Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• PublisherPublished by F.A.
Davis Copyright© 2024
• Print ISBN: 9781719647366
TEST BANK
,Chapter 1: Foundations for Medical-Surgical Nursing
1. MCQ
Clinical Scenario:
A newly licensed nurse is caring for four adult medical-surgical
patients. One patient has a new oxygen saturation drop,
another is requesting pain medication, a third is due for
discharge teaching, and a fourth is awaiting transport for a
procedure.
Question Stem:
Which action best demonstrates clinical judgment?
Answer Options:
A. Completing all routine charting before addressing any
patient concerns
B. Prioritizing the patient with the oxygen saturation drop
because this suggests potential physiologic instability
C. Giving pain medication first because pain is the most
common patient complaint
D. Waiting for the provider to round before taking any action
Correct Answer:
B
Detailed Rationale:
Clinical judgment requires recognizing cues, analyzing risk, and
prioritizing threats to physiologic stability. A drop in oxygen
saturation may indicate impaired oxygenation, airway
,compromise, or acute deterioration. This should be addressed
before routine tasks or nonurgent needs. The nurse must
assess the patient promptly, confirm the reading, and intervene
based on findings.
Incorrect Option Analysis:
• A: Incorrect. Routine charting is important but should not
delay response to possible instability.
Misconception: Documentation has higher priority than
urgent assessment.
Safety risk: Delayed recognition of respiratory decline.
• C: Incorrect. Pain deserves attention, but it is not the
highest immediate priority when oxygenation is
compromised.
Misconception: The loudest or most common complaint is
always most urgent.
Safety risk: Missing early signs of respiratory failure.
• D: Incorrect. Nurses should not delay assessment and
initial intervention when cues suggest deterioration.
Misconception: Provider notification replaces nursing
action.
Safety risk: Delayed treatment of hypoxemia.
Nursing Process Linkage:
Assessment
Clinical Judgment Competencies (NCJMM):
Recognize Cues; Prioritize Hypotheses; Take Action
, Difficulty Level:
Moderate
Bloom’s Cognitive Level:
Apply
NCLEX Client Needs Category:
Physiological Adaptation
Key Learning Objective:
Prioritize immediate nursing action based on physiologic
instability and clinical cues.
2. SATA
Clinical Scenario:
A nurse is teaching a group of patients about evidence-based
nursing care.
Question Stem:
Which statements by the nurse reflect principles of evidence-
based nursing practice? Select all that apply.
Answer Options:
A. “Best practice combines research evidence, clinical expertise,
and patient preferences.”
B. “A care intervention should be used only if it has always been
done on this unit.”
C. “The nurse should evaluate whether the intervention
improves patient outcomes.”
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• PublisherPublished by F.A.
Davis Copyright© 2024
• Print ISBN: 9781719647366
TEST BANK
,Chapter 1: Foundations for Medical-Surgical Nursing
1. MCQ
Clinical Scenario:
A newly licensed nurse is caring for four adult medical-surgical
patients. One patient has a new oxygen saturation drop,
another is requesting pain medication, a third is due for
discharge teaching, and a fourth is awaiting transport for a
procedure.
Question Stem:
Which action best demonstrates clinical judgment?
Answer Options:
A. Completing all routine charting before addressing any
patient concerns
B. Prioritizing the patient with the oxygen saturation drop
because this suggests potential physiologic instability
C. Giving pain medication first because pain is the most
common patient complaint
D. Waiting for the provider to round before taking any action
Correct Answer:
B
Detailed Rationale:
Clinical judgment requires recognizing cues, analyzing risk, and
prioritizing threats to physiologic stability. A drop in oxygen
saturation may indicate impaired oxygenation, airway
,compromise, or acute deterioration. This should be addressed
before routine tasks or nonurgent needs. The nurse must
assess the patient promptly, confirm the reading, and intervene
based on findings.
Incorrect Option Analysis:
• A: Incorrect. Routine charting is important but should not
delay response to possible instability.
Misconception: Documentation has higher priority than
urgent assessment.
Safety risk: Delayed recognition of respiratory decline.
• C: Incorrect. Pain deserves attention, but it is not the
highest immediate priority when oxygenation is
compromised.
Misconception: The loudest or most common complaint is
always most urgent.
Safety risk: Missing early signs of respiratory failure.
• D: Incorrect. Nurses should not delay assessment and
initial intervention when cues suggest deterioration.
Misconception: Provider notification replaces nursing
action.
Safety risk: Delayed treatment of hypoxemia.
Nursing Process Linkage:
Assessment
Clinical Judgment Competencies (NCJMM):
Recognize Cues; Prioritize Hypotheses; Take Action
, Difficulty Level:
Moderate
Bloom’s Cognitive Level:
Apply
NCLEX Client Needs Category:
Physiological Adaptation
Key Learning Objective:
Prioritize immediate nursing action based on physiologic
instability and clinical cues.
2. SATA
Clinical Scenario:
A nurse is teaching a group of patients about evidence-based
nursing care.
Question Stem:
Which statements by the nurse reflect principles of evidence-
based nursing practice? Select all that apply.
Answer Options:
A. “Best practice combines research evidence, clinical expertise,
and patient preferences.”
B. “A care intervention should be used only if it has always been
done on this unit.”
C. “The nurse should evaluate whether the intervention
improves patient outcomes.”
