Test Bank
For Davis Advantage for
Understanding Medical-
Surgical Nursing 7th Edition
By Williams Hopper
,Chapter 1. Critical Thinking and the Nursing Process
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. After receiving morning report, which patient should the licensed practical
nurse/licensed vocational nurse (LPN/LVN) assess first?
A patient who needs discharge teaching
A patient who needs assistance to ambulate
A patient who states, No one cares about me.
A patient who has a temperature of 106F (41.1C)
2. During a class discussion, two nursing students demonstrated intellectual courage.
What action did the nursing students perform?
Considered being in the other persons situation
Expected proof that the use of restraints is safe
Conducted additional research on the use of restraints in patient care
Listened to each others point of view regarding the use of patient restraints
3. The nursing staff is planning a celebratory dinner and cake for a newly licensed
practical nurse. Which of the new nurses human needs is supported by these actions?
Self-esteem
Physiological
Self-actualization
Safety and security
4. A patient with a newly fractured femur reports a pain level of 8/10, and analgesic
medication is not due for another 50 minutes. Which actions should the nurse take?
Reposition the patient.
Give the medication in 30 minutes.
Notify the registered nurse (RN) or physician.
Tell the patient it is too early for pain medication.
5. The nursing instructor is planning a teaching session on critical thinking for
students. What should the instructor say when explaining critical thinking?
Collect data concerning the patients problem.
Think of different ways to help relieve a patients problem.
Determine if an action worked to eliminate a patient problem.
Use knowledge and skills to make the best decision for patient care.
6. The nurse is planning care and setting goals for a newly admitted patient. Who
,should the nurse include when conducting these nursing actions?
Patient
Nurse manager
Patients family members
Patients health care provider (HCP)
7. While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes
serosanguineous drainage on the patients dressing. Which statement should the nurse use
to document the finding?
Normal drainage noted.
Moderate drainage recently noted.
Scant serosanguineous drainage seen on dressing.
Pale pink drainage, 2 cm by 1 cm, noted on dressing.
8. The nurse is caring for a patient who is scheduled for surgery. Which data should
the nurse collect to identify safety and security needs?
Meal patterns
Sleep patterns
Anxiety about surgery
Effectiveness of pain medication
9. The nurse is reviewing data collected during patient care. Which data should the
nurse document as objective?
Patient is pleasant.
Urine output is 300 mL.
It has been a good day.
Patients appetite is poor.
10. The nurse is determining diagnoses appropriate for a patient recovering from
surgery. Which nursing diagnoses should the nurse identify as the highest priority for this
patient?
Acute pain
Impaired mobility
Deficient knowledge
Impaired skin integrity
11. The nurse suspects a patient is experiencing adverse effects to a newly prescribed
antihypertensive medication. After being informed that the effects are expected, the nurse
remains concerned and conducts an Internet search on the patients manifestations. Which
critical thinking behavior did the nurse implement?
Sense of justice
Intellectual courage
Intellectual empathy
Intellectual perseverance
12. The nurse is identifying outcomes for a patient with a Fluid Volume Deficit. Which
outcome should the nurse use to guide the patients care?
Patients fluid intake will be measured daily.
Patients intake will be 3000 mL daily.
Fluids will be at the bedside for the patient.
Fluids the patient likes will be at the bedside.
13. The nurse is caring for a patient with the diagnosis of Fluid Volume Excess. Which
, information should the LPN/LVN use to determine if care was effective?
Restrict the patients fluid intake.
Measure the patients daily weight.
Teach the patient to monitor fluid balance.
Discuss the patients care plan with the RN.
14. A RN delegates a patient care assignment to the LPN/LVN. Which phase of the
nursing process should the LPN/LVN perform independently?
Assessment
Planning care
Implementation
Nursing diagnosis
15. The nurse is caring for a patient with a painful back injury that occurred 6 months
ago. Which three-part nursing diagnosis should the nurse use to guide this patients care?
Pain as evidenced by herniated lumbar disk
Acute pain related to inability to sit as evidenced by muscle spasms
Chronic pain related to muscle spasms as evidenced by patient pain rating of 8 and
difficulty walking
Acute pain related to patient pain rating of 6 as evidenced by muscle spasms and nerve
compression
16. The RN implements an intervention to improve a patients appetite. After
implementing the intervention for two meals, the LPN/LVN notes no improvement in the
patients eating. What action should the LPN/LVN take?
Develop a new plan of care.
Revise the patient outcome to one that is achievable.
Collaborate on a new nursing diagnosis with the RN.
Provide data to the RN to assist in evaluation of the plan.
17. During morning report, the LPN/LVN is assigned a group of patients. Which
patient should the LPN/LVN see first?
A patient scheduled for magnetic resonance imaging (MRI) due to back pain
A patient reporting constipation and stomach cramps
A 2-day postsurgical patient reporting pain at a level of 6
A patient with pneumonia who is short of breath and anxious
18. The LPN/LVN is reviewing a patients list of nursing diagnoses. Which diagnoses
should the LPN/LVN identify as a priority for this patient?
Anxiety
Constipation
Deficient fluid volume
Ineffective airway clearance
19. The nurse is using the nursing process when caring for a patient. In which order
should the nurse implement this process?
Nursing diagnosis, intervention, rationale, evaluation, planning
Data collection, intervention, nursing diagnosis, rationale, evaluation
Assessment, nursing diagnosis, planning, implementation, evaluation
Data collection, evaluation, nursing diagnosis, implementation, rationale
20. The nurse is determining a patients problems. What step of the nursing process is
the nurse performing?
