circumstance would necessitate the nurse verifying the patient's identification using at least two sources?&#10;A) Prior to delivering a meal tray&#10;B) Prior to passive range of motion&#10;C) Prior to medication administration&#10;D) Prior to documenting in the medical record&#10;

Accepted Answer

The answer of The medical-surgical nurse is providing patient care.Which...

Question 20

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?&#10;A) Wound care&#10;B) Discharge to home&#10;C) Transfer to radiology&#10;D) Medication education&#10;

Accepted Answer

The answer of The nurse is providing care to several...

Deck 1: Foundations for Medical-Surgical Nursing