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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Lewi
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s: Medical-Surgical Nursing, 10th Edition
ai ai ai ai
MULTIPLE CHOICE ai
1. The nurse completes an admission database and explains that the plan of care and discharge go
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als will be developed with the patient‘s input. The patient states, ―How is this different from wh
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
at the doctor does?‖ Which response would be most appropriate for the nurse to make?
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
a. ―The role of the nurse is to administer medications and other treatments prescribed
ai ai ai ai ai ai ai ai ai ai ai ai ai
by your doctor.‖ ai ai
b. ―The nurse‘s job is to help the doctor by collecting information and
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communicating any problems that occur.‖ ai ai ai ai
c. ―Nurses perform many of the same procedures as the doctor, but nurses are with
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
the patients for a longer time than the doctor.‖
ai ai ai ai ai ai ai ai
d. ―In addition to caring for you while you are sick, the nurses will assist you to
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
develop an individualized plan to maintain your health.‖ ai ai ai ai ai ai ai
ANS: D ai
This response is consistent with the American Nurses Association (ANA) definition of nursin
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g, which describes the role of nurses in promoting health. The other responses describe some of
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
the dependent and collaborative functions of the nursing role but do not accurately describe th
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
e nurse‘s role in the health care system.
ai ai ai ai ai ai ai
DIF: Cognitive Level: Understand (comprehension) REF: 3 ai ai ai a i
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
a i ai ai a i ai ai ai ai ai
2. The nurse describes to a student nurse how to use evidence-
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based practice guidelines when caring for patients. Which statement, if made by the nurse,
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would be the most accurate? ai ai ai ai
a. ―Inferences from clinical research studies are used as a guide.‖ ai ai ai ai ai ai ai ai ai
b. ―Patient care is based on clinical judgment, experience, and traditions.‖
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c. ―Data are evaluated to show that the patient outcomes are consistently met.‖
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d. ―Recommendations are based on research, clinical expertise, and patient ai ai ai ai ai ai ai ai ai
preferences.‖
ANS: D ai
Evidence-based practice (EBP) is the use of the best research- ai ai ai ai ai ai ai ai ai
based evidence combined with clinician expertise. Clinical judgment based on the nurse‘s clini
ai ai ai ai ai ai ai ai ai ai ai ai
cal experience is part of EBP, but clinical decision making should also incorporate current rese
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
arch and research- ai ai
based guidelines. Evaluation of patient outcomes is important, but interventions should be base
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d on research from randomized control studies with a large number of subjects.
ai ai ai ai ai ai ai ai ai ai ai ai
DIF: Cognitive Level: Remember (knowledge) REF: 15 ai ai ai a i
TOP: Nursing Process: Planninga i MSC: NCLEX: Safe and Effective Care Environment
ai ai a i ai ai ai ai ai
3. The nurse teaches a student nurse about how to apply the nursing process when providing
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patient care. Which statement, if made by the student nurse, indicates that teaching was s
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
uccessful?
a. ―The nursing process is a scientific- ai ai ai ai ai
based method of diagnosing the patient‘s health care problems.‖
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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. ―The nursing process is a problem-solving tool used to identify and treat patients‘
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, [Type here]
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Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
health care needs.‖ ai ai
c. ―The nursing process is used primarily to explain nursing interventions to other
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health care professionals.‖ ai ai
d. ―The nursing process is based on nursing theory that incorporates the
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biopsychosocial nature of humans.‖ ai ai ai
ANS: B ai
The nursing process is a problem-
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solving approach to the identification and treatment of patients‘ problems. Diagnosis is only o
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ne phase of the nursing process. The primary use of the nursing process is in patient care, not t
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
o establish nursing theory or explain nursing interventions to other health care professionals.
ai ai ai ai ai ai ai ai ai ai ai ai
DIF: Cognitive Level: Understand (comprehension) REF: 5 ai ai ai a i
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
a i ai ai a i ai ai ai ai ai
4. A patient has been admitted to the hospital for surgery and tells the nurse, ―I do not feel comf
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
ortable leaving my children with my parents.‖ Which action should the nurse take next?
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a. Reassure the patient that these feelings are common for parents. ai ai ai ai ai ai ai ai ai
b. Have the patient call the children to ensure that they are doing well.
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c. Gather more data about the patient‘s feelings about the child-care arrangements.
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d. Call the patient‘s parents to determine whether adequate child care is being
ai ai ai ai ai ai ai ai ai ai ai ai
provided.
