TESTBANK FOR DAVIES ADVANTAGE FOR
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UNDERSTANDING MEDICAL SURGICAL NURSING
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7THEDITION BY WILLIAMS & HOPPER
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,Chapter 1. Critical Thinking and the Nursing Process
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MULTIPLE CHOICE bb
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical
bb bb bb bb bb bb bb bb bb bb bb bb bb
unit. Which hospital patientshould the licensed practical nursing attendant/licensed
bb bb bb bb b bb bb bb bb bb
vocational nursing attendant (LPN/LVN) assess first?
bb bb bb bb bb bb
1. A patient with a blood glucose of 42 mg/dL
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2. A patient who reports a pain level of 2
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3. A patient who has just received a diagnosis of cancer
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4. A patient who has a respiratory rate of 22
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ACCURATE ANSWER:-1 bb
CHAPTER: 1 Critical Thinking and the Nursing Process bb bb bb bb bb bb bb
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
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humanneeds.
bb b
Pgs: 6–7 bb
Heading: Prioritize Care bb bb
Integrated Process: Clinical Problem-Solving Process (Nursing
bb bb bb bb bb
Process)Hospital patient Need: SECE—Coordinated Care
bb b bb bb bb bb
Cognitive Level: Application bb bb
[Applying]Concept: Hospital patient-
bb b bb bb
Centered Care Difficulty: Difficult bb bb bb
Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
bb bb bb bb bb bb bb bb bb bb bb
immediateintervention.
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2 This hospital patient will need to be assessed, but is not as high a priority.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
3 According to Maslow, psychosocial needs are not as high of a priority
bb bb bb bb bb bb bb bb bb bb bb
asphysiological needs.
bb b bb
4 A respiratory rate of 22 is within normal range.
bb bb bb bb bb bb bb bb
POINTS: 1 CON: Hospital patient-Centered Care
bb bb bb
2. The LPN/LVN enters the room of a hospital patient who is angry and yells, ―I
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
asked 5 minutes agofor my pain medication. I‘m going to call the CEO of the
bb bb bb bb b bb bb bb bb bb bb bb bb bb bb bb
health center if you don‘t get it for me now.‖ Which statement by the nursing
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
attendant demonstrates intellectual empathy?
bb bb bb bb
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
bb bb bb bb bb bb bb bb bb bb bb bb bb
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
3. ―I had another hospital patient who had severe pain, and I had to get to them first.‖
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
ACCURATE ANSWER:-2 bb
CHAPTER: 1 Critical Thinking and the Nursing Process bb bb bb bb bb bb bb
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg:
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2
bb
Heading: Intellectual Empathy bb bb
Integrated Process: Communication and bb bb bb
DocumentationHospital patient Need: Psychosocial
bb b bb bb bb
Integrity
bb
, Cognitive Level: Application bb bb
[Applying]Concept: Communication
bb b bb
Difficulty: Moderate bb
Reasoning:->>>
1 This statement does not consider an individual‘s situation.
bb bb bb bb bb bb bb
2 This statement demonstrates intellectual empathy by considering this hospital
bb bb bb bb bb bb bb bb
patient‘ssituation and will likely alleviate the hospital patient‘s anger.
bb b bb bb bb bb bb bb bb bb
3 This statement does not consider a hospital patient‘s situation and does not
bb bb bb bb bb bb bb bb bb bb bb
demonstrateintellectual empathy.
bb b bb
4 This statement addresses the hospital patient‘s statement of wanting to call
bb bb bb bb bb bb bb bb bb bb
the CEO, butdoes not demonstrate intellectual empathy by considering the
bb bb bb b bb bb bb bb bb bb bb
hospital patient‘s situation.
bb bb bb
POINTS: 1 CON: Communication bb
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
subjective?
bb
1. Respiratory rate of 26 per minute bb bb bb bb bb
2. Hospital patient report of shortness of breath bb bb bb bb bb bb
3. Coarse lung sounds bilaterally bb bb bb
4. Cough producing green sputum bb bb bb
ACCURATE ANSWER:-2 bb
CHAPTER: 1 Critical Thinking and the Nursing Process OBJ
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5. Differentiate between objective and subjective data.Pg: 4
bb bb bb bb bb bb bb b bb
Heading: Subjective Data bb bb
Integrated Process: Communication and bb bb bb
DocumentationHospital patient Need:
bb b bb bb
Communication and Documentation Cognitive
bb bb bb bb
Level: Application (Applying)
bb bb bb
Concept:
CommunicationDifficult
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y: Moderate
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Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data.
