TESTBANKFORLEWISMEDICAL x
SURGICALNURSING,12THEDITIONBYx x
JEFFREYKWONG,DEBRAHAGLER,
MARIANNMCHAPTER1-69latest2024/2025
QUESTIONSWITH 100%SOLUTIONS-
GRADEBOOSTER
,CHAPTER 01: PROFESSIONAL NURSING
HARDING: LEWIS’S MEDICAL-SURGICAL NURSING, 12TH EDITION
x x x x x
MULTIPLExCHOICE
1. Thexnursexcompletesxanxadmissionxdatabasexandxexplainsxthatxthexplanxofxcarexandxdischargexg
oalsxwillxbexdevelopedxwithxthexpatientsxinput.xThexpatientxasks,x―Howxisxthisxdifferentxfromxw
hatxthexphysicianxdoes?x‖xWhichxresponsexwouldxthexnursexprovide?
a. ―Thexrolexofxthexnursexisxtoxadministerxmedicationsxandxotherxtreatmentsxprescribedx
byxyourxphysician.
b. ―Inxadditionxtoxcaringxforxyouxwhilexyouxarexsick,xthexnursesxwillxhelpxyouxplanxtox
maintainxyourxhealth.
c. ―Thexnursesxjobxisxtoxcollectxinformationxandxcommunicatexanyxproblemsxthatx
occurxtoxthexphysician.
d. ―Nursesxperformxmanyxofxthexsamexproceduresxasxthexphysician,xbutxnursesxarex
withxthexpatientsxforxaxlongerxtimexthanxthexphysician.
ANS:xB
ThexAmericanxNursesxAssociationx(ANA)xdefinitionxofxnursingxdescribesxthexrolexofxnursesxinxp
romotingxhealth.xThexotherxresponsesxdescribexdependentxandxcollaborativexfunctionsxofxthexnu
rsingxrolexbutxdoxnotxaccuratelyxdescribexthexnursesxuniquexrolexinxthexhealthxcarexsystem.
DIF:x x CognitivexLevel:xAnalyzex(Analysis)
TOP:x NursingxProcess:xImplementation MSC:x NCLEX:xSafexandxEffectivexCarexEnvironment
2. Whichxstatementxbyxthexnursexaccuratelyxdescribesx thexusexofxevidence-basedxpracticex(EBP)?
a. ―Patientxcarexisxbasedxonxclinicalxjudgment,xexperience,xandxtraditions.
b. ―Dataxarexanalyzedxlaterxtoxshowxthatxthexpatientxoutcomesxarexconsistentlyxmet.
c. ―Researchxfromxallxpublishedxarticlesxarexusedxasxaxguidexforxplanningxpatientxcare.
d. ―Recommendationsxarexbasedxonxresearch,xclinicalxexpertise,xandxpatientx
preferences.
ANS:xD
Evidence-basedxpracticex(EBP)xisxthexusexofxthexbestxresearch-
basedxevidencexcombinedxwithxclinicianxexpertisexandxconsiderationxofxpatientxpreferences.xCl
inicalxjudgmentxbasedxonxthexnursesxclinicalxexperiencexisxpartxofxEBP,xbutxclinicalxdecisionxm
akingxshouldxalsoxincorporatexcurrentxresearchxandxresearch-
basedxguidelines.xEvaluationxofxpatientxoutcomesxisximportant,xbutxdataxanalysisxisxnotxrequired
xtoxusexEBP.xAllxpublishedxarticlesxdoxnotxprovidexresearchxevidence;xinterventionsxshouldxbexb
asedxonxcrediblexresearch,xpreferablyxrandomizedxcontrolledxstudiesxwithxaxlargexnumberxofxsu
bjects.
