DAVIS ADVANTAGE FOR MEDICAL-SURGICAL NURSING:
MAKING CONNECTIONS TO PRACTICE
3RD EDITION HOFFMAN & SULLIVAN TEST BANK
,Chapter 1: Foundations for Medical-Surgical Nursing
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. The medical-surgical professional 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?
1) Randomized control study
2) Quasi-experimental study
3) Case-control study
4) Cohort study
2. The medical-surgical unit recently implemented a client-centered care model. Which action implemented by
the professional nurse supports this model?
1) Evaluating care
2) Assessing needs
3) Diagnosing problems
4) Providing compassion
3. Which action should the professional nurse implement when providing client care in order to support The Joint
Commission’s (TJC) National Client Safety Goals (NPSG)?
1) Silencing a cardiorespiratory monitor
2) Identifying each client using one source
3) Determining client safety issues upon admission
4) Decreasing the amount of pain medication administered
4. Which interprofessional role does the professional nurse often assume when providing client care in
an acute care setting?
1) Social worker
2) Client advocate
3) Care coordinator
4) Massage therapist
5. The medical-surgical professional nurse wants to determine if a policy change is needed for an identified clinical
problem.
Which is the first action the professional nurse should implement?
1) Developing a question
2) Disseminating the findings
3) Conducting a review of the literature
4) Evaluating outcomes of practice change
, 6. The professional 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?
1) Level IV
2) Level V
3) Level VI
4) Level VII
7. The professional nurse is reviewing evidence from a quasi-experimental research study. Which level of
evidence should the professional nurse identify for this research study?
1) Level I
2) Level II
3) Level III
4) Level IV
8. Which level of evidence should the professional nurse identify when reviewing evidence from a single
descriptive research study?
1) Level IV
2) Level V
3) Level VI
4) Level VII
9. Which statement should the professional nurse make when communicating the “S” in the SBAR approach for
effective
communication?
1) “The client presented to the emergency department at 0200 with lower left abdominal
pain.”
2) “The client rated the pain upon admission as a 9 on a 10-point numeric scale.”
3) “The client has no significant iN
s s ue s in the medical history.”
4) “The client was given a prescribed opioid analgesic at 0300.”
10. The staff professional nurse is communicating with the change professional nurse about the change of status
of the client. The professional nurse would begin her communication with which statement if correctly
using the SBAR format?
1) “The client’s heartrate is 110.”
2) “I think this client needs to be transferred to the critical care unit.”
3) “The client is a 68-year-old male client admitted last night.”
4) “The client is complaining of chest pain.”
11. Which nursing action exemplifies the Quality and Safety Education for Nursing (QSEN) competency of
safety?
1) Advocating for a client who is experiencing pain
2) Considering the client’s culture when planning care
3) Evaluating client learning style prior to implementing discharge instructions
4) Assessing the right drug prior to administering a prescribed client medication
12. Which type of nursing is the root of all other nursing practice areas?
1) Pediatric nursing
2) Geriatric nursing
3) Medical-surgical nursing
4) Mental health-psychiatric nursing
13. Which did the Nursing Executive Center of The Advisory Board identify as an academic-practice gap for new
graduate professional nurses?
1) Client advocacy
2) Client education
, 3) Disease pathophysiology
4) Therapeutic communication
14. Which statement regarding the use of the nursing process in clinical practice is accurate?
1) “The nursing process is closely related to clinical decision-making.”
2) “The nursing process is used by all members of the interprofessional team to plan care.”
3) “The nursing process has 4 basic steps: assessment, planning, implementation,
evaluation.”
4) “The nursing process is being replaced by the implementation of evidence-based practice.”
15. Which is the basis of nursing care practices and protocols?
1) Assessment
2) Evaluation
3) Diagnosis
4) Research
16. Which is a common theme regarding client dissatisfaction related to care provided in the health center setting?
1) Space in health center rooms
2) Medications received to treat pain
3) Time spent with the health-care team
4) Poor quality food received from dietary
17. The professional nurse manager is preparing a medical-surgical unit for The Joint Commission (TJC) visit
With the professional nurse manager presenting staff education focusing on TJC benchmarks, which of the
following topics would be most appropriate?
1) Implementation of evidence-based practice
2) Implementation of client-centeN
red care
3) Implementation of medical asepsis practices
4) Implementation of interprofessional care
18. Which aspect of client-centered care should the professional nurse manager evaluate prior to The Joint
Commission site visit for accreditation?
1) Visitation rights
2) Education level of staff
3) Fall prevention protocol
4) Infection control practices
19. The medical-surgical professional nurse is providing client care. Which circumstance would necessitate the
professional nurse
verifying the client’s identification using at least two sources?
1) Prior to delivering a meal tray
2) Prior to passive range of motion
3) Prior to medication administration
4) Prior to documenting in the medical record
20. The professional nurse is providing care to several clients on a medical-surgical unit. Which situation would
necessitate the professional nurse to use SBAR during the hand-off process?
1) Wound care
2) Discharge to home
3) Transfer to radiology
4) Medication education
MULTIPLE selection
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