TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 1
Table of Contents
n n
Tablen ofn Contents 1
Chaptern 01:n Professionaln Nursing 3
Chaptern02:nHealthnEquitynandnCulturallynCompetentnCareChaptern 13
03:nHealthnHistorynandnPhysicalnExaminationnChaptern04:nPatientna 21
ndnCaregivernTeaching 28
Chaptern05:nChronicnIllnessnandnOldernAdultsn 38
Chaptern06:nStressnManagement 48
Chaptern07:nSleepnandnSleepnDisordersnChapte 54
rn08:nPain 59
Chaptern09:nPalliativenandnEndnofnLifenCarenChapte 71
rn10:nSubstancenUsenDisordersnChaptern11:nInflam 79
mationnandnHealingnChaptern12:nGenetics 91
Chaptern13:nImmunenResponsesnandnTransplantationChaptern14:nInf 101
ection 105
Chaptern 15:n Cancer 117
Chaptern16:nFluid,nElectrolyte,nandnAcid- 129
BasenImbalancesChaptern17:nPreoperativenCare 148
Chaptern18:nIntraoperativenCarenChap 165
tern 19:n Postoperativen Care 175
Chaptern20:nAssessmentnandnManagement:nVisualnProblemsnChaptern21:nAss 184
essmentnandnManagement:nAuditorynProblemsChaptern22:nAssessment:nInteg 196
umentarynSystem 216
Chaptern23:nIntegumentarynProblemsn 227
Chaptern24:nBurns 233
Chaptern25:nAssessment:nRespiratorynSystemn Chapte 245
rn26:nUppernRespiratorynProblemsnChaptern27:nLowern 259
RespiratorynProblemsnChaptern28:nObstructivenPulmo 270
narynDiseasesnChaptern29:nAssessment: 282
HematologicnSystemChaptern30:nHematologicnProble 305
ms 325
Chaptern31:nAssessment:nCardiovascularnSystemChaptern32:nHyper 332
tension 353
Chaptern33:nCoronarynArterynDiseasenandnAcutenCoronarynSyndromenChapte 364
rn34:nHeartnFailure 375
Chaptern 35:n Dysrhythmias 394
Chaptern36:nInflammatorynandnStructuralnHeartnDisordersChaptern3 406
7:nVascularnDisorders 420
Chaptern38:nAssessment:nGastrointestinalnSystemChaptern39:nNutritiona 435
lnProblems 450
Chaptern 40:n Obesity 458
Chaptern41:nUppernGastrointestinalnProblemsnChap 469
tern 42:n Lowern Gastrointestinaln Problems 478
Chaptern43:nLiver,nBiliarynTract,nandnPancreasnProblemsChaptern44 499
:nAssessment:nUrinarynSystem 523
Chaptern 45:n Renaln andn Urologicn Problems 543
Chaptern46:nAcutenKidneynInjurynandnChronicnKidneynDiseaseChaptern47:nA 553
ssessment:nEndocrinenSystem 573
Chaptern48:nDiabetesnMellitusnChapte 590
rn49:nEndocrinenProblems 600
Chaptern 50:n Assessment:n Reproductiven System 622
642
,TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 2
Chaptern 51:n Breastn Disorders 650
Chaptern52:nSexuallynTransmittednInfectionsChaptern 662
53:nFemalenReproductivenProblemsChaptern54: 671
MalenReproductiven ProblemsnChaptern 55: 693
Assessment:nNervousnSystemnChaptern56:nAcutenIntr 708
acranialnProblemsnChaptern57:nStroke 717
Chaptern58:nChronicnNeurologicnProblemsChaptern59 734
:nDementianandnDelirium 747
Chaptern60:nSpinalnCordnandnPeripheralnNervenProblemsChaptern61:nAss 763
essment:nMusculoskeletalnSystem 772
Chaptern62:nMusculoskeletalnTraumanandnOrthopedicnSurgeryChaptern63 787
:nMusculoskeletalnProblems 794
Chaptern64:nArthritisnandnConnectivenTissuenDiseasesChaptern65:nCritica 814
lnCare 825
Chaptern 66:n Shock,n Sepsis,n andn Multiplen Organn Dysfunctionn Syndrome 845
Chaptern67:nAcutenRespiratorynFailurenandnAcutenRespiratorynDistressnSyndromeChaptern6 864
8:nEmergencynandnDisasternNursing 877
889
TEST BANK FOR
n n
Lewis’s Medical Surgical
n n n
Nursing 11th Edition Hard
n n n
ing
,TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 3
Chapter 01: Professional Nursing
n n n
TestnBankn MULTIPL
EnCHOICE
1. Thennursenteachesnanstudentnnursenaboutnhowntonapplynthennursingnprocessnwhennprovidingnpatientncare.nW
hichn statement,n ifn maden byn then studentn nurse,n indicatesn thatn teachingn wasn successful?
