TESTBANK FOR DAVIES ADVANTAGE FOR
n n n n
UNDERSTANDING MEDICAL SURGICAL
n n n
n NURSING 7THEDITION BY WILLIAMS & HOPPER
n n n n n n
,Chapter 1. Critical Thinking and the Nursing Process
n n n n n n n
MULTIPLE nCHOICE
1. The nnursing nattendant nis ncaring nfor na ngroup nof nhospital npatients non na nmedical-
surgical nunit. nWhich nhospital npatientnshould nthe nlicensed npractical nnursing
nattendant/licensed nvocational nnursing nattendant n(LPN/LVN) nassess n first?
1. Anpatient n with na nblood nglucose nof n42 nmg/dL
2. Anpatient nwho nreports na npain nlevel nof n2
3. Anpatient nwho nhas njust nreceived na ndiagnosis nof ncancer
4. Anpatient n who nhas na nrespiratory nrate nof n22
ACCURATE nANSWER:-1
CHAPTER: n1 nCritical nThinking nand nthe nNursing nProcess
OBJ n7. nPrioritize nhospital npatient ncare nactivities nbased non nthe nMaslow
nhierarchy nof nhumann needs.
Pgs: n6–7
Heading: nPrioritize nCare
Integrated nProcess: nClinical nProblem-Solving nProcess n(Nursing
nProcess)nHospital npatient nNeed: nSECE—Coordinated nCare
Cognitive nLevel: nApplication
n[Applying]n Concept: nHospital
npatient-Centered n Care nDifficulty:
nDifficult
Reasoning:->>>
1 This nhospital npatient nhas na ndangerously nlow nblood nglucose nlevel nand
nrequires nimmediaten intervention.
2 This nhospital npatient nwill nneed nto nbe nassessed, nbut nis nnot nas nhigh na
npriority.
3 According nto nMaslow, npsychosocial nneeds nare nnot nas nhigh nof na npriority
nasn
physiological nneeds.
4 A nrespiratory nrate nof n22 nis nwithin nnormal nrange.
POINTS: 1 CON: n Hospital npatient-Centered nCare
2. The nLPN/LVN nenters nthe nroom nof na nhospital npatient nwho nis nangry nand
nyells, n“I nasked n5 nminutes nagon for nmy npain nmedication. nI’m ngoing nto ncall nthe
nCEO nof n the nhealth ncenter nif nyou ndon’t nget nit nfor nme nnow.” nWhich nstatement
nby nthe nnursing nattendant ndemonstrates nintellectual nempathy?
1. “We nare nshort-staffed ntoday, nso nit nwill ntake nme nlonger nto nmeet nyour nneeds.”
2. “I nam nsorry nyou nhad nto nwait, nI nknow nyou nmust nbe nin na nlot nof npain.”
3. “I nhad nanother nhospital npatient nwho nhad nsevere npain, nand nI nhad nto nget nto nthem
nfirst.”
4. “I nwill nget nyou nthe nnumber nfor nthe nCEO, nbut nhe nis naware nof nhow nbusy nwe nare.”
ACCURATE nANSWER:-2
CHAPTER: n1 nCritical nThinking nand nthe nNursing nProcess
OBJ n2. nDescribe nattitudes nand nskills nthat npromote ngood ncritical
nthinkingnPg: n2
Heading: nIntellectual nEmpathy
,Integrated nProcess: nCommunication nand
nDocumentationn Hospital npatient nNeed:
nPsychosocial nIntegrity
, Cognitive nLevel: nApplication
n[Applying]n Concept:
nCommunication
Difficulty: nModerate
Reasoning:->>>
1 This nstatement ndoes nnot nconsider nan nindividual’s nsituation.
2 This nstatement ndemonstrates nintellectual nempathy nby nconsidering nthis
nhospital npatient’s n
situation nand nwill nlikely nalleviate nthe nhospital
npatient’s nanger.
3 This nstatement ndoes nnot nconsider na nhospital npatient’s nsituation nand
ndoes nnot ndemonstraten intellectual nempathy.
