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 new graduate nurse is caring for a patient with shortness of
breath, anxiety, and an oxygen saturation of 89%. The nurse
notices the patient is using accessory muscles and asks for help
before giving the prescribed inhaler.
Question Stem:
Which action best demonstrates clinical judgment?
Answer Options:
A. Documenting the oxygen saturation in the chart
B. Asking the patient whether they feel anxious
C. Recognizing a possible deterioration and seeking help
promptly
D. Reassessing the patient after the inhaler is administered
Correct Answer:
C
Detailed Rationale:
Clinical judgment is the nurse’s ability to notice cues, interpret
their meaning, and act to prevent harm. In this scenario, the
nurse recognizes signs of respiratory compromise and escalates
care promptly. That is the most direct demonstration of clinical
judgment.
Incorrect Option Analysis:
• A. Incorrect: Documentation is important, but it does not
show interpretation or decision-making.
Common misconception: Thinking charting equals
, judgment.
Safety risk: Delays escalation if the nurse stops at
documentation.
• B. Incorrect: Assessing anxiety is useful, but the priority is
breathing status.
Common misconception: Focusing on psychosocial cues
before physiologic instability.
Safety risk: Missed respiratory deterioration.
• D. Incorrect: Reassessment is part of evaluation, but only
after immediate action.
Common misconception: Believing evaluation is the first
response.
Safety risk: Delayed intervention in a potentially unstable
patient.
Nursing Process Linkage:
Assessment
NCJMM Competencies:
Recognize Cues; Analyze Cues; Take Action
Difficulty Level:
Moderate
Bloom’s Cognitive Level:
Apply
NCLEX Client Needs Category:
Physiological Adaptation
, Key Learning Objective:
Identify immediate recognition and escalation of abnormal
assessment findings as clinical judgment.
2) SATA
Clinical Scenario:
A medical-surgical unit is updating its practice to support
evidence-based care.
Question Stem:
Which actions are part of the evidence-based nursing process?
Select all that apply.
Answer Options:
A. Ask a clinical question based on a patient problem
B. Search for current research or best guidelines
C. Ignore patient preferences if the evidence is strong
D. Apply findings while considering patient values and context
E. Evaluate whether the intervention improved outcomes
Correct Answer:
A, B, D, E
Detailed Rationale:
Evidence-based nursing care includes asking a focused
question, finding current evidence, applying it with clinical
expertise and patient preferences, and evaluating outcomes.
Patient-centered care means evidence is not used in isolation.
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
1) MCQ
,Clinical Scenario:
A new graduate nurse is caring for a patient with shortness of
breath, anxiety, and an oxygen saturation of 89%. The nurse
notices the patient is using accessory muscles and asks for help
before giving the prescribed inhaler.
Question Stem:
Which action best demonstrates clinical judgment?
Answer Options:
A. Documenting the oxygen saturation in the chart
B. Asking the patient whether they feel anxious
C. Recognizing a possible deterioration and seeking help
promptly
D. Reassessing the patient after the inhaler is administered
Correct Answer:
C
Detailed Rationale:
Clinical judgment is the nurse’s ability to notice cues, interpret
their meaning, and act to prevent harm. In this scenario, the
nurse recognizes signs of respiratory compromise and escalates
care promptly. That is the most direct demonstration of clinical
judgment.
Incorrect Option Analysis:
• A. Incorrect: Documentation is important, but it does not
show interpretation or decision-making.
Common misconception: Thinking charting equals
, judgment.
Safety risk: Delays escalation if the nurse stops at
documentation.
• B. Incorrect: Assessing anxiety is useful, but the priority is
breathing status.
Common misconception: Focusing on psychosocial cues
before physiologic instability.
Safety risk: Missed respiratory deterioration.
• D. Incorrect: Reassessment is part of evaluation, but only
after immediate action.
Common misconception: Believing evaluation is the first
response.
Safety risk: Delayed intervention in a potentially unstable
patient.
Nursing Process Linkage:
Assessment
NCJMM Competencies:
Recognize Cues; Analyze Cues; Take Action
Difficulty Level:
Moderate
Bloom’s Cognitive Level:
Apply
NCLEX Client Needs Category:
Physiological Adaptation
, Key Learning Objective:
Identify immediate recognition and escalation of abnormal
assessment findings as clinical judgment.
2) SATA
Clinical Scenario:
A medical-surgical unit is updating its practice to support
evidence-based care.
Question Stem:
Which actions are part of the evidence-based nursing process?
Select all that apply.
Answer Options:
A. Ask a clinical question based on a patient problem
B. Search for current research or best guidelines
C. Ignore patient preferences if the evidence is strong
D. Apply findings while considering patient values and context
E. Evaluate whether the intervention improved outcomes
Correct Answer:
A, B, D, E
Detailed Rationale:
Evidence-based nursing care includes asking a focused
question, finding current evidence, applying it with clinical
expertise and patient preferences, and evaluating outcomes.
Patient-centered care means evidence is not used in isolation.
