Lewiss Medical Surgical Nursing 11th Edition Test bank
5 5 5 5 5 5 5
,Lewiss Medical Surgical Nursing 11th Edition Test bank
5 5 5 5 5 5 5
MULTIPLE5CHOICE
1. The5nurse5completes5an5admission5database5and5explains5that5the5plan5of5care5and5di
scharge goals will be developed with the patients input. The patient states, How is this
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
different from what the doctor does? Which response would be most appropriatefor th
5 5 5 5 5 5 5 5 5 5 5 5 5
e nurse to make?
5 5 5
a. The5role5of5the5nurse5is5to5administer5medications5and5other5treatments5p
rescribed by your doctor. 5 5 5
b. The5nurses5job5is5to5help5the5doctor5by5collecting5information5and5c
ommunicating any problems that occur. 5 5 5 5
c. Nurses5perform5many5of5the5same5procedures5as5the5doctor,5but5nurses5a
re with the patients for a longer time than the doctor.
5 5 5 5 5 5 5 5 5 5
d. In5addition5to5caring5for5you5while5you5are5sick,5the5nurses5will5assist5y
ou to develop an individualized plan to maintain your health.
5 5 5 5 5 5 5 5 5
ANS:5D
This response is consistent with the American Nurses Association (ANA) definitiono
5 5 5 5 5 5 5 5 5 5 5
f nursing, which describes the role of nurses in promoting health. The other responses
5 5 5 5 5 5 5 5 5 5 5 5 5 5
describe some of the dependent and collaborative functions of the nursingrole but do
5 5 5 5 5 5 5 5 5 5 5 5 5 5
not accurately describe the nurses role in the health care system.
5 5 5 5 5 5 5 5 5 5
DIF:5Cognitive5Level:5Understand5(comprehension)5REF:53
TOP:5Nursing5Process:5Implementation5MSC:5NCLEX:5Safe5and5Effective5Care5Environment
,Lewiss Medical Surgical Nursing 11th Edition Test bank
5 5 5 5 5 5 5
2. The5nurse5describes5to5a5student5nurse5how5to5use5evidence-
based practice guidelines when caring for patients. Which statement, if made by the nu
5 5 5 5 5 5 5 5 5 5 5 5 5
rse, would bethe most accurate?
5 5 5 5 5
a. Inferences5from5clinical5research5studies5are5used5as5a5guide.
b. Patient5care5is5based5on5clinical5judgment,5experience,5and5traditions.
c. Data5are5evaluated5to5show5that5the5patient5outcomes5are5consistently5
met.
d. Recommendations5are5based5on5research,5clinical5expertise,5and5patient5p
references.
ANS:5D
Evidence-based practice (EBP) is the use of the best research-
5 5 5 5 5 5 5 5 5
based evidence combined with clinician expertise. Clinical judgment based on the n
5 5 5 5 5 5 5 5 5 5 5
urses clinical experience is part of EBP, but clinical decision making should also in
5 5 5 5 5 5 5 5 5 5 5 5 5
corporate current research and research-
5 5 5 5
based guidelines. Evaluation of patient outcomes is important, but interventions sh
5 5 5 5 5 5 5 5 5 5
ould be based on research from randomized controlstudies with a large number of s
5 5 5 5 5 5 5 5 5 5 5 5 5 5
ubjects.
DIF:5Cognitive5Level:5Remember5(knowledge)5REF:511
TOP:5Nursing5Process:5Planning5MSC:5NCLEX:5Safe5and5Effective5Care5Environment
3. The5nurse5teaches5a5student5nurse5about5how5to5apply5the5nursing5process5when5pro
viding patient care. Which statement, if made by the student nurse, indicates thatteach
5 5 5 5 5 5 5 5 5 5 5 5 5
ing was successful?
5 5
a. The5nursing5process5is5a5scientific-
based method of diagnosing thepatients health care problems.
5 5 5 5 5 5 5 5
b. The5nursing5process5is5a5problem-
solving tool used to identify and treatpatients health care needs.
