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 (MCQ)
Clinical Scenario
,A nurse begins a shift caring for four adult medical-surgical
patients. During bedside report, the nurse notes that one
patient was admitted overnight with worsening shortness of
breath.
Question Stem
Which action best demonstrates the nurse's use of clinical
judgment during the initial assessment?
Answer Options
A. Following the assessment form exactly as written
B. Prioritizing assessment of the patient with worsening
shortness of breath
C. Reviewing laboratory values after administering medications
D. Completing documentation before entering patient rooms
Correct Answer
B. Prioritizing assessment of the patient with worsening
shortness of breath
Detailed Rationale
Clinical judgment involves recognizing cues, analyzing
information, and prioritizing patient needs. Shortness of breath
may indicate respiratory compromise requiring immediate
assessment. Early recognition of deterioration improves
outcomes and supports timely intervention.
Incorrect Option Analysis
,A. Following the assessment form exactly as written
• Why Incorrect: Clinical judgment requires flexibility and
prioritization.
• Misconception: All assessments must be completed in
identical order.
• Safety Risk: Delayed identification of urgent conditions.
C. Reviewing laboratory values after administering
medications
• Why Incorrect: Immediate patient assessment takes
priority.
• Misconception: Data review is always the first step.
• Safety Risk: Missed signs of deterioration.
D. Completing documentation before entering patient rooms
• Why Incorrect: Assessment precedes documentation.
• Misconception: Documentation is more urgent than
patient evaluation.
• Safety Risk: Delayed care.
Nursing Process Linkage
Assessment
NCJMM Competencies
• Recognize Cues
• Analyze Cues
, • Prioritize Hypotheses
Difficulty
Moderate
Bloom's Level
Analyze
NCLEX Category
Physiological Adaptation
Learning Objective
Apply clinical judgment principles to prioritize patient
assessment.
Question 2 (MCQ)
Clinical Scenario
A nurse reviews current evidence regarding prevention of
catheter-associated urinary tract infections.
Question Stem
Which action reflects evidence-based nursing practice?
Options
A. Using personal experience only
B. Following a practice because it has always been done that
way
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
Question 1 (MCQ)
Clinical Scenario
,A nurse begins a shift caring for four adult medical-surgical
patients. During bedside report, the nurse notes that one
patient was admitted overnight with worsening shortness of
breath.
Question Stem
Which action best demonstrates the nurse's use of clinical
judgment during the initial assessment?
Answer Options
A. Following the assessment form exactly as written
B. Prioritizing assessment of the patient with worsening
shortness of breath
C. Reviewing laboratory values after administering medications
D. Completing documentation before entering patient rooms
Correct Answer
B. Prioritizing assessment of the patient with worsening
shortness of breath
Detailed Rationale
Clinical judgment involves recognizing cues, analyzing
information, and prioritizing patient needs. Shortness of breath
may indicate respiratory compromise requiring immediate
assessment. Early recognition of deterioration improves
outcomes and supports timely intervention.
Incorrect Option Analysis
,A. Following the assessment form exactly as written
• Why Incorrect: Clinical judgment requires flexibility and
prioritization.
• Misconception: All assessments must be completed in
identical order.
• Safety Risk: Delayed identification of urgent conditions.
C. Reviewing laboratory values after administering
medications
• Why Incorrect: Immediate patient assessment takes
priority.
• Misconception: Data review is always the first step.
• Safety Risk: Missed signs of deterioration.
D. Completing documentation before entering patient rooms
• Why Incorrect: Assessment precedes documentation.
• Misconception: Documentation is more urgent than
patient evaluation.
• Safety Risk: Delayed care.
Nursing Process Linkage
Assessment
NCJMM Competencies
• Recognize Cues
• Analyze Cues
, • Prioritize Hypotheses
Difficulty
Moderate
Bloom's Level
Analyze
NCLEX Category
Physiological Adaptation
Learning Objective
Apply clinical judgment principles to prioritize patient
assessment.
Question 2 (MCQ)
Clinical Scenario
A nurse reviews current evidence regarding prevention of
catheter-associated urinary tract infections.
Question Stem
Which action reflects evidence-based nursing practice?
Options
A. Using personal experience only
B. Following a practice because it has always been done that
way
