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 medical-surgical nursing committee is reviewing a new fall-
prevention bundle for adult inpatients.
Question Stem:
Which source of information provides the strongest evidence
to support the bundle before it is implemented?
Answer Options:
A. A senior nurse’s personal experience with preventing falls
B. A single patient case study from a similar unit
C. A systematic review or evidence-based clinical guideline
D. A hospital policy that has not been updated in 10 years
Correct Answer:
C
Detailed Rationale:
Evidence-based nursing care relies on the best available
research combined with clinical expertise and patient
preferences. A systematic review or current evidence-based
guideline synthesizes multiple high-quality studies and is
therefore stronger than anecdotal experience, a single case, or
an outdated policy. This supports safe, effective, and
standardized practice.
,Incorrect Option Analysis:
• A. Incorrect. Personal experience may be useful for
insight, but it is not the strongest form of evidence.
o Common misconception: “Experienced nurses always
know best.”
o Safety risk: Practice based only on habit can miss
better, safer interventions.
• B. Incorrect. A single case study is low-level evidence and
may not generalize well.
o Common misconception: One success story proves
effectiveness.
o Safety risk: Inconsistent practices may be adopted
without validation.
• D. Incorrect. An outdated policy may no longer reflect
current evidence.
o Common misconception: Written policy always
equals current best practice.
o Safety risk: Using obsolete standards can increase
preventable harm.
Nursing Process Linkage:
Planning
Clinical Judgment Competencies (NCJMM):
Analyze Cues, Generate Solutions
, Difficulty Level:
Moderate
Bloom’s Cognitive Level:
Analyze
NCLEX Client Needs Category:
Management of Care
Key Learning Objective:
Identify the most credible evidence source for guiding nursing
practice.
2) MCQ
Clinical Scenario:
An older adult with limited English proficiency nods “yes”
during discharge teaching about new antihypertensive
medication. The patient’s adult child says, “I can translate
everything.”
Question Stem:
What is the nurse’s best action?
Answer Options:
A. Ask the family member to translate because it is faster
B. Provide the discharge handout in English and speak more
slowly
C. Use a certified medical interpreter and verify understanding
with teach-back
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
,1) MCQ
Clinical Scenario:
A medical-surgical nursing committee is reviewing a new fall-
prevention bundle for adult inpatients.
Question Stem:
Which source of information provides the strongest evidence
to support the bundle before it is implemented?
Answer Options:
A. A senior nurse’s personal experience with preventing falls
B. A single patient case study from a similar unit
C. A systematic review or evidence-based clinical guideline
D. A hospital policy that has not been updated in 10 years
Correct Answer:
C
Detailed Rationale:
Evidence-based nursing care relies on the best available
research combined with clinical expertise and patient
preferences. A systematic review or current evidence-based
guideline synthesizes multiple high-quality studies and is
therefore stronger than anecdotal experience, a single case, or
an outdated policy. This supports safe, effective, and
standardized practice.
,Incorrect Option Analysis:
• A. Incorrect. Personal experience may be useful for
insight, but it is not the strongest form of evidence.
o Common misconception: “Experienced nurses always
know best.”
o Safety risk: Practice based only on habit can miss
better, safer interventions.
• B. Incorrect. A single case study is low-level evidence and
may not generalize well.
o Common misconception: One success story proves
effectiveness.
o Safety risk: Inconsistent practices may be adopted
without validation.
• D. Incorrect. An outdated policy may no longer reflect
current evidence.
o Common misconception: Written policy always
equals current best practice.
o Safety risk: Using obsolete standards can increase
preventable harm.
Nursing Process Linkage:
Planning
Clinical Judgment Competencies (NCJMM):
Analyze Cues, Generate Solutions
, Difficulty Level:
Moderate
Bloom’s Cognitive Level:
Analyze
NCLEX Client Needs Category:
Management of Care
Key Learning Objective:
Identify the most credible evidence source for guiding nursing
practice.
2) MCQ
Clinical Scenario:
An older adult with limited English proficiency nods “yes”
during discharge teaching about new antihypertensive
medication. The patient’s adult child says, “I can translate
everything.”
Question Stem:
What is the nurse’s best action?
Answer Options:
A. Ask the family member to translate because it is faster
B. Provide the discharge handout in English and speak more
slowly
C. Use a certified medical interpreter and verify understanding
with teach-back
