Lewis’s Medical Surgical Nursing 12th Edition
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Harding Test Bank Chapter 1 - 69 Updated 2023
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,
,Lewis’s Medical Surgical Nursing 12th Edition Harding Test Bank
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Chapter 01: Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE ju
1. The nurse completes an admission database and explains that the plan of care and
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discharge goals will be developed with the patient‗s input. The patient asks, —How is this
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different from what the physician does?‖ Which response would the nurse provide?
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a. —The role of the nurse is to administer medications and other treatments
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prescribed by your physician.‖
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b. —In addition to caring for you while you are sick, the nurses will help you plan to
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maintain your health.‖
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c. —The nurse‗s job is to collect information and communicate any problems
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that occur to the physician.‖
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d. —Nurses perform many of the same procedures as the physician, but nurses are
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with the patients for a longer time than the physician.‖
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ANS: B ju
The American Nurses Association (ANA) definition of nursing describes the role of nurses
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in promoting health. The other responses describe dependent and collaborative functions
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of the nursing role but do not accurately describe the nurse‗s unique role in the health
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care system.
ju ju
DIF: j u j u Cognitive Level: Analyze (Analysis) ju ju ju
TOP: j u Nursing Process: Implementation ju ju j u j u j u MSC: NCLEX: Safe and Effective Care Environment
j u ju ju ju ju ju
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
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a. —Patient care is based on clinical judgment, experience, and traditions.‖
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b. —Data are analyzed later to show that the patient outcomes are consistently met.‖
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c. —Research from all published articles are used as a guide for planning patient care.‖
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d. —Recommendations are based on research, clinical expertise, and patient ju ju ju ju ju ju ju ju
preferences.‖
ju
ANS: D ju
Evidence-based practice (EBP) is the use of the best research-based evidence combined ju ju ju ju ju ju ju ju ju ju ju
with clinician expertise and consideration of patient preferences. Clinical judgment based
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on the nurse‗s clinical experience is part of EBP, but clinical decision making should
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also incorporate current research and research-based guidelines. Evaluation of patient
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outcomes is important, but data analysis is not required to use EBP. All published articles
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do not provide research evidence; interventions should be based on credible research,
ju ju ju ju ju ju ju ju ju ju ju ju
preferably randomized controlled studies with a large number of subjects.
ju ju ju ju ju ju ju ju ju ju
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: ju ju ju ju ju
Planning MSC: NCLEX: Safe and Effective Care Environment
ju ju j u ju ju ju ju ju
3. Which statement by the nurse provides a clear explanation of the nursing process?
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a. —The nursing process is a research method of diagnosing the patient‗s health
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care problems.‖
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b. —The nursing process is used primarily to explain nursing interventions to
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other health care professionals.‖
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c. —The nursing process is a problem-solving tool used to identify and manage the
ju ju ju ju ju ju ju ju ju ju ju ju
, patients‗ health care needs.‖ ju ju ju
d. —The nursing process is based on nursing theory that incorporates
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the biopsychosocial nature of humans.‖
ju ju ju ju ju
ANS: C ju
The nursing process is a problem-solving approach to the identification and treatment of
ju ju ju ju ju ju ju ju ju ju ju ju
patients‗ problems. Nursing process does not require research methods for diagnosis. The
ju ju ju ju ju ju ju ju ju ju ju ju
primary use of the nursing process is in patient care, not to establish nursing theory or
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
explain nursing interventions to other health care professionals.
ju ju ju ju ju ju ju ju
DIF: Cognitive Level: Understand (Comprehension) ju ju ju TOP: Nursing Process: Evaluation
ju ju ju
MSC: NCLEX: Safe and Effective Care Environment
ju j u ju ju ju ju ju
4. A patient admitted to the hospital for surgery tells the nurse, —I do not feel comfortable
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leaving my children with my parents.‖ Which action would the nurse take next?
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a. Reassure the patient that these feelings are common for parents.ju ju ju ju ju ju ju ju ju
b. Have the patient call the children to ensure that they are doing well.
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c. Gather information on the patient‗s concerns about the child care arrangements.
ju ju ju ju ju ju ju ju ju ju
d. Call the patient‗s parents to determine whether adequate child care is being
ju ju ju ju ju ju ju ju ju ju ju
provided.
ju
ANS: C ju
Because a complete assessment is necessary in order to identify a problem and choose an
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
appropriate intervention, the nurse‗s first action should be to obtain more information.
ju ju ju ju ju ju ju ju ju ju ju ju
The other actions may be appropriate, but more assessment is needed before the best
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
intervention can be chosen.
ju ju ju ju
DIF: Cognitive Level: Analyze (Analysis) ju ju ju
TOP: Nursing Process: Assessment
j u MSC: NCLEX: Psychosocial Integrity ju ju ju ju ju
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive
ju ju ju ju ju ju ju ju ju ju ju ju ju
diaphoresis. Which expected outcome would the nurse select for this patient?
ju ju ju ju ju ju ju ju ju ju ju
a. Patient has a balanced intake and output. ju ju ju ju ju ju
b. Patient‗s bedding is kept clean and free of moisture. ju ju ju ju ju ju ju ju
c. Patient understands the need for increased fluid intake.
