TESTBANK FOR DAVIES ADVANTAGE FOR
UNDERSTANDING MEDICAL SURGICAL NURSING 7TH
EDITION BY WILLIAMS & HOPPER
,Chapter 1. Critical Thinking and the Nursing Process
MULTIPLE CHOICE
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical unit.
Which hospital patientshould the licensed practical nursing attendant/licensed vocational
nursing attendant (LPN/LVN) assess first?
1. A patient with a blood glucose of 42 mg/dL
2. A patient who reports a pain level of 2
3. A patient who has just received a diagnosis of cancer
4. A patient who has a respiratory rate of 22
ACCURATE ANSWER:-1
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
humanneeds.
Pgs: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Hospital patient Need: SECE—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Hospital patient-Centered Care
Difficulty: Difficult
Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
immediateintervention.
2 This hospital patient will need to be assessed, but is not as high a priority.
3 According to Maslow, psychosocial needs are not as high of a priority as
physiological needs.
4 A respiratory rate of 22 is within normal range.
POINTS: 1 CON: Hospital patient-Centered Care
2. The LPN/LVN enters the room of a hospital patient who is angry and yells, “I asked 5
minutes agofor my pain medication. I’m going to call the CEO of the health center if you
don’t get it for me now.” Which statement by the nursing attendant demonstrates
intellectual empathy?
1. “We are short-staffed today, so it will take me longer to meet your needs.”
2. “I am sorry you had to wait, I know you must be in a lot of pain.”
3. “I had another hospital patient who had severe pain, and I had to get to them first.”
4. “I will get you the number for the CEO, but he is aware of how busy we are.”
ACCURATE ANSWER:-2
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg: 2
Heading: Intellectual Empathy
Integrated Process: Communication and Documentation
Hospital patient Need: Psychosocial Integrity
, Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Reasoning:->>>
1 This statement does not consider an individual’s situation.
2 This statement demonstrates intellectual empathy by considering this hospital
patient’ssituation and will likely alleviate the hospital patient’s anger.
3 This statement does not consider a hospital patient’s situation and does not
demonstrateintellectual empathy.
4 This statement addresses the hospital patient’s statement of wanting to call the
CEO, butdoes not demonstrate intellectual empathy by considering the hospital
patient’s situation.
POINTS: 1 CON: Communication
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
subjective?
1. Respiratory rate of 26 per minute
2. Hospital patient report of shortness of breath
3. Coarse lung sounds bilaterally
4. Cough producing green sputum
ACCURATE ANSWER:-2
CHAPTER: 1 Critical Thinking and the Nursing Process OBJ 5.
Differentiate between objective and subjective data.Pg: 4
Heading: Subjective Data
Integrated Process: Communication and Documentation
Hospital patient Need: Communication and
Documentation Cognitive Level: Application
(Applying)
Concept: Communication
Difficulty: Moderate
Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data.
2 A hospital patient reporting symptoms to the nursing attendant is an example of
subjectivedata.
3 Coarse lung sounds is an example of objective data.
4 A productive cough is an example of objective data.
POINTS: 1 CON: Communication
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and analgesic
medicationis not due for another 50 minutes. Which action should the nursing attendant
take first?
1. Reposition the hospital patient.
2. Give the medication in 30 minutes.
3. Notify the registered nursing attendant (RN) or physician.
4. Tell the hospital patient it is too early for pain
medication.ANS: 3
, CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed vocational
nursing attendant in using the nursing process.
Pg: 3
Heading: Clinical Judgement
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Hospital patient Need: SECE—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Hospital patient-Centered Care
Difficulty: Moderate
Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
Repositioning ahospital patient with a new fracture is not likely to relieve
pain.
2 Giving the medication before the prescribed time is beyond the nurse
caregiver’s scope of practice.
3 The hospital patient should not have to wait for pain relief, so the LPN should
informthe RN or physician so new pain relief orders can be obtained.
4 The nursing attendant needs to do more than expect the hospital patient to wait
for painrelief.
POINTS: 1 CON: Hospital patient-Centered Care
5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
Whichneed does the nursing attendant identify as having the highest priority?
1. Job-related stress
2. Feeling of loneliness
3. Pain level of 9 on 0-to-10 scale
4. Lack of confidence
ACCURATE ANSWER:-3
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
humanneeds
Pg: 7
Heading: Prioritize Care
Integrated Process: Caring
Hospital patient Need: SECE –
Coordinated Care Cognitive Level:
Application [Applying]Concept:
Hospital patient-Centered Care
Difficulty: Moderate
Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed after
physiological needs.
