LeMone/Burke/Bauldoff/Gubrud, Medical-Surgical Nursing 6th Edition Test Bank

Chapter 1
Question 1
Type: MCSA
The nurse is instructing a patient on the role of diet, exercise, and medication to control type 2 diabetes mellitus.
Which core competency for healthcare professionals is the nurse implementing?
1. Quality improvement
2. Evidence-based practice
3. Patient-centered care
4. Teamwork and collaboration
Correct Answer: 3
Rationale 1: Identifying safety hazards and measuring quality is an example of the core competency quality
improvement.
Rationale 2: Using best research when providing patient care is an example of the core competency evidencebased practice.
Rationale 3: The nurse instructing the patient is an example of the competency patient-centered care.
Rationale 4: The core competency teamwork and collaboration involves collaboration between disciplines to
provide continuous and reliable care.
Global Rationale: In 2003, the National Academy of Sciences proposed a set of five core competencies that all
healthcare professionals should possess to meet the needs of the 21st century. The nurse instructing the patient is
an example of the competency patient-centered care. Identifying safety hazards and measuring quality are
examples of the core competency quality improvement. Using best research when providing patient care is an
example of the core competency evidence-based practice. Collaboration between disciplines to provide
continuous and reliable care is an example of the core competency teamwork and collaboration.
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient centered care
AACN Essential Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage,
age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in
their care
NLN Competencies: Relationship Centered Care: Learn cooperatively, facilitate the learning of others
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 1. Describe the core competencies for healthcare professionals: patient-centered care,
interprofessional teams, evidence-based practice, quality improvement, safety, and health information technology.
MNL Learning Outcome: 10.5.4. Utilize the nursing process in care of client.
Page Number: 4
Question 2
Type: MCSA
The nurse is planning to utilize the core competency use informatics when providing patient care. Which action
should the nurse perform when using this core competency?
1. Change the sharps container in a patient’s room.
2. Document the effectiveness of pain medication for a patient.
3. Discuss the effectiveness of bedside physical therapy with the therapist.
4. Search through a database of articles to find current research on wound care.
Correct Answer: 4
Rationale 1: Changing the sharps container is an example of quality improvement.
Rationale 2: Documenting the effectiveness of pain medication for a patient is an example of patient-centered
care.
Rationale 3: Discussing the effectiveness of bedside physical therapy with the therapist is an example of
teamwork and collaboration.
Rationale 4: Searching through a database of articles to find current research on wound care is an example of use
informatics.
Global Rationale: Examples of the nurse using the core competency use informatics include the use of
technology to communicate, manage knowledge, reduce errors, and support decision making. The activity of
searching through a database of articles to find current research on wound care is an example of use informatics.
Changing the sharps container in a patient’s room is an example of quality improvement. Documenting the
effectiveness of pain medication for a patient is an example of patient-centered care. Discussing the effectiveness
of bedside physical therapy with the therapist is an example of teamwork and collaboration.
Cognitive Level: Applying
Client Need: Safe and Effective Care Environment
Client Need Sub: Management of Care
QSEN Competencies: VI.B.2. Apply technology and information management tools to support safe processes of
care
AACN Essentials Competencies: IV.1. Demonstrate skills in using patient care technologies, information
systems, and communication devices that support safe nursing p
Test Bank
ANS: F DIF: Memorization REF: Page 10
TOP: Anatomical Position
17. Ipsilateral simply means on the same side.
ANS: T DIF: Memorization REF: Page 10
TOP: Anatomical Position
18. Bilateral symmetry is characteristic of external body organization, but not necessarily of internal
organization.
ANS: T DIF: Memorization REF: Page 10
TOP: Anatomical Position
19. The frontal plane divides the body into right and left sides.
ANS: F DIF: Memorization REF: Page 16
TOP: Body Planes and Sections
20. Visceral peritoneum refers to the membrane that covers the organs within the abdominal cavity.
ANS: T DIF: Memorization REF: Page 11
TOP: Body Cavities
21. The abdominal cavity is separated from the pelvic cavity by a fibrous connective tissue
membrane.
ANS: F DIF: Application REF: Page 11 TOP: Body Cavities
22. The dorsal cavity consists of the cranial and spinal cavities.
ANS: T DIF: Memorization REF: Page 11
TOP: Body Cavities
23. The ventral cavity consists of the thoracic and abdominal cavities.
ANS: T DIF: Memorization REF: Page 10
TOP: Body Cavities
24. The head, neck, arms, and legs make up the axial skeleton.
ANS: F DIF: Memorization REF: Page 13
TOP: Body Regions
25. The head can be subdivided into cranial and facial cavities.
Mosby items and derived items © 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.
1-3
Test Bank
ANS: F DIF: Memorization REF: Page 10 | Page 11
TOP: Body Cavities
26. The term crural refers to the hip.
ANS: F DIF: Application REF: Page 13 (Table 1-4)
TOP: Body Regions
27. The umbilicus is the crossing point for the horizontal and vertical lines dividing the abdomen
into quadrants.
ANS: T DIF: Memorization REF: Page 14
TOP: Umbilicus
28. The bone of the upper arm is deep to the muscles that surround and cover it.
ANS: T DIF: Application REF: Page 15 TOP: Directional Terms
29. The kidneys are medial and anterior to the vertebrae.
ANS: F DIF: Application REF: Page 15 TOP: Directional Terms
30. The eyes, ears, and arms all show bilateral symmetry of the body.
ANS: T DIF: Application REF: Page 10
TOP: Anatomical Position
31. The study of immunology investigates the movement of the blood.
ANS: F DIF: Application REF: Page 9 (Table 1-2)
TOP: Transportation and Defense
32. In a functional homeostatic system, an increase of blood glucose will elicit physiological
reactions that will decrease blood glucose.
ANS: T DIF: Application REF: Page 19 TOP: Homeostasis
33. The lymphatic system plays an important role in immunity.
ANS: T DIF: Memorization
REF: Page 9 (Table 1-2) TOP: Body Systems
34. The human body maintains a static, rather than a dynamic, homeostasis.
ANS: F DIF: Application REF: Page 18 | Page 19 (Box 1-1)
TOP: Homeostasis