Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• PublisherPublished by F.A.
Davis Copyright© 2024
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ — Clinical Judgment
Clinical Scenario: A nurse is reviewing the admission data for a
patient on a medical-surgical unit after transfer from the
emergency department.
Question Stem: Which finding is the clearest example of a cue
that requires immediate nursing attention?
Answer Options:
A. Reports mild incisional soreness rated 3/10
B. Blood pressure 88/54 mm Hg and heart rate 118/min
C. States, “I do not like hospital food”
D. Requests a blanket because the room is cool
Correct Answer: B
Detailed Rationale: Hypotension with tachycardia suggests
possible hemodynamic instability and must be addressed
promptly. In clinical judgment, this is a high-priority cue
because it may indicate shock, bleeding, dehydration, or
another urgent problem. The nurse should reassess, compare
with baseline, and escalate care as needed.
Incorrect Option Analysis:
• A: Mild postoperative pain is expected and important, but
not the most urgent cue.
• C: Food preference matters for patient-centered care, but
it is not an acute safety concern.
, • D: Comfort needs should be met, but this is low priority
compared with unstable vital signs.
Nursing Process Linkage: Assessment
NCJMM Competencies: Recognize Cues; Prioritize Hypotheses
QSEN Competency: Safety
Difficulty: Moderate
Bloom’s Level: Apply
NCLEX Client Needs: Physiological Adaptation
Key Learning Objective: Identify priority cues that signal
possible clinical deterioration.
2) SATA — Evidence-Based Nursing Care
Clinical Scenario: A nurse is developing a plan of care for a
patient with a pressure injury risk.
Question Stem: Which actions demonstrate evidence-based
nursing care? Select all that apply.
Answer Options:
A. Reviewing current clinical practice guidelines
B. Using a wound care intervention because “we have always
done it this way”
C. Considering the patient’s mobility goals and preferences
D. Applying an intervention supported by current research
evidence
E. Ignoring unit policy if a coworker prefers a different
approach
, Correct Answers: A, C, D
Detailed Rationale: Evidence-based nursing care combines the
best available research, clinical expertise, and patient
preferences. Current guidelines and research support safe,
effective interventions, and patient goals help ensure the plan
is realistic and individualized.
Incorrect Option Analysis:
• B: Tradition alone is not evidence-based and may
perpetuate ineffective care.
• E: Unit policy supports standardization, safety, and
accountability; it should not be ignored.
Nursing Process Linkage: Planning
NCJMM Competencies: Analyze Cues; Generate Solutions
QSEN Competency: Evidence-Based Practice
Difficulty: Moderate
Bloom’s Level: Analyze
NCLEX Client Needs: Safety and Infection Control
Key Learning Objective: Distinguish evidence-based practice
from routine-based care.
3) MCQ — Patient-Centered Care
Clinical Scenario: A patient with limited English proficiency is
being prepared for discharge after a same-day procedure.
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• PublisherPublished by F.A.
Davis Copyright© 2024
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ — Clinical Judgment
Clinical Scenario: A nurse is reviewing the admission data for a
patient on a medical-surgical unit after transfer from the
emergency department.
Question Stem: Which finding is the clearest example of a cue
that requires immediate nursing attention?
Answer Options:
A. Reports mild incisional soreness rated 3/10
B. Blood pressure 88/54 mm Hg and heart rate 118/min
C. States, “I do not like hospital food”
D. Requests a blanket because the room is cool
Correct Answer: B
Detailed Rationale: Hypotension with tachycardia suggests
possible hemodynamic instability and must be addressed
promptly. In clinical judgment, this is a high-priority cue
because it may indicate shock, bleeding, dehydration, or
another urgent problem. The nurse should reassess, compare
with baseline, and escalate care as needed.
Incorrect Option Analysis:
• A: Mild postoperative pain is expected and important, but
not the most urgent cue.
• C: Food preference matters for patient-centered care, but
it is not an acute safety concern.
, • D: Comfort needs should be met, but this is low priority
compared with unstable vital signs.
Nursing Process Linkage: Assessment
NCJMM Competencies: Recognize Cues; Prioritize Hypotheses
QSEN Competency: Safety
Difficulty: Moderate
Bloom’s Level: Apply
NCLEX Client Needs: Physiological Adaptation
Key Learning Objective: Identify priority cues that signal
possible clinical deterioration.
2) SATA — Evidence-Based Nursing Care
Clinical Scenario: A nurse is developing a plan of care for a
patient with a pressure injury risk.
Question Stem: Which actions demonstrate evidence-based
nursing care? Select all that apply.
Answer Options:
A. Reviewing current clinical practice guidelines
B. Using a wound care intervention because “we have always
done it this way”
C. Considering the patient’s mobility goals and preferences
D. Applying an intervention supported by current research
evidence
E. Ignoring unit policy if a coworker prefers a different
approach
, Correct Answers: A, C, D
Detailed Rationale: Evidence-based nursing care combines the
best available research, clinical expertise, and patient
preferences. Current guidelines and research support safe,
effective interventions, and patient goals help ensure the plan
is realistic and individualized.
Incorrect Option Analysis:
• B: Tradition alone is not evidence-based and may
perpetuate ineffective care.
• E: Unit policy supports standardization, safety, and
accountability; it should not be ignored.
Nursing Process Linkage: Planning
NCJMM Competencies: Analyze Cues; Generate Solutions
QSEN Competency: Evidence-Based Practice
Difficulty: Moderate
Bloom’s Level: Analyze
NCLEX Client Needs: Safety and Infection Control
Key Learning Objective: Distinguish evidence-based practice
from routine-based care.
3) MCQ — Patient-Centered Care
Clinical Scenario: A patient with limited English proficiency is
being prepared for discharge after a same-day procedure.