2 According to Maslow, loneliness is addressed under social needs following
physiological and safety.
3 Pain is a physiological need and is the highest priority.
4 Lack of confidence falls under esteem according to Maslow and is addressed
following physiological, safety, and social needs.
, POINTS: 1 CON: Hospital patient-Centered Care
6. The nursing attendant is planning care and setting goals for a newly admitted hospital
patient. Whoshould the nursing attendant include when conducting these nursing
actions?
1. Hospital patient
2. Nursing attendant manager
3. Health center chaplain
4. Hospital patient’s health care provider (HCP)
ACCURATE ANSWER:-1
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed vocational
nursing attendant is using the nursing process.
Pg: 6
Heading: Prioritize Care
Integrated Process: Communication and Documentation
Hospital patient Need: SECE—Management of Care
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Reasoning:->>>
1 Planning care and setting goals is an action performed with the hospital patient.
The hospital patientmust be in agreement with the plan for it to be successful in
meeting the desired
outcomes.
2 The nursing attendant manager may or may not be aware of the hospital patient’s
care needs.
3 The health center chaplain may not be aware of the hospital patient’s needs.
4 The focus of nursing care is different from that of the HCP.
POINTS: 1 CON: Communication
7. While caring for a hospital patient 4 hours after a surgical procedure, the
LPN/LVN notesserosanguineous drainage on the dressing. Which statement
should the nursing attendant use to document this finding?
1. “Normal drainage noted.”
2. “Moderate drainage recently noted.”
3. “Scant serosanguineous drainage seen on dressing.”
4. “Pale pink drainage 2 cm by 1 cm noted on dressing.”
ACCURATE ANSWER:-4
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 6. Document subjective and objective data.
Pg: 5
Heading: Documentation of Data
Integrated Process: Communication and Documentation
Hospital patient Need: PHYS—Physiological
Adaptation Cognitive Level: Application [Applying]
Concept: Communication
, Difficulty: Moderate
Reasoning:->>>
1 These statements are interpretations of the data and use words that have vague
meanings, which should be avoided when documenting.
2 These statements are interpretations of the data and use words that have vague
meanings, which should be avoided when documenting.
3 These statements are interpretations of the data and use words that have vague
meanings, which should be avoided when documenting.
4 Objective data are pieces of factual information obtained through physical
assessment and diagnostic tests that are observable or knowable through the
five senses. The nursing attendant should document exactly what is seen.
POINTS: 1 CON: Communication
8. The nursing attendant is caring for a hospital patient using the nursing process. Which
step should thenursing attendant take first?
1. Implementation
2. Planning
3. Nursing diagnosis
4. Assessment
ACCURATE ANSWER:-4
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed vocational
nursing attendant in using the nursing process.
Pg: 4
Heading: Data Collection
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Hospital patient Need: SECE: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Hospital patient-Centered Care
Difficulty: Moderate
Reasoning:->>>
1 The steps of the nursing process are data collection/assessment, nursing
diagnosis, planning, implementation, and evaluation.
2 The steps of the nursing process are data collection/assessment, nursing
diagnosis, planning, implementation, and evaluation.
3 The steps of the nursing process are data collection/assessment, nursing
diagnosis, planning, implementation, and evaluation.
4 Assessment, or data collection, is the first step in the nursing process and is
used to evaluate a hospital patient’s condition before providing care. The other
steps, inorder, are nursing diagnosis, planning, implementation, and evaluation.
POINTS: 1 CON: Hospital patient-Centered Care
9. The nursing attendant is administering morphine to a hospital patient reporting a pain
level of 8 ona 0-to-10 scale. This describes which step of the nursing process?
UNDERSTANDING MEDICAL SURGICAL NURSING 7TH
EDITION BY WILLIAMS & HOPPER
,Chapter 1. Critical Thinking and the Nursing Process
MULTIPLE CHOICE
1. The nursing attendant is caring for a group of hospital patients on a medical-surgical unit.
Which hospital patientshould the licensed practical nursing attendant/licensed vocational
nursing attendant (LPN/LVN) assess first?