ANS: C ai
Because a complete assessment is necessary in order to identify a problem and choose an appr
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
opriate intervention, the nurse‘s first action should be to obtain more information. The other ac
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
tions may be appropriate, but more assessment is needed before the best intervention can be ch
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
osen.
DIF: Cognitive Level: Apply (application) ai ai ai REF: 6
OBJ: Special Questions: Prioritization
a i ai ai
TOP: Nursing Process: Assessment
ai ai ai
MSC: NCLEX: Psychosocial Integrity
ai a i ai ai
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer
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on the left hip. Which nursing diagnosis is most appropriate?
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a. Impaired physical mobility related to left-sided paralysis ai ai ai ai ai ai
b. Risk for impaired tissue integrity related to left-sided weakness
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c. Impaired skin integrity related to altered circulation and pressure ai ai ai ai ai ai ai ai
d. Ineffective tissue perfusion related to inability to move independently ai ai ai ai ai ai ai ai
ANS: C ai
The patient‘s major problem is the impaired skin integrity as demonstrated by the presence of
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by freq
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
uently repositioning the patient. Although left-
ai ai ai ai ai
sided weakness is a problem for the patient, the nurse cannot treat the weakness. The ―risk for‖
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The pati
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
ent does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates
ai ai ai ai ai ai ai ai ai ai ai ai ai
more clearly what the health problem is.
ai ai ai ai ai ai
DIF: Cognitive Level: Apply (application) REF: 7 ai ai ai
TOP: Nursing Process: Diagnosis
a i MSC: NCLEX: Physiological Integrity ai ai a i ai ai
ai
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
,[Type here]
ai
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Lewi
ai ai ai ai ai
s: Medical-Surgical Nursing, 10th Edition
ai ai ai ai
MULTIPLE CHOICE ai
1. The nurse completes an admission database and explains that the plan of care and discharge go
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
als will be developed with the patient‘s input. The patient states, ―How is this different from wh
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
at the doctor does?‖ Which response would be most appropriate for the nurse to make?
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
a. ―The role of the nurse is to administer medications and other treatments prescribed
ai ai ai ai ai ai ai ai ai ai ai ai ai
by your doctor.‖ ai ai
b. ―The nurse‘s job is to help the doctor by collecting information and
ai ai ai ai ai ai ai ai ai ai ai ai
communicating any problems that occur.‖ ai ai ai ai
c. ―Nurses perform many of the same procedures as the doctor, but nurses are with
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
the patients for a longer time than the doctor.‖
ai ai ai ai ai ai ai ai
d. ―In addition to caring for you while you are sick, the nurses will assist you to
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
develop an individualized plan to maintain your health.‖ ai ai ai ai ai ai ai
ANS: D ai
This response is consistent with the American Nurses Association (ANA) definition of nursin
ai ai ai ai ai ai ai ai ai ai ai ai
g, which describes the role of nurses in promoting health. The other responses describe some of
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
the dependent and collaborative functions of the nursing role but do not accurately describe th
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
e nurse‘s role in the health care system.
ai ai ai ai ai ai ai
DIF: Cognitive Level: Understand (comprehension) REF: 3 ai ai ai a i
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
a i ai ai a i ai ai ai ai ai
2. The nurse describes to a student nurse how to use evidence-
ai ai ai ai ai ai ai ai ai ai
based practice guidelines when caring for patients. Which statement, if made by the nurse,
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
would be the most accurate? ai ai ai ai
a. ―Inferences from clinical research studies are used as a guide.‖ ai ai ai ai ai ai ai ai ai
b. ―Patient care is based on clinical judgment, experience, and traditions.‖
ai ai ai ai ai ai ai ai ai
c. ―Data are evaluated to show that the patient outcomes are consistently met.‖
ai ai ai ai ai ai ai ai ai ai ai
d. ―Recommendations are based on research, clinical expertise, and patient ai ai ai ai ai ai ai ai ai
preferences.‖
ANS: D ai
Evidence-based practice (EBP) is the use of the best research- ai ai ai ai ai ai ai ai ai
based evidence combined with clinician expertise. Clinical judgment based on the nurse‘s clini
ai ai ai ai ai ai ai ai ai ai ai ai
cal experience is part of EBP, but clinical decision making should also incorporate current rese
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
arch and research- ai ai
based guidelines. Evaluation of patient outcomes is important, but interventions should be base
ai ai ai ai ai ai ai ai ai ai ai ai
d on research from randomized control studies with a large number of subjects.
