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