a. Thennursingn processnisnan scientific-basedn methodn ofndiagnosingn then patientsn healthn caren problems.
b. Then nursingn processn isnan problem-solvingn tooln usedn tonidentifyn andn treatn patientsn healthncaren needs.
c. Thennursingnprocessnisnbasednonnnursingntheorynthatnincorporatesnthenbiopsychosocialnnaturenofnh
umans.
d. Thennursingnprocessnisnusednprimarilyntonexplainnnursingninterventionsntonothernhealthncarenp
rofessionals.
ANS:n B
Thennursingnprocessnisnanproblem-
solvingnapproachntonthenidentificationnandntreatmentnofnpatientsnproblems.nDiagnosisnisnonlynonenphasenofnthenn
ursingnprocess.nThenprimarynusenofnthennursingnprocessnisninnpatientncare,nnotn ton establishn nursingn theoryn orn ex
plainn nursingn interventionsn ton othern healthn caren professionals.
DIF:n Cognitiven Level:n Understandn (comprehension)
TOP:n Nursingn Process:n Implementationn MSC:n NCLEX:n Safenandn Effectiven Caren Environment
2. Thennursendescribesntonanstudentnnursenhowntonusenevidence-
basednpracticenguidelinesnwhenncaringnfornpatients.n Whichn statement,n ifn maden bynthen nurse,n wouldn ben th
en mostn accurate?
a. Inferencesn fromn clinicaln researchn studiesn aren usedn asnan guide.
b. Patientn caren isnbasedn onnclinicalnjudgment,n experience,n andntraditions.
c. Datan aren evaluatedn tonshown thatnthen patientn outcomesn arenconsistentlyn met.
d. Recommendationsn aren basedn onnresearch,n clinicaln expertise,n andn patientn preferences.
ANS:n D
Evidence-basedn practicen (EBP)n isn then usen ofn then bestn research-
basedn evidencen combinedn withn cliniciannexpertise.n Clinicaln judgmentn basedn onn then nursesn clinicaln experienc
en isn partn ofn EBP,n butn clinicaln decisionnmakingnshouldnalsonincorporatencurrentnresearchnandnresearch-
basedn guidelines.nEvaluationn ofn patientnoutcomesn isn important,n butn interventionsn shouldn ben basedn onn researc
hn fromn randomizedn controln studiesn withn an largennumbernofnsubjects.
DIF:n Cognitiven Level:n Remembern (knowledge)
TOP:n Nursingn Process:n Planningn MSC:n NCLEX:n Safenandn Effectiven Caren Environment
, TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 4
3. Thennursencompletesnannadmissionndatabasenandnexplainsnthatnthenplannofncarenandndischargengoalsnwillnbendev
elopednwithnthenpatientsninput.nThenpatientnstates,nHownisnthisndifferentnfromnwhatnthendoctorndoes?nWhichnrespo
nsen wouldnben mostnappropriatenforn then nursenton make?
a. Then rolen ofnthen nursen isn tonadministern medicationsn andn othern treatmentsn prescribednbyn yourn doctor.
b. Thennursesnjobnisntonhelpnthendoctornbyncollectingninformationnandncommunicatingnanynproblemsnth
atnoccur.
c. Nursesnperformnmanynofnthensamenproceduresnasnthendoctor,nbutnnursesnarenwithnthenpatientsnfornanlo
ngerntimenthannthendoctor.
d. Innadditionntoncaringnfornyounwhilenyounarensick,nthennursesnwillnassistnyountondevelopnannin
dividualizednplanntonmaintainnyournhealth.
ANS:n D
Thisn responsen isn consistentn withn then Americann Nursesn Associationn (ANA)n definitionn ofn nursing,n whichnde
scribesnthenrolenofnnursesninnpromotingnhealth.nThenothernresponsesndescribensomenofnthendependentnandncollabo
rativenfunctionsnofnthennursingnrolenbutndonnotnaccuratelyndescribenthennursesnroleninnthenhealthncarensystem.
