DOMINATING MED-SURG
WITH CLINICAL JUDGMENT MASTERY
Original NCLEX-Style Practice Test Bank
Medical-Surgical Nursing: Focus on Clinical Judgment
3rd Edition — Linda F. Honan
Dominating Med-Surg With Clinical Judgment Mastery • Original Practice Companion
,TABLE OF CONTENTS
Chapter 1: The Nurse’s Role in Adult Health Nursing
Chapter 2: Chronic Illness and End-of-Life Care
Chapter 3: Fluid and Electrolyte and Acid-Base Imbalances
Chapter 4: Perioperative Nursing
Chapter 5: Cancer Care
Chapter 6: Pain Management
Chapter 7: Nursing Assessment: Respiratory Function
Chapter 8: Nursing Management: Patients With Upper Respiratory Tract Disorders
Chapter 9: Nursing Management: Patients With Chest and Lower Respiratory Tract Disorders
Chapter 10: Nursing Management: Patients With COPD and Asthma
Chapter 11: Nursing Assessment: Cardiovascular and Circulatory Function
Chapter 12: Nursing Management: Patients With Hypertension
Chapter 13: Nursing Management: Patients With Coronary Vascular Disorders
Chapter 14: Nursing Management: Patients With Complications From Heart Disease
Chapter 15: Nursing Management: Patients With Structural, Infectious, and Inflammatory Cardiac Disorders
Chapter 16: Nursing Management: Patients With Arrhythmias and Conduction Problems
Chapter 17: Nursing Management: Patients With Vascular Disorders and Problems of Peripheral Circulation
Chapter 18: Nursing Assessment: Hematologic Function
Chapter 19: Nursing Management: Patients With Hematologic Disorders
Chapter 20: Nursing Assessment: Digestive, Gastrointestinal, and Metabolic Function
Chapter 21: Nursing Management: Patients With Oral and Esophageal Disorders and Patients Receiving
Gastrointestinal Intubation, Enteral, and Parenteral Nutrition
Chapter 22: Nursing Management: Patients With Gastric and Duodenal Disorders
Chapter 23: Nursing Management: Patients With Intestinal and Rectal Disorders
Chapter 24: Nursing Management: Patients With Hepatic and Biliary Disorders
Chapter 25: Nursing Assessment: Renal and Urinary Tract Function
Chapter 26: Nursing Management: Patients With Renal Disorders
Chapter 27: Nursing Management: Patients With Urinary Disorders
Dominating Med-Surg With Clinical Judgment Mastery • Original Practice Companion
,Chapter 28: Nursing Assessment: Endocrine Function
Chapter 29: Nursing Management: Diabetes Mellitus
Chapter 30: Nursing Management: Patients With Endocrine Disorders
Chapter 31: Nursing Assessment: Reproductive Function
Chapter 32: Nursing Management: Patients With Female Reproductive and Breast Disorders
Chapter 33: Nursing Management: Care of the Assigned Male at Birth (AMAB)/Male Client With Reproductive
Disorders
Chapter 34: Nursing Management: Patients With Sexually Transmitted Infections
Chapter 35: Nursing Assessment: Immune Function
Chapter 36: Nursing Management: Patients With Immunodeficiency, HIV Infection, and AIDS
Chapter 37: Nursing Management: Patients With Allergic Disorders
Chapter 38: Nursing Management: Patients With Rheumatic Disorders
Chapter 39: Nursing Assessment: Musculoskeletal Function
Chapter 40: Nursing Management: Patients With Musculoskeletal Disorders
Chapter 41: Nursing Management: Patients With Musculoskeletal Trauma
Chapter 42: Nursing Assessment: Neurologic Function
Chapter 43: Nursing Management: Patients With Oncologic Disorders of the Brain and Spinal Cord
Chapter 44: Nursing Management: Patients With Neurologic Trauma
Chapter 45: Nursing Management: Patients With Neurologic Disorders
Chapter 46: Nursing Management: Patients With Cerebrovascular Disorders
Chapter 47: Nursing Assessment: Sensorineural Function
Chapter 48: Nursing Management: Patients With Eye and Vision Disorders
Chapter 49: Nursing Management: Patients With Hearing and Balance Disorders
Chapter 50: Nursing Assessment: Integumentary Function
Chapter 51: Nursing Management: Patients With Dermatologic Problems
Chapter 52: Nursing Management: Patients With Burn Injury
Chapter 53: Nursing Management: Shock and Multisystem Failure
Chapter 54: Nursing Management: Critical Care
Chapter 55: Nursing Management: Emergencies and Disasters
Dominating Med-Surg With Clinical Judgment Mastery • Original Practice Companion
, CHAPTER 1: The Nurse’s Role in Adult Health Nursing
1. A nurse is caring for an adult patient in a medical-surgical setting. Which action best demonstrates
sound clinical judgment when addressing priority setting?
