Davis Advantage for Medical-Surgical Nursing,
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly licensed medical-surgical nurse is caring for a patient whose
condition has changed unexpectedly. Which action best demonstrates
professional nursing competency?
A. Continue the planned interventions so the patient's routine is not
disrupted.
B. Recognize the change, reassess the patient, and seek assistance
when the situation exceeds the nurse's current competence.
C. Ask another nurse to assume responsibility without assessing the
patient.
D. Wait until the next scheduled assessment to determine whether the
change persists.
Correct Answer:
B
Rationale:
A competent medical-surgical nurse recognizes changes in patient
status, reassesses relevant findings, and obtains appropriate assistance
when needed. Option A delays responding to a potential problem.
Option C transfers responsibility without first performing the nurse's
assessment. Option D could allow a deteriorating condition to go
unrecognized.
Question 2
The nurse enters a patient's room and notes new confusion,
restlessness, and a change in respiratory rate. Which clinical judgment
action should the nurse perform first?
, A. Formulate the most likely diagnosis.
B. Identify which findings are new and clinically relevant.
C. Select the most appropriate intervention.
D. Evaluate whether the expected outcome has been achieved.
Correct Answer:
B
Rationale:
Recognizing cues involves identifying relevant and important
information before linking the findings to a hypothesis or intervention.
Option A represents a later reasoning step. Option C occurs after the
nurse has analyzed and prioritized the cues. Option D occurs after an
intervention has been implemented. The NCSBN Clinical Judgment
Measurement Model places recognizing cues before analyzing cues,
prioritizing hypotheses, generating solutions, taking action, and
evaluating outcomes.
Question 3
Which action is consistent with the nursing process when caring for a
newly admitted patient?
A. Establish measurable goals before collecting assessment data.
B. Implement interventions before identifying the patient's priority
problems.
C. Collect and analyze patient data before developing the plan of care.
D. Evaluate outcomes before interventions are initiated.
Correct Answer:
C
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly licensed medical-surgical nurse is caring for a patient whose
condition has changed unexpectedly. Which action best demonstrates
professional nursing competency?
A. Continue the planned interventions so the patient's routine is not
disrupted.
B. Recognize the change, reassess the patient, and seek assistance
when the situation exceeds the nurse's current competence.
C. Ask another nurse to assume responsibility without assessing the
patient.
D. Wait until the next scheduled assessment to determine whether the
change persists.
Correct Answer:
B
Rationale:
A competent medical-surgical nurse recognizes changes in patient
status, reassesses relevant findings, and obtains appropriate assistance
when needed. Option A delays responding to a potential problem.
Option C transfers responsibility without first performing the nurse's
assessment. Option D could allow a deteriorating condition to go
unrecognized.
Question 2
The nurse enters a patient's room and notes new confusion,
restlessness, and a change in respiratory rate. Which clinical judgment
action should the nurse perform first?
, A. Formulate the most likely diagnosis.
B. Identify which findings are new and clinically relevant.
C. Select the most appropriate intervention.
D. Evaluate whether the expected outcome has been achieved.
Correct Answer:
B
Rationale:
Recognizing cues involves identifying relevant and important
information before linking the findings to a hypothesis or intervention.
Option A represents a later reasoning step. Option C occurs after the
nurse has analyzed and prioritized the cues. Option D occurs after an
intervention has been implemented. The NCSBN Clinical Judgment
Measurement Model places recognizing cues before analyzing cues,
prioritizing hypotheses, generating solutions, taking action, and
evaluating outcomes.
Question 3
Which action is consistent with the nursing process when caring for a
newly admitted patient?
A. Establish measurable goals before collecting assessment data.
B. Implement interventions before identifying the patient's priority
problems.
C. Collect and analyze patient data before developing the plan of care.
D. Evaluate outcomes before interventions are initiated.
Correct Answer:
C
