3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly licensed nurse is beginning work on a medical-surgical unit.
Which action best demonstrates professional medical-surgical nursing
practice?
A. Completing tasks in the order they are assigned
B. Using assessment findings to identify patient priorities and evaluate
responses to care
C. Asking the nurse manager to make most clinical decisions
D. Focusing primarily on carrying out prescribed treatments
Correct Answer:
B
Rationale:
Medical-surgical nursing requires ongoing assessment, clinical
judgment, prioritization, intervention, and evaluation. A focuses on task
completion rather than patient needs. C reduces appropriate
professional accountability. D emphasizes treatment without the
nursing assessment and evaluation required for safe care.
Question 2
A nurse is caring for four patients. Which patient should the nurse
assess first?
A. A patient requesting assistance with bathing
B. A patient reporting new-onset shortness of breath
C. A patient asking when discharge teaching will begin
D. A patient waiting for a routine medication
, Correct Answer:
B
Rationale:
New-onset shortness of breath may indicate acute deterioration and
requires immediate assessment of airway and breathing. The other
needs are important but are not as immediately life-threatening.
Question 3
The nurse uses clinical judgment when deciding whether a patient’s
change in mental status requires further intervention. Which nursing
process step is most closely associated with this decision?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Correct Answer:
A
Rationale:
Clinical judgment begins with recognizing and interpreting patient cues,
which are obtained through assessment. Planning determines intended
outcomes, implementation carries out interventions, and evaluation
determines the patient's response.
Question 4
A patient tells the nurse, “I do not understand why I need this
treatment.” Which response best demonstrates patient-centered care?