DIF: CognitivexLevel:xUnderstandx(Comprehension)
TOP:xNursingxProcess:xPlanningxMSC:x NCLEX:xSafexandxEffectivexCarexEnvironment
,3. Whichxstatementxbyxthexnursexprovidesxaxclearxexplanationxofxthexnursingxprocess?
a. ―Thexnursingxprocessxisxaxresearchxmethodxofxdiagnosingxthexpatient‗sxhealthxcarexp
roblems.‖
b. ―Thexnursingxprocessxisxusedxprimarilyxtoxexplainxnursingxinterventionsxtoxotherx
healthxcarexprofessionals.‖
c. ―Thexnursingxprocessxisxaxproblem-solvingxtoolxusedxtoxidentifyxandxmanagexthe
, patients‗xhealthxcarexneeds.‖
d. ―Thexnursingxprocessxisxbasedxonxnursingxtheoryxthatxincorporatesxthex
biopsychosocialxnaturexofxhumans.‖
ANS:xC
Thexnursingxprocessxisxaxproblem-
solvingxapproachxtoxthexidentificationxandxtreatmentxofxpatients‗xproblems.xNursingxprocessxdoes
xnotxrequirexresearchxmethodsxforxdiagnosis.xThexprimaryxusexofxthexnursingxprocessxisxinxpatientxc
are,xnotxtoxestablishxnursingxtheoryxorxexplainxnursingxinterventionsxtoxotherxhealthxcarexprofessio
nals.
DIF: CognitivexLevel:xUnderstandx(Comprehension)
TOP:xNursingxProcess:xEvaluationxMSC:x NCLEX:xSafexandxEffectivexCarexEnvironment
4. Axpatientxadmittedxtoxthexhospitalxforxsurgeryxtellsxthexnurse,x―Ixdoxnotxfeelxcomfortablexl
eavingxmyxchildrenxwithxmyxparents.‖xWhichxactionxwouldxthexnursextakexnext?
a. Reassurexthexpatientxthatxthesexfeelingsxarexcommonxforxparents.
b. Havexthexpatientxcallxthexchildrenxtoxensurexthatxtheyxarexdoingxwell.
c. Gatherxinformationxonxthexpatient‗sxconcernsxaboutxthexchildxcarexarrangements.
d. Callxthexpatient‗sxparentsxtoxdeterminexwhetherxadequatexchildxcarexisxbeingx
provided.
ANS:xC
Becausexaxcompletexassessmentxisxnecessaryxinxorderxtoxidentifyxaxproblemxandxchoosexanxapp
ropriatexintervention,xthexnurse‗sxfirstxactionxshouldxbextoxobtainxmorexinformation.xThexotherx
actionsxmayxbexappropriate,xbutxmorexassessmentxisxneededxbeforexthexbestxinterventionxcanxbex
chosen.
DIF: CognitivexLevel:xAnalyzex(Analysis)
TOP:x NursingxProcess:xAssessment MSC:xNCLEX:xPsychosocialxIntegrity
5. Axpatientxwithxaxbacterialxinfectionxisxhypovolemicxduextoxaxfeverxandxexcessivexdiaphoresis.x
Whichxexpectedxoutcomexwouldxthexnursexselectxforxthisxpatient?
a. Patientxhasxaxbalancedxintakexandxoutput.
b. Patient‗sxbeddingxisxkeptxcleanxandxfreexofxmoisture.
c. Patientxunderstandsxthexneedxforxincreasedxfluidxintake.
d. Patient‗sxskinxremainsxcoolxandxdryxthroughoutxhospitalization.
ANS:xA
Balancedxintakexandxoutputxgivesxmeasurablexdataxshowingxresolutionxofxthexproblemxofxdeficie
ntxfluidxvolume.xThexotherxstatementsxwouldxnotxindicatexthatxthexproblemxofxhypovolemiaxwa
sxresolved.
DIF: CognitivexLevel:xApplyx(Application)
