Test Bank For Lewis's Medical- Surgical Nursing, 12th Edition
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter
1-69 Complete Latest 2025
,Chapter 01: Professional Nursing
zs zs zs
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
zs zs zs zs zs
MULTIPLE CHOICE zs
1. The nurse completes an admission database and explains that the plan of care and
zs zs zs zs zs zs zs zs zs zs zs zs zs
discharge goals will be developed with the patient‗s input. The patient asks, ―How is this
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
different from what the physician does?‖ Which response would the nurse provide?
zs zs zs zs zs zs zs zs zs zs zs zs
a. ―The role of the nurse is to administer medications and other treatments prescribed by
zs zs zs zs zs zs zs zs zs zs zs zs zs
your physician.‖
zs zs
b. ―In addition to caring for you while you are sick, the nurses will help you plan to
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
maintain your health.‖
zs zs zs
c. ―The nurse‗s job is to collect information and communicate any problems that
zs zs zs zs zs zs zs zs zs zs zs
occur to the physician.‖
zs zs zs zs
d. ―Nurses perform many of the same procedures as the physician, but nurses are
zs zs zs zs zs zs zs zs zs zs zs zs
with the patients for a longer time than the physician.‖
zs zs zs zs zs zs zs zs zs zs
ANS: B zs
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
zs zs zs zs zs zs zs zs zs zs zs zs zs
promoting health. The other responses describe dependent and collaborative functions of
zs zs zs zs zs zs zs zs zs zs zs
the nursing role but do not accurately describe the nurse‗s unique role in the health care
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
system.
zs
DIF: z s Cognitive Level: Analyze (Analysis)
z s zs zs zs
TOP: z s Nursing Process: Implementation zs zs z s z s z s MSC: NCLEX: Safe and Effective Care Environmentz s zs zs zs zs zs
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
zs zs zs zs zs zs zs zs zs zs zs zs
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
zs zs zs zs zs zs zs zs zs
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
zs zs zs zs zs zs zs zs zs zs zs zs
c. ―Research from all published articles are used as a guide for planning patient care.‖
zs zs zs zs zs zs zs zs zs zs zs zs zs
d. ―Recommendations are based on research, clinical expertise, and patient zs zs zs zs zs zs zs zs
zspreferences.‖
ANS: D zs
Evidence-based practice (EBP) is the use of the best research-based evidence combined with zs zs zs zs zs zs zs zs zs zs zs zs
clinician expertise and consideration of patient preferences. Clinical judgment based on the
zs zs zs zs zs zs zs zs zs zs zs zs
nurse‗s clinical experience is part of EBP, but clinical decision making should also
zs zs zs zs zs zs zs zs zs zs zs zs zs
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
zs zs zs zs zs zs zs zs zs zs zs
important, but data analysis is not required to use EBP. All published articles do not provide
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
research evidence; interventions should be based on credible research, preferably randomized
zs zs zs zs zs zs zs zs zs zs zs
controlled studies with a large number of subjects.
zs zs zs zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs TOP: Nursing Process: Planning zs zs zs
MSC: NCLEX: Safe and Effective Care Environment
zs z s zs zs zs zs zs
3. Which statement by the nurse provides a clear explanation of the nursing process?
zs zs zs zs zs zs zs zs zs zs zs zs
a. ―The nursing process is a research method of diagnosing the patient‗s health care
zs zs zs zs zs zs zs zs zs zs zs zs
problems.‖
zs
b. ―The nursing process is used primarily to explain nursing interventions to other
zs zs zs zs zs zs zs zs zs zs zs
health care professionals.‖
zs zs zs
c. ―The nursing process is a problem-solving tool used to identify and manage the
zs zs zs zs zs zs zs zs zs zs zs zs
, patients‗ health care needs.‖ zs zs zs
d. ―The nursing process is based on nursing theory that incorporates the
zs zs zs zs zs zs zs zs zs zs
zs biopsychosocial nature of humans.‖ zs zs zs
ANS: C zs
The nursing process is a problem-solving approach to the identification and treatment of
zs zs zs zs zs zs zs zs zs zs zs zs
patients‗ problems. Nursing process does not require research methods for diagnosis. The
zs zs zs zs zs zs zs zs zs zs zs zs
primary use of the nursing process is in patient care, not to establish nursing theory or explain
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
nursing interventions to other health care professionals.