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d. Patient‗s skin remains cool and dry throughout hospitalization. ju ju ju ju ju ju ju
ANS: A ju
Balanced intake and output gives measurable data showing resolution of the problem of
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deficient fluid volume. The other statements would not indicate that the problem of
ju ju ju ju ju ju ju ju ju ju ju ju ju
hypovolemia was resolved.
ju ju ju
DIF: Cognitive Level: Apply (Application) ju ju ju TOP: Nursing Process: ju ju
Planning MSC: NCLEX: Physiological Integrity
ju ju j u ju ju
6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meeting patient outcomes
ju ju ju ju ju ju ju ju ju ju
c. To decide whether the patient‗s health problems have been completely resolved
ju ju ju ju ju ju ju ju ju ju
d. To establish if the patient agrees that the nursing care provided was satisfactory
ju ju ju ju ju ju ju ju ju ju ju ju
ANS: B ju
ju ju ju ju ju
Harding Test Bank Chapter 1 - 69 Updated 2023
ju ju ju ju ju ju ju ju ju
,
,Lewis’s Medical Surgical Nursing 12th Edition Harding Test Bank
ju ju ju ju ju ju ju ju j u
Chapter 01: Professional Nursing
ju ju ju
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
ju ju ju ju ju
MULTIPLE CHOICE ju
1. The nurse completes an admission database and explains that the plan of care and
ju ju ju ju ju ju ju ju ju ju ju ju ju
discharge goals will be developed with the patient‗s input. The patient asks, —How is this
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
different from what the physician does?‖ Which response would the nurse provide?
ju ju ju ju ju ju ju ju ju ju ju ju
a. —The role of the nurse is to administer medications and other treatments
ju ju ju ju ju ju ju ju ju ju ju
prescribed by your physician.‖
ju ju ju ju
b. —In addition to caring for you while you are sick, the nurses will help you plan to
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
maintain your health.‖
ju ju ju
c. —The nurse‗s job is to collect information and communicate any problems
ju ju ju ju ju ju ju ju ju ju
that occur to the physician.‖
ju ju ju ju ju
d. —Nurses perform many of the same procedures as the physician, but nurses are
ju ju ju ju ju ju ju ju ju ju ju ju
with the patients for a longer time than the physician.‖
ju ju ju ju ju ju ju ju ju ju
ANS: B ju
The American Nurses Association (ANA) definition of nursing describes the role of nurses
ju ju ju ju ju ju ju ju ju ju ju ju
in promoting health. The other responses describe dependent and collaborative functions
ju ju ju ju ju ju ju ju ju ju ju
of the nursing role but do not accurately describe the nurse‗s unique role in the health
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
care system.
ju ju
DIF: j u j u Cognitive Level: Analyze (Analysis) ju ju ju
TOP: j u Nursing Process: Implementation ju ju j u j u j u MSC: NCLEX: Safe and Effective Care Environment
j u ju ju ju ju ju
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
ju ju ju ju ju ju ju ju ju ju ju ju
a. —Patient care is based on clinical judgment, experience, and traditions.‖
ju ju ju ju ju ju ju ju ju
b. —Data are analyzed later to show that the patient outcomes are consistently met.‖
ju ju ju ju ju ju ju ju ju ju ju ju
c. —Research from all published articles are used as a guide for planning patient care.‖
ju ju ju ju ju ju ju ju ju ju ju ju ju
d. —Recommendations are based on research, clinical expertise, and patient ju ju ju ju ju ju ju ju
preferences.‖
ju
ANS: D ju
Evidence-based practice (EBP) is the use of the best research-based evidence combined ju ju ju ju ju ju ju ju ju ju ju
with clinician expertise and consideration of patient preferences. Clinical judgment based
ju ju ju ju ju ju ju ju ju ju ju
on the nurse‗s clinical experience is part of EBP, but clinical decision making should
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
also incorporate current research and research-based guidelines. Evaluation of patient
ju ju ju ju ju ju ju ju ju ju
outcomes is important, but data analysis is not required to use EBP. All published articles
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
do not provide research evidence; interventions should be based on credible research,
ju ju ju ju ju ju ju ju ju ju ju ju
preferably randomized controlled studies with a large number of subjects.