TOP:xNursingxProcess:xPlanningxMSC:x NCLEX:xPhysiologicalxIntegrity
6. Whichxstatementxdescribesxthexpurposexofxthexevaluationxphasexofxthexnursingxprocess?
a. Toxdocumentxthexnursingxcarexplanxinxthexprogressxnotesxofxthexhealthxrecord
b. Toxdeterminexifxinterventionsxhavexbeenxeffectivexinxmeetingxpatientxoutcomes
c. Toxdecidexwhetherxthexpatient‗sxhealthxproblemsxhavexbeenxcompletelyxresolved
d. Toxestablishxifxthexpatientxagreesxthatxthexnursingxcarexprovidedxwasxsatisfactory
ANS:xB
SURGICALNURSING,12THEDITIONBYx x
JEFFREYKWONG,DEBRAHAGLER,
MARIANNMCHAPTER1-69latest2024/2025
QUESTIONSWITH 100%SOLUTIONS-
GRADEBOOSTER
,CHAPTER 01: PROFESSIONAL NURSING
HARDING: LEWIS’S MEDICAL-SURGICAL NURSING, 12TH EDITION
x x x x x
MULTIPLExCHOICE
1. Thexnursexcompletesxanxadmissionxdatabasexandxexplainsxthatxthexplanxofxcarexandxdischargexg
oalsxwillxbexdevelopedxwithxthexpatientsxinput.xThexpatientxasks,x―Howxisxthisxdifferentxfromxw
hatxthexphysicianxdoes?x‖xWhichxresponsexwouldxthexnursexprovide?
a. ―Thexrolexofxthexnursexisxtoxadministerxmedicationsxandxotherxtreatmentsxprescribedx
byxyourxphysician.
b. ―Inxadditionxtoxcaringxforxyouxwhilexyouxarexsick,xthexnursesxwillxhelpxyouxplanxtox
maintainxyourxhealth.
c. ―Thexnursesxjobxisxtoxcollectxinformationxandxcommunicatexanyxproblemsxthatx
occurxtoxthexphysician.
d. ―Nursesxperformxmanyxofxthexsamexproceduresxasxthexphysician,xbutxnursesxarex
withxthexpatientsxforxaxlongerxtimexthanxthexphysician.
ANS:xB
ThexAmericanxNursesxAssociationx(ANA)xdefinitionxofxnursingxdescribesxthexrolexofxnursesxinxp
romotingxhealth.xThexotherxresponsesxdescribexdependentxandxcollaborativexfunctionsxofxthexnu
rsingxrolexbutxdoxnotxaccuratelyxdescribexthexnursesxuniquexrolexinxthexhealthxcarexsystem.
DIF:x x CognitivexLevel:xAnalyzex(Analysis)
TOP:x NursingxProcess:xImplementation MSC:x NCLEX:xSafexandxEffectivexCarexEnvironment
2. Whichxstatementxbyxthexnursexaccuratelyxdescribesx thexusexofxevidence-basedxpracticex(EBP)?
a. ―Patientxcarexisxbasedxonxclinicalxjudgment,xexperience,xandxtraditions.
b. ―Dataxarexanalyzedxlaterxtoxshowxthatxthexpatientxoutcomesxarexconsistentlyxmet.
c. ―Researchxfromxallxpublishedxarticlesxarexusedxasxaxguidexforxplanningxpatientxcare.
d. ―Recommendationsxarexbasedxonxresearch,xclinicalxexpertise,xandxpatientx
preferences.
ANS:xD
Evidence-basedxpracticex(EBP)xisxthexusexofxthexbestxresearch-
basedxevidencexcombinedxwithxclinicianxexpertisexandxconsiderationxofxpatientxpreferences.xCl
inicalxjudgmentxbasedxonxthexnursesxclinicalxexperiencexisxpartxofxEBP,xbutxclinicalxdecisionxm
akingxshouldxalsoxincorporatexcurrentxresearchxandxresearch-
basedxguidelines.xEvaluationxofxpatientxoutcomesxisximportant,xbutxdataxanalysisxisxnotxrequired
xtoxusexEBP.xAllxpublishedxarticlesxdoxnotxprovidexresearchxevidence;xinterventionsxshouldxbexb
asedxonxcrediblexresearch,xpreferablyxrandomizedxcontrolledxstudiesxwithxaxlargexnumberxofxsu
bjects.
