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_Lewis_S_Medical_Surgical_Nursing__12th_Edition Questions With Correct Detailed Answers Verified A+ Latest Version

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_Lewis_S_Medical_Surgical_Nursing__12th_Edition Questions With Correct Detailed Answers Verified A+ Latest Version MULTIPLE CHOICE 1. The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient‘s input. The patient asks, “How is this different from what the physician does?” Which response would the nurse provide? a. “The role of the nurse is 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 health.” 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 patients for a longer time than the physician.” ANS: B The American Nurses Association (ANA) definition of nursing describes the role of nurses in promoting health. The other responses describe dependent and collaborative functions of the nursing role but do not accurately describe the nurse‘s unique role in the health care system. DIF: Cognitive Level: Analyze (Analysis) TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment 2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)? a. “Patient care is based on clinical judgment, experience, and traditions.” b. “Data are analyzed later to show that the patient outcomes are consistently met.” c. “Research from all published articles are used as a guide for planning patient care.” 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 and consideration of patient 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 patient 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 nurse provides a clear explanation of the nursing process? a. “The nursing process is a research method of diagnosing the patient‘s health care problems.” b. “The nursing process is used primarily to explain nursing interventions to other health care professionals.” c. “The nursing process is a problem-solving tool used to identify and manage the patients‘ health care needs.” d. “The nursing process is based on nursing theory that incorporates the biopsychosocial nature of humans.”

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TEST BANK FOR LEWIS'S MEDICAL-
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SURGICAL NURSING, 12TH EDITION BY MARIANN M. HA
gt gt gt gt gt gt gt gt




RDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-
gt gt gt gt g t gt




69 COMPLETE LATEST 2024-2025
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, 3

Chapter 01: Professional Nursing
gt gt gt


Harding: Lewis’s Medical-
gt gt

Surgical Nursing, 12th Edition
MULTIPLEgtCHOICE

1. Thegtnursegtcompletesgtangtadmissiongtdatabasegtandgtexplainsgtthatgtthegtplangtofgtcaregtandgtdischar
gegtgoalsgtwillgtbegtdevelopedgtwithgtthegtpatient‘sgtinput.gtThegtpatientgtasks,gt“Howgtisgtthisgtdiffere
ntgtfromgtwhatgtthegtphysiciangtdoes?”gtWhichgtresponsegtwouldgtthegtnursegtprovide?
a. “Thegtrolegtofgtthegtnursegtisgttogtadministergtmedicationsgtandgtothergttreatment
sgtprescribedgtbygtyourgtphysician.”
b. “Ingtadditiongttogtcaringgtforgtyougtwhilegtyougtaregtsick,gtthegtnursesgtwillgthelpgtyougtpl
angttogtmaintaingtyourgthealth.”
c. “Thegtnurse‘sgtjobgtisgttogtcollectgtinformationgtandgtcommunicategtanygtproblem
sgtthatgtoccurgttogtthegtphysician.”
d. “Nursesgtperformgtmanygtofgtthegtsamegtproceduresgtasgtthegtphysician,gtbutgtnurse
sgtaregtwithgtthegtpatientsgtforgtagtlongergttimegtthangtthegtphysician.”
ANS:gt B
ThegtAmericangtNursesgtAssociationgt(ANA)gtdefinitiongtofgtnursinggtdescribesgtthegtrolegtofgtnurses
g t ingtpromotinggthealth.gtThegtothergtresponsesgtdescribegtdependentgtandgtcollaborativegtfunctionsgt

ofgtthegtnursinggtrolegtbutgtdogtnotgtaccuratelygtdescribegtthegtnurse‘sgtuniquegtrolegtingtthegthealthgtcare
gtsystem.



DIF:g t CognitivegtLevel:gtAnalyzegt(Analysis)
TOP:g t NursinggtProcess:gtImplementationg t g t MSC:g t NCLEX:gtSafegtandgtEffectivegtCaregtEnvironment

2. Whichgtstatementgtbygtthegtnursegtaccuratelygtdescribesgtthegtusegtofgtevidence-basedgtpracticegt(EBP)?
a. “Patientgtcaregtisgtbasedgtongtclinicalgtjudgment,gtexperience,gtandgttraditions.”
b. “Datagtaregtanalyzedgtlatergttogtshowgtthatgtthegtpatientgtoutcomesgtaregtconsistentlygtmet.”
c. “Researchgtfromgtallgtpublishedgtarticlesgtaregtusedgtasgtagtguidegtforgtplanninggtpatientgtcare.”
d. “Recommendationsgtaregtbasedgtongtresearch,gtclinicalgtexpertise,gtan
dgtpatientgtpreferences.”
ANS:gt D
Evidence-basedgtpracticegt(EBP)gtisgtthegtusegtofgtthegtbestgtresearch-
basedgtevidencegtcombinedgtwithgtcliniciangtexpertisegtandgtconsiderationgtofgtpatientgtpreferences.gt
Clinicalgtjudgmentgtbasedgtongtthegtnurse‘sgtclinicalgtexperiencegtisgtpartgtofgtEBP,gtbutgtclinicalgtdeci
siongtmakinggtshouldgtalsogtincorporategtcurrentgtresearchgtandgtresearch-
basedgtguidelines.gtEvaluationgtofgtpatientgtoutcomesgtisgtimportant,gtbutgtdatagtanalysisgtisgtnotgtrequi
redgttogtusegtEBP.gtAllgtpublishedgtarticlesgtdogtnotgtprovidegtresearchgtevidence;gtinterventionsgtshou
ldgtbegtbasedgtongtcrediblegtresearch,gtpreferablygtrandomizedgtcontrolledgtstudiesgtwithgtagtlargegtnum
bergtofgtsubjects.

