TEST.BANK.FOR.LEWIS\'S.MEDICAL-
SURGICAL.NURSING,.12TH.EDITION.BY.MARIA
NN.M...HARDING,.JEFFREY.KWONG,.DEBRA. HA
GLER.CHAPTER.1-
69.QUESTIONS.AND.CORRECT..ANSWERS
,Chapter.01:.Professional.Nursing
Harding:.Lewis’s.Medical-Surgical.Nursing,.12th.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.physician.does?‖.Which.response.would.the.nurse.provid
e?
a. —
The.role.of.the.nurse.is.to.administer.medications.and.other.treatments.prescribed.by
.your.physician.‖
b. —
In.addition.to.caring.for.you.while.you.are.sick,.the.nurses.will.help.you.plan.to.m
aintain.your.health.‖
c. —
The.nurse‗s.job.is.to.collect.information.and.communicate.any.problems.that.oc
cur.to.the.physician.‖
d. —
Nurses.perform.many.of.the.same.procedures.as.the.physician,.but.nurses.are.wi
th.the.patients.for.a.longer.time.than.the.physician.‖
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. Which.statement.by.the.nurse.accurately.describes.the.use.of.evidence-based.practice.(EBP)?
a. —Patient.care.is.based.on.clinical.judgment,.experience,.and.traditions.‖
b. —Data.are.analyzed.later.to.show.that.the.patient.outcomes.are.consistently.met.‖
c. —Research.from.all.published.articles.are.used.as.a.guide.for.planning.patient.care.‖
d. —
Recommendations.are.based.on.research,.clinical.expertise,.and.patient.pr
eferences.‖
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.decisi
on.making.should.also.incorporate.current.research.and.research-
based.guidelines..Evaluation.of.patient.outcomes.is.important,.but.data.analysis.is.not.require
d.to.use.EBP..All.published.articles.do.not.provide.research.evidence;.interventions.should.b
e.based.on.credible.research,.preferably.randomized.controlled.studies.with.a.large.number.o
f.subjects.
DIF: Cognitive.Level:.Understand.(Comprehension)
TOP:.Nursing.Process:.Planning.MSC:. NCLEX:.Safe.and.Effective.Care.Environment
,3. Which.statement.by.the.nurse.provides.a.clear.explanation.of.the.nursing.process?
a. —
The.nursing.process.is.a.research.method.of.diagnosing.the.patient‗s.health.care.pr
oblems.‖
b. —
The.nursing.process.is.used.primarily.to.explain.nursing.interventions.to.other.he
alth.care.professionals.‖
c. —The.nursing.process.is.a.problem-solving.tool.used.to.identify.and.manage.the
, patients‗.health.care.needs.‖
d. —
The.nursing.process.is.based.on.nursing.theory.that.incorporates.the.bi
opsychosocial.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.c
are.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.would.t
he.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.ap
propriate.intervention,.the.nurse‗s.first.action.should.be.to.obtain.more.information..The.oth
er.actions.may.be.appropriate,.but.more.assessment.is.needed.before.the.best.intervention.can
.be.chosen.
DIF: Cognitive.Level:.Analyze.(Analysis)
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.select.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.defic
ient.fluid.volume..The.other.statements.would.not.indicate.that.the.problem.of.hypovolemia.
was.resolved.
DIF: Cognitive.Level:.Apply.(Application)
TOP:.Nursing.Process:.Planning.MSC:. NCLEX:.Physiological.Integrity
6. Which.statement.describes.the.purpose.of.the.evaluation.phase.of.the.nursing.process?
a. To.document.the.nursing.care.plan.in.the.progress.notes.of.the.health.record
b. To.determine.if.interventions.have.been.effective.in.meeting.patient.outcomes
c. To.decide.whether.the.patient‗s.health.problems.have.been.completely.resolved
d. To.establish.if.the.patient.agrees.that.the.nursing.care.provided.was.satisfactory
ANS:.B
SURGICAL.NURSING,.12TH.EDITION.BY.MARIA
NN.M...HARDING,.JEFFREY.KWONG,.DEBRA. HA
GLER.CHAPTER.1-
69.QUESTIONS.AND.CORRECT..ANSWERS
,Chapter.01:.Professional.Nursing
Harding:.Lewis’s.Medical-Surgical.Nursing,.12th.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.physician.does?‖.Which.response.would.the.nurse.provid
e?
