TEST BANK FOR LEWIS’S MEDICAL-SURGICAL NURSING
(12TH EDITION) QUESTIONS & 100% VERIFIED ANSWERS
AND RATIONALES | GRADED A+
,TABLE OF CONTENTS
UNIT I — FOUNDATIONS OF MEDICAL–SURGICAL NURSING
1. Chapter 1: Principles of Adult Health Nursing & Professional Practice
2. Chapter 2: Patient Safety, Quality, and Evidence-Based Practice
3. Chapter 3: Health Assessment & Clinical Judgement in Adult Care
4. Chapter 4: Pain Assessment & Management
5. Chapter 5: Infection Prevention & Control in Acute Care Settings
UNIT II — FLUIDS, ELECTROLYTES, PHARMACOLOGY, & PERIOPERATIVE CARE
6. Chapter 6: Fluids, Electrolytes, Acid–Base Balance
7. Chapter 7: Perioperative Nursing Care
8. Chapter 8: Fundamentals of Pharmacologic Management in Adult Nursing
UNIT III — IMMUNE, HEMATOLOGIC, AND CANCER CARE
9. Chapter 9: Immune System Disorders & Inflammatory Responses
10. Chapter 10: Cancer Care, Oncology Nursing, & Chemotherapy Safety
11. Chapter 11: Hematologic Disorders & Transfusion Therapy
UNIT IV — CHRONIC ILLNESS, REHABILITATION, & PALLIATIVE CARE
12. Chapter 12: Chronic Illness, Disability, and Rehabilitation
13. Chapter 13: End-of-Life Care & Palliative Nursing
UNIT V — INTERPROFESSIONAL MANAGEMENT OF ACUTE & CHRONIC CONDITIONS
Respiratory
14. Chapter 14: Assessment of the Respiratory System
15. Chapter 15: Upper Respiratory Disorders
16. Chapter 16: Lower Respiratory Disorders (Pneumonia, COPD, Asthma)
17. Chapter 17: Acute Respiratory Failure & Mechanical Ventilation
Cardiovascular
18. Chapter 18: Cardiovascular Assessment & Diagnostic Testing
19. Chapter 19: Coronary Artery Disease & Acute Coronary Syndromes
20. Chapter 20: Heart Failure & Structural Heart Disorders
, 21. Chapter 21: Dysrhythmias & ECG Interpretation
22. Chapter 22: Hypertension & Peripheral Vascular Disorders
Neurologic
23. Chapter 23: Neurological Assessment
24. Chapter 24: Cerebrovascular Disorders (Stroke, TIA)
25. Chapter 25: Neurologic Trauma & Increased ICP
26. Chapter 26: Chronic Neurologic Disorders (MS, Parkinson’s)
Renal & Urinary
27. Chapter 27: Renal Assessment & Urinary Disorders
28. Chapter 28: Acute & Chronic Kidney Disease
Gastrointestinal
29. Chapter 29: GI Assessment & Diagnostics
30. Chapter 30: Upper GI Disorders (GERD, Ulcers)
31. Chapter 31: Lower GI Disorders (IBD, Diverticulitis)
32. Chapter 32: Hepatic & Pancreatic Disorders
Endocrine
33. Chapter 33: Endocrine Assessment
34. Chapter 34: Diabetes Mellitus Management
35. Chapter 35: Thyroid, Parathyroid & Adrenal Disorders
Musculoskeletal
36. Chapter 36: Musculoskeletal Assessment
37. Chapter 37: Fractures, Orthopedic Trauma, & Immobilization
38. Chapter 38: Chronic Musculoskeletal Disorders (Osteoarthritis, RA)
Integumentary
39. Chapter 39: Wound Care, Burns, & Integumentary Disorders
Reproductive
40. Chapter 40: Male & Female Reproductive Disorders
Other Systems
41. Chapter 41: Shock, Sepsis, & Multiple Organ Dysfunction
42. Chapter 42: Emergency & Disaster Nursing
, Chapter 1: Principles of Adult Health Nursing & Professional Practice
Question 1
A 65-year-old patient with hypertension is admitted for routine monitoring. The
nurse observes that the patient has not been taking medications consistently at
home. Which action best demonstrates the nurse’s role in promoting patient
adherence?
A. Instruct the patient to take all medications as prescribed immediately
B. Explore reasons for non-adherence and collaborate on a plan
C. Notify the healthcare provider to increase the dosage
D. Document non-adherence without further intervention
Answer: B
Rationale: Nurses use patient-centered care and therapeutic communication to
understand barriers to adherence and collaborate with patients on achievable care
plans. Simply instructing, notifying the provider, or only documenting does not
address underlying causes.
Question 2
Which of the following statements best reflects the concept of evidence-based
practice (EBP)?
A. Using interventions based on what the nurse learned in nursing school
B. Applying care strategies based on tradition and routine in the unit
C. Integrating current research, clinical expertise, and patient preferences
D. Following only the provider’s orders without questioning
Answer: C
Rationale: EBP involves integrating research evidence, clinical expertise, and
patient values to guide safe and effective care. Routine practice or tradition alone is
not evidence-based.
