Medical-Surgical Nursing 8th Edition Test Bank

Medical-Surgical Nursing
8th Edition
 Author(s)Adrianne Dill Linton;
Mary Ann Matteson


 Print ISBN: 9780323826716



TEST BANK


Medical-Surgical Nursing Exam Revision Question Bank
Unit I: Medical-Surgical Nursing
Chapter 1: Aspects of Medical-Surgical Nursing

,Difficulty: Mixed
Question 1 of 20


Question 1 – MCQ
Clinical Scenario
A newly licensed nurse begins work on a busy medical-surgical
unit. During orientation, the nurse is assigned four patients and
receives a report from the night shift.
Question Stem
Which action best demonstrates the use of clinical judgment
during the beginning of the shift?
Answer Options
A. Following the routine schedule for all assigned patients
B. Reviewing each patient's assessment data and identifying
priority care needs
C. Completing medication administration before performing
assessments
D. Asking another nurse to determine which patients require
immediate attention
Correct Answer

,B. Reviewing each patient's assessment data and identifying
priority care needs
Detailed Rationale
Clinical judgment involves collecting cues, analyzing
information, prioritizing hypotheses, and determining
appropriate actions. Reviewing assessment findings allows the
nurse to identify unstable patients, prioritize care, and prevent
complications. Effective clinical judgment supports patient
safety and evidence-based decision-making.
Incorrect Option Analysis
A. Following the routine schedule for all assigned patients
 Incorrect because patient needs may vary.
 Misconception: All patients require care in the same order.
 Safety Risk: Delayed recognition of patient deterioration.
C. Completing medication administration before performing
assessments
 Incorrect because assessment should guide interventions.
 Misconception: Medication administration always takes
priority.
 Safety Risk: Administering medications without recognizing
contraindications.

, D. Asking another nurse to determine priorities
 Incorrect because prioritization is a professional nursing
responsibility.
 Misconception: New nurses should delegate clinical
judgment.
 Safety Risk: Failure to develop independent judgment
skills.
Nursing Process Linkage
Assessment
NCJMM Competencies
 Recognize Cues
 Analyze Cues
 Prioritize Hypotheses
Difficulty Level
Easy
Bloom's Level
Apply
NCLEX Client Needs Category
Management of Care
Key Learning Objective