TESTBANK FOR DAVIES ADVANTAGE FOR
n7 n7 n7 n7
n7 UNDERSTANDING MEDICAL SURGICAL NURSING
n7 n7 n7
7THEDITION BY WILLIAMS & HOPPER
n7 n
7 n7 n7 n7 n7
,Chapter 1. Critical Thinking and the Nursing Process
n7 n7 n7 n7 n7 n7 n7
MULTIPLE CHOICE n7
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
unit. Which hospital patientshould the licensed practical nursing attendant/licensed
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
vocational nursing attendant (LPN/LVN) assess first?
n7 n7 n7 n7 n7 n7
1. A patient with a blood glucose of 42 mg/dL
n7 n 7 n7 n7 n7 n7 n7 n7
2. A patient who reports a pain level of 2
n7 n7 n7 n7 n7 n7 n7 n7
3. A patient who has just received a diagnosis of cancer
n7 n7 n7 n7 n7 n7 n7 n7 n7
4. A patient who has a respiratory rate of 22
n7 n7 n7 n7 n7 n7 n7 n7
ACCURATE ANSWER:-1 n7
CHAPTER: 1 Critical Thinking and the Nursing Process n7 n7 n7 n7 n7 n7 n7
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
humanneeds.
n7 n7
Pgs: 6–7 n7
Heading: Prioritize Care n7 n7
Integrated Process: Clinical Problem-Solving Process (Nursing
n7 n7 n7 n7 n7
Process)Hospital patient Need: SECE—Coordinated Care
n7 n7 n7 n7 n7 n7
Cognitive Level: Application n7 n7
[Applying]Concept: Hospital patient-
n7 n7 n7 n7
Centered Care Difficulty: Difficult n7 n7 n7
Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
immediateintervention.
n7 n7
2 This hospital patient will need to be assessed, but is not as high a priority.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3 According to Maslow, psychosocial needs are not as high of a priority
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
asphysiological needs.
n7 n7 n7
4 A respiratory rate of 22 is within normal range.
n7 n7 n7 n7 n7 n7 n7 n7
POINTS: 1 CON: Hospital patient-Centered Care
n7 n7 n7
2. The LPN/LVN enters the room of a hospital patient who is angry and yells, ―I
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
asked 5 minutes agofor my pain medication. I‘m going to call the CEO of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
health center if you don‘t get it for me now.‖ Which statement by the nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
attendant demonstrates intellectual empathy?
n7 n7 n7 n7
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3. ―I had another hospital patient who had severe pain, and I had to get to them first.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ACCURATE ANSWER:-2 n7
CHAPTER: 1 Critical Thinking and the Nursing Process n7 n7 n7 n7 n7 n7 n7
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n
2
n7
Heading: Intellectual Empathy n7 n7
Integrated Process: Communication and n7 n7 n7
DocumentationHospital patient Need: Psychosocial
n7 n7 n7 n7 n7
Integrity
n7
, Cognitive Level: Application n7 n7
[Applying]Concept: Communication
n7 n7 n7
Difficulty: Moderate n7
Reasoning:->>>
1 This statement does not consider an individual‘s situation.
n7 n7 n7 n7 n7 n7 n7
2 This statement demonstrates intellectual empathy by considering this hospital
n7 n7 n7 n7 n7 n7 n7 n7
patient‘ssituation and will likely alleviate the hospital patient‘s anger.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3 This statement does not consider a hospital patient‘s situation and does not
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
demonstrateintellectual empathy.
n7 n7 n7
4 This statement addresses the hospital patient‘s statement of wanting to call
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the CEO, butdoes not demonstrate intellectual empathy by considering the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
hospital patient‘s situation.
n7 n7 n7
POINTS: 1 CON: Communication n7
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
subjective?