For Davis Advantage for
Understanding Medical-
Surgical Nursing 7th Edition
By Williams Hopper
,Chapter 1. Critical Thinking and the Nursing Process
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. After receiving morning report, which patient should the licensed practical
nurse/licensed vocational nurse (LPN/LVN) assess first?
A patient who needs discharge teaching
A patient who needs assistance to ambulate
A patient who states, No one cares about me.
A patient who has a temperature of 106F (41.1C)
2. During a class discussion, two nursing students demonstrated intellectual courage.
What action did the nursing students perform?
Considered being in the other persons situation
Expected proof that the use of restraints is safe
Conducted additional research on the use of restraints in patient care
Listened to each others point of view regarding the use of patient restraints
3. The nursing staff is planning a celebratory dinner and cake for a newly licensed
practical nurse. Which of the new nurses human needs is supported by these actions?
Self-esteem
Physiological
Self-actualization
Safety and security
4. A patient with a newly fractured femur reports a pain level of 8/10, and analgesic
medication is not due for another 50 minutes. Which actions should the nurse take?
Reposition the patient.
Give the medication in 30 minutes.
Notify the registered nurse (RN) or physician.
Tell the patient it is too early for pain medication.
5. The nursing instructor is planning a teaching session on critical thinking for
students. What should the instructor say when explaining critical thinking?
Collect data concerning the patients problem.
Think of different ways to help relieve a patients problem.
Determine if an action worked to eliminate a patient problem.
Use knowledge and skills to make the best decision for patient care.
6. The nurse is planning care and setting goals for a newly admitted patient. Who
,should the nurse include when conducting these nursing actions?
Patient
Nurse manager
Patients family members
Patients health care provider (HCP)
7. While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes
serosanguineous drainage on the patients dressing. Which statement should the nurse use
to document the finding?
Normal drainage noted.
Moderate drainage recently noted.
Scant serosanguineous drainage seen on dressing.
Pale pink drainage, 2 cm by 1 cm, noted on dressing.
8. The nurse is caring for a patient who is scheduled for surgery. Which data should
the nurse collect to identify safety and security needs?
Meal patterns
Sleep patterns
Anxiety about surgery
Effectiveness of pain medication
9. The nurse is reviewing data collected during patient care. Which data should the
nurse document as objective?
Patient is pleasant.
Urine output is 300 mL.
It has been a good day.
Patients appetite is poor.
10. The nurse is determining diagnoses appropriate for a patient recovering from
surgery. Which nursing diagnoses should the nurse identify as the highest priority for this
patient?
Acute pain
Impaired mobility
Deficient knowledge
Impaired skin integrity
11. The nurse suspects a patient is experiencing adverse effects to a newly prescribed
antihypertensive medication. After being informed that the effects are expected, the nurse
remains concerned and conducts an Internet search on the patients manifestations. Which
critical thinking behavior did the nurse implement?
Sense of justice
Intellectual courage
Intellectual empathy
Intellectual perseverance
12. The nurse is identifying outcomes for a patient with a Fluid Volume Deficit. Which
outcome should the nurse use to guide the patients care?
Patients fluid intake will be measured daily.
Patients intake will be 3000 mL daily.
Fluids will be at the bedside for the patient.
Fluids the patient likes will be at the bedside.
13. The nurse is caring for a patient with the diagnosis of Fluid Volume Excess. Which
, information should the LPN/LVN use to determine if care was effective?
Restrict the patients fluid intake.
Measure the patients daily weight.
Teach the patient to monitor fluid balance.
Discuss the patients care plan with the RN.
14. A RN delegates a patient care assignment to the LPN/LVN. Which phase of the
nursing process should the LPN/LVN perform independently?
Assessment
Planning care
Implementation
Nursing diagnosis
15. The nurse is caring for a patient with a painful back injury that occurred 6 months
ago. Which three-part nursing diagnosis should the nurse use to guide this patients care?
Pain as evidenced by herniated lumbar disk
Acute pain related to inability to sit as evidenced by muscle spasms
Chronic pain related to muscle spasms as evidenced by patient pain rating of 8 and
difficulty walking
Acute pain related to patient pain rating of 6 as evidenced by muscle spasms and nerve
compression
16. The RN implements an intervention to improve a patients appetite. After
implementing the intervention for two meals, the LPN/LVN notes no improvement in the
patients eating. What action should the LPN/LVN take?
Develop a new plan of care.
Revise the patient outcome to one that is achievable.
Collaborate on a new nursing diagnosis with the RN.
Provide data to the RN to assist in evaluation of the plan.
17. During morning report, the LPN/LVN is assigned a group of patients. Which
patient should the LPN/LVN see first?
A patient scheduled for magnetic resonance imaging (MRI) due to back pain
A patient reporting constipation and stomach cramps
A 2-day postsurgical patient reporting pain at a level of 6
A patient with pneumonia who is short of breath and anxious
18. The LPN/LVN is reviewing a patients list of nursing diagnoses. Which diagnoses
should the LPN/LVN identify as a priority for this patient?
Anxiety
Constipation
Deficient fluid volume
Ineffective airway clearance
19. The nurse is using the nursing process when caring for a patient. In which order
should the nurse implement this process?
Nursing diagnosis, intervention, rationale, evaluation, planning
Data collection, intervention, nursing diagnosis, rationale, evaluation
Assessment, nursing diagnosis, planning, implementation, evaluation
Data collection, evaluation, nursing diagnosis, implementation, rationale
20. The nurse is determining a patients problems. What step of the nursing process is
the nurse performing?
