TEST BANK - Lewis Medical Surgical Nursing
12th Edition by
Harding [Chapters 1 – 69] With 100% Verified
Questions & Correct Answers Graded A+
Chapter 01: Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and disch
arge goals will be developed with the patient‗s input. The patient asks, ―How is this diffe rent
from what the physician does?‖ Which response would the nurse provide?
a. ―The role of the nurse is to administer medications and other treatments prescri bed by
your physician.‖
b. ―In addition to caring for you while you are sick, the nurses will help you pla n to
maintain your health.‖
c. ―The nurse‗s job is to collect information and communicate any problems t hat occur to
the physician.‖
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d. ―Nurses perform many of the same procedures as the physician, but nurses are with the
patients for a longer time than the physician.‖
ANSWER: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting health. The other responses describe dependent and collaborative functions of the
nursing role but do not accurately describe the nurse‗s unique role in the health care system
.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice
(EBP)?
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
c. ―Research from all published articles are used as a guide for planning patient care.‖
d. ―Recommendations are based on research, clinical expertise, and pati ent preferences.‖
ANSWER: D
Evidence-based practice (EBP) is the use of the best research- based evidence combined
with clinician expertise and consideration of patient preferences
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,. Clinical judgment based on the nurse‗s clinical experience is part of EBP, but clinical d ecision
making should also incorporate current research and research-
based guidelines. Evaluation of patient outcomes is important, but data analysis is not req uired
to use EBP. All published articles do not provide research evidence; interventions s hould be
based on credible research, preferably randomized controlled studies with a large number of
subjects.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
a. ―The nursing process is a research method of diagnosing the patient‗s health c are
problems.‖
b. ―The nursing process is used primarily to explain nursing interventions to ot her health
care professionals.‖
c. ―The nursing process is a problem-solving tool used to identify and manage the
patients‗ health care needs.‖
d. ―The nursing process is based on nursing theory that incorporates t he biopsychosocial
nature of humans.‖
ANSWER: C
The nursing process is a problem- solving approach to the identification and treatment of
patients‗ problems. Nursing proces s does not require research methods for diagnosis. The
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primary use of the nursing process is in patient care, not to establish nursing theory or explain
nursing interventions to other health care professionals.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfort able
leaving my children with my parents.‖ Which action would the nurse take ne xt?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather information on the patient‗s concerns about the child care arrangements.
d. Call the patient‗s parents to determine whether adequate child care is be ing provided.
ANSWER: C
Because a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the nurse‗s first action should be to obtain more information. T he other
actions may be appropriate, but more assessment is needed before the best interve ntion can be
chosen.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphor
esis. Which expected outcome would the nurse select for this patient?
a. Patient has a balanced intake and output.
b. Patient‗s bedding is kept clean and free of moisture.
IrfanAli Page 4
12th Edition by
Harding [Chapters 1 – 69] With 100% Verified
Questions & Correct Answers Graded A+
Chapter 01: Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and disch
arge goals will be developed with the patient‗s input. The patient asks, ―How is this diffe rent
from what the physician does?‖ Which response would the nurse provide?
a. ―The role of the nurse is to administer medications and other treatments prescri bed by
your physician.‖
b. ―In addition to caring for you while you are sick, the nurses will help you pla n to
maintain your health.‖
c. ―The nurse‗s job is to collect information and communicate any problems t hat occur to
the physician.‖
IrfanAli Page 1
,Created By: A Solution
d. ―Nurses perform many of the same procedures as the physician, but nurses are with the
patients for a longer time than the physician.‖
ANSWER: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting health. The other responses describe dependent and collaborative functions of the
nursing role but do not accurately describe the nurse‗s unique role in the health care system
.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice
(EBP)?
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
c. ―Research from all published articles are used as a guide for planning patient care.‖
d. ―Recommendations are based on research, clinical expertise, and pati ent preferences.‖
ANSWER: D
Evidence-based practice (EBP) is the use of the best research- based evidence combined
with clinician expertise and consideration of patient preferences
IrfanAli Page 2
,. Clinical judgment based on the nurse‗s clinical experience is part of EBP, but clinical d ecision
making should also incorporate current research and research-
based guidelines. Evaluation of patient outcomes is important, but data analysis is not req uired
to use EBP. All published articles do not provide research evidence; interventions s hould be
based on credible research, preferably randomized controlled studies with a large number of
subjects.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
a. ―The nursing process is a research method of diagnosing the patient‗s health c are
problems.‖
b. ―The nursing process is used primarily to explain nursing interventions to ot her health
care professionals.‖
c. ―The nursing process is a problem-solving tool used to identify and manage the
patients‗ health care needs.‖
d. ―The nursing process is based on nursing theory that incorporates t he biopsychosocial
nature of humans.‖
ANSWER: C
The nursing process is a problem- solving approach to the identification and treatment of
patients‗ problems. Nursing proces s does not require research methods for diagnosis. The
IrfanAli Page 3
, Created By: A Solution
primary use of the nursing process is in patient care, not to establish nursing theory or explain
nursing interventions to other health care professionals.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfort able
leaving my children with my parents.‖ Which action would the nurse take ne xt?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather information on the patient‗s concerns about the child care arrangements.
d. Call the patient‗s parents to determine whether adequate child care is be ing provided.
ANSWER: C
Because a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the nurse‗s first action should be to obtain more information. T he other
actions may be appropriate, but more assessment is needed before the best interve ntion can be
chosen.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphor
esis. Which expected outcome would the nurse select for this patient?
a. Patient has a balanced intake and output.
b. Patient‗s bedding is kept clean and free of moisture.
IrfanAli Page 4
