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Lewis’s Medical-
Surgical Nursing, 12th
Edition (Test Bank)
,&@#(*$&$)(*$@)(*$@$)(*@)_$@_)*$)(&)(#%*_#)_(@$)N(*#UJM#<T)#(U)(#U$IH#TN(#)I$
Chapter 01: Professional Nursing
Multiple Choice
1. A nurse completes an admission assessment and informs a patient that the plan of care and discharge goals will
be developed collaboratively. The patient asks, “How does this differ from what the physician does?” Which
response best explains the nurse’s role?
a. “The nurse mainly administers medications and treatments prescribed by your physician.”
b. “In addition to caring for you during illness, the nurse helps you plan for ongoing health and wellness.”
c. “The nurse collects information and reports any problems to the physician.”
d. “Nurses perform similar procedures as physicians but spend more time with patients.”
Answer: B – The ANA defines nursing as promoting health. Other options describe dependent or collaborative
roles but do not fully capture the nurse’s unique role in patient care.
2. Which statement accurately reflects the use of evidence-based practice (EBP)?
a. “Patient care is guided solely by clinical judgment, experience, and tradition.”
b. “Data are analyzed afterward to confirm that patient outcomes were achieved.”
c. “All published research articles are used to guide care planning.”
d. “Decisions are based on research evidence, clinical expertise, and patient preferences.”
Answer: D – EBP combines best research evidence, clinical expertise, and patient preferences. Clinical
judgment alone is insufficient; not all research articles provide credible evidence.
3. How should the nurse explain the nursing process?
a. “It is a research method to diagnose patient problems.”
b. “It primarily explains interventions to other healthcare professionals.”
c. “It is a problem-solving approach to identify and manage patient healthcare needs.”
d. “It is based on nursing theory incorporating the biopsychosocial nature of humans.”
Answer: C – The nursing process is a structured problem-solving method for patient care, not primarily a
research tool or communication method.
4. A patient scheduled for surgery says, “I don’t feel comfortable leaving my children with my parents.” What is
the nurse’s next action?
a. Reassure the patient that such feelings are normal.
b. Have the patient call the children to check on them.
c. Gather more information about the patient’s concerns regarding child care.
d. Contact the patient’s parents to confirm adequate care is being provided.
Answer: C – Assessment is needed to understand the patient’s concerns before planning an appropriate
intervention.
5. A patient with a bacterial infection is hypovolemic due to fever and sweating. Which outcome best measures
resolution of the problem?
a. Patient maintains balanced intake and output.
b. Bedding remains clean and dry.
c. Patient understands the need for fluid intake.
d. Patient’s skin remains cool and dry.
Answer: A – Balanced intake/output is measurable and directly reflects correction of hypovolemia.
6. What is the main purpose of the evaluation phase of the nursing process?
a. Documenting the care plan in the patient record.
b. Determining if interventions were effective in achieving outcomes.
c. Confirming that the patient’s health problems are fully resolved.
d. Ensuring the patient is satisfied with nursing care.
Answer: B – Evaluation determines the effectiveness of interventions in meeting outcomes.
7. What is the purpose of the assessment phase?
a. Teach interventions to address health problems.
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b. Use patient data to evaluate outcomes.
c. Collect data to identify patient strengths and problems.
d. Assist patients in setting realistic outcomes.
Answer: C – Assessment gathers information necessary to diagnose strengths and problems.
8. When developing a clinical problem statement, which components should be included?
a. The problem and suggested goals/outcomes.
b. The problem, its causes, and supporting signs/symptoms.
c. The problem, possible etiology, and planned interventions.
d. The problem, pathophysiology, and expected outcomes.
Answer: B – Problem statements include subjective and objective data supporting the diagnosis; goals and
interventions are documented separately.
9. Which task can be delegated to experienced assistive personnel (AP)?
a. Instruct the patient about activity-rest balance.
b. Monitor patient’s shortness of breath or fatigue post-ambulation.
c. Measure blood pressure and pulse after ambulation.
d. Determine readiness to increase activity level.