A. Delay assessment until all routine documentation has been completed.
B. Treat every finding as equally urgent regardless of the patient's condition.
C. Wait for the next scheduled round before responding to a new concerning finding.
D. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the response.
Answer: D. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the
response.
Rationale: Clinical judgment requires the nurse to recognize relevant cues, prioritize the patient's immediate
needs, take an appropriate action, and evaluate the patient's response. Delaying assessment or treating all
findings as equally urgent can compromise patient safety.
2. A nurse is caring for an adult patient in a medical-surgical setting. Which action best demonstrates
sound clinical judgment when addressing patient education?
A. Treat every finding as equally urgent regardless of the patient's condition.
B. Wait for the next scheduled round before responding to a new concerning finding.
C. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the response.
D. Delay assessment until all routine documentation has been completed.
Answer: C. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the
response.
Rationale: Clinical judgment requires the nurse to recognize relevant cues, prioritize the patient's immediate
needs, take an appropriate action, and evaluate the patient's response. Delaying assessment or treating all
findings as equally urgent can compromise patient safety.
3. A nurse is caring for an adult patient in a medical-surgical setting. Which action best demonstrates
sound clinical judgment when addressing clinical assessment?
A. Wait for the next scheduled round before responding to a new concerning finding.
B. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the response.
C. Delay assessment until all routine documentation has been completed.
D. Treat every finding as equally urgent regardless of the patient's condition.
Answer: B. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the
response.
Rationale: Clinical judgment requires the nurse to recognize relevant cues, prioritize the patient's immediate
needs, take an appropriate action, and evaluate the patient's response. Delaying assessment or treating all
findings as equally urgent can compromise patient safety.
4. A nurse is caring for an adult patient in a medical-surgical setting. Which action best demonstrates
sound clinical judgment when addressing safety?
A. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the response.
B. Delay assessment until all routine documentation has been completed.
C. Treat every finding as equally urgent regardless of the patient's condition.
D. Wait for the next scheduled round before responding to a new concerning finding.
Answer: A. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the
response.
Dominating Med-Surg With Clinical Judgment Mastery • Original Practice Companion
WITH CLINICAL JUDGMENT MASTERY
Original NCLEX-Style Practice Test Bank
Medical-Surgical Nursing: Focus on Clinical Judgment
3rd Edition — Linda F. Honan
Dominating Med-Surg With Clinical Judgment Mastery • Original Practice Companion
,TABLE OF CONTENTS
Chapter 1: The Nurse’s Role in Adult Health Nursing
Chapter 2: Chronic Illness and End-of-Life Care
Chapter 3: Fluid and Electrolyte and Acid-Base Imbalances
Chapter 4: Perioperative Nursing
Chapter 5: Cancer Care
Chapter 6: Pain Management
Chapter 7: Nursing Assessment: Respiratory Function
Chapter 8: Nursing Management: Patients With Upper Respiratory Tract Disorders
Chapter 9: Nursing Management: Patients With Chest and Lower Respiratory Tract Disorders
Chapter 10: Nursing Management: Patients With COPD and Asthma
Chapter 11: Nursing Assessment: Cardiovascular and Circulatory Function
Chapter 12: Nursing Management: Patients With Hypertension
Chapter 13: Nursing Management: Patients With Coronary Vascular Disorders
Chapter 14: Nursing Management: Patients With Complications From Heart Disease
Chapter 15: Nursing Management: Patients With Structural, Infectious, and Inflammatory Cardiac Disorders
Chapter 16: Nursing Management: Patients With Arrhythmias and Conduction Problems
Chapter 17: Nursing Management: Patients With Vascular Disorders and Problems of Peripheral Circulation
Chapter 18: Nursing Assessment: Hematologic Function
Chapter 19: Nursing Management: Patients With Hematologic Disorders
Chapter 20: Nursing Assessment: Digestive, Gastrointestinal, and Metabolic Function
Chapter 21: Nursing Management: Patients With Oral and Esophageal Disorders and Patients Receiving
Gastrointestinal Intubation, Enteral, and Parenteral Nutrition
Chapter 22: Nursing Management: Patients With Gastric and Duodenal Disorders
Chapter 23: Nursing Management: Patients With Intestinal and Rectal Disorders
Chapter 24: Nursing Management: Patients With Hepatic and Biliary Disorders
Chapter 25: Nursing Assessment: Renal and Urinary Tract Function
Chapter 26: Nursing Management: Patients With Renal Disorders
Chapter 27: Nursing Management: Patients With Urinary Disorders
Dominating Med-Surg With Clinical Judgment Mastery • Original Practice Companion
