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
Question 1 (MCQ)
Clinical Scenario
,A nurse is caring for a hospitalized patient with worsening
shortness of breath. During morning rounds, the patient
reports increased fatigue and difficulty completing sentences
while speaking.
Question Stem
Which nursing action best demonstrates the competency of
recognizing cues within the clinical reasoning process?
Answer Options
A. Administer prescribed oxygen therapy immediately
B. Identify the patient's increasing fatigue and inability to
complete sentences as significant assessment findings
C. Document the patient's symptoms after rounds are
completed
D. Consult respiratory therapy regarding treatment options
Correct Answer
B
Detailed Rationale
Recognizing cues is the first step in clinical judgment. The nurse
identifies abnormal assessment findings—fatigue and inability
to complete sentences—as important clinical data suggesting
respiratory compromise. Recognition of cues precedes analysis
and intervention.
Incorrect Option Analysis
,A: Intervention occurs after assessment and analysis.
Misconception: Acting before interpreting data.
Safety Risk: May delay identification of the underlying cause.
C: Documentation is important but does not represent cue
recognition itself.
D: Collaboration occurs after significant findings have been
recognized and analyzed.
Nursing Process Linkage
Assessment
NCJMM Competencies
Recognize Cues
Clinical Reasoning Focus
Cue Recognition
Difficulty
Easy
Bloom's Level
Apply
NCLEX Category
Physiological Adaptation
Key Learning Objective
Identify the first step in clinical reasoning by recognizing
clinically significant patient cues.
, Question 2 (MCQ)
Clinical Scenario
A nurse reviews current evidence regarding prevention of
catheter-associated urinary tract infections before revising unit
practice recommendations.
Question Stem
Which statement best describes evidence-based practice (EBP)?
Options
A. Using personal experience alone to guide care
B. Following physician preferences regardless of evidence
C. Integrating best research evidence, clinical expertise, and
patient preferences
D. Implementing new interventions without evaluating
outcomes
Correct Answer
C
Detailed Rationale
EBP integrates current best evidence, clinical expertise, and
patient values to support optimal patient outcomes.
Incorrect Option Analysis
A: Personal experience alone is insufficient.
SURGICAL NURSING
CLINICAL REASONING IN PATIENT CARE
7TH EDITION
AUTHOR(S)GERENE BAULDOFF RN,
PHD, FAAN; PAULA GUBRUD;
MARGARET CARNO
TEST BANK
Question 1 (MCQ)
Clinical Scenario
,A nurse is caring for a hospitalized patient with worsening
shortness of breath. During morning rounds, the patient
reports increased fatigue and difficulty completing sentences
while speaking.
Question Stem
Which nursing action best demonstrates the competency of
recognizing cues within the clinical reasoning process?
Answer Options
A. Administer prescribed oxygen therapy immediately
B. Identify the patient's increasing fatigue and inability to
complete sentences as significant assessment findings
C. Document the patient's symptoms after rounds are
completed
D. Consult respiratory therapy regarding treatment options
Correct Answer
B
Detailed Rationale
Recognizing cues is the first step in clinical judgment. The nurse
identifies abnormal assessment findings—fatigue and inability
to complete sentences—as important clinical data suggesting
respiratory compromise. Recognition of cues precedes analysis
and intervention.
Incorrect Option Analysis
,A: Intervention occurs after assessment and analysis.
Misconception: Acting before interpreting data.
Safety Risk: May delay identification of the underlying cause.
C: Documentation is important but does not represent cue
recognition itself.
D: Collaboration occurs after significant findings have been
recognized and analyzed.
Nursing Process Linkage
Assessment
NCJMM Competencies
Recognize Cues
Clinical Reasoning Focus
Cue Recognition
Difficulty
Easy
Bloom's Level
Apply
NCLEX Category
Physiological Adaptation
Key Learning Objective
Identify the first step in clinical reasoning by recognizing
clinically significant patient cues.
, Question 2 (MCQ)
Clinical Scenario
A nurse reviews current evidence regarding prevention of
catheter-associated urinary tract infections before revising unit
practice recommendations.
Question Stem
Which statement best describes evidence-based practice (EBP)?
Options
A. Using personal experience alone to guide care
B. Following physician preferences regardless of evidence
C. Integrating best research evidence, clinical expertise, and
patient preferences
D. Implementing new interventions without evaluating
outcomes
Correct Answer
C
Detailed Rationale
EBP integrates current best evidence, clinical expertise, and
patient values to support optimal patient outcomes.
Incorrect Option Analysis
A: Personal experience alone is insufficient.
