3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A nurse begins caring for a patient admitted to a medical-surgical unit.
Which action best demonstrates a core competency of medical-surgical
nursing?
A. Completing tasks in the order they appear on the assignment sheet
B. Integrating assessment findings with clinical judgment to
individualize care
C. Following the same plan of care for every patient with the same
diagnosis
D. Waiting for the health care provider to identify all patient care
priorities
Correct Answer:
B. Integrating assessment findings with clinical judgment to
individualize care
Rationale:
Medical-surgical nursing requires the nurse to combine assessment
data, clinical reasoning, evidence, and patient preferences to
individualize care. A focuses on task completion rather than clinical
prioritization. C ignores individual differences among patients. D
incorrectly limits nursing responsibility for assessment and clinical
judgment.
Question 2
, A nurse uses the nursing process when caring for a patient with newly
worsening shortness of breath. Which action represents the assessment
phase?
A. Administering oxygen as prescribed
B. Determining that impaired gas exchange is the priority nursing
problem
C. Measuring the patient's respiratory rate and oxygen saturation
D. Evaluating whether the patient's breathing improves after
intervention
Correct Answer:
C. Measuring the patient's respiratory rate and oxygen saturation
Rationale:
Assessment involves collecting subjective and objective data before
making clinical decisions. A is implementation. B reflects clinical
judgment based on collected data. D is evaluation.
Question 3
Which nursing action best reflects evidence-based nursing care?
A. Using an intervention because an experienced nurse prefers it
B. Selecting care solely because it has been used on the unit for many
years
C. Combining current evidence with clinical expertise and patient
preferences
D. Applying the same intervention to every patient with a similar
diagnosis