Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
-
TEST BANK
Question 1 (MCQ)
,Clinical Scenario
A nurse begins a shift caring for four adult medical-surgical
patients. During report, the nurse receives the following
information:
• Patient A: Newly admitted with chest pain and diaphoresis
• Patient B: Scheduled for discharge teaching
• Patient C: Stable postoperative day 2 after appendectomy
• Patient D: Awaiting routine dressing change
Question Stem
Which patient should the nurse assess first?
Options
A. Patient B
B. Patient C
C. Patient D
D. Patient A
Correct Answer
D. Patient A
Detailed Rationale
,Chest pain with diaphoresis may indicate acute coronary
syndrome and potential deterioration. Clinical judgment
requires prioritization based on actual and potential threats to
life.
The nurse should recognize cues suggesting impaired perfusion
and intervene rapidly.
Incorrect Option Analysis
A. Patient B
Why Incorrect: Discharge teaching is important but not urgent.
Misconception: Educational needs always come first.
Safety Risk: Delayed assessment of unstable patients.
B. Patient C
Why Incorrect: Stable postoperative patient does not require
immediate attention.
Safety Risk: Inefficient prioritization.
C. Patient D
Why Incorrect: Dressing changes can safely be delayed.
Safety Risk: Failure to identify emergent conditions.
, Nursing Process Linkage
Assessment
NCJMM Competencies
• Recognize Cues
• Prioritize Hypotheses
• Take Action
Difficulty
Moderate
Bloom's Level
Analyze
NCLEX Client Needs
Physiological Adaptation
Key Learning Objective
Prioritize patient care according to acuity and risk of
deterioration.
Question 2 (MCQ)
Clinical Scenario
A nurse reads a new guideline recommending chlorhexidine
bathing to reduce hospital-acquired infections.
Question Stem
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
-
TEST BANK
Question 1 (MCQ)
,Clinical Scenario
A nurse begins a shift caring for four adult medical-surgical
patients. During report, the nurse receives the following
information:
• Patient A: Newly admitted with chest pain and diaphoresis
• Patient B: Scheduled for discharge teaching
• Patient C: Stable postoperative day 2 after appendectomy
• Patient D: Awaiting routine dressing change
Question Stem
Which patient should the nurse assess first?
Options
A. Patient B
B. Patient C
C. Patient D
D. Patient A
Correct Answer
D. Patient A
Detailed Rationale
,Chest pain with diaphoresis may indicate acute coronary
syndrome and potential deterioration. Clinical judgment
requires prioritization based on actual and potential threats to
life.
The nurse should recognize cues suggesting impaired perfusion
and intervene rapidly.
Incorrect Option Analysis
A. Patient B
Why Incorrect: Discharge teaching is important but not urgent.
Misconception: Educational needs always come first.
Safety Risk: Delayed assessment of unstable patients.
B. Patient C
Why Incorrect: Stable postoperative patient does not require
immediate attention.
Safety Risk: Inefficient prioritization.
C. Patient D
Why Incorrect: Dressing changes can safely be delayed.
Safety Risk: Failure to identify emergent conditions.
, Nursing Process Linkage
Assessment
NCJMM Competencies
• Recognize Cues
• Prioritize Hypotheses
• Take Action
Difficulty
Moderate
Bloom's Level
Analyze
NCLEX Client Needs
Physiological Adaptation
Key Learning Objective
Prioritize patient care according to acuity and risk of
deterioration.
Question 2 (MCQ)
Clinical Scenario
A nurse reads a new guideline recommending chlorhexidine
bathing to reduce hospital-acquired infections.
Question Stem
