Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret McLean
Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
test bank for medical-surgical nursing in canada 4th edition by sharon l. lewis;
margaret mclean heitkemper; linda bucher 9781771720489 chapter 1-72 complete
guide
pg. 1
,Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret McLean
Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
chapter 01: introduction to medical-surgical nursing practice in canada
lewis: medical-surgical nursing in canada, 4th canadian edition
multiple choice
1. the nurse is caring for a client with a new diagnosis of pneumonia and explains to the
client that together they will plan the client’s care and set goals for discharge. the client
asks, “how is that different from what the doctor does?” which response by the nurse is
most appropriate?
a. “the role of the nurse is to administer medications and other treatments prescribed by
your doctor.”
b. “the nurse’s job is to help the doctor by collecting data and communicating when
there are problems.”
c. “nurses perform many of the procedures done by physicians, but nurses are here in
the hospital for a longer time than doctors.”
d. “in addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health.”
correct answer: d
this response is consistent with the canadian nurses association (cna) definition of
nursing. registered nurses are self-regulated health care professionals who work
autonomously and in collaboration with others. rns enable individuals, families,
groups, communities and populations to achieve their optimal level of health. rns
coordinate health care, deliver direct services, and support clients in their self-care
decisions and actions in situations of health, illness, injury, and disability in all
stages of life. the other responses describe some of the dependent and collaborative
functions of the nursing role but do not accurately describe the nurse’s role in the
health care system.
dif: cognitive level: comprehension top: nursing process: implementation
msc: nclex: safe and effective care environment
pg. 2
, Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret McLean
Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
2. when caring for clients using evidence-informed practice, which of the following does the
nurse use?
a. clinical judgement based on experience
b. evidence from a clinical research study
c. the best available evidence to guide clinical expertise
d. evaluation of data showing that the client outcomes are met
correct answer: c
evidence-informed nursing practice is a continuous interactive process involving the
explicit, conscientious, and judicious consideration of the best available evidence to
provide care. four primary elements are: (a) clinical state, setting, and
circumstances; (b) client preferences and actions; (c) best research evidence, and (d)
health care resources. clinical judgement based on the nurse’s clinical experience is
part of eip, but clinical decision making also should incorporate current research and
research-based guidelines. evidence from one clinical research study does not
provide an adequate substantiation for interventions. evaluation of client outcomes
is important, but interventions should be based on research from randomized control
studies with a large number of subjects.
dif: cognitive level: comprehension top: nursing process: planning
www.nursylab.com
msc: nclex: safe and effective care environment
3. which of the following best explains the nurses’ primary use of the nursing process when providing
care to clients?
a. to explain nursing interventions to other health care professionals
b. as a problem-solving tool to identify and treat clients’ health care needs
c. as a scientific-based process of diagnosing the client’s health care problems
d. to establish nursing theory that incorporates the biopsychosocial nature of humans
correct answer: b
the nursing process is an assertive problem-solving approach to the identification and treatment of
clients’ problems. diagnosis is only one phase of the nursing process. the primary use of the nursing
pg. 3
, Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret McLean
Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
process is in client care, not to establish nursing theory or explain nursing interventions to other health
care professionals.
dif: cognitive level: comprehension top: nursing process: implementation msc: nclex: safe and
effective care environment
4. the nurse is caring for a critically ill client in the intensive care unit and plans an every-2-hour turning
schedule to prevent skin breakdown. which type of nursing function is demonstrated with this turning
schedule?
a. dependent
b. cooperative
c. independent
d. collaborative
correct answer: d
when implementing collaborative nursing actions, the nurse is responsible primarily for monitoring for
complications of acute illness or providing care to prevent or treat complications. independent nursing
actions are focused on health promotion, illness prevention, and client advocacy. a dependent action
would require a physician order to implement. cooperative nursing functions are not described as one of
the formal nursing functions.
dif: cognitive level: application top: nursing process: implementation msc: nclex: safe and
effective care environment
5. the nurse is caring for a client who has been admitted to the hospital for surgery and tells the nurse, “i
do not feel right about leaving my children with my neighbour.” which action should the nurse take
next?
a. reassure the client that these feelings are common for parents.
b. have the client call the children to ensure that they are doing well.
c. call the neighbour to determine whether adequate childcare is being provided.
d. gather more data about the client’s feelings about the childcare arrangements.
