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f3
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
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f3
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Lew
f3 f3 f3 f3 f3
is: Medical-Surgical Nursing, 10th Edition
f3 f3 f3 f3
MULTIPLE CHOICE f3
1. The nurse completes an admission database and explains that the plan of care and discharge
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
goals will be developed with the patient‘s input. The patient states, ―How is this different from
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
what the doctor does?‖ Which response would be most appropriate for the nurse to make?
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
a. ―The role of the nurse is to administer medications and other treatments prescribed
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
by your doctor.‖
f3 f3 f3
b. ―The nurse‘s job is to help the doctor by collecting information and
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
communicating any problems that occur.‖
f3 f3 f3 f3 f3
c. ―Nurses perform many of the same procedures as the doctor, but nurses are with
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
the patients for a longer time than the doctor.‖
f3 f3 f3 f3 f3 f3 f3 f3 f3
d. ―In addition to caring for you while you are sick, the nurses will assist you t
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
o develop an individualized plan to maintain your health.‖
f3 f3 f3 f3 f3 f3 f3 f3
ANS: D f3
This response is consistent with the American Nurses Association (ANA) definition of nursin
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
g, which describes the role of nurses in promoting health. The other responses describe some
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
of the dependent and collaborative functions of the nursing role but do not accurately describ
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
e the nurse‘s role in the health care system.
f3 f3 f3 f3 f3 f3 f3 f3
DIF: Cognitive Level: Understand (comprehension) REF: 3 f3 f3 f3 f 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
f 3 f3 f3 f 3 f3 f3 f3 f3 f3
2. The nurse describes to a student nurse how to use evidence-
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
based practice guidelines when caring for patients. Which statement, if made by the nurse,
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
would be the most accurate?
f3 f3 f3 f3 f3
a. ―Inferences from clinical research studies are used as a guide.‖ f3 f3 f3 f3 f3 f3 f3 f3 f3
b. ―Patient care is based on clinical judgment, experience, and traditions.‖
f3 f3 f3 f3 f3 f3 f3 f3 f3
c. ―Data are evaluated to show that the patient outcomes are consistently met.‖
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
d. ―Recommendations are based on research, clinical expertise, and patient f3 f3 f3 f3 f3 f3 f3 f3 f
preferences.‖3
ANS: D f3
Evidence-based practice (EBP) is the use of the best research- f3 f3 f3 f3 f3 f3 f3 f3 f3
based evidence combined with clinician expertise. Clinical judgment based on the nurse‘s cli
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
nical experience is part of EBP, but clinical decision making should also incorporate current r
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
esearch and research- f3 f3
based guidelines. Evaluation of patient outcomes is important, but interventions should be bas
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
ed on research from randomized control studies with a large number of subjects.
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
DIF: Cognitive Level: Remember (knowledge) REF: 15 f3 f3 f3 f 3
TOP: Nursing Process: Planning
f 3 MSC: NCLEX: Safe and Effective Care Environment
f3 f3 f 3 f3 f3 f3 f3 f3
3. The nurse teaches a student nurse about how to apply the nursing process when providing
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
patient care. Which statement, if made by the student nurse, indicates that teaching was
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f
successful?
3
a. ―The nursing process is a scientific- f3 f3 f3 f3 f3
based method of diagnosing the patient‘s health care problems.‖
f3 f3 f3 f3 f3 f3 f3 f3
,[Type here]
f3
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. ―The nursing process is a problem-solving tool used to identify and treat patients‘
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
, [Type here]
f3
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
health care needs.‖ f3 f3
c. ―The nursing process is used primarily to explain nursing interventions to other
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
health care professionals.‖
f3 f3 f3
d. ―The nursing process is based on nursing theory that incorporates the
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
biopsychosocial nature of humans.‖
f3 f3 f3 f3
ANS: B f3
The nursing process is a problem-
f3 f3 f3 f3 f3
solving approach to the identification and treatment of patients‘ problems. Diagnosis is only
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
one phase of the nursing process. The primary use of the nursing process is in patient care, no
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
t to establish nursing theory or explain nursing interventions to other health care professional
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
s.
DIF: Cognitive Level: Understand (comprehension) REF: 5 f3 f3 f3 f 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
f 3 f3 f3 f 3 f3 f3 f3 f3 f3
4. A patient has been admitted to the hospital for surgery and tells the nurse, ―I do not feel co
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
mfortable leaving my children with my parents.‖ Which action should the nurse take next?
