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
1.
A nurse is caring for several patients on a medical unit. Which
action best reflects professional accountability?
A. Completing tasks delegated by the charge nurse
B. Following unit routines without question
C. Accepting responsibility for decisions and actions
D. Asking the physician to make final care decisions
,Answer: C
Rationale: Accountability in professional nursing involves being
answerable for one’s judgments, actions, and outcomes of care.
Citation: Lewis, Ch. 1.
2.
Which patient situation requires the nurse to use clinical
judgment first?
A. A patient asking about discharge paperwork
B. A patient reporting new chest pressure
C. A patient requesting assistance to the bathroom
D. A patient waiting for routine medications
Answer: B
Rationale: Clinical judgment prioritizes potentially life-
threatening problems. New chest pressure suggests possible
ischemia and requires immediate assessment.
Citation: Lewis, Ch. 1.
3.
A nurse applies evidence-informed practice when planning care.
Which action demonstrates this principle?
A. Using an intervention because it is traditional on the unit
B. Relying solely on personal experience
C. Integrating research, clinical expertise, and patient
,preference
D. Waiting for the physician to recommend care
Answer: C
Rationale: Evidence-informed nursing care blends best research
evidence with clinical expertise and patient values.
Citation: Lewis, Ch. 1.
4.
Which activity is within the primary role of the medical-surgical
nurse?
A. Providing long-term psychotherapy
B. Managing complex physiologic responses to illness
C. Performing independent surgical procedures
D. Prescribing medications
Answer: B
Rationale: Med-surg nurses specialize in assessing and
managing patients with acute and chronic physiologic health
problems.
Citation: Lewis, Ch. 1.
5.
A patient’s condition is deteriorating. What is the nurse’s
priority responsibility?
, A. Document the event later
B. Notify family members
C. Activate appropriate resources and intervene
D. Wait for scheduled rounds
Answer: C
Rationale: Patient safety requires early recognition of
deterioration and rapid activation of supports such as rapid
response systems.
Citation: Lewis, Ch. 1.
6.
Which statement by a new nurse shows correct understanding
of patient-centred care?
A. “I will follow the plan developed by the team.”
B. “The patient’s goals should guide decisions.”
C. “Efficiency is more important than preferences.”
D. “Families should not influence care.”
Answer: B
Rationale: Patient-centred care respects individual values and
incorporates patient goals into planning.
Citation: Lewis, Ch. 1.
7.
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
1.
A nurse is caring for several patients on a medical unit. Which
action best reflects professional accountability?
A. Completing tasks delegated by the charge nurse
B. Following unit routines without question
C. Accepting responsibility for decisions and actions
D. Asking the physician to make final care decisions
,Answer: C
Rationale: Accountability in professional nursing involves being
answerable for one’s judgments, actions, and outcomes of care.
Citation: Lewis, Ch. 1.
2.
Which patient situation requires the nurse to use clinical
judgment first?
A. A patient asking about discharge paperwork
B. A patient reporting new chest pressure
C. A patient requesting assistance to the bathroom
D. A patient waiting for routine medications
Answer: B
Rationale: Clinical judgment prioritizes potentially life-
threatening problems. New chest pressure suggests possible
ischemia and requires immediate assessment.
Citation: Lewis, Ch. 1.
3.
A nurse applies evidence-informed practice when planning care.
Which action demonstrates this principle?
A. Using an intervention because it is traditional on the unit
B. Relying solely on personal experience
C. Integrating research, clinical expertise, and patient
,preference
D. Waiting for the physician to recommend care
Answer: C
Rationale: Evidence-informed nursing care blends best research
evidence with clinical expertise and patient values.
Citation: Lewis, Ch. 1.
4.
Which activity is within the primary role of the medical-surgical
nurse?
A. Providing long-term psychotherapy
B. Managing complex physiologic responses to illness
C. Performing independent surgical procedures
D. Prescribing medications
Answer: B
Rationale: Med-surg nurses specialize in assessing and
managing patients with acute and chronic physiologic health
problems.
Citation: Lewis, Ch. 1.
5.
A patient’s condition is deteriorating. What is the nurse’s
priority responsibility?
, A. Document the event later
B. Notify family members
C. Activate appropriate resources and intervene
D. Wait for scheduled rounds
Answer: C
Rationale: Patient safety requires early recognition of
deterioration and rapid activation of supports such as rapid
response systems.
Citation: Lewis, Ch. 1.
6.
Which statement by a new nurse shows correct understanding
of patient-centred care?
A. “I will follow the plan developed by the team.”
B. “The patient’s goals should guide decisions.”
C. “Efficiency is more important than preferences.”
D. “Families should not influence care.”
Answer: B
Rationale: Patient-centred care respects individual values and
incorporates patient goals into planning.
Citation: Lewis, Ch. 1.
7.