DIF: CognitivegtLevel:gtUnderstandgt(Comprehension)
TOP:gt NursinggtProcess:gtPlanninggtMSC:g t NCLEX:gtSafegtandgtEffectivegtCaregtEnvironment

3. Whichgtstatementgtbygtthegtnursegtprovidesgtagtcleargtexplanationgtofgtthegtnursinggtprocess?
a. “Thegtnursinggtprocessgtisgtagtresearchgtmethodgtofgtdiagnosinggtthegtpatient‘sgthealt
hgtcaregtproblems.”
b. “Thegtnursinggtprocessgtisgtusedgtprimarilygttogtexplaingtnursinggtinterventionsgtt
ogtothergthealthgtcaregtprofessionals.”
c. “Thegtnursinggtprocessgtisgtagtproblem-solvinggttoolgtusedgttogtidentifygtandgtmanagegtthe

, 4

patients‘gthealthgtcaregtneeds.”
d. “Thegtnursinggtprocessgtisgtbasedgtongtnursinggttheorygtthatgtincorporate
sgtthegtbiopsychosocialgtnaturegtofgthumans.”
ANS:gt C
Thegtnursinggtprocessgtisgtagtproblem-
solvinggtapproachgttogtthegtidentificationgtandgttreatmentgtofgtpatients‘gtproblems.gtNursinggtprocessg
tdoesgtnotgtrequiregtresearchgtmethodsgtforgtdiagnosis.gtThegtprimarygtusegtofgtthegtnursinggtprocessgtisgt

ingtpatientgtcare,gtnotgttogtestablishgtnursinggttheorygtorgtexplaingtnursinggtinterventionsgttogtothergtheal
thgtcaregtprofessionals.

DIF: CognitivegtLevel:gtUnderstandgt(Comprehension)
TOP:gt NursinggtProcess:gtEvaluationgtMSC:g t NCLEX:gtSafegtandgtEffectivegtCaregtEnvironment

4. Agtpatientgtadmittedgttogtthegthospitalgtforgtsurgerygttellsgtthegtnurse,gt“Igtdogtnotgtfeelgtcom
fortablegtleavinggtmygtchildrengtwithgtmygtparents.”gtWhichgtactiongtwouldgtthegtnursegtta
kegtnext?
a. Reassuregtthegtpatientgtthatgtthesegtfeelingsgtaregtcommongtforgtparents.
b. Havegtthegtpatientgtcallgtthegtchildrengttogtensuregtthatgttheygtaregtdoinggtwell.
c. Gathergtinformationgtongtthegtpatient‘sgtconcernsgtaboutgtthegtchildgtcaregtarrangements.
d. Callgtthegtpatient‘sgtparentsgttogtdeterminegtwhethergtadequategtchildgtcaregti
sgtbeinggtprovided.
ANS:gt C
Becausegtagtcompletegtassessmentgtisgtnecessarygtingtordergttogtidentifygtagtproblemgtandgtchoosegtangta
ppropriategtintervention,gtthegtnurse‘sgtfirstgtactiongtshouldgtbegttogtobtaingtmoregtinformation.gtThegt
othergtactionsgtmaygtbegtappropriate,gtbutgtmoregtassessmentgtisgtneededgtbeforegtthegtbestgtinterventio
ngtcangtbegtchosen.

DIF: CognitivegtLevel:gtAnalyzegt(Analysis)
TOP:g t NursinggtProcess:gtAssessment MSC:g t NCLEX:gtPsychosocialgtIntegrity

5. Agtpatientgtwithgtagtbacterialgtinfectiongtisgthypovolemicgtduegttogtagtfevergtandgtexcessi
vegtdiaphoresis.gtWhichgtexpectedgtoutcomegtwouldgtthegtnursegtselectgtforgtthisgtpatie
nt?
a. Patientgthasgtagtbalancedgtintakegtandgtoutput.
b. Patient‘sgtbeddinggtisgtkeptgtcleangtandgtfreegtofgtmoisture.
c. Patientgtunderstandsgtthegtneedgtforgtincreasedgtfluidgtintake.
d. Patient‘sgtskingtremainsgtcoolgtandgtdrygtthroughoutgthospitalization.
ANS:gt A
Balancedgtintakegtandgtoutputgtgivesgtmeasurablegtdatagtshowinggtresolutiongtofgtthegtproblemgtofgtdefi
cientgtfluidgtvolume.gtThegtothergtstatementsgtwouldgtnotgtindicategtthatgtthegtproblemgtofgthypovolem
iagtwasgtresolved.

