2026 UPDATE
DAVIS ADVANTAGE FOR UNDERSTANDING
MEDICAL-SURGICAL NURSING
7th Edition
Linda S. Williams & Paula D. Hopper, with Jennifer Otrmanowski & Lazette Nowicki
COMPLETE ORIGINAL PRACTICE TEST BANK
1,500 Questions • Correct Answers • Detailed Rationales
NCLEX-PN & NGN • Clinical Judgment • Chapter-by-Chapter Review
,Resource Coverage
Resource Coverage
Questions 1,500
Chapters 57
4-option multiple choice; correct answer and
Format
detailed rationale after each item
LPN/LVN medical-surgical nursing,
Focus assessment, therapeutic measures, clinical
judgment, safety, and patient education
Format Note: Questions are numbered continuously from 1 to 1,500. There is no separate
answer key; each answer and rationale follows its question.
,Chapter 1: Critical Thinking, Clinical Judgment, and the Nursing Process
1. Which assessment process best supports safe management of health literacy?
A. match task complexity with scope and patient stability
B. compare identifiers with the order and wristband
C. assess preferred language and literacy needs
D. record assessment, intervention, and patient response
Answer: C. assess preferred language and literacy needs
Rationale: The most useful evaluation is assess preferred language and literacy needs. These
data help assess health literacy, guide treatment, and detect deterioration or complications such
as medication or self-care error.
2. Which intervention most directly promotes safety when the issue is older adult safety?
A. document after care is provided
B. stop and verify identity before proceeding
C. hold the medication and clarify the order
D. assess for delirium and reversible causes promptly
Answer: D. assess for delirium and reversible causes promptly
Rationale: The priority is to assess for delirium and reversible causes promptly. This action
directly addresses the immediate problem associated with older adult safety and helps reduce
the risk of delayed recognition of acute illness.
3. Which patient-safety outcome should the nurse work to prevent when infection
prevention is involved?
A. communication and legal risk
B. preventable adverse drug event
C. injury from a preventable fall
D. healthcare-associated infection
Answer: D. healthcare-associated infection
Rationale: Healthcare-associated infection is a major complication associated with infection
prevention. Nursing care therefore emphasizes early recognition and the priority action to use
indicated standard and transmission-based precautions.
, 4. Which patient-teaching statement best reflects the principles of Critical Thinking,
Clinical Judgment, and the Nursing Process and documentation?
A. avoid judgmental labels and unapproved abbreviations
B. ask questions before sedating medication is given
C. keep an updated medication and allergy list
D. bring medications or use a written schedule
Answer: A. avoid judgmental labels and unapproved abbreviations
Rationale: This instruction (avoid judgmental labels and unapproved abbreviations) supports
safer self-management of documentation and helps reduce the risk of communication and legal
risk.
5. The nurse audits care related to patient identification. Which finding is most consistent
with safe nursing practice?
A. hand hygiene before and after patient contact
B. patient expresses fear or uncertainty
C. two approved identifiers before medication or procedures
D. acute change from baseline cognition
Answer: C. two approved identifiers before medication or procedures
Rationale: The finding 'two approved identifiers before medication or procedures' is the best
match for patient identification. Recognizing this pattern supports timely clinical judgment and
helps the nurse watch for wrong-patient treatment.
6. Which evaluation method most appropriately addresses medication safety?
A. reconcile medication, dose, route, timing, allergies, and labs
B. assess preferred language and literacy needs
C. assess organism and mode of transmission
D. review oxygenation, infection, medications, hydration, and metabolic status
Answer: A. reconcile medication, dose, route, timing, allergies, and labs
Rationale: The most useful evaluation is reconcile medication, dose, route, timing, allergies,
and labs. These data help assess medication safety, guide treatment, and detect deterioration
or complications such as preventable adverse drug event.