5 5 5 5 5 5 5 5 5 5
c. The5nursing5process5is5based5on5nursing5theory5that5incorporates5the5b
iopsychosocial nature of humans. 5 5 5
, Lewiss Medical Surgical Nursing 11th Edition Test bank
5 5 5 5 5 5 5
d. The5nursing5process5is5used5primarily5to5explain5nursing5interventions5to5o
ther health care professionals.
5 5 5
ANS:5B
The nursing process is a problem-
5 5 5 5 5
solving approach to the identification and treatmentof patients problems. Diagnosis is o
5 5 5 5 5 5 5 5 5 5 5 5
nly one phase of the nursing process. The primaryuse of the nursing process is in patient
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
care, not to establish nursing theory or explain nursing interventions to other health car
5 5 5 5 5 5 5 5 5 5 5 5 5 5
e professionals.
5
DIF:5Cognitive5Level:5Understand5(comprehension)5REF:57
TOP:5Nursing5Process:5Implementation5MSC:5NCLEX:5Safe5and5Effective5Care5Environment
4. A5patient5has5been5admitted5to5the5hospital5for5surgery5and5tells5the5nurse,5I5do5not5fee
l comfortable leaving my children with my parents. Which action should the nursetake
5 5 5 5 5 5 5 5 5 5 5 5 5 5
next?
a. Reassure5the5patient5that5these5feelings5are5common5for5parents.
b. Have5the5patient5call5the5children5to5ensure5that5they5are5doing5well.
c. Gather5more5data5about5the5patients5feelings5about5the5child-
carearrangements.
5
d. Call5the5patients5parents5to5determine5whether5adequate5child5care5is5b
eing provided.
5
ANS:5C
Since a complete assessment is necessary in order to identify a problem and choose anap
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
propriate intervention, the nurses first action should be to obtain more information. The
5 5 5 5 5 5 5 5 5 5 5 5 5
other actions may be appropriate, but more assessment is needed before the best interve
5 5 5 5 5 5 5 5 5 5 5 5 5
ntion can be chosen.
5 5 5
DIF:5Cognitive5Level:5Apply5(application)5REF:56-7
OBJ:5Special5Questions:5Prioritization5TOP:5Nursing5Process:5Assessment
5 5 5 5 5 5 5
,Lewiss Medical Surgical Nursing 11th Edition Test bank
5 5 5 5 5 5 5
MULTIPLE5CHOICE
1. The5nurse5completes5an5admission5database5and5explains5that5the5plan5of5care5and5di
scharge goals will be developed with the patients input. The patient states, How is this
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
different from what the doctor does? Which response would be most appropriatefor th
5 5 5 5 5 5 5 5 5 5 5 5 5
e nurse to make?
5 5 5
a. The5role5of5the5nurse5is5to5administer5medications5and5other5treatments5p
rescribed by your doctor. 5 5 5
b. The5nurses5job5is5to5help5the5doctor5by5collecting5information5and5c
ommunicating any problems that occur. 5 5 5 5
c. Nurses5perform5many5of5the5same5procedures5as5the5doctor,5but5nurses5a
re with the patients for a longer time than the doctor.
5 5 5 5 5 5 5 5 5 5
d. In5addition5to5caring5for5you5while5you5are5sick,5the5nurses5will5assist5y
ou to develop an individualized plan to maintain your health.
5 5 5 5 5 5 5 5 5
ANS:5D
This response is consistent with the American Nurses Association (ANA) definitiono
5 5 5 5 5 5 5 5 5 5 5
f nursing, which describes the role of nurses in promoting health. The other responses
5 5 5 5 5 5 5 5 5 5 5 5 5 5
describe some of the dependent and collaborative functions of the nursingrole but do
5 5 5 5 5 5 5 5 5 5 5 5 5 5
not accurately describe the nurses role in the health care system.
5 5 5 5 5 5 5 5 5 5
DIF:5Cognitive5Level:5Understand5(comprehension)5REF:53
TOP:5Nursing5Process:5Implementation5MSC:5NCLEX:5Safe5and5Effective5Care5Environment
,Lewiss Medical Surgical Nursing 11th Edition Test bank
5 5 5 5 5 5 5
2. The5nurse5describes5to5a5student5nurse5how5to5use5evidence-
based practice guidelines when caring for patients. Which statement, if made by the nu
5 5 5 5 5 5 5 5 5 5 5 5 5
rse, would bethe most accurate?
