Medical-Surgical Nursing
8th Edition
• Author(s)Adrianne Dill Linton;
Mary Ann Matteson
• Print ISBN: 9780323826716
TEST BANK
Question 1 (MCQ)
Clinical Scenario
,A newly licensed nurse is caring for four patients on a medical-
surgical unit. During morning rounds, the nurse reviews
assessment findings and laboratory results before determining
priorities for care.
Question Stem
Which action best demonstrates clinical judgment in nursing
practice?
Answer Options
A. Following the plan of care exactly as written without
modification
B. Using assessment findings, patient preferences, and evidence
to determine priorities
C. Completing tasks in the order assigned by the charge nurse
D. Waiting for the healthcare provider to identify patient
problems
Correct Answer
B. Using assessment findings, patient preferences, and
evidence to determine priorities
Detailed Rationale
Clinical judgment involves interpreting assessment data,
considering patient preferences, integrating evidence-based
practice, and making informed decisions regarding care
,priorities. Effective nurses continually analyze information and
adapt interventions based on patient responses.
Incorrect Option Analysis
A.
• Incorrect because nursing care requires ongoing
assessment and modification.
• Misconception: Plans of care never change.
• Safety Risk: Delayed recognition of deterioration.
C.
• Incorrect because priorities should be patient-centered
rather than task-centered.
• Misconception: Task completion equals quality care.
• Safety Risk: Critical needs may be overlooked.
D.
• Incorrect because nurses independently identify nursing
problems.
• Misconception: Only providers identify patient issues.
• Safety Risk: Delayed interventions.
Nursing Process Linkage
Assessment
, NCJMM Competencies
• Recognize Cues
• Analyze Cues
• Prioritize Hypotheses
Difficulty
Moderate
Bloom's Level
Analyze
NCLEX Client Needs
Management of Care
Key Learning Objective
Apply clinical judgment principles to prioritize patient care.
Question 2 (SATA)
Clinical Scenario
A nurse is reviewing professional responsibilities associated
with medical-surgical nursing practice.
Question Stem
Which responsibilities are expected of a competent medical-
surgical nurse? Select all that apply.
8th Edition
• Author(s)Adrianne Dill Linton;
Mary Ann Matteson
• Print ISBN: 9780323826716
TEST BANK
Question 1 (MCQ)
Clinical Scenario
,A newly licensed nurse is caring for four patients on a medical-
surgical unit. During morning rounds, the nurse reviews
assessment findings and laboratory results before determining
priorities for care.
Question Stem
Which action best demonstrates clinical judgment in nursing
practice?
Answer Options
A. Following the plan of care exactly as written without
modification
B. Using assessment findings, patient preferences, and evidence
to determine priorities
C. Completing tasks in the order assigned by the charge nurse
D. Waiting for the healthcare provider to identify patient
problems
Correct Answer
B. Using assessment findings, patient preferences, and
evidence to determine priorities
Detailed Rationale
Clinical judgment involves interpreting assessment data,
considering patient preferences, integrating evidence-based
practice, and making informed decisions regarding care
,priorities. Effective nurses continually analyze information and
adapt interventions based on patient responses.
Incorrect Option Analysis
A.
• Incorrect because nursing care requires ongoing
assessment and modification.
• Misconception: Plans of care never change.
• Safety Risk: Delayed recognition of deterioration.
C.
• Incorrect because priorities should be patient-centered
rather than task-centered.
• Misconception: Task completion equals quality care.
• Safety Risk: Critical needs may be overlooked.
D.
• Incorrect because nurses independently identify nursing
problems.
• Misconception: Only providers identify patient issues.
• Safety Risk: Delayed interventions.
Nursing Process Linkage
Assessment
, NCJMM Competencies
• Recognize Cues
• Analyze Cues
• Prioritize Hypotheses
Difficulty
Moderate
Bloom's Level
Analyze
NCLEX Client Needs
Management of Care
Key Learning Objective
Apply clinical judgment principles to prioritize patient care.
Question 2 (SATA)
Clinical Scenario
A nurse is reviewing professional responsibilities associated
with medical-surgical nursing practice.
Question Stem
Which responsibilities are expected of a competent medical-
surgical nurse? Select all that apply.
