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TESTBANK
Test Bank - FOR
Lewis'sLEWIS
MedicalMEDICAL SURGICAL
Surgical Nursing NURSING
(11th Edition 11TH EDITION BY HARDING
by Harding) 1
Table of Contents
Table of Contents 1
Chapter 01: Professional Nursing 3
Chapter 02: Health Equity and Culturally Competent Care 13
Chapter 03: Health History and Physical Examination 21
Chapter 04: Patient and Caregiver Teaching 28
Chapter 05: Chronic Illness and Older Adults 38
Chapter 06: Stress Management 48
Chapter 07: Sleep and Sleep Disorders 54
Chapter 08: Pain 59
Chapter 09: Palliative and End of Life Care 71
Chapter 10: Substance Use Disorders 79
Chapter 11: Inflammation and Healing 91
Chapter 12: Genetics 101
Chapter 13: Immune Responses and Transplantation 105
Chapter 14: Infection 117
Chapter 15: Cancer 129
Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances 148
Chapter 17: Preoperative Care 165
Chapter 18: Intraoperative Care 175
Chapter 19: Postoperative Care 184
Chapter 20: Assessment and Management: Visual Problems 196
Chapter 21: Assessment and Management: Auditory Problems 216
Chapter 22: Assessment: Integumentary System 227
Chapter 23: Integumentary Problems 233
Chapter 24: Burns 245
Chapter 25: Assessment: Respiratory System 259
Chapter 26: Upper Respiratory Problems 270
Chapter 27: Lower Respiratory Problems 282
Chapter 28: Obstructive Pulmonary Diseases 305
Chapter 29: Assessment: Hematologic System 325
Chapter 30: Hematologic Problems 332
Chapter 31: Assessment: Cardiovascular System 353
Chapter 32: Hypertension 364
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome 375
Chapter 34: Heart Failure 394
Chapter 35: Dysrhythmias 406
Chapter 36: Inflammatory and Structural Heart Disorders 420
Chapter 37: Vascular Disorders 435
Chapter 38: Assessment: Gastrointestinal System 450
Chapter 39: Nutritional Problems 458
Chapter 40: Obesity 469
Chapter 41: Upper Gastrointestinal Problems 478
Chapter 42: Lower Gastrointestinal Problems 499
Chapter 43: Liver, Biliary Tract, and Pancreas Problems 523
Chapter 44: Assessment: Urinary System 543
Chapter 45: Renal and Urologic Problems 553
Chapter 46: Acute Kidney Injury and Chronic Kidney Disease 573
Chapter 47: Assessment: Endocrine System 590
Chapter 48: Diabetes Mellitus 600
Chapter 49: Endocrine Problems 622
Chapter 50: Assessment: Reproductive System 642
, Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
2
Chapter 51: Breast Disorders 650
Chapter 52: Sexually Transmitted Infections 662
Chapter 53: Female Reproductive Problems 671
Chapter 54: Male Reproductive Problems 693
Chapter 55: Assessment: Nervous System 708
Chapter 56: Acute Intracranial Problems 717
Chapter 57: Stroke 734
Chapter 58: Chronic Neurologic Problems 747
Chapter 59: Dementia and Delirium 763
Chapter 60: Spinal Cord and Peripheral Nerve Problems 772
Chapter 61: Assessment: Musculoskeletal System 787
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery 794
Chapter 63: Musculoskeletal Problems 814
Chapter 64: Arthritis and Connective Tissue Diseases 825
Chapter 65: Critical Care 845
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 864
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome 877
Chapter 68: Emergency and Disaster Nursing 889
Adult Medical Surgical Edition 11.0 ATI purple book is the one we are using and all questions are coming from there. My exam is
on Immunity, Infection, Inflammation , care of patients with HIV, Cancer, hypersensitivity, autoimmunity, burns , wounds, psoriasis,
immunizations, lupus
, Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
3
Chapter 01: Professional Nursing
Test Bank
MULTIPLE CHOICE
1. The!!nurse!!teaches!!a!!student!!nurse!!about!!how!!to!!apply!!the!!nursing!!process!!when!!providing!!patient!!ca
re.!!Which!!statement, !!if!! made!!by!!the!!student!!nurse,!!indicates!!that!!teaching!!was!!successful?
a. The!! nursing!!process!!is!! a!!scientific-based!! method!! of!! diagnosing!! the! ! patients!! health! ! care! ! problems.
b. The!!nursing!! process!!is!!a!! problem-
solving!!tool! ! used!!to!!identify! ! and!!treat!! patients!! health! ! care!! needs.
c. The!!nursing!!process!!is!!based!!on!!nursing!!theory!!that!!incorporates!!the!!biopsychosocial!!nature!!
of!!humans.
d. The!!nursing!!process!!is!!used!!primarily!!to!!explain!!nursing!!interventions!!to!!other!!health!!ca
re!!professionals.
