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
20 MCQs | NCLEX-style | Prioritization Focus
1. A nurse on a medical unit is assigned four patients. Which
patient should the nurse assess first?
A. A patient awaiting discharge teaching
,B. A patient with chronic pain requesting medication
C. A postoperative patient with new-onset shortness of breath
D. A patient requesting assistance to the bathroom
Answer: C
Rationale: Airway and breathing problems take priority. New
shortness of breath may indicate a life-threatening complication
such as pulmonary embolism.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1.
2. The nurse is applying the clinical judgment model. Which
action represents the first step?
A. Implementing interventions
B. Evaluating outcomes
C. Recognizing patient cues
D. Prioritizing hypotheses
Answer: C
Rationale: Clinical judgment begins with recognizing and
interpreting patient cues before prioritizing and acting.
Citation: Lewis, Chapter 1.
3. A patient’s condition is deteriorating. Which action
demonstrates appropriate use of the chain of command?
A. Documenting the concern and reassessing later
B. Calling the family physician directly
,C. Notifying the charge nurse after the primary provider does
not respond
D. Waiting for the next shift to report the issue
Answer: C
Rationale: If concerns are unresolved, nurses must escalate
through the chain of command to ensure patient safety.
Citation: Lewis, Chapter 1.
4. Which action best reflects evidence-informed nursing
practice?
A. Following unit tradition for wound care
B. Using a new technique based on a colleague’s suggestion
C. Applying current research and patient preferences to care
decisions
D. Using interventions learned in nursing school only
Answer: C
Rationale: Evidence-informed practice integrates research
evidence, clinical expertise, and patient values.
Citation: Lewis, Chapter 1.
5. A nurse notes a near-miss medication error. What is the
priority action?
A. Ignore the event since no harm occurred
B. Report the incident according to policy
, C. Discuss it only with the colleague involved
D. Document it only in personal notes
Answer: B
Rationale: Reporting near misses supports a culture of safety
and system improvement.
Citation: Lewis, Chapter 1.
6. Which patient situation requires the nurse to use advocacy?
A. A patient refuses treatment after informed education
B. A patient asks for a blanket
C. A patient requests a different meal option
D. A patient wants to watch television
Answer: A
Rationale: Advocacy includes supporting patient autonomy and
ensuring informed decision-making.
Citation: Lewis, Chapter 1.
7. Which action demonstrates interprofessional collaboration?
A. The nurse independently changing medication doses
B. The nurse discussing mobility goals with physiotherapy
C. The nurse delegating assessments to unregulated staff
D. The nurse documenting without communicating findings
Answer: B
Rationale: Collaboration involves coordinated care planning
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
20 MCQs | NCLEX-style | Prioritization Focus
1. A nurse on a medical unit is assigned four patients. Which
patient should the nurse assess first?
A. A patient awaiting discharge teaching
,B. A patient with chronic pain requesting medication
C. A postoperative patient with new-onset shortness of breath
D. A patient requesting assistance to the bathroom
Answer: C
Rationale: Airway and breathing problems take priority. New
shortness of breath may indicate a life-threatening complication
such as pulmonary embolism.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1.
2. The nurse is applying the clinical judgment model. Which
action represents the first step?
A. Implementing interventions
B. Evaluating outcomes
C. Recognizing patient cues
D. Prioritizing hypotheses
Answer: C
Rationale: Clinical judgment begins with recognizing and
interpreting patient cues before prioritizing and acting.
Citation: Lewis, Chapter 1.
3. A patient’s condition is deteriorating. Which action
demonstrates appropriate use of the chain of command?
A. Documenting the concern and reassessing later
B. Calling the family physician directly
,C. Notifying the charge nurse after the primary provider does
not respond
D. Waiting for the next shift to report the issue
Answer: C
Rationale: If concerns are unresolved, nurses must escalate
through the chain of command to ensure patient safety.
Citation: Lewis, Chapter 1.
4. Which action best reflects evidence-informed nursing
practice?
A. Following unit tradition for wound care
B. Using a new technique based on a colleague’s suggestion
C. Applying current research and patient preferences to care
decisions
D. Using interventions learned in nursing school only
Answer: C
Rationale: Evidence-informed practice integrates research
evidence, clinical expertise, and patient values.
Citation: Lewis, Chapter 1.
5. A nurse notes a near-miss medication error. What is the
priority action?
A. Ignore the event since no harm occurred
B. Report the incident according to policy
, C. Discuss it only with the colleague involved
D. Document it only in personal notes
Answer: B
Rationale: Reporting near misses supports a culture of safety
and system improvement.
Citation: Lewis, Chapter 1.
6. Which patient situation requires the nurse to use advocacy?
A. A patient refuses treatment after informed education
B. A patient asks for a blanket
C. A patient requests a different meal option
D. A patient wants to watch television
Answer: A
Rationale: Advocacy includes supporting patient autonomy and
ensuring informed decision-making.
Citation: Lewis, Chapter 1.
7. Which action demonstrates interprofessional collaboration?
A. The nurse independently changing medication doses
B. The nurse discussing mobility goals with physiotherapy
C. The nurse delegating assessments to unregulated staff
D. The nurse documenting without communicating findings
Answer: B
Rationale: Collaboration involves coordinated care planning
