TEST BANK
Lewis's Medical Surgical Nursing in Canada 5th Edition
Jeffrey Kwong; Courtney Reinisch; Jane Tyerman; Shelley Cobbett; Debra
Hagler; Mariann Harding; Dott
,Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
Tyerman: Lewis’s Medical-Surgical Nursing in Canada, 5th Edition
MULTIPLE CHOICE
1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the
patient that together they will plan the patient’s care and set goals for discharge. The patient
asks, “How is that different from what the doctor does?” Which response by the nurse is most
appropriate?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your.אמיתיים
doctor.” ברירה ותרחישי תרגול שמשקפים תנאי בחינה- שאלות רב,עם הסברים מפורטים
b. “The nurse’s
קבוע כדיjob isבאופן מעודכנים
to help the doctor,אמינים מחומריםdata
by collecting נלקחים המבחנים שלי? הם
and communicating whenלמה לבחור במאגרי
there areלומדים
problems.”
בין אם אתם. ומעוצבים על ידי מומחים בתחום,קף שינויים עדכניים בתוכנית הלימודים
c. “Nursesאת שמעלים
perform many אישית מותאמים
of the proceduresמשאבים
doneתמצאו ,דיסציפלינה אחרת
by physicians, או כל
but nurses are הנדסה
here in , עסקים,סיעוד
the hospital for a longer
.הביטחון והביצועים שלכם time than doctors.”
d. “In addition to caring for you while you are sick, the nurses will assist you to
גלשו באוסף שלי היום ועשו. השקיעו באיכות שמביאה תוצאות.תסתפקו בכלי לימוד בינוניים
develop an individualized plan to maintain your health.”
ההכנה לבחינות מעולם, עם הורדות מיידיות ומחירים נוחים.ת הצעד הראשון להצלחה אקדמית
ANS: D )מילים 941( .לא הייתה קלה יותר
Իմ Stuvia
This response խանութի
is consistent նկարագրություն
with the Canadian(Հայերեն)
Nurses Association (CNA) definition of
Բարի գալուստ իմ Stuvia խանութը, որտեղ գերազանցությունը
nursing. Registered nurses are self-regulated health care professionals հանդիպում
who work է
հարմարավետության
autonomously ակադեմիական
and in collaboration ճանապարհորդության
with others. ժամանակ:families,
RNs enable individuals, Ես groups,
communitiesմասնագիտացած եմ բարձրորակ թեստային բանկերի տրամադրումում, որոնք
and populations to achieve their optimal level of health. RNs coordinate health
մանրակրկիտ
care, deliver ստեղծված
direct services, and են ձեզ օգնելու
support հաջողության
patients հասնել decisions
in their self-care Ձեր and actions in
քննություններում: Յուրաքանչյուր թեստային բանկը համապարփակ է, ընդգրկում
situations of health, illness, injury, and disability in all stages of life. The other է
responses
բոլոր հիմնական թեմաները՝ մանրամասն բացատրություններով, բազմակի
describe some of the dependent and collaborative functions of the nursing role but do not
accuratelyընտրության
describe theհարցերով
nurse’s role in the health care system.
և պրակտիկ սցենարներով, որոնք արտացոլում են իրական
քննության պայմանները:
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
Ինչու ընտրել իմ թեստային
MSC: NCLEX: Safe and Effective Care Environmentբանկերը: Դրանք վերցված են վստահելի նյութերից,
կանոնավոր թարմացվում են՝ արտացոլելով վերջին հանրագրչական
2. When caringփոփոխությունները,
for patients using և նախագծված են ոլորտի
evidence-informed փորձագետների
practice, which ofկողմից: Թեև does the
the following
nurse use? սովորում եք հաշմանդամի, բիզնեսի, ինժեներության կամ այլ մասնագիտության,
a. Clinicalկգտնեք անհատականացված
judgement ռեսուրսներ, որոնք բարձրացնում են ձեր
based on experience
b. Evidenceվստահությունը
from a clinical և արդյունքները:
research study
c. The bestՄիavailable
բավարարվեք սովորական
evidence to guideուսումնական օգնականներով: Ներդրեք որակի մեջ,
clinical expertise
որը բերում է արդյունքներ: Այսօր զննեք իմ հավաքածուն
d. Evaluation of data showing that the patient outcomes are metև քայլեք առաջին քայլը
ANS: C
դեպի ակադեմիական հաջողություն: Անմիջական ներբեռնումներով և մատչելի
գներով քննությունների
Evidence-informed nursing practice պատրաստությունը
is a continuous երբեք այսքան հեշտ
interactive չի եղել:
process (151 the
involving բառ)explicit,
conscientious, and judicious consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances; (b) patient preferences and
actions; (c) best research evidence, and (d) health care resources. Clinical judgement based on
the nurse’s clinical experience is part of EIP, but clinical decision making also should
incorporate current research and research-based guidelines. Evidence from one clinical
research study does not provide an adequate substantiation for interventions. Evaluation of
patient outcomes is important, but interventions should be based on research from randomized
control studies with a large number of subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
, MSC: NCLEX: Safe and Effective Care Environment
3. Which of the following best explains the nurse’s primary use of the nursing process when
providing care to patients?
