Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• PublisherPublished by F.A.
Davis Copyright© 2024
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ
Clinical Scenario:
A newly admitted adult patient arrives from the emergency
department. During handoff, the nurse is told the patient takes
“a blood pressure pill” but the allergy history is not discussed.
Question Stem:
What is the nurse’s best action before giving the first scheduled
medication?
Answer Options:
A. Administer the medication because allergy information is
usually documented elsewhere.
B. Verify the allergy history directly with the patient and chart
before administration.
C. Ask the charge nurse to verify the allergy status after
medication passes are complete.
D. Hold all medications until the provider makes rounds.
Correct Answer:
B
Detailed Rationale:
Medication safety begins with accurate verification of allergies
before administration. The nurse uses clinical judgment to
recognize an information gap that could lead to harm,
especially if the ordered medication has an allergy-related risk.
Incorrect Option Analysis:
, • A: Incorrect. Assumes the chart is complete without
verifying.
o Misconception: “If it is not mentioned, it is not a
problem.”
o Safety risk: Possible allergic reaction.
• C: Incorrect. Delays verification.
o Misconception: Nonurgent documentation can wait.
o Safety risk: Medication error if the patient is allergic.
• D: Incorrect. Holding all medications is unnecessary and
may delay treatment.
o Misconception: Extreme caution is always the safest
response.
o Safety risk: Missed or delayed therapies.
Nursing Process Linkage: Assessment
NCJMM Competencies: Recognize Cues, Analyze Cues
Difficulty: Moderate
Bloom’s Level: Apply
NCLEX Client Needs: Pharmacological and Parenteral Therapies
Key Learning Objective: Verify critical safety data before
medication administration.
2) MCQ
, Clinical Scenario:
A hospitalized adult with limited English proficiency nods
repeatedly while the nurse explains discharge instructions.
Question Stem:
Which action best demonstrates patient-centered care?
Answer Options:
A. Ask the patient’s adult child to translate the instructions.
B. Use a professional medical interpreter for teaching.
C. Repeat the instructions more slowly in English.
D. Provide only written instructions so the patient can review
them later.
Correct Answer:
B
Detailed Rationale:
Patient-centered care includes communication that matches
the patient’s language needs. A professional interpreter
improves accuracy, understanding, and safety.
Incorrect Option Analysis:
• A: Incorrect. Family translation can distort medical
information.
o Misconception: Family members are always
acceptable interpreters.
o Safety risk: Miscommunication and consent errors.
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• PublisherPublished by F.A.
Davis Copyright© 2024
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ
Clinical Scenario:
A newly admitted adult patient arrives from the emergency
department. During handoff, the nurse is told the patient takes
“a blood pressure pill” but the allergy history is not discussed.
Question Stem:
What is the nurse’s best action before giving the first scheduled
medication?
Answer Options:
A. Administer the medication because allergy information is
usually documented elsewhere.
B. Verify the allergy history directly with the patient and chart
before administration.
C. Ask the charge nurse to verify the allergy status after
medication passes are complete.
D. Hold all medications until the provider makes rounds.
Correct Answer:
B
Detailed Rationale:
Medication safety begins with accurate verification of allergies
before administration. The nurse uses clinical judgment to
recognize an information gap that could lead to harm,
especially if the ordered medication has an allergy-related risk.
Incorrect Option Analysis:
, • A: Incorrect. Assumes the chart is complete without
verifying.
o Misconception: “If it is not mentioned, it is not a
problem.”
o Safety risk: Possible allergic reaction.
• C: Incorrect. Delays verification.
o Misconception: Nonurgent documentation can wait.
o Safety risk: Medication error if the patient is allergic.
• D: Incorrect. Holding all medications is unnecessary and
may delay treatment.
o Misconception: Extreme caution is always the safest
response.
o Safety risk: Missed or delayed therapies.
Nursing Process Linkage: Assessment
NCJMM Competencies: Recognize Cues, Analyze Cues
Difficulty: Moderate
Bloom’s Level: Apply
NCLEX Client Needs: Pharmacological and Parenteral Therapies
Key Learning Objective: Verify critical safety data before
medication administration.
2) MCQ
, Clinical Scenario:
A hospitalized adult with limited English proficiency nods
repeatedly while the nurse explains discharge instructions.
Question Stem:
Which action best demonstrates patient-centered care?
Answer Options:
A. Ask the patient’s adult child to translate the instructions.
B. Use a professional medical interpreter for teaching.
C. Repeat the instructions more slowly in English.
D. Provide only written instructions so the patient can review
them later.
Correct Answer:
B
Detailed Rationale:
Patient-centered care includes communication that matches
the patient’s language needs. A professional interpreter
improves accuracy, understanding, and safety.
Incorrect Option Analysis:
• A: Incorrect. Family translation can distort medical
information.
o Misconception: Family members are always
acceptable interpreters.
o Safety risk: Miscommunication and consent errors.