correct answer: d
pg. 4
Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
test bank for medical-surgical nursing in canada 4th edition by sharon l. lewis;
margaret mclean heitkemper; linda bucher 9781771720489 chapter 1-72 complete
guide
pg. 1
,Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret McLean
Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
chapter 01: introduction to medical-surgical nursing practice in canada
lewis: medical-surgical nursing in canada, 4th canadian edition
multiple choice
1. the nurse is caring for a client with a new diagnosis of pneumonia and explains to the
client that together they will plan the client’s care and set goals for discharge. the client
asks, “how is that different from what the doctor does?” which response by the nurse is
most appropriate?
a. “the role of the nurse is to administer medications and other treatments prescribed by
your doctor.”
b. “the nurse’s job is to help the doctor by collecting data and communicating when
there are problems.”
c. “nurses perform many of the procedures done by physicians, but nurses are here in
the hospital for a longer time than doctors.”
d. “in addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health.”
correct answer: d
this response is consistent with the canadian nurses association (cna) definition of
nursing. registered nurses are self-regulated health care professionals who work
autonomously and in collaboration with others. rns enable individuals, families,
groups, communities and populations to achieve their optimal level of health. rns
coordinate health care, deliver direct services, and support clients in their self-care
decisions and actions in situations of health, illness, injury, and disability in all
stages of life. the other responses describe some of the dependent and collaborative
functions of the nursing role but do not accurately describe the nurse’s role in the
health care system.
dif: cognitive level: comprehension top: nursing process: implementation
msc: nclex: safe and effective care environment
pg. 2
, Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret McLean
Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
2. when caring for clients using evidence-informed practice, which of the following does the
nurse use?
a. clinical judgement based on experience
b. evidence from a clinical research study
c. the best available evidence to guide clinical expertise
d. evaluation of data showing that the client outcomes are met
correct answer: c
evidence-informed nursing practice is a continuous interactive process involving the
explicit, conscientious, and judicious consideration of the best available evidence to
provide care. four primary elements are: (a) clinical state, setting, and
circumstances; (b) client preferences and actions; (c) best research evidence, and (d)
health care resources. clinical judgement based on the nurse’s clinical experience is
part of eip, but clinical decision making also should incorporate current research and
research-based guidelines. evidence from one clinical research study does not
provide an adequate substantiation for interventions. evaluation of client outcomes
is important, but interventions should be based on research from randomized control
studies with a large number of subjects.
dif: cognitive level: comprehension top: nursing process: planning
www.nursylab.com
msc: nclex: safe and effective care environment
3. which of the following best explains the nurses’ primary use of the nursing process when providing
care to clients?
a. to explain nursing interventions to other health care professionals
b. as a problem-solving tool to identify and treat clients’ health care needs
c. as a scientific-based process of diagnosing the client’s health care problems
d. to establish nursing theory that incorporates the biopsychosocial nature of humans
correct answer: b
the nursing process is an assertive problem-solving approach to the identification and treatment of
clients’ problems. diagnosis is only one phase of the nursing process. the primary use of the nursing
pg. 3
, Test Bank For Medical-Surgical Nursing in Canada 4th Edition By Sharon L. Lewis; Margaret McLean
Heitkemper; Linda Bucher 9781771720489 Chapter 1-72 Complete Guide
process is in client care, not to establish nursing theory or explain nursing interventions to other health
care professionals.
dif: cognitive level: comprehension top: nursing process: implementation msc: nclex: safe and
effective care environment
4. the nurse is caring for a critically ill client in the intensive care unit and plans an every-2-hour turning
schedule to prevent skin breakdown. which type of nursing function is demonstrated with this turning
schedule?
a. dependent
b. cooperative
c. independent
d. collaborative
correct answer: d
when implementing collaborative nursing actions, the nurse is responsible primarily for monitoring for
complications of acute illness or providing care to prevent or treat complications. independent nursing
actions are focused on health promotion, illness prevention, and client advocacy. a dependent action
would require a physician order to implement. cooperative nursing functions are not described as one of
the formal nursing functions.
dif: cognitive level: application top: nursing process: implementation msc: nclex: safe and
effective care environment
5. the nurse is caring for a client who has been admitted to the hospital for surgery and tells the nurse, “i
do not feel right about leaving my children with my neighbour.” which action should the nurse take
next?
a. reassure the client that these feelings are common for parents.
b. have the client call the children to ensure that they are doing well.
c. call the neighbour to determine whether adequate childcare is being provided.
d. gather more data about the client’s feelings about the childcare arrangements.
correct answer: d
pg. 4
