Deck 1: Foundations for Medical-Surgical Nursing

Question 1

Which statement regarding the use of the nursing process in clinical practice is accurate?

A) "The nursing process is closely related to clinical decision-making."
B) "The nursing process is used by all members of the interprofessional team to plan care."
C) "The nursing process has 4 basic steps: assessment,planning,implementation,evaluation."
D) "The nursing process is being replaced by the implementation of evidence-based practice."

Answer 1

"The nursing process is closely related to clinical decision-making."

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?

A) Developing a question
B) Disseminating the findings
C) Conducting a review of the literature
D) Evaluating outcomes of practice change

Answer 2

Developing a question

Question 3

Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new graduate nurses?

A) Patient advocacy
B) Patient education
C) Disease pathophysiology
D) Therapeutic communication

Answer 3

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?

A) Level I
B) Level II
C) Level III
D) Level IV

Question 5

Which aspect of patient-centered care should the nurse manager evaluate prior to The Joint Commission site visit for accreditation?

A) Visitation rights
B) Education level of staff
C) Fall prevention protocol
D) Infection control practices

Question 6

The medical-surgical unit recently implemented a patient-centered care model.Which action implemented by the nurse supports this model?

A) Evaluating care
B) Assessing needs
C) Diagnosing problems
D) Providing compassion

Question 7

Which is the basis of nursing care practices and protocols?

A) Assessment
B) Evaluation
C) Diagnosis
D) Research

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?

A) Level IV
B) Level V
C) Level VI
D) Level VII

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

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)?

A) Silencing a cardiorespiratory monitor
B) Identifying each patient using one source
C) Determining patient safety issues upon admission
D) Decreasing the amount of pain medication administered

Question 11

Which type of nursing is the root of all other nursing practice areas?

A) Pediatric nursing
B) Geriatric nursing
C) Medical-surgical nursing
D) Mental health-psychiatric nursing

Question 12

Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN)competency of safety?

A) Advocating for a patient who is experiencing pain
B) Considering the patient's culture when planning care
C) Evaluating patient learning style prior to implementing discharge instructions
D) Assessing the right drug prior to administering a prescribed patient medication

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

Question 14

Which interprofessional role does the nurse often assume when providing patient care in an acute care setting?

A) Social worker
B) Client advocate
C) Care coordinator
D) Massage therapist

Question 15

Which statement should the nurse make when communicating the "S" in the SBAR approach for effective communication?

A) "The patient presented to the emergency department at 0200 with lower left abdominal pain."
B) "The patient rated the pain upon admission as a 9 on a 10-point numeric scale."
C) "The patient has no significant issues in the medical history."
D) "The patient was given a prescribed opioid analgesic at 0300."

Question 16

Which is a common theme regarding patient dissatisfaction related to care provided in the hospital setting?

A) Space in hospital rooms
B) Medications received to treat pain
C) Time spent with the health-care team
D) Poor quality food received from dietary

Question 17

Which level of evidence should the nurse identify when reviewing evidence from a single descriptive research study?

A) Level IV
B) Level V
C) Level VI
D) Level VII

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?

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

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?

A) Prior to delivering a meal tray
B) Prior to passive range of motion
C) Prior to medication administration
D) Prior to documenting in the medical record

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?

A) Wound care
B) Discharge to home
C) Transfer to radiology
D) Medication education