TEST BANK FOR LEWIS\'S MEDICAL-SURGICAL
NURSING, 12TH EDITION BY MARIANN M. HARDING,
JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69
QUESTIONS AND CORRECT ANSWERS
,Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The medical registered nursecompletes an admission database and explains that the plan of
care and discharge goals will be developed with the client‗s input. The client asks, ―How is
this different from what the physician does?‖ Which response would the medical registered
nurseprovide?
a. ―The role of the medical registered nurseis 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
maintain your well being.‖
c. ―The nurse‗s job is to collect information and communicate any problems that
occur to the physician.‖
d. ―Nurses perform many of the same procedures as the physician, but nurses are
with the clients for a longer time than the physician.‖
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting well being. The other responses describe dependent and collaborative functions of
the nursing role but do not accurately describe the nurse‗s unique role in the well being care
system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the medical registered nurseaccurately describes the use of evidence-based
practice (EBP)?
a. ―Client care is based on clinical judgment, experience, and traditions.‖
b. ―Data are analyzed later to show that the client outcomes are consistently met.‖
c. ―Research from all published articles are used as a guide for planning client care.‖
d. ―Recommendations are based on research, clinical expertise, and client
preferences.‖
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of client preferences. Clinical judgment based on the
nurse‗s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of client outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
,3. Which statement by the medical registered nurseprovides a clear explanation of the nursing
process?
a. ―The nursing process is a research method of diagnosing the client‗s well being
care problems.‖
b. ―The nursing process is used primarily to explain nursing interventions to other
well being care professionals.‖
c. ―The nursing process is a problem-solving tool used to identify and manage the
, clients‗ well being care needs.‖
d. ―The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.‖
ANS: C
The nursing process is a problem-solving approach to the identification and treatment of
clients‗ problems. Nursing process does not require research methods for diagnosis. The
primary use of the nursing process is in client care, not to establish nursing theory or explain
nursing interventions to other well being care professionals.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
4. A client admitted to the hospital for surgery tells the nurse, ―I do not feel comfortable
leaving my children with my parents.‖ Which action would the medical registered
nursetake 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. Gather information on the client‗s concerns about the child care arrangements.
d. Call the client‗s parents to determine whether adequate child care is being
provided.
ANS: C
Because a complete examination is necessary in order to identify a problem and choose an
appropriate intervention, the nurse‗s first action should be to obtain more information. The
other actions may be appropriate, but more examination is needed before the best intervention
can be chosen.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Examination MSC: NCLEX: Psychosocial Integrity
5. A client with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
Which expected outcome would the medical registered nurseselect for this client?
a. Client has a balanced intake and output.
b. Client‗s bedding is kept clean and free of moisture.
c. Client understands the need for increased fluid intake.
d. Client‗s skin remains cool and dry throughout hospitalization.
ANS: A
Balanced intake and output gives measurable data showing resolution of the problem of
deficient 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 well being record
b. To determine if interventions have been effective in meeting client outcomes
c. To decide whether the client‗s well being problems have been completely resolved
d. To establish if the client agrees that the nursing care provided was satisfactory
ANS: B
NURSING, 12TH EDITION BY MARIANN M. HARDING,
JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69
QUESTIONS AND CORRECT ANSWERS
,Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The medical registered nursecompletes an admission database and explains that the plan of
care and discharge goals will be developed with the client‗s input. The client asks, ―How is
this different from what the physician does?‖ Which response would the medical registered
nurseprovide?
a. ―The role of the medical registered nurseis 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
maintain your well being.‖
c. ―The nurse‗s job is to collect information and communicate any problems that
occur to the physician.‖
d. ―Nurses perform many of the same procedures as the physician, but nurses are
with the clients for a longer time than the physician.‖
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting well being. The other responses describe dependent and collaborative functions of
the nursing role but do not accurately describe the nurse‗s unique role in the well being care
system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the medical registered nurseaccurately describes the use of evidence-based
practice (EBP)?
a. ―Client care is based on clinical judgment, experience, and traditions.‖
b. ―Data are analyzed later to show that the client outcomes are consistently met.‖
c. ―Research from all published articles are used as a guide for planning client care.‖
d. ―Recommendations are based on research, clinical expertise, and client
preferences.‖
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of client preferences. Clinical judgment based on the
nurse‗s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of client outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
,3. Which statement by the medical registered nurseprovides a clear explanation of the nursing
process?
a. ―The nursing process is a research method of diagnosing the client‗s well being
care problems.‖
b. ―The nursing process is used primarily to explain nursing interventions to other
well being care professionals.‖
c. ―The nursing process is a problem-solving tool used to identify and manage the
, clients‗ well being care needs.‖
d. ―The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.‖
ANS: C
The nursing process is a problem-solving approach to the identification and treatment of
clients‗ problems. Nursing process does not require research methods for diagnosis. The
primary use of the nursing process is in client care, not to establish nursing theory or explain
nursing interventions to other well being care professionals.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
4. A client admitted to the hospital for surgery tells the nurse, ―I do not feel comfortable
leaving my children with my parents.‖ Which action would the medical registered
nursetake 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. Gather information on the client‗s concerns about the child care arrangements.
d. Call the client‗s parents to determine whether adequate child care is being
provided.
ANS: C
Because a complete examination is necessary in order to identify a problem and choose an
appropriate intervention, the nurse‗s first action should be to obtain more information. The
other actions may be appropriate, but more examination is needed before the best intervention
can be chosen.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Examination MSC: NCLEX: Psychosocial Integrity
5. A client with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
Which expected outcome would the medical registered nurseselect for this client?
a. Client has a balanced intake and output.
b. Client‗s bedding is kept clean and free of moisture.
c. Client understands the need for increased fluid intake.
d. Client‗s skin remains cool and dry throughout hospitalization.
ANS: A
Balanced intake and output gives measurable data showing resolution of the problem of
deficient 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 well being record
b. To determine if interventions have been effective in meeting client outcomes
c. To decide whether the client‗s well being problems have been completely resolved
d. To establish if the client agrees that the nursing care provided was satisfactory
ANS: B