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
a. Reassure the patient that these feelings are common for parents. f3 f3 f3 f3 f3 f3 f3 f3 f3
b. Have the patient call the children to ensure that they are doing well.
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
c. Gather more data about the patient‘s feelings about the child-care arrangements.
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
d. Call the patient‘s parents to determine whether adequate child care is being
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
provided. f3
ANS: C f3
Because a complete assessment is necessary in order to identify a problem and choose an app
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
ropriate intervention, the nurse‘s first action should be to obtain more information. The other
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
actions may be appropriate, but more assessment is needed before the best intervention can be
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f
3chosen.
DIF: Cognitive Level: Apply (application) f3 f3 f3 REF: 6
OBJ: Special Questions: Prioritization
f 3 f3 f3
TOP: Nursing Process: Assessment
f3 f3 f3
f3 MSC: NCLEX: Psychosocial Integrity
f 3 f3 f3
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulce
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
r on the left hip. Which nursing diagnosis is most appropriate?
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
a. Impaired physical mobility related to left-sided paralysis f3 f3 f3 f3 f3 f3
b. Risk for impaired tissue integrity related to left-sided weakness
f3 f3 f3 f3 f3 f3 f3 f3
c. Impaired skin integrity related to altered circulation and pressure f3 f3 f3 f3 f3 f3 f3 f3
d. Ineffective tissue perfusion related to inability to move independently f3 f3 f3 f3 f3 f3 f3 f3
ANS: C f3
The patient‘s major problem is the impaired skin integrity as demonstrated by the presence o
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
f a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by fr
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
equently repositioning the patient. Although left-
f3 f3 f3 f3 f3
sided weakness is a problem for the patient, the nurse cannot treat the weakness. The ―risk for
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
‖ diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The p
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
atient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicat
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
es more clearly what the health problem is.
f3 f3 f3 f3 f3 f3 f3
DIF: Cognitive Level: Apply (application) REF: 7 f3 f3 f3
TOP: Nursing Process: Diagnosisf 3 MSC: NCLEX: Physiological Integrity f3 f3 f 3 f3 f3
f3
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
,[Type here]
f3
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Lew
f3 f3 f3 f3 f3
is: Medical-Surgical Nursing, 10th Edition
f3 f3 f3 f3
MULTIPLE CHOICE f3
1. The nurse completes an admission database and explains that the plan of care and discharge
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
goals will be developed with the patient‘s input. The patient states, ―How is this different from
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
what the doctor does?‖ Which response would be most appropriate for the nurse to make?
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
a. ―The role of the nurse is to administer medications and other treatments prescribed
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
by your doctor.‖
f3 f3 f3
b. ―The nurse‘s job is to help the doctor by collecting information and
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
communicating any problems that occur.‖
f3 f3 f3 f3 f3
c. ―Nurses perform many of the same procedures as the doctor, but nurses are with
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
the patients for a longer time than the doctor.‖
f3 f3 f3 f3 f3 f3 f3 f3 f3
d. ―In addition to caring for you while you are sick, the nurses will assist you t
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
o develop an individualized plan to maintain your health.‖
f3 f3 f3 f3 f3 f3 f3 f3
ANS: D f3
This response is consistent with the American Nurses Association (ANA) definition of nursin
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
g, which describes the role of nurses in promoting health. The other responses describe some
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
of the dependent and collaborative functions of the nursing role but do not accurately describ
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
e the nurse‘s role in the health care system.
f3 f3 f3 f3 f3 f3 f3 f3
DIF: Cognitive Level: Understand (comprehension) REF: 3 f3 f3 f3 f 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
f 3 f3 f3 f 3 f3 f3 f3 f3 f3
2. The nurse describes to a student nurse how to use evidence-
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
based practice guidelines when caring for patients. Which statement, if made by the nurse,
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
would be the most accurate?
f3 f3 f3 f3 f3
a. ―Inferences from clinical research studies are used as a guide.‖ f3 f3 f3 f3 f3 f3 f3 f3 f3
b. ―Patient care is based on clinical judgment, experience, and traditions.‖
f3 f3 f3 f3 f3 f3 f3 f3 f3
c. ―Data are evaluated to show that the patient outcomes are consistently met.‖
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
d. ―Recommendations are based on research, clinical expertise, and patient f3 f3 f3 f3 f3 f3 f3 f3 f
preferences.‖3
ANS: D f3
Evidence-based practice (EBP) is the use of the best research- f3 f3 f3 f3 f3 f3 f3 f3 f3
based evidence combined with clinician expertise. Clinical judgment based on the nurse‘s cli
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
nical experience is part of EBP, but clinical decision making should also incorporate current r
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
esearch and research- f3 f3
based guidelines. Evaluation of patient outcomes is important, but interventions should be bas
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
ed on research from randomized control studies with a large number of subjects.