1. A patient with a blood glucose of 42 mg/dL
2. A patient who reports a pain level of 2
3. A patient who has just received a diagnosis of cancer
4. A patient who has a respiratory rate of 22
ACCURATE ANSWER:-1
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
humanneeds.
Pgs: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Hospital patient Need: SECE—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Hospital patient-Centered Care
Difficulty: Difficult
Reasoning:->>>
1 This hospital patient has a dangerously low blood glucose level and requires
immediateintervention.
2 This hospital patient will need to be assessed, but is not as high a priority.
3 According to Maslow, psychosocial needs are not as high of a priority as
physiological needs.
4 A respiratory rate of 22 is within normal range.
POINTS: 1 CON: Hospital patient-Centered Care
2. The LPN/LVN enters the room of a hospital patient who is angry and yells, “I asked 5
minutes agofor my pain medication. I’m going to call the CEO of the health center if you
don’t get it for me now.” Which statement by the nursing attendant demonstrates
intellectual empathy?
1. “We are short-staffed today, so it will take me longer to meet your needs.”
2. “I am sorry you had to wait, I know you must be in a lot of pain.”
3. “I had another hospital patient who had severe pain, and I had to get to them first.”
4. “I will get you the number for the CEO, but he is aware of how busy we are.”
ACCURATE ANSWER:-2
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 2. Describe attitudes and skills that promote good critical thinkingPg: 2
Heading: Intellectual Empathy
Integrated Process: Communication and Documentation
Hospital patient Need: Psychosocial Integrity
, Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Reasoning:->>>
1 This statement does not consider an individual’s situation.
2 This statement demonstrates intellectual empathy by considering this hospital
patient’ssituation and will likely alleviate the hospital patient’s anger.
3 This statement does not consider a hospital patient’s situation and does not
demonstrateintellectual empathy.
4 This statement addresses the hospital patient’s statement of wanting to call the
CEO, butdoes not demonstrate intellectual empathy by considering the hospital
patient’s situation.
POINTS: 1 CON: Communication
3. The nursing attendant is collecting data on a hospital patient. Which data are described as
subjective?
1. Respiratory rate of 26 per minute
2. Hospital patient report of shortness of breath
3. Coarse lung sounds bilaterally
4. Cough producing green sputum
ACCURATE ANSWER:-2
CHAPTER: 1 Critical Thinking and the Nursing Process OBJ 5.
Differentiate between objective and subjective data.Pg: 4
Heading: Subjective Data
Integrated Process: Communication and Documentation
Hospital patient Need: Communication and
Documentation Cognitive Level: Application
(Applying)
Concept: Communication
Difficulty: Moderate
Reasoning:->>>
1 Respiratory rate of 26 per minute is an example of objective data.
2 A hospital patient reporting symptoms to the nursing attendant is an example of
subjectivedata.
3 Coarse lung sounds is an example of objective data.
4 A productive cough is an example of objective data.
POINTS: 1 CON: Communication
4. A hospital patient with a newly fractured femur reports a pain level of 8/10 and analgesic
medicationis not due for another 50 minutes. Which action should the nursing attendant
take first?
1. Reposition the hospital patient.
2. Give the medication in 30 minutes.
3. Notify the registered nursing attendant (RN) or physician.
4. Tell the hospital patient it is too early for pain
medication.ANS: 3
, CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed vocational
nursing attendant in using the nursing process.
Pg: 3
Heading: Clinical Judgement
Integrated Process: Clinical Problem-solving Process (Nursing Process)
Hospital patient Need: SECE—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Hospital patient-Centered Care
Difficulty: Moderate
Reasoning:->>>
1 The hospital patient who has a fractured femur is having acute pain.
Repositioning ahospital patient with a new fracture is not likely to relieve
pain.
2 Giving the medication before the prescribed time is beyond the nurse
caregiver’s scope of practice.
3 The hospital patient should not have to wait for pain relief, so the LPN should
informthe RN or physician so new pain relief orders can be obtained.
4 The nursing attendant needs to do more than expect the hospital patient to wait
for painrelief.
POINTS: 1 CON: Hospital patient-Centered Care
5. The nursing attendant is prioritizing care based on Maslow hierarchy of needs.
Whichneed does the nursing attendant identify as having the highest priority?