ANS:! ! B
The !!nursing!!process!!is!!a !!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!!t
heory!!or !!explain!!nursing!!interventions !!to!!other !!health!!care!!professionals.
DIF:! ! Cognitive! ! Level:! ! Understand! ! (comprehension)
TOP:! ! Nursing!!Process:! ! Implementation! ! MSC:! ! NCLEX:!! Safe!! and!! Effective! ! Care! ! Environment
2. The!!nurse!!describes!!to!!a!!student!!nurse!!how!!to!!use!!evidence-
based!!practice!!guidelines!!when!!caring!!for!!patients. !!Which!!statement, !!if!! made!!by!!the!! nurse,!! would!!
be!!the!! most!!accurate?
a. Inferences!! from! ! clinical!! research!! studies!!are!!used!!as!!a!!guide.
b. Patient!! care!!is!! based!! on!! clinical!!judgment,!!experience,! ! and!!traditions.
c. Data!!are!!evaluated!! to!! show!! that!!the!! patient!!outcomes! ! are!!consistently! ! met.
d. Recommendations! ! are! ! based!! on!! research,!!clinical!! expertise,!! and! ! patient! ! preferences.
ANS:! ! D
Evidence-based!!practice!!(EBP) !!is!!the!! use!!of!!the!!best!!research-
based!!evidence!!combined!!with!!clinician!!expertise. !!Clinical!!judgment!!based!!on!!the!!nurses!!clinical!!exper
ience!!is!!part!!of!!EBP,!!but!!clinical!!decision!!making!!should!!also!!incorporate!!current!!research!!and! ! research-
based!!guidelines.! ! Evaluation!!of! ! patient! ! outcomes! ! is!!important, !!but!!interventions !!should!!be!!based!! on!!res
earch!!from!!randomized!!control!!studies!! with!!a !!large!! number !!of!!subjects.
DIF:! ! Cognitive! ! Level:!! Remember! ! (knowledge)
Adult Medical Surgical Edition 11.0 ATI purple book is the one we are using and all questions are coming from there. My exam is
on Immunity, Infection, Inflammation , care of patients with HIV, Cancer, hypersensitivity, autoimmunity, burns , wounds, psoriasis,
immunizations, lupus
, Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
4
TOP:! ! Nursing!!Process:! ! Planning! ! MSC:!! NCLEX:! ! Safe!! and!! Effective!! Care!! Environment
3. The!!nurse!!completes!!an!!admission!!database!!and!!explains!!that!!the!!plan!!of!!care!!and!!discharge!!goals!!wil
l!!be!!developed!!with!!the!!patients!!input.!!The!!patient!!states,!!How!!is!!this!!different!!from!!what!!the!!doctor!!does
?!!Which!!response!! would!!be!! most!!appropriate!!for !!the!!nurse!!to!! make?
a. The!!role!! of!!the! ! nurse!!is!! to!!administer! ! medications!!and!! other!!treatments! ! prescribed!! by!! your!! docto
r.
b. The!!nurses!!job!!is!!to!!help!!the!!doctor!!by!!collecting!!information!!and!!communicating!!any!!proble
ms!!that!!occur.
c. Nurses!!perform!!many!!of!!the!!same!!procedures!!as!!the!!doctor,!!but!!nurses!!are!!with!!the!!patients!!f
or!!a!!longer !!time!!than!!the!!doctor.
d. In!!addition!!to!!caring!!for !!you!!while!!you!!are!!sick,!!the!!nurses!!will!!assist!!you!!to!!develop!
!an!!individualized!! plan!!to!! maintain!! your !!health.
ANS:! ! D
This!!response!!is!!consistent!! with!!the!!American!!Nurses!! Association!!(ANA) !!definition!!of!! nursing,!!whic
h!!describes!!the!!role!!of!!nurses!!in!!promoting!!health.!!The!!other!!responses!!describe!!some!!of!!the!!dependent!!a
nd!!collaborative!!functions!!of!!the!!nursing!!role!!but!!do!!not!!accurately!!describe!!the!!nurses!!role!!in!!the!!health!!
care!!system.
