TEST BANK FOR LEWIS MEDICAL-
xx xx xx xx
SURGICAL NURSING IN CANADA
xx xx xx
xx5TH EDITION
xx
,CHAPTER 01: Introduction to Medical Surgical Nursing Practice
xx xx xx xx xx xx xx
in Canada Lewis: Medical-Surgical Nursing in Canada, 5th
xx xx xx xx xx xx xx xx
Canadian Edition
xx xx
MULTIPLE xxCHOICE xx:
1. The xxmedical xxattendant xxis xxcaring x x for xxa xxhospital xxclient xxwith
x x a xxnew xxdiagnosis xxof xxpneumonia xxand xxexplains xxto xxthe
xxhospital xxclient xxthat xxtogether xxthey xxwill xxplan xxthe x x hospital
xxclient’s xxcare xxand xxset xxgoals xxfor xxdischarge. xxThe xxhospital
xxclient xxasks, xx“How xxis xxthat x x different x x from xxwhat xxthe
x x doctor x x does?” x x Which x x response x x by xxthe xxmedical
xxattendant xxis xxmost xxappropriate?
a. “The xxrole xxof xxthe xxmedical xxattendant xxis xxto xxadminister
x x medications xxand xxother xxtreatments xxprescribed
by xxyour x x doctor.”
b. “The xxmedical xxattendant’s xxjob xxis xxto xxhelp xxthe xxdoctor xxby
xxcollecting xxdata xxand xxcommunicating xxwhen xxthere xxare
xxproblems.”
c. “Medical xxattendants xxperform xxmany xxof xxthe xxprocedures xxdone xxby
xxphysicians, xxbut x x medical xxattendants xxare xxhere xxin
the x x health x x center x x for x x a x x longer x x time x x than x x doctors.”
d. “In xxaddition xxto xxcaring xxfor x x you x x while xxyou xxare xxsick, xxthe xxmedical
xxattendants xxwill xxassist xxyou xxto
develop x x an x x individualized x x plan x x to x x maintain x x your x x health.”
PRECISE xxCHOICE:-D
Reasoning xx:->>>This x x response x x is x x consistent x x with x x the x x Canadian xxnurses
x x Association x x (CNA) x x definition x x of x x nursing. xxRegistered x x medical xxattendants x x are
x x self-regulated x x health x x care x x professionals x x who x x work x x autonomously x x and xxin
x x collaboration x x with x x others. x x RNs x x enable x x individuals, x x families, x x groups,
x x communities x x and x x populations x x to xxachieve x x their x x optimal x x level x x of x x health.
x x RNs x x coordinate x x health x x care, x x deliver x x direct x x services, x x and x x support xxhospital
xxclients x x in xxtheir x x self-care x x decisions xxand xxactions x x in x x situations x x of x x health, x x illness,
x x injury, x x and x x disability xxin xxall xxstages x x of x x life. x x The x x other x x responses x x describe
x x some x x of x x the x x dependent x x and x x collaborative x x functions x x of x x the xxnursing x x role
x x but x x do x x not x x accurately x x describe x x the x x medical xxattendant’s x x role x x in x x the x x health
x x care x x system.
DIF: Cognitive xxLevel: xxComprehension TOPIC: x x Nursing xxProcess:
Implementation xxMSC: x x NCLEX: xxSafe xxand xxEffective xxCare xxEnvironment
2. When xxcaring x x for x x hospital xxclients xxusing x x evidence-informed x x practice, xx which xx of xxthe
x x following x x does xxthe xxmedical xxattendant xxuse?
a. Clinical x x judgement x x based x x on x x experience
b. Evidence x x from x x a x x clinical x x research x x study
c. The x x best x x available x x evidence x x to x x guide x x clinical x x expertise
d. Evaluation xxof xxdata xxshowing xxthat xxthe xxhospital
xxclient xxoutcomes xxare xxmet
,PRECISE xxCHOICE:-C
Reasoning xx:->>>Evidence-informed x x nursing x x practice x x is x x a x x continuous x x interactive
x x process x x involving x x the x x explicit, xxconscientious, x x and x x judicious x x consideration x x of
xxthe x x best xxavailable x x evidence x x to x x provide x x care. x x Four x x primary xxelements x x are: xx(a)
x x clinical x x state, x x setting, x x and x x circumstances; x x (b) x x hospital xxclient x x preferences x x and
x x actions; x x (c) x x best xxresearch x x evidence, x x and x x (d) x x health x x care x x resources. x x Clinical
x x judgement x x based x x on x x the x x medical xxattendant’s xxclinical x x experience x x is x x part x x of
x x EIP, x x but x x clinical x x decision x x making x x also x x should x x incorporate x x current xxresearch
x x and x x research-based x x guidelines. x x Evidence x x from x x one x x clinical x x research x x study
xxdoes x x not x x provide x x an xxadequate x x substantiation x x for x x interventions. x x Evaluation
x x of x x hospital xxclient x x outcomes x x is x x important, x x but x x interventions x x should x x be
x x based x x on x x research x x from x x randomized x x control x x studies x x with x x a x x large
x x number x x of
, subjects.
