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 medical-surgical nurse begins a shift caring for four patients. Which
action best demonstrates the competency of clinical judgment?
A. Completing the assessment in the order the patients were admitted
B. Recognizing a new change in mental status and determining its
clinical significance
C. Documenting all care at the end of the shift
D. Delegating all routine tasks to assistive personnel
Correct Answer:
B. Recognizing a new change in mental status and determining its
clinical significance
Rationale:
Clinical judgment involves recognizing relevant cues, interpreting their
meaning, and deciding what action is needed. A new change in mental
status may indicate deterioration and requires interpretation rather
than simply documentation. Option A does not account for changing
patient priorities. Option C delays documentation and may reduce
accuracy. Option D represents task delegation rather than clinical
judgment.
Difficulty: Easy
Question 2
A nurse is using the nursing process for a newly admitted patient. Which
action represents the assessment phase?
, A. Identifying a nursing diagnosis of acute pain
B. Setting a goal for pain reduction
C. Collecting the patient's pain rating and associated symptoms
D. Administering prescribed analgesic medication
Correct Answer:
C. Collecting the patient's pain rating and associated symptoms
Rationale:
Assessment consists of collecting and validating subjective and
objective patient data. Option A occurs during nursing diagnosis, option
B during planning, and option D is an intervention associated with
implementation.
Difficulty: Easy
Question 3
A nurse wants to provide evidence-based nursing care when selecting
an intervention. Which source should the nurse prioritize?
A. A social media post describing a nurse's personal experience
B. A current clinical practice guideline supported by research
C. A coworker's usual routine
D. An intervention that was effective for another patient
Correct Answer:
B. A current clinical practice guideline supported by research
Rationale:
Evidence-based nursing integrates the best available research evidence
with clinical expertise and patient preferences. Current, credible clinical
practice guidelines are appropriate evidence sources. Personal
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse begins a shift caring for four patients. Which
action best demonstrates the competency of clinical judgment?
A. Completing the assessment in the order the patients were admitted
B. Recognizing a new change in mental status and determining its
clinical significance
C. Documenting all care at the end of the shift
D. Delegating all routine tasks to assistive personnel
Correct Answer:
B. Recognizing a new change in mental status and determining its
clinical significance
Rationale:
Clinical judgment involves recognizing relevant cues, interpreting their
meaning, and deciding what action is needed. A new change in mental
status may indicate deterioration and requires interpretation rather
than simply documentation. Option A does not account for changing
patient priorities. Option C delays documentation and may reduce
accuracy. Option D represents task delegation rather than clinical
judgment.
Difficulty: Easy
Question 2
A nurse is using the nursing process for a newly admitted patient. Which
action represents the assessment phase?
, A. Identifying a nursing diagnosis of acute pain
B. Setting a goal for pain reduction
C. Collecting the patient's pain rating and associated symptoms
D. Administering prescribed analgesic medication
Correct Answer:
C. Collecting the patient's pain rating and associated symptoms
Rationale:
Assessment consists of collecting and validating subjective and
objective patient data. Option A occurs during nursing diagnosis, option
B during planning, and option D is an intervention associated with
implementation.
Difficulty: Easy
Question 3
A nurse wants to provide evidence-based nursing care when selecting
an intervention. Which source should the nurse prioritize?
A. A social media post describing a nurse's personal experience
B. A current clinical practice guideline supported by research
C. A coworker's usual routine
D. An intervention that was effective for another patient
Correct Answer:
B. A current clinical practice guideline supported by research
Rationale:
Evidence-based nursing integrates the best available research evidence
with clinical expertise and patient preferences. Current, credible clinical
practice guidelines are appropriate evidence sources. Personal