DIF:! ! Cognitive! ! Level:! ! Understand! ! (comprehension)
TOP:! ! Nursing!!Process:! ! Implementation! ! MSC:! ! NCLEX:!! Safe!! and!! Effective! ! Care! ! Environment
4. A!!patient!!who!!is!!paralyzed!!on!!the!!left!!side!!of!!the!!body!!after !!a !!stroke!!develops!!a !!pressure!!ulcer !!on!!the!!left!
!hip!!Which!!nursing!! diagnosis !!is !! most !!appropriate?
a. Impaired!! physical! ! mobility!! related!!to!! left-sided!! paralysis
b. Risk!! for!!impaired!! tissue!!integrity! ! related!! to!!left-sided!! weakness
c. Impaired!!skin!!integrity!!related!! to!!altered!! circulation!! and!! pressure
d. Ineffective!!tissue!! perfusion!!related!!to!!inability!!to!! move!!independently
ANS:!!C
The!!patients!!major!!problem!!is!!the!!impaired!!skin!!integrity!!as!!demonstrated!!by!!the!!presence!!of!!a!!pressure!!ulc
er.!!The!!nurse!!is!!able!!to!!treat!!the!!cause!!of!!altered!!circulation!!and!!pressure!!by!!frequently!!repositioning!!the!!p
atient.!!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!!ineffe
ctive!!tissue!!perfusion, !!but!!the!!impaired!!skin!!integrity!!diagnosis!!indicates!!more!!clearly!!what!!the!!health!!pr
oblem!!is.
DIF:!! Cognitive!! Level:!! Apply!!(application)
TOP:! ! Nursing! ! Process:! ! Diagnosis! ! MSC:! ! NCLEX:!! Physiological! ! Integrity
5. A!!patient!!has!!been!!admitted!!to!!the!!hospital!!for!!surgery!!and!!tells!!the!!nurse,!!I!!do!!not!!feel!!comfortable!!lea
ving!! my!!children!! with!! my!! parents. !!Which!!action!!should!!the!! nurse!!take!! next?
Adult Medical Surgical Edition 11.0 ATI purple book is the one we are using and all questions are coming from there. My exam is
on Immunity, Infection, Inflammation , care of patients with HIV, Cancer, hypersensitivity, autoimmunity, burns , wounds, psoriasis,
immunizations, lupus
TESTBANK
Test Bank - FOR
Lewis'sLEWIS
MedicalMEDICAL SURGICAL
Surgical Nursing NURSING
(11th Edition 11TH EDITION BY HARDING
by Harding) 1
Table of Contents
Table of Contents 1
Chapter 01: Professional Nursing 3
Chapter 02: Health Equity and Culturally Competent Care 13
Chapter 03: Health History and Physical Examination 21
Chapter 04: Patient and Caregiver Teaching 28
Chapter 05: Chronic Illness and Older Adults 38
Chapter 06: Stress Management 48
Chapter 07: Sleep and Sleep Disorders 54
Chapter 08: Pain 59
Chapter 09: Palliative and End of Life Care 71
Chapter 10: Substance Use Disorders 79
Chapter 11: Inflammation and Healing 91
Chapter 12: Genetics 101
Chapter 13: Immune Responses and Transplantation 105
Chapter 14: Infection 117
Chapter 15: Cancer 129
Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances 148
Chapter 17: Preoperative Care 165
Chapter 18: Intraoperative Care 175
Chapter 19: Postoperative Care 184
Chapter 20: Assessment and Management: Visual Problems 196
Chapter 21: Assessment and Management: Auditory Problems 216
Chapter 22: Assessment: Integumentary System 227
Chapter 23: Integumentary Problems 233
Chapter 24: Burns 245
Chapter 25: Assessment: Respiratory System 259
Chapter 26: Upper Respiratory Problems 270
Chapter 27: Lower Respiratory Problems 282
Chapter 28: Obstructive Pulmonary Diseases 305
Chapter 29: Assessment: Hematologic System 325
Chapter 30: Hematologic Problems 332
Chapter 31: Assessment: Cardiovascular System 353
Chapter 32: Hypertension 364
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome 375
Chapter 34: Heart Failure 394
Chapter 35: Dysrhythmias 406
Chapter 36: Inflammatory and Structural Heart Disorders 420
Chapter 37: Vascular Disorders 435
Chapter 38: Assessment: Gastrointestinal System 450
Chapter 39: Nutritional Problems 458
Chapter 40: Obesity 469
Chapter 41: Upper Gastrointestinal Problems 478
Chapter 42: Lower Gastrointestinal Problems 499
Chapter 43: Liver, Biliary Tract, and Pancreas Problems 523
