Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
-
TEST BANK
Question 1 – MCQ
,Clinical Scenario
A nurse is caring for a 72-year-old patient admitted with
pneumonia. During morning assessment, the nurse notes
increased respiratory rate, new confusion, and oxygen
saturation decreasing from 95% to 88% on room air.
Question Stem
Which action best demonstrates clinical judgment by the
nurse?
Answer Options
A. Document the findings and reassess in 4 hours
B. Notify the provider after completing assessments on other
assigned patients
C. Recognize the change in condition, apply oxygen, and notify
the provider immediately
D. Ask the nursing assistant to continue monitoring the patient
Correct Answer
C. Recognize the change in condition, apply oxygen, and notify
the provider immediately
Detailed Rationale
Clinical judgment involves recognizing cues, analyzing their
significance, prioritizing patient needs, and taking timely action.
New confusion, tachypnea, and hypoxemia indicate possible
,deterioration. Immediate intervention is required to prevent
respiratory failure.
Incorrect Option Analysis
A. Document and reassess in 4 hours
• Incorrect because deterioration requires immediate
action.
• Misconception: Documentation alone addresses patient
problems.
• Safety Risk: Delayed treatment may worsen hypoxia.
B. Notify provider later
• Incorrect because the findings indicate urgency.
• Misconception: All assessments must be completed before
reporting.
• Safety Risk: Delay may lead to clinical decline.
D. Delegate monitoring
• Incorrect because assessment and intervention are RN
responsibilities.
• Misconception: Monitoring can replace clinical
intervention.
• Safety Risk: Missed opportunity for timely treatment.
Nursing Process Linkage
Assessment
, NCJMM Competencies
• Recognize Cues
• Analyze Cues
• Take Action
Difficulty
Moderate
Bloom's Level
Analyze
NCLEX Client Needs
Physiological Adaptation
Key Learning Objective
Apply clinical judgment principles to identify and respond to
patient deterioration.
Question 2 – SATA
Clinical Scenario
A nurse is discussing competencies necessary for safe medical-
surgical nursing practice with newly hired graduate nurses.
Question Stem
Which competencies are essential components of professional
medical-surgical nursing practice? Select all that apply.
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
-
TEST BANK
Question 1 – MCQ
,Clinical Scenario
A nurse is caring for a 72-year-old patient admitted with
pneumonia. During morning assessment, the nurse notes
increased respiratory rate, new confusion, and oxygen
saturation decreasing from 95% to 88% on room air.
Question Stem
Which action best demonstrates clinical judgment by the
nurse?
Answer Options
A. Document the findings and reassess in 4 hours
B. Notify the provider after completing assessments on other
assigned patients
C. Recognize the change in condition, apply oxygen, and notify
the provider immediately
D. Ask the nursing assistant to continue monitoring the patient
Correct Answer
C. Recognize the change in condition, apply oxygen, and notify
the provider immediately
Detailed Rationale
Clinical judgment involves recognizing cues, analyzing their
significance, prioritizing patient needs, and taking timely action.
New confusion, tachypnea, and hypoxemia indicate possible
,deterioration. Immediate intervention is required to prevent
respiratory failure.
Incorrect Option Analysis
A. Document and reassess in 4 hours
• Incorrect because deterioration requires immediate
action.
• Misconception: Documentation alone addresses patient
problems.
• Safety Risk: Delayed treatment may worsen hypoxia.
B. Notify provider later
• Incorrect because the findings indicate urgency.
• Misconception: All assessments must be completed before
reporting.
• Safety Risk: Delay may lead to clinical decline.
D. Delegate monitoring
• Incorrect because assessment and intervention are RN
responsibilities.
• Misconception: Monitoring can replace clinical
intervention.
• Safety Risk: Missed opportunity for timely treatment.
Nursing Process Linkage
Assessment
, NCJMM Competencies
• Recognize Cues
• Analyze Cues
• Take Action
Difficulty
Moderate
Bloom's Level
Analyze
NCLEX Client Needs
Physiological Adaptation
Key Learning Objective
Apply clinical judgment principles to identify and respond to
patient deterioration.
Question 2 – SATA
Clinical Scenario
A nurse is discussing competencies necessary for safe medical-
surgical nursing practice with newly hired graduate nurses.
Question Stem
Which competencies are essential components of professional
medical-surgical nursing practice? Select all that apply.