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
DIF: Cognitive Level: Remember (knowledge) REF: 15 f3 f3 f3 f 3
TOP: Nursing Process: Planning
f 3 MSC: NCLEX: Safe and Effective Care Environment
f3 f3 f 3 f3 f3 f3 f3 f3
3. The nurse teaches a student nurse about how to apply the nursing process when providing
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
patient care. Which statement, if made by the student nurse, indicates that teaching was
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f
successful?
3
a. ―The nursing process is a scientific- f3 f3 f3 f3 f3
based method of diagnosing the patient‘s health care problems.‖
f3 f3 f3 f3 f3 f3 f3 f3
,[Type here]
f3
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. ―The nursing process is a problem-solving tool used to identify and treat patients‘
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
, [Type here]
f3
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
health care needs.‖ f3 f3
c. ―The nursing process is used primarily to explain nursing interventions to other
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
health care professionals.‖
f3 f3 f3
d. ―The nursing process is based on nursing theory that incorporates the
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
biopsychosocial nature of humans.‖
f3 f3 f3 f3
ANS: B f3
The nursing process is a problem-
f3 f3 f3 f3 f3
solving approach to the identification and treatment of patients‘ problems. Diagnosis is only
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
one phase of the nursing process. The primary use of the nursing process is in patient care, no
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
t to establish nursing theory or explain nursing interventions to other health care professional
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
s.
DIF: Cognitive Level: Understand (comprehension) REF: 5 f3 f3 f3 f 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
f 3 f3 f3 f 3 f3 f3 f3 f3 f3
4. A patient has been admitted to the hospital for surgery and tells the nurse, ―I do not feel co
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
mfortable leaving my children with my parents.‖ Which action should the nurse take next?
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
a. Reassure the patient that these feelings are common for parents. f3 f3 f3 f3 f3 f3 f3 f3 f3
b. Have the patient call the children to ensure that they are doing well.
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
c. Gather more data about the patient‘s feelings about the child-care arrangements.
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
d. Call the patient‘s parents to determine whether adequate child care is being
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
provided. f3
ANS: C f3
Because a complete assessment is necessary in order to identify a problem and choose an app
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
ropriate intervention, the nurse‘s first action should be to obtain more information. The other
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
actions may be appropriate, but more assessment is needed before the best intervention can be
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f
3chosen.
DIF: Cognitive Level: Apply (application) f3 f3 f3 REF: 6
OBJ: Special Questions: Prioritization
f 3 f3 f3
TOP: Nursing Process: Assessment
f3 f3 f3
f3 MSC: NCLEX: Psychosocial Integrity
f 3 f3 f3
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulce
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
r on the left hip. Which nursing diagnosis is most appropriate?
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
a. Impaired physical mobility related to left-sided paralysis f3 f3 f3 f3 f3 f3
b. Risk for impaired tissue integrity related to left-sided weakness
f3 f3 f3 f3 f3 f3 f3 f3
c. Impaired skin integrity related to altered circulation and pressure f3 f3 f3 f3 f3 f3 f3 f3
d. Ineffective tissue perfusion related to inability to move independently f3 f3 f3 f3 f3 f3 f3 f3
ANS: C f3
The patient‘s major problem is the impaired skin integrity as demonstrated by the presence o
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
f a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by fr
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
equently repositioning the patient. Although left-
f3 f3 f3 f3 f3
sided weakness is a problem for the patient, the nurse cannot treat the weakness. The ―risk for
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
‖ diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The p
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
atient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicat
f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3 f3
es more clearly what the health problem is.
f3 f3 f3 f3 f3 f3 f3
DIF: Cognitive Level: Apply (application) REF: 7 f3 f3 f3
TOP: Nursing Process: Diagnosisf 3 MSC: NCLEX: Physiological Integrity f3 f3 f 3 f3 f3
