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 newly licensed nurse is caring for an adult client on a medical-surgical
unit. Which action best demonstrates competency in medical-surgical
nursing?
A. Completing tasks in the order they appear on the assignment sheet
B. Using clinical judgment to identify patient priorities and modify care
as needed
C. Following routine interventions without changing the plan of care
D. Delegating most direct-care activities to assistive personnel
Correct Answer:
B. Using clinical judgment to identify patient priorities and modify care
as needed
Rationale:
Medical-surgical nursing competency requires the nurse to integrate
assessment findings, clinical knowledge, nursing processes, and clinical
judgment to provide safe, individualized care. Option A focuses on task
completion rather than patient needs. Option C fails to account for
changes in condition. Option D is inappropriate because delegation
depends on patient stability, task complexity, and scope of practice.
Question 2
The nurse receives report on four medical-surgical clients. Which client
should the nurse assess first?
A. A client with chronic arthritis reporting pain of 6/10 before the next
scheduled analgesic
, B. A client with diabetes whose blood glucose is 154 mg/dL before
lunch
C. A client who is newly confused and has an oxygen saturation of 88%
on room air
D. A client awaiting discharge who needs medication instructions
Correct Answer:
C. A client who is newly confused and has an oxygen saturation of 88%
on room air
Rationale:
New confusion accompanied by hypoxemia may indicate acute clinical
deterioration and requires immediate assessment and intervention. The
other clients have needs that are important but are not as immediately
threatening. Option A involves expected chronic pain management,
option B reflects a relatively acceptable glucose level, and option D can
be addressed after unstable patients are assessed.
Question 3
A nurse uses the nursing process while caring for a hospitalized client.
Which action represents the evaluation phase?
A. Collecting the client's current vital signs
B. Identifying impaired gas exchange as a nursing diagnosis
C. Implementing oxygen therapy as prescribed
D. Determining whether the client's oxygen saturation improved after
the intervention
Correct Answer:
D. Determining whether the client's oxygen saturation improved after
the intervention
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly licensed nurse is caring for an adult client on a medical-surgical
unit. Which action best demonstrates competency in medical-surgical
nursing?
A. Completing tasks in the order they appear on the assignment sheet
B. Using clinical judgment to identify patient priorities and modify care
as needed
C. Following routine interventions without changing the plan of care
D. Delegating most direct-care activities to assistive personnel
Correct Answer:
B. Using clinical judgment to identify patient priorities and modify care
as needed
Rationale:
Medical-surgical nursing competency requires the nurse to integrate
assessment findings, clinical knowledge, nursing processes, and clinical
judgment to provide safe, individualized care. Option A focuses on task
completion rather than patient needs. Option C fails to account for
changes in condition. Option D is inappropriate because delegation
depends on patient stability, task complexity, and scope of practice.
Question 2
The nurse receives report on four medical-surgical clients. Which client
should the nurse assess first?
A. A client with chronic arthritis reporting pain of 6/10 before the next
scheduled analgesic
, B. A client with diabetes whose blood glucose is 154 mg/dL before
lunch
C. A client who is newly confused and has an oxygen saturation of 88%
on room air
D. A client awaiting discharge who needs medication instructions
Correct Answer:
C. A client who is newly confused and has an oxygen saturation of 88%
on room air
Rationale:
New confusion accompanied by hypoxemia may indicate acute clinical
deterioration and requires immediate assessment and intervention. The
other clients have needs that are important but are not as immediately
threatening. Option A involves expected chronic pain management,
option B reflects a relatively acceptable glucose level, and option D can
be addressed after unstable patients are assessed.
Question 3
A nurse uses the nursing process while caring for a hospitalized client.
Which action represents the evaluation phase?
A. Collecting the client's current vital signs
B. Identifying impaired gas exchange as a nursing diagnosis
C. Implementing oxygen therapy as prescribed
D. Determining whether the client's oxygen saturation improved after
the intervention
Correct Answer:
D. Determining whether the client's oxygen saturation improved after
the intervention