Answer: C – APs can collect vital signs. Assessment and teaching are RN responsibilities.
10. Which delegated assignment falls outside the scope of practice for the assigned team member?
a. AP checking bowel sounds
b. LPN/VN administering oral medications
c. Float RN administering insulin
d. AP measuring urinary catheter output
Answer: A – Assessment like checking bowel sounds requires RN education.
11. Which task is appropriate for LPN/VN delegation?
a. Conduct the initial admission assessment and care plan
b. Measure bedside glucose prior to insulin administration
c. Document teaching before a procedure
d. Teach low-fat, low-sodium diet
Answer: B – LPNs/VNs may measure glucose and administer insulin; initial assessment and teaching are RN
responsibilities.
12. A case manager nurse coordinates care for a patient with a spinal cord injury. What is the nurse’s role?
a. Provide direct care in the hospital
b. Assist with home care activities
c. Coordinate services across hospital and home settings
d. Decide necessary medical care for rehabilitation
Answer: C – Case managers organize care for optimal outcomes; they do not provide direct care or prescribe
treatment.
13. An older adult needs continued rehabilitation after hip surgery. Which facility is most appropriate for transfer?
a. Skilled care facility
b. Transitional care facility
c. Residential care facility
d. Intermediate care facility
Answer: B – Transitional care supports rehabilitation before discharge or long-term care.
14. Which task is appropriate to delegate to a home health aide?
a. Assist patient in selecting foods
b. Help with daily hygiene
c. Inspect patient’s feet for breakdown
d. Teach blood glucose monitoring
Answer: B – Hygiene is within the aide’s scope; assessment and teaching require RN education.
, &@#(*$&$)(*$@)(*$@$)(*@)_$@_)*$)(&)(#%*_#)_(@$)N(*#UJM#<T)#(U)(#U$IH#TN(#)I$
15. Which statement correctly describes healthcare financing’s impact on quality care?
a. Hospitals gain additional funding for catheter infections
b. Payment is based on clinical outcomes and patient satisfaction
c. Hospitals are reimbursed for all costs if care is electronically documented
d. Nurses are not responsible for monitoring care provided by others
Answer: B – Reimbursement is linked to quality metrics, outcomes, and satisfaction.
16. A nurse documents progress in the electronic health record. Which competency does this demonstrate?
a. Patient-centered care
b. Evidence-based practice
c. Quality improvement
d. Informatics and technology
Answer: D – Using EHR demonstrates competence in informatics and technology.
Multiple Response
1. When delegating care to an LPN/VN, which factors should the nurse consider? (Select all that apply)
a. Agency policies
b. Patient stability
c. State nurse practice act
d. LPN/VN teaching ability
e. LPN/VN experience
Answer: A, B, C, E – Delegation decisions require knowledge of policies, regulations, patient condition, and staff
experience.
2. Which actions promote safe medication administration? (Select all that apply)
a. Discard unlabeled medications
b. Perform hand hygiene before preparation
c. Identify the patient by room number
d. Check lab results before giving diuretics
e. Provide patient with a list of current medications at discharge
Answer: A, B, D, E – Safe administration requires hygiene, correct patient identification, assessment, and
discharge education.
3. Which actions demonstrate clinical judgment? (Select all that apply)
a. Identify priority problems
b. Notice changes in patient status
c. Memorize procedural steps
d. Assess patient data
e. Generate possible solutions
f. Make decisions based on implications of the situation
Answer: A, B, D, E, F – Clinical judgment involves assessment, recognition, problem prioritization, solution
generation, and decision-making; memorization alone is not sufficient.