n7
1. Respiratory rate of 26 per minute n7 n7 n7 n7 n7
2. Hospital patient report of shortness of breath n7 n7 n7 n7 n7 n7
3. Coarse lung sounds bilaterally n7 n7 n7
4. Cough producing green sputum n7 n7 n7
ACCURATE ANSWER:-2 n7
CHAPTER: 1 Critical Thinking and the Nursing Process OBJ
n7 n7 n7 n7 n7 n7 n7 n7
5. Differentiate between objective and subjective data.Pg: 4
n7 n7 n7 n7 n7 n7 n7 7
n n7
Heading: Subjective Data n7 n7
Integrated Process: Communication and n7 n7 n7
DocumentationHospital patient Need:
n7 n7 n7 n7
Communication and Documentation Cognitive
n7 n7 n7 n7
Level: Application (Applying)
n7 n7 n7
Concept:
CommunicationDifficult
n7 n7
y: Moderate
n7
Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2 A hospital patient reporting symptoms to the nursing attendant is an example
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
of subjectivedata.
n7 n7 n7
3 Coarse lung sounds is an example of objective data.
n7 n7 n7 n7 n7 n7 n7 n7
4 A productive cough is an example of objective data.
n7 n7 n7 n7 n7 n7 n7 n7
POINTS: 1 CON: Communication n7
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
analgesic medicationis not due for another 50 minutes. Which action should the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing attendant take first?
n7 n7 n7 n7
1. Reposition the hospital patient. n7 n7 n7
2. Give the medication in 30 minutes.
n7 n7 n7 n7 n7
3. Notify the registered nursing attendant (RN) or physician.
n7 n7 n7 n7 n7 n7 n7
4. Tell the hospital patient it is too early for pain
n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 medication.ANS: 3 n7 n7
, CHAPTER: 1 Critical Thinking and the Nursing Process
n7 n7 n7 n7 n7 n7 n7
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
vocationalnursing attendant in using the nursing process.
n7 n7 n7 n7 n7 n7 n7 n7
Pg: 3n7
Heading: Clinical Judgement
n7 n7
Integrated Process: Clinical Problem-solving Process (Nursing
n7 n7 n7 n7 n7
Process)Hospital patient Need: SECE—Coordinated Care
n7 n7 n7 n7 n7 n7
Cognitive Level: Application n7 n7
[Applying]Concept: Hospital patient-
n7 n7 n7 n7
Centered Care Difficulty: Moderate
n7 n7 n7
Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Repositioning ahospital patient with a new fracture is not likely to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
relieve pain.
n7 n7
2 Giving the medication before the prescribed time is beyond the nurse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
caregiver‘s scope of practice. n7 n7 n7
3 The hospital patient should not have to wait for pain relief, so the LPN
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
should informthe RN or physician so new pain relief orders can be
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
obtained.
n7
4 The nursing attendant needs to do more than expect the hospital patient to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
wait for painrelief.
n7 n7 n7 n7
POINTS: 1 CON: Hospital patient-Centered Care
n7 n7 n7
5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Whichneed does the nursing attendant identify as having the highest priority?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Job-related stress n7
2. Feeling of loneliness n7 n7
3. Pain level of 9 on 0-to-10 scale
n7 n7 n7 n7 n7 n7
4. Lack of confidence n7 n7
ACCURATE ANSWER:-3 n7
CHAPTER: 1 Critical Thinking and the Nursing Process
n7 n7 n7 n7 n7 n7 n7
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
humanneeds
n7 n7
Pg: 7n7
Heading: Prioritize Care n7 n7
Integrated Process:
n7 n7
Caring
n7
Hospital patient Need: SECE –
n7 n7 n7 n7
Coordinated Care Cognitive Level:
n7 n7 n7 n7
Application [Applying]Concept:
n7 n7 n7
Hospital patient-Centered Care
n7 n7 n7
Difficulty: Moderate
n7 n7
Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
afterphysiological needs.
n7 n7 n7
2 According to Maslow, loneliness is addressed under social needs
n7 n7 n7 n7 n7 n7 n7 n7
followingphysiological and safety.
n7 n7 n7 n7
3 Pain is a physiological need and is the highest priority.
n7 n7 n7 n7 n7 n7 n7 n7 n7
4 Lack of confidence falls under esteem according to Maslow and is
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
addressedfollowing physiological, safety, and social needs.