ai ai ai ai ai ai ai ai ai ai ai ai
DIF: Cognitive Level: Remember (knowledge) REF: 15 ai ai ai a i
TOP: Nursing Process: Planninga i MSC: NCLEX: Safe and Effective Care Environment
ai ai a i ai ai ai ai ai
3. The nurse teaches a student nurse about how to apply the nursing process when providing
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
patient care. Which statement, if made by the student nurse, indicates that teaching was s
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
uccessful?
a. ―The nursing process is a scientific- ai ai ai ai ai
based method of diagnosing the patient‘s health care problems.‖
ai ai ai ai ai ai ai ai
,[Type here]
ai
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. ―The nursing process is a problem-solving tool used to identify and treat patients‘
ai ai ai ai ai ai ai ai ai ai ai ai
, [Type here]
ai
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
health care needs.‖ ai ai
c. ―The nursing process is used primarily to explain nursing interventions to other
ai ai ai ai ai ai ai ai ai ai ai ai
health care professionals.‖ ai ai
d. ―The nursing process is based on nursing theory that incorporates the
ai ai ai ai ai ai ai ai ai ai ai
biopsychosocial nature of humans.‖ ai ai ai
ANS: B ai
The nursing process is a problem-
ai ai ai ai ai
solving approach to the identification and treatment of patients‘ problems. Diagnosis is only o
ai ai ai ai ai ai ai ai ai ai ai ai ai
ne phase of the nursing process. The primary use of the nursing process is in patient care, not t
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
o establish nursing theory or explain nursing interventions to other health care professionals.
ai ai ai ai ai ai ai ai ai ai ai ai
DIF: Cognitive Level: Understand (comprehension) REF: 5 ai ai ai a i
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
a i ai ai a i ai ai ai ai ai
4. A patient has been admitted to the hospital for surgery and tells the nurse, ―I do not feel comf
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
ortable leaving my children with my parents.‖ Which action should the nurse take next?
ai ai ai ai ai ai ai ai ai ai ai ai ai
a. Reassure the patient that these feelings are common for parents. ai ai ai ai ai ai ai ai ai
b. Have the patient call the children to ensure that they are doing well.
ai ai ai ai ai ai ai ai ai ai ai ai
c. Gather more data about the patient‘s feelings about the child-care arrangements.
ai ai ai ai ai ai ai ai ai ai
d. Call the patient‘s parents to determine whether adequate child care is being
ai ai ai ai ai ai ai ai ai ai ai ai
provided.
ANS: C ai
Because a complete assessment is necessary in order to identify a problem and choose an appr
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
opriate intervention, the nurse‘s first action should be to obtain more information. The other ac
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
tions may be appropriate, but more assessment is needed before the best intervention can be ch
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
osen.
DIF: Cognitive Level: Apply (application) ai ai ai REF: 6
OBJ: Special Questions: Prioritization
a i ai ai
TOP: Nursing Process: Assessment
ai ai ai
MSC: NCLEX: Psychosocial Integrity
ai a i ai ai
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
on the left hip. Which nursing diagnosis is most appropriate?
ai ai ai ai ai ai ai ai ai
a. Impaired physical mobility related to left-sided paralysis ai ai ai ai ai ai
b. Risk for impaired tissue integrity related to left-sided weakness
ai ai ai ai ai ai ai ai
c. Impaired skin integrity related to altered circulation and pressure ai ai ai ai ai ai ai ai
d. Ineffective tissue perfusion related to inability to move independently ai ai ai ai ai ai ai ai
ANS: C ai
The patient‘s major problem is the impaired skin integrity as demonstrated by the presence of
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by freq
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
uently repositioning the patient. Although left-
ai ai ai ai ai
sided weakness is a problem for the patient, the nurse cannot treat the weakness. The ―risk for‖
ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai ai
diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The pati
ai ai ai ai ai ai ai ai ai ai ai ai ai ai
ent does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates
ai ai ai ai ai ai ai ai ai ai ai ai ai
more clearly what the health problem is.
ai ai ai ai ai ai
DIF: Cognitive Level: Apply (application) REF: 7 ai ai ai
TOP: Nursing Process: Diagnosis
a i MSC: NCLEX: Physiological Integrity ai ai a i ai ai
