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
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. (2022)
Standard distribution (60% application, 25% comprehension,
15% recall) with increased prioritization/clinical judgment
weighting
1.
,A nurse is admitting a patient with multiple chronic conditions.
Which action best reflects patient-centred care as described in
the Canadian medical-surgical nursing framework?
A. Developing the plan of care independently to ensure
efficiency
B. Encouraging the patient to participate in goal setting and
decision-making
C. Prioritizing institutional protocols over patient preferences
D. Limiting family involvement to protect confidentiality
Correct Answer: B
Rationale:
Patient-centred care emphasizes partnership, respect for
patient preferences, and shared decision-making. Developing
goals collaboratively supports autonomy and engagement.
Independent planning (A) excludes the patient. Institutional
protocols (C) do not override patient-centred principles. Family
involvement (D) is guided by patient wishes, not automatically
restricted.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1:
Introduction to Medical-Surgical Nursing Practice in Canada
2.
A nurse identifies that a hospitalized older adult is at high risk
for falls. Which action demonstrates application of clinical
judgment?
,A. Documenting the Morse Fall Scale score
B. Applying a fall-risk armband and initiating safety precautions
C. Reporting the score to the charge nurse
D. Reassessing the patient at discharge
Correct Answer: B
Rationale:
Clinical judgment involves recognizing risk and implementing
appropriate interventions. Applying precautions reflects
analysis and action. Documentation (A) and reporting (C) are
necessary but incomplete without intervention. Waiting until
discharge (D) delays care.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
Which factor most directly supports quality improvement in
medical-surgical nursing practice?
A. Reliance on traditional practices
B. Use of evidence-based guidelines
C. Limiting interprofessional communication
D. Avoiding documentation errors by charting at shift end
Correct Answer: B
Rationale:
Evidence-based practice integrates best research evidence,
clinical expertise, and patient preferences to improve
, outcomes. Traditional practice (A) may lack evidence. Limiting
communication (C) impairs safety. Delayed documentation (D)
increases risk of inaccuracy.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4.
A nurse notes a subtle change in a patient’s respiratory rate and
mental status. What is the priority action?
A. Wait for vital signs to become critically abnormal
B. Document findings and continue monitoring
C. Perform focused reassessment and escalate concerns
D. Notify the family
Correct Answer: C
Rationale:
Early recognition of deterioration requires prompt
reassessment and escalation (e.g., rapid response activation).
Waiting (A) delays intervention. Documentation alone (B) is
insufficient. Family notification (D) is not the priority.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5.
Which statement best describes the purpose of
interprofessional collaboration in medical-surgical nursing?
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
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. (2022)
Standard distribution (60% application, 25% comprehension,
15% recall) with increased prioritization/clinical judgment
weighting
1.
,A nurse is admitting a patient with multiple chronic conditions.
Which action best reflects patient-centred care as described in
the Canadian medical-surgical nursing framework?
A. Developing the plan of care independently to ensure
efficiency
B. Encouraging the patient to participate in goal setting and
decision-making
C. Prioritizing institutional protocols over patient preferences
D. Limiting family involvement to protect confidentiality
Correct Answer: B
Rationale:
Patient-centred care emphasizes partnership, respect for
patient preferences, and shared decision-making. Developing
goals collaboratively supports autonomy and engagement.
Independent planning (A) excludes the patient. Institutional
protocols (C) do not override patient-centred principles. Family
involvement (D) is guided by patient wishes, not automatically
restricted.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1:
Introduction to Medical-Surgical Nursing Practice in Canada
2.
A nurse identifies that a hospitalized older adult is at high risk
for falls. Which action demonstrates application of clinical
judgment?
,A. Documenting the Morse Fall Scale score
B. Applying a fall-risk armband and initiating safety precautions
C. Reporting the score to the charge nurse
D. Reassessing the patient at discharge
Correct Answer: B
Rationale:
Clinical judgment involves recognizing risk and implementing
appropriate interventions. Applying precautions reflects
analysis and action. Documentation (A) and reporting (C) are
necessary but incomplete without intervention. Waiting until
discharge (D) delays care.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
Which factor most directly supports quality improvement in
medical-surgical nursing practice?
A. Reliance on traditional practices
B. Use of evidence-based guidelines
C. Limiting interprofessional communication
D. Avoiding documentation errors by charting at shift end
Correct Answer: B
Rationale:
Evidence-based practice integrates best research evidence,
clinical expertise, and patient preferences to improve
, outcomes. Traditional practice (A) may lack evidence. Limiting
communication (C) impairs safety. Delayed documentation (D)
increases risk of inaccuracy.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4.
A nurse notes a subtle change in a patient’s respiratory rate and
mental status. What is the priority action?
A. Wait for vital signs to become critically abnormal
B. Document findings and continue monitoring
C. Perform focused reassessment and escalate concerns
D. Notify the family
Correct Answer: C
Rationale:
Early recognition of deterioration requires prompt
reassessment and escalation (e.g., rapid response activation).
Waiting (A) delays intervention. Documentation alone (B) is
insufficient. Family notification (D) is not the priority.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5.
Which statement best describes the purpose of
interprofessional collaboration in medical-surgical nursing?