Chapter 02: Social Determinants of Health
Multiple Choice
1. Which health history information should the nurse focus on for patient teaching?
a. Family history
b. Age and gender
c. Dietary fat intake
Lewis’s Medical-
Surgical Nursing, 12th
Edition (Test Bank)
,&@#(*$&$)(*$@)(*$@$)(*@)_$@_)*$)(&)(#%*_#)_(@$)N(*#UJM#<T)#(U)(#U$IH#TN(#)I$
Chapter 01: Professional Nursing
Multiple Choice
1. A nurse completes an admission assessment and informs a patient that the plan of care and discharge goals will
be developed collaboratively. The patient asks, “How does this differ from what the physician does?” Which
response best explains the nurse’s role?
a. “The nurse mainly administers medications and treatments prescribed by your physician.”
b. “In addition to caring for you during illness, the nurse helps you plan for ongoing health and wellness.”
c. “The nurse collects information and reports any problems to the physician.”
d. “Nurses perform similar procedures as physicians but spend more time with patients.”
Answer: B – The ANA defines nursing as promoting health. Other options describe dependent or collaborative
roles but do not fully capture the nurse’s unique role in patient care.
2. Which statement accurately reflects the use of evidence-based practice (EBP)?
a. “Patient care is guided solely by clinical judgment, experience, and tradition.”
b. “Data are analyzed afterward to confirm that patient outcomes were achieved.”
c. “All published research articles are used to guide care planning.”
d. “Decisions are based on research evidence, clinical expertise, and patient preferences.”
Answer: D – EBP combines best research evidence, clinical expertise, and patient preferences. Clinical
judgment alone is insufficient; not all research articles provide credible evidence.
3. How should the nurse explain the nursing process?
a. “It is a research method to diagnose patient problems.”
b. “It primarily explains interventions to other healthcare professionals.”
c. “It is a problem-solving approach to identify and manage patient healthcare needs.”
d. “It is based on nursing theory incorporating the biopsychosocial nature of humans.”
Answer: C – The nursing process is a structured problem-solving method for patient care, not primarily a
research tool or communication method.
4. A patient scheduled for surgery says, “I don’t feel comfortable leaving my children with my parents.” What is
the nurse’s next action?
a. Reassure the patient that such feelings are normal.
b. Have the patient call the children to check on them.
c. Gather more information about the patient’s concerns regarding child care.
d. Contact the patient’s parents to confirm adequate care is being provided.
Answer: C – Assessment is needed to understand the patient’s concerns before planning an appropriate
intervention.
5. A patient with a bacterial infection is hypovolemic due to fever and sweating. Which outcome best measures
resolution of the problem?
a. Patient maintains balanced intake and output.
b. Bedding remains clean and dry.
c. Patient understands the need for fluid intake.
d. Patient’s skin remains cool and dry.
Answer: A – Balanced intake/output is measurable and directly reflects correction of hypovolemia.
6. What is the main purpose of the evaluation phase of the nursing process?
a. Documenting the care plan in the patient record.
b. Determining if interventions were effective in achieving outcomes.
c. Confirming that the patient’s health problems are fully resolved.
d. Ensuring the patient is satisfied with nursing care.
Answer: B – Evaluation determines the effectiveness of interventions in meeting outcomes.
7. What is the purpose of the assessment phase?
a. Teach interventions to address health problems.
,&@#(*$&$)(*$@)(*$@$)(*@)_$@_)*$)(&)(#%*_#)_(@$)N(*#UJM#<T)#(U)(#U$IH#TN(#)I$
b. Use patient data to evaluate outcomes.
c. Collect data to identify patient strengths and problems.
d. Assist patients in setting realistic outcomes.
Answer: C – Assessment gathers information necessary to diagnose strengths and problems.
8. When developing a clinical problem statement, which components should be included?
a. The problem and suggested goals/outcomes.
b. The problem, its causes, and supporting signs/symptoms.
c. The problem, possible etiology, and planned interventions.
d. The problem, pathophysiology, and expected outcomes.
Answer: B – Problem statements include subjective and objective data supporting the diagnosis; goals and
interventions are documented separately.