4 This nstatement naddresses nthe nhospital npatient’s nstatement nof nwanting
nto ncall nthe nCEO, nbutn
does nnot ndemonstrate nintellectual nempathy nby
nconsidering nthe nhospital npatient’s n situation.
POINTS: 1 CON: n Communication
3. The nnursing nattendant nis ncollecting ndata non na nhospital npatient. nWhich ndata nare
ndescribed nas nsubjective?
1. Respiratory nrate nof n26 nper nminute
2. Hospital npatient nreport nof nshortness nof nbreath
3. Coarse nlung nsounds nbilaterally
4. Cough nproducing ngreen nsputum
ACCURATE nANSWER:-2
CHAPTER: n1 nCritical nThinking nand nthe nNursing nProcess
nOBJ n5. nDifferentiate nbetween nobjective nand nsubjective
ndata. n
Pg: n4
Heading: nSubjective nData
Integrated nProcess: nCommunication nand
nDocumentationn Hospital npatient nNeed:
nCommunication nand n Documentation nCognitive
nLevel: n Application n(Applying)
Concept:
nCommunication
Difficulty: nModerate
n
Reasoning:->>>
1 Respiratory nrate nof n26 nper nminute nis nan nexample nof nobjective ndata.
2 Anhospital npatient nreporting nsymptoms nto nthe nnursing nattendant nis nan
nexample nof nsubjectiven data.
3 Coarse nlung nsounds nis nan nexample nof nobjective ndata.
4 A nproductive ncough nis nan nexample nof nobjective ndata.
POINTS: 1 CON: n Communication
4. A nhospital npatient nwith na nnewly nfractured nfemur nreports na npain nlevel nof n8/10
nand nanalgesic nmedicationn is nnot ndue nfor nanother n50 nminutes. nWhich naction
nshould nthe nnursing nattendant ntake nfirst?
1. Reposition nthe nhospital npatient.
2. Give nthe nmedication nin n30 nminutes.
3. Notify nthe nregistered nnursing nattendant n(RN) nor nphysician.
n n n n
UNDERSTANDING MEDICAL SURGICAL
n n n
n NURSING 7THEDITION BY WILLIAMS & HOPPER
n n n n n n
,Chapter 1. Critical Thinking and the Nursing Process
n n n n n n n
MULTIPLE nCHOICE
1. The nnursing nattendant nis ncaring nfor na ngroup nof nhospital npatients non na nmedical-
surgical nunit. nWhich nhospital npatientnshould nthe nlicensed npractical nnursing
nattendant/licensed nvocational nnursing nattendant n(LPN/LVN) nassess n first?
1. Anpatient n with na nblood nglucose nof n42 nmg/dL
2. Anpatient nwho nreports na npain nlevel nof n2
3. Anpatient nwho nhas njust nreceived na ndiagnosis nof ncancer
4. Anpatient n who nhas na nrespiratory nrate nof n22
ACCURATE nANSWER:-1
CHAPTER: n1 nCritical nThinking nand nthe nNursing nProcess
OBJ n7. nPrioritize nhospital npatient ncare nactivities nbased non nthe nMaslow
nhierarchy nof nhumann needs.
Pgs: n6–7
Heading: nPrioritize nCare
Integrated nProcess: nClinical nProblem-Solving nProcess n(Nursing
nProcess)nHospital npatient nNeed: nSECE—Coordinated nCare
Cognitive nLevel: nApplication
n[Applying]n Concept: nHospital
npatient-Centered n Care nDifficulty:
nDifficult
Reasoning:->>>
1 This nhospital npatient nhas na ndangerously nlow nblood nglucose nlevel nand
nrequires nimmediaten intervention.
2 This nhospital npatient nwill nneed nto nbe nassessed, nbut nis nnot nas nhigh na
npriority.
3 According nto nMaslow, npsychosocial nneeds nare nnot nas nhigh nof na npriority
nasn
physiological nneeds.
