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
Scenario: A medical-surgical nurse receives shift report on four
adult patients.
Stem: Which patient should the nurse assess first?
Options:
A. A patient with a healed abdominal incision requesting pain
medication for 4/10 discomfort
B. A patient who is alert and asking for a scheduled bath
C. A patient who received IV morphine 20 minutes ago and is
now difficult to arouse
D. A patient waiting for discharge teaching about wound care
Correct Answer: C
Rationale: The most urgent cue is decreased level of
consciousness after opioid administration, which may indicate
respiratory depression. The nurse must assess airway,
breathing, oxygen saturation, and sedation level immediately.
Clinical judgment prioritizes threats to oxygenation and
perfusion before comfort or routine care.
Incorrect Option Analysis:
• A: Not urgent; pain is important but not immediately life-
threatening.
• B: Routine care need; not priority.
, • D: Important for discharge, but stable teaching comes
after physiologic stability.
Nursing Process: Assessment
NCJMM: Recognize Cues, Prioritize Hypotheses
Difficulty: Moderate
Bloom’s Level: Apply
NCLEX Client Needs: Physiological Adaptation
Key Objective: Identify the highest-priority patient based on
safety and physiologic instability.
2) SATA
Scenario: A nurse is planning care for an adult patient newly
admitted to the medical-surgical unit.
Stem: Which actions demonstrate patient-centered care?
(Select all that apply.)
Options:
A. Ask the patient what goal matters most during the
hospitalization
B. Use the patient’s adult daughter as the interpreter for
discharge teaching
C. Offer choices in bath timing when the schedule allows
D. Include cultural food preferences when coordinating diet
teaching
E. Tell the patient that the care plan is the same for everyone
Correct Answer: A, C, D
, Rationale: Patient-centered care respects the patient’s
preferences, values, culture, and goals. Asking about goals,
offering choices, and integrating cultural preferences support
engagement and shared decision-making.
Incorrect Option Analysis:
• B: Family members should not replace a trained
interpreter for teaching; this risks errors and privacy
concerns.
• E: Standardization is useful for safety, but care must still
be individualized.
Nursing Process: Planning
NCJMM: Recognize Cues, Generate Solutions
Difficulty: Easy
Bloom’s Level: Understand
NCLEX Client Needs: Psychosocial Integrity
Key Objective: Distinguish individualized, respectful care from
routine task-based care.
3) MCQ
Scenario: A nurse is documenting care after a patient receives
analgesia.
Stem: Which chart entry is the best example of objective,
legally sound documentation?
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
Scenario: A medical-surgical nurse receives shift report on four
adult patients.
Stem: Which patient should the nurse assess first?
Options:
A. A patient with a healed abdominal incision requesting pain
medication for 4/10 discomfort
B. A patient who is alert and asking for a scheduled bath
C. A patient who received IV morphine 20 minutes ago and is
now difficult to arouse
D. A patient waiting for discharge teaching about wound care
Correct Answer: C
Rationale: The most urgent cue is decreased level of
consciousness after opioid administration, which may indicate
respiratory depression. The nurse must assess airway,
breathing, oxygen saturation, and sedation level immediately.
Clinical judgment prioritizes threats to oxygenation and
perfusion before comfort or routine care.
Incorrect Option Analysis:
• A: Not urgent; pain is important but not immediately life-
threatening.
• B: Routine care need; not priority.
, • D: Important for discharge, but stable teaching comes
after physiologic stability.
Nursing Process: Assessment
NCJMM: Recognize Cues, Prioritize Hypotheses
Difficulty: Moderate
Bloom’s Level: Apply
NCLEX Client Needs: Physiological Adaptation
Key Objective: Identify the highest-priority patient based on
safety and physiologic instability.
2) SATA
Scenario: A nurse is planning care for an adult patient newly
admitted to the medical-surgical unit.
Stem: Which actions demonstrate patient-centered care?
(Select all that apply.)
Options:
A. Ask the patient what goal matters most during the
hospitalization
B. Use the patient’s adult daughter as the interpreter for
discharge teaching
C. Offer choices in bath timing when the schedule allows
D. Include cultural food preferences when coordinating diet
teaching
E. Tell the patient that the care plan is the same for everyone
Correct Answer: A, C, D
, Rationale: Patient-centered care respects the patient’s
preferences, values, culture, and goals. Asking about goals,
offering choices, and integrating cultural preferences support
engagement and shared decision-making.
Incorrect Option Analysis:
• B: Family members should not replace a trained
interpreter for teaching; this risks errors and privacy
concerns.
• E: Standardization is useful for safety, but care must still
be individualized.
Nursing Process: Planning
NCJMM: Recognize Cues, Generate Solutions
Difficulty: Easy
Bloom’s Level: Understand
NCLEX Client Needs: Psychosocial Integrity
Key Objective: Distinguish individualized, respectful care from
routine task-based care.
3) MCQ
Scenario: A nurse is documenting care after a patient receives
analgesia.
Stem: Which chart entry is the best example of objective,
legally sound documentation?
