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 licensed nurse is caring for a patient
admitted with a COPD exacerbation. During handoff, the nurse
hears, “The patient was a little short of breath overnight, but
nothing major.”
Question Stem: Which nursing action best reflects the use of
clinical judgment?
Answer Options:
A. Reassure the patient that shortness of breath is expected
B. Review the respiratory assessment and current oxygen
saturation trends
C. Document the handoff information and continue routine
care
D. Ask the assistive personnel to check the patient later
Correct Answer: B
Detailed Rationale: Clinical judgment begins with recognizing
and analyzing cues. A report of worsening dyspnea in a patient
with COPD requires assessment of respiratory status, oxygen
saturation trends, work of breathing, and response to
treatment before deciding next steps. This aligns with safe,
patient-centered decision-making.
Incorrect Option Analysis:
, • A: Incorrect; it minimizes a potential change in condition.
Misconception: assuming dyspnea is always baseline. Risk:
delayed recognition of deterioration.
• C: Incorrect; documentation does not replace assessment.
Misconception: charting equals action. Risk: missed
escalation.
• D: Incorrect; APs cannot assess symptom worsening.
Misconception: delegation can replace licensed judgment.
Risk: delayed intervention.
Nursing Process Linkage: Assessment
NCJMM Competencies: Recognize Cues, Analyze Cues
Difficulty: Moderate
Bloom’s Level: Analyze
NCLEX Client Needs: Physiological Adaptation
Key Learning Objective: Identify when assessment data require
immediate nurse follow-up and interpretation.
2. SATA
Clinical Scenario: A medical-surgical unit is implementing a new
hourly rounding protocol to reduce falls and improve patient
satisfaction.
Question Stem: Which actions support patient-centered care?
Select all that apply.
, Answer Options:
A. Ask the patient how they prefer to be addressed
B. Include the patient in setting daily care priorities
C. Limit teaching to the discharge day to avoid overload
D. Explain medication purposes in plain language
E. Make decisions without involving the patient to reduce
confusion
Correct Answers: A, B, D
Detailed Rationale: Patient-centered care respects
preferences, promotes shared decision-making, and supports
understanding through clear communication. Asking preferred
names, involving the patient in priorities, and explaining
medications in accessible language all improve engagement
and safety.
Incorrect Option Analysis:
• C: Incorrect; teaching should be ongoing. Misconception:
less teaching reduces burden. Risk: poor self-
management.
• E: Incorrect; excluding the patient undermines autonomy.
Misconception: provider-only decisions are more efficient.
Risk: reduced adherence and trust.
Nursing Process Linkage: Planning
NCJMM Competencies: Generate Solutions, Take Action
Difficulty: Easy
Bloom’s Level: Understand
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 licensed nurse is caring for a patient
admitted with a COPD exacerbation. During handoff, the nurse
hears, “The patient was a little short of breath overnight, but
nothing major.”
Question Stem: Which nursing action best reflects the use of
clinical judgment?
Answer Options:
A. Reassure the patient that shortness of breath is expected
B. Review the respiratory assessment and current oxygen
saturation trends
C. Document the handoff information and continue routine
care
D. Ask the assistive personnel to check the patient later
Correct Answer: B
Detailed Rationale: Clinical judgment begins with recognizing
and analyzing cues. A report of worsening dyspnea in a patient
with COPD requires assessment of respiratory status, oxygen
saturation trends, work of breathing, and response to
treatment before deciding next steps. This aligns with safe,
patient-centered decision-making.
Incorrect Option Analysis:
, • A: Incorrect; it minimizes a potential change in condition.
Misconception: assuming dyspnea is always baseline. Risk:
delayed recognition of deterioration.
• C: Incorrect; documentation does not replace assessment.
Misconception: charting equals action. Risk: missed
escalation.
• D: Incorrect; APs cannot assess symptom worsening.
Misconception: delegation can replace licensed judgment.
Risk: delayed intervention.
Nursing Process Linkage: Assessment
NCJMM Competencies: Recognize Cues, Analyze Cues
Difficulty: Moderate
Bloom’s Level: Analyze
NCLEX Client Needs: Physiological Adaptation
Key Learning Objective: Identify when assessment data require
immediate nurse follow-up and interpretation.
2. SATA
Clinical Scenario: A medical-surgical unit is implementing a new
hourly rounding protocol to reduce falls and improve patient
satisfaction.
Question Stem: Which actions support patient-centered care?
Select all that apply.
, Answer Options:
A. Ask the patient how they prefer to be addressed
B. Include the patient in setting daily care priorities
C. Limit teaching to the discharge day to avoid overload
D. Explain medication purposes in plain language
E. Make decisions without involving the patient to reduce
confusion
Correct Answers: A, B, D
Detailed Rationale: Patient-centered care respects
preferences, promotes shared decision-making, and supports
understanding through clear communication. Asking preferred
names, involving the patient in priorities, and explaining
medications in accessible language all improve engagement
and safety.
Incorrect Option Analysis:
• C: Incorrect; teaching should be ongoing. Misconception:
less teaching reduces burden. Risk: poor self-
management.
• E: Incorrect; excluding the patient undermines autonomy.
Misconception: provider-only decisions are more efficient.
Risk: reduced adherence and trust.
Nursing Process Linkage: Planning
NCJMM Competencies: Generate Solutions, Take Action
Difficulty: Easy
Bloom’s Level: Understand