a. To explain nursing interventions to other health care professionals
b. As a problem-solving tool to identify and treat patients’ health care needs
c. As a scientific-based process of diagnosing the patient’s health care problems
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
ANS: B
The nursing process is an assertive problem-solving approach to the identification and
treatment of patients’ problems. Diagnosis is only one phase of the nursing process. The
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: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
4. The nurse is caring for a critically ill patient in the intensive care unit and plans an every-2-
hour turning schedule to prevent skin breakdown. Which type of nursing function is
demonstrated with this turning schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: D
When implementing collaborative nursing actions, the nurse is responsible primarily for
monitoring for complications of acute illness or providing care to prevent or treat
complications. Independent nursing actions are focused on health promotion, illness
prevention, and patient advocacy. A dependent action would require a physician order to
implement. Cooperative nursing functions are not described as one of the formal nursing
functions.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
5. The nurse is caring for a patient who has been admitted to the hospital for surgery and tells the
nurse, “I do not feel right about leaving my children with my neighbour.” Which action should
the nurse take next?
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. Call the neighbour to determine whether adequate childcare is being provided.
d. Gather more data about the patient’s feelings about the childcare arrangements.
ANS: D
Since 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. The
other actions may be appropriate, but more assessment is needed before the best intervention
can be chosen.
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
, MSC: NCLEX: Psychosocial Integrity
6. The nurse is caring for a patient who has left-sided paralysis as the result of a stroke and
assesses a pressure injury on the patient’s left hip. Which of the following is the most
appropriate nursing diagnosis for this patient?
a. Impaired physical mobility related to decrease in muscle control (left-sided
paralysis)
b. Risk for impaired tissue integrity as evidenced by insufficient knowledge about
protecting tissue integrity
c. Impaired skin integrity related to pressure over bony prominence (impaired
circulation)
d. Ineffective peripheral tissue perfusion related to sedentary lifestyle
ANS: C
The patient’s major problem is the impaired skin integrity as demonstrated by the presence of
a pressure injury. The nurse is able to treat the cause of impaired circulation and pressure over
bony prominence by frequently repositioning the patient. Although left-sided weakness is a
problem for the patient, the nurse cannot treat the weakness. The “risk for” diagnosis is not
appropriate for this patient, who already has impaired tissue integrity. The patient does have
ineffective peripheral tissue perfusion, but the impaired skin integrity diagnosis indicates more
clearly what the health problem is.
DIF: Cognitive Level: Application TOP: Nursing Process: Diagnosis
MSC: NCLEX: Physiological Integrity
7. The nurse caring for a patient with an infection has a nursing diagnosis of deficient fluid
volume related to excessive fluid loss through normal route (diaphoresis). Which of the
following is an appropriate patient outcome?
a. Patient has a balanced intake and output.
b. Patient’s bedding is changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
d. Patient’s skin remains cool and dry throughout hospitalization.
ANS: A
This statement gives measurable data showing resolution of the problem of deficient fluid
volume that was identified in the nursing diagnosis statement. The other statements would not
indicate that the problem of deficient fluid volume was resolved.
DIF: Cognitive Level: Application TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
8. Which of the following represents a nursing activity that is carried out during the evaluation
phase of the nursing process?
a. Determining if interventions have been effective in meeting patient outcomes.
b. Documenting the nursing care plan in the progress notes in the medical record.
c. Deciding whether the patient’s health problems have been completely resolved.
d. Asking the patient to evaluate whether the nursing care provided was satisfactory.
