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
1. Question Number and Type
1. MCQ
2. Clinical Scenario
A newly licensed nurse is caring for a postoperative client 2
hours after abdominal surgery. The client is anxious, restless,
and has an oxygen saturation of 88% on room air.
3. Question Stem
What is the nurse’s priority action?
4. Answer Options
A. Document the anxiety and reassess in 30 minutes
B. Apply oxygen and reassess the client’s respiratory status
C. Encourage the client to deep breathe and relax
D. Administer the prescribed analgesic immediately
5. Correct Answer
B. Apply oxygen and reassess the client’s respiratory status
6. Detailed Rationale
The client shows possible hypoxemia, which is a priority
because oxygenation supports life and is addressed before
anxiety or discomfort. The nurse should intervene immediately
by providing oxygen and reassessing breathing, saturation, and
work of breathing.
,7. Incorrect Option Analysis
• A. Document the anxiety and reassess in 30 minutes
o Why incorrect: Delays treatment of a potentially
serious oxygenation problem.
o Common misconception: Believing anxiety is the
main issue instead of recognizing hypoxemia.
o Safety risk: Missed early deterioration and worsening
respiratory compromise.
• C. Encourage the client to deep breathe and relax
o Why incorrect: Useful, but not first when oxygen
saturation is low.
o Common misconception: Treating symptoms without
addressing the cause.
o Safety risk: Delayed oxygen delivery.
• D. Administer the prescribed analgesic immediately
o Why incorrect: Pain control may help, but
oxygenation takes priority.
o Common misconception: Assuming postoperative
pain is causing all distress.
o Safety risk: Sedation may worsen respiratory status.
8. Nursing Process Linkage
Implementation
, 9. Clinical Judgment Competencies (NCJMM)
Recognize Cues, Prioritize Hypotheses, Take Action
10. Difficulty Level
Moderate
11. Bloom’s Cognitive Level
Apply
12. NCLEX Client Needs Category
Physiological Adaptation
13. Key Learning Objective
Prioritize immediate nursing action when cues suggest impaired
oxygenation.
2) MCQ
1. Question Number and Type
2. MCQ
2. Clinical Scenario
A nurse is completing the initial admission assessment for a
client with heart failure.
3. Question Stem
Which action best reflects the assessment phase of the nursing
process?
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
1. Question Number and Type
1. MCQ
2. Clinical Scenario
A newly licensed nurse is caring for a postoperative client 2
hours after abdominal surgery. The client is anxious, restless,
and has an oxygen saturation of 88% on room air.
3. Question Stem
What is the nurse’s priority action?
4. Answer Options
A. Document the anxiety and reassess in 30 minutes
B. Apply oxygen and reassess the client’s respiratory status
C. Encourage the client to deep breathe and relax
D. Administer the prescribed analgesic immediately
5. Correct Answer
B. Apply oxygen and reassess the client’s respiratory status
6. Detailed Rationale
The client shows possible hypoxemia, which is a priority
because oxygenation supports life and is addressed before
anxiety or discomfort. The nurse should intervene immediately
by providing oxygen and reassessing breathing, saturation, and
work of breathing.
,7. Incorrect Option Analysis
• A. Document the anxiety and reassess in 30 minutes
o Why incorrect: Delays treatment of a potentially
serious oxygenation problem.
o Common misconception: Believing anxiety is the
main issue instead of recognizing hypoxemia.
o Safety risk: Missed early deterioration and worsening
respiratory compromise.
• C. Encourage the client to deep breathe and relax
o Why incorrect: Useful, but not first when oxygen
saturation is low.
o Common misconception: Treating symptoms without
addressing the cause.
o Safety risk: Delayed oxygen delivery.
• D. Administer the prescribed analgesic immediately
o Why incorrect: Pain control may help, but
oxygenation takes priority.
o Common misconception: Assuming postoperative
pain is causing all distress.
o Safety risk: Sedation may worsen respiratory status.
8. Nursing Process Linkage
Implementation
, 9. Clinical Judgment Competencies (NCJMM)
Recognize Cues, Prioritize Hypotheses, Take Action
10. Difficulty Level
Moderate
11. Bloom’s Cognitive Level
Apply
12. NCLEX Client Needs Category
Physiological Adaptation
13. Key Learning Objective
Prioritize immediate nursing action when cues suggest impaired
oxygenation.
2) MCQ
1. Question Number and Type
2. MCQ
2. Clinical Scenario
A nurse is completing the initial admission assessment for a
client with heart failure.
3. Question Stem
Which action best reflects the assessment phase of the nursing
process?
