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 Scenario: A postoperative adult patient suddenly
states, “I cannot catch my breath,” and is leaning forward in
bed.
Stem: What is the nurse’s priority action?
Answer Options:
A. Reassure the patient that anxiety is common after surgery
B. Assess oxygen saturation and apply oxygen as prescribed
C. Document the complaint and reassess in 30 minutes
D. Encourage the patient to use the incentive spirometer later
Correct Answer: B
Detailed Rationale: Sudden dyspnea may signal atelectasis,
pulmonary embolism, or another acute respiratory problem.
The nurse must recognize cues and address airway/breathing
first. Immediate assessment of oxygenation and
implementation of oxygen therapy, per protocol or
prescription, supports patient safety and early intervention.
Incorrect Option Analysis:
• A: Incorrect because reassurance alone does not address
possible deterioration; misconception is that anxiety
explains all dyspnea. Safety risk: delayed treatment of
hypoxemia.
• C: Incorrect because waiting is unsafe in an acute
respiratory change. Misconception: stable-appearing
, patients do not need urgent response. Risk: progression to
respiratory failure.
• D: Incorrect because incentive spirometry is preventive,
not the immediate response to sudden distress.
Misconception: routine postoperative care can substitute
for urgent assessment. Risk: delayed escalation.
Nursing Process Linkage: Assessment
NCJMM: Recognize Cues; Take Action
Difficulty: Moderate
Bloom’s Level: Apply
NCLEX Client Needs: Physiological Adaptation
Key Learning Objective: Prioritize immediate nursing actions
for acute postoperative respiratory deterioration.
2) SATA
Clinical Scenario: A unit-based council is revising a protocol for
wound care to reduce infection rates.
Stem: Which actions reflect evidence-based nursing care?
Select all that apply.
Answer Options:
A. Formulate a clinical question based on the wound-care
problem
B. Use the most recent high-quality research and guidelines
C. Continue the current routine because it has always been
used
, D. Consider the patient’s preferences, values, and clinical
condition
E. Evaluate outcomes after implementing the new protocol
Correct Answers: A, B, D, E
Detailed Rationale: Evidence-based practice integrates the best
available evidence, clinical expertise, and patient preferences.
The nurse begins with a focused clinical question,
searches/appraises evidence, individualizes care, and evaluates
outcomes.
Incorrect Option Analysis:
• C: Incorrect because tradition alone is not evidence.
Misconception: “We have always done it this way” equals
quality. Safety risk: continued ineffective or harmful care.
Nursing Process Linkage: Planning / Evaluation
NCJMM: Recognize Cues; Analyze Cues; Evaluate Outcomes
Difficulty: Moderate
Bloom’s Level: Analyze
NCLEX Client Needs: Management of Care
Key Learning Objective: Identify the core components of
evidence-based nursing practice.
3) MCQ
Clinical Scenario: A hospitalized adult with limited health
literacy says, “Just tell me what to do. I do not understand the
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 Scenario: A postoperative adult patient suddenly
states, “I cannot catch my breath,” and is leaning forward in
bed.
Stem: What is the nurse’s priority action?
Answer Options:
A. Reassure the patient that anxiety is common after surgery
B. Assess oxygen saturation and apply oxygen as prescribed
C. Document the complaint and reassess in 30 minutes
D. Encourage the patient to use the incentive spirometer later
Correct Answer: B
Detailed Rationale: Sudden dyspnea may signal atelectasis,
pulmonary embolism, or another acute respiratory problem.
The nurse must recognize cues and address airway/breathing
first. Immediate assessment of oxygenation and
implementation of oxygen therapy, per protocol or
prescription, supports patient safety and early intervention.
Incorrect Option Analysis:
• A: Incorrect because reassurance alone does not address
possible deterioration; misconception is that anxiety
explains all dyspnea. Safety risk: delayed treatment of
hypoxemia.
• C: Incorrect because waiting is unsafe in an acute
respiratory change. Misconception: stable-appearing
, patients do not need urgent response. Risk: progression to
respiratory failure.
• D: Incorrect because incentive spirometry is preventive,
not the immediate response to sudden distress.
Misconception: routine postoperative care can substitute
for urgent assessment. Risk: delayed escalation.
Nursing Process Linkage: Assessment
NCJMM: Recognize Cues; Take Action
Difficulty: Moderate
Bloom’s Level: Apply
NCLEX Client Needs: Physiological Adaptation
Key Learning Objective: Prioritize immediate nursing actions
for acute postoperative respiratory deterioration.
2) SATA
Clinical Scenario: A unit-based council is revising a protocol for
wound care to reduce infection rates.
Stem: Which actions reflect evidence-based nursing care?
Select all that apply.
Answer Options:
A. Formulate a clinical question based on the wound-care
problem
B. Use the most recent high-quality research and guidelines
C. Continue the current routine because it has always been
used
, D. Consider the patient’s preferences, values, and clinical
condition
E. Evaluate outcomes after implementing the new protocol
Correct Answers: A, B, D, E
Detailed Rationale: Evidence-based practice integrates the best
available evidence, clinical expertise, and patient preferences.
The nurse begins with a focused clinical question,
searches/appraises evidence, individualizes care, and evaluates
outcomes.
Incorrect Option Analysis:
• C: Incorrect because tradition alone is not evidence.
Misconception: “We have always done it this way” equals
quality. Safety risk: continued ineffective or harmful care.
Nursing Process Linkage: Planning / Evaluation
NCJMM: Recognize Cues; Analyze Cues; Evaluate Outcomes
Difficulty: Moderate
Bloom’s Level: Analyze
NCLEX Client Needs: Management of Care
Key Learning Objective: Identify the core components of
evidence-based nursing practice.
3) MCQ
Clinical Scenario: A hospitalized adult with limited health
literacy says, “Just tell me what to do. I do not understand the