zs zs zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs TOP: Nursing Process: Evaluation zs zs zs
MSC: NCLEX: Safe and Effective Care Environment
zs z s zs zs zs zs zs
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfortable
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
leaving my children with my parents.‖ Which action would the nurse take next?
zs zs zs zs zs zs zs zs zs zs zs zs zs
a. Reassure the patient that these feelings are common for parents. zs zs zs zs zs zs zs zs zs
b. Have the patient call the children to ensure that they are doing well.
zs zs zs zs zs zs zs zs zs zs zs zs
c. Gather information on the patient‗s concerns about the child care arrangements.
zs zs zs zs zs zs zs zs zs zs
d. Call the patient‗s parents to determine whether adequate child care is being
zs zs zs zs zs zs zs zs zs zs zs
provided.
zs
ANS: C zs
Because a complete assessment is necessary in order to identify a problem and choose an
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
appropriate intervention, the nurse‗s first action should be to obtain more information. The
zs zs zs zs zs zs zs zs zs zs zs zs zs
other actions may be appropriate, but more assessment is needed before the best intervention
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
can be chosen.
zs zs zs
DIF: Cognitive Level: Analyze (Analysis) zs zs zs
TOP: Nursing Process: Assessment
z s MSC: NCLEX: Psychosocial Integrity zs zs zs zs zs
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
Which expected outcome would the nurse select for this patient?
zs zs zs zs zs zs zs zs zs zs
a. Patient has a balanced intake and output. zs zs zs zs zs zs
b. Patient‗s bedding is kept clean and free of moisture. zs zs zs zs zs zs zs zs
c. Patient understands the need for increased fluid intake.
zs zs zs zs zs zs zs
d. Patient‗s skin remains cool and dry throughout hospitalization. zs zs zs zs zs zs zs
ANS: A zs
Balanced intake and output gives measurable data showing resolution of the problem of
zs zs zs zs zs zs zs zs zs zs zs zs
deficient fluid volume. The other statements would not indicate that the problem of
zs zs zs zs zs zs zs zs zs zs zs zs zs
hypovolemia was resolved.
zs zs zs
DIF: Cognitive Level: Apply (Application) zs zs zs TOP: Nursing Process: Planning zs zs zs
MSC: NCLEX: Physiological Integrity
zs z s zs zs
6. Which statement describes the purpose of the evaluation phase of the nursing process?
zs zs zs zs zs zs zs zs zs zs zs zs
a. To document the nursing care plan in the progress notes of the health record
zs zs zs zs zs zs zs zs zs zs zs zs zs
b. To determine if interventions have been effective in meeting patient outcomes
zs zs zs zs zs zs zs zs zs zs
c. To decide whether the patient‗s health problems have been completely resolved
zs zs zs zs zs zs zs zs zs zs
d. To establish if the patient agrees that the nursing care provided was satisfactory
zs zs zs zs zs zs zs zs zs zs zs zs
ANS: B zs
, Evaluation consists of determining whether the desired patient outcomes have been met and
zs zs zs zs zs zs zs zs zs zs zs zs
whether the nursing interventions were appropriate. The other responses do not describe
zs zs zs zs zs zs zs zs zs zs zs zs
the evaluation phase.
zs zs zs
DIF: Cognitive Level: Understand (Comprehension)
z s zs zs zs TOP: Nursing Process: Evaluation zs zs zs
MSC: NCLEX: Safe and Effective Care Environment
zs z s zs zs zs zs zs
7. Which statement describes the purpose of the assessment phase of the nursing process?
zs zs zs zs zs zs zs zs zs zs zs zs
a. To teach interventions that relieve health problems
zs zs zs zs zs zs
b. To use patient data to evaluate patient care outcomes
zs zs zs zs zs zs zs zs
c. To obtain data to diagnose patient strengths and problems
zs zs zs zs zs zs zs zs
d. To help the patient identify realistic outcomes for health problems
zs zs zs zs zs zs zs zs zs
ANS: C zs
During the assessment phase, the nurse gathers information about the patient to diagnose
zs zs zs zs zs zs zs zs zs zs zs zs
patient strengths and problems. The other responses are examples of the planning,
zs zs zs zs zs zs zs zs zs zs zs zs
intervention, and evaluation phases of the nursing process.