9. Which task can be delegated to experienced assistive personnel (AP)?
a. Instruct the patient about activity-rest balance.
b. Monitor patient’s shortness of breath or fatigue post-ambulation.
c. Measure blood pressure and pulse after ambulation.
d. Determine readiness to increase activity level.
Answer: C – APs can collect vital signs. Assessment and teaching are RN responsibilities.
10. Which delegated assignment falls outside the scope of practice for the assigned team member?
a. AP checking bowel sounds
b. LPN/VN administering oral medications
c. Float RN administering insulin
d. AP measuring urinary catheter output
Answer: A – Assessment like checking bowel sounds requires RN education.
11. Which task is appropriate for LPN/VN delegation?
a. Conduct the initial admission assessment and care plan
b. Measure bedside glucose prior to insulin administration
c. Document teaching before a procedure
d. Teach low-fat, low-sodium diet
Answer: B – LPNs/VNs may measure glucose and administer insulin; initial assessment and teaching are RN
responsibilities.
12. A case manager nurse coordinates care for a patient with a spinal cord injury. What is the nurse’s role?
a. Provide direct care in the hospital
b. Assist with home care activities
c. Coordinate services across hospital and home settings
d. Decide necessary medical care for rehabilitation
Answer: C – Case managers organize care for optimal outcomes; they do not provide direct care or prescribe
treatment.
13. An older adult needs continued rehabilitation after hip surgery. Which facility is most appropriate for transfer?
a. Skilled care facility
b. Transitional care facility
c. Residential care facility
d. Intermediate care facility
Answer: B – Transitional care supports rehabilitation before discharge or long-term care.
14. Which task is appropriate to delegate to a home health aide?
a. Assist patient in selecting foods
b. Help with daily hygiene
c. Inspect patient’s feet for breakdown
d. Teach blood glucose monitoring
Answer: B – Hygiene is within the aide’s scope; assessment and teaching require RN education.
, &@#(*$&$)(*$@)(*$@$)(*@)_$@_)*$)(&)(#%*_#)_(@$)N(*#UJM#<T)#(U)(#U$IH#TN(#)I$
15. Which statement correctly describes healthcare financing’s impact on quality care?
a. Hospitals gain additional funding for catheter infections
b. Payment is based on clinical outcomes and patient satisfaction
c. Hospitals are reimbursed for all costs if care is electronically documented
d. Nurses are not responsible for monitoring care provided by others
Answer: B – Reimbursement is linked to quality metrics, outcomes, and satisfaction.
16. A nurse documents progress in the electronic health record. Which competency does this demonstrate?
a. Patient-centered care
b. Evidence-based practice
c. Quality improvement
d. Informatics and technology
Answer: D – Using EHR demonstrates competence in informatics and technology.
Multiple Response
1. When delegating care to an LPN/VN, which factors should the nurse consider? (Select all that apply)
a. Agency policies
b. Patient stability
c. State nurse practice act
d. LPN/VN teaching ability
e. LPN/VN experience
Answer: A, B, C, E – Delegation decisions require knowledge of policies, regulations, patient condition, and staff
experience.
2. Which actions promote safe medication administration? (Select all that apply)
a. Discard unlabeled medications
b. Perform hand hygiene before preparation
c. Identify the patient by room number
d. Check lab results before giving diuretics
e. Provide patient with a list of current medications at discharge
Answer: A, B, D, E – Safe administration requires hygiene, correct patient identification, assessment, and
discharge education.
3. Which actions demonstrate clinical judgment? (Select all that apply)
a. Identify priority problems
b. Notice changes in patient status
c. Memorize procedural steps
d. Assess patient data
e. Generate possible solutions
f. Make decisions based on implications of the situation
Answer: A, B, D, E, F – Clinical judgment involves assessment, recognition, problem prioritization, solution
generation, and decision-making; memorization alone is not sufficient.
Chapter 02: Social Determinants of Health
Multiple Choice
1. Which health history information should the nurse focus on for patient teaching?
a. Family history
b. Age and gender
c. Dietary fat intake