,Chapter 28: Nursing Assessment: Endocrine Function
Chapter 29: Nursing Management: Diabetes Mellitus
Chapter 30: Nursing Management: Patients With Endocrine Disorders
Chapter 31: Nursing Assessment: Reproductive Function
Chapter 32: Nursing Management: Patients With Female Reproductive and Breast Disorders
Chapter 33: Nursing Management: Care of the Assigned Male at Birth (AMAB)/Male Client With Reproductive
Disorders
Chapter 34: Nursing Management: Patients With Sexually Transmitted Infections
Chapter 35: Nursing Assessment: Immune Function
Chapter 36: Nursing Management: Patients With Immunodeficiency, HIV Infection, and AIDS
Chapter 37: Nursing Management: Patients With Allergic Disorders
Chapter 38: Nursing Management: Patients With Rheumatic Disorders
Chapter 39: Nursing Assessment: Musculoskeletal Function
Chapter 40: Nursing Management: Patients With Musculoskeletal Disorders
Chapter 41: Nursing Management: Patients With Musculoskeletal Trauma
Chapter 42: Nursing Assessment: Neurologic Function
Chapter 43: Nursing Management: Patients With Oncologic Disorders of the Brain and Spinal Cord
Chapter 44: Nursing Management: Patients With Neurologic Trauma
Chapter 45: Nursing Management: Patients With Neurologic Disorders
Chapter 46: Nursing Management: Patients With Cerebrovascular Disorders
Chapter 47: Nursing Assessment: Sensorineural Function
Chapter 48: Nursing Management: Patients With Eye and Vision Disorders
Chapter 49: Nursing Management: Patients With Hearing and Balance Disorders
Chapter 50: Nursing Assessment: Integumentary Function
Chapter 51: Nursing Management: Patients With Dermatologic Problems
Chapter 52: Nursing Management: Patients With Burn Injury
Chapter 53: Nursing Management: Shock and Multisystem Failure
Chapter 54: Nursing Management: Critical Care
Chapter 55: Nursing Management: Emergencies and Disasters
Dominating Med-Surg With Clinical Judgment Mastery • Original Practice Companion
, CHAPTER 1: The Nurse’s Role in Adult Health Nursing
1. A nurse is caring for an adult patient in a medical-surgical setting. Which action best demonstrates
sound clinical judgment when addressing priority setting?
A. Delay assessment until all routine documentation has been completed.
B. Treat every finding as equally urgent regardless of the patient's condition.
C. Wait for the next scheduled round before responding to a new concerning finding.
D. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the response.
Answer: D. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the
response.
Rationale: Clinical judgment requires the nurse to recognize relevant cues, prioritize the patient's immediate
needs, take an appropriate action, and evaluate the patient's response. Delaying assessment or treating all
findings as equally urgent can compromise patient safety.
2. A nurse is caring for an adult patient in a medical-surgical setting. Which action best demonstrates
sound clinical judgment when addressing patient education?
A. Treat every finding as equally urgent regardless of the patient's condition.
B. Wait for the next scheduled round before responding to a new concerning finding.
C. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the response.
D. Delay assessment until all routine documentation has been completed.
Answer: C. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the
response.
Rationale: Clinical judgment requires the nurse to recognize relevant cues, prioritize the patient's immediate
needs, take an appropriate action, and evaluate the patient's response. Delaying assessment or treating all
findings as equally urgent can compromise patient safety.
3. A nurse is caring for an adult patient in a medical-surgical setting. Which action best demonstrates
sound clinical judgment when addressing clinical assessment?
A. Wait for the next scheduled round before responding to a new concerning finding.
B. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the response.
C. Delay assessment until all routine documentation has been completed.
D. Treat every finding as equally urgent regardless of the patient's condition.
Answer: B. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the
response.
Rationale: Clinical judgment requires the nurse to recognize relevant cues, prioritize the patient's immediate
needs, take an appropriate action, and evaluate the patient's response. Delaying assessment or treating all
findings as equally urgent can compromise patient safety.
4. A nurse is caring for an adult patient in a medical-surgical setting. Which action best demonstrates
sound clinical judgment when addressing safety?
A. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the response.
B. Delay assessment until all routine documentation has been completed.
C. Treat every finding as equally urgent regardless of the patient's condition.
D. Wait for the next scheduled round before responding to a new concerning finding.
Answer: A. Assess the patient, identify the most urgent need, intervene appropriately, and reassess the
response.
Dominating Med-Surg With Clinical Judgment Mastery • Original Practice Companion
