EDICAL-SURGICAL NURSIN
Practice Exam Questions
12th Edition | 2026-2027
Comprehensive Study Resource
ABOUT THIS STUDY GUIDE
This educational resource contains practice questions and answers designed to help
nursing students prepare for medical-surgical nursing examinations. The content covers
all major topics in medical-surgical nursing practice, including professional nursing,
health assessment, pathophysiology, and clinical management across all body systems.
KEY FEATURES
✓ 900+ Practice Questions Covering All Major Topics
✓ Multiple Choice Format with Answer Explanations
✓ Organized by Chapter for Easy Navigation
✓ Rationales Provided for Each Answer
✓ Evidence-Based Practice Questions Included
✓ NCLEX-Style Questions for Exam Preparation
✓ Cognitive Level Indicators Provided
EDUCATIONAL PURPOSE & FAIR USE
This document is provided solely for educational purposes and personal study use.
It is intended as a supplementary learning tool to enhance understanding of medical-surgical
nursing concepts. Users should consult official textbooks and course materials for
comprehensive learning. This material is provided under fair use doctrine for educational
advancement and should not be redistributed for commercial purposes.
For Nursing Students | Educational Use Only
,Lewis’s Medical-Surgical Nursing 12th
Edition Test Bank Chapters 1–69 Complete
Practice Questions & Answers 2026–2027
Harding Kwong Hagler
16/02/2026 13:24 Med Surg test questions
1/694
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and
discharge
goals will be developed with the patient’s input. The patient asks, “How is this different from
what the doctor does?” Which response would be most appropriate for the nurse to make? a. “The
role of the nurse is to administer medications and other treatments prescribed
by your doctor.”
b. “In addition to caring for you while you are sick, the nurses will help you plan to
maintain your health.”
c. “The nurse’s job is to help the doctor by collecting information and
communicating any problems that occur.”
d. “Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for a longer time than the doctor.” ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting health. The other responses describe dependent and collaborative functions of the
,nursing role but do not accurately describe the nurse’s unique role in the health care system. DIF: Cognitive
Level: Analyze (analysis) TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment 2. The nurse describes to a student nurse how to use evidence-based practice (EBP) when caring
for patients. Which statement by the nurse accurately describes the use of EBP? a. “Inferences from
all published articles are used as a guide.”
b. “Patient care is based on clinical judgment, experience, and traditions.”
c. “Data are analyzed later to show that the patient outcomes are consistently met.”
d. “Recommendations are based on research, clinical expertise, and patient
preferences.” ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the
nurse’s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled studies with a large number of subjects. DIF: Cognitive Level: Remember (knowledge) TOP: Nursing
Process: Planning MSC: NCLEX: Safe and Effective Care Environment 3. The nurse teaches a student nurse about
how to apply the nursing process when providing
patient care. Which statement by the student nurse indicates that teaching was successful?
a. “The nursing process is a research method of diagnosing the patient’s health care
problems.”
b. “The nursing process is used primarily to explain nursing interventions to other
TESTBANKWORLD.ORG
Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
14/01/2024 13:24 Med Surg test questions
about:blank 2/694
health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and treat the
, patients’ health care needs.”
d. “The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.” ANS: C
The nursing process is a problem-solving approach to the identification and treatment of
patients’ problems. Nursing process does not require research methods for diagnosis. The
primary use of the nursing process is in patient care, not to establish nursing theory or explain
nursing interventions to other health care professionals. DIF: Cognitive Level: Understand (comprehension) TOP:
Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment 4. A patient admitted to the
hospital for surgery tells the nurse, “I do not feel comfortable
leaving my children with my parents.” Which action should the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well. c. Gather information on the
patient’s concerns about the child care arrangements.
d. Call the patient’s parents to determine whether adequate child care is being
provided. ANS: C
Because a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the nurse’s first action should be to obtain more information. The
other actions may be appropriate, but more assessment is needed before the best intervention
can be chosen. DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive
diaphoresis.
Which expected outcome would the nurse recognize as appropriate for this patient?
a. Patient has a balanced intake and output.
b. Patient’s bedding is kept clean and free of moisture. c. Patient understands the need for increased
fluid intake.
d. Patient’s skin remains cool and dry throughout hospitalization. ANS: A Balanced intake
and output gives measurable data showing resolution of the problem of
deficient fluid volume. The other statements would not indicate that the problem of
Practice Exam Questions
12th Edition | 2026-2027
Comprehensive Study Resource
ABOUT THIS STUDY GUIDE
This educational resource contains practice questions and answers designed to help
nursing students prepare for medical-surgical nursing examinations. The content covers
all major topics in medical-surgical nursing practice, including professional nursing,
health assessment, pathophysiology, and clinical management across all body systems.
