Test |Bank |- |Lewis's |Medical |Surgical |Nursing |(11th |Edition |by 1
|Harding)
Table of Contents
| |
Table | of | Contents 1
Chapter | 01: | Professional | Nursing 3
Chapter |02: |Health |Equity |and |Culturally |Competent |Care 13
|Chapter |03: |Health |History |and |Physical |Examination 21
|Chapter |04: |Patient |and |Caregiver |Teaching 28
Chapter |05: |Chronic |Illness |and |Older |Adults 38
|Chapter |06: |Stress |Management 48
Chapter |07: |Sleep |and |Sleep |Disorders 54
|Chapter |08: |Pain 59
Chapter |09: |Palliative |and |End |of |Life |Care 71
|Chapter |10: |Substance |Use |Disorders 79
|Chapter |11: |Inflammation |and |Healing 91
|Chapter |12: |Genetics 101
Chapter |13: |Immune |Responses |and |Transplantation 105
|Chapter |14: |Infection 117
Chapter | 15: | Cancer 129
Chapter |16: |Fluid, |Electrolyte, |and |Acid-Base |Imbalances 148
|Chapter |17: |Preoperative |Care 165
Chapter |18: |Intraoperative |Care 175
|Chapter | 19: | Postoperative | Care 184
Chapter |20: |Assessment |and |Management: |Visual |Problems 196
|Chapter |21: |Assessment |and |Management: |Auditory |Problems 216
|Chapter |22: |Assessment: |Integumentary |System 227
Chapter |23: |Integumentary |Problems 233
|Chapter |24: |Burns 245
Chapter |25: |Assessment: |Respiratory |System 259
|Chapter |26: |Upper |Respiratory |Problems 270
|Chapter |27: |Lower |Respiratory |Problems 282
|Chapter |28: |Obstructive |Pulmonary |Diseases 305
|Chapter |29: |Assessment: |Hematologic |System 325
|Chapter |30: |Hematologic |Problems 332
Chapter |31: |Assessment: |Cardiovascular |System 353
|Chapter |32: |Hypertension 364
Chapter |33: |Coronary |Artery |Disease |and |Acute |Coronary |Syndrome 375
|Chapter |34: |Heart |Failure 394
Chapter | 35: | Dysrhythmias 406
Chapter |36: |Inflammatory |and |Structural |Heart |Disorders 420
|Chapter |37: |Vascular |Disorders 435
Chapter |38: |Assessment: |Gastrointestinal |System 450
|Chapter |39: |Nutritional | Problems 458
Chapter | 40: | Obesity 469
Chapter |41: |Upper |Gastrointestinal |Problems 478
|Chapter | 42: | Lower | Gastrointestinal | Problems 499
Chapter |43: |Liver, |Biliary |Tract, |and |Pancreas |Problems 523
|Chapter |44: |Assessment: |Urinary |System 543
Chapter | 45: | Renal | and | Urologic | Problems 553
Chapter |46: |Acute |Kidney |Injury |and |Chronic |Kidney |Disease 573
|Chapter |47: |Assessment: |Endocrine |System 590
Chapter |48: |Diabetes |Mellitus 600
|Chapter |49: |Endocrine | Problems 622
Chapter | 50: | Assessment: | Reproductive | System 642
,Test |Bank |- |Lewis's |Medical |Surgical |Nursing |(11th |Edition |by 2
|Harding)
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 3
|Harding)
Chapter 01: Professional Nursing
| | |
Test |Bank
| 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 |patients |health |care |needs.
c. The |nursing |process |is |based |on |nursing |theory |that |incorporates |the |biopsychosocial |nature |of
|humans.
d. The |nursing |process |is |used |primarily |to |explain |nursing |interventions |to |other |health |care
|professionals.
ANS: | B
The |nursing |process |is |a |problem-solving |approach |to |the |identification |and |treatment |of |patients |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 |for
|patients. |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 | 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
| outcomes |is | 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
, Test |Bank |- |Lewis's |Medical |Surgical |Nursing |(11th |Edition |by 4
|Harding)
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? |Which
| response |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 |problems
|that |occur.
c. Nurses |perform |many |of |the |same |procedures |as |the |doctor, |but |nurses |are |with |the |patients |for |a
|longer |time |than |the |doctor.
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.
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 |care
|system.