1. Job-related stress
2. Feeling of loneliness
3. Pain level of 9 on 0-to-10 scale
4. Lack of confidence
ACCURATE ANSWER:-3
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 7. Prioritize hospital patient care activities based on the Maslow hierarchy of
humanneeds
Pg: 7
Heading: Prioritize Care
Integrated Process: Caring
Hospital patient Need: SECE –
Coordinated Care Cognitive Level:
Application [Applying]Concept:
Hospital patient-Centered Care
Difficulty: Moderate
Reasoning:->>>
1 Job-related stress falls under safety according to Maslow and is addressed after
physiological needs.
2 According to Maslow, loneliness is addressed under social needs following
physiological and safety.
3 Pain is a physiological need and is the highest priority.
4 Lack of confidence falls under esteem according to Maslow and is addressed
following physiological, safety, and social needs.
, POINTS: 1 CON: Hospital patient-Centered Care
6. The nursing attendant is planning care and setting goals for a newly admitted hospital
patient. Whoshould the nursing attendant include when conducting these nursing
actions?
1. Hospital patient
2. Nursing attendant manager
3. Health center chaplain
4. Hospital patient’s health care provider (HCP)
ACCURATE ANSWER:-1
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed vocational
nursing attendant is using the nursing process.
Pg: 6
Heading: Prioritize Care
Integrated Process: Communication and Documentation
Hospital patient Need: SECE—Management of Care
Cognitive Level: Application [Applying]
Concept: Communication
Difficulty: Moderate
Reasoning:->>>
1 Planning care and setting goals is an action performed with the hospital patient.
The hospital patientmust be in agreement with the plan for it to be successful in
meeting the desired
outcomes.
2 The nursing attendant manager may or may not be aware of the hospital patient’s
care needs.
3 The health center chaplain may not be aware of the hospital patient’s needs.
4 The focus of nursing care is different from that of the HCP.
POINTS: 1 CON: Communication
7. While caring for a hospital patient 4 hours after a surgical procedure, the
LPN/LVN notesserosanguineous drainage on the dressing. Which statement
should the nursing attendant use to document this finding?
1. “Normal drainage noted.”
2. “Moderate drainage recently noted.”
3. “Scant serosanguineous drainage seen on dressing.”
4. “Pale pink drainage 2 cm by 1 cm noted on dressing.”
ACCURATE ANSWER:-4
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 6. Document subjective and objective data.
Pg: 5
Heading: Documentation of Data
Integrated Process: Communication and Documentation
Hospital patient Need: PHYS—Physiological
Adaptation Cognitive Level: Application [Applying]
Concept: Communication
, Difficulty: Moderate
Reasoning:->>>
1 These statements are interpretations of the data and use words that have vague
meanings, which should be avoided when documenting.
2 These statements are interpretations of the data and use words that have vague
meanings, which should be avoided when documenting.
3 These statements are interpretations of the data and use words that have vague
meanings, which should be avoided when documenting.
4 Objective data are pieces of factual information obtained through physical
assessment and diagnostic tests that are observable or knowable through the
five senses. The nursing attendant should document exactly what is seen.
POINTS: 1 CON: Communication
8. The nursing attendant is caring for a hospital patient using the nursing process. Which
step should thenursing attendant take first?
1. Implementation
2. Planning
3. Nursing diagnosis
4. Assessment
ACCURATE ANSWER:-4
CHAPTER: 1 Critical Thinking and the Nursing Process
OBJ 4. Identify the role of a licensed practical nursing attendant/licensed vocational
nursing attendant in using the nursing process.
Pg: 4
Heading: Data Collection
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Hospital patient Need: SECE: Coordinated Care
Cognitive Level: Application [Applying]
Concept: Hospital patient-Centered Care
Difficulty: Moderate
Reasoning:->>>
1 The steps of the nursing process are data collection/assessment, nursing
diagnosis, planning, implementation, and evaluation.
2 The steps of the nursing process are data collection/assessment, nursing
diagnosis, planning, implementation, and evaluation.
3 The steps of the nursing process are data collection/assessment, nursing
diagnosis, planning, implementation, and evaluation.
4 Assessment, or data collection, is the first step in the nursing process and is
used to evaluate a hospital patient’s condition before providing care. The other
steps, inorder, are nursing diagnosis, planning, implementation, and evaluation.
POINTS: 1 CON: Hospital patient-Centered Care
9. The nursing attendant is administering morphine to a hospital patient reporting a pain
level of 8 ona 0-to-10 scale. This describes which step of the nursing process?
