Test Bank for Davis Advantage for Understanding Medical-
Su̦̣ rgical Nu̦̣ rsing 7th Edition by Linda S. Williams and Pau̦̣ la D.
Hopper (Chapters 1-57 Complete)
,Chapter 1. Critical Thinking and the Nursing
̦̣ Process MULTIPLE CHOICE
1.The nurse
̦̣ is caring for a group̦̣ of patients on a medical-surgical
̦̣ unit.
̦̣ Which patient should
̦̣
the licensed practical nurse/licensed
̦̣ vocational nu rse
̦̣ (LPN/LVN) assess first?
1.A patient with a blood glucose
̦̣ of 42 mg/dL
2.A patient who reports a pain level of 2
3.A patient who has jusț̣ received a diagnosis of cancer
4.A patient who has a respiratory rate of 22
ANS: 1
Chapter: Chapter 1 Critical Thinking and the Nursing̦̣ Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
̦̣
needs.
Pages: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-Solving Process (Nursing ̦̣ Process)
Client Need: SECE—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty:
̦̣ Difficulț̣
Feedback
1 This patient has a dangerously
̦̣ low blood glucose̦̣ level and requires
̦̣ immediate
intervention.
2 This patient will need to be assessed, buț̣ is not as high a priority.
3 According to Maslow, psychosocial needs are not as high of a priority as
physiological needs.
4 A respiratory rate of 22 is within normal range.
PTS: 1 CON: Patient-Centered Care
2.The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ̦̣ ago
for my pain medication. I’m going to call the CEO of the hospital if you ̦̣ don’t get it for me
now.” Which statement by the nurse ̦̣ demonstrates intellectual ̦̣ empathy?
1.“We are short-staffed today, so it will take me longer to meet your̦̣ needs.” 2.“I
am sorry you ̦̣ had to wait, I know you ̦̣ must
̦̣ be in a lot of pain.”
3.“I had another patient who had severe pain, and I had to get to them first.” 4.“I
will get you ̦̣ the number
̦̣ for the CEO, buț̣ he is aware of how busy ̦̣ we are.”
ANS: 2
Chapter: Chapter 1 Critical Thinking and the Nursing ̦̣ Process
Objective: 2. Describe attitudeș̣ and skills that promote good critical thinking
Page: 2
Heading: Intellectual
̦̣ Empathy
Integrated Process: Communication
̦̣ and Documentation
̦̣
Client Need: Psychosocial Integrity
, Cognitive Level: Application [Applying]
Concept: Communication
̦̣
Difficulty:
̦̣ Moderate
Feedback
1 This statement does not consider an individual’ș̣ situation.
̦̣
2 This statement demonstrates intellectual ̦̣ empathy by considering this patient’s
situation
̦̣ and will likely alleviate the patient’s anger.
3 This statement does not consider a patient’s situation
̦̣ and does not demonstrate
intellectual
̦̣ empathy.
4 This statement addresses the patient’s statement of wanting to call the CEO, buț̣
does not demonstrate intellectual ̦̣ empathy by considering the patient’s
situation.
̦̣
PTS: 1 CON: Communication
̦̣
3.The nurse
̦̣ is collecting data on a patient. Which data are described as subjective?
̦̣
1.Respiratory rate of 26 per minute ̦̣
2.Patient report of shortness of breath
3.Coarse lung̦̣ sounds
̦̣ bilaterally
4.Cough ̦̣ producing
̦̣ green sputu
̦̣ m
̦̣
ANS: 2
Chapter: Chapter 1 Critical Thinking and the Nursing
̦̣ Process
Objective: 5. Differentiate between objective and subjective
̦̣ data.
Page: 4
Heading: Subjective
̦̣ Data
Integrated Process: Communication
̦̣ and Documentation
̦̣
Client Need: Communication
̦̣ and Docu mentation
̦̣
Cognitive Level: Application (Applying)
Concept: Communication
̦̣
Difficulty:
̦̣ Moderate
Feedback
1 Respiratory rate of 26 per minute ̦̣ is an example of objective data.
2 A patient reporting symptoms to the nurse ̦̣ is an example of subjective
̦̣ data.
3 Coarse lung̦̣ sou nds
̦̣ is an example of objective data.
4 A productive
̦̣ cou gh
̦̣ is an example of objective data.
PTS: 1 CON: Communication
̦̣
4.A patient with a newly fractured ̦̣ femur̦̣ reports a pain level of 8/10 and analgesic medication
is not due̦̣ for another 50 minutes.̦̣ Which action should ̦̣ the nurse
̦̣ take first?