bb bb bb bb bb bb bb bb bb bb bb
2 A hospital patient reporting symptoms to the nursing attendant is an example
bb bb bb bb bb bb bb bb bb bb bb
of subjectivedata.
bb bb b
3 Coarse lung sounds is an example of objective data.
bb bb bb bb bb bb bb bb
4 A productive cough is an example of objective data.
bb bb bb bb bb bb bb bb
POINTS: 1 CON: Communication bb
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
analgesic medicationis not due for another 50 minutes. Which action should the
bb bb b bb bb bb bb bb bb bb bb bb bb
nursing attendant take first?
bb bb bb bb
1. Reposition the hospital patient. bb bb bb
2. Give the medication in 30 minutes.
bb bb bb bb bb
3. Notify the registered nursing attendant (RN) or physician.
bb bb bb bb bb bb bb
4. Tell the hospital patient it is too early for pain
bb bb bb bb bb bb bb bb bb
bb medication.ANS: 3 b bb
, CHAPTER: 1 Critical Thinking and the Nursing Process
bb bb bb bb bb bb bb
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed
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vocationalnursing attendant in using the nursing process.
bb b bb bb bb bb bb bb
Pg: 3bb
Heading: Clinical Judgement
bb bb
Integrated Process: Clinical Problem-solving Process (Nursing
bb bb bb bb bb
Process)Hospital patient Need: SECE—Coordinated Care
bb b bb bb bb bb
Cognitive Level: Application bb bb
[Applying]Concept: Hospital patient-
bb b bb bb
Centered Care Difficulty: Moderate
bb bb bb
Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
bb bb bb bb bb bb bb bb bb bb bb
Repositioning ahospital patient with a new fracture is not likely to
bb bb b bb bb bb bb bb bb bb bb bb
relieve pain.
bb bb
2 Giving the medication before the prescribed time is beyond the nurse
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caregiver‘s scope of practice. bb bb bb
3 The hospital patient should not have to wait for pain relief, so the LPN
bb bb bb bb bb bb bb bb bb bb bb bb bb
should informthe RN or physician so new pain relief orders can be
bb bb b bb bb bb bb bb bb bb bb bb bb
obtained.
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4 The nursing attendant needs to do more than expect the hospital patient to
bb bb bb bb bb bb bb bb bb bb bb bb
wait for painrelief.
bb bb bb b
POINTS: 1 CON: Hospital patient-Centered Care
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5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
bb bb bb bb bb bb bb bb bb bb bb
Whichneed does the nursing attendant identify as having the highest priority?
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1. Job-related stress bb
2. Feeling of loneliness bb bb
3. Pain level of 9 on 0-to-10 scale
bb bb bb bb bb bb
4. Lack of confidence bb bb
ACCURATE ANSWER:-3 bb
CHAPTER: 1 Critical Thinking and the Nursing Process
bb bb bb bb bb bb bb
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
bb bb bb bb bb bb bb bb bb bb bb bb
humanneeds
bb b
Pg: 7bb
Heading: Prioritize Care bb bb
Integrated Process:
bb bb
Caring
bb
Hospital patient Need: SECE –
bb bb bb bb
Coordinated Care Cognitive Level:
bb bb bb bb
Application [Applying]Concept:
bb bb b
Hospital patient-Centered Care
bb bb bb
Difficulty: Moderate
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Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed
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afterphysiological needs.
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2 According to Maslow, loneliness is addressed under social needs
bb bb bb bb bb bb bb bb
followingphysiological and safety.
