Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ
Clinical Scenario:
A nurse receives a handoff on a patient with chest discomfort
being transferred from the emergency department to the
medical-surgical unit. The report includes vital signs, lab orders,
and the patient’s allergy list, but does not mention whether any
medication has already been given.
Question Stem:
What is the nurse’s best initial action?
Answer Options:
A. Document the handoff and begin admission paperwork.
B. Ask whether the patient has a family history of coronary
artery disease.
C. Clarify whether aspirin, nitroglycerin, or pain medication has
already been administered and whether chest discomfort is
ongoing.
D. Tell the patient the provider will review the case later.
Correct Answer:
C
Detailed Rationale:
The nurse must clarify unresolved information that affects
immediate safety and prioritization. Knowing whether chest
discomfort is ongoing and whether time-sensitive treatments
have already been given is essential for recognizing
,deterioration and preventing duplicate or delayed treatment.
This reflects clinical judgment, focused assessment, and patient
safety.
Incorrect Option Analysis:
• A. Incorrect. Documentation should not replace
clarification of missing critical information.
Common misconception: “If it was in report, it must be
enough.”
Safety risk: Missing treatment details can lead to delays or
duplication.
• B. Incorrect. Family history is useful but not the first
priority in an acute chest pain transfer.
Common misconception: Long-term risk factors matter
more than current status.
Safety risk: The patient may worsen while the nurse
gathers nonurgent data.
• D. Incorrect. This does not address immediate assessment
needs.
Common misconception: Reassurance is a substitute for
action.
Safety risk: Delayed intervention in a potentially unstable
patient.
Nursing Process Linkage: Assessment
NCJMM Competencies: Recognize Cues; Take Action
Difficulty Level: Moderate
, Bloom’s Cognitive Level: Apply
NCLEX Client Needs Category: Physiological Adaptation
Key Learning Objective: Clarify incomplete handoff data that
affects urgent assessment and treatment decisions.
2) MCQ
Clinical Scenario:
A medical-surgical unit is revising its infection-prevention
practice for central line care. The nurse manager asks which
evidence should carry the greatest weight.
Question Stem:
Which source provides the strongest evidence for a practice
change?
Answer Options:
A. A seasoned nurse’s personal preference
B. A single patient anecdote about fewer infections
C. A current clinical practice guideline based on a systematic
review of high-quality studies
D. A quick online blog written by a hospital employee
Correct Answer:
C
Detailed Rationale:
Clinical practice guidelines built from systematic reviews
synthesize the best available evidence and are generally
stronger than individual opinions or anecdotal experience.
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ
Clinical Scenario:
A nurse receives a handoff on a patient with chest discomfort
being transferred from the emergency department to the
medical-surgical unit. The report includes vital signs, lab orders,
and the patient’s allergy list, but does not mention whether any
medication has already been given.
Question Stem:
What is the nurse’s best initial action?
Answer Options:
A. Document the handoff and begin admission paperwork.
B. Ask whether the patient has a family history of coronary
artery disease.
C. Clarify whether aspirin, nitroglycerin, or pain medication has
already been administered and whether chest discomfort is
ongoing.
D. Tell the patient the provider will review the case later.
Correct Answer:
C
Detailed Rationale:
The nurse must clarify unresolved information that affects
immediate safety and prioritization. Knowing whether chest
discomfort is ongoing and whether time-sensitive treatments
have already been given is essential for recognizing
,deterioration and preventing duplicate or delayed treatment.
This reflects clinical judgment, focused assessment, and patient
safety.
Incorrect Option Analysis:
• A. Incorrect. Documentation should not replace
clarification of missing critical information.
Common misconception: “If it was in report, it must be
enough.”
Safety risk: Missing treatment details can lead to delays or
duplication.
• B. Incorrect. Family history is useful but not the first
priority in an acute chest pain transfer.
Common misconception: Long-term risk factors matter
more than current status.
Safety risk: The patient may worsen while the nurse
gathers nonurgent data.
• D. Incorrect. This does not address immediate assessment
needs.
Common misconception: Reassurance is a substitute for
action.
Safety risk: Delayed intervention in a potentially unstable
patient.
Nursing Process Linkage: Assessment
NCJMM Competencies: Recognize Cues; Take Action
Difficulty Level: Moderate
, Bloom’s Cognitive Level: Apply
NCLEX Client Needs Category: Physiological Adaptation
Key Learning Objective: Clarify incomplete handoff data that
affects urgent assessment and treatment decisions.
2) MCQ
Clinical Scenario:
A medical-surgical unit is revising its infection-prevention
practice for central line care. The nurse manager asks which
evidence should carry the greatest weight.
Question Stem:
Which source provides the strongest evidence for a practice
change?
Answer Options:
A. A seasoned nurse’s personal preference
B. A single patient anecdote about fewer infections
C. A current clinical practice guideline based on a systematic
review of high-quality studies
D. A quick online blog written by a hospital employee
Correct Answer:
C
Detailed Rationale:
Clinical practice guidelines built from systematic reviews
synthesize the best available evidence and are generally
stronger than individual opinions or anecdotal experience.