4 A nrespiratory nrate nof n22 nis nwithin nnormal nrange.
POINTS: 1 CON: n Hospital npatient-Centered nCare
2. The nLPN/LVN nenters nthe nroom nof na nhospital npatient nwho nis nangry nand
nyells, n“I nasked n5 nminutes nagon for nmy npain nmedication. nI’m ngoing nto ncall nthe
nCEO nof n the nhealth ncenter nif nyou ndon’t nget nit nfor nme nnow.” nWhich nstatement
nby nthe nnursing nattendant ndemonstrates nintellectual nempathy?
1. “We nare nshort-staffed ntoday, nso nit nwill ntake nme nlonger nto nmeet nyour nneeds.”
2. “I nam nsorry nyou nhad nto nwait, nI nknow nyou nmust nbe nin na nlot nof npain.”
3. “I nhad nanother nhospital npatient nwho nhad nsevere npain, nand nI nhad nto nget nto nthem
nfirst.”
4. “I nwill nget nyou nthe nnumber nfor nthe nCEO, nbut nhe nis naware nof nhow nbusy nwe nare.”
ACCURATE nANSWER:-2
CHAPTER: n1 nCritical nThinking nand nthe nNursing nProcess
OBJ n2. nDescribe nattitudes nand nskills nthat npromote ngood ncritical
nthinkingnPg: n2
Heading: nIntellectual nEmpathy
,Integrated nProcess: nCommunication nand
nDocumentationn Hospital npatient nNeed:
nPsychosocial nIntegrity
, Cognitive nLevel: nApplication
n[Applying]n Concept:
nCommunication
Difficulty: nModerate
Reasoning:->>>
1 This nstatement ndoes nnot nconsider nan nindividual’s nsituation.
2 This nstatement ndemonstrates nintellectual nempathy nby nconsidering nthis
nhospital npatient’s n
situation nand nwill nlikely nalleviate nthe nhospital
npatient’s nanger.
3 This nstatement ndoes nnot nconsider na nhospital npatient’s nsituation nand
ndoes nnot ndemonstraten intellectual nempathy.
4 This nstatement naddresses nthe nhospital npatient’s nstatement nof nwanting
nto ncall nthe nCEO, nbutn
does nnot ndemonstrate nintellectual nempathy nby
nconsidering nthe nhospital npatient’s n situation.
POINTS: 1 CON: n Communication
3. The nnursing nattendant nis ncollecting ndata non na nhospital npatient. nWhich ndata nare
ndescribed nas nsubjective?
1. Respiratory nrate nof n26 nper nminute
2. Hospital npatient nreport nof nshortness nof nbreath
3. Coarse nlung nsounds nbilaterally
4. Cough nproducing ngreen nsputum
ACCURATE nANSWER:-2
CHAPTER: n1 nCritical nThinking nand nthe nNursing nProcess
nOBJ n5. nDifferentiate nbetween nobjective nand nsubjective
ndata. n
Pg: n4
Heading: nSubjective nData
Integrated nProcess: nCommunication nand
nDocumentationn Hospital npatient nNeed:
nCommunication nand n Documentation nCognitive
nLevel: n Application n(Applying)
Concept:
nCommunication
Difficulty: nModerate
n
Reasoning:->>>
1 Respiratory nrate nof n26 nper nminute nis nan nexample nof nobjective ndata.
2 Anhospital npatient nreporting nsymptoms nto nthe nnursing nattendant nis nan
nexample nof nsubjectiven data.
3 Coarse nlung nsounds nis nan nexample nof nobjective ndata.
4 A nproductive ncough nis nan nexample nof nobjective ndata.
POINTS: 1 CON: n Communication
4. A nhospital npatient nwith na nnewly nfractured nfemur nreports na npain nlevel nof n8/10
nand nanalgesic nmedicationn is nnot ndue nfor nanother n50 nminutes. nWhich naction
nshould nthe nnursing nattendant ntake nfirst?
1. Reposition nthe nhospital npatient.
2. Give nthe nmedication nin n30 nminutes.
3. Notify nthe nregistered nnursing nattendant n(RN) nor nphysician.
