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Delight Test Banks
NGN NCLEX Clinical Judgment Test Bank: Ignatavicius
Medical-Surgical Nursing 11e - Complete Question Mastery
(Chapter-by-Chapter) latest"
The only resource that trains your clinical judgment like an ICU nurse while
nailing NGN-style questions - chapter-by-chapter through Ignatavicius
, 2
Delight Test Banks
Chapter 1: Introduction to Medical-Surgical Nursing
Question 1: Professional Identity (Standalone)
A new nurse states, "My job is to follow the doctor’s orders." Which
concept of professional identity does this statement MOST require
refinement on?
A. Clinical judgment
B. Leadership
C. Autonomy
D. Collaboration
Rationale:
• Why C? Nursing autonomy involves independent decision-making within
the scope of practice, not just following orders (Ignatavicius, p. 5, Box
1.1).
• Why not A? Clinical judgment is used within autonomous practice.
• Why not B/D? Leadership/Collaboration involve teamwork but don’t
address self-directed practice.
• CJMM: Recognize Cues (nurse’s statement reflects passive role).
• Text Ref: p. 5, "Professional Identity in Nursing."
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Question 2: QSEN - Safety (Extended Multiple Response)
A nurse is caring for a patient with a latex allergy. Which actions
are ESSENTIAL to prevent a hypersensitivity reaction? (Select THREE):
A. Use vinyl gloves during all patient contact.
B. Place a "Latex Allergy" alert in the EHR.
C. Ensure the crash cart contains latex-free supplies.
D. Ask the dietary staff to provide plastic cutlery.
E. Assess for cross-reactive foods (e.g., bananas, avocados).
F. Use a blood pressure cuff over clothing.
Rationale:
• Why A, C, E?
o A: Vinyl gloves prevent direct exposure.
o C: Emergency equipment must be latex-free (life-threatening risk).
o E: Latex-food syndrome requires assessment for anaphylaxis risk.
• Why not B? EHR alerts are important but not a physical prevention.
• Why not D/F? Cutlery isn’t latex; BP cuffs have latex bladders (remove
clothing first).
• Mnemonic: "S.A.F.E. Latex": Supplies latex-free, Alert team, Food
screen, Environment check.
• CJMM: Generate Solutions.
• Text Ref: p. 11, "Safety Concepts."
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Question 3: Clinical Judgment (Bowtie)
Use the Bowtie model below to prioritize risks for a 72-year-old with heart
failure admitted for pneumonia. What is the GREATEST risk requiring
prevention? What is the MOST effective action to mitigate it?
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[LEFT]: Age, Heart Failure, Infection, Immobility
[TOP EVENT]: Acute Respiratory Failure
[RIGHT]: Intubation, ICU Transfer, Death
[BARRIERS LEFT]: Oxygen, Diuretics, Early Ambulation, Antibiotics
[BARRIERS RIGHT]: NIV, Mechanical Ventilation
BOLD ANSWERS:
GREATEST Risk: Infection (Pneumonia)
MOST Effective Action: Administer prescribed antibiotics ON TIME
Rationale:
• Why Infection? Pneumonia is the acute stressor exacerbating heart
failure and directly causing respiratory compromise (Ignatavicius, p. 8,
Clinical Judgment box).
Delight Test Banks
NGN NCLEX Clinical Judgment Test Bank: Ignatavicius
Medical-Surgical Nursing 11e - Complete Question Mastery
(Chapter-by-Chapter) latest"
The only resource that trains your clinical judgment like an ICU nurse while
nailing NGN-style questions - chapter-by-chapter through Ignatavicius
, 2
Delight Test Banks
Chapter 1: Introduction to Medical-Surgical Nursing
Question 1: Professional Identity (Standalone)
A new nurse states, "My job is to follow the doctor’s orders." Which
concept of professional identity does this statement MOST require
refinement on?
A. Clinical judgment
B. Leadership
C. Autonomy
D. Collaboration
Rationale:
• Why C? Nursing autonomy involves independent decision-making within
the scope of practice, not just following orders (Ignatavicius, p. 5, Box
1.1).
• Why not A? Clinical judgment is used within autonomous practice.
• Why not B/D? Leadership/Collaboration involve teamwork but don’t
address self-directed practice.
• CJMM: Recognize Cues (nurse’s statement reflects passive role).
• Text Ref: p. 5, "Professional Identity in Nursing."
, 3
Delight Test Banks
Question 2: QSEN - Safety (Extended Multiple Response)
A nurse is caring for a patient with a latex allergy. Which actions
are ESSENTIAL to prevent a hypersensitivity reaction? (Select THREE):
A. Use vinyl gloves during all patient contact.
B. Place a "Latex Allergy" alert in the EHR.
C. Ensure the crash cart contains latex-free supplies.
D. Ask the dietary staff to provide plastic cutlery.
E. Assess for cross-reactive foods (e.g., bananas, avocados).
F. Use a blood pressure cuff over clothing.
Rationale:
• Why A, C, E?
o A: Vinyl gloves prevent direct exposure.
o C: Emergency equipment must be latex-free (life-threatening risk).
o E: Latex-food syndrome requires assessment for anaphylaxis risk.
• Why not B? EHR alerts are important but not a physical prevention.
• Why not D/F? Cutlery isn’t latex; BP cuffs have latex bladders (remove
clothing first).
• Mnemonic: "S.A.F.E. Latex": Supplies latex-free, Alert team, Food
screen, Environment check.
• CJMM: Generate Solutions.
• Text Ref: p. 11, "Safety Concepts."
, 4
Delight Test Banks
Question 3: Clinical Judgment (Bowtie)
Use the Bowtie model below to prioritize risks for a 72-year-old with heart
failure admitted for pneumonia. What is the GREATEST risk requiring
prevention? What is the MOST effective action to mitigate it?
Copy
Download
[LEFT]: Age, Heart Failure, Infection, Immobility
[TOP EVENT]: Acute Respiratory Failure
[RIGHT]: Intubation, ICU Transfer, Death
[BARRIERS LEFT]: Oxygen, Diuretics, Early Ambulation, Antibiotics
[BARRIERS RIGHT]: NIV, Mechanical Ventilation
BOLD ANSWERS:
GREATEST Risk: Infection (Pneumonia)
MOST Effective Action: Administer prescribed antibiotics ON TIME
Rationale:
• Why Infection? Pneumonia is the acute stressor exacerbating heart
failure and directly causing respiratory compromise (Ignatavicius, p. 8,
Clinical Judgment box).