5 5 5 5 5
a. Inferences5from5clinical5research5studies5are5used5as5a5guide.
b. Patient5care5is5based5on5clinical5judgment,5experience,5and5traditions.
c. Data5are5evaluated5to5show5that5the5patient5outcomes5are5consistently5
met.
d. Recommendations5are5based5on5research,5clinical5expertise,5and5patient5p
references.
ANS:5D
Evidence-based practice (EBP) is the use of the best research-
5 5 5 5 5 5 5 5 5
based evidence combined with clinician expertise. Clinical judgment based on the n
5 5 5 5 5 5 5 5 5 5 5
urses clinical experience is part of EBP, but clinical decision making should also in
5 5 5 5 5 5 5 5 5 5 5 5 5
corporate current research and research-
5 5 5 5
based guidelines. Evaluation of patient outcomes is important, but interventions sh
5 5 5 5 5 5 5 5 5 5
ould be based on research from randomized controlstudies with a large number of s
5 5 5 5 5 5 5 5 5 5 5 5 5 5
ubjects.
DIF:5Cognitive5Level:5Remember5(knowledge)5REF:511
TOP:5Nursing5Process:5Planning5MSC:5NCLEX:5Safe5and5Effective5Care5Environment
3. The5nurse5teaches5a5student5nurse5about5how5to5apply5the5nursing5process5when5pro
viding patient care. Which statement, if made by the student nurse, indicates thatteach
5 5 5 5 5 5 5 5 5 5 5 5 5
ing was successful?
5 5
a. The5nursing5process5is5a5scientific-
based method of diagnosing thepatients health care problems.
5 5 5 5 5 5 5 5
b. The5nursing5process5is5a5problem-
solving tool used to identify and treatpatients health care needs.
5 5 5 5 5 5 5 5 5 5
c. The5nursing5process5is5based5on5nursing5theory5that5incorporates5the5b
iopsychosocial nature of humans. 5 5 5
, Lewiss Medical Surgical Nursing 11th Edition Test bank
5 5 5 5 5 5 5
d. The5nursing5process5is5used5primarily5to5explain5nursing5interventions5to5o
ther health care professionals.
5 5 5
ANS:5B
The nursing process is a problem-
5 5 5 5 5
solving approach to the identification and treatmentof patients problems. Diagnosis is o
5 5 5 5 5 5 5 5 5 5 5 5
nly one phase of the nursing process. The primaryuse of the nursing process is in patient
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
care, not to establish nursing theory or explain nursing interventions to other health car
5 5 5 5 5 5 5 5 5 5 5 5 5 5
e professionals.
5
DIF:5Cognitive5Level:5Understand5(comprehension)5REF:57
TOP:5Nursing5Process:5Implementation5MSC:5NCLEX:5Safe5and5Effective5Care5Environment
4. A5patient5has5been5admitted5to5the5hospital5for5surgery5and5tells5the5nurse,5I5do5not5fee
l comfortable leaving my children with my parents. Which action should the nursetake
5 5 5 5 5 5 5 5 5 5 5 5 5 5
next?
a. Reassure5the5patient5that5these5feelings5are5common5for5parents.
b. Have5the5patient5call5the5children5to5ensure5that5they5are5doing5well.
c. Gather5more5data5about5the5patients5feelings5about5the5child-
carearrangements.
5
d. Call5the5patients5parents5to5determine5whether5adequate5child5care5is5b
eing provided.
5
ANS:5C
Since a complete assessment is necessary in order to identify a problem and choose anap
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
propriate intervention, the nurses first action should be to obtain more information. The
5 5 5 5 5 5 5 5 5 5 5 5 5
other actions may be appropriate, but more assessment is needed before the best interve
5 5 5 5 5 5 5 5 5 5 5 5 5
ntion can be chosen.
5 5 5
DIF:5Cognitive5Level:5Apply5(application)5REF:56-7
OBJ:5Special5Questions:5Prioritization5TOP:5Nursing5Process:5Assessment
