1
Test Bank For Lewis's Medical-
Surgical Nursing, 12th Edition by
Mariann M. Harding, Jeffrey Kwong,
Debra Hagler Chapter 1-69 Complete
Latest 2023-2024
, 2
Test Bank for Lewis\'s Medical-Surgical Nursing, 12th
Edition by Mariann M. Harding, Jeffrey Kwong, Debra
Hagler Chapter 1-69
, 3
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. The patient asks, “How is this different
from what the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other treatments
prescribed by your physician.”
b. “In addition to caring for you while you are sick, the nurses will help you plan
to maintain your health.”
c. “The nurse‘s job is to collect information and communicate any problems
that occur to the physician.”
d. “Nurses perform many of the same procedures as the physician, but nurses
are with the patients for a longer time than the physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses
in promoting health. The other responses describe dependent and collaborative functions of
the nursing role but do not accurately describe the nurse‘s unique role in the health care
system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient care.”
d. “Recommendations are based on research, clinical expertise, and
patient preferences.”
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the
nurse‘s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
a. “The nursing process is a research method of diagnosing the patient‘s health
care problems.”
b. “The nursing process is used primarily to explain nursing interventions to
other health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and manage the
, 4
patients‘ health care needs.” jh jh jh
d. “The nursing process is based on nursing theory that incorporates t
jh jh jh jh jh jh jh jh jh jh
he biopsychosocial nature of humans.”
jh jh jh jh
ANS: C jh
The nursing process is a problem-
jh jh jh jh jh
solving approach to the identification and treatment of patients‘ problems. Nursing process doe
jh jh jh jh jh jh jh jh jh jh jh jh
s not require research methods for diagnosis. The primary use of the nursing process is in patien
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
t care, not to establish nursing theory or explain nursing interventions to other health care profes
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
sionals.
DIF: Cognitive Level: Understand (Comprehension) jh jh jh
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
jh jh jh jh j h jh jh jh jh jh
4. A patient admitted to the hospital for surgery tells the nurse, “I do not feel comforta
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ble leaving my children with my parents.” Which action would the nurse take next?
jh jh jh jh jh jh jh jh jh jh jh jh jh
a. Reassure the patient that these feelings are common for parents. jh jh jh jh jh jh jh jh jh
b. Have the patient call the children to ensure that they are doing well.
jh jh jh jh jh jh jh jh jh jh jh jh
c. Gather information on the patient‘s concerns about the child care arrangements.
jh jh jh jh jh jh jh jh jh jh
d. Call the patient‘s parents to determine whether adequate child care is b
jh jh jh jh jh jh jh jh jh jh jh
eing provided. jh
ANS: C jh
Because a complete assessment is necessary in order to identify a problem and choose an appro
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
priate intervention, the nurse‘s first action should be to obtain more information. The other acti
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ons may be appropriate, but more assessment is needed before the best intervention can be chose
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
n.
DIF: Cognitive Level: Analyze (Analysis) jh jh jh
TOP: Nursing Process: Assessment
j h MSC: NCLEX: Psychosocial Integrity jh jh jh jh jh
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive di
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
aphoresis. Which expected outcome would the nurse select for this patient?
jh jh jh jh jh jh jh jh jh jh
a. Patient has a balanced intake and output. jh jh jh jh jh jh
b. Patient‘s bedding is kept clean and free of moisture. jh jh jh jh jh jh jh jh
c. Patient understands the need for increased fluid intake. jh jh jh jh jh jh jh
d. Patient‘s skin remains cool and dry throughout hospitalization. jh jh jh jh jh jh jh
ANS: A jh
Balanced intake and output gives measurable data showing resolution of the problem of deficien
jh jh jh jh jh jh jh jh jh jh jh jh jh
t fluid volume. The other statements would not indicate that the problem of hypovolemia was r
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
esolved.
DIF: Cognitive Level: Apply (Application) jh jh jh
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
jh jh jh jh j h jh jh
6. Which statement describes the purpose of the evaluation phase of the nursing process?
jh jh jh jh jh jh jh jh jh jh jh jh
a. To document the nursing care plan in the progress notes of the health record
jh jh jh jh jh jh jh jh jh jh jh jh jh
b. To determine if interventions have been effective in meeting patient outcomes
jh jh jh jh jh jh jh jh jh jh
c. To decide whether the patient‘s health problems have been completely resolved
jh jh jh jh jh jh jh jh jh jh
d. To establish if the patient agrees that the nursing care provided was satisfactory
jh jh jh jh jh jh jh jh jh jh jh jh
ANS: B jh
Test Bank For Lewis's Medical-
Surgical Nursing, 12th Edition by
Mariann M. Harding, Jeffrey Kwong,
Debra Hagler Chapter 1-69 Complete
Latest 2023-2024
, 2
Test Bank for Lewis\'s Medical-Surgical Nursing, 12th
Edition by Mariann M. Harding, Jeffrey Kwong, Debra
Hagler Chapter 1-69
, 3
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. The patient asks, “How is this different
from what the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other treatments
prescribed by your physician.”