KEY FEATURES
✓ 900+ Practice Questions Covering All Major Topics
✓ Multiple Choice Format with Answer Explanations
✓ Organized by Chapter for Easy Navigation
✓ Rationales Provided for Each Answer
✓ Evidence-Based Practice Questions Included
✓ NCLEX-Style Questions for Exam Preparation
✓ Cognitive Level Indicators Provided
EDUCATIONAL PURPOSE & FAIR USE
This document is provided solely for educational purposes and personal study use.
It is intended as a supplementary learning tool to enhance understanding of medical-surgical
nursing concepts. Users should consult official textbooks and course materials for
comprehensive learning. This material is provided under fair use doctrine for educational
advancement and should not be redistributed for commercial purposes.
For Nursing Students | Educational Use Only
,Lewis’s Medical-Surgical Nursing 12th
Edition Test Bank Chapters 1–69 Complete
Practice Questions & Answers 2026–2027
Harding Kwong Hagler
16/02/2026 13:24 Med Surg test questions
1/694
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and
discharge
goals will be developed with the patient’s input. The patient asks, “How is this different from
what the doctor does?” Which response would be most appropriate for the nurse to make? a. “The
role of the nurse is to administer medications and other treatments prescribed
by your doctor.”
b. “In addition to caring for you while you are sick, the nurses will help you plan to
maintain your health.”
c. “The nurse’s job is to help the doctor by collecting information and
communicating any problems that occur.”
d. “Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for a longer time than the doctor.” ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting health. The other responses describe dependent and collaborative functions of the
,nursing role but do not accurately describe the nurse’s unique role in the health care system. DIF: Cognitive
Level: Analyze (analysis) TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care
Environment 2. The nurse describes to a student nurse how to use evidence-based practice (EBP) when caring
for patients. Which statement by the nurse accurately describes the use of EBP? a. “Inferences from
all published articles are used as a guide.”
b. “Patient care is based on clinical judgment, experience, and traditions.”
c. “Data are analyzed later to show that the patient outcomes are consistently met.”
d. “Recommendations are based on research, clinical expertise, and patient
preferences.” ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the
nurse’s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled studies with a large number of subjects. DIF: Cognitive Level: Remember (knowledge) TOP: Nursing
Process: Planning MSC: NCLEX: Safe and Effective Care Environment 3. The nurse teaches a student nurse about
how to apply the nursing process when providing
patient care. Which statement by the student nurse indicates that teaching was successful?
a. “The nursing process is a research method of diagnosing the patient’s health care
problems.”
b. “The nursing process is used primarily to explain nursing interventions to other
TESTBANKWORLD.ORG
Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank
14/01/2024 13:24 Med Surg test questions
about:blank 2/694
health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and treat the
, patients’ health care needs.”
d. “The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.” ANS: C
The nursing process is a problem-solving approach to the identification and treatment of
patients’ problems. Nursing process does not require research methods for diagnosis. The
primary use of the nursing process is in patient care, not to establish nursing theory or explain
nursing interventions to other health care professionals. DIF: Cognitive Level: Understand (comprehension) TOP:
Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment 4. A patient admitted to the
hospital for surgery tells the nurse, “I do not feel comfortable
leaving my children with my parents.” Which action should the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well. c. Gather information on the
patient’s concerns about the child care arrangements.
d. Call the patient’s parents to determine whether adequate child care is being
provided. ANS: C
Because a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the nurse’s first action should be to obtain more information. The
other actions may be appropriate, but more assessment is needed before the best intervention
can be chosen. DIF: Cognitive Level: Analyze (analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive
diaphoresis.
Which expected outcome would the nurse recognize as appropriate for this patient?
a. Patient has a balanced intake and output.
b. Patient’s bedding is kept clean and free of moisture. c. Patient understands the need for increased
fluid intake.
d. Patient’s skin remains cool and dry throughout hospitalization. ANS: A Balanced intake
and output gives measurable data showing resolution of the problem of
deficient fluid volume. The other statements would not indicate that the problem of