n7 n7 n7 n7 n7 n7 n7
n7 n7 n7 n7
n7 UNDERSTANDING MEDICAL SURGICAL NURSING
n7 n7 n7
7THEDITION BY WILLIAMS & HOPPER
n7 n
7 n7 n7 n7 n7
,Chapter 1. Critical Thinking and the Nursing Process
n7 n7 n7 n7 n7 n7 n7
MULTIPLE CHOICE n7
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
unit. Which hospital patientshould the licensed practical nursing attendant/licensed
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
vocational nursing attendant (LPN/LVN) assess first?
n7 n7 n7 n7 n7 n7
1. A patient with a blood glucose of 42 mg/dL
n7 n 7 n7 n7 n7 n7 n7 n7
2. A patient who reports a pain level of 2
n7 n7 n7 n7 n7 n7 n7 n7
3. A patient who has just received a diagnosis of cancer
n7 n7 n7 n7 n7 n7 n7 n7 n7
4. A patient who has a respiratory rate of 22
n7 n7 n7 n7 n7 n7 n7 n7
ACCURATE ANSWER:-1 n7
CHAPTER: 1 Critical Thinking and the Nursing Process n7 n7 n7 n7 n7 n7 n7
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
humanneeds.
n7 n7
Pgs: 6–7 n7
Heading: Prioritize Care n7 n7
Integrated Process: Clinical Problem-Solving Process (Nursing
n7 n7 n7 n7 n7
Process)Hospital patient Need: SECE—Coordinated Care
n7 n7 n7 n7 n7 n7
Cognitive Level: Application n7 n7
[Applying]Concept: Hospital patient-
n7 n7 n7 n7
Centered Care Difficulty: Difficult n7 n7 n7
Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
immediateintervention.
n7 n7
2 This hospital patient will need to be assessed, but is not as high a priority.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3 According to Maslow, psychosocial needs are not as high of a priority
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
asphysiological needs.
n7 n7 n7
4 A respiratory rate of 22 is within normal range.
n7 n7 n7 n7 n7 n7 n7 n7
POINTS: 1 CON: Hospital patient-Centered Care
n7 n7 n7
2. The LPN/LVN enters the room of a hospital patient who is angry and yells, ―I
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
asked 5 minutes agofor my pain medication. I‘m going to call the CEO of the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
health center if you don‘t get it for me now.‖ Which statement by the nursing
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
attendant demonstrates intellectual empathy?
n7 n7 n7 n7
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3. ―I had another hospital patient who had severe pain, and I had to get to them first.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
ACCURATE ANSWER:-2 n7
CHAPTER: 1 Critical Thinking and the Nursing Process n7 n7 n7 n7 n7 n7 n7
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg:
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 7
n
2
n7
Heading: Intellectual Empathy n7 n7
Integrated Process: Communication and n7 n7 n7
DocumentationHospital patient Need: Psychosocial
n7 n7 n7 n7 n7
Integrity
n7
, Cognitive Level: Application n7 n7
[Applying]Concept: Communication
n7 n7 n7
Difficulty: Moderate n7
Reasoning:->>>
1 This statement does not consider an individual‘s situation.
n7 n7 n7 n7 n7 n7 n7
2 This statement demonstrates intellectual empathy by considering this hospital
n7 n7 n7 n7 n7 n7 n7 n7
patient‘ssituation and will likely alleviate the hospital patient‘s anger.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
3 This statement does not consider a hospital patient‘s situation and does not
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
demonstrateintellectual empathy.
n7 n7 n7
4 This statement addresses the hospital patient‘s statement of wanting to call
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
the CEO, butdoes not demonstrate intellectual empathy by considering the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
hospital patient‘s situation.
n7 n7 n7
POINTS: 1 CON: Communication n7
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
subjective?
