Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
,Question 1
Type: MCQ
Clinical Scenario: A new graduate nurse asks what “clinical
judgment” means in medical-surgical nursing.
Question Stem: Which statement best describes clinical
judgment?
Answer Options:
A. Following the provider’s orders exactly as written
B. Collecting data only when the patient reports pain
C. Using intuition to decide what to do first
D. Interpreting cues, prioritizing concerns, and choosing actions
based on patient needs
Correct Answer: D
Detailed Rationale: Clinical judgment is the nurse’s ability to
recognize cues, analyze data, prioritize hypotheses, generate
solutions, take action, and evaluate outcomes. It requires more
than task completion; it integrates assessment data, patient
safety, and clinical reasoning.
Incorrect Option Analysis:
• A: Incorrect because nursing practice is not limited to
carrying out orders. Misconception: Nurses are passive
order-followers. Risk: Missed deterioration or delayed
intervention.
, • B: Incorrect because assessment is ongoing and not
symptom-only. Misconception: Data collection begins only
after complaint. Risk: Early warning signs may be missed.
• C: Incorrect because intuition alone is not sufficient; it
must be supported by assessment and evidence.
Misconception: Experience replaces analysis. Risk: Unsafe,
inconsistent decisions.
Nursing Process Linkage: Assessment
NCJMM Competency: Recognize Cues / Analyze Cues
Difficulty: Moderate
Bloom’s Level: Understand
NCLEX Client Needs: Physiological Adaptation
Key Learning Objective: Define clinical judgment as a
structured reasoning process used to guide safe nursing care.
Question 2
Type: SATA
Clinical Scenario: A faculty member reviews evidence-based
practice with students.
Question Stem: Which actions demonstrate evidence-based
nursing care? Select all that apply.
Answer Options:
A. Using the most current clinical guideline for wound care
B. Choosing an intervention because “we have always done it
this way”
, C. Combining research evidence with clinical expertise and
patient preferences
D. Evaluating patient outcomes after implementing a new
intervention
E. Avoiding practice changes until a physician requests them
Correct Answers: A, C, D
Detailed Rationale: Evidence-based practice combines current
best evidence, nurse expertise, and patient values. It also
requires evaluation of outcomes to determine whether care is
effective.
Incorrect Option Analysis:
• B: Incorrect. Misconception: Tradition equals quality. Risk:
Outdated or ineffective care.
• E: Incorrect. Nurses initiate evidence-based improvements
within scope. Misconception: Only physicians drive
evidence-based change. Risk: Delayed quality
improvement.
Nursing Process Linkage: Planning / Evaluation
NCJMM Competency: Generate Solutions / Evaluate Outcomes
Difficulty: Moderate
Bloom’s Level: Analyze
NCLEX Client Needs: Management of Care
Key Learning Objective: Identify actions that reflect evidence-
based nursing decision-making.
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
,Question 1
Type: MCQ
Clinical Scenario: A new graduate nurse asks what “clinical
judgment” means in medical-surgical nursing.
Question Stem: Which statement best describes clinical
judgment?
Answer Options:
A. Following the provider’s orders exactly as written
B. Collecting data only when the patient reports pain
C. Using intuition to decide what to do first
D. Interpreting cues, prioritizing concerns, and choosing actions
based on patient needs
Correct Answer: D
Detailed Rationale: Clinical judgment is the nurse’s ability to
recognize cues, analyze data, prioritize hypotheses, generate
solutions, take action, and evaluate outcomes. It requires more
than task completion; it integrates assessment data, patient
safety, and clinical reasoning.
Incorrect Option Analysis:
• A: Incorrect because nursing practice is not limited to
carrying out orders. Misconception: Nurses are passive
order-followers. Risk: Missed deterioration or delayed
intervention.
, • B: Incorrect because assessment is ongoing and not
symptom-only. Misconception: Data collection begins only
after complaint. Risk: Early warning signs may be missed.
• C: Incorrect because intuition alone is not sufficient; it
must be supported by assessment and evidence.
Misconception: Experience replaces analysis. Risk: Unsafe,
inconsistent decisions.
Nursing Process Linkage: Assessment
NCJMM Competency: Recognize Cues / Analyze Cues
Difficulty: Moderate
Bloom’s Level: Understand
NCLEX Client Needs: Physiological Adaptation
Key Learning Objective: Define clinical judgment as a
structured reasoning process used to guide safe nursing care.
Question 2
Type: SATA
Clinical Scenario: A faculty member reviews evidence-based
practice with students.
Question Stem: Which actions demonstrate evidence-based
nursing care? Select all that apply.
Answer Options:
A. Using the most current clinical guideline for wound care
B. Choosing an intervention because “we have always done it
this way”
, C. Combining research evidence with clinical expertise and
patient preferences
D. Evaluating patient outcomes after implementing a new
intervention
E. Avoiding practice changes until a physician requests them
Correct Answers: A, C, D
Detailed Rationale: Evidence-based practice combines current
best evidence, nurse expertise, and patient values. It also
requires evaluation of outcomes to determine whether care is
effective.
Incorrect Option Analysis:
• B: Incorrect. Misconception: Tradition equals quality. Risk:
Outdated or ineffective care.
• E: Incorrect. Nurses initiate evidence-based improvements
within scope. Misconception: Only physicians drive
evidence-based change. Risk: Delayed quality
improvement.
Nursing Process Linkage: Planning / Evaluation
NCJMM Competency: Generate Solutions / Evaluate Outcomes
Difficulty: Moderate
Bloom’s Level: Analyze
NCLEX Client Needs: Management of Care
Key Learning Objective: Identify actions that reflect evidence-
based nursing decision-making.
