Test Bank For Lewis's Medical- Surgical Nursing, 12th Edition
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler
Chapter 1-69 Complete Latest 2025-2026
,
, 3
Chapter 01: Professional Nursing
cx cx cx
Harding: Lewis’s Medical-Surgical Nursing, 12th
cx cx cx cx
MULTIPLE CHOICE c x
1. The nurse completes an admission database and explains that the plan of care and
c x c x c x c x c x c x c x c x c x c x c x c x c x cx
discharge goals will be developed with the patient‗s input. The patient asks, ―H
c x c x c x c x c x c x c x c x c x c x c x c x
ow is this different from what the physician does?‖ Which response would the n
c x c x c x c x c x c x c x c x c x c x c x c x c x
urse provide? cx
a. ―The role of the nurse is to administer medications and ot
c x c x c x c x c x c x c x c x c x c x
her treatments prescribed by your physician.‖
cx c x c x c x c x
b. ―In addition to caring for you while you are sick, the nurses will
c x c x c x c x c x c x c x c x c x c x c x c x c x
help you plan to maintain your health.‖cx c x c x c x c x c x
c. ―The nurse‗s job is to collect information and communicate a
cx c x c x c x c x c x c x c x cx
ny problems that occur to the physician.‖
cx c x c x c x c x c x
d. ―Nurses perform many of the same procedures as the physician, c x c x cx c x c x c x c x c x c x c x
but nurses are with the patients for a longer time than the
cx c x c x c x c x c x c x c x c x c x c x c x
physician.‖
ANS: B c x
The American Nurses Association (ANA) definition of nursing describes the role of
c x c x c x c x c x c x c x c x c x c x c x cx
nurses in promoting health. The other responses describe dependent and colla
c x c x c x c x c x c x c x c x c x cx
borative functions of the nursing role but do not accurately describe the nurse‗s uni
c x c x c x c x c x c x c x c x c x cx c x c x cx
que role in the health care system.
c x c x c x c x c x c x
DIF: c x c x Cognitive Level: Analyze (Analysis) c x c x c x
TOP: Nursing Process: Implementation MSC: c x c x c x c x NCLEX: Safe and Effective Care Environment c x c x c x c x c x
2. Which statement by the nurse accurately describes the use of evidence-
c x c x c x c x c x c x c x c x c x c x
based practice (EBP)? c x c x
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
c x c x c x c x c x c x c x c x c x
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
c x c x c x c x c x c x c x c x c x c x c x c x
c. ―Research from all published articles are used as a guide for planning patient care.‖
c x c x c x c x c x c x c x c x c x c x c x c x c x
d. ―Recommendations are based on research, clinical expertise cx cx cx cx cx cx
, and patient preferences.‖
cx c x c x
ANS: D c x
Evidence-based practice (EBP) is the use of the best research- c x c x c x c x c x c x c x c x c x
based evidence combined with clinician expertise and consideration of patient pref
c x cx c x c x c x c x c x c x c x c x
erences. Clinical judgment based on the nurse‗s clinical experience is part of EB
c x cx c x c x c x c x c x c x c x c x c x c x
P, but clinical decision making should also incorporate current research and resea
c x c x cx c x c x c x c x c x c x c x c x
rch-
based guidelines. Evaluation of patient outcomes is important, but data analysis is
cx c x c x c x c x c x c x c x c x c x c x
not required to use EBP. All published articles do not provide research evidenc
c x cx c x c x c x c x c x c x c x c x c x c x c x
e; interventions should be based on credible research, preferably randomized contr
cx c x c x c x c x c x c x c x c x c x
olled studies with a large number of subjects.
cx c x c x c x c x c x c x
DIF: Cognitive Level: Understand (Comprehension) c x c x c x
TOP: Nursing Process: Planning MSC:
c x cx cx c x
NCLEX: Safe and Effective Care Environment c x c x c x c x c x
3. Which statement by the nurse provides a clear explanation of the nursing process?
c x c x c x c x c x c x c x c x c x c x c x c x
a. ―The nursing process is a research method of diagnosing the patien
c x c x c x c x c x c x c x c x cx c x
t‗s health care problems.‖ cx c x c x
b. ―The nursing process is used primarily to explain nursi
cx c x c x c x c x cx c x c x
ng interventions to other health care professionals.‖
cx c x c x c x c x c x
c. ―The nursing process is a problem-solving tool used to identify and manage the
c x c x c x c x c x c x c x c x c x c x c x c x
, 4
patients‗ health care needs.‖ c x c x c x
d. ―The nursing process is based on nursing theory th
cx cx c x c x c x c x cx cx
at incorporates the biopsychosocial nature of huma
cx c x c x c x c x c x
ns.‖
ANS: C c x
The nursing process is a problem-
c x c x c x c x c x
solving approach to the identification and treatment of patients‗ problems. Nursin
c x c x c x c x c x c x c x c x c x c x
g process does not require research methods for diagnosis. The primary use of t
c x c x c x c x c x c x c x cx c x c x c x c x c x
he nursing process is in patient care, not to establish nursing theory or explain
c x c x c x c x c x c x c x c x c x cx c x c x c x c x
nursing interventions to other health care professionals.
c x c x c x c x c x c x
DIF: Cognitive Level: Understand (Comprehension) c x c x c x
TOP: Nursing Process: Evaluation MSC:
c x cx cx c x
NCLEX: Safe and Effective Care Environment c x c x c x c x c x
4. A patient admitted to the hospital for surgery tells the nurse, ―I do
c x c x c x c x c x c x c x c x c x c x c x c x c
x not feel comfortable leaving my children with my parents.‖ Which ac
cx c x c x c x c x c x c x c x c x c x
tion would the nurse take next?
cx c x c x c x c x
a. Reassure the patient that these feelings are common for parents.
c x c x c x c x c x c x c x c x c x
b. Have the patient call the children to ensure that they are doing well.
c x c x c x c x c x c x c x c x c x c x c x c x
c. Gather information on the patient‗s concerns about the child care arrangements.
c x c x c x c x c x c x c x c x c x c x
d. Call the patient‗s parents to determine whether adequate ch
c x c x c x c x c x c x c x c x
ild care is being provided.cx c x c x c x
ANS: C c x
Because a complete assessment is necessary in order to identify a problem
c x c x c x c x c x c x c x c x c x c x c x
c and choose an appropriate intervention, the nurse‗s first action should be to ob
x cx c x c x c x c x c x c x c x c x c x c x c x
tain more information. The other actions may be appropriate, but more assessmen
c x cx c x c x c x c x c x c x c x c x c x
t is needed before the best intervention can be chosen.
c x c x cx c x c x c x c x c x c x
DIF: Cognitive Level: Analyze (Analysis) c x c x c x
TOP: Nursing Process: Assessment MSC: c x c x c x NCLEX: Psychosocial Integrity c x c x
5. A patient with a bacterial infection is hypovolemic due to a fever a
c x c x c x c x c x c x c x c x c x c x c x c x
nd excessive diaphoresis. Which expected outcome would the nurse s
cx c x c x c x c x c x c x c x c x
elect for this patient?
cx c x c x
a. Patient has a balanced intake and output. c x c x c x c x c x c x
b. Patient‗s bedding is kept clean and free of moisture. c x c x c x c x c x c x c x c x
c. Patient understands the need for increased fluid intake.
c x c x c x c x c x c x c x
d. Patient‗s skin remains cool and dry throughout hospitalization.
c x c x c x c x c x c x c x
ANS: A c x
Balanced intake and output gives measurable data showing resolution of the probl
c x c x c x c x c x c x c x c x c x c x c x
em of deficient fluid volume. The other statements would not indicate that the pr
cx c x c x c x c x c x c x c x c x c x c x c x c x
oblem of hypovolemia was resolved.
c x c x c x c x
DIF: Cognitive Level: Apply (Application) c x c x c x
TOP: Nursing Process: Planning MSC:
c x cx cx c x
NCLEX: Physiological Integrity c x c x
6. Which c x statement describes the purpose of the evaluation phase of the nursing process?
c x c x c x c x c x c x c x c x c x c x c x
a. To c x document the nursing care plan in the progress notes of the health record
c x c x c x c x c x c x c x c x c x c x c x c x
b. To c x determine if interventions have been effective in meeting patient outcomes
c x c x c x c x c x c x c x c x c x
c. To c x decide whether the patient‗s health problems have been completely resolved
c x c x c x c x c x c x c x c x c x
d. To c x establish if the patient agrees that the nursing care provided was satisfactory
c x c x c x c x c x c x c x c x c x c x c x
ANS: B c x
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler
Chapter 1-69 Complete Latest 2025-2026
,
, 3
Chapter 01: Professional Nursing
cx cx cx
Harding: Lewis’s Medical-Surgical Nursing, 12th
cx cx cx cx
MULTIPLE CHOICE c x
1. The nurse completes an admission database and explains that the plan of care and
c x c x c x c x c x c x c x c x c x c x c x c x c x cx
discharge goals will be developed with the patient‗s input. The patient asks, ―H
c x c x c x c x c x c x c x c x c x c x c x c x
ow is this different from what the physician does?‖ Which response would the n
c x c x c x c x c x c x c x c x c x c x c x c x c x
urse provide? cx
a. ―The role of the nurse is to administer medications and ot
c x c x c x c x c x c x c x c x c x c x
her treatments prescribed by your physician.‖
cx c x c x c x c x
b. ―In addition to caring for you while you are sick, the nurses will
c x c x c x c x c x c x c x c x c x c x c x c x c x
help you plan to maintain your health.‖cx c x c x c x c x c x
c. ―The nurse‗s job is to collect information and communicate a
cx c x c x c x c x c x c x c x cx
ny problems that occur to the physician.‖
cx c x c x c x c x c x
d. ―Nurses perform many of the same procedures as the physician, c x c x cx c x c x c x c x c x c x c x
but nurses are with the patients for a longer time than the
cx c x c x c x c x c x c x c x c x c x c x c x
physician.‖
ANS: B c x
The American Nurses Association (ANA) definition of nursing describes the role of
c x c x c x c x c x c x c x c x c x c x c x cx
nurses in promoting health. The other responses describe dependent and colla
c x c x c x c x c x c x c x c x c x cx
borative functions of the nursing role but do not accurately describe the nurse‗s uni
c x c x c x c x c x c x c x c x c x cx c x c x cx
que role in the health care system.
c x c x c x c x c x c x
DIF: c x c x Cognitive Level: Analyze (Analysis) c x c x c x
TOP: Nursing Process: Implementation MSC: c x c x c x c x NCLEX: Safe and Effective Care Environment c x c x c x c x c x
2. Which statement by the nurse accurately describes the use of evidence-
c x c x c x c x c x c x c x c x c x c x
based practice (EBP)? c x c x
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
c x c x c x c x c x c x c x c x c x
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
c x c x c x c x c x c x c x c x c x c x c x c x
c. ―Research from all published articles are used as a guide for planning patient care.‖
c x c x c x c x c x c x c x c x c x c x c x c x c x
d. ―Recommendations are based on research, clinical expertise cx cx cx cx cx cx
, and patient preferences.‖
cx c x c x
ANS: D c x
Evidence-based practice (EBP) is the use of the best research- c x c x c x c x c x c x c x c x c x
based evidence combined with clinician expertise and consideration of patient pref
c x cx c x c x c x c x c x c x c x c x
erences. Clinical judgment based on the nurse‗s clinical experience is part of EB
c x cx c x c x c x c x c x c x c x c x c x c x
P, but clinical decision making should also incorporate current research and resea
c x c x cx c x c x c x c x c x c x c x c x
rch-
based guidelines. Evaluation of patient outcomes is important, but data analysis is
cx c x c x c x c x c x c x c x c x c x c x
not required to use EBP. All published articles do not provide research evidenc
c x cx c x c x c x c x c x c x c x c x c x c x c x
e; interventions should be based on credible research, preferably randomized contr
cx c x c x c x c x c x c x c x c x c x
olled studies with a large number of subjects.
cx c x c x c x c x c x c x
DIF: Cognitive Level: Understand (Comprehension) c x c x c x
TOP: Nursing Process: Planning MSC:
c x cx cx c x
NCLEX: Safe and Effective Care Environment c x c x c x c x c x
3. Which statement by the nurse provides a clear explanation of the nursing process?
c x c x c x c x c x c x c x c x c x c x c x c x
a. ―The nursing process is a research method of diagnosing the patien
c x c x c x c x c x c x c x c x cx c x
t‗s health care problems.‖ cx c x c x
b. ―The nursing process is used primarily to explain nursi
cx c x c x c x c x cx c x c x
ng interventions to other health care professionals.‖
cx c x c x c x c x c x
c. ―The nursing process is a problem-solving tool used to identify and manage the
c x c x c x c x c x c x c x c x c x c x c x c x
, 4
patients‗ health care needs.‖ c x c x c x
d. ―The nursing process is based on nursing theory th
cx cx c x c x c x c x cx cx
at incorporates the biopsychosocial nature of huma
cx c x c x c x c x c x
ns.‖
ANS: C c x
The nursing process is a problem-
c x c x c x c x c x
solving approach to the identification and treatment of patients‗ problems. Nursin
c x c x c x c x c x c x c x c x c x c x
g process does not require research methods for diagnosis. The primary use of t
c x c x c x c x c x c x c x cx c x c x c x c x c x
he nursing process is in patient care, not to establish nursing theory or explain
c x c x c x c x c x c x c x c x c x cx c x c x c x c x
nursing interventions to other health care professionals.
c x c x c x c x c x c x
DIF: Cognitive Level: Understand (Comprehension) c x c x c x
TOP: Nursing Process: Evaluation MSC:
c x cx cx c x
NCLEX: Safe and Effective Care Environment c x c x c x c x c x
4. A patient admitted to the hospital for surgery tells the nurse, ―I do
c x c x c x c x c x c x c x c x c x c x c x c x c
x not feel comfortable leaving my children with my parents.‖ Which ac
cx c x c x c x c x c x c x c x c x c x
tion would the nurse take next?
cx c x c x c x c x
a. Reassure the patient that these feelings are common for parents.
c x c x c x c x c x c x c x c x c x
b. Have the patient call the children to ensure that they are doing well.
c x c x c x c x c x c x c x c x c x c x c x c x
c. Gather information on the patient‗s concerns about the child care arrangements.
c x c x c x c x c x c x c x c x c x c x
d. Call the patient‗s parents to determine whether adequate ch
c x c x c x c x c x c x c x c x
ild care is being provided.cx c x c x c x
ANS: C c x
Because a complete assessment is necessary in order to identify a problem
c x c x c x c x c x c x c x c x c x c x c x
c and choose an appropriate intervention, the nurse‗s first action should be to ob
x cx c x c x c x c x c x c x c x c x c x c x c x
tain more information. The other actions may be appropriate, but more assessmen
c x cx c x c x c x c x c x c x c x c x c x
t is needed before the best intervention can be chosen.
c x c x cx c x c x c x c x c x c x
DIF: Cognitive Level: Analyze (Analysis) c x c x c x
TOP: Nursing Process: Assessment MSC: c x c x c x NCLEX: Psychosocial Integrity c x c x
5. A patient with a bacterial infection is hypovolemic due to a fever a
c x c x c x c x c x c x c x c x c x c x c x c x
nd excessive diaphoresis. Which expected outcome would the nurse s
cx c x c x c x c x c x c x c x c x
elect for this patient?
cx c x c x
a. Patient has a balanced intake and output. c x c x c x c x c x c x
b. Patient‗s bedding is kept clean and free of moisture. c x c x c x c x c x c x c x c x
c. Patient understands the need for increased fluid intake.
c x c x c x c x c x c x c x
d. Patient‗s skin remains cool and dry throughout hospitalization.
c x c x c x c x c x c x c x
ANS: A c x
Balanced intake and output gives measurable data showing resolution of the probl
c x c x c x c x c x c x c x c x c x c x c x
em of deficient fluid volume. The other statements would not indicate that the pr
cx c x c x c x c x c x c x c x c x c x c x c x c x
oblem of hypovolemia was resolved.
c x c x c x c x
DIF: Cognitive Level: Apply (Application) c x c x c x
TOP: Nursing Process: Planning MSC:
c x cx cx c x
NCLEX: Physiological Integrity c x c x
6. Which c x statement describes the purpose of the evaluation phase of the nursing process?
c x c x c x c x c x c x c x c x c x c x c x
a. To c x document the nursing care plan in the progress notes of the health record
c x c x c x c x c x c x c x c x c x c x c x c x
b. To c x determine if interventions have been effective in meeting patient outcomes
c x c x c x c x c x c x c x c x c x
c. To c x decide whether the patient‗s health problems have been completely resolved
c x c x c x c x c x c x c x c x c x
d. To c x establish if the patient agrees that the nursing care provided was satisfactory
c x c x c x c x c x c x c x c x c x c x c x
ANS: B c x