1.Reposition the patient.
2.Give the medication in 30 minutes. ̦̣
3.Notify the registered nurse̦̣ (RN) or physician.
4.Tell the patient it is too early for pain medication.
ANS: 3
, Chapter: Chapter 1 Critical Thinking and the Nursing
̦̣ Process
Objective: 4. Identify the role of a licensed practical nurse/licensed
̦̣ vocational nurse
̦̣ in using
̦̣
the nursing
̦̣ process.
Page: 3
Heading: Clinical Judgement
̦̣
Integrated Process: Clinical Problem-solving Process (Nursing̦̣ Process)
Client Need: SECE—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty:
̦̣ Moderate
Feedback
1 The patient who has a fractured̦̣ femur̦̣ is having acute̦̣ pain. Repositioning a
patient with a new fracture
̦̣ is not likely to relieve pain.
2 Giving the medication before the prescribed time is beyond the nurse’s ̦̣ scope
of practice.
3 The patient should
̦̣ not have to wait for pain relief, so the LPN should ̦̣ inform
the RN or physician so new pain relief orders can be obtained.
4 The nurse
̦̣ needs to do more than expect the patient to wait for pain relief.
PTS: 1 CON: Patient-Centered Care
5.The nurse
̦̣ is prioritizing care based on Maslow hierarchy of needs. Which need does the
nurse
̦̣ identify as having the highest priority?
1.Job-related stress
2.Feeling of loneliness
3.Pain level of 9 on 0-to-10 scale
4.Lack of confidence
ANS: 3
Chapter: Chapter 1 Critical Thinking and the Nursing̦̣ Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
̦̣
needs
Page: 7
Heading: Prioritize Care
Integrated Process: Caring
Client Need: SECE – Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty:
̦̣ Moderate
Feedback
1 Job-related stress falls under
̦̣ safety according to Maslow and is addressed after
physiological needs.
2 According to Maslow, loneliness is addressed under ̦̣ social needs following
physiological and safety.
3 Pain is a physiological need and is the highest priority.
4 Lack of confidence falls under
̦̣ esteem according to Maslow and is addressed
following physiological, safety, and social needs.
Su̦̣ rgical Nu̦̣ rsing 7th Edition by Linda S. Williams and Pau̦̣ la D.
Hopper (Chapters 1-57 Complete)
,Chapter 1. Critical Thinking and the Nursing
̦̣ Process MULTIPLE CHOICE
1.The nurse
̦̣ is caring for a group̦̣ of patients on a medical-surgical
̦̣ unit.
̦̣ Which patient should
̦̣
the licensed practical nurse/licensed
̦̣ vocational nu rse
̦̣ (LPN/LVN) assess first?
1.A patient with a blood glucose
̦̣ of 42 mg/dL
2.A patient who reports a pain level of 2
3.A patient who has jusț̣ received a diagnosis of cancer
4.A patient who has a respiratory rate of 22
ANS: 1
Chapter: Chapter 1 Critical Thinking and the Nursing̦̣ Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
̦̣
needs.
Pages: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-Solving Process (Nursing ̦̣ Process)
Client Need: SECE—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty:
̦̣ Difficulț̣
Feedback
1 This patient has a dangerously
̦̣ low blood glucose̦̣ level and requires
̦̣ immediate
intervention.
2 This patient will need to be assessed, buț̣ is not as high a priority.
3 According to Maslow, psychosocial needs are not as high of a priority as
physiological needs.
4 A respiratory rate of 22 is within normal range.
PTS: 1 CON: Patient-Centered Care
2.The LPN/LVN enters the room of a patient who is angry and yells, “I asked 5 minutes ̦̣ ago
for my pain medication. I’m going to call the CEO of the hospital if you ̦̣ don’t get it for me
now.” Which statement by the nurse ̦̣ demonstrates intellectual ̦̣ empathy?
1.“We are short-staffed today, so it will take me longer to meet your̦̣ needs.” 2.“I
am sorry you ̦̣ had to wait, I know you ̦̣ must
̦̣ be in a lot of pain.”
3.“I had another patient who had severe pain, and I had to get to them first.” 4.“I
will get you ̦̣ the number
̦̣ for the CEO, buț̣ he is aware of how busy ̦̣ we are.”