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3 Pain is a physiological need and is the highest priority.
bb bb bb bb bb bb bb bb bb
4 Lack of confidence falls under esteem according to Maslow and is
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addressedfollowing physiological, safety, and social needs.
bb b bb bb bb bb bb
bb bb bb bb
UNDERSTANDING MEDICAL SURGICAL NURSING
bb bb bb bb
7THEDITION BY WILLIAMS & HOPPER
bb b bb bb bb bb
,Chapter 1. Critical Thinking and the Nursing Process
bb bb bb bb bb bb bb
MULTIPLE CHOICE bb
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical
bb bb bb bb bb bb bb bb bb bb bb bb bb
unit. Which hospital patientshould the licensed practical nursing attendant/licensed
bb bb bb bb b bb bb bb bb bb
vocational nursing attendant (LPN/LVN) assess first?
bb bb bb bb bb bb
1. A patient with a blood glucose of 42 mg/dL
bb b b bb bb bb bb bb bb
2. A patient who reports a pain level of 2
bb bb bb bb bb bb bb bb
3. A patient who has just received a diagnosis of cancer
bb bb bb bb bb bb bb bb bb
4. A patient who has a respiratory rate of 22
bb bb bb bb bb bb bb bb
ACCURATE ANSWER:-1 bb
CHAPTER: 1 Critical Thinking and the Nursing Process bb bb bb bb bb bb bb
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
bb bb bb bb bb bb bb bb bb bb bb bb
humanneeds.
bb b
Pgs: 6–7 bb
Heading: Prioritize Care bb bb
Integrated Process: Clinical Problem-Solving Process (Nursing
bb bb bb bb bb
Process)Hospital patient Need: SECE—Coordinated Care
bb b bb bb bb bb
Cognitive Level: Application bb bb
[Applying]Concept: Hospital patient-
bb b bb bb
Centered Care Difficulty: Difficult bb bb bb
Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
bb bb bb bb bb bb bb bb bb bb bb
immediateintervention.
bb b
2 This hospital patient will need to be assessed, but is not as high a priority.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
3 According to Maslow, psychosocial needs are not as high of a priority
bb bb bb bb bb bb bb bb bb bb bb
asphysiological needs.
bb b bb
4 A respiratory rate of 22 is within normal range.
bb bb bb bb bb bb bb bb
POINTS: 1 CON: Hospital patient-Centered Care
bb bb bb
2. The LPN/LVN enters the room of a hospital patient who is angry and yells, ―I
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
asked 5 minutes agofor my pain medication. I‘m going to call the CEO of the
bb bb bb bb b bb bb bb bb bb bb bb bb bb bb bb
health center if you don‘t get it for me now.‖ Which statement by the nursing
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
attendant demonstrates intellectual empathy?
bb bb bb bb
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
bb bb bb bb bb bb bb bb bb bb bb bb bb
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
3. ―I had another hospital patient who had severe pain, and I had to get to them first.‖
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
ACCURATE ANSWER:-2 bb
CHAPTER: 1 Critical Thinking and the Nursing Process bb bb bb bb bb bb bb
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg:
bb bb bb bb bb bb bb bb bb bb b
2
bb
Heading: Intellectual Empathy bb bb
Integrated Process: Communication and bb bb bb
DocumentationHospital patient Need: Psychosocial
bb b bb bb bb
Integrity
bb
, Cognitive Level: Application bb bb
[Applying]Concept: Communication
bb b bb
Difficulty: Moderate bb
Reasoning:->>>
1 This statement does not consider an individual‘s situation.
bb bb bb bb bb bb bb
2 This statement demonstrates intellectual empathy by considering this hospital
bb bb bb bb bb bb bb bb
patient‘ssituation and will likely alleviate the hospital patient‘s anger.
bb b bb bb bb bb bb bb bb bb
3 This statement does not consider a hospital patient‘s situation and does not
bb bb bb bb bb bb bb bb bb bb bb
demonstrateintellectual empathy.
bb b bb
4 This statement addresses the hospital patient‘s statement of wanting to call
bb bb bb bb bb bb bb bb bb bb
the CEO, butdoes not demonstrate intellectual empathy by considering the
bb bb bb b bb bb bb bb bb bb bb
hospital patient‘s situation.
bb bb bb
POINTS: 1 CON: Communication bb
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
subjective?
bb
1. Respiratory rate of 26 per minute bb bb bb bb bb
2. Hospital patient report of shortness of breath bb bb bb bb bb bb
3. Coarse lung sounds bilaterally bb bb bb
4. Cough producing green sputum bb bb bb
ACCURATE ANSWER:-2 bb
CHAPTER: 1 Critical Thinking and the Nursing Process OBJ
bb bb bb bb bb bb bb bb
5. Differentiate between objective and subjective data.Pg: 4
bb bb bb bb bb bb bb b bb
Heading: Subjective Data bb bb
Integrated Process: Communication and bb bb bb
DocumentationHospital patient Need:
bb b bb bb
Communication and Documentation Cognitive
bb bb bb bb
Level: Application (Applying)
bb bb bb
Concept:
CommunicationDifficult
bb b
y: Moderate
bb
Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data.