7. Which intervention most directly promotes safety when the issue is falls?
A. initiate individualized fall precautions
B. assess for delirium and reversible causes promptly
DAVIS ADVANTAGE FOR UNDERSTANDING
MEDICAL-SURGICAL NURSING
7th Edition
Linda S. Williams & Paula D. Hopper, with Jennifer Otrmanowski & Lazette Nowicki
COMPLETE ORIGINAL PRACTICE TEST BANK
1,500 Questions • Correct Answers • Detailed Rationales
NCLEX-PN & NGN • Clinical Judgment • Chapter-by-Chapter Review
,Resource Coverage
Resource Coverage
Questions 1,500
Chapters 57
4-option multiple choice; correct answer and
Format
detailed rationale after each item
LPN/LVN medical-surgical nursing,
Focus assessment, therapeutic measures, clinical
judgment, safety, and patient education
Format Note: Questions are numbered continuously from 1 to 1,500. There is no separate
answer key; each answer and rationale follows its question.
,Chapter 1: Critical Thinking, Clinical Judgment, and the Nursing Process
1. Which assessment process best supports safe management of health literacy?
A. match task complexity with scope and patient stability
B. compare identifiers with the order and wristband
C. assess preferred language and literacy needs
D. record assessment, intervention, and patient response
Answer: C. assess preferred language and literacy needs
Rationale: The most useful evaluation is assess preferred language and literacy needs. These
data help assess health literacy, guide treatment, and detect deterioration or complications such
as medication or self-care error.
2. Which intervention most directly promotes safety when the issue is older adult safety?
A. document after care is provided
B. stop and verify identity before proceeding
C. hold the medication and clarify the order
D. assess for delirium and reversible causes promptly
Answer: D. assess for delirium and reversible causes promptly
Rationale: The priority is to assess for delirium and reversible causes promptly. This action
directly addresses the immediate problem associated with older adult safety and helps reduce
the risk of delayed recognition of acute illness.
3. Which patient-safety outcome should the nurse work to prevent when infection
prevention is involved?
A. communication and legal risk
B. preventable adverse drug event
C. injury from a preventable fall
D. healthcare-associated infection
Answer: D. healthcare-associated infection
Rationale: Healthcare-associated infection is a major complication associated with infection
prevention. Nursing care therefore emphasizes early recognition and the priority action to use
indicated standard and transmission-based precautions.
, 4. Which patient-teaching statement best reflects the principles of Critical Thinking,
Clinical Judgment, and the Nursing Process and documentation?
A. avoid judgmental labels and unapproved abbreviations
B. ask questions before sedating medication is given
C. keep an updated medication and allergy list
D. bring medications or use a written schedule
Answer: A. avoid judgmental labels and unapproved abbreviations
Rationale: This instruction (avoid judgmental labels and unapproved abbreviations) supports
safer self-management of documentation and helps reduce the risk of communication and legal
risk.
5. The nurse audits care related to patient identification. Which finding is most consistent
with safe nursing practice?
A. hand hygiene before and after patient contact
B. patient expresses fear or uncertainty
C. two approved identifiers before medication or procedures
D. acute change from baseline cognition
Answer: C. two approved identifiers before medication or procedures
Rationale: The finding 'two approved identifiers before medication or procedures' is the best
match for patient identification. Recognizing this pattern supports timely clinical judgment and
helps the nurse watch for wrong-patient treatment.
6. Which evaluation method most appropriately addresses medication safety?
A. reconcile medication, dose, route, timing, allergies, and labs
B. assess preferred language and literacy needs
C. assess organism and mode of transmission
D. review oxygenation, infection, medications, hydration, and metabolic status
Answer: A. reconcile medication, dose, route, timing, allergies, and labs
Rationale: The most useful evaluation is reconcile medication, dose, route, timing, allergies,
and labs. These data help assess medication safety, guide treatment, and detect deterioration
or complications such as preventable adverse drug event.
7. Which intervention most directly promotes safety when the issue is falls?
A. initiate individualized fall precautions
B. assess for delirium and reversible causes promptly
