LEWIS'S MEDICAL SURGICAL NURSING 12TH
EDITION COMPLETE TEST QUESTIONS AND
ANSWERS
◉ What expected outcome should the nurse select for a patient with
a bacterial infection who is hypovolemic?
Answer: Patient has a balanced intake and output.
◉ What components should the nurse include in the clinical
problem statement when developing a plan of care?
Answer: The problem, its causes, and the signs and symptoms of the
problem.
◉ Which patient care task can the nurse delegate to experienced
assistive personnel (AP)?
Answer: Obtain the patient's blood pressure and pulse rate after
ambulation.
◉ Which assignment would be outside the scope of practice for an
assistive personnel (AP)?
Answer: Check for the presence of bowel sounds.
,◉ What task is appropriate for the nurse to delegate to a licensed
practical/vocational nurse (LPN/VN)?
Answer: Measure bedside blood glucose before administering
insulin.
◉ What activity can a case manager expect to perform for a
hospitalized patient with a spinal cord injury?
Answer: Coordinate the services the patient receives in the hospital
and at home.
◉ To which type of facility should a patient needing continued
nursing care and physical therapy after hip surgery be transferred?
Answer: A transitional care facility.
◉ Which task is appropriate for the nurse to delegate to the home
health aide for a patient with type 2 diabetes?
Answer: Help the patient with a daily bath and oral care.
◉ What is the impact of health care financing on quality care?
Answer: Payment for patient care is primarily based on clinical
outcomes and patient satisfaction.
◉ What competency is demonstrated by a nurse documenting the
patient's progress in the electronic health record?
, Answer: Informatics and technology.
◉ What factors should a nurse consider when deciding what nursing
actions to delegate to an LPN/VN?
Answer: Agency policies, stability of the patients, state nurse
practice act, experience of the LPN/VN.
◉ Which actions by the nurse administering medications promote
safe delivery of patient care?
Answer: Discards a medication that is not labeled, uses hand
sanitizer before preparing a medication, checks laboratory test
results before administering a diuretic, gives the patient a list of
current medications upon discharge.
◉ What actions demonstrate an aspect of nursing clinical judgment?
Answer: Identifying priority problems, noticing a change in patient
status, assessing data about a patient situation, generating possible
solutions to a patient problem, making decisions based on the
implications of a patient's situation.
◉ What data from the patient's health history would be the nurse's
focus for patient teaching?
Answer: Dietary fat intake.
EDITION COMPLETE TEST QUESTIONS AND
ANSWERS
◉ What expected outcome should the nurse select for a patient with
a bacterial infection who is hypovolemic?
Answer: Patient has a balanced intake and output.
◉ What components should the nurse include in the clinical
problem statement when developing a plan of care?
Answer: The problem, its causes, and the signs and symptoms of the
problem.
◉ Which patient care task can the nurse delegate to experienced
assistive personnel (AP)?
Answer: Obtain the patient's blood pressure and pulse rate after
ambulation.
◉ Which assignment would be outside the scope of practice for an
assistive personnel (AP)?
Answer: Check for the presence of bowel sounds.
,◉ What task is appropriate for the nurse to delegate to a licensed
practical/vocational nurse (LPN/VN)?
Answer: Measure bedside blood glucose before administering
insulin.
◉ What activity can a case manager expect to perform for a
hospitalized patient with a spinal cord injury?
Answer: Coordinate the services the patient receives in the hospital
and at home.
◉ To which type of facility should a patient needing continued
nursing care and physical therapy after hip surgery be transferred?
Answer: A transitional care facility.
◉ Which task is appropriate for the nurse to delegate to the home
health aide for a patient with type 2 diabetes?
Answer: Help the patient with a daily bath and oral care.
◉ What is the impact of health care financing on quality care?
Answer: Payment for patient care is primarily based on clinical
outcomes and patient satisfaction.
◉ What competency is demonstrated by a nurse documenting the
patient's progress in the electronic health record?
, Answer: Informatics and technology.
◉ What factors should a nurse consider when deciding what nursing
actions to delegate to an LPN/VN?
Answer: Agency policies, stability of the patients, state nurse
practice act, experience of the LPN/VN.
◉ Which actions by the nurse administering medications promote
safe delivery of patient care?
Answer: Discards a medication that is not labeled, uses hand
sanitizer before preparing a medication, checks laboratory test
results before administering a diuretic, gives the patient a list of
current medications upon discharge.
◉ What actions demonstrate an aspect of nursing clinical judgment?
Answer: Identifying priority problems, noticing a change in patient
status, assessing data about a patient situation, generating possible
solutions to a patient problem, making decisions based on the
implications of a patient's situation.
◉ What data from the patient's health history would be the nurse's
focus for patient teaching?
Answer: Dietary fat intake.
