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 medical-surgical nurse begins a shift caring for four patients. Which
action best demonstrates the competency of using the nursing process?
A. Administering medications according to the MAR without reassessing
patients
B. Collecting patient data, identifying nursing problems, planning
interventions, implementing care, and evaluating outcomes
C. Completing all assigned tasks before reviewing changes in patient
condition
D. Following the care plan exactly even when new assessment findings
emerge
Correct Answer:
B. Collecting patient data, identifying nursing problems, planning
interventions, implementing care, and evaluating outcomes
Rationale:
The nursing process is a systematic method of assessment, nursing
diagnosis/problem identification, planning, implementation, and
evaluation. It promotes individualized and responsive care. A ignores
reassessment, C prioritizes task completion over clinical decision-
making, and D fails to adapt care to changing patient needs.
Question 2
A nurse is caring for a postoperative patient whose condition has
changed since the beginning of the shift. Which action best reflects
clinical judgment?
, A. Continue the existing plan because it was developed by the
healthcare team
B. Recognize the new findings, interpret their significance, and modify
care as needed
C. Wait until the next scheduled assessment before deciding whether
intervention is necessary
D. Ask another nurse to assume responsibility for the patient
Correct Answer:
B. Recognize the new findings, interpret their significance, and modify
care as needed
Rationale:
Clinical judgment requires recognizing relevant cues, interpreting them,
determining priorities, taking appropriate action, and evaluating
outcomes. B demonstrates this process. A and C may delay necessary
intervention, while D transfers responsibility rather than demonstrating
clinical reasoning.
Question 3
Which nursing action best demonstrates patient-centered care?
A. Applying the same discharge instructions to every patient with the
same diagnosis
B. Allowing the patient’s preferences, values, needs, and goals to
influence the plan of care
C. Making decisions for the patient to avoid unnecessary anxiety
D. Prioritizing unit routines over individual patient preferences
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 caring for four patients. Which
action best demonstrates the competency of using the nursing process?
A. Administering medications according to the MAR without reassessing
patients
B. Collecting patient data, identifying nursing problems, planning
interventions, implementing care, and evaluating outcomes
C. Completing all assigned tasks before reviewing changes in patient
condition
D. Following the care plan exactly even when new assessment findings
emerge
Correct Answer:
B. Collecting patient data, identifying nursing problems, planning
interventions, implementing care, and evaluating outcomes
Rationale:
The nursing process is a systematic method of assessment, nursing
diagnosis/problem identification, planning, implementation, and
evaluation. It promotes individualized and responsive care. A ignores
reassessment, C prioritizes task completion over clinical decision-
making, and D fails to adapt care to changing patient needs.
Question 2
A nurse is caring for a postoperative patient whose condition has
changed since the beginning of the shift. Which action best reflects
clinical judgment?
, A. Continue the existing plan because it was developed by the
healthcare team
B. Recognize the new findings, interpret their significance, and modify
care as needed
C. Wait until the next scheduled assessment before deciding whether
intervention is necessary
D. Ask another nurse to assume responsibility for the patient
Correct Answer:
B. Recognize the new findings, interpret their significance, and modify
care as needed
Rationale:
Clinical judgment requires recognizing relevant cues, interpreting them,
determining priorities, taking appropriate action, and evaluating
outcomes. B demonstrates this process. A and C may delay necessary
intervention, while D transfers responsibility rather than demonstrating
clinical reasoning.
Question 3
Which nursing action best demonstrates patient-centered care?
A. Applying the same discharge instructions to every patient with the
same diagnosis
B. Allowing the patient’s preferences, values, needs, and goals to
influence the plan of care
C. Making decisions for the patient to avoid unnecessary anxiety
D. Prioritizing unit routines over individual patient preferences
