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Test bank for Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 3rd Edition by Hoffman | COMPLETE GUIDE CHAPTER 1-71 | FULL GUIDE A+ $18.49   Add to cart
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Test bank for Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 3rd Edition by Hoffman | COMPLETE GUIDE CHAPTER 1-71 | FULL GUIDE A+
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Test bank for Davis Advantage for Medical-Surgical Nursing: Making Connections to Practice 3rd Edition by Hoffman | COMPLETE GUIDE CHAPTER 1-71 | FULL GUIDE A+

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  • September 23, 2024
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  • test bank for davis advantage for medical surgical

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TEST BANK FOR MEDICAL SURGICAL NURSING3rd EDITION BY HOFFMAN
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Test bank for Davis Advantage for Medical-Surgical Nursing: Making
Connections to Practice 3rd Edition by Hoffman | COMPLETE GUIDE
CHAPTER 1-71 | FULL GUIDE A+



Chapter 1: Foundations for Medical-Surgical Nursing
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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3 1. The medical-
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surgical nurse identifies a clinical practice issue and wants to determine if there is sufficient evidence to sup
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port a change in practice. Which type of study provides the strongest evidence to support apractice change?
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1) Randomized control study 3 3


2) Quasi-experimental study 3


3) Case-control study 3


4) Cohort study 3




3 2. The medical-surgical unit recently implemented a patient-centered care model. Which action implemented by
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the nurse supports this model?
3 NURSINGTB.COM
3 3 3


1) Evaluating care 3


2) Assessing needs 3


3) Diagnosing problems 3


4) Providing compassion 3




3 3. Which action should the nurse implement when providing patient care in order to support The Joint
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Commission‘s (TJC) National Patient Safety Goals (NPSG)? 3 3 3 3 3 3


1) Silencing a cardiorespiratory monitor 3 3 3


2) Identifying each patient using one source 3 3 3 3 3


3) Determining patient safety issues upon admission 3 3 3 3 3


4) Decreasing the amount of pain medication administered 3 3 3 3 3 3


3

4. Which interprofessional role does the nurse often assume when providing patient care in an a
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cute caresetting?
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1) Social worker 3


2) Client advocate 3


3) Care coordinator 3


4) Massage therapist 3




3 5. The medical-surgical nurse wants to determine if a policy change is needed for an identified clinical problem.
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Which is the first action the nurse should implement?
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1) Developing a question 3 3


2) Disseminating the findings 3 3


3) Conducting a review of the literature 3 3 3 3 3


4) Evaluating outcomes of practice change 3 3 3 3




NURSINGTB.COM

, TEST BANK FOR MEDICAL SURGICAL NURSING3rd EDITION BY HOFFMAN
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3

6. The nurse is evaluating the level of evidence found during a recent review of the literature. Which e
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videncecarries the lowest level of support for a practice change?
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1) Level IV 3


2) Level V 3


3) Level VI 3


4) Level VII 3




3 7. The nurse is reviewing evidence from a quasi-
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experimental research study. Which level of evidence shouldthe nurse identify for this research study?
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1) Level I 3


2) Level II 3


3) Level III 3


4) Level IV 3


3

8. Which level of evidence should the nurse identify when reviewing evidence from a single descriptive
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researchstudy? 3


1) Level IV 3


2) Level V 3


3) Level VI 3


4) Level VII 3




3 9. Which statement should the nurse make when communicating the ―S‖ in the SBAR approach for effective
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communication?
1) ―The patient presented to the emergency department at 0200 with lower left abdominal
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pain.‖
2) ―The patient rated the pain upon admission as a 9 on a 10-point numeric scale.‖
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3) ―The patient has no significant iN
ssU
3 ueRsS
inIthNeGmTeB
di.
caC
l hOisMtory.‖ 3 3 3 3 3 3


4) ―The patient was given a prescribed opioid analgesic at 0300.‖
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3

10. The staff nurse is communicating with the change nurse about the change of status of the patient.
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The nursewould begin her communication with which statement if correctly using the SBAR format?
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1) ―The patient‘s heartrate is 110.‖
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2) ―I think this patient needs to be transferred to the critical care unit.‖
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3) ―The patient is a 68-year-old male patient admitted last night.‖
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4) ―The patient is complaining of chest pain.‖
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3

11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) co
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mpetency ofsafety? 3 3


1) Advocating for a patient who is experiencing pain 3 3 3 3 3 3 3


2) Considering the patient‘s culture when planning care 3 3 3 3 3 3


3) Evaluating patient learning style prior to implementing discharge instructions
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4) Assessing the right drug prior to administering a prescribed patient medication
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3 33 12. Which type of nursing is the root of all other nursing practice areas?
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1) Pediatric nursing 3


2) Geriatric nursing 3


3) Medical-surgical nursing 3


4) Mental health-psychiatric nursing 3 3




3 33 13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-
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practice gap for newgraduate nurses?
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1) Patient advocacy 3


