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 receives report on four patients. Which patient
should the nurse assess first?
A. A patient requesting assistance with bathing before breakfast
B. A patient with a blood pressure of 128/76 mm Hg who reports mild
incisional discomfort
C. A patient who suddenly becomes confused and has an oxygen
saturation of 86% on room air
D. A patient waiting for discharge instructions after an uncomplicated
procedure
Correct Answer:
C. A patient who suddenly becomes confused and has an oxygen
saturation of 86% on room air
Rationale:
The patient with acute confusion and hypoxemia has a potential life-
threatening change requiring immediate assessment and intervention.
The other patients have needs that are important but not immediately
threatening. This reflects prioritization based on clinical deterioration
and patient safety.
Question 2
A nurse is caring for a hospitalized adult who states, “I do not
understand why I need this treatment.” Which action best
demonstrates patient-centered care?
, A. Tell the patient that the provider has already explained the treatment
B. Provide the treatment without further discussion to avoid delaying
care
C. Ask the patient what concerns or questions are preventing
understanding
D. Ask a family member to explain the treatment to the patient
Correct Answer:
C. Ask the patient what concerns or questions are preventing
understanding
Rationale:
Patient-centered care begins by understanding the patient’s
perspective, preferences, concerns, and informational needs. The nurse
should facilitate understanding rather than dismissing questions or
relying on another person to provide explanations.
Question 3
Which nursing action best reflects the nursing process when caring for a
patient with a newly identified problem?
A. Implement interventions before collecting assessment data
B. Collect relevant patient data before determining nursing priorities
C. Evaluate outcomes before establishing goals
D. Delegate assessment findings to assistive personnel
Correct Answer:
B. Collect relevant patient data before determining nursing priorities
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse receives report on four patients. Which patient
should the nurse assess first?
A. A patient requesting assistance with bathing before breakfast
B. A patient with a blood pressure of 128/76 mm Hg who reports mild
incisional discomfort
C. A patient who suddenly becomes confused and has an oxygen
saturation of 86% on room air
D. A patient waiting for discharge instructions after an uncomplicated
procedure
Correct Answer:
C. A patient who suddenly becomes confused and has an oxygen
saturation of 86% on room air
Rationale:
The patient with acute confusion and hypoxemia has a potential life-
threatening change requiring immediate assessment and intervention.
The other patients have needs that are important but not immediately
threatening. This reflects prioritization based on clinical deterioration
and patient safety.
Question 2
A nurse is caring for a hospitalized adult who states, “I do not
understand why I need this treatment.” Which action best
demonstrates patient-centered care?
, A. Tell the patient that the provider has already explained the treatment
B. Provide the treatment without further discussion to avoid delaying
care
C. Ask the patient what concerns or questions are preventing
understanding
D. Ask a family member to explain the treatment to the patient
Correct Answer:
C. Ask the patient what concerns or questions are preventing
understanding
Rationale:
Patient-centered care begins by understanding the patient’s
perspective, preferences, concerns, and informational needs. The nurse
should facilitate understanding rather than dismissing questions or
relying on another person to provide explanations.
Question 3
Which nursing action best reflects the nursing process when caring for a
patient with a newly identified problem?
A. Implement interventions before collecting assessment data
B. Collect relevant patient data before determining nursing priorities
C. Evaluate outcomes before establishing goals
D. Delegate assessment findings to assistive personnel
Correct Answer:
B. Collect relevant patient data before determining nursing priorities
