Davis Advantage for Medical-
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
1) MCQ
,Clinical scenario:
A 79-year-old patient is admitted for heart failure exacerbation.
The patient speaks limited English, appears anxious, and says,
“My daughter knows all my medicines.” The admission
medication list is incomplete.
Question stem:
What is the nurse’s best first action?
Answer options:
A. Ask the daughter to translate the medication list by phone.
B. Use a certified medical interpreter and complete medication
reconciliation.
C. Wait until the daughter arrives before collecting any data.
D. Document that the patient is unable to report home
medications.
Correct answer:
B
Rationale:
Patient safety begins with accurate data collection. A certified
interpreter supports patient-centered care, reduces
communication errors, and allows the nurse to complete
medication reconciliation safely. Incomplete medication lists
increase the risk of omissions, duplications, and interactions.
Incorrect option analysis:
, • A: Family translation can be inaccurate and may omit
sensitive details. Common misconception: “family knows
best.” Risk: medication errors.
• C: Delaying assessment can postpone needed treatment
and is not necessary. Risk: missed early intervention.
• D: Prematurely labeling the patient as unable to report
meds is inaccurate and poor documentation practice. Risk:
biased care planning.
Nursing process linkage: Assessment
NCJMM competencies: Recognize Cues, Analyze Cues, Take
Action
Difficulty: Moderate
Bloom’s level: Apply
NCLEX client needs: Management of Care; Safety and Infection
Control
Key learning objective: Use patient-centered communication
strategies to obtain accurate admission data and reduce
medication-related harm.
2) SATA
Clinical scenario:
A patient with a newly placed indwelling urinary catheter is at
risk for a catheter-associated urinary tract infection (CAUTI).
, Question stem:
Which nursing actions help reduce CAUTI risk? Select all that
apply.
Answer options:
A. Maintain a closed drainage system.
B. Keep the drainage bag below bladder level.
C. Secure the catheter to prevent traction.
D. Irrigate the catheter routinely every 8 hours.
E. Remove the catheter as soon as it is no longer indicated.
Correct answers:
A, B, C, E
Rationale:
CAUTI prevention depends on minimizing contamination and
catheter duration. A closed system, dependent drainage,
catheter stabilization, and prompt removal are evidence-based
measures.
Incorrect option analysis:
• D: Routine irrigation is not recommended unless
specifically ordered for obstruction or another indication.
Misconception: irrigation “prevents infection.” Risk: breaks
the closed system.
Nursing process linkage: Implementation
NCJMM competencies: Take Action, Evaluate Outcomes
Difficulty: Moderate
Bloom’s level: Apply
Surgical Nursing
Making Connections to Practice
3rd Edition
• Author(s)Janice Hoffman; Nancy
Sullivan
• Print ISBN: 9781719647366
TEST BANK
1) MCQ
,Clinical scenario:
A 79-year-old patient is admitted for heart failure exacerbation.
The patient speaks limited English, appears anxious, and says,
“My daughter knows all my medicines.” The admission
medication list is incomplete.
Question stem:
What is the nurse’s best first action?
Answer options:
A. Ask the daughter to translate the medication list by phone.
B. Use a certified medical interpreter and complete medication
reconciliation.
C. Wait until the daughter arrives before collecting any data.
D. Document that the patient is unable to report home
medications.
Correct answer:
B
Rationale:
Patient safety begins with accurate data collection. A certified
interpreter supports patient-centered care, reduces
communication errors, and allows the nurse to complete
medication reconciliation safely. Incomplete medication lists
increase the risk of omissions, duplications, and interactions.
Incorrect option analysis:
, • A: Family translation can be inaccurate and may omit
sensitive details. Common misconception: “family knows
best.” Risk: medication errors.
• C: Delaying assessment can postpone needed treatment
and is not necessary. Risk: missed early intervention.
• D: Prematurely labeling the patient as unable to report
meds is inaccurate and poor documentation practice. Risk:
biased care planning.
Nursing process linkage: Assessment
NCJMM competencies: Recognize Cues, Analyze Cues, Take
Action
Difficulty: Moderate
Bloom’s level: Apply
NCLEX client needs: Management of Care; Safety and Infection
Control
Key learning objective: Use patient-centered communication
strategies to obtain accurate admission data and reduce
medication-related harm.
2) SATA
Clinical scenario:
A patient with a newly placed indwelling urinary catheter is at
risk for a catheter-associated urinary tract infection (CAUTI).
, Question stem:
Which nursing actions help reduce CAUTI risk? Select all that
apply.
Answer options:
A. Maintain a closed drainage system.
B. Keep the drainage bag below bladder level.
C. Secure the catheter to prevent traction.
D. Irrigate the catheter routinely every 8 hours.
E. Remove the catheter as soon as it is no longer indicated.
Correct answers:
A, B, C, E
Rationale:
CAUTI prevention depends on minimizing contamination and
catheter duration. A closed system, dependent drainage,
catheter stabilization, and prompt removal are evidence-based
measures.
Incorrect option analysis:
• D: Routine irrigation is not recommended unless
specifically ordered for obstruction or another indication.
Misconception: irrigation “prevents infection.” Risk: breaks
the closed system.
Nursing process linkage: Implementation
NCJMM competencies: Take Action, Evaluate Outcomes
Difficulty: Moderate
Bloom’s level: Apply