DIF: Cognitive xxLevel: xxComprehension TOPIC: x x Nursing xxProcess:
Planning xxMSC: x x NCLEX: xxSafe xxand xxEffective xxCare xxEnvironment
3. Which xxof xxthe xxfollowing x x best x x explains xxthe xxmedical xxattendants’ x x primary xxuse x x of
xxthe x x nursing x x process xxwhen xxproviding xxcare xxto xxhospital xxclients?
a. To xxexplain x x nursing x x interventions x x to x x other x x health x x care x x professionals
b. As x x a x x problem-solving x x tool x x to x x identify x x and x x treat x x hospital xxclients’ x x health x x care
x x needs
c. As x x a x x scientific-based x x process x x of x x diagnosing x x the x x hospital xxclient’s x x health x x care
x x problems
d. To xxestablish x x nursing x x theory xxthat x x incorporates x x the x x biopsychosocial x x nature x x of
x x humans
PRECISE xxCHOICE:-B
Reasoning xx:->>>The x x nursing x x process x x is x x an x x assertive x x problem-solving x x approach
x x to x x the x x identification x x and x x treatment x x of xxhospital xxclients’ x x problems. x x Diagnosis
x x is x x only x x one x x phase x x of x x the x x nursing x x process. x x The x x primary x x use x x of xxthe
x x nursing xxprocess x x is xxin xxhospital xxclient x x care, x x not x x to x x establish x x nursing xxtheory xxor
x x explain x x nursing x x interventions x x to xxother x x health xxcare xxprofessionals.
DIF: Cognitive xxLevel: xxComprehension TOPIC: x x Nursing xxProcess:
Implementation xxMSC: x x NCLEX: xxSafe xxand xxEffective xxCare xxEnvironment
4. The x x medical xxattendant x x is x x caring x x for xxa x x critically x x ill x x hospital xxclient x x in xx the
x x intensive x x care xxunit x x and x x plans x x an x x every- xx2-hour x x turning x x schedule x x to
x x prevent x x skin x x breakdown. x x Which x x type x x of x x nursing x x function x x is
x x demonstrated xxwith xxthis xxturning xxschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE xxCHOICE:-D
Reasoning xx:->>>When x x implementing x x collaborative x x nursing x x actions, x x the x x medical
xxattendant x x is x x responsible x x primarily x x for xxmonitoring x x for x x complications x x of x x acute
x x illness x x or x x providing x x care x x to x x prevent x x or x x treat x x complications.
Independent x x nursing xxactions xxare xxfocused x x on xxhealth xxpromotion, xxillness xxprevention,
x x and xxhospital xxclient xxadvocacy. x x A xxdependent x x action x x would x x require xxa
x x physician x x order xxto xximplement. x x Cooperative x x nursing xxfunctions x x are x x not
x x described x x as x x one x x of x x the x x formal x x nursing x x functions.
DIF: Cognitive xxLevel: xxApplication TOPIC: x x Nursing xxProcess:
Implementation xxMSC: x x NCLEX: xxSafe xxand xxEffective xxCare xxEnvironment
5. The xxmedical xxattendant xxis xxcaring xxfor xxa xxhospital xxclient xxwho xxhas xxbeen xxadmitted xxto
xxthe xxhealth xxcenter xxfor x x surgery xxand xxtells xxthe xxmedical xxattendant, xx“I xxdo xxnot xxfeel
xxright xxabout xxleaving xxmy xxchildren xxwith xxmy xxneighbour.” xxWhich xxaction xxshould x x the
x x medical xxattendant x x take x x next?
a. Reassure x x the x x hospital xxclient x x that x x these x x feelings x x are x x common x x for x x parents.
b. Have x x the x x hospital xxclient x x call x x the x x children xxto x x ensure x x that x x they x x are x x doing x x well.
c. Call xxthe x x neighbour x x to x x determine x x whether x x adequate x x childcare x x is x x being x x provided.
d. Gather x x more x x data x x about x x the x x hospital xxclient’s x x feelings x x about x x the x x childcare
x x arrangements.
