Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ
Clinical Scenario: A nurse is caring for an adult patient newly
admitted to the medical-surgical unit. The patient says, “I do
not want my daughter making all the decisions for me. I want
to understand what is happening first.”
Question Stem: Which nursing action best supports patient-
centered care?
Answer Options:
A. Explain that family members should always help make
decisions in the hospital
B. Ask the patient about their goals, preferences, and concerns
before developing the plan of care
C. Tell the patient that the provider will decide the plan and
review it later
D. Encourage the daughter to speak for the patient to save time
Correct Answer: B
Detailed Rationale: Patient-centered care starts with
respecting the patient’s values, preferences, and right to
participate in decisions. Asking about goals and concerns
supports autonomy, shared decision-making, and individualized
care.
Incorrect Option Analysis:
, • A: Incorrect because family involvement should be based
on patient preference, not automatic.
Misconception: Family must direct care.
Safety Risk: The patient’s wishes may be ignored.
• C: Incorrect because nursing care should be collaborative,
not passive.
Misconception: The patient is not involved until later.
Safety Risk: Delays shared understanding and informed
choices.
• D: Incorrect because this bypasses the patient’s voice.
Misconception: Speed is more important than patient
autonomy.
Safety Risk: Increased risk of misunderstanding and
conflict.
Nursing Process Linkage: Assessment
NCJMM Competency: Recognize Cues
Difficulty Level: Easy
Bloom’s Level: Understand
NCLEX Client Needs Category: Psychosocial Integrity
Key Learning Objective: Identify actions that promote patient-
centered, respectful nursing care.
2) MCQ
, Clinical Scenario: During shift report, the nurse learns that a
postoperative patient has become increasingly drowsy and is
now harder to arouse than earlier in the shift.
Question Stem: What is the nurse’s priority action?
Answer Options:
A. Document the change in the chart and reassess at the end of
the shift
B. Recognize the cue as a possible sign of deterioration and
assess vital signs immediately
C. Ask the unlicensed assistive personnel (UAP) to encourage
the patient to drink fluids
D. Reassure the family that drowsiness is expected after surgery
Correct Answer: B
Detailed Rationale: A change in level of consciousness can
signal deterioration and requires immediate assessment. The
nurse should obtain vital signs, oxygen saturation, and focused
neurologic data before deciding next steps.
Incorrect Option Analysis:
• A: Incorrect because waiting delays response to a
potentially urgent problem.
Misconception: Documentation replaces assessment.
Safety Risk: Missed early intervention.
• C: Incorrect because fluids are not the first priority when
the patient may be unstable.
Misconception: Routine care comes before assessment.
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ
Clinical Scenario: A nurse is caring for an adult patient newly
admitted to the medical-surgical unit. The patient says, “I do
not want my daughter making all the decisions for me. I want
to understand what is happening first.”
Question Stem: Which nursing action best supports patient-
centered care?
Answer Options:
A. Explain that family members should always help make
decisions in the hospital
B. Ask the patient about their goals, preferences, and concerns
before developing the plan of care
C. Tell the patient that the provider will decide the plan and
review it later
D. Encourage the daughter to speak for the patient to save time
Correct Answer: B
Detailed Rationale: Patient-centered care starts with
respecting the patient’s values, preferences, and right to
participate in decisions. Asking about goals and concerns
supports autonomy, shared decision-making, and individualized
care.
Incorrect Option Analysis:
, • A: Incorrect because family involvement should be based
on patient preference, not automatic.
Misconception: Family must direct care.
Safety Risk: The patient’s wishes may be ignored.
• C: Incorrect because nursing care should be collaborative,
not passive.
Misconception: The patient is not involved until later.
Safety Risk: Delays shared understanding and informed
choices.
• D: Incorrect because this bypasses the patient’s voice.
Misconception: Speed is more important than patient
autonomy.
Safety Risk: Increased risk of misunderstanding and
conflict.
Nursing Process Linkage: Assessment
NCJMM Competency: Recognize Cues
Difficulty Level: Easy
Bloom’s Level: Understand
NCLEX Client Needs Category: Psychosocial Integrity
Key Learning Objective: Identify actions that promote patient-
centered, respectful nursing care.
2) MCQ
, Clinical Scenario: During shift report, the nurse learns that a
postoperative patient has become increasingly drowsy and is
now harder to arouse than earlier in the shift.
Question Stem: What is the nurse’s priority action?
Answer Options:
A. Document the change in the chart and reassess at the end of
the shift
B. Recognize the cue as a possible sign of deterioration and
assess vital signs immediately
C. Ask the unlicensed assistive personnel (UAP) to encourage
the patient to drink fluids
D. Reassure the family that drowsiness is expected after surgery
Correct Answer: B
Detailed Rationale: A change in level of consciousness can
signal deterioration and requires immediate assessment. The
nurse should obtain vital signs, oxygen saturation, and focused
neurologic data before deciding next steps.
Incorrect Option Analysis:
• A: Incorrect because waiting delays response to a
potentially urgent problem.
Misconception: Documentation replaces assessment.
Safety Risk: Missed early intervention.
• C: Incorrect because fluids are not the first priority when
the patient may be unstable.
Misconception: Routine care comes before assessment.
