MEDICAL SURGICAL NURSING CONCEPTS
FOR CLINICAL JUDGMENT EXAM TWO 2026
FULL SOLVED QUESTIONS ANSWERS
CLINICAL DECISION MAKING STUDY PACKAGE
◉ What is the definition of cellular regulation?
Answer: The process of controlling cellular growth, replication, and
differentiation to maintain homeostasis.
◉ What is a defining characteristic of malignant cells regarding
healthy tissue?
Answer: They can invade healthy cells, tissues, and organs.
◉ Why is double-checking a UAP's work generally discouraged?
Answer: It defeats the purpose of delegation.
◉ Is it within a UAP's scope of practice to take vital signs?
Answer: Yes, it is permissible to delegate vital signs to a UAP.
◉ What is the main limitation of using hospital technology as a
metric for choosing a facility?
,Answer: New technology does not necessarily mean the hospital is
safe.
◉ Why is 'showing nursing care plans to other disciplines' not
considered true interdisciplinary collaboration?
Answer: It is a passive action that does not actively involve or
collaborate with other caregivers.
◉ Does evidence-based practice include cost-saving measures as a
core factor?
Answer: No.
◉ What is the role of auditing in the SHARE model?
Answer: It is part of reinforcing quality and measurement.
◉ What is the role of creating a template in the SHARE model?
Answer: It is part of hardwiring the process within the system.
◉ What does the 'E' in SHARE stand for?
Answer: Educate and coach.
◉ How is acid-base balance maintained in the body?
Answer: Through hydrogen ion production and elimination.
,◉ What is the relationship between COPD and acid-base balance?
Answer: COPD can lead to respiratory acidosis; avoiding smoking
can prevent many cases of COPD.
◉ What is the relationship between type-2 diabetes and acid-base
balance?
Answer: Regular exercise and a healthy diet can decrease the
incidence of type-2 diabetes, which helps maintain overall health
and balance.
◉ What does the IOM report 'Health Professions Education: A
Bridge to Quality' emphasize?
Answer: The necessity of core competencies for all health care
providers to ensure quality care.
◉ What is the primary goal of the SHARE model?
Answer: To standardize hand-off reports and other critical
communication.
◉ What is a defining characteristic of malignant cells?
Answer: The ability to invade healthy cells, tissues, and organs.
◉ How do benign cells differ from malignant cells regarding spread?
, Answer: Benign cells do not have the ability to spread to other
tissues or organs.
◉ What are platelets?
Answer: Specialized cells (thrombocytes) that circulate in the blood
and promote clotting.
◉ What happens to platelets when an injury occurs?
Answer: They become sticky and clump together to form a
temporary, localized, solid plug.
◉ What is hypercoagulability?
Answer: An increase in clotting ability caused by an excess of
platelets or excessive platelet stickiness.
◉ What are the clinical signs of venous thrombosis?
Answer: Localized redness, swelling, and warmth.
◉ How does arterial thrombosis manifest?
Answer: Decreased blood flow (perfusion) to a distal extremity or
internal organ.
◉ What is reasoning?
FOR CLINICAL JUDGMENT EXAM TWO 2026
FULL SOLVED QUESTIONS ANSWERS
CLINICAL DECISION MAKING STUDY PACKAGE
◉ What is the definition of cellular regulation?
Answer: The process of controlling cellular growth, replication, and
differentiation to maintain homeostasis.
◉ What is a defining characteristic of malignant cells regarding
healthy tissue?
Answer: They can invade healthy cells, tissues, and organs.
◉ Why is double-checking a UAP's work generally discouraged?
Answer: It defeats the purpose of delegation.
◉ Is it within a UAP's scope of practice to take vital signs?
Answer: Yes, it is permissible to delegate vital signs to a UAP.
◉ What is the main limitation of using hospital technology as a
metric for choosing a facility?
,Answer: New technology does not necessarily mean the hospital is
safe.
◉ Why is 'showing nursing care plans to other disciplines' not
considered true interdisciplinary collaboration?
Answer: It is a passive action that does not actively involve or
collaborate with other caregivers.
◉ Does evidence-based practice include cost-saving measures as a
core factor?
Answer: No.
◉ What is the role of auditing in the SHARE model?
Answer: It is part of reinforcing quality and measurement.
◉ What is the role of creating a template in the SHARE model?
Answer: It is part of hardwiring the process within the system.
◉ What does the 'E' in SHARE stand for?
Answer: Educate and coach.
◉ How is acid-base balance maintained in the body?
Answer: Through hydrogen ion production and elimination.
,◉ What is the relationship between COPD and acid-base balance?
Answer: COPD can lead to respiratory acidosis; avoiding smoking
can prevent many cases of COPD.
◉ What is the relationship between type-2 diabetes and acid-base
balance?
Answer: Regular exercise and a healthy diet can decrease the
incidence of type-2 diabetes, which helps maintain overall health
and balance.
◉ What does the IOM report 'Health Professions Education: A
Bridge to Quality' emphasize?
Answer: The necessity of core competencies for all health care
providers to ensure quality care.
◉ What is the primary goal of the SHARE model?
Answer: To standardize hand-off reports and other critical
communication.
◉ What is a defining characteristic of malignant cells?
Answer: The ability to invade healthy cells, tissues, and organs.
◉ How do benign cells differ from malignant cells regarding spread?
, Answer: Benign cells do not have the ability to spread to other
tissues or organs.
◉ What are platelets?
Answer: Specialized cells (thrombocytes) that circulate in the blood
and promote clotting.
◉ What happens to platelets when an injury occurs?
Answer: They become sticky and clump together to form a
temporary, localized, solid plug.
◉ What is hypercoagulability?
Answer: An increase in clotting ability caused by an excess of
platelets or excessive platelet stickiness.
◉ What are the clinical signs of venous thrombosis?
Answer: Localized redness, swelling, and warmth.
◉ How does arterial thrombosis manifest?
Answer: Decreased blood flow (perfusion) to a distal extremity or
internal organ.
◉ What is reasoning?