xx xx xx xx
SURGICAL NURSING IN CANADA
xx xx xx
xx5TH EDITION
xx
,CHAPTER 01: Introduction to Medical Surgical Nursing Practice
xx xx xx xx xx xx xx
in Canada Lewis: Medical-Surgical Nursing in Canada, 5th
xx xx xx xx xx xx xx xx
Canadian Edition
xx xx
MULTIPLE xxCHOICE xx:
1. The xxmedical xxattendant xxis xxcaring x x for xxa xxhospital xxclient xxwith
x x a xxnew xxdiagnosis xxof xxpneumonia xxand xxexplains xxto xxthe
xxhospital xxclient xxthat xxtogether xxthey xxwill xxplan xxthe x x hospital
xxclient’s xxcare xxand xxset xxgoals xxfor xxdischarge. xxThe xxhospital
xxclient xxasks, xx“How xxis xxthat x x different x x from xxwhat xxthe
x x doctor x x does?” x x Which x x response x x by xxthe xxmedical
xxattendant xxis xxmost xxappropriate?
a. “The xxrole xxof xxthe xxmedical xxattendant xxis xxto xxadminister
x x medications xxand xxother xxtreatments xxprescribed
by xxyour x x doctor.”
b. “The xxmedical xxattendant’s xxjob xxis xxto xxhelp xxthe xxdoctor xxby
xxcollecting xxdata xxand xxcommunicating xxwhen xxthere xxare
xxproblems.”
c. “Medical xxattendants xxperform xxmany xxof xxthe xxprocedures xxdone xxby
xxphysicians, xxbut x x medical xxattendants xxare xxhere xxin
the x x health x x center x x for x x a x x longer x x time x x than x x doctors.”
d. “In xxaddition xxto xxcaring xxfor x x you x x while xxyou xxare xxsick, xxthe xxmedical
xxattendants xxwill xxassist xxyou xxto
develop x x an x x individualized x x plan x x to x x maintain x x your x x health.”
PRECISE xxCHOICE:-D
Reasoning xx:->>>This x x response x x is x x consistent x x with x x the x x Canadian xxnurses
x x Association x x (CNA) x x definition x x of x x nursing. xxRegistered x x medical xxattendants x x are
x x self-regulated x x health x x care x x professionals x x who x x work x x autonomously x x and xxin
x x collaboration x x with x x others. x x RNs x x enable x x individuals, x x families, x x groups,
x x communities x x and x x populations x x to xxachieve x x their x x optimal x x level x x of x x health.
x x RNs x x coordinate x x health x x care, x x deliver x x direct x x services, x x and x x support xxhospital
xxclients x x in xxtheir x x self-care x x decisions xxand xxactions x x in x x situations x x of x x health, x x illness,
x x injury, x x and x x disability xxin xxall xxstages x x of x x life. x x The x x other x x responses x x describe
x x some x x of x x the x x dependent x x and x x collaborative x x functions x x of x x the xxnursing x x role
x x but x x do x x not x x accurately x x describe x x the x x medical xxattendant’s x x role x x in x x the x x health
x x care x x system.
DIF: Cognitive xxLevel: xxComprehension TOPIC: x x Nursing xxProcess:
Implementation xxMSC: x x NCLEX: xxSafe xxand xxEffective xxCare xxEnvironment
2. When xxcaring x x for x x hospital xxclients xxusing x x evidence-informed x x practice, xx which xx of xxthe
x x following x x does xxthe xxmedical xxattendant xxuse?
a. Clinical x x judgement x x based x x on x x experience
b. Evidence x x from x x a x x clinical x x research x x study
c. The x x best x x available x x evidence x x to x x guide x x clinical x x expertise
d. Evaluation xxof xxdata xxshowing xxthat xxthe xxhospital
xxclient xxoutcomes xxare xxmet
,PRECISE xxCHOICE:-C
Reasoning xx:->>>Evidence-informed x x nursing x x practice x x is x x a x x continuous x x interactive
x x process x x involving x x the x x explicit, xxconscientious, x x and x x judicious x x consideration x x of
xxthe x x best xxavailable x x evidence x x to x x provide x x care. x x Four x x primary xxelements x x are: xx(a)
x x clinical x x state, x x setting, x x and x x circumstances; x x (b) x x hospital xxclient x x preferences x x and
x x actions; x x (c) x x best xxresearch x x evidence, x x and x x (d) x x health x x care x x resources. x x Clinical
x x judgement x x based x x on x x the x x medical xxattendant’s xxclinical x x experience x x is x x part x x of
x x EIP, x x but x x clinical x x decision x x making x x also x x should x x incorporate x x current xxresearch
x x and x x research-based x x guidelines. x x Evidence x x from x x one x x clinical x x research x x study
xxdoes x x not x x provide x x an xxadequate x x substantiation x x for x x interventions. x x Evaluation
x x of x x hospital xxclient x x outcomes x x is x x important, x x but x x interventions x x should x x be
x x based x x on x x research x x from x x randomized x x control x x studies x x with x x a x x large
x x number x x of
, subjects.