DIF:n Cognitiven Level:n Understandn (comprehension)
TOP:n Nursingn Process:n Implementationn MSC:n NCLEX:n Safenandn Effectiven Caren Environment
4. AnpatientnwhonisnparalyzednonnthenleftnsidenofnthenbodynafternanstrokendevelopsnanpressurenulcernonnthenleftnhipnW
hichnnursingndiagnosisnisnmostnappropriate?
a. Impairedn physicaln mobilityn relatednton left-sidednparalysis
b. Riskn forn impairedn tissuen integrityn relatedn tonleft-sidedn weakness
c. Impairedn skinn integrityn relatedn tonalteredn circulationn andn pressure
d. Ineffectiventissuenperfusionnrelatedntoninabilityntonmovenindependentlyn
ANS:nC
Thenpatientsnmajornproblemnisnthenimpairednskinnintegritynasndemonstratednbynthenpresencenofnanpressurenulcer.nTh
ennursenisnablentontreatnthencausenofnalteredncirculationnandnpressurenbynfrequentlynrepositioningnthenpatient.nAlthou
ghn left-
sidedn weaknessn isn an problemn forn then patient,n then nursen cannotn treatn then weakness.n Then riskn forndiagnosisnisnnot
nappropriatenfornthisnpatient,nwhonalreadynhasnimpairedntissuenintegrity.nThenpatientndoesnhavenineffectiven tissuen p
erfusion,n butn then impairedn skinn integrityn diagnosisn indicatesn moren clearlyn whatn then healthnproblemnis.
DIF:n Cognitiven Level:n Applyn (application)
TOP:n Nursingn Process:n Diagnosisn MSC:n NCLEX:n Physiologicaln Integrity
5. Anpatientnhasnbeennadmittedntonthenhospitalnfornsurgerynandntellsnthennurse,nIndonnotnfeelncomfortablenleavingnm
yn childrenn withn myn parents.n Whichnactionnshouldnthen nursen taken next?
Table of Contents
n n
Tablen ofn Contents 1
Chaptern 01:n Professionaln Nursing 3
Chaptern02:nHealthnEquitynandnCulturallynCompetentnCareChaptern 13
03:nHealthnHistorynandnPhysicalnExaminationnChaptern04:nPatientna 21
ndnCaregivernTeaching 28
Chaptern05:nChronicnIllnessnandnOldernAdultsn 38
Chaptern06:nStressnManagement 48
Chaptern07:nSleepnandnSleepnDisordersnChapte 54
rn08:nPain 59
Chaptern09:nPalliativenandnEndnofnLifenCarenChapte 71
rn10:nSubstancenUsenDisordersnChaptern11:nInflam 79
mationnandnHealingnChaptern12:nGenetics 91
Chaptern13:nImmunenResponsesnandnTransplantationChaptern14:nInf 101
ection 105
Chaptern 15:n Cancer 117
Chaptern16:nFluid,nElectrolyte,nandnAcid- 129
BasenImbalancesChaptern17:nPreoperativenCare 148
Chaptern18:nIntraoperativenCarenChap 165
tern 19:n Postoperativen Care 175
Chaptern20:nAssessmentnandnManagement:nVisualnProblemsnChaptern21:nAss 184
essmentnandnManagement:nAuditorynProblemsChaptern22:nAssessment:nInteg 196
umentarynSystem 216
Chaptern23:nIntegumentarynProblemsn 227
Chaptern24:nBurns 233
Chaptern25:nAssessment:nRespiratorynSystemn Chapte 245
rn26:nUppernRespiratorynProblemsnChaptern27:nLowern 259
RespiratorynProblemsnChaptern28:nObstructivenPulmo 270
narynDiseasesnChaptern29:nAssessment: 282
HematologicnSystemChaptern30:nHematologicnProble 305
ms 325
Chaptern31:nAssessment:nCardiovascularnSystemChaptern32:nHyper 332
tension 353
Chaptern33:nCoronarynArterynDiseasenandnAcutenCoronarynSyndromenChapte 364
rn34:nHeartnFailure 375
Chaptern 35:n Dysrhythmias 394
Chaptern36:nInflammatorynandnStructuralnHeartnDisordersChaptern3 406
7:nVascularnDisorders 420
Chaptern38:nAssessment:nGastrointestinalnSystemChaptern39:nNutritiona 435
lnProblems 450
Chaptern 40:n Obesity 458