DIF: CognitivexLevel:xUnderstandx(Comprehension)
TOP:xNursingxProcess:xPlanningxMSC:x NCLEX:xSafexandxEffectivexCarexEnvironment
,3. Whichxstatementxbyxthexnursexprovidesxaxclearxexplanationxofxthexnursingxprocess?
a. ―Thexnursingxprocessxisxaxresearchxmethodxofxdiagnosingxthexpatient‗sxhealthxcarexp
roblems.‖
b. ―Thexnursingxprocessxisxusedxprimarilyxtoxexplainxnursingxinterventionsxtoxotherx
healthxcarexprofessionals.‖
c. ―Thexnursingxprocessxisxaxproblem-solvingxtoolxusedxtoxidentifyxandxmanagexthe
, patients‗xhealthxcarexneeds.‖
d. ―Thexnursingxprocessxisxbasedxonxnursingxtheoryxthatxincorporatesxthex
biopsychosocialxnaturexofxhumans.‖
ANS:xC
Thexnursingxprocessxisxaxproblem-
solvingxapproachxtoxthexidentificationxandxtreatmentxofxpatients‗xproblems.xNursingxprocessxdoes
xnotxrequirexresearchxmethodsxforxdiagnosis.xThexprimaryxusexofxthexnursingxprocessxisxinxpatientxc
are,xnotxtoxestablishxnursingxtheoryxorxexplainxnursingxinterventionsxtoxotherxhealthxcarexprofessio
nals.
DIF: CognitivexLevel:xUnderstandx(Comprehension)
TOP:xNursingxProcess:xEvaluationxMSC:x NCLEX:xSafexandxEffectivexCarexEnvironment
4. Axpatientxadmittedxtoxthexhospitalxforxsurgeryxtellsxthexnurse,x―Ixdoxnotxfeelxcomfortablexl
eavingxmyxchildrenxwithxmyxparents.‖xWhichxactionxwouldxthexnursextakexnext?
a. Reassurexthexpatientxthatxthesexfeelingsxarexcommonxforxparents.
b. Havexthexpatientxcallxthexchildrenxtoxensurexthatxtheyxarexdoingxwell.
c. Gatherxinformationxonxthexpatient‗sxconcernsxaboutxthexchildxcarexarrangements.
d. Callxthexpatient‗sxparentsxtoxdeterminexwhetherxadequatexchildxcarexisxbeingx
provided.
ANS:xC
Becausexaxcompletexassessmentxisxnecessaryxinxorderxtoxidentifyxaxproblemxandxchoosexanxapp
ropriatexintervention,xthexnurse‗sxfirstxactionxshouldxbextoxobtainxmorexinformation.xThexotherx
actionsxmayxbexappropriate,xbutxmorexassessmentxisxneededxbeforexthexbestxinterventionxcanxbex
chosen.
DIF: CognitivexLevel:xAnalyzex(Analysis)
TOP:x NursingxProcess:xAssessment MSC:xNCLEX:xPsychosocialxIntegrity
5. Axpatientxwithxaxbacterialxinfectionxisxhypovolemicxduextoxaxfeverxandxexcessivexdiaphoresis.x
Whichxexpectedxoutcomexwouldxthexnursexselectxforxthisxpatient?
a. Patientxhasxaxbalancedxintakexandxoutput.
b. Patient‗sxbeddingxisxkeptxcleanxandxfreexofxmoisture.
c. Patientxunderstandsxthexneedxforxincreasedxfluidxintake.
d. Patient‗sxskinxremainsxcoolxandxdryxthroughoutxhospitalization.
ANS:xA
Balancedxintakexandxoutputxgivesxmeasurablexdataxshowingxresolutionxofxthexproblemxofxdeficie
ntxfluidxvolume.xThexotherxstatementsxwouldxnotxindicatexthatxthexproblemxofxhypovolemiaxwa
sxresolved.
DIF: CognitivexLevel:xApplyx(Application)
TOP:xNursingxProcess:xPlanningxMSC:x NCLEX:xPhysiologicalxIntegrity
6. Whichxstatementxdescribesxthexpurposexofxthexevaluationxphasexofxthexnursingxprocess?
a. Toxdocumentxthexnursingxcarexplanxinxthexprogressxnotesxofxthexhealthxrecord
b. Toxdeterminexifxinterventionsxhavexbeenxeffectivexinxmeetingxpatientxoutcomes
c. Toxdecidexwhetherxthexpatient‗sxhealthxproblemsxhavexbeenxcompletelyxresolved
d. Toxestablishxifxthexpatientxagreesxthatxthexnursingxcarexprovidedxwasxsatisfactory
ANS:xB