(12TH EDITION) QUESTIONS & 100% VERIFIED ANSWERS
AND RATIONALES | GRADED A+
,TABLE OF CONTENTS
UNIT I — FOUNDATIONS OF MEDICAL–SURGICAL NURSING
1. Chapter 1: Principles of Adult Health Nursing & Professional Practice
2. Chapter 2: Patient Safety, Quality, and Evidence-Based Practice
3. Chapter 3: Health Assessment & Clinical Judgement in Adult Care
4. Chapter 4: Pain Assessment & Management
5. Chapter 5: Infection Prevention & Control in Acute Care Settings
UNIT II — FLUIDS, ELECTROLYTES, PHARMACOLOGY, & PERIOPERATIVE CARE
6. Chapter 6: Fluids, Electrolytes, Acid–Base Balance
7. Chapter 7: Perioperative Nursing Care
8. Chapter 8: Fundamentals of Pharmacologic Management in Adult Nursing
UNIT III — IMMUNE, HEMATOLOGIC, AND CANCER CARE
9. Chapter 9: Immune System Disorders & Inflammatory Responses
10. Chapter 10: Cancer Care, Oncology Nursing, & Chemotherapy Safety
11. Chapter 11: Hematologic Disorders & Transfusion Therapy
UNIT IV — CHRONIC ILLNESS, REHABILITATION, & PALLIATIVE CARE
12. Chapter 12: Chronic Illness, Disability, and Rehabilitation
13. Chapter 13: End-of-Life Care & Palliative Nursing
UNIT V — INTERPROFESSIONAL MANAGEMENT OF ACUTE & CHRONIC CONDITIONS
Respiratory
14. Chapter 14: Assessment of the Respiratory System
15. Chapter 15: Upper Respiratory Disorders
16. Chapter 16: Lower Respiratory Disorders (Pneumonia, COPD, Asthma)
17. Chapter 17: Acute Respiratory Failure & Mechanical Ventilation
Cardiovascular
18. Chapter 18: Cardiovascular Assessment & Diagnostic Testing
19. Chapter 19: Coronary Artery Disease & Acute Coronary Syndromes
20. Chapter 20: Heart Failure & Structural Heart Disorders
, 21. Chapter 21: Dysrhythmias & ECG Interpretation
22. Chapter 22: Hypertension & Peripheral Vascular Disorders
Neurologic
23. Chapter 23: Neurological Assessment
24. Chapter 24: Cerebrovascular Disorders (Stroke, TIA)
25. Chapter 25: Neurologic Trauma & Increased ICP
26. Chapter 26: Chronic Neurologic Disorders (MS, Parkinson’s)
Renal & Urinary
27. Chapter 27: Renal Assessment & Urinary Disorders
28. Chapter 28: Acute & Chronic Kidney Disease
Gastrointestinal
29. Chapter 29: GI Assessment & Diagnostics
30. Chapter 30: Upper GI Disorders (GERD, Ulcers)
31. Chapter 31: Lower GI Disorders (IBD, Diverticulitis)
32. Chapter 32: Hepatic & Pancreatic Disorders
Endocrine
33. Chapter 33: Endocrine Assessment
34. Chapter 34: Diabetes Mellitus Management
35. Chapter 35: Thyroid, Parathyroid & Adrenal Disorders
Musculoskeletal
36. Chapter 36: Musculoskeletal Assessment
37. Chapter 37: Fractures, Orthopedic Trauma, & Immobilization
38. Chapter 38: Chronic Musculoskeletal Disorders (Osteoarthritis, RA)
Integumentary
39. Chapter 39: Wound Care, Burns, & Integumentary Disorders
Reproductive
40. Chapter 40: Male & Female Reproductive Disorders
Other Systems
41. Chapter 41: Shock, Sepsis, & Multiple Organ Dysfunction
42. Chapter 42: Emergency & Disaster Nursing
, Chapter 1: Principles of Adult Health Nursing & Professional Practice
Question 1
A 65-year-old patient with hypertension is admitted for routine monitoring. The
nurse observes that the patient has not been taking medications consistently at
home. Which action best demonstrates the nurse’s role in promoting patient
adherence?
A. Instruct the patient to take all medications as prescribed immediately
B. Explore reasons for non-adherence and collaborate on a plan
C. Notify the healthcare provider to increase the dosage
D. Document non-adherence without further intervention
Answer: B
Rationale: Nurses use patient-centered care and therapeutic communication to
understand barriers to adherence and collaborate with patients on achievable care
plans. Simply instructing, notifying the provider, or only documenting does not
address underlying causes.
Question 2
Which of the following statements best reflects the concept of evidence-based
practice (EBP)?
A. Using interventions based on what the nurse learned in nursing school
B. Applying care strategies based on tradition and routine in the unit
C. Integrating current research, clinical expertise, and patient preferences
D. Following only the provider’s orders without questioning
Answer: C
Rationale: EBP involves integrating research evidence, clinical expertise, and
patient values to guide safe and effective care. Routine practice or tradition alone is
not evidence-based.
