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
Lewis’s Medical-Surgical Nursing in Canada, 5th Edition
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Blueprint Applied:
• 60% Application / Clinical Judgment
• 25% Comprehension
• 15% Recall
• Increased NCLEX-style Prioritization Focus
,1. A nurse is caring for several patients on a medical-surgical
unit. Which patient should the nurse assess first?
A. A patient newly admitted with pneumonia requesting
assistance to the bathroom
B. A postoperative patient reporting sudden shortness of breath
and restlessness
C. A patient with diabetes requesting dietary teaching
D. A patient with chronic arthritis reporting joint pain rated
6/10
Correct Answer: B
Rationale: Sudden shortness of breath and restlessness may
indicate pulmonary embolism or respiratory compromise,
requiring immediate assessment and intervention. This reflects
priority setting using airway and breathing principles.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1 – Medical-Surgical Nursing Practice and Clinical
Judgment.
2. Which action best demonstrates the nurse’s role in
promoting patient-centred care?
A. Following standardized unit routines for all patients
B. Encouraging patient participation in decision-making
regarding care
,C. Limiting family involvement to reduce patient stress
D. Prioritizing physician directives over patient preferences
Correct Answer: B
Rationale: Patient-centred care emphasizes respect for patient
values, preferences, and active participation in care decisions,
improving outcomes and satisfaction.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1 – Principles of Patient-Centred Care.
3. A nurse is implementing evidence-informed practice. Which
action reflects this principle?
A. Following routines used by senior nurses
B. Applying interventions supported by research, clinical
expertise, and patient values
C. Using interventions requested solely by the patient
D. Implementing physician preferences without question
Correct Answer: B
Rationale: Evidence-informed practice integrates best research
evidence, clinical expertise, and patient preferences to guide
nursing decisions.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1 – Evidence-Informed Practice.
, 4. Which factor most contributes to safe patient outcomes in
medical-surgical nursing?
A. Task completion speed
B. Effective interprofessional collaboration
C. Independent decision-making without consultation
D. Strict adherence to routines
Correct Answer: B
Rationale: Collaboration among healthcare team members
improves communication, reduces errors, and enhances patient
outcomes.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1 – Interprofessional Collaboration.
5. A nurse notes that a patient’s condition has deteriorated.
Which action demonstrates clinical judgment?
A. Waiting to see if symptoms improve
B. Documenting changes at the end of the shift
C. Recognizing changes, analyzing data, and initiating
appropriate interventions
D. Delegating assessment to unregulated care providers
Correct Answer: C
Rationale: Clinical judgment involves recognizing cues,
analyzing information, prioritizing hypotheses, and taking action
promptly.
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
Lewis’s Medical-Surgical Nursing in Canada, 5th Edition
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Blueprint Applied:
• 60% Application / Clinical Judgment
• 25% Comprehension
• 15% Recall
• Increased NCLEX-style Prioritization Focus
,1. A nurse is caring for several patients on a medical-surgical
unit. Which patient should the nurse assess first?
A. A patient newly admitted with pneumonia requesting
assistance to the bathroom
B. A postoperative patient reporting sudden shortness of breath
and restlessness
C. A patient with diabetes requesting dietary teaching
D. A patient with chronic arthritis reporting joint pain rated
6/10
Correct Answer: B
Rationale: Sudden shortness of breath and restlessness may
indicate pulmonary embolism or respiratory compromise,
requiring immediate assessment and intervention. This reflects
priority setting using airway and breathing principles.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1 – Medical-Surgical Nursing Practice and Clinical
Judgment.
2. Which action best demonstrates the nurse’s role in
promoting patient-centred care?
A. Following standardized unit routines for all patients
B. Encouraging patient participation in decision-making
regarding care
,C. Limiting family involvement to reduce patient stress
D. Prioritizing physician directives over patient preferences
Correct Answer: B
Rationale: Patient-centred care emphasizes respect for patient
values, preferences, and active participation in care decisions,
improving outcomes and satisfaction.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1 – Principles of Patient-Centred Care.
3. A nurse is implementing evidence-informed practice. Which
action reflects this principle?
A. Following routines used by senior nurses
B. Applying interventions supported by research, clinical
expertise, and patient values
C. Using interventions requested solely by the patient
D. Implementing physician preferences without question
Correct Answer: B
Rationale: Evidence-informed practice integrates best research
evidence, clinical expertise, and patient preferences to guide
nursing decisions.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1 – Evidence-Informed Practice.
, 4. Which factor most contributes to safe patient outcomes in
medical-surgical nursing?
A. Task completion speed
B. Effective interprofessional collaboration
C. Independent decision-making without consultation
D. Strict adherence to routines
Correct Answer: B
Rationale: Collaboration among healthcare team members
improves communication, reduces errors, and enhances patient
outcomes.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1 – Interprofessional Collaboration.
5. A nurse notes that a patient’s condition has deteriorated.
Which action demonstrates clinical judgment?
A. Waiting to see if symptoms improve
B. Documenting changes at the end of the shift
C. Recognizing changes, analyzing data, and initiating
appropriate interventions
D. Delegating assessment to unregulated care providers
Correct Answer: C
Rationale: Clinical judgment involves recognizing cues,
analyzing information, prioritizing hypotheses, and taking action
promptly.