DIF: Cognitive xxLevel: xxComprehension TOPIC: x x Nursing xxProcess:
Planning xxMSC: x x NCLEX: xxSafe xxand xxEffective xxCare xxEnvironment
3. Which xxof xxthe xxfollowing x x best x x explains xxthe xxmedical xxattendants’ x x primary xxuse x x of
xxthe x x nursing x x process xxwhen xxproviding xxcare xxto xxhospital xxclients?
a. To xxexplain x x nursing x x interventions x x to x x other x x health x x care x x professionals
b. As x x a x x problem-solving x x tool x x to x x identify x x and x x treat x x hospital xxclients’ x x health x x care
x x needs
c. As x x a x x scientific-based x x process x x of x x diagnosing x x the x x hospital xxclient’s x x health x x care
x x problems
d. To xxestablish x x nursing x x theory xxthat x x incorporates x x the x x biopsychosocial x x nature x x of
x x humans
PRECISE xxCHOICE:-B
Reasoning xx:->>>The x x nursing x x process x x is x x an x x assertive x x problem-solving x x approach
x x to x x the x x identification x x and x x treatment x x of xxhospital xxclients’ x x problems. x x Diagnosis
x x is x x only x x one x x phase x x of x x the x x nursing x x process. x x The x x primary x x use x x of xxthe
x x nursing xxprocess x x is xxin xxhospital xxclient x x care, x x not x x to x x establish x x nursing xxtheory xxor
x x explain x x nursing x x interventions x x to xxother x x health xxcare xxprofessionals.
DIF: Cognitive xxLevel: xxComprehension TOPIC: x x Nursing xxProcess:
Implementation xxMSC: x x NCLEX: xxSafe xxand xxEffective xxCare xxEnvironment
4. The x x medical xxattendant x x is x x caring x x for xxa x x critically x x ill x x hospital xxclient x x in xx the
x x intensive x x care xxunit x x and x x plans x x an x x every- xx2-hour x x turning x x schedule x x to
x x prevent x x skin x x breakdown. x x Which x x type x x of x x nursing x x function x x is
x x demonstrated xxwith xxthis xxturning xxschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
PRECISE xxCHOICE:-D
Reasoning xx:->>>When x x implementing x x collaborative x x nursing x x actions, x x the x x medical
xxattendant x x is x x responsible x x primarily x x for xxmonitoring x x for x x complications x x of x x acute
x x illness x x or x x providing x x care x x to x x prevent x x or x x treat x x complications.
Independent x x nursing xxactions xxare xxfocused x x on xxhealth xxpromotion, xxillness xxprevention,
x x and xxhospital xxclient xxadvocacy. x x A xxdependent x x action x x would x x require xxa
x x physician x x order xxto xximplement. x x Cooperative x x nursing xxfunctions x x are x x not
x x described x x as x x one x x of x x the x x formal x x nursing x x functions.
DIF: Cognitive xxLevel: xxApplication TOPIC: x x Nursing xxProcess:
Implementation xxMSC: x x NCLEX: xxSafe xxand xxEffective xxCare xxEnvironment
5. The xxmedical xxattendant xxis xxcaring xxfor xxa xxhospital xxclient xxwho xxhas xxbeen xxadmitted xxto
xxthe xxhealth xxcenter xxfor x x surgery xxand xxtells xxthe xxmedical xxattendant, xx“I xxdo xxnot xxfeel
xxright xxabout xxleaving xxmy xxchildren xxwith xxmy xxneighbour.” xxWhich xxaction xxshould x x the
x x medical xxattendant x x take x x next?
a. Reassure x x the x x hospital xxclient x x that x x these x x feelings x x are x x common x x for x x parents.
b. Have x x the x x hospital xxclient x x call x x the x x children xxto x x ensure x x that x x they x x are x x doing x x well.
c. Call xxthe x x neighbour x x to x x determine x x whether x x adequate x x childcare x x is x x being x x provided.
d. Gather x x more x x data x x about x x the x x hospital xxclient’s x x feelings x x about x x the x x childcare
x x arrangements.
