3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse begins a shift and reviews the plan of care for
four patients. Which nursing action best demonstrates a foundational
medical-surgical nursing competency?
A. Completing all tasks independently to avoid delays
B. Connecting assessment findings with the patient's current health
priorities
C. Waiting for the provider to identify changes in patient condition
D. Following the same interventions for every patient with the same
diagnosis
Correct Answer:
B. Connecting assessment findings with the patient's current health
priorities
Rationale:
Medical-surgical nursing requires integrating assessment findings with
the patient's individual needs and priorities to guide care. A is incorrect
because effective nursing includes collaboration. C is incorrect because
the nurse is responsible for ongoing assessment and recognition of
changes. D is incorrect because care must be individualized.
Question 2
A nurse is caring for a patient whose condition has changed since the
previous shift. Which action most directly reflects clinical judgment?
A. Documenting the change at the end of the shift
B. Comparing the new findings with the patient's baseline and
determining their significance
, C. Asking another nurse to decide whether the findings are important
D. Continuing the existing plan of care without modification
Correct Answer:
B. Comparing the new findings with the patient's baseline and
determining their significance
Rationale:
Clinical judgment involves recognizing and interpreting relevant
changes, determining their significance, and deciding how to respond. A
delays evaluation. C transfers the nurse's responsibility unnecessarily. D
fails to account for the patient's changing condition.
Question 3
Which nursing action best demonstrates the assessment phase of the
nursing process?
A. Setting a goal for improved mobility
B. Identifying a nursing diagnosis
C. Collecting and validating patient data
D. Evaluating whether interventions were effective
Correct Answer:
C. Collecting and validating patient data
Rationale:
Assessment involves systematic collection, verification, and organization
of patient information. A reflects planning, B reflects nursing diagnosis,
and D reflects evaluation.
Question 4