Chaptern41:nUppernGastrointestinalnProblemsnChap 469
tern 42:n Lowern Gastrointestinaln Problems 478
Chaptern43:nLiver,nBiliarynTract,nandnPancreasnProblemsChaptern44 499
:nAssessment:nUrinarynSystem 523
Chaptern 45:n Renaln andn Urologicn Problems 543
Chaptern46:nAcutenKidneynInjurynandnChronicnKidneynDiseaseChaptern47:nA 553
ssessment:nEndocrinenSystem 573
Chaptern48:nDiabetesnMellitusnChapte 590
rn49:nEndocrinenProblems 600
Chaptern 50:n Assessment:n Reproductiven System 622
642
,TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 2
Chaptern 51:n Breastn Disorders 650
Chaptern52:nSexuallynTransmittednInfectionsChaptern 662
53:nFemalenReproductivenProblemsChaptern54: 671
MalenReproductiven ProblemsnChaptern 55: 693
Assessment:nNervousnSystemnChaptern56:nAcutenIntr 708
acranialnProblemsnChaptern57:nStroke 717
Chaptern58:nChronicnNeurologicnProblemsChaptern59 734
:nDementianandnDelirium 747
Chaptern60:nSpinalnCordnandnPeripheralnNervenProblemsChaptern61:nAss 763
essment:nMusculoskeletalnSystem 772
Chaptern62:nMusculoskeletalnTraumanandnOrthopedicnSurgeryChaptern63 787
:nMusculoskeletalnProblems 794
Chaptern64:nArthritisnandnConnectivenTissuenDiseasesChaptern65:nCritica 814
lnCare 825
Chaptern 66:n Shock,n Sepsis,n andn Multiplen Organn Dysfunctionn Syndrome 845
Chaptern67:nAcutenRespiratorynFailurenandnAcutenRespiratorynDistressnSyndromeChaptern6 864
8:nEmergencynandnDisasternNursing 877
889
TEST BANK FOR
n n
Lewis’s Medical Surgical
n n n
Nursing 11th Edition Hard
n n n
ing
,TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 3
Chapter 01: Professional Nursing
n n n
TestnBankn MULTIPL
EnCHOICE
1. Thennursenteachesnanstudentnnursenaboutnhowntonapplynthennursingnprocessnwhennprovidingnpatientncare.nW
hichn statement,n ifn maden byn then studentn nurse,n indicatesn thatn teachingn wasn successful?
a. Thennursingn processnisnan scientific-basedn methodn ofndiagnosingn then patientsn healthn caren problems.
b. Then nursingn processn isnan problem-solvingn tooln usedn tonidentifyn andn treatn patientsn healthncaren needs.
c. Thennursingnprocessnisnbasednonnnursingntheorynthatnincorporatesnthenbiopsychosocialnnaturenofnh
umans.
d. Thennursingnprocessnisnusednprimarilyntonexplainnnursingninterventionsntonothernhealthncarenp
rofessionals.
ANS:n B
Thennursingnprocessnisnanproblem-
solvingnapproachntonthenidentificationnandntreatmentnofnpatientsnproblems.nDiagnosisnisnonlynonenphasenofnthenn
ursingnprocess.nThenprimarynusenofnthennursingnprocessnisninnpatientncare,nnotn ton establishn nursingn theoryn orn ex
plainn nursingn interventionsn ton othern healthn caren professionals.
DIF:n Cognitiven Level:n Understandn (comprehension)
TOP:n Nursingn Process:n Implementationn MSC:n NCLEX:n Safenandn Effectiven Caren Environment
2. Thennursendescribesntonanstudentnnursenhowntonusenevidence-
basednpracticenguidelinesnwhenncaringnfornpatients.n Whichn statement,n ifn maden bynthen nurse,n wouldn ben th
en mostn accurate?
a. Inferencesn fromn clinicaln researchn studiesn aren usedn asnan guide.
b. Patientn caren isnbasedn onnclinicalnjudgment,n experience,n andntraditions.
c. Datan aren evaluatedn tonshown thatnthen patientn outcomesn arenconsistentlyn met.
d. Recommendationsn aren basedn onnresearch,n clinicaln expertise,n andn patientn preferences.