bb bb bb bb bb bb bb bb bb bb bb
2 A hospital patient reporting symptoms to the nursing attendant is an example
bb bb bb bb bb bb bb bb bb bb bb
of subjectivedata.
bb bb b
3 Coarse lung sounds is an example of objective data.
bb bb bb bb bb bb bb bb
4 A productive cough is an example of objective data.
bb bb bb bb bb bb bb bb
POINTS: 1 CON: Communication bb
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
analgesic medicationis not due for another 50 minutes. Which action should the
bb bb b bb bb bb bb bb bb bb bb bb bb
nursing attendant take first?
bb bb bb bb
1. Reposition the hospital patient. bb bb bb
2. Give the medication in 30 minutes.
bb bb bb bb bb
3. Notify the registered nursing attendant (RN) or physician.
bb bb bb bb bb bb bb
4. Tell the hospital patient it is too early for pain
bb bb bb bb bb bb bb bb bb
bb medication.ANS: 3 b bb
, CHAPTER: 1 Critical Thinking and the Nursing Process
bb bb bb bb bb bb bb
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed
bb bb bb bb bb bb bb bb bb bb
vocationalnursing attendant in using the nursing process.
bb b bb bb bb bb bb bb
Pg: 3bb
Heading: Clinical Judgement
bb bb
Integrated Process: Clinical Problem-solving Process (Nursing
bb bb bb bb bb
Process)Hospital patient Need: SECE—Coordinated Care
bb b bb bb bb bb
Cognitive Level: Application bb bb
[Applying]Concept: Hospital patient-
bb b bb bb
Centered Care Difficulty: Moderate
bb bb bb
Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
bb bb bb bb bb bb bb bb bb bb bb
Repositioning ahospital patient with a new fracture is not likely to
bb bb b bb bb bb bb bb bb bb bb bb
relieve pain.
bb bb
2 Giving the medication before the prescribed time is beyond the nurse
bb bb bb bb bb bb bb bb bb bb
caregiver‘s scope of practice. bb bb bb
3 The hospital patient should not have to wait for pain relief, so the LPN
bb bb bb bb bb bb bb bb bb bb bb bb bb
should informthe RN or physician so new pain relief orders can be
bb bb b bb bb bb bb bb bb bb bb bb bb
obtained.
bb
4 The nursing attendant needs to do more than expect the hospital patient to
bb bb bb bb bb bb bb bb bb bb bb bb
wait for painrelief.
bb bb bb b
POINTS: 1 CON: Hospital patient-Centered Care
bb bb bb
5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
bb bb bb bb bb bb bb bb bb bb bb
Whichneed does the nursing attendant identify as having the highest priority?
bb b bb bb bb bb bb bb bb bb bb bb
1. Job-related stress bb
2. Feeling of loneliness bb bb
3. Pain level of 9 on 0-to-10 scale
bb bb bb bb bb bb
4. Lack of confidence bb bb
ACCURATE ANSWER:-3 bb
CHAPTER: 1 Critical Thinking and the Nursing Process
bb bb bb bb bb bb bb
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
bb bb bb bb bb bb bb bb bb bb bb bb
humanneeds
bb b
Pg: 7bb
Heading: Prioritize Care bb bb
Integrated Process:
bb bb
Caring
bb
Hospital patient Need: SECE –
bb bb bb bb
Coordinated Care Cognitive Level:
bb bb bb bb
Application [Applying]Concept:
bb bb b
Hospital patient-Centered Care
bb bb bb
Difficulty: Moderate
bb bb
Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed
bb bb bb bb bb bb bb bb bb bb
afterphysiological needs.
bb b bb
2 According to Maslow, loneliness is addressed under social needs
bb bb bb bb bb bb bb bb
followingphysiological and safety.
bb b bb bb
3 Pain is a physiological need and is the highest priority.
bb bb bb bb bb bb bb bb bb
4 Lack of confidence falls under esteem according to Maslow and is
bb bb bb bb bb bb bb bb bb bb
addressedfollowing physiological, safety, and social needs.
bb b bb bb bb bb bb