Chapter 44: Assessment: Urinary System 543
Chapter 45: Renal and Urologic Problems 553
Chapter 46: Acute Kidney Injury and Chronic Kidney Disease 573
Chapter 47: Assessment: Endocrine System 590
Chapter 48: Diabetes Mellitus 600
Chapter 49: Endocrine Problems 622
Chapter 50: Assessment: Reproductive System 642
, Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
2
Chapter 51: Breast Disorders 650
Chapter 52: Sexually Transmitted Infections 662
Chapter 53: Female Reproductive Problems 671
Chapter 54: Male Reproductive Problems 693
Chapter 55: Assessment: Nervous System 708
Chapter 56: Acute Intracranial Problems 717
Chapter 57: Stroke 734
Chapter 58: Chronic Neurologic Problems 747
Chapter 59: Dementia and Delirium 763
Chapter 60: Spinal Cord and Peripheral Nerve Problems 772
Chapter 61: Assessment: Musculoskeletal System 787
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery 794
Chapter 63: Musculoskeletal Problems 814
Chapter 64: Arthritis and Connective Tissue Diseases 825
Chapter 65: Critical Care 845
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 864
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome 877
Chapter 68: Emergency and Disaster Nursing 889
Adult Medical Surgical Edition 11.0 ATI purple book is the one we are using and all questions are coming from there. My exam is
on Immunity, Infection, Inflammation , care of patients with HIV, Cancer, hypersensitivity, autoimmunity, burns , wounds, psoriasis,
immunizations, lupus
, Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
3
Chapter 01: Professional Nursing
Test Bank
MULTIPLE CHOICE
1. The!!nurse!!teaches!!a!!student!!nurse!!about!!how!!to!!apply!!the!!nursing!!process!!when!!providing!!patient!!ca
re.!!Which!!statement, !!if!! made!!by!!the!!student!!nurse,!!indicates!!that!!teaching!!was!!successful?
a. The!! nursing!!process!!is!! a!!scientific-based!! method!! of!! diagnosing!! the! ! patients!! health! ! care! ! problems.
b. The!!nursing!! process!!is!!a!! problem-
solving!!tool! ! used!!to!!identify! ! and!!treat!! patients!! health! ! care!! needs.
c. The!!nursing!!process!!is!!based!!on!!nursing!!theory!!that!!incorporates!!the!!biopsychosocial!!nature!!
of!!humans.
d. The!!nursing!!process!!is!!used!!primarily!!to!!explain!!nursing!!interventions!!to!!other!!health!!ca
re!!professionals.
ANS:! ! B
The !!nursing!!process!!is!!a !!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!!t
heory!!or !!explain!!nursing!!interventions !!to!!other !!health!!care!!professionals.
DIF:! ! Cognitive! ! Level:! ! Understand! ! (comprehension)
TOP:! ! Nursing!!Process:! ! Implementation! ! MSC:! ! NCLEX:!! Safe!! and!! Effective! ! Care! ! Environment
2. The!!nurse!!describes!!to!!a!!student!!nurse!!how!!to!!use!!evidence-
based!!practice!!guidelines!!when!!caring!!for!!patients. !!Which!!statement, !!if!! made!!by!!the!! nurse,!! would!!
be!!the!! most!!accurate?
a. Inferences!! from! ! clinical!! research!! studies!!are!!used!!as!!a!!guide.
b. Patient!! care!!is!! based!! on!! clinical!!judgment,!!experience,! ! and!!traditions.
c. Data!!are!!evaluated!! to!! show!! that!!the!! patient!!outcomes! ! are!!consistently! ! met.
d. Recommendations! ! are! ! based!! on!! research,!!clinical!! expertise,!! and! ! patient! ! preferences.
ANS:! ! D
Evidence-based!!practice!!(EBP) !!is!!the!! use!!of!!the!!best!!research-
based!!evidence!!combined!!with!!clinician!!expertise. !!Clinical!!judgment!!based!!on!!the!!nurses!!clinical!!exper
ience!!is!!part!!of!!EBP,!!but!!clinical!!decision!!making!!should!!also!!incorporate!!current!!research!!and! ! research-
based!!guidelines.! ! Evaluation!!of! ! patient! ! outcomes! ! is!!important, !!but!!interventions !!should!!be!!based!! on!!res
earch!!from!!randomized!!control!!studies!! with!!a !!large!! number !!of!!subjects.
