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 nurse receives handoff on four adult
patients on a medical-surgical unit.
Question stem: Which patient should the nurse assess first?
Answer options:
A. A patient scheduled for discharge teaching at 1400
B. A patient with BP 88/54 mm Hg and HR 118/min after
vomiting
C. A patient reporting incisional pain rated 7/10
D. A patient who needs assistance ordering lunch
Correct answer: B
Rationale: Hypotension with tachycardia suggests possible
hypovolemia and impaired perfusion. The nurse should
prioritize the patient with the most unstable physiologic status
first. This reflects recognition of cues and prioritization of
safety.
Incorrect option analysis:
• A: Discharge teaching is important but not urgent.
Misconception: education always comes first. Risk: delayed
recognition of instability.
• C: Pain should be addressed, but it is not more urgent than
possible shock. Risk: failure to treat circulation problems
first.
, • D: Meal assistance is low acuity. Risk: misallocation of
nursing time.
Nursing process linkage: Assessment
NCJMM competency: Recognize Cues; Prioritize Hypotheses
Difficulty: Moderate
Bloom’s level: Analyze
NCLEX client needs: Physiological Adaptation
Key learning objective: Prioritize unstable adult patients using
cue recognition and urgency.
2) MCQ
Clinical scenario: A nurse is planning care for a newly admitted
adult patient.
Question stem: Which action best reflects the planning phase
of the nursing process?
Answer options:
A. Asking the patient to describe current symptoms
B. Setting a goal that the patient will ambulate 50 feet by
discharge
C. Applying a bed alarm after a fall risk assessment
D. Evaluating whether pain medication reduced the pain score
Correct answer: B
, Rationale: Planning involves setting measurable, patient-
centered outcomes. A clear mobility goal is a planning
intervention.
Incorrect option analysis:
• A: Assessment, not planning. Misconception: patient
interview is part of planning. Risk: inaccurate care
sequencing.
• C: Implementation. Risk: confusion about the care process.
• D: Evaluation. Risk: poor documentation and workflow.
Nursing process linkage: Planning
NCJMM competency: Prioritize Hypotheses; Generate
Solutions
Difficulty: Easy
Bloom’s level: Understand
NCLEX client needs: Management of Care
Key learning objective: Distinguish planning from assessment,
implementation, and evaluation.
3) MCQ
Clinical scenario: A unit is revising its pressure injury prevention
protocol.
Question stem: Which source is the strongest evidence for
changing practice?
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 nurse receives handoff on four adult
patients on a medical-surgical unit.
Question stem: Which patient should the nurse assess first?
Answer options:
A. A patient scheduled for discharge teaching at 1400
B. A patient with BP 88/54 mm Hg and HR 118/min after
vomiting
C. A patient reporting incisional pain rated 7/10
D. A patient who needs assistance ordering lunch
Correct answer: B
Rationale: Hypotension with tachycardia suggests possible
hypovolemia and impaired perfusion. The nurse should
prioritize the patient with the most unstable physiologic status
first. This reflects recognition of cues and prioritization of
safety.
Incorrect option analysis:
• A: Discharge teaching is important but not urgent.
Misconception: education always comes first. Risk: delayed
recognition of instability.
• C: Pain should be addressed, but it is not more urgent than
possible shock. Risk: failure to treat circulation problems
first.
, • D: Meal assistance is low acuity. Risk: misallocation of
nursing time.
Nursing process linkage: Assessment
NCJMM competency: Recognize Cues; Prioritize Hypotheses
Difficulty: Moderate
Bloom’s level: Analyze
NCLEX client needs: Physiological Adaptation
Key learning objective: Prioritize unstable adult patients using
cue recognition and urgency.
2) MCQ
Clinical scenario: A nurse is planning care for a newly admitted
adult patient.
Question stem: Which action best reflects the planning phase
of the nursing process?
Answer options:
A. Asking the patient to describe current symptoms
B. Setting a goal that the patient will ambulate 50 feet by
discharge
C. Applying a bed alarm after a fall risk assessment
D. Evaluating whether pain medication reduced the pain score
Correct answer: B
, Rationale: Planning involves setting measurable, patient-
centered outcomes. A clear mobility goal is a planning
intervention.
Incorrect option analysis:
• A: Assessment, not planning. Misconception: patient
interview is part of planning. Risk: inaccurate care
sequencing.
• C: Implementation. Risk: confusion about the care process.
• D: Evaluation. Risk: poor documentation and workflow.
Nursing process linkage: Planning
NCJMM competency: Prioritize Hypotheses; Generate
Solutions
Difficulty: Easy
Bloom’s level: Understand
NCLEX client needs: Management of Care
Key learning objective: Distinguish planning from assessment,
implementation, and evaluation.
3) MCQ
Clinical scenario: A unit is revising its pressure injury prevention
protocol.
Question stem: Which source is the strongest evidence for
changing practice?
