Lewis's Medical-Surgical Nursing in Canada
Assessment and Management of Clinical
Problems
• 5th Edition - June 15, 2022
• Latest edition
• Authors: Jane Tyerman, Shelley Cobbett,
Mariann M. Harding, Jeffrey Kwong, Dottie
Roberts, Debra Hagler, Courtney Reinisch
TEST BANK
Test Bank: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
(2022)
Section 1 – Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Distribution: 60% Application (with increased
prioritization/clinical judgment), 25% Comprehension, 15%
Recall
,1.
A nurse is caring for a hospitalized patient with multiple chronic
conditions. Which action best demonstrates patient-centred
care?
A. Developing the plan of care based primarily on institutional
protocols
B. Encouraging the patient to follow the treatment plan
recommended by the physician
C. Involving the patient in setting mutually agreed-upon health
goals
D. Providing health teaching at discharge according to
standardized instructions
Correct Answer: C
Rationale:
Patient-centred care emphasizes partnership, shared decision-
making, and respect for individual values and preferences.
Involving the patient in establishing mutually agreed-upon goals
reflects this principle. Institutional protocols (A) and
standardized discharge teaching (D) may be necessary but are
not individualized. Following physician recommendations
without patient collaboration (B) does not reflect patient-
centred care.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1:
Introduction to Medical-Surgical Nursing Practice in Canada
,2.
A nurse is assigned four patients. Which patient should be
assessed first?
A. A patient newly admitted with chest pain awaiting diagnostic
testing
B. A stable postoperative patient requesting assistance to
ambulate
C. A patient with diabetes awaiting scheduled insulin
administration
D. A patient ready for discharge needing medication teaching
Correct Answer: A
Rationale:
Prioritization frameworks emphasize assessing unstable or
potentially life-threatening conditions first. Chest pain may
indicate acute coronary syndrome and requires immediate
assessment. The other patients have stable or scheduled needs.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
Which statement best describes evidence-informed practice in
medical-surgical nursing?
A. Using personal clinical experience as the primary basis for
decisions
B. Following physician orders without question
, C. Integrating best current evidence with clinical expertise and
patient preferences
D. Applying standardized procedures regardless of patient
variation
Correct Answer: C
Rationale:
Evidence-informed practice integrates research evidence,
clinical expertise, and patient preferences. Personal experience
alone (A) is insufficient. Blind adherence to orders (B) and
standardized care without considering patient context (D) do
not reflect evidence-informed practice.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4.
The nurse identifies that a patient’s blood pressure has dropped
significantly compared with previous readings. What is the
nurse’s priority action?
A. Document the finding in the chart
B. Compare with the patient’s baseline and assess for symptoms
C. Notify the family
D. Recheck the blood pressure at the end of the shift
Correct Answer: B
Rationale:
Clinical judgment requires comparison with baseline data and
Assessment and Management of Clinical
Problems
• 5th Edition - June 15, 2022
• Latest edition
• Authors: Jane Tyerman, Shelley Cobbett,
Mariann M. Harding, Jeffrey Kwong, Dottie
Roberts, Debra Hagler, Courtney Reinisch
TEST BANK
Test Bank: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
(2022)
Section 1 – Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Distribution: 60% Application (with increased
prioritization/clinical judgment), 25% Comprehension, 15%
Recall
,1.
A nurse is caring for a hospitalized patient with multiple chronic
conditions. Which action best demonstrates patient-centred
care?
A. Developing the plan of care based primarily on institutional
protocols
B. Encouraging the patient to follow the treatment plan
recommended by the physician
C. Involving the patient in setting mutually agreed-upon health
goals
D. Providing health teaching at discharge according to
standardized instructions
Correct Answer: C
Rationale:
Patient-centred care emphasizes partnership, shared decision-
making, and respect for individual values and preferences.
Involving the patient in establishing mutually agreed-upon goals
reflects this principle. Institutional protocols (A) and
standardized discharge teaching (D) may be necessary but are
not individualized. Following physician recommendations
without patient collaboration (B) does not reflect patient-
centred care.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1:
Introduction to Medical-Surgical Nursing Practice in Canada
,2.
A nurse is assigned four patients. Which patient should be
assessed first?
A. A patient newly admitted with chest pain awaiting diagnostic
testing
B. A stable postoperative patient requesting assistance to
ambulate
C. A patient with diabetes awaiting scheduled insulin
administration
D. A patient ready for discharge needing medication teaching
Correct Answer: A
Rationale:
Prioritization frameworks emphasize assessing unstable or
potentially life-threatening conditions first. Chest pain may
indicate acute coronary syndrome and requires immediate
assessment. The other patients have stable or scheduled needs.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
Which statement best describes evidence-informed practice in
medical-surgical nursing?
A. Using personal clinical experience as the primary basis for
decisions
B. Following physician orders without question
, C. Integrating best current evidence with clinical expertise and
patient preferences
D. Applying standardized procedures regardless of patient
variation
Correct Answer: C
Rationale:
Evidence-informed practice integrates research evidence,
clinical expertise, and patient preferences. Personal experience
alone (A) is insufficient. Blind adherence to orders (B) and
standardized care without considering patient context (D) do
not reflect evidence-informed practice.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4.
The nurse identifies that a patient’s blood pressure has dropped
significantly compared with previous readings. What is the
nurse’s priority action?
A. Document the finding in the chart
B. Compare with the patient’s baseline and assess for symptoms
C. Notify the family
D. Recheck the blood pressure at the end of the shift
Correct Answer: B
Rationale:
Clinical judgment requires comparison with baseline data and