zs zs zs zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs
TOP: Nursing Process: Assessment
z s MSC: NCLEX: Safe and Effective Care Environment zs zs z s zs zs zs zs zs
8. When developing the plan of care, which components would the nurse include in the clinical
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
zs problem statement? zs
a. The problem and the suggested patient goals or outcomes
zs zs zs zs zs zs zs zs
b. The problem, its causes, and the signs and symptoms of the problem
zs zs zs zs zs zs zs zs zs zs zs
c. The problem with the possible etiology and the planned interventions
zs zs zs zs zs zs zs zs zs
d. The problem, its pathophysiology, and the expected outcome
zs zs zs zs zs zs zs
ANS: B zs
When writing clinical problems or nursing diagnoses, the subjective as well as objective data
zs zs zs zs zs zs zs zs zs zs zs zs zs
to support the problem‗s existence should be included. Goals, outcomes, and interventions are
zs zs zs zs zs zs zs zs zs zs zs zs zs
not included in the problem statement.
zs zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs TOP: Nursing Process: Diagnosis zs zs zs
MSC: NCLEX: Safe and Effective Care Environment
zs z s zs zs zs zs zs
9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
zs zs zs zs zs zs zs zs zs zs zs zs
a. Instruct the patient about the need to alternate activity and rest.
zs zs zs zs zs zs zs zs zs zs
b. Monitor level of shortness of breath or fatigue after ambulation.
zs zs zs zs zs zs zs zs zs
c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
zs zs zs zs zs zs zs zs zs
d. Determine whether the patient is ready to increase the activity level. zs zs zs zs zs zs zs zs zs zs
ANS: C zs
AP education includes accurate vital sign measurement. Assessment and patient teaching
zs zs zs zs zs zs zs zs zs zs
require registered nurse education and scope of practice and cannot be delegated.
zs zs zs zs zs zs zs zs zs zs zs zs
DIF: Cognitive Level: Apply (Application) zs zs zs TOP: Nursing Process: Planning zs zs zs
MSC: NCLEX: Safe and Effective Care Environment
zs z s zs zs zs zs zs
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter
1-69 Complete Latest 2025
,Chapter 01: Professional Nursing
zs zs zs
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
zs zs zs zs zs
MULTIPLE CHOICE zs
1. The nurse completes an admission database and explains that the plan of care and
zs zs zs zs zs zs zs zs zs zs zs zs zs
discharge goals will be developed with the patient‗s input. The patient asks, ―How is this
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
different from what the physician does?‖ Which response would the nurse provide?
zs zs zs zs zs zs zs zs zs zs zs zs
a. ―The role of the nurse is to administer medications and other treatments prescribed by
zs zs zs zs zs zs zs zs zs zs zs zs zs
your physician.‖
zs zs
b. ―In addition to caring for you while you are sick, the nurses will help you plan to
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
maintain your health.‖
zs zs zs
c. ―The nurse‗s job is to collect information and communicate any problems that
zs zs zs zs zs zs zs zs zs zs zs
occur to the physician.‖
zs zs zs zs
d. ―Nurses perform many of the same procedures as the physician, but nurses are
zs zs zs zs zs zs zs zs zs zs zs zs
with the patients for a longer time than the physician.‖
zs zs zs zs zs zs zs zs zs zs
ANS: B zs
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
zs zs zs zs zs zs zs zs zs zs zs zs zs
promoting health. The other responses describe dependent and collaborative functions of
zs zs zs zs zs zs zs zs zs zs zs
the nursing role but do not accurately describe the nurse‗s unique role in the health care
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
system.
