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
(2022)
Section 1: Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Blueprint applied:
• ~60% Application / Clinical Judgment (with increased
prioritization focus)
, • ~25% Comprehension
• ~15% Recall
1. A nurse caring for a hospitalized patient uses current
evidence to determine the best intervention for preventing
pressure injuries. This action reflects which concept
emphasized in Chapter 1?
A. Task-oriented nursing
B. Evidence-informed practice
C. Interdisciplinary delegation
D. Standardized institutional routine
Answer: B
Rationale: Evidence-informed practice integrates best research
evidence, clinical expertise, and patient preferences to guide
care decisions. Using research to prevent pressure injuries
reflects this approach.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Ch. 1 – Evidence-Informed Practice.
2. The nurse is prioritizing care for four patients. Which
patient should be assessed first?
A. Stable postoperative patient requesting pain medication
B. Patient with diabetes reporting blurred vision
C. Patient with COPD who is restless and has increasing oxygen
,needs
D. Patient awaiting discharge instructions
Answer: C
Rationale: Restlessness and increasing oxygen requirements in
COPD suggest worsening hypoxia, a potential life-threatening
condition requiring immediate assessment. Airway and
breathing take priority.
Citation: Lewis, 5th ed., Ch. 1 – Clinical Judgment and
Prioritization in Medical-Surgical Nursing.
3. A nurse incorporates a patient’s cultural dietary practices
into the care plan. This demonstrates which principle?
A. Delegation
B. Cultural safety
C. Medical model of care
D. Acute care focus
Answer: B
Rationale: Cultural safety involves recognizing and respecting
patients’ cultural identities and incorporating them into care
planning.
Citation: Lewis, 5th ed., Ch. 1 – Culturally Safe and Patient-
Centred Care.
4. Which action best reflects patient-centred care?
, A. Providing standardized education to all patients
B. Following physician orders without discussion
C. Including the patient in goal-setting
D. Prioritizing institutional efficiency
Answer: C
Rationale: Patient-centred care emphasizes collaboration,
shared decision-making, and respect for patient values and
preferences.
Citation: Lewis, 5th ed., Ch. 1 – Patient-Centred Care.
5. A nurse recognizes early signs of clinical deterioration using
pattern recognition and intuition developed through
experience. This reflects which concept?
A. Task completion
B. Clinical judgment
C. Documentation accuracy
D. Delegation skill
Answer: B
Rationale: Clinical judgment involves noticing, interpreting,
responding, and reflecting based on knowledge and experience
to recognize patient deterioration.
Citation: Lewis, 5th ed., Ch. 1 – Clinical Judgment in Nursing
Practice.
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
(2022)
Section 1: Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Blueprint applied:
• ~60% Application / Clinical Judgment (with increased
prioritization focus)
, • ~25% Comprehension
• ~15% Recall
1. A nurse caring for a hospitalized patient uses current
evidence to determine the best intervention for preventing
pressure injuries. This action reflects which concept
emphasized in Chapter 1?
A. Task-oriented nursing
B. Evidence-informed practice
C. Interdisciplinary delegation
D. Standardized institutional routine
Answer: B
Rationale: Evidence-informed practice integrates best research
evidence, clinical expertise, and patient preferences to guide
care decisions. Using research to prevent pressure injuries
reflects this approach.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Ch. 1 – Evidence-Informed Practice.
2. The nurse is prioritizing care for four patients. Which
patient should be assessed first?
A. Stable postoperative patient requesting pain medication
B. Patient with diabetes reporting blurred vision
C. Patient with COPD who is restless and has increasing oxygen
,needs
D. Patient awaiting discharge instructions
Answer: C
Rationale: Restlessness and increasing oxygen requirements in
COPD suggest worsening hypoxia, a potential life-threatening
condition requiring immediate assessment. Airway and
breathing take priority.
Citation: Lewis, 5th ed., Ch. 1 – Clinical Judgment and
Prioritization in Medical-Surgical Nursing.
3. A nurse incorporates a patient’s cultural dietary practices
into the care plan. This demonstrates which principle?
A. Delegation
B. Cultural safety
C. Medical model of care
D. Acute care focus
Answer: B
Rationale: Cultural safety involves recognizing and respecting
patients’ cultural identities and incorporating them into care
planning.
Citation: Lewis, 5th ed., Ch. 1 – Culturally Safe and Patient-
Centred Care.
4. Which action best reflects patient-centred care?
, A. Providing standardized education to all patients
B. Following physician orders without discussion
C. Including the patient in goal-setting
D. Prioritizing institutional efficiency
Answer: C
Rationale: Patient-centred care emphasizes collaboration,
shared decision-making, and respect for patient values and
preferences.
Citation: Lewis, 5th ed., Ch. 1 – Patient-Centred Care.
5. A nurse recognizes early signs of clinical deterioration using
pattern recognition and intuition developed through
experience. This reflects which concept?
A. Task completion
B. Clinical judgment
C. Documentation accuracy
D. Delegation skill
Answer: B
Rationale: Clinical judgment involves noticing, interpreting,
responding, and reflecting based on knowledge and experience
to recognize patient deterioration.
Citation: Lewis, 5th ed., Ch. 1 – Clinical Judgment in Nursing
Practice.