DIF:! ! Cognitive! ! Level:!! Remember! ! (knowledge)
Adult Medical Surgical Edition 11.0 ATI purple book is the one we are using and all questions are coming from there. My exam is
on Immunity, Infection, Inflammation , care of patients with HIV, Cancer, hypersensitivity, autoimmunity, burns , wounds, psoriasis,
immunizations, lupus
, Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
4
TOP:! ! Nursing!!Process:! ! Planning! ! MSC:!! NCLEX:! ! Safe!! and!! Effective!! Care!! Environment
3. The!!nurse!!completes!!an!!admission!!database!!and!!explains!!that!!the!!plan!!of!!care!!and!!discharge!!goals!!wil
l!!be!!developed!!with!!the!!patients!!input.!!The!!patient!!states,!!How!!is!!this!!different!!from!!what!!the!!doctor!!does
?!!Which!!response!! would!!be!! most!!appropriate!!for !!the!!nurse!!to!! make?
a. The!!role!! of!!the! ! nurse!!is!! to!!administer! ! medications!!and!! other!!treatments! ! prescribed!! by!! your!! docto
r.
b. The!!nurses!!job!!is!!to!!help!!the!!doctor!!by!!collecting!!information!!and!!communicating!!any!!proble
ms!!that!!occur.
c. Nurses!!perform!!many!!of!!the!!same!!procedures!!as!!the!!doctor,!!but!!nurses!!are!!with!!the!!patients!!f
or!!a!!longer !!time!!than!!the!!doctor.
d. In!!addition!!to!!caring!!for !!you!!while!!you!!are!!sick,!!the!!nurses!!will!!assist!!you!!to!!develop!
!an!!individualized!! plan!!to!! maintain!! your !!health.
ANS:! ! D
This!!response!!is!!consistent!! with!!the!!American!!Nurses!! Association!!(ANA) !!definition!!of!! nursing,!!whic
h!!describes!!the!!role!!of!!nurses!!in!!promoting!!health.!!The!!other!!responses!!describe!!some!!of!!the!!dependent!!a
nd!!collaborative!!functions!!of!!the!!nursing!!role!!but!!do!!not!!accurately!!describe!!the!!nurses!!role!!in!!the!!health!!
care!!system.
DIF:! ! Cognitive! ! Level:! ! Understand! ! (comprehension)
TOP:! ! Nursing!!Process:! ! Implementation! ! MSC:! ! NCLEX:!! Safe!! and!! Effective! ! Care! ! Environment
4. A!!patient!!who!!is!!paralyzed!!on!!the!!left!!side!!of!!the!!body!!after !!a !!stroke!!develops!!a !!pressure!!ulcer !!on!!the!!left!
!hip!!Which!!nursing!! diagnosis !!is !! most !!appropriate?
a. Impaired!! physical! ! mobility!! related!!to!! left-sided!! paralysis
b. Risk!! for!!impaired!! tissue!!integrity! ! related!! to!!left-sided!! weakness
c. Impaired!!skin!!integrity!!related!! to!!altered!! circulation!! and!! pressure
d. Ineffective!!tissue!! perfusion!!related!!to!!inability!!to!! move!!independently
ANS:!!C
The!!patients!!major!!problem!!is!!the!!impaired!!skin!!integrity!!as!!demonstrated!!by!!the!!presence!!of!!a!!pressure!!ulc
er.!!The!!nurse!!is!!able!!to!!treat!!the!!cause!!of!!altered!!circulation!!and!!pressure!!by!!frequently!!repositioning!!the!!p
atient.!!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!!ineffe
ctive!!tissue!!perfusion, !!but!!the!!impaired!!skin!!integrity!!diagnosis!!indicates!!more!!clearly!!what!!the!!health!!pr
oblem!!is.
DIF:!! Cognitive!! Level:!! Apply!!(application)
TOP:! ! Nursing! ! Process:! ! Diagnosis! ! MSC:! ! NCLEX:!! Physiological! ! Integrity
5. A!!patient!!has!!been!!admitted!!to!!the!!hospital!!for!!surgery!!and!!tells!!the!!nurse,!!I!!do!!not!!feel!!comfortable!!lea
ving!! my!!children!! with!! my!! parents. !!Which!!action!!should!!the!! nurse!!take!! next?
Adult Medical Surgical Edition 11.0 ATI purple book is the one we are using and all questions are coming from there. My exam is
on Immunity, Infection, Inflammation , care of patients with HIV, Cancer, hypersensitivity, autoimmunity, burns , wounds, psoriasis,
immunizations, lupus
