Test Bank For Davis Advantage
for Understanding medical-
Surgical Nursing 7th Edition
Latest Complete Update With
All Chapters 1-57, Graded A+
, Test Bank for Davis Advantage for Understanding
Medical-Surgical Nursing, 7th Edition
By Paula D. Hopper & Linda S. Williams
Complete Chapters 1-57 | Original Questions with Answers and
Rationales | Latest Update
Unit 1: Understanding Health Care Issues
Chapter 1: Critical Thinking and the Nursing Process
65 Questions with Answers and Rationales
1. The licensed practical nurse/licensed vocational nurse (LPN/LVN) is caring for a
group of patients on a medical-surgical unit. The LPN/LVN assesses the patient
experiencing a low blood glucose level first. Which process was needed to make
this decision?
A) Recommendation of the registered nurse (RN)
B) Understanding of what regulates blood glucose levels
C) Application of clinical judgment
D) Knowing the patient's past medical history
Answer: C
, Rationale: Clinical judgment is the observed outcome of critical thinking and decision-
making. The nurse identified the patient at high risk and decided to assess this person
first based on the clinical cues present. The LPN/LVN needs to make clinical decisions
independently from the RN. Understanding the pathophysiology of the disease does not
determine how decisions are made, and past medical history is important, but the
current clinical cues will determine prioritized nursing actions.
2. The nurse is caring for a patient who is NPO (nothing by mouth) for a scheduled
procedure. The patient asks for a drink of water. What is the nurse's best
response?
A) Give the patient a small sip of water
B) Explain the reason for NPO status and offer oral care
C) Tell the patient to wait until the procedure is over
D) Call the physician for permission
Answer: B
Rationale: The nurse should explain the reason for NPO status (e.g., risk of aspiration
during sedation/anesthesia) and offer oral care (mouth swabs, ice chips if permitted) to
alleviate thirst. Giving water could endanger the patient. Telling the patient to wait
without explanation does not address the patient's concern. Calling the physician is not
necessary for a standard NPO order unless there is a specific question.
3. After receiving morning report, which patient should the LPN/LVN assess first?
A) A patient who needs discharge teaching
B) A patient who needs assistance to ambulate
C) A patient who states, "No one cares about me"
D) A patient who has a temperature of 106°F (41.1°C)
Answer: D
Rationale: A temperature of 106°F (41.1°C) is a critical value indicating hyperthermia or
severe infection, requiring immediate assessment and intervention. Discharge teaching
and ambulation assistance are important but not urgent. A patient expressing emotional
, distress requires attention but is not the highest priority compared to a life-threatening
temperature elevation.
4. During a class discussion, two nursing students demonstrated intellectual
courage. What action did the nursing students perform?
A) Considered being in the other person's situation
B) Expected proof that the use of restraints is safe
C) Conducted additional research on the use of restraints in patient care
D) Listened to each other's point of view regarding the use of patient restraints
Answer: D
Rationale: Intellectual courage involves listening to and considering different
viewpoints, especially when they challenge one's own beliefs. Considering another's
situation reflects empathy. Expecting proof reflects intellectual integrity. Conducting
additional research reflects intellectual humility and perseverance.
5. The nursing staff is planning a celebratory dinner and cake for a newly licensed
practical nurse. Which of the new nurse's human needs is supported by these
actions?
A) Self-actualization
B) Love and belonging
C) Safety and security
D) Physiologic needs
Answer: B
Rationale: Celebrating achievements and showing appreciation supports the need for
love and belonging (esteem and acceptance by others). Self-actualization relates to
reaching one's full potential. Safety and security relate to physical and emotional safety.
Physiologic needs are basic survival needs.
for Understanding medical-
Surgical Nursing 7th Edition
Latest Complete Update With
All Chapters 1-57, Graded A+
, Test Bank for Davis Advantage for Understanding
Medical-Surgical Nursing, 7th Edition
By Paula D. Hopper & Linda S. Williams
Complete Chapters 1-57 | Original Questions with Answers and
Rationales | Latest Update
Unit 1: Understanding Health Care Issues
Chapter 1: Critical Thinking and the Nursing Process
65 Questions with Answers and Rationales
1. The licensed practical nurse/licensed vocational nurse (LPN/LVN) is caring for a
group of patients on a medical-surgical unit. The LPN/LVN assesses the patient
experiencing a low blood glucose level first. Which process was needed to make
this decision?
A) Recommendation of the registered nurse (RN)
B) Understanding of what regulates blood glucose levels
C) Application of clinical judgment
D) Knowing the patient's past medical history
Answer: C
, Rationale: Clinical judgment is the observed outcome of critical thinking and decision-
making. The nurse identified the patient at high risk and decided to assess this person
first based on the clinical cues present. The LPN/LVN needs to make clinical decisions
independently from the RN. Understanding the pathophysiology of the disease does not
determine how decisions are made, and past medical history is important, but the
current clinical cues will determine prioritized nursing actions.
2. The nurse is caring for a patient who is NPO (nothing by mouth) for a scheduled
procedure. The patient asks for a drink of water. What is the nurse's best
response?
A) Give the patient a small sip of water
B) Explain the reason for NPO status and offer oral care
C) Tell the patient to wait until the procedure is over
D) Call the physician for permission
Answer: B
Rationale: The nurse should explain the reason for NPO status (e.g., risk of aspiration
during sedation/anesthesia) and offer oral care (mouth swabs, ice chips if permitted) to
alleviate thirst. Giving water could endanger the patient. Telling the patient to wait
without explanation does not address the patient's concern. Calling the physician is not
necessary for a standard NPO order unless there is a specific question.
3. After receiving morning report, which patient should the LPN/LVN assess first?
A) A patient who needs discharge teaching
B) A patient who needs assistance to ambulate
C) A patient who states, "No one cares about me"
D) A patient who has a temperature of 106°F (41.1°C)
Answer: D
Rationale: A temperature of 106°F (41.1°C) is a critical value indicating hyperthermia or
severe infection, requiring immediate assessment and intervention. Discharge teaching
and ambulation assistance are important but not urgent. A patient expressing emotional
, distress requires attention but is not the highest priority compared to a life-threatening
temperature elevation.
4. During a class discussion, two nursing students demonstrated intellectual
courage. What action did the nursing students perform?
A) Considered being in the other person's situation
B) Expected proof that the use of restraints is safe
C) Conducted additional research on the use of restraints in patient care
D) Listened to each other's point of view regarding the use of patient restraints
Answer: D
Rationale: Intellectual courage involves listening to and considering different
viewpoints, especially when they challenge one's own beliefs. Considering another's
situation reflects empathy. Expecting proof reflects intellectual integrity. Conducting
additional research reflects intellectual humility and perseverance.
5. The nursing staff is planning a celebratory dinner and cake for a newly licensed
practical nurse. Which of the new nurse's human needs is supported by these
actions?
A) Self-actualization
B) Love and belonging
C) Safety and security
D) Physiologic needs
Answer: B
Rationale: Celebrating achievements and showing appreciation supports the need for
love and belonging (esteem and acceptance by others). Self-actualization relates to
reaching one's full potential. Safety and security relate to physical and emotional safety.
Physiologic needs are basic survival needs.
