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 is caring for four patients on a busy unit. Which
action best demonstrates a core competency of professional medical-
surgical nursing?
A. Completing assigned tasks in the order they appear on the worksheet
B. Using assessment findings to identify patient priorities and modify
care as needed
C. Asking the charge nurse to make all clinical decisions
D. Focusing on completing documentation before responding to patient
concerns
Correct Answer:
B. Using assessment findings to identify patient priorities and modify
care as needed
Rationale:
Medical-surgical nursing requires integration of assessment, clinical
judgment, prioritization, intervention, and evaluation. The nurse must
continually adapt care to patient needs. Option A emphasizes task
completion rather than clinical priorities. Option C relinquishes the
nurse's professional responsibility for clinical judgment. Option D places
documentation ahead of immediate patient needs.
Question 2
A nurse receives a handoff report on four patients. Which patient
should the nurse assess first?
, A. A patient reporting pain of 6/10 two hours after receiving an
analgesic
B. A patient awaiting discharge instructions after an uncomplicated
procedure
C. A patient with chronic heart failure who has a new onset of severe
shortness of breath
D. A patient requesting assistance with bathing
Correct Answer:
C. A patient with chronic heart failure who has a new onset of severe
shortness of breath
Rationale:
New severe dyspnea may indicate acute deterioration and threatens
oxygenation, making this patient the priority. Option A requires
reassessment but is less immediately life-threatening. Option B can be
addressed after urgent needs. Option D is a routine care need that can
be delegated or delayed briefly.
Question 3
A nurse is using the nursing process for a patient admitted with
weakness. Which action represents the assessment phase?
A. Teaching the patient how to conserve energy
B. Reviewing laboratory results and obtaining a focused health history
C. Setting a goal that the patient will ambulate independently
D. Determining whether the patient improved after an intervention
Correct Answer:
B. Reviewing laboratory results and obtaining a focused health history
3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse is caring for four patients on a busy unit. Which
action best demonstrates a core competency of professional medical-
surgical nursing?
A. Completing assigned tasks in the order they appear on the worksheet
B. Using assessment findings to identify patient priorities and modify
care as needed
C. Asking the charge nurse to make all clinical decisions
D. Focusing on completing documentation before responding to patient
concerns
Correct Answer:
B. Using assessment findings to identify patient priorities and modify
care as needed
Rationale:
Medical-surgical nursing requires integration of assessment, clinical
judgment, prioritization, intervention, and evaluation. The nurse must
continually adapt care to patient needs. Option A emphasizes task
completion rather than clinical priorities. Option C relinquishes the
nurse's professional responsibility for clinical judgment. Option D places
documentation ahead of immediate patient needs.
Question 2
A nurse receives a handoff report on four patients. Which patient
should the nurse assess first?
, A. A patient reporting pain of 6/10 two hours after receiving an
analgesic
B. A patient awaiting discharge instructions after an uncomplicated
procedure
C. A patient with chronic heart failure who has a new onset of severe
shortness of breath
D. A patient requesting assistance with bathing
Correct Answer:
C. A patient with chronic heart failure who has a new onset of severe
shortness of breath
Rationale:
New severe dyspnea may indicate acute deterioration and threatens
oxygenation, making this patient the priority. Option A requires
reassessment but is less immediately life-threatening. Option B can be
addressed after urgent needs. Option D is a routine care need that can
be delegated or delayed briefly.
Question 3
A nurse is using the nursing process for a patient admitted with
weakness. Which action represents the assessment phase?
A. Teaching the patient how to conserve energy
B. Reviewing laboratory results and obtaining a focused health history
C. Setting a goal that the patient will ambulate independently
D. Determining whether the patient improved after an intervention
Correct Answer:
B. Reviewing laboratory results and obtaining a focused health history