zs
DIF: z s Cognitive Level: Analyze (Analysis)
z s zs zs zs
TOP: z s Nursing Process: Implementation zs zs z s z s z s MSC: NCLEX: Safe and Effective Care Environmentz s zs zs zs zs zs
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
zs zs zs zs zs zs zs zs zs zs zs zs
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
zs zs zs zs zs zs zs zs zs
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
zs zs zs zs zs zs zs zs zs zs zs zs
c. ―Research from all published articles are used as a guide for planning patient care.‖
zs zs zs zs zs zs zs zs zs zs zs zs zs
d. ―Recommendations are based on research, clinical expertise, and patient zs zs zs zs zs zs zs zs
zspreferences.‖
ANS: D zs
Evidence-based practice (EBP) is the use of the best research-based evidence combined with zs zs zs zs zs zs zs zs zs zs zs zs
clinician expertise and consideration of patient preferences. Clinical judgment based on the
zs zs zs zs zs zs zs zs zs zs zs zs
nurse‗s clinical experience is part of EBP, but clinical decision making should also
zs zs zs zs zs zs zs zs zs zs zs zs zs
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
zs zs zs zs zs zs zs zs zs zs zs
important, but data analysis is not required to use EBP. All published articles do not provide
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
research evidence; interventions should be based on credible research, preferably randomized
zs zs zs zs zs zs zs zs zs zs zs
controlled studies with a large number of subjects.
zs zs zs zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs TOP: Nursing Process: Planning zs zs zs
MSC: NCLEX: Safe and Effective Care Environment
zs z s zs zs zs zs zs
3. Which statement by the nurse provides a clear explanation of the nursing process?
zs zs zs zs zs zs zs zs zs zs zs zs
a. ―The nursing process is a research method of diagnosing the patient‗s health care
zs zs zs zs zs zs zs zs zs zs zs zs
problems.‖
zs
b. ―The nursing process is used primarily to explain nursing interventions to other
zs zs zs zs zs zs zs zs zs zs zs
health care professionals.‖
zs zs zs
c. ―The nursing process is a problem-solving tool used to identify and manage the
zs zs zs zs zs zs zs zs zs zs zs zs
, patients‗ health care needs.‖ zs zs zs
d. ―The nursing process is based on nursing theory that incorporates the
zs zs zs zs zs zs zs zs zs zs
zs biopsychosocial nature of humans.‖ zs zs zs
ANS: C zs
The nursing process is a problem-solving approach to the identification and treatment of
zs zs zs zs zs zs zs zs zs zs zs zs
patients‗ problems. Nursing process does not require research methods for diagnosis. The
zs zs zs zs zs zs zs zs zs zs zs zs
primary use of the nursing process is in patient care, not to establish nursing theory or explain
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
nursing interventions to other health care professionals.
zs zs zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs TOP: Nursing Process: Evaluation zs zs zs
MSC: NCLEX: Safe and Effective Care Environment
zs z s zs zs zs zs zs
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfortable
zs zs zs zs zs zs zs zs zs zs zs zs zs zs zs
leaving my children with my parents.‖ Which action would the nurse take next?
zs zs zs zs zs zs zs zs zs zs zs zs zs
a. Reassure the patient that these feelings are common for parents. zs zs zs zs zs zs zs zs zs
b. Have the patient call the children to ensure that they are doing well.
zs zs zs zs zs zs zs zs zs zs zs zs
c. Gather information on the patient‗s concerns about the child care arrangements.
zs zs zs zs zs zs zs zs zs zs
d. Call the patient‗s parents to determine whether adequate child care is being
zs zs zs zs zs zs zs zs zs zs zs
provided.
zs
ANS: C zs
Because a complete assessment is necessary in order to identify a problem and choose an
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
appropriate intervention, the nurse‗s first action should be to obtain more information. The
zs zs zs zs zs zs zs zs zs zs zs zs zs
other actions may be appropriate, but more assessment is needed before the best intervention
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
can be chosen.
zs zs zs
DIF: Cognitive Level: Analyze (Analysis) zs zs zs
TOP: Nursing Process: Assessment
z s MSC: NCLEX: Psychosocial Integrity zs zs zs zs zs
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
Which expected outcome would the nurse select for this patient?
zs zs zs zs zs zs zs zs zs zs
a. Patient has a balanced intake and output. zs zs zs zs zs zs
b. Patient‗s bedding is kept clean and free of moisture. zs zs zs zs zs zs zs zs
c. Patient understands the need for increased fluid intake.
zs zs zs zs zs zs zs
d. Patient‗s skin remains cool and dry throughout hospitalization. zs zs zs zs zs zs zs
ANS: A zs
Balanced intake and output gives measurable data showing resolution of the problem of
zs zs zs zs zs zs zs zs zs zs zs zs
deficient fluid volume. The other statements would not indicate that the problem of
zs zs zs zs zs zs zs zs zs zs zs zs zs
hypovolemia was resolved.