a. —
The.role.of.the.nurse.is.to.administer.medications.and.other.treatments.prescribed.by
.your.physician.‖
b. —
In.addition.to.caring.for.you.while.you.are.sick,.the.nurses.will.help.you.plan.to.m
aintain.your.health.‖
c. —
The.nurse‗s.job.is.to.collect.information.and.communicate.any.problems.that.oc
cur.to.the.physician.‖
d. —
Nurses.perform.many.of.the.same.procedures.as.the.physician,.but.nurses.are.wi
th.the.patients.for.a.longer.time.than.the.physician.‖
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. Which.statement.by.the.nurse.accurately.describes.the.use.of.evidence-based.practice.(EBP)?
a. —Patient.care.is.based.on.clinical.judgment,.experience,.and.traditions.‖
b. —Data.are.analyzed.later.to.show.that.the.patient.outcomes.are.consistently.met.‖
c. —Research.from.all.published.articles.are.used.as.a.guide.for.planning.patient.care.‖
d. —
Recommendations.are.based.on.research,.clinical.expertise,.and.patient.pr
eferences.‖
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.decisi
on.making.should.also.incorporate.current.research.and.research-
based.guidelines..Evaluation.of.patient.outcomes.is.important,.but.data.analysis.is.not.require
d.to.use.EBP..All.published.articles.do.not.provide.research.evidence;.interventions.should.b
e.based.on.credible.research,.preferably.randomized.controlled.studies.with.a.large.number.o
f.subjects.
DIF: Cognitive.Level:.Understand.(Comprehension)
TOP:.Nursing.Process:.Planning.MSC:. NCLEX:.Safe.and.Effective.Care.Environment
,3. Which.statement.by.the.nurse.provides.a.clear.explanation.of.the.nursing.process?
a. —
The.nursing.process.is.a.research.method.of.diagnosing.the.patient‗s.health.care.pr
oblems.‖
b. —
The.nursing.process.is.used.primarily.to.explain.nursing.interventions.to.other.he
alth.care.professionals.‖
c. —The.nursing.process.is.a.problem-solving.tool.used.to.identify.and.manage.the
, patients‗.health.care.needs.‖
d. —
The.nursing.process.is.based.on.nursing.theory.that.incorporates.the.bi
opsychosocial.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.c
are.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.would.t
he.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.ap
propriate.intervention,.the.nurse‗s.first.action.should.be.to.obtain.more.information..The.oth
er.actions.may.be.appropriate,.but.more.assessment.is.needed.before.the.best.intervention.can
.be.chosen.
DIF: Cognitive.Level:.Analyze.(Analysis)
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.select.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.defic
ient.fluid.volume..The.other.statements.would.not.indicate.that.the.problem.of.hypovolemia.
was.resolved.
DIF: Cognitive.Level:.Apply.(Application)
TOP:.Nursing.Process:.Planning.MSC:. NCLEX:.Physiological.Integrity
6. Which.statement.describes.the.purpose.of.the.evaluation.phase.of.the.nursing.process?
a. To.document.the.nursing.care.plan.in.the.progress.notes.of.the.health.record
b. To.determine.if.interventions.have.been.effective.in.meeting.patient.outcomes
c. To.decide.whether.the.patient‗s.health.problems.have.been.completely.resolved
d. To.establish.if.the.patient.agrees.that.the.nursing.care.provided.was.satisfactory
ANS:.B
