3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly licensed nurse is beginning work on a medical-surgical unit.
Which action best demonstrates a core competency of medical-surgical
nursing?
A. Completing routine tasks as quickly as possible
B. Integrating assessment findings with clinical judgment to plan
individualized care
C. Following the same plan of care for patients with similar diagnoses
D. Delegating most patient-care activities to assistive personnel
Correct Answer:
B. Integrating assessment findings with clinical judgment to plan
individualized care
Rationale:
Medical-surgical nursing requires nurses to integrate assessment data,
clinical judgment, nursing knowledge, and patient preferences when
planning care. Option A focuses on speed rather than safe,
individualized care. Option C ignores differences among patients.
Option D does not reflect the nurse's responsibility for assessment and
clinical decision-making.
Question 2
Which statement best describes clinical judgment in medical-surgical
nursing?
A. Memorizing common disease manifestations
B. Choosing interventions based only on physician orders
C. Recognizing relevant patient cues and using them to make safe
, clinical decisions
D. Performing nursing skills according to unit routine
Correct Answer:
C. Recognizing relevant patient cues and using them to make safe
clinical decisions
Rationale:
Clinical judgment involves recognizing and interpreting relevant cues,
determining priorities, selecting appropriate actions, and evaluating
outcomes. Option A describes rote learning. Option B incorrectly limits
nursing judgment to provider prescriptions. Option D describes task
completion rather than clinical reasoning.
Question 3
The nurse is completing an initial assessment. Which action is most
consistent with the nursing process?
A. Identifying a nursing problem from objective and subjective findings
B. Implementing interventions before collecting assessment data
C. Evaluating outcomes before establishing goals
D. Delegating assessment findings to unlicensed personnel
Correct Answer:
A. Identifying a nursing problem from objective and subjective findings
Rationale:
Assessment data are analyzed to identify nursing problems and
formulate nursing diagnoses. Option B skips the assessment phase.
Option C places evaluation before planning and implementation. Option
D is inappropriate because interpretation of assessment findings is a
nursing responsibility.