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 67-year-old patient is admitted to the medical-surgical unit.
During admission, the patient says, “I take a small white pill for
my blood pressure and a blue one for my heart, but I do not
know their names.” The patient brought several medication
bottles in a grocery bag.
Question Stem
What is the nurse’s best initial action?
Answer Options
A. Tell the patient to wait until the provider reviews the
medications
B. Document that the patient is a poor historian and continue
the admission
C. Complete medication reconciliation by comparing the
patient’s report, medication bottles, and available records
D. Hold all home medications until discharge teaching is
completed
Correct Answer
C
Detailed Rationale
Medication reconciliation is a safety priority during admission
because it reduces medication omissions, duplications, and
interactions. The nurse should compare multiple sources of
medication information and clarify discrepancies early. This
reflects safe, patient-centered care and prevents transition-
related medication errors.
,Incorrect Option Analysis
• A. Incorrect. Delaying verification increases the risk of
missed or duplicate doses. Misconception: the provider
alone is responsible for medication review. Risk:
medication error.
• B. Incorrect. Labeling the patient as a poor historian does
not solve the medication safety problem. Misconception:
documentation replaces verification. Risk: unsafe
continuation of inaccurate orders.
• D. Incorrect. Holding all medications is not the best
general response and may lead to untreated conditions.
Misconception: all uncertainty should result in withholding
therapy. Risk: destabilization of chronic illness.
Nursing Process Linkage
Assessment
NCJMM Competencies
Recognize Cues; Take Action
Difficulty Level
Moderate
Bloom’s Cognitive Level
Apply
NCLEX Client Needs Category
Management of Care
, Key Learning Objective
Apply admission medication reconciliation to reduce safety
risks during care transitions.
2) SATA
Clinical Scenario
A new graduate nurse is helping revise the unit’s fall-prevention
practices.
Question Stem
Which actions reflect evidence-based nursing care? Select all
that apply.
Answer Options
A. Use a validated fall-risk assessment tool
B. Continue the same fall-prevention routine because it has
always been used
C. Review current research or clinical guidelines before
changing practice
D. Evaluate fall rates after implementing the new intervention
E. Choose the intervention that the most experienced nurse
prefers
Correct Answers
A, C, D
Detailed Rationale
Evidence-based practice combines the best available research,
clinical expertise, and patient needs. A validated assessment
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
1) MCQ
,Clinical Scenario
A 67-year-old patient is admitted to the medical-surgical unit.
During admission, the patient says, “I take a small white pill for
my blood pressure and a blue one for my heart, but I do not
know their names.” The patient brought several medication
bottles in a grocery bag.
Question Stem
What is the nurse’s best initial action?
Answer Options
A. Tell the patient to wait until the provider reviews the
medications
B. Document that the patient is a poor historian and continue
the admission
C. Complete medication reconciliation by comparing the
patient’s report, medication bottles, and available records
D. Hold all home medications until discharge teaching is
completed
Correct Answer
C
Detailed Rationale
Medication reconciliation is a safety priority during admission
because it reduces medication omissions, duplications, and
interactions. The nurse should compare multiple sources of
medication information and clarify discrepancies early. This
reflects safe, patient-centered care and prevents transition-
related medication errors.
,Incorrect Option Analysis
• A. Incorrect. Delaying verification increases the risk of
missed or duplicate doses. Misconception: the provider
alone is responsible for medication review. Risk:
medication error.
• B. Incorrect. Labeling the patient as a poor historian does
not solve the medication safety problem. Misconception:
documentation replaces verification. Risk: unsafe
continuation of inaccurate orders.
• D. Incorrect. Holding all medications is not the best
general response and may lead to untreated conditions.
Misconception: all uncertainty should result in withholding
therapy. Risk: destabilization of chronic illness.
Nursing Process Linkage
Assessment
NCJMM Competencies
Recognize Cues; Take Action
Difficulty Level
Moderate
Bloom’s Cognitive Level
Apply
NCLEX Client Needs Category
Management of Care
, Key Learning Objective
Apply admission medication reconciliation to reduce safety
risks during care transitions.
2) SATA
Clinical Scenario
A new graduate nurse is helping revise the unit’s fall-prevention
practices.
Question Stem
Which actions reflect evidence-based nursing care? Select all
that apply.
Answer Options
A. Use a validated fall-risk assessment tool
B. Continue the same fall-prevention routine because it has
always been used
C. Review current research or clinical guidelines before
changing practice
D. Evaluate fall rates after implementing the new intervention
E. Choose the intervention that the most experienced nurse
prefers
Correct Answers
A, C, D
Detailed Rationale
Evidence-based practice combines the best available research,
clinical expertise, and patient needs. A validated assessment
