Davis Advantage for Medical-Surgical Nursing,
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A nurse is beginning care for a newly admitted adult medical-surgical
patient. Which action best demonstrates patient-centered care?
A. Completing all assessments before allowing the patient to ask
questions
B. Using the patient’s stated goals and preferences when developing the
plan of care
C. Following the unit’s routine schedule regardless of the patient’s
preferences
D. Asking the family to make decisions because they know the patient
best
Correct Answer:
B. Using the patient’s stated goals and preferences when developing the
plan of care
Rationale:
Patient-centered care incorporates the patient’s values, preferences,
needs, and goals into clinical decisions. Option A delays patient
participation, option C prioritizes routine over individual needs, and
option D removes decision-making from the patient unless the patient
lacks decision-making capacity.
Question 2
Which action by a medical-surgical nurse best reflects professional
competence?
, A. Performing familiar procedures without reviewing current standards
B. Asking another nurse to complete unfamiliar care without attempting
to learn it
C. Recognizing personal limitations and obtaining appropriate assistance
D. Delegating all complex tasks to more experienced nurses
Correct Answer:
C. Recognizing personal limitations and obtaining appropriate assistance
Rationale:
Professional competence includes self-awareness, recognition of limits,
accountability, and seeking help when needed. Option A may result in
outdated or unsafe care. Option B avoids responsibility for professional
growth, and option D does not reflect appropriate delegation based on
patient needs and staff competence.
Question 3
A postoperative patient reports increasing pain and appears restless.
The nurse notes a respiratory rate of 28/min and oxygen saturation of
89% on room air. Which action should the nurse take first?
A. Document the findings and reassess in 30 minutes
B. Administer the prescribed analgesic
C. Assess the patient’s airway and breathing immediately
D. Ask the nursing assistant to repeat the oxygen saturation
Correct Answer:
C. Assess the patient’s airway and breathing immediately
Rationale:
The patient has signs of possible respiratory compromise. The nurse
should immediately assess airway and breathing and initiate
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A nurse is beginning care for a newly admitted adult medical-surgical
patient. Which action best demonstrates patient-centered care?
A. Completing all assessments before allowing the patient to ask
questions
B. Using the patient’s stated goals and preferences when developing the
plan of care
C. Following the unit’s routine schedule regardless of the patient’s
preferences
D. Asking the family to make decisions because they know the patient
best
Correct Answer:
B. Using the patient’s stated goals and preferences when developing the
plan of care
Rationale:
Patient-centered care incorporates the patient’s values, preferences,
needs, and goals into clinical decisions. Option A delays patient
participation, option C prioritizes routine over individual needs, and
option D removes decision-making from the patient unless the patient
lacks decision-making capacity.
Question 2
Which action by a medical-surgical nurse best reflects professional
competence?
, A. Performing familiar procedures without reviewing current standards
B. Asking another nurse to complete unfamiliar care without attempting
to learn it
C. Recognizing personal limitations and obtaining appropriate assistance
D. Delegating all complex tasks to more experienced nurses
Correct Answer:
C. Recognizing personal limitations and obtaining appropriate assistance
Rationale:
Professional competence includes self-awareness, recognition of limits,
accountability, and seeking help when needed. Option A may result in
outdated or unsafe care. Option B avoids responsibility for professional
growth, and option D does not reflect appropriate delegation based on
patient needs and staff competence.
Question 3
A postoperative patient reports increasing pain and appears restless.
The nurse notes a respiratory rate of 28/min and oxygen saturation of
89% on room air. Which action should the nurse take first?
A. Document the findings and reassess in 30 minutes
B. Administer the prescribed analgesic
C. Assess the patient’s airway and breathing immediately
D. Ask the nursing assistant to repeat the oxygen saturation
Correct Answer:
C. Assess the patient’s airway and breathing immediately
Rationale:
The patient has signs of possible respiratory compromise. The nurse
should immediately assess airway and breathing and initiate
