Medical-Surgical Nursing
8th Edition
Author(s)Adrianne Dill Linton;
Mary Ann Matteson
Print ISBN: 9780323826716
TEST BANK
Question 1 (MCQ)
Clinical Scenario
,A newly licensed nurse begins work on a medical-surgical unit
and is caring for four patients. The nurse asks the charge nurse
how clinical judgment differs from simply following a nursing
checklist.
Question Stem
Which statement best describes clinical judgment in nursing
practice?
Answer Options
A. Completing nursing tasks exactly as outlined in policies
B. Using critical thinking to recognize patient needs and make
safe care decisions
C. Following physician orders without modification
D. Prioritizing documentation before patient assessment
Correct Answer
B. Using critical thinking to recognize patient needs and make
safe care decisions
Detailed Rationale
Clinical judgment is the process of interpreting patient
information, analyzing cues, prioritizing concerns, and selecting
appropriate nursing actions. It integrates assessment findings,
evidence, patient preferences, and professional knowledge to
support safe patient-centered care.
,Incorrect Option Analysis
A.
Why Incorrect: Checklists support care but do not replace
judgment.
Misconception: Nursing is task completion.
Safety Risk: Important changes in condition may be
missed.
C.
Why Incorrect: Nurses must evaluate orders for
appropriateness.
Misconception: Nurses simply carry out orders.
Safety Risk: Harmful orders may go unrecognized.
D.
Why Incorrect: Assessment takes priority.
Misconception: Documentation supersedes patient
evaluation.
Safety Risk: Delayed recognition of deterioration.
Nursing Process Linkage
Assessment
NCJMM Competencies
, Recognize Cues
Analyze Cues
Generate Solutions
Difficulty
Easy
Bloom's Level
Understand
NCLEX Category
Management of Care
Key Learning Objective
Explain the role of clinical judgment in nursing practice.
Question 2 (MCQ)
Clinical Scenario
A nurse notices a patient's respiratory rate has increased from
16 to 28 breaths/min over the last hour.
Question Stem
What is the nurse's priority action?
Options
8th Edition
Author(s)Adrianne Dill Linton;
Mary Ann Matteson
Print ISBN: 9780323826716
TEST BANK
Question 1 (MCQ)
Clinical Scenario
,A newly licensed nurse begins work on a medical-surgical unit
and is caring for four patients. The nurse asks the charge nurse
how clinical judgment differs from simply following a nursing
checklist.
Question Stem
Which statement best describes clinical judgment in nursing
practice?
Answer Options
A. Completing nursing tasks exactly as outlined in policies
B. Using critical thinking to recognize patient needs and make
safe care decisions
C. Following physician orders without modification
D. Prioritizing documentation before patient assessment
Correct Answer
B. Using critical thinking to recognize patient needs and make
safe care decisions
Detailed Rationale
Clinical judgment is the process of interpreting patient
information, analyzing cues, prioritizing concerns, and selecting
appropriate nursing actions. It integrates assessment findings,
evidence, patient preferences, and professional knowledge to
support safe patient-centered care.
,Incorrect Option Analysis
A.
Why Incorrect: Checklists support care but do not replace
judgment.
Misconception: Nursing is task completion.
Safety Risk: Important changes in condition may be
missed.
C.
Why Incorrect: Nurses must evaluate orders for
appropriateness.
Misconception: Nurses simply carry out orders.
Safety Risk: Harmful orders may go unrecognized.
D.
Why Incorrect: Assessment takes priority.
Misconception: Documentation supersedes patient
evaluation.
Safety Risk: Delayed recognition of deterioration.
Nursing Process Linkage
Assessment
NCJMM Competencies
, Recognize Cues
Analyze Cues
Generate Solutions
Difficulty
Easy
Bloom's Level
Understand
NCLEX Category
Management of Care
Key Learning Objective
Explain the role of clinical judgment in nursing practice.
Question 2 (MCQ)
Clinical Scenario
A nurse notices a patient's respiratory rate has increased from
16 to 28 breaths/min over the last hour.
Question Stem
What is the nurse's priority action?
Options