ANS:n D
Evidence-basedn practicen (EBP)n isn then usen ofn then bestn research-
basedn evidencen combinedn withn cliniciannexpertise.n Clinicaln judgmentn basedn onn then nursesn clinicaln experienc
en isn partn ofn EBP,n butn clinicaln decisionnmakingnshouldnalsonincorporatencurrentnresearchnandnresearch-
basedn guidelines.nEvaluationn ofn patientnoutcomesn isn important,n butn interventionsn shouldn ben basedn onn researc
hn fromn randomizedn controln studiesn withn an largennumbernofnsubjects.
DIF:n Cognitiven Level:n Remembern (knowledge)
TOP:n Nursingn Process:n Planningn MSC:n NCLEX:n Safenandn Effectiven Caren Environment
, TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 4
3. Thennursencompletesnannadmissionndatabasenandnexplainsnthatnthenplannofncarenandndischargengoalsnwillnbendev
elopednwithnthenpatientsninput.nThenpatientnstates,nHownisnthisndifferentnfromnwhatnthendoctorndoes?nWhichnrespo
nsen wouldnben mostnappropriatenforn then nursenton make?
a. Then rolen ofnthen nursen isn tonadministern medicationsn andn othern treatmentsn prescribednbyn yourn doctor.
b. Thennursesnjobnisntonhelpnthendoctornbyncollectingninformationnandncommunicatingnanynproblemsnth
atnoccur.
c. Nursesnperformnmanynofnthensamenproceduresnasnthendoctor,nbutnnursesnarenwithnthenpatientsnfornanlo
ngerntimenthannthendoctor.
d. Innadditionntoncaringnfornyounwhilenyounarensick,nthennursesnwillnassistnyountondevelopnannin
dividualizednplanntonmaintainnyournhealth.
ANS:n D
Thisn responsen isn consistentn withn then Americann Nursesn Associationn (ANA)n definitionn ofn nursing,n whichnde
scribesnthenrolenofnnursesninnpromotingnhealth.nThenothernresponsesndescribensomenofnthendependentnandncollabo
rativenfunctionsnofnthennursingnrolenbutndonnotnaccuratelyndescribenthennursesnroleninnthenhealthncarensystem.
DIF:n Cognitiven Level:n Understandn (comprehension)
TOP:n Nursingn Process:n Implementationn MSC:n NCLEX:n Safenandn Effectiven Caren Environment
4. AnpatientnwhonisnparalyzednonnthenleftnsidenofnthenbodynafternanstrokendevelopsnanpressurenulcernonnthenleftnhipnW
hichnnursingndiagnosisnisnmostnappropriate?
a. Impairedn physicaln mobilityn relatednton left-sidednparalysis
b. Riskn forn impairedn tissuen integrityn relatedn tonleft-sidedn weakness
c. Impairedn skinn integrityn relatedn tonalteredn circulationn andn pressure
d. Ineffectiventissuenperfusionnrelatedntoninabilityntonmovenindependentlyn
ANS:nC
Thenpatientsnmajornproblemnisnthenimpairednskinnintegritynasndemonstratednbynthenpresencenofnanpressurenulcer.nTh
ennursenisnablentontreatnthencausenofnalteredncirculationnandnpressurenbynfrequentlynrepositioningnthenpatient.nAlthou
ghn left-
sidedn weaknessn isn an problemn forn then patient,n then nursen cannotn treatn then weakness.n Then riskn forndiagnosisnisnnot
nappropriatenfornthisnpatient,nwhonalreadynhasnimpairedntissuenintegrity.nThenpatientndoesnhavenineffectiven tissuen p
erfusion,n butn then impairedn skinn integrityn diagnosisn indicatesn moren clearlyn whatn then healthnproblemnis.
DIF:n Cognitiven Level:n Applyn (application)
TOP:n Nursingn Process:n Diagnosisn MSC:n NCLEX:n Physiologicaln Integrity
5. Anpatientnhasnbeennadmittedntonthenhospitalnfornsurgerynandntellsnthennurse,nIndonnotnfeelncomfortablenleavingnm
yn childrenn withn myn parents.n Whichnactionnshouldnthen nursen taken next?
