3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A newly licensed nurse is caring for a patient admitted to a medical-
surgical unit. Which action best demonstrates professional competence
in medical-surgical nursing?
A. Completing tasks as quickly as possible to remain on schedule
B. Using clinical findings, evidence, and patient preferences to guide
nursing care
C. Following the same care routine for every patient with the same
diagnosis
D. Delegating most patient-care activities to assistive personnel
Correct Answer:
B. Using clinical findings, evidence, and patient preferences to guide
nursing care
Rationale:
Professional competence includes integrating assessment findings,
current evidence, clinical judgment, and the patient's preferences when
planning and providing care. A focuses on efficiency without
establishing safe, individualized care. C ignores differences among
patients. D does not reflect the nurse's responsibility for assessment,
judgment, and appropriate care planning.
Question 2
A nurse begins the nursing process for a patient admitted with
shortness of breath. Which action represents the assessment phase?
, A. Identifying impaired gas exchange as the priority nursing diagnosis
B. Reviewing the patient's respiratory rate, oxygen saturation, and
breath sounds
C. Administering oxygen as prescribed
D. Determining whether the patient's oxygen saturation improved after
the intervention
Correct Answer:
B. Reviewing the patient's respiratory rate, oxygen saturation, and
breath sounds
Rationale:
Assessment involves collecting and validating patient data before
making clinical decisions. A represents diagnosis, C represents
implementation, and D represents evaluation.
Question 3
A nurse is using evidence-based nursing care when deciding how to
reduce a patient's risk for complications. Which action best reflects
evidence-based practice?
A. Using an intervention because the unit has always used it
B. Choosing an intervention based only on the nurse's previous
experience
C. Integrating current evidence with clinical expertise and the patient's
preferences
D. Selecting the intervention requested by the patient's family
Correct Answer:
C. Integrating current evidence with clinical expertise and the patient's
preferences