ANS: 2
Chapter: Chapter 1 Critical Thinking and the Nursing ̦̣ Process
Objective: 2. Describe attitudeș̣ and skills that promote good critical thinking
Page: 2
Heading: Intellectual
̦̣ Empathy
Integrated Process: Communication
̦̣ and Documentation
̦̣
Client Need: Psychosocial Integrity
, Cognitive Level: Application [Applying]
Concept: Communication
̦̣
Difficulty:
̦̣ Moderate
Feedback
1 This statement does not consider an individual’ș̣ situation.
̦̣
2 This statement demonstrates intellectual ̦̣ empathy by considering this patient’s
situation
̦̣ and will likely alleviate the patient’s anger.
3 This statement does not consider a patient’s situation
̦̣ and does not demonstrate
intellectual
̦̣ empathy.
4 This statement addresses the patient’s statement of wanting to call the CEO, buț̣
does not demonstrate intellectual ̦̣ empathy by considering the patient’s
situation.
̦̣
PTS: 1 CON: Communication
̦̣
3.The nurse
̦̣ is collecting data on a patient. Which data are described as subjective?
̦̣
1.Respiratory rate of 26 per minute ̦̣
2.Patient report of shortness of breath
3.Coarse lung̦̣ sounds
̦̣ bilaterally
4.Cough ̦̣ producing
̦̣ green sputu
̦̣ m
̦̣
ANS: 2
Chapter: Chapter 1 Critical Thinking and the Nursing
̦̣ Process
Objective: 5. Differentiate between objective and subjective
̦̣ data.
Page: 4
Heading: Subjective
̦̣ Data
Integrated Process: Communication
̦̣ and Documentation
̦̣
Client Need: Communication
̦̣ and Docu mentation
̦̣
Cognitive Level: Application (Applying)
Concept: Communication
̦̣
Difficulty:
̦̣ Moderate
Feedback
1 Respiratory rate of 26 per minute ̦̣ is an example of objective data.
2 A patient reporting symptoms to the nurse ̦̣ is an example of subjective
̦̣ data.
3 Coarse lung̦̣ sou nds
̦̣ is an example of objective data.
4 A productive
̦̣ cou gh
̦̣ is an example of objective data.
PTS: 1 CON: Communication
̦̣
4.A patient with a newly fractured ̦̣ femur̦̣ reports a pain level of 8/10 and analgesic medication
is not due̦̣ for another 50 minutes.̦̣ Which action should ̦̣ the nurse
̦̣ take first?
1.Reposition the patient.
2.Give the medication in 30 minutes. ̦̣
3.Notify the registered nurse̦̣ (RN) or physician.
4.Tell the patient it is too early for pain medication.
ANS: 3
, Chapter: Chapter 1 Critical Thinking and the Nursing
̦̣ Process
Objective: 4. Identify the role of a licensed practical nurse/licensed
̦̣ vocational nurse
̦̣ in using
̦̣
the nursing
̦̣ process.
Page: 3
Heading: Clinical Judgement
̦̣
Integrated Process: Clinical Problem-solving Process (Nursing̦̣ Process)
Client Need: SECE—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty:
̦̣ Moderate
Feedback
1 The patient who has a fractured̦̣ femur̦̣ is having acute̦̣ pain. Repositioning a
patient with a new fracture
̦̣ is not likely to relieve pain.
2 Giving the medication before the prescribed time is beyond the nurse’s ̦̣ scope
of practice.
3 The patient should
̦̣ not have to wait for pain relief, so the LPN should ̦̣ inform
the RN or physician so new pain relief orders can be obtained.
4 The nurse
̦̣ needs to do more than expect the patient to wait for pain relief.
PTS: 1 CON: Patient-Centered Care
5.The nurse
̦̣ is prioritizing care based on Maslow hierarchy of needs. Which need does the
nurse
̦̣ identify as having the highest priority?
1.Job-related stress
2.Feeling of loneliness
3.Pain level of 9 on 0-to-10 scale
4.Lack of confidence
ANS: 3
Chapter: Chapter 1 Critical Thinking and the Nursing̦̣ Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
̦̣
needs
Page: 7
Heading: Prioritize Care
Integrated Process: Caring
Client Need: SECE – Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty:
̦̣ Moderate
Feedback
1 Job-related stress falls under
̦̣ safety according to Maslow and is addressed after
physiological needs.
2 According to Maslow, loneliness is addressed under ̦̣ social needs following
physiological and safety.
3 Pain is a physiological need and is the highest priority.
4 Lack of confidence falls under
̦̣ esteem according to Maslow and is addressed
following physiological, safety, and social needs.
