3rd Edition
Making Connections to Practice
3rd Edition
Author(s)Janice Hoffman; Nancy Sullivan
TEST BANK
,
,Question 1
A medical-surgical nurse is beginning care for a newly admitted patient.
Which action best demonstrates a core competency of medical-surgical
nursing?
A. Completing all tasks independently to avoid delays
B. Using assessment findings to individualize the plan of care
C. Following the same interventions for all patients with the same
diagnosis
D. Waiting for the provider to identify all nursing priorities
Correct Answer:
B. Using assessment findings to individualize the plan of care
Rationale:
Medical-surgical nursing requires integrating assessment findings with
patient-specific needs to individualize care. Option A does not reflect
teamwork. Option C ignores individual patient differences. Option D
fails to recognize the nurse’s independent clinical judgment
responsibilities.
Question 2
A nurse is caring for a patient who reports new shortness of breath.
Which action reflects the clinical judgment process first?
A. Administering prescribed oxygen
B. Documenting the symptom in the electronic record
C. Assessing respiratory rate, effort, and oxygen saturation
D. Calling the provider before assessing the patient
, Correct Answer:
C. Assessing respiratory rate, effort, and oxygen saturation
Rationale:
Clinical judgment begins with recognizing and collecting relevant cues
through assessment. Option A may be appropriate after assessment,
but treatment should be based on the patient’s condition. Option B
documents information but does not establish immediate clinical
understanding. Option D delays nursing assessment.
Question 3
Which nursing action best demonstrates evidence-based nursing care?
A. Using an intervention because it has always been used on the unit
B. Selecting interventions based only on personal experience
C. Combining current evidence, clinical expertise, and patient
preferences
D. Using the most expensive treatment available
Correct Answer:
C. Combining current evidence, clinical expertise, and patient
preferences
Rationale:
Evidence-based practice integrates the best available evidence with
professional expertise and patient values and preferences. Option A
relies on tradition. Option B excludes current evidence. Option D does
not establish effectiveness or appropriateness.
Question 4