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Test Bank for Davis Advantage for Understanding Medical-
Surgical Nursing, 7th Edition by Linda S. Williams-100%
Top scores-2023- 2024 A+
Chapter 1: Critical Thinking and the Nursing Process
MULTIPLE CHOICES:
1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient
should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
1. A patient with a blood glucose of 42 mg/dL
2. A patient who reports a pain level of 2
3. A patient who has just received a diagnosis of cancer
4. A patient who has a respiratory rate of 22
ANS: 1
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human needs.
Pages: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-Solving Process (Nursing Process) Client Need: SECE—
Coordinated Care
Cognitive Level: Application [Applying] Concept: Patient-Centered Care Difficulty: Difficult
Feedback
1 This patient has a dangerously low blood glucose level and requires immediate
intervention.
2 This patient will need to be assessed, but is not as high a priority.
3 According to Maslow, psychosocial needs are not as high of a priority as physiological
needs.
4 A respiratory rate of 22 is within normal range.
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PTS: 1 CON: Patient-Centered Care
2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes
ago for my pain medication. I’m going to call the CEO of the hospital if you don’t get it for me
now.‖ Which statement by the nurse demonstrates intellectual empathy?
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
3. ―I had another patient who had severe pain, and I had to get to them first.‖
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
ANS: 2
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 2. Describe attitudes and skills that promote good critical thinking Page: 2
Heading: Intellectual Empathy
Integrated Process: Communication and Documentation Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying] Concept: Communication
Difficulty: Moderate
Feedback
1 This statement does not consider an individual’s situation.
2 This statement demonstrates intellectual empathy by considering this patient’s situation
and will likely alleviate the patient’s anger.
3 This statement does not consider a patient’s situation and does not demonstrate
intellectual empathy.
4 This statement addresses the patient’s statement of wanting to call the CEO, but does not
demonstrate intellectual empathy by considering the patient’s situation.
PTS: 1 CON: Communication
3. The nurse is collecting data on a patient. Which data are described as subjective?
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1. Respiratory rate of 26 per minute
2. Patient report of shortness of breath
3. Coarse lung sounds bilaterally
4. Cough producing green sputum
ANS: 2
Chapter: Chapter 1 Critical Thinking and the Nursing Process Objective: 5. Differentiate
between objective and subjective data. Page: 4
Heading: Subjective Data
Integrated Process: Communication and Documentation Client Need: Communication and
Documentation Cognitive Level: Application (Applying)
Concept: Communication Difficulty: Moderate
Feedback
1 Respiratory rate of 26 per minute is an example of objective data.
2 A patient reporting symptoms to the nurse is an example of subjective data.
3 Coarse lung sounds is an example of objective data.
4 A productive cough is an example of objective data.
PTS: 1 CON: Communication
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 action should the nurse take first?
1. Reposition the patient.
2. Give the medication in 30 minutes.
3. Notify the registered nurse (RN) or physician.
4. Tell the patient it is too early for pain medication.
ANS: 3
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 4. Identify the role of a licensed practical nurse/licensed vocational nurse in using the
nursing process.
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Page: 3
Heading: Clinical Judgement
Integrated Process: Clinical Problem-solving Process (Nursing Process) Client Need: SECE—
Coordinated Care
Cognitive Level: Application [Applying] Concept: Patient-Centered Care Difficulty: Moderate
Feedback
1 The patient who has a fractured femur is having acute pain. Repositioning a patient with a
new fracture is not likely to relieve pain.
2 Giving the medication before the prescribed time is beyond the nurse’s scope of practice.
3 The patient should not have to wait for pain relief, so the LPN should inform the RN or
physician so new pain relief orders can be obtained.
4 The nurse needs to do more than expect the patient to wait for pain relief.
PTS: 1 CON: Patient-Centered Care
5. The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does the
nurse identify as having the highest priority?
1. Job-related stress
2. Feeling of loneliness
3. Pain level of 9 on 0-to-10 scale
4. Lack of confidence
ANS: 3
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human needs
Page: 7
Heading: Prioritize Care Integrated Process: Caring
Client Need: SECE – Coordinated Care Cognitive Level: Application [Applying] Concept:
Patient-Centered Care Difficulty: Moderate
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