n7
1. Respiratory rate of 26 per minute n7 n7 n7 n7 n7
2. Hospital patient report of shortness of breath n7 n7 n7 n7 n7 n7
3. Coarse lung sounds bilaterally n7 n7 n7
4. Cough producing green sputum n7 n7 n7
ACCURATE ANSWER:-2 n7
CHAPTER: 1 Critical Thinking and the Nursing Process OBJ
n7 n7 n7 n7 n7 n7 n7 n7
5. Differentiate between objective and subjective data.Pg: 4
n7 n7 n7 n7 n7 n7 n7 7
n n7
Heading: Subjective Data n7 n7
Integrated Process: Communication and n7 n7 n7
DocumentationHospital patient Need:
n7 n7 n7 n7
Communication and Documentation Cognitive
n7 n7 n7 n7
Level: Application (Applying)
n7 n7 n7
Concept:
CommunicationDifficult
n7 n7
y: Moderate
n7
Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
2 A hospital patient reporting symptoms to the nursing attendant is an example
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
of subjectivedata.
n7 n7 n7
3 Coarse lung sounds is an example of objective data.
n7 n7 n7 n7 n7 n7 n7 n7
4 A productive cough is an example of objective data.
n7 n7 n7 n7 n7 n7 n7 n7
POINTS: 1 CON: Communication n7
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
analgesic medicationis not due for another 50 minutes. Which action should the
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
nursing attendant take first?
n7 n7 n7 n7
1. Reposition the hospital patient. n7 n7 n7
2. Give the medication in 30 minutes.
n7 n7 n7 n7 n7
3. Notify the registered nursing attendant (RN) or physician.
n7 n7 n7 n7 n7 n7 n7
4. Tell the hospital patient it is too early for pain
n7 n7 n7 n7 n7 n7 n7 n7 n7
n7 medication.ANS: 3 n7 n7
, CHAPTER: 1 Critical Thinking and the Nursing Process
n7 n7 n7 n7 n7 n7 n7
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
vocationalnursing attendant in using the nursing process.
n7 n7 n7 n7 n7 n7 n7 n7
Pg: 3n7
Heading: Clinical Judgement
n7 n7
Integrated Process: Clinical Problem-solving Process (Nursing
n7 n7 n7 n7 n7
Process)Hospital patient Need: SECE—Coordinated Care
n7 n7 n7 n7 n7 n7
Cognitive Level: Application n7 n7
[Applying]Concept: Hospital patient-
n7 n7 n7 n7
Centered Care Difficulty: Moderate
n7 n7 n7
Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Repositioning ahospital patient with a new fracture is not likely to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
relieve pain.
n7 n7
2 Giving the medication before the prescribed time is beyond the nurse
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
caregiver‘s scope of practice. n7 n7 n7
3 The hospital patient should not have to wait for pain relief, so the LPN
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
should informthe RN or physician so new pain relief orders can be
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
obtained.
n7
4 The nursing attendant needs to do more than expect the hospital patient to
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
wait for painrelief.
n7 n7 n7 n7
POINTS: 1 CON: Hospital patient-Centered Care
n7 n7 n7
5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
Whichneed does the nursing attendant identify as having the highest priority?
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
1. Job-related stress n7
2. Feeling of loneliness n7 n7
3. Pain level of 9 on 0-to-10 scale
n7 n7 n7 n7 n7 n7
4. Lack of confidence n7 n7
ACCURATE ANSWER:-3 n7
CHAPTER: 1 Critical Thinking and the Nursing Process
n7 n7 n7 n7 n7 n7 n7
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
humanneeds
n7 n7
Pg: 7n7
Heading: Prioritize Care n7 n7
Integrated Process:
n7 n7
Caring
n7
Hospital patient Need: SECE –
n7 n7 n7 n7
Coordinated Care Cognitive Level:
n7 n7 n7 n7
Application [Applying]Concept:
n7 n7 n7
Hospital patient-Centered Care
n7 n7 n7
Difficulty: Moderate
n7 n7
Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
afterphysiological needs.
n7 n7 n7
2 According to Maslow, loneliness is addressed under social needs
n7 n7 n7 n7 n7 n7 n7 n7
followingphysiological and safety.
n7 n7 n7 n7
3 Pain is a physiological need and is the highest priority.
n7 n7 n7 n7 n7 n7 n7 n7 n7
4 Lack of confidence falls under esteem according to Maslow and is
n7 n7 n7 n7 n7 n7 n7 n7 n7 n7
addressedfollowing physiological, safety, and social needs.
n7 n7 n7 n7 n7 n7 n7