ANS: A
Lewis's Medical Surgical Nursing in Canada 5th Edition
Jeffrey Kwong; Courtney Reinisch; Jane Tyerman; Shelley Cobbett; Debra
Hagler; Mariann Harding; Dott
,Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
Tyerman: Lewis’s Medical-Surgical Nursing in Canada, 5th Edition
MULTIPLE CHOICE
1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the
patient that together they will plan the patient’s care and set goals for discharge. The patient
asks, “How is that different from what the doctor does?” Which response by the nurse is most
appropriate?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your.אמיתיים
doctor.” ברירה ותרחישי תרגול שמשקפים תנאי בחינה- שאלות רב,עם הסברים מפורטים
b. “The nurse’s
קבוע כדיjob isבאופן מעודכנים
to help the doctor,אמינים מחומריםdata
by collecting נלקחים המבחנים שלי? הם
and communicating whenלמה לבחור במאגרי
there areלומדים
problems.”
בין אם אתם. ומעוצבים על ידי מומחים בתחום,קף שינויים עדכניים בתוכנית הלימודים
c. “Nursesאת שמעלים
perform many אישית מותאמים
of the proceduresמשאבים
doneתמצאו ,דיסציפלינה אחרת
by physicians, או כל
but nurses are הנדסה
here in , עסקים,סיעוד
the hospital for a longer
.הביטחון והביצועים שלכם time than doctors.”
d. “In addition to caring for you while you are sick, the nurses will assist you to
גלשו באוסף שלי היום ועשו. השקיעו באיכות שמביאה תוצאות.תסתפקו בכלי לימוד בינוניים
develop an individualized plan to maintain your health.”
ההכנה לבחינות מעולם, עם הורדות מיידיות ומחירים נוחים.ת הצעד הראשון להצלחה אקדמית
ANS: D )מילים 941( .לא הייתה קלה יותר
Իմ Stuvia
This response խանութի
is consistent նկարագրություն
with the Canadian(Հայերեն)
Nurses Association (CNA) definition of
Բարի գալուստ իմ Stuvia խանութը, որտեղ գերազանցությունը
nursing. Registered nurses are self-regulated health care professionals հանդիպում
who work է
հարմարավետության
autonomously ակադեմիական
and in collaboration ճանապարհորդության
with others. ժամանակ:families,
RNs enable individuals, Ես groups,
communitiesմասնագիտացած եմ բարձրորակ թեստային բանկերի տրամադրումում, որոնք
and populations to achieve their optimal level of health. RNs coordinate health
մանրակրկիտ
care, deliver ստեղծված
direct services, and են ձեզ օգնելու
support հաջողության
patients հասնել decisions
in their self-care Ձեր and actions in
քննություններում: Յուրաքանչյուր թեստային բանկը համապարփակ է, ընդգրկում
situations of health, illness, injury, and disability in all stages of life. The other է
responses
բոլոր հիմնական թեմաները՝ մանրամասն բացատրություններով, բազմակի
describe some of the dependent and collaborative functions of the nursing role but do not
accuratelyընտրության
describe theհարցերով
nurse’s role in the health care system.
և պրակտիկ սցենարներով, որոնք արտացոլում են իրական
քննության պայմանները:
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
Ինչու ընտրել իմ թեստային
MSC: NCLEX: Safe and Effective Care Environmentբանկերը: Դրանք վերցված են վստահելի նյութերից,
կանոնավոր թարմացվում են՝ արտացոլելով վերջին հանրագրչական
2. When caringփոփոխությունները,
for patients using և նախագծված են ոլորտի
evidence-informed փորձագետների
practice, which ofկողմից: Թեև does the
the following
nurse use? սովորում եք հաշմանդամի, բիզնեսի, ինժեներության կամ այլ մասնագիտության,
a. Clinicalկգտնեք անհատականացված
judgement ռեսուրսներ, որոնք բարձրացնում են ձեր
based on experience
b. Evidenceվստահությունը
from a clinical և արդյունքները:
research study
c. The bestՄիavailable
բավարարվեք սովորական
evidence to guideուսումնական օգնականներով: Ներդրեք որակի մեջ,
clinical expertise
որը բերում է արդյունքներ: Այսօր զննեք իմ հավաքածուն
d. Evaluation of data showing that the patient outcomes are metև քայլեք առաջին քայլը
ANS: C
դեպի ակադեմիական հաջողություն: Անմիջական ներբեռնումներով և մատչելի
գներով քննությունների
Evidence-informed nursing practice պատրաստությունը
is a continuous երբեք այսքան հեշտ
interactive չի եղել:
process (151 the
involving բառ)explicit,
conscientious, and judicious consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances; (b) patient preferences and
actions; (c) best research evidence, and (d) health care resources. Clinical judgement based on
the nurse’s clinical experience is part of EIP, but clinical decision making also should
incorporate current research and research-based guidelines. Evidence from one clinical
research study does not provide an adequate substantiation for interventions. Evaluation of
patient outcomes is important, but interventions should be based on research from randomized
control studies with a large number of subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
, MSC: NCLEX: Safe and Effective Care Environment
3. Which of the following best explains the nurse’s primary use of the nursing process when
providing care to patients?