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 |hip
| Which |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 |independently
ANS: |C
|
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 |for
| diagnosis |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 |leaving |my
|children |with |my |parents. |Which |action |should |the |nurse |take |next?
|Harding)
Table of Contents
| |
Table | of | Contents 1
Chapter | 01: | Professional | Nursing 3
Chapter |02: |Health |Equity |and |Culturally |Competent |Care 13
|Chapter |03: |Health |History |and |Physical |Examination 21
|Chapter |04: |Patient |and |Caregiver |Teaching 28
Chapter |05: |Chronic |Illness |and |Older |Adults 38
|Chapter |06: |Stress |Management 48
Chapter |07: |Sleep |and |Sleep |Disorders 54
|Chapter |08: |Pain 59
Chapter |09: |Palliative |and |End |of |Life |Care 71
|Chapter |10: |Substance |Use |Disorders 79
|Chapter |11: |Inflammation |and |Healing 91
|Chapter |12: |Genetics 101
Chapter |13: |Immune |Responses |and |Transplantation 105
|Chapter |14: |Infection 117
Chapter | 15: | Cancer 129
Chapter |16: |Fluid, |Electrolyte, |and |Acid-Base |Imbalances 148
|Chapter |17: |Preoperative |Care 165
Chapter |18: |Intraoperative |Care 175
|Chapter | 19: | Postoperative | Care 184
Chapter |20: |Assessment |and |Management: |Visual |Problems 196
|Chapter |21: |Assessment |and |Management: |Auditory |Problems 216
|Chapter |22: |Assessment: |Integumentary |System 227
Chapter |23: |Integumentary |Problems 233
|Chapter |24: |Burns 245
Chapter |25: |Assessment: |Respiratory |System 259
|Chapter |26: |Upper |Respiratory |Problems 270
|Chapter |27: |Lower |Respiratory |Problems 282
|Chapter |28: |Obstructive |Pulmonary |Diseases 305
|Chapter |29: |Assessment: |Hematologic |System 325
|Chapter |30: |Hematologic |Problems 332
Chapter |31: |Assessment: |Cardiovascular |System 353
|Chapter |32: |Hypertension 364
Chapter |33: |Coronary |Artery |Disease |and |Acute |Coronary |Syndrome 375
|Chapter |34: |Heart |Failure 394
Chapter | 35: | Dysrhythmias 406
Chapter |36: |Inflammatory |and |Structural |Heart |Disorders 420
|Chapter |37: |Vascular |Disorders 435
Chapter |38: |Assessment: |Gastrointestinal |System 450
|Chapter |39: |Nutritional | Problems 458
Chapter | 40: | Obesity 469
Chapter |41: |Upper |Gastrointestinal |Problems 478
|Chapter | 42: | Lower | Gastrointestinal | Problems 499
Chapter |43: |Liver, |Biliary |Tract, |and |Pancreas |Problems 523
|Chapter |44: |Assessment: |Urinary |System 543
Chapter | 45: | Renal | and | Urologic | Problems 553
Chapter |46: |Acute |Kidney |Injury |and |Chronic |Kidney |Disease 573
|Chapter |47: |Assessment: |Endocrine |System 590
Chapter |48: |Diabetes |Mellitus 600
|Chapter |49: |Endocrine | Problems 622
Chapter | 50: | Assessment: | Reproductive | System 642
,Test |Bank |- |Lewis's |Medical |Surgical |Nursing |(11th |Edition |by 2
|Harding)
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 3
|Harding)
Chapter 01: Professional Nursing
| | |
Test |Bank
| 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 |patients |health |care |needs.
c. The |nursing |process |is |based |on |nursing |theory |that |incorporates |the |biopsychosocial |nature |of
|humans.
d. The |nursing |process |is |used |primarily |to |explain |nursing |interventions |to |other |health |care
|professionals.
ANS: | B
The |nursing |process |is |a |problem-solving |approach |to |the |identification |and |treatment |of |patients |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 |for
|patients. |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 | 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
| outcomes |is | 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
, Test |Bank |- |Lewis's |Medical |Surgical |Nursing |(11th |Edition |by 4
|Harding)
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? |Which
| response |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 |problems
|that |occur.
c. Nurses |perform |many |of |the |same |procedures |as |the |doctor, |but |nurses |are |with |the |patients |for |a
|longer |time |than |the |doctor.
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.
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 |care
|system.
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 |hip
| Which |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 |independently
ANS: |C
|
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 |for
| diagnosis |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 |leaving |my
|children |with |my |parents. |Which |action |should |the |nurse |take |next?