b. “In addition to caring for you while you are sick, the nurses will help you plan
to maintain your health.”
c. “The nurse‘s job is to collect information and communicate any problems
that occur to the physician.”
d. “Nurses perform many of the same procedures as the physician, but nurses
are with the patients for a longer time than the physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses
in promoting health. The other responses describe dependent and collaborative functions of
the nursing role but do not accurately describe the nurse‘s unique role in the health care
system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient care.”
d. “Recommendations are based on research, clinical expertise, and
patient preferences.”
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the
nurse‘s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
a. “The nursing process is a research method of diagnosing the patient‘s health
care problems.”
b. “The nursing process is used primarily to explain nursing interventions to
other health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and manage the
, 4
patients‘ health care needs.” jh jh jh
d. “The nursing process is based on nursing theory that incorporates t
jh jh jh jh jh jh jh jh jh jh
he biopsychosocial nature of humans.”
jh jh jh jh
ANS: C jh
The nursing process is a problem-
jh jh jh jh jh
solving approach to the identification and treatment of patients‘ problems. Nursing process doe
jh jh jh jh jh jh jh jh jh jh jh jh
s not require research methods for diagnosis. The primary use of the nursing process is in patien
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
t care, not to establish nursing theory or explain nursing interventions to other health care profes
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
sionals.
DIF: Cognitive Level: Understand (Comprehension) jh jh jh
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
jh jh jh jh j h jh jh jh jh jh
4. A patient admitted to the hospital for surgery tells the nurse, “I do not feel comforta
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ble leaving my children with my parents.” Which action would the nurse take next?
jh jh jh jh jh jh jh jh jh jh jh jh jh
a. Reassure the patient that these feelings are common for parents. jh jh jh jh jh jh jh jh jh
b. Have the patient call the children to ensure that they are doing well.
jh jh jh jh jh jh jh jh jh jh jh jh
c. Gather information on the patient‘s concerns about the child care arrangements.
jh jh jh jh jh jh jh jh jh jh
d. Call the patient‘s parents to determine whether adequate child care is b
jh jh jh jh jh jh jh jh jh jh jh
eing provided. jh
ANS: C jh
Because a complete assessment is necessary in order to identify a problem and choose an appro
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
priate intervention, the nurse‘s first action should be to obtain more information. The other acti
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
ons may be appropriate, but more assessment is needed before the best intervention can be chose
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
n.
DIF: Cognitive Level: Analyze (Analysis) jh jh jh
TOP: Nursing Process: Assessment
j h MSC: NCLEX: Psychosocial Integrity jh jh jh jh jh
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive di
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
aphoresis. Which expected outcome would the nurse select for this patient?
jh jh jh jh jh jh jh jh jh jh
a. Patient has a balanced intake and output. jh jh jh jh jh jh
b. Patient‘s bedding is kept clean and free of moisture. jh jh jh jh jh jh jh jh
c. Patient understands the need for increased fluid intake. jh jh jh jh jh jh jh
d. Patient‘s skin remains cool and dry throughout hospitalization. jh jh jh jh jh jh jh
ANS: A jh
Balanced intake and output gives measurable data showing resolution of the problem of deficien
jh jh jh jh jh jh jh jh jh jh jh jh jh
t fluid volume. The other statements would not indicate that the problem of hypovolemia was r
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
esolved.
DIF: Cognitive Level: Apply (Application) jh jh jh
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
jh jh jh jh j h jh jh
6. Which statement describes the purpose of the evaluation phase of the nursing process?
jh jh jh jh jh jh jh jh jh jh jh jh
a. To document the nursing care plan in the progress notes of the health record
jh jh jh jh jh jh jh jh jh jh jh jh jh
b. To determine if interventions have been effective in meeting patient outcomes
jh jh jh jh jh jh jh jh jh jh
c. To decide whether the patient‘s health problems have been completely resolved
jh jh jh jh jh jh jh jh jh jh
d. To establish if the patient agrees that the nursing care provided was satisfactory
jh jh jh jh jh jh jh jh jh jh jh jh
ANS: B jh