DIF: CognitivegtLevel:gtApplygt(Application)
TOP:gt NursinggtProcess:gtPlanninggtMSC:g t NCLEX:gtPhysiologicalgtIntegrity

6. Whichgtstatementgtdescribesgtthegtpurposegtofgtthegtevaluationgtphasegtofgtthegtnursinggtprocess?
a. Togtdocumentgtthegtnursinggtcaregtplangtingtthegtprogressgtnotesgtofgtthegthealthgtrecord
b. Togtdeterminegtifgtinterventionsgthavegtbeengteffectivegtingtmeetinggtpatientgtoutcomes
c. Togtdecidegtwhethergtthegtpatient‘sgthealthgtproblemsgthavegtbeengtcompletelygtresolved
d. Togtestablishgtifgtthegtpatientgtagreesgtthatgtthegtnursinggtcaregtprovidedgtwasgtsatisfactory
ANS:gt B

, 5

Evaluationgtconsistsgtofgtdetermininggtwhethergtthegtdesiredgtpatientgtoutcomesgthavegtbeengtmetgta
ndgtwhethergtthegtnursinggtinterventionsgtweregtappropriate.gtThegtothergtresponsesgtdogtnotgtdescri
begtthegtevaluationgtphase.

DIF:g t CognitivegtLevel:gtUnderstandgt(Comprehension)
TOP:gtNursinggtProcess:gtEvaluatio
ngtMSC:g t NCLEX:gtSafegtandgtEffectivegtCaregtEnvironment

7. Whichgtstatementgtdescribesgtthegtpurposegtofgtthegtassessmentgtphasegtofgtthegtnursinggtprocess?
a. Togtteachgtinterventionsgtthatgtrelievegthealthgtproblems
b. Togtusegtpatientgtdatagttogtevaluategtpatientgtcaregtoutcomes
c. Togtobtaingtdatagttogtdiagnosegtpatientgtstrengthsgtandgtproblems
d. Togthelpgtthegtpatientgtidentifygtrealisticgtoutcomesgtforgthealthgtproblems
ANS:gt C
Duringgtthegtassessmentgtphase,gtthegtnursegtgathersgtinformationgtaboutgtthegtpatientgttogtdiagnosegtpat
ientgtstrengthsgtandgtproblems.gtThegtothergtresponsesgtaregtexamplesgtofgtthegtplanning,gtinterventio
n,gtandgtevaluationgtphasesgtofgtthegtnursinggtprocess.

DIF: CognitivegtLevel:gtUnderstandgt(Comprehension)
TOP:g t NursinggtProcess:gtAssessment MSC:g t NCLEX:gtSafegtandgtEffectivegtCaregtEnvironment

8. Whengtdevelopinggtthegtplangtofgtcare,gtwhichgtcomponentsgtwouldgtthegtnursegtincludegtingtt
hegtclinicalgtproblemgtstatement?
a. Thegtproblemgtandgtthegtsuggestedgtpatientgtgoalsgtorgtoutcomes
b. Thegtproblem,gtitsgtcauses,gtandgtthegtsignsgtandgtsymptomsgtofgtthegtproblem
c. Thegtproblemgtwithgtthegtpossiblegtetiologygtandgtthegtplannedgtinterventions
d. Thegtproblem,gtitsgtpathophysiology,gtandgtthegtexpectedgtoutcome
ANS:gt B
Whengtwritinggtclinicalgtproblemsgtorgtnursinggtdiagnoses,gtthegtsubjectivegtasgtwellgtasgtobjectivegtda
tagttogtsupportgtthegtproblem‘sgtexistencegtshouldgtbegtincluded.gtGoals,gtoutcomes,gtandgtinterventio
nsg t aregtnotgtincludedgtingtthegtproblemgtstatement.

DIF: CognitivegtLevel:gtUnderstandgt(Comprehension)
TOP:gt NursinggtProcess:gtDiagnosisgtMSC:g t NCLEX:gtSafegtandgtEffectivegtCaregtEnvironment

9. Whichgtpatientgtcaregttaskgtwouldgtthegtnursegtdelegategttogtexperiencedgtassistivegtpersonnelgt(AP)?
a. Instructgtthegtpatientgtaboutgtthegtneedgttogtalternategtactivitygtandgtrest.
b. Monitorgtlevelgtofgtshortnessgtofgtbreathgtorgtfatiguegtaftergtambulation.
c. Obtaingtthegtpatient‘sgtbloodgtpressuregtandgtpulsegtrategtaftergtambulation.
d. Determinegtwhethergtthegtpatientgtisgtreadygttogtincreasegtthegtactivitygtlevel.
ANS:gt C
APgteducationgtincludesgtaccurategtvitalgtsigngtmeasurement.gtAssessmentgtandgtpatientgtteachinggtre
quiregtregisteredgtnursegteducationgtandgtscopegtofgtpracticegtandgtcannotgtbegtdelegated.

DIF: CognitivegtLevel:gtApplygt(Application)
TOP:gt NursinggtProcess:gtPlanninggtMSC:g t NCLEX:gtSafegtandgtEffectivegtCaregtEnvironment

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