zs zs zs
DIF: Cognitive Level: Apply (Application) zs zs zs TOP: Nursing Process: Planning zs zs zs
MSC: NCLEX: Physiological Integrity
zs z s zs zs
6. Which statement describes the purpose of the evaluation phase of the nursing process?
zs zs zs zs zs zs zs zs zs zs zs zs
a. To document the nursing care plan in the progress notes of the health record
zs zs zs zs zs zs zs zs zs zs zs zs zs
b. To determine if interventions have been effective in meeting patient outcomes
zs zs zs zs zs zs zs zs zs zs
c. To decide whether the patient‗s health problems have been completely resolved
zs zs zs zs zs zs zs zs zs zs
d. To establish if the patient agrees that the nursing care provided was satisfactory
zs zs zs zs zs zs zs zs zs zs zs zs
ANS: B zs
, Evaluation consists of determining whether the desired patient outcomes have been met and
zs zs zs zs zs zs zs zs zs zs zs zs
whether the nursing interventions were appropriate. The other responses do not describe
zs zs zs zs zs zs zs zs zs zs zs zs
the evaluation phase.
zs zs zs
DIF: Cognitive Level: Understand (Comprehension)
z s zs zs zs TOP: Nursing Process: Evaluation zs zs zs
MSC: NCLEX: Safe and Effective Care Environment
zs z s zs zs zs zs zs
7. Which statement describes the purpose of the assessment phase of the nursing process?
zs zs zs zs zs zs zs zs zs zs zs zs
a. To teach interventions that relieve health problems
zs zs zs zs zs zs
b. To use patient data to evaluate patient care outcomes
zs zs zs zs zs zs zs zs
c. To obtain data to diagnose patient strengths and problems
zs zs zs zs zs zs zs zs
d. To help the patient identify realistic outcomes for health problems
zs zs zs zs zs zs zs zs zs
ANS: C zs
During the assessment phase, the nurse gathers information about the patient to diagnose
zs zs zs zs zs zs zs zs zs zs zs zs
patient strengths and problems. The other responses are examples of the planning,
zs zs zs zs zs zs zs zs zs zs zs zs
intervention, and evaluation phases of the nursing process.
zs zs zs zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs
TOP: Nursing Process: Assessment
z s MSC: NCLEX: Safe and Effective Care Environment zs zs z s zs zs zs zs zs
8. When developing the plan of care, which components would the nurse include in the clinical
zs zs zs zs zs zs zs zs zs zs zs zs zs zs
zs problem statement? zs
a. The problem and the suggested patient goals or outcomes
zs zs zs zs zs zs zs zs
b. The problem, its causes, and the signs and symptoms of the problem
zs zs zs zs zs zs zs zs zs zs zs
c. The problem with the possible etiology and the planned interventions
zs zs zs zs zs zs zs zs zs
d. The problem, its pathophysiology, and the expected outcome
zs zs zs zs zs zs zs
ANS: B zs
When writing clinical problems or nursing diagnoses, the subjective as well as objective data
zs zs zs zs zs zs zs zs zs zs zs zs zs
to support the problem‗s existence should be included. Goals, outcomes, and interventions are
zs zs zs zs zs zs zs zs zs zs zs zs zs
not included in the problem statement.
zs zs zs zs zs zs
DIF: Cognitive Level: Understand (Comprehension) zs zs zs TOP: Nursing Process: Diagnosis zs zs zs
MSC: NCLEX: Safe and Effective Care Environment
zs z s zs zs zs zs zs
9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
zs zs zs zs zs zs zs zs zs zs zs zs
a. Instruct the patient about the need to alternate activity and rest.
zs zs zs zs zs zs zs zs zs zs
b. Monitor level of shortness of breath or fatigue after ambulation.
zs zs zs zs zs zs zs zs zs
c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
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d. Determine whether the patient is ready to increase the activity level. zs zs zs zs zs zs zs zs zs zs
ANS: C zs
AP education includes accurate vital sign measurement. Assessment and patient teaching
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require registered nurse education and scope of practice and cannot be delegated.
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DIF: Cognitive Level: Apply (Application) zs zs zs TOP: Nursing Process: Planning zs zs zs
MSC: NCLEX: Safe and Effective Care Environment
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