Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding) 2
Chapter 51: Breast Disorders 650
Chapter 52: Sexually Transmitted Infections 662
Chapter 53: Female Reproductive Problems 671
Chapter 54: Male Reproductive Problems 693
Chapter 55: Assessment: Nervous System 708
Chapter 56: Acute Intracranial Problems 717
Chapter 57: Stroke 734
Chapter 58: Chronic Neurologic Problems 747
Chapter 59: Dementia and Delirium 763
Chapter 60: Spinal Cord and Peripheral Nerve Problems 772
Chapter 61: Assessment: Musculoskeletal System 787
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery 794
Chapter 63: Musculoskeletal Problems 814
Chapter 64: Arthritis and Connective Tissue Diseases .. 825
Chapter 65: Critical Care 845
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 864
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome 877
Chapter 68: Emergency and Disaster Nursing 889
,Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding) 3
Chapter 01: Professional Nursing
Test Bank: Lewis’s Medical Surgical Nursing, 11th Edition by Harding
MULTIPLE CHOICE
1. The nurse teaches a student nurse about how to apply the nursing process when
providing patient care.Which statement, if made by the student nurse, indicates that
teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
problems.
b. The nursing process is a problem-solving tool used to identify and treat patient’s health
care needs.
c. The nursing process is based on nursing theory that incorporates the
biopsychosocial nature ofhumans.
d. The nursing process is used primarily to explain nursing interventions to
other health careprofessionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of
patient’s problems. Diagnosis is only one phase of the nursing process. 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: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines
when caring forpatients. Which statement, if made by the nurse, would be the most
accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated 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
,Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding) 4
clinician expertise. Clinical judgment based on the nurses clinical experience is part of EBP,
but clinical decision making should also incorporate current research and research-based
guidelines. Evaluation of patient outcomesis important, but interventions should be based on
research from randomized control 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 completes an admission database and explains that the plan of care and
discharge goals will be developed with the patients input. The patient states, How is this
different from what the doctor does? Whichresponse 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. The nurses job is to help the doctor by collecting information and communicating
any problemsthat occur.
c. Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for alonger time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist you
to develop anindividualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA) definition of
nursing, which describes the role of nurses in promoting health. The other responses describe
some of the dependent and collaborative functions of the nursing role but do not accurately
describe the nurses role in the health caresystem.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure
ulcer on the left hipWhich nursing diagnosis is most appropriate?
a. Impaired physical mobility related to left-sided paralysis
b. Risk for impaired tissue integrity related to left-sided weakness
c. Impaired skin integrity related to altered circulation and pressure
d. Ineffective tissue perfusion related to inability to move
independentlyANS: C
, Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding) 5
The patients major problem is the impaired skin integrity as demonstrated by the presence of a
pressure ulcer.The nurse is able to treat the cause of altered circulation and pressure by
frequently repositioning the patient. Although left-sided weakness is a problem for the
patient, the nurse cannot treat the weakness. The risk fordiagnosis is not appropriate for this
patient, who already has impaired tissue integrity. The patient does have ineffective tissue
perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health
problem is.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel
comfortable leavingmy 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 more data about the patients feelings about the child-care arrangements.
d. Call the patients parents to determine whether adequate child care is being provided.
ANS: C
Since a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the nurses first action should be to obtain more information. The
other actions may beappropriate, but more assessment is needed before the best intervention
can be chosen.
DIF: Cognitive Level: Apply (application)
OBJ: Special Questions: Prioritization TOP: Nursing Process:
AssessmentMSC: NCLEX: Psychosocial Integrity
6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume
related to excessivediaphoresis. Which outcome would the nurse recognize as most
appropriate for this patient?
a. Patient has a balanced intake and output.
b. Patients bedding is changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
d. Patients skin remains cool and dry throughout hospitalization.
ANS: A
Chapter 51: Breast Disorders 650
Chapter 52: Sexually Transmitted Infections 662
Chapter 53: Female Reproductive Problems 671
Chapter 54: Male Reproductive Problems 693
Chapter 55: Assessment: Nervous System 708
Chapter 56: Acute Intracranial Problems 717
Chapter 57: Stroke 734
Chapter 58: Chronic Neurologic Problems 747
Chapter 59: Dementia and Delirium 763
Chapter 60: Spinal Cord and Peripheral Nerve Problems 772
Chapter 61: Assessment: Musculoskeletal System 787
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery 794
Chapter 63: Musculoskeletal Problems 814
Chapter 64: Arthritis and Connective Tissue Diseases .. 825
Chapter 65: Critical Care 845
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 864
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome 877
Chapter 68: Emergency and Disaster Nursing 889
,Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding) 3
Chapter 01: Professional Nursing
Test Bank: Lewis’s Medical Surgical Nursing, 11th Edition by Harding
MULTIPLE CHOICE
1. The nurse teaches a student nurse about how to apply the nursing process when
providing patient care.Which statement, if made by the student nurse, indicates that
teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
problems.
b. The nursing process is a problem-solving tool used to identify and treat patient’s health
care needs.
c. The nursing process is based on nursing theory that incorporates the
biopsychosocial nature ofhumans.
d. The nursing process is used primarily to explain nursing interventions to
other health careprofessionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of
patient’s problems. Diagnosis is only one phase of the nursing process. 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: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines
when caring forpatients. Which statement, if made by the nurse, would be the most
accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated 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
,Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding) 4
clinician expertise. Clinical judgment based on the nurses clinical experience is part of EBP,
but clinical decision making should also incorporate current research and research-based
guidelines. Evaluation of patient outcomesis important, but interventions should be based on
research from randomized control 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 completes an admission database and explains that the plan of care and
discharge goals will be developed with the patients input. The patient states, How is this
different from what the doctor does? Whichresponse 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. The nurses job is to help the doctor by collecting information and communicating
any problemsthat occur.
c. Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for alonger time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist you
to develop anindividualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA) definition of
nursing, which describes the role of nurses in promoting health. The other responses describe
some of the dependent and collaborative functions of the nursing role but do not accurately
describe the nurses role in the health caresystem.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure
ulcer on the left hipWhich nursing diagnosis is most appropriate?
a. Impaired physical mobility related to left-sided paralysis
b. Risk for impaired tissue integrity related to left-sided weakness
c. Impaired skin integrity related to altered circulation and pressure
d. Ineffective tissue perfusion related to inability to move
independentlyANS: C
, Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding) 5
The patients major problem is the impaired skin integrity as demonstrated by the presence of a
pressure ulcer.The nurse is able to treat the cause of altered circulation and pressure by
frequently repositioning the patient. Although left-sided weakness is a problem for the
patient, the nurse cannot treat the weakness. The risk fordiagnosis is not appropriate for this
patient, who already has impaired tissue integrity. The patient does have ineffective tissue
perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health
problem is.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel
comfortable leavingmy 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 more data about the patients feelings about the child-care arrangements.
d. Call the patients parents to determine whether adequate child care is being provided.
ANS: C
Since a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the nurses first action should be to obtain more information. The
other actions may beappropriate, but more assessment is needed before the best intervention
can be chosen.
DIF: Cognitive Level: Apply (application)
OBJ: Special Questions: Prioritization TOP: Nursing Process:
AssessmentMSC: NCLEX: Psychosocial Integrity
6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume
related to excessivediaphoresis. Which outcome would the nurse recognize as most
appropriate for this patient?
a. Patient has a balanced intake and output.
b. Patients bedding is changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
d. Patients skin remains cool and dry throughout hospitalization.
ANS: A