ju ju ju ju ju ju ju ju ju ju
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: ju ju ju ju ju
Planning MSC: NCLEX: Safe and Effective Care Environment
ju ju j u ju ju ju ju ju
3. Which statement by the nurse provides a clear explanation of the nursing process?
ju ju ju ju ju ju ju ju ju ju ju ju
a. —The nursing process is a research method of diagnosing the patient‗s health
ju ju ju ju ju ju ju ju ju ju ju
care problems.‖
ju ju
b. —The nursing process is used primarily to explain nursing interventions to
ju ju ju ju ju ju ju ju ju ju
other health care professionals.‖
ju ju ju ju
c. —The nursing process is a problem-solving tool used to identify and manage the
ju ju ju ju ju ju ju ju ju ju ju ju
, patients‗ health care needs.‖ ju ju ju
d. —The nursing process is based on nursing theory that incorporates
ju ju ju ju ju ju ju ju ju
the biopsychosocial nature of humans.‖
ju ju ju ju ju
ANS: C ju
The nursing process is a problem-solving approach to the identification and treatment of
ju ju ju ju ju ju ju ju ju ju ju ju
patients‗ problems. Nursing process does not require research methods for diagnosis. The
ju ju ju ju ju ju ju ju ju ju ju ju
primary use of the nursing process is in patient care, not to establish nursing theory or
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
explain nursing interventions to other health care professionals.
ju ju ju ju ju ju ju ju
DIF: Cognitive Level: Understand (Comprehension) ju ju ju TOP: Nursing Process: Evaluation
ju ju ju
MSC: NCLEX: Safe and Effective Care Environment
ju j u ju ju ju ju ju
4. A patient admitted to the hospital for surgery tells the nurse, —I do not feel comfortable
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
leaving my children with my parents.‖ Which action would the nurse take next?
ju ju ju ju ju ju ju ju ju ju ju ju ju
a. Reassure the patient that these feelings are common for parents.ju ju ju ju ju ju ju ju ju
b. Have the patient call the children to ensure that they are doing well.
ju ju ju ju ju ju ju ju ju ju ju ju
c. Gather information on the patient‗s concerns about the child care arrangements.
ju ju ju ju ju ju ju ju ju ju
d. Call the patient‗s parents to determine whether adequate child care is being
ju ju ju ju ju ju ju ju ju ju ju
provided.
ju
ANS: C ju
Because a complete assessment is necessary in order to identify a problem and choose an
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
appropriate intervention, the nurse‗s first action should be to obtain more information.
ju ju ju ju ju ju ju ju ju ju ju ju
The other actions may be appropriate, but more assessment is needed before the best
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
intervention can be chosen.
ju ju ju ju
DIF: Cognitive Level: Analyze (Analysis) ju ju ju
TOP: Nursing Process: Assessment
j u MSC: NCLEX: Psychosocial Integrity ju ju ju ju ju
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive
ju ju ju ju ju ju ju ju ju ju ju ju ju
diaphoresis. Which expected outcome would the nurse select for this patient?
ju ju ju ju ju ju ju ju ju ju ju
a. Patient has a balanced intake and output. ju ju ju ju ju ju
b. Patient‗s bedding is kept clean and free of moisture. ju ju ju ju ju ju ju ju
c. Patient understands the need for increased fluid intake.
ju ju ju ju ju ju ju
d. Patient‗s skin remains cool and dry throughout hospitalization. ju ju ju ju ju ju ju
ANS: A ju
Balanced intake and output gives measurable data showing resolution of the problem of
ju ju ju ju ju ju ju ju ju ju ju ju
deficient fluid volume. The other statements would not indicate that the problem of
ju ju ju ju ju ju ju ju ju ju ju ju ju
hypovolemia was resolved.
ju ju ju
DIF: Cognitive Level: Apply (Application) ju ju ju TOP: Nursing Process: ju ju
Planning MSC: NCLEX: Physiological Integrity
ju ju j u ju ju
6. Which statement describes the purpose of the evaluation phase of the nursing process?
ju ju ju ju ju ju ju ju ju ju ju ju
a. To document the nursing care plan in the progress notes of the health record
ju ju ju ju ju ju ju ju ju ju ju ju ju
b. To determine if interventions have been effective in meeting patient outcomes
ju ju ju ju ju ju ju ju ju ju
c. To decide whether the patient‗s health problems have been completely resolved
ju ju ju ju ju ju ju ju ju ju
d. To establish if the patient agrees that the nursing care provided was satisfactory
ju ju ju ju ju ju ju ju ju ju ju ju
ANS: B ju
