1
MEDICAL-SURGICAL NURSING ASSESSMENT AND MANAGEMENT OF
CLINICAL PROBLEMS TEST BANK FOR LEWIS'S 12TH EDITION ALL
CHAPTERS EXAM QUESTIONS AND VERIFIED ANSWERS 2 0 2 6
LATEST UPDATED VERSION
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of
care and discharge goals will be developed with the patient‗s input. The
patient asks, ―How is this different from what the physician does?‖ Which
response would the nurse provide?
a. ―The role of the nurse is to administer medications and other
treatments prescribed by your physician.‖
b. ―In addition to caring for you while you are sick, the nurses will help
you plan to maintain your health.‖
c. ―The nurse‗s job is to collect information and communicate any
problems that occur to the physician.‖
d. ―Nurses perform many of the same procedures as the physician,
but nurses are with the patients for a longer time than the
physician.‖
ANS: 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.‖
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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 and consideration of patient preferences.
Clinical judgment based on the nurse‗s clinical experience is part of EBP, but
clinical decision making should also incorporate current research and research-
based guidelines. Evaluation of patient outcomes is important, but data
analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should 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 care problems.‖
b. ―The nursing process is used primarily to explain nursing
interventions to other health care professionals.‖
c. ―The nursing process is a problem-solving tool used to identify and manage the
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patients‗ health care needs.‖
d. ―The nursing process is based on nursing theorythat
incorporates the biopsychosocial nature of humans.‖
ANS: C
The nursing process is a problem-solving approach to the identification and
treatment of patients‗ problems. Nursing process does not require research
methods for diagnosis. 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: 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 comfortable leaving my children with my parents.‖ Which action
would 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. 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 being provided.
ANS: 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. The other actions may be appropriate, but more
assessment is needed before the best intervention 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 diaphoresis. 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.
c. Patient understands the need for increased fluid intake.
d. Patient‗s skin remains cool and dry throughout hospitalization.
ANS: A
Balanced intake and output gives measurable data showing resolution of the
problem of deficient fluid volume. The other statements would not indicate
that the problem of hypovolemia was resolved.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process:
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, 4
Planning MSC: NCLEX: Physiological Integrity
6. Which statement describes the purpose of the evaluation phase of the nursing
process?
a. To document the nursing care plan in the progress notes of the health record
b. To determine if interventions have been effective in meeting patient outcomes
c. To decide whether the patient‗s health problems have been completely
resolved
d. To establish if the patient agrees that the nursing care provided was satisfactory
ANS: B
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MEDICAL-SURGICAL NURSING ASSESSMENT AND MANAGEMENT OF
CLINICAL PROBLEMS TEST BANK FOR LEWIS'S 12TH EDITION ALL
CHAPTERS EXAM QUESTIONS AND VERIFIED ANSWERS 2 0 2 6
LATEST UPDATED VERSION
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of
care and discharge goals will be developed with the patient‗s input. The
patient asks, ―How is this different from what the physician does?‖ Which
response would the nurse provide?
a. ―The role of the nurse is to administer medications and other
treatments prescribed by your physician.‖
b. ―In addition to caring for you while you are sick, the nurses will help
you plan to maintain your health.‖
c. ―The nurse‗s job is to collect information and communicate any
problems that occur to the physician.‖
d. ―Nurses perform many of the same procedures as the physician,
but nurses are with the patients for a longer time than the
physician.‖
ANS: 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.‖
1|Page
,2
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 and consideration of patient preferences.
Clinical judgment based on the nurse‗s clinical experience is part of EBP, but
clinical decision making should also incorporate current research and research-
based guidelines. Evaluation of patient outcomes is important, but data
analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should 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 care problems.‖
b. ―The nursing process is used primarily to explain nursing
interventions to other health care professionals.‖
c. ―The nursing process is a problem-solving tool used to identify and manage the
2|Page
,3
patients‗ health care needs.‖
d. ―The nursing process is based on nursing theorythat
incorporates the biopsychosocial nature of humans.‖
ANS: C
The nursing process is a problem-solving approach to the identification and
treatment of patients‗ problems. Nursing process does not require research
methods for diagnosis. 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: 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 comfortable leaving my children with my parents.‖ Which action
would 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. 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 being provided.
ANS: 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. The other actions may be appropriate, but more
assessment is needed before the best intervention 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 diaphoresis. 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.
c. Patient understands the need for increased fluid intake.
d. Patient‗s skin remains cool and dry throughout hospitalization.
ANS: A
Balanced intake and output gives measurable data showing resolution of the
problem of deficient fluid volume. The other statements would not indicate
that the problem of hypovolemia was resolved.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process:
3|Page
, 4
Planning MSC: NCLEX: Physiological Integrity
6. Which statement describes the purpose of the evaluation phase of the nursing
process?
a. To document the nursing care plan in the progress notes of the health record
b. To determine if interventions have been effective in meeting patient outcomes
c. To decide whether the patient‗s health problems have been completely
resolved
d. To establish if the patient agrees that the nursing care provided was satisfactory
ANS: B
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