2) Patient education 3




NURSINGTB.COM

, TEST BANK FOR MEDICAL SURGICAL NURSING3rd EDITION BY HOFFMAN
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3) Disease pathophysiology 3


4) Therapeutic communication 3




3 33 14. Which statement regarding the use of the nursing process in clinical practice is accurate?
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1) ―The nursing process is closely related to clinical decision-making.‖
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2) ―The nursing process is used by all members of the interprofessional team to plan care.‖
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3) ―The nursing process has 4 basic steps: assessment, planning, implementation,
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evaluation.‖
4) ―The nursing process is being replaced by the implementation of evidence-based practice.‖
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3 33 15. Which is the basis of nursing care practices and protocols?
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1) Assessment
2) Evaluation
3) Diagnosis
4) Research
3 33 16. Which is a common theme regarding patient dissatisfaction related to care provided in the hospital setting?
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1) Space in hospital rooms 3 3 3


2) Medications received to treat pain 3 3 3 3


3) Time spent with the health-care team 3 3 3 3 3


4) Poor quality food received from dietary
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3 33 17. The nurse manager is preparing a medical-
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surgical unit for The Joint Commission (TJC) visit With the nursemanager presenting staff education focusing
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on TJC benchmarks, which of the following topics would be most appropriate?
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1) Implementation of evidence-based practice 3 3 3


2) Implementation of patient-centeNreU
dRcaS
reINGTB.COM 3 3 3

3) Implementation of medical asepsis practices 3 3 3 3


4) Implementation of interprofessional care 3 3 3




3 33 18. Which aspect of patient-
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centered care should the nurse manager evaluate prior to The Joint Commission sitevisit for accreditation?
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1) Visitation rights 3


2) Education level of staff 3 3 3


3) Fall prevention protocol 3 3


4) Infection control practices 3 3




3 33 19. The medical-surgical nurse is providing patient care. Which circumstance would necessitate the nurse
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verifying the patient‘s identification using at least two sources?
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1) Prior to delivering a meal tray 3 3 3 3 3


2) Prior to passive range of motion 3 3 3 3 3


3) Prior to medication administration 3 3 3


4) Prior to documenting in the medical record
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3 33 20. The nurse is providing care to several patients on a medical-
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surgical unit. Which situation would necessitatethe nurse to use SBAR during the hand-off process?
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1) Wound care 3


2) Discharge to home 3 3


3) Transfer to radiology 3 3


4) Medication education 3




Multiple Response
3




NURSINGTB.COM

, TEST BANK FOR MEDICAL SURGICAL NURSING3rd EDITION BY HOFFMAN
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Identify one or more choices that best complete the statement or answer the question.
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3 33 21. The staff nurse is teaching a group of student nurses the situations that necessitate hand-off communication.
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Which student responses indicate the need for further education related to this procedure? Select all thatap
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ply.
1) ―A hand-off is required prior to administering a medication.‖
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2) ―A hand-off is required during change of shift.‖
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3) ―A hand-off is required for a patient is transferred to the surgical suite.‖
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4) ―A hand-off is required whenever the nurse receives a new patient assignment.‖
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5) ―A hand-off is required prior to family visitation.‖
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3 33 22. Which actions by the nurse enhance patient safety during medication administration? Select all that apply.
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1) Answering the call bell while transporting medications for a different patient
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2) Identifying the patient using two sources prior to administering the medication
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3) Holding a medication if the patient‘s diagnosis does not support its use
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4) Administering the medication two hours after the scheduled time 3 3 3 3 3 3 3 3


5) Having another nurse verify the prescribed dose of insulin the patient is to receive
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3 33 23. The medical-
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surgical nurse assumes care for a patient who is receiving continuous cardiopulmonarymonitoring.
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Which actions by the nurse enhance safety for this patient? Select all that apply.
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1) Silencing the alarm during family visitation 3 3 3 3 3


2) Assessing the alarm parameters at the start of the shift 3 3 3 3 3 3 3 3 3


3) Responding to the alarm in a timely fashion 3 3 3 3 3 3 3


4) Decreasing the alarm volume to enhance restful sleep 3 3 3 3 3 3 3


5) Adjusting alarm parameters based on specified practitioner prescription
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33333333333 24. The nurse is planning an interprofessN
333 3 ioU
naRl S
caI
3 reNcG
onTfeBre.nC
3 ceOfM
or a patient who is approaching discharge from the h
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ospital. Which members of the interprofessional team should the nurse invite to attend? Select all thatapply.
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1) Physician
2) Pharmacist
3) Unit secretary 3


4) Social worker 3


5) Home care aide 3 3


3

25. The nurse manager wants to designate a member of the nursing team as the care coordinator for a pa
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tient whowill require significant care during the hospitalization. Which skills should this nurse possess in order
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to assume this role? Select all that apply.
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1) Effective clinical reasoning 3 3


2) Effective communication skills 3 3


3) Effective infection control procedures 3 3 3


4) Effective documentation 3


5) Effective intravenous skills 3 3




NURSINGTB.COM

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