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Medical-Surgical Nursing

Review Questions

Medical-Surgical NursingReview Questions

Review Questions

1 .
What action reflects The Joint Commission’s contribution to a health-care organizations’ improvement initiatives?
  1. setting standards for quality care, QI, and patient safety
  2. excluding nurses from safety and improvement initiatives
  3. focusing on emergency management and infection prevention
  4. eluding the National Patient Safety Goals
2 .
What component reflects a key element of PCC?
  1. excluding the patient’s family from the care setting
  2. ignoring the patient’s emotional well-being
  3. customize care based on the patient’s values and perspectives
  4. respecting the patient’s physical comfort
3 .
Ms. Hutto is complaining of pain (8 out of 10) in her lower back and abdomen. As the patient’s nurse, you determine her abdomen is soft but distended, with positive bowel sounds in all four quadrants. Interventions such as ambulation, position changes, warm compresses, and warm prune juice have provided no relief. This scenario highlights what component of the ISBAR communication tool?
  1. situation
  2. background
  3. assessment
  4. recommendation or request
4 .
What is the primary goal of an intercollaborative care team in the context of patient-centered care?
  1. achieving financial targets
  2. streamlining administrative processes
  3. improving patient outcomes through personalized care
  4. minimizing the workload for health-care providers
5 .
A nurse is caring for a 72-year-old female with a diagnosis of atrial fibrillation. When making his shift change report, the nurse realizes that 4 hours ago, he administered 0.5 mg of the patient’s antiarrhythmic medication instead of 5.0 mg. When the nurse realizes the error and calls the physician to report the incident, what ethical principal is described in this situation?
  1. nonmaleficence
  2. justice
  3. autonomy
  4. beneficence
6 .
Mr. Johnson is scheduled for an endoscopy. Despite the excruciating abdominal pain he is experiencing, Mr. Johnson refuses to have the procedure. What ethical principal is described in this scenario?
  1. beneficence
  2. justice
  3. autonomy
  4. nonmaleficence
7 .
What option is a social determinant of health?
  1. medical history
  2. promotion of healthy choices
  3. homelessness
  4. life expectancy
8 .
As a nurse practicing EBP, what process related to improving patient satisfaction will be most effective?
  1. checking on each patient’s pain level every 4 hours
  2. administering medications as close as possible to the administration times
  3. making rounds on each patient hourly
  4. offering a bath daily to each patient
9 .
Joann, a nurse in the medical-surgical unit, would like to implement a project to improve the cleanliness of patient rooms. Aside from the nurses, what group of key stakeholders should be included in the planning?
  1. hospital maintenance staff
  2. physical therapists and technicians
  3. housekeeping staff and unlicensed assistive personnel
  4. occupational therapy team
10 .
A nurse manager has received an increase in patient complaints that monitor alarms are sounding for extended periods, which is disrupting their sleep and creating unnecessary anxiety. After close observation, the nurse manager realized the nurses appeared as if they did not hear the alarms while charting. What type of QI plan would be most appropriate for the nurse manager to consider for her unit?
  1. a plan of correction related to nurses not promptly addressing the monitor alarms
  2. a process improvement project to address alarm fatigue
  3. a plan to ensure all the patients have standing orders for medications to relieve their anxiety
  4. a plan to have the nurses increase the volume of the monitor alarms
11 .
Ms. Blanchard is presently being treated for a new diagnosis of high blood pressure. Her primary care physician has recommended that, in addition to her daily dose of medication, Ms. Blanchard should also stop smoking. This recommendation demonstrates what level of prevention?
  1. primary prevention
  2. secondary prevention
  3. tertiary prevention
  4. intermediary prevention
12 .
What is an example of a statement that reflects the role an agency has on the health-care continuum?
  1. Agencies provide a variety of in-home care, including physical and occupational therapy.
  2. Government agencies exist to supplement middle-class populations.
  3. All hospitals provide inpatient services at low to no cost to patients in need.
  4. Subacute inpatient settings are no longer needed for sick patients.
13 .
What is the best description of systems-based practice in health care?
  1. the focus on individual patient care, considering their immediate medical needs
  2. the use of advanced medical technologies to enhance PCC and outcomes
  3. recognizing the various layers of the health-care system and understanding how they impact patient care
  4. implementing standardized procedures in health-care settings to ensure consistency in patient treatment
14 .
What is a nursing informaticist?
  1. a nurse who is skilled at communicating complex information to patients
  2. a nurse who is an expert on laws protecting patient information
  3. a nurse who develops technologies that securely store and communicate information
  4. a nurse who uses information and technology to improve the efficiency of health care
15 .
How has technology affected nursing education, particularly in sim labs?
  1. by reducing the need for clinical experiences in real health-care settings
  2. by providing high-tech sim labs with realistic manikins for hands-on practice
  3. by eliminating the importance of critical thinking skills in nursing education
  4. by decreasing the need for online platforms in nursing courses
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