Understanding Medical-Surgical Nursing 7th Edition – Williams & Hopper – Davis Advantage Test Bank with NCLEX-Style Questions

Test Bank for Davis Advantage for Understanding Medical-
Surgical Nursing 7th Edition by Williams and Hopper

,Chapter 1. Critical Thinking and the Nursing Process

MULTIPLE CHOICE

1. The nursing practitioner is caring for a group of hospital patients on a
medical-surgical unit. Which hospital patient should the licensed practical
nurse/licensed vocational nurse (LPN/LVN) assess first?
1. A hospital patient with a blood glucose of 42 mg/dL
2. A hospital patient who reports a pain level of 2
3. A hospital patient who has just received a diagnosis of cancer
4. A hospital patient who has a respiratory rate of 22
RIGHT ANSWER> 1
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 7. Prioritize hospital 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)
Hospital patient Need: SECE—Coordinated Care
CL: Application [Applying] Concept:
Hospital patient-Centered Care
Difficulty: Difficult

CLARIFICATION
1 This hospital patient has a dangerously low blood glucose level and requires
immediate
intervention.
2 This hospital patient will need to be assessed, but 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: Hospital patient-Centered Care

2. The LPN/LVN enters the room of a hospital 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 nursing
practitioner demonstrates intellectual empathy?
1. “We are short-staffed today, so it will take me longer to meet your needs.”
2. “I am sorry you had to wait, I know you must be in a lot of pain.”
3. “I had another hospital patient who had severe pain, and I had to get to them first.”
4. “I will get you the number for the CEO, but he is aware of how busy we are.”
RIGHT ANSWER> 2
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 2. Describe attitudes and skills that promote good
critical thinking Source: pp. 2
Heading: Intellectual Empathy

, Integrated Process: Communication and
Documentation Hospital patient Need:
Psychosocial Integrity
CL: Application
[Applying] Concept:
Communication
Difficulty: Moderate

CLARIFICATION
1 This statement does not consider an individual’s situation.
2 This statement demonstrates intellectual empathy by considering this hospital
patient’s situation and will likely alleviate the hospital patient’s anger.
3 This statement does not consider a hospital patient’s situation and does not
demonstrate
intellectual empathy.
4 This statement addresses the hospital patient’s statement of wanting to call the
CEO, but does not demonstrate intellectual empathy by considering the
hospital patient’s situation.

PTS: 1 CON: Communication

3. The nursing practitioner is collecting data on a hospital patient. Which data
are described as subjective?
1. Respiratory rate of 26 per minute
2. Hospital patient report of shortness of breath
3. Coarse lung sounds bilaterally
4. Cough producing green sputum
RIGHT ANSWER> 2
Chapter: Chapter 1 Critical Thinking and the
Nursing Process Objective: 5. Differentiate
between objective and subjective data. Source: pp.
4
Heading: Subjective Data
Integrated Process: Communication and
Documentation Hospital patient Need:
Communication and
Documentation CL: Application (Applying)
Concept: Communication
Difficulty: Moderate

CLARIFICATION
1 Respiratory rate of 26 per minute is an example of objective data.
2 A hospital patient reporting symptoms to the nursing practitioner is an example
of subjective data.
3 Coarse lung sounds is an example of objective data.
4 A productive cough is an example of objective data.

PTS: 1 CON: Communication

, 4. A hospital patient with a newly fractured femur reports a pain level of 8/10
and analgesic medication is not due for another 50 minutes. Which action should
the nursing practitioner take first?
1. Reposition the hospital patient.
2. Give the medication in 30 minutes.
3. Notify the registered nursing practitioner (RN) or physician.
4. Tell the hospital patient it is too early for pain
medication. RIGHT ANSWER> 3


Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 4. Identify the role of a licensed practical nurse/licensed
vocational nursing practitioner in using the nursing process.
Source: pp. 3
Heading: Clinical Judgement
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Hospital patient Need: SECE—Coordinated Care
CL: Application [Applying] Concept:
Hospital patient-Centered Care
Difficulty: Moderate

CLARIFICATION
1 The hospital patient who has a fractured femur is having acute pain.
Repositioning a
hospital 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 hospital 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 nursing practitioner needs to do more than expect the hospital patient to
wait for pain relief.

PTS: 1 CON: Hospital patient-Centered Care

5. The nurse practitioner is prioritizing patient care according to
Maslow's hierarchy of needs. Which need does the nurse
practitioner recognize as the most important?
1. Job-related stress
2. Feeling of loneliness
3. Pain level of 9 on 0 -to-10 scale
4. Lack of confidence
RIGHT ANSWER> 3
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 7. Prioritize hospital patient care activities based on the
Maslow hierarchy of human nee ds
Source: pp. 7
Heading: Prioritize Care
Integrated Process: Caring