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 medical-surgical patients.
During report, the nurse learns that one patient has developed
new confusion and restlessness over the last hour.
Question Stem
Which nursing action best demonstrates clinical judgment?
Answer Options
A. Administer the scheduled medications before assessing the
patient
B. Review the patient's chart at the end of the shift
C. Immediately assess the patient for causes of acute mental
status changes
D. Wait for the healthcare provider to evaluate the patient
Correct Answer
C. Immediately assess the patient for causes of acute mental
status changes
Detailed Rationale
Clinical judgment begins with recognizing and responding to
patient cues. New confusion and restlessness may indicate
hypoxia, infection, hypoglycemia, stroke, medication effects, or
deterioration. Prompt assessment allows the nurse to identify
the cause and initiate timely interventions, preventing
complications.
,Incorrect Option Analysis
A. Administer scheduled medications first
• Incorrect because urgent assessment takes priority.
• Misconception: Routine tasks always come first.
• Safety Risk: Delayed recognition of deterioration.
B. Review chart later
• Incorrect because assessment should occur immediately.
• Misconception: Documentation review can replace
bedside assessment.
• Safety Risk: Missed acute changes.
D. Wait for provider
• Incorrect because nurses assess first.
• Misconception: Only providers evaluate deterioration.
• Safety Risk: Delayed intervention.
Nursing Process Linkage
Assessment
NCJMM Competencies
• Recognize Cues
• Analyze Cues
• Take Action
, Difficulty
Moderate
Bloom's Level
Analyze
NCLEX Category
Physiological Adaptation
Key Learning Objective
Apply clinical judgment to identify and respond to patient
deterioration.
Question 2 (MCQ)
Clinical Scenario
A nurse is reviewing literature regarding prevention of
catheter-associated urinary tract infections (CAUTIs).
Question Stem
Which action best reflects evidence-based nursing practice?
Answer Options
A. Following a procedure because it has always been used
B. Combining research findings, clinical expertise, and patient
preferences
C. Using only provider recommendations
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 medical-surgical patients.
During report, the nurse learns that one patient has developed
new confusion and restlessness over the last hour.
Question Stem
Which nursing action best demonstrates clinical judgment?
Answer Options
A. Administer the scheduled medications before assessing the
patient
B. Review the patient's chart at the end of the shift
C. Immediately assess the patient for causes of acute mental
status changes
D. Wait for the healthcare provider to evaluate the patient
Correct Answer
C. Immediately assess the patient for causes of acute mental
status changes
Detailed Rationale
Clinical judgment begins with recognizing and responding to
patient cues. New confusion and restlessness may indicate
hypoxia, infection, hypoglycemia, stroke, medication effects, or
deterioration. Prompt assessment allows the nurse to identify
the cause and initiate timely interventions, preventing
complications.
,Incorrect Option Analysis
A. Administer scheduled medications first
• Incorrect because urgent assessment takes priority.
• Misconception: Routine tasks always come first.
• Safety Risk: Delayed recognition of deterioration.
B. Review chart later
• Incorrect because assessment should occur immediately.
• Misconception: Documentation review can replace
bedside assessment.
• Safety Risk: Missed acute changes.
D. Wait for provider
• Incorrect because nurses assess first.
• Misconception: Only providers evaluate deterioration.
• Safety Risk: Delayed intervention.
Nursing Process Linkage
Assessment
NCJMM Competencies
• Recognize Cues
• Analyze Cues
• Take Action
, Difficulty
Moderate
Bloom's Level
Analyze
NCLEX Category
Physiological Adaptation
Key Learning Objective
Apply clinical judgment to identify and respond to patient
deterioration.
Question 2 (MCQ)
Clinical Scenario
A nurse is reviewing literature regarding prevention of
catheter-associated urinary tract infections (CAUTIs).
Question Stem
Which action best reflects evidence-based nursing practice?
Answer Options
A. Following a procedure because it has always been used
B. Combining research findings, clinical expertise, and patient
preferences
C. Using only provider recommendations
