LEMONE AND BURKE'S MEDICAL-
SURGICAL NURSING
CLINICAL REASONING IN PATIENT CARE
7TH EDITION
AUTHOR(S)GERENE BAULDOFF RN,
PHD, FAAN; PAULA GUBRUD;
MARGARET CARNO
TEST BANK
Thank you. Based on the chapter outline you've provided, here
are Questions 1–20 of an original NCLEX-RN®/Next Generation
NCLEX (NGN) exam revision question bank covering Chapter 1:
Medical-Surgical Nursing in the 21st Century.
Chapter 1: Medical-Surgical Nursing in the 21st Century
NCLEX-RN®/NGN Exam Revision Questions (1–20)
,Question 1
A nurse is discussing the core competencies required for safe,
high-quality nursing care. Which competency focuses on using
current research findings to guide patient care?
A. Patient-centered care
B. Quality improvement
C. Evidence-based practice
D. Teamwork and collaboration
Correct Answer: C. Evidence-based practice
Rationale:
Evidence-based practice (EBP) integrates the best available
research evidence, clinical expertise, and patient preferences to
improve patient outcomes.
A. Focuses on respecting patient preferences.
B. Improves healthcare systems.
C. Correct.
D. Emphasizes interdisciplinary communication.
Question 2
The nurse receives a postoperative patient from the recovery
room. Which assessment should be performed first?
,A. Review laboratory values
B. Assess airway, breathing, and circulation
C. Review discharge instructions
D. Document medications
Correct Answer: B. Assess airway, breathing, and circulation
Rationale:
Using the ABC priority framework, airway, breathing, and
circulation are assessed immediately after surgery.
Question 3
A nurse identifies that a patient has ineffective airway
clearance related to retained secretions. This statement
represents which step of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: B. Diagnosis
Rationale:
A nursing diagnosis identifies actual or potential health
problems that nurses are licensed to manage.
, Question 4
The nurse develops measurable patient goals after identifying
nursing diagnoses. Which phase of the nursing process is the
nurse performing?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: C. Planning
Rationale:
Planning includes setting priorities, establishing goals, selecting
interventions, and developing the plan of care.
Question 5
Which nursing action best demonstrates clinical reasoning?
A. Following physician orders exactly as written without
question
B. Applying standardized interventions regardless of patient
condition
C. Integrating assessment findings with evidence to make
patient-centered decisions
D. Completing documentation before assessing the patient
SURGICAL NURSING
CLINICAL REASONING IN PATIENT CARE
7TH EDITION
AUTHOR(S)GERENE BAULDOFF RN,
PHD, FAAN; PAULA GUBRUD;
MARGARET CARNO
TEST BANK
Thank you. Based on the chapter outline you've provided, here
are Questions 1–20 of an original NCLEX-RN®/Next Generation
NCLEX (NGN) exam revision question bank covering Chapter 1:
Medical-Surgical Nursing in the 21st Century.
Chapter 1: Medical-Surgical Nursing in the 21st Century
NCLEX-RN®/NGN Exam Revision Questions (1–20)
,Question 1
A nurse is discussing the core competencies required for safe,
high-quality nursing care. Which competency focuses on using
current research findings to guide patient care?
A. Patient-centered care
B. Quality improvement
C. Evidence-based practice
D. Teamwork and collaboration
Correct Answer: C. Evidence-based practice
Rationale:
Evidence-based practice (EBP) integrates the best available
research evidence, clinical expertise, and patient preferences to
improve patient outcomes.
A. Focuses on respecting patient preferences.
B. Improves healthcare systems.
C. Correct.
D. Emphasizes interdisciplinary communication.
Question 2
The nurse receives a postoperative patient from the recovery
room. Which assessment should be performed first?
,A. Review laboratory values
B. Assess airway, breathing, and circulation
C. Review discharge instructions
D. Document medications
Correct Answer: B. Assess airway, breathing, and circulation
Rationale:
Using the ABC priority framework, airway, breathing, and
circulation are assessed immediately after surgery.
Question 3
A nurse identifies that a patient has ineffective airway
clearance related to retained secretions. This statement
represents which step of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: B. Diagnosis
Rationale:
A nursing diagnosis identifies actual or potential health
problems that nurses are licensed to manage.
, Question 4
The nurse develops measurable patient goals after identifying
nursing diagnoses. Which phase of the nursing process is the
nurse performing?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: C. Planning
Rationale:
Planning includes setting priorities, establishing goals, selecting
interventions, and developing the plan of care.
Question 5
Which nursing action best demonstrates clinical reasoning?
A. Following physician orders exactly as written without
question
B. Applying standardized interventions regardless of patient
condition
C. Integrating assessment findings with evidence to make
patient-centered decisions
D. Completing documentation before assessing the patient
