Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
1) MCQ
,Clinical Scenario:
A nurse receives handoff on four adult patients. One patient is
8 hours post-op and suddenly becomes confused, restless, and
has an oxygen saturation of 88% on room air.
Question Stem:
Which patient should the nurse assess first?
Answer Options:
A. The patient reporting incisional pain rated 6/10
B. The patient with new confusion and oxygen saturation of
88%
C. The patient who wants discharge teaching before lunch
D. The patient asking for a PRN stool softener
Correct Answer:
B
Detailed Rationale:
This patient shows acute deterioration and possible
hypoxemia. New confusion plus low oxygen saturation are high-
priority cues that require immediate assessment. The nurse
should use clinical judgment to recognize a potentially unstable
airway/breathing problem.
Incorrect Option Analysis:
A. Incorrect because pain is important but not as urgent as
hypoxemia. Misconception: pain automatically equals priority.
Risk: delayed response to respiratory compromise.
C. Incorrect because discharge teaching is important but not
,urgent. Misconception: patient requests should outweigh
instability. Risk: missed early intervention.
D. Incorrect because bowel care is low priority. Misconception:
comfort needs always come first. Risk: delayed treatment of
life-threatening hypoxia.
Nursing Process Linkage:
Assessment
NCJMM Competencies:
Recognize Cues; Prioritize Hypotheses
Difficulty Level:
Moderate
Bloom’s Cognitive Level:
Analyze
NCLEX Client Needs Category:
Physiological Adaptation
Key Learning Objective:
Identify the highest-priority patient based on acute changes in
oxygenation and mental status.
2) MCQ
Clinical Scenario:
An older adult admitted with heart failure says, “I do not want
my daughter to hear the teaching unless I am present, and I
need the information in large print.”
, Question Stem:
Which nursing action best reflects patient-centered care?
Answer Options:
A. Ask the daughter to stay and explain the plan since she is
family
B. Provide standard discharge teaching immediately to save
time
C. Honor the patient’s preferences and adapt teaching
materials and timing
D. Tell the patient the teaching format cannot be changed
Correct Answer:
C
Detailed Rationale:
Patient-centered care respects the person’s preferences,
values, communication needs, and participation in decisions.
Large-print materials and timing education when the patient is
present supports autonomy and comprehension.
Incorrect Option Analysis:
A. Incorrect because family involvement should follow the
patient’s consent. Misconception: family automatically has
decision-making authority. Risk: loss of trust and privacy
concerns.
B. Incorrect because standardized teaching does not meet
individual needs. Misconception: all adults learn the same way.
Risk: poor understanding and readmission.
D. Incorrect because the care plan should be adapted when
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
1) MCQ
,Clinical Scenario:
A nurse receives handoff on four adult patients. One patient is
8 hours post-op and suddenly becomes confused, restless, and
has an oxygen saturation of 88% on room air.
Question Stem:
Which patient should the nurse assess first?
Answer Options:
A. The patient reporting incisional pain rated 6/10
B. The patient with new confusion and oxygen saturation of
88%
C. The patient who wants discharge teaching before lunch
D. The patient asking for a PRN stool softener
Correct Answer:
B
Detailed Rationale:
This patient shows acute deterioration and possible
hypoxemia. New confusion plus low oxygen saturation are high-
priority cues that require immediate assessment. The nurse
should use clinical judgment to recognize a potentially unstable
airway/breathing problem.
Incorrect Option Analysis:
A. Incorrect because pain is important but not as urgent as
hypoxemia. Misconception: pain automatically equals priority.
Risk: delayed response to respiratory compromise.
C. Incorrect because discharge teaching is important but not
,urgent. Misconception: patient requests should outweigh
instability. Risk: missed early intervention.
D. Incorrect because bowel care is low priority. Misconception:
comfort needs always come first. Risk: delayed treatment of
life-threatening hypoxia.
Nursing Process Linkage:
Assessment
NCJMM Competencies:
Recognize Cues; Prioritize Hypotheses
Difficulty Level:
Moderate
Bloom’s Cognitive Level:
Analyze
NCLEX Client Needs Category:
Physiological Adaptation
Key Learning Objective:
Identify the highest-priority patient based on acute changes in
oxygenation and mental status.
2) MCQ
Clinical Scenario:
An older adult admitted with heart failure says, “I do not want
my daughter to hear the teaching unless I am present, and I
need the information in large print.”
, Question Stem:
Which nursing action best reflects patient-centered care?
Answer Options:
A. Ask the daughter to stay and explain the plan since she is
family
B. Provide standard discharge teaching immediately to save
time
C. Honor the patient’s preferences and adapt teaching
materials and timing
D. Tell the patient the teaching format cannot be changed
Correct Answer:
C
Detailed Rationale:
Patient-centered care respects the person’s preferences,
values, communication needs, and participation in decisions.
Large-print materials and timing education when the patient is
present supports autonomy and comprehension.
Incorrect Option Analysis:
A. Incorrect because family involvement should follow the
patient’s consent. Misconception: family automatically has
decision-making authority. Risk: loss of trust and privacy
concerns.
B. Incorrect because standardized teaching does not meet
individual needs. Misconception: all adults learn the same way.
Risk: poor understanding and readmission.
D. Incorrect because the care plan should be adapted when