a. To explain nursing interventions to other health care professionals
b. As a problem-solving tool to identify and treat patients’ health care needs
c. As a scientific-based process of diagnosing the patient’s health care problems
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
ANS: B
The nursing process is an assertive problem-solving approach to the identification and
treatment of patients’ problems. Diagnosis is only one phase of the nursing process. The
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: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
4. The nurse is caring for a critically ill patient in the intensive care unit and plans an every-2-
hour turning schedule to prevent skin breakdown. Which type of nursing function is
demonstrated with this turning schedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: D
When implementing collaborative nursing actions, the nurse is responsible primarily for
monitoring for complications of acute illness or providing care to prevent or treat
complications. Independent nursing actions are focused on health promotion, illness
prevention, and patient advocacy. A dependent action would require a physician order to
implement. Cooperative nursing functions are not described as one of the formal nursing
functions.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
5. The nurse is caring for a patient who has been admitted to the hospital for surgery and tells the
nurse, “I do not feel right about leaving my children with my neighbour.” Which action should
the nurse take next?
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. Call the neighbour to determine whether adequate childcare is being provided.
d. Gather more data about the patient’s feelings about the childcare arrangements.
ANS: D
Since 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. The
other actions may be appropriate, but more assessment is needed before the best intervention
can be chosen.
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
, MSC: NCLEX: Psychosocial Integrity
6. The nurse is caring for a patient who has left-sided paralysis as the result of a stroke and
assesses a pressure injury on the patient’s left hip. Which of the following is the most
appropriate nursing diagnosis for this patient?
a. Impaired physical mobility related to decrease in muscle control (left-sided
paralysis)
b. Risk for impaired tissue integrity as evidenced by insufficient knowledge about
protecting tissue integrity
c. Impaired skin integrity related to pressure over bony prominence (impaired
circulation)
d. Ineffective peripheral tissue perfusion related to sedentary lifestyle
ANS: C
The patient’s major problem is the impaired skin integrity as demonstrated by the presence of
a pressure injury. The nurse is able to treat the cause of impaired circulation and pressure over
bony prominence by frequently repositioning the patient. Although left-sided weakness is a
problem for the patient, the nurse cannot treat the weakness. The “risk for” diagnosis is not
appropriate for this patient, who already has impaired tissue integrity. The patient does have
ineffective peripheral tissue perfusion, but the impaired skin integrity diagnosis indicates more
clearly what the health problem is.
DIF: Cognitive Level: Application TOP: Nursing Process: Diagnosis
MSC: NCLEX: Physiological Integrity
7. The nurse caring for a patient with an infection has a nursing diagnosis of deficient fluid
volume related to excessive fluid loss through normal route (diaphoresis). Which of the
following is an appropriate patient outcome?
a. Patient has a balanced intake and output.
b. Patient’s bedding is changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
d. Patient’s skin remains cool and dry throughout hospitalization.
ANS: A
This statement gives measurable data showing resolution of the problem of deficient fluid
volume that was identified in the nursing diagnosis statement. The other statements would not
indicate that the problem of deficient fluid volume was resolved.
DIF: Cognitive Level: Application TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
8. Which of the following represents a nursing activity that is carried out during the evaluation
phase of the nursing process?
a. Determining if interventions have been effective in meeting patient outcomes.
b. Documenting the nursing care plan in the progress notes in the medical record.
c. Deciding whether the patient’s health problems have been completely resolved.
d. Asking the patient to evaluate whether the nursing care provided was satisfactory.
ANS: A
