Created By: Test Bank aq aq aq
Test Bank For Lewis\'s Medical-
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Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffr ey aq aq aq aq aq aq aq aq aq aq
Kwong, Debra Hagler Chapter 1-69 A + aq aq aq aq aq aq
Chapter01: Professional Nursing aq aq op 7a q a q Hardin
g: Lewis‟s Medical-
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Surgical Nursing, 12th Edition MULTIPLE CHOICE
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1. The nurse completes an admission database and explains that the plan of care and
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di scharge goals will be developed with the patient„s input. The patient asks, “How is this d
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iffe rent from what the physician
a q aq aq a q aq a q a q a q ?” Which response would the nurse provide?
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a. “The role of the nurse is to administer medications and other treatments prescribed byy o
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a q ur physician.”
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b. “In additionto caring for you while you are sick, the nurses will help you plan tom
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a intain your health.”
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c. “Thenurse„s job isto collect information and communicate anyproblems that occurtoth
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e physician.”
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d. “Nurses perform manyof the same procedures as the physician, but nurses arewith thepat i
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ents for a longer time than the physician.”
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ANS: B op
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
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pr omoting health. The other responses describe dependent and collaborative functions of the n
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ursi ng role but do not accurately describe the nurse„s unique role in the health care system.
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DIF:
Cognitive Level: Analyze (Analysis) aq op aq
TOP: Nursing Process: Implementation
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Environment
A+ Page 1 aq
, Created By: Test Bank aq aq aq
2. Which statement bythe nurse accuratelydescribes the use of evidence-
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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 preferences.” aq aq aq op aq aq aq aq 7aq aq
A NS: D a q aq
Evidence-based practice (EBP) is the use of the best research- aq aq aq aq aq aq op aq aq
based evidence combined with clinician expertise and consideration of patient preferences. Clinic a
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q l judgment based on the nurse„s clinical experience is part of EBP, but clinical decision making s
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ho uld also incorporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but data analysis is not required to u
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q s e EBP. All published articles do not provide research evidence;interventions should be based on
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cr edible research, preferably randomized controlled studies with a large number of subjects.
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DIF: a q a q Cognitive Level: Understand (Comprehension) aq aq aq
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
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3. Which statement bythe 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 carep
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r oblems.”
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b. “Thenursing process is used primarilyto explain nursing interventions to other healthca r
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e professionals.”
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c. “The nursing process is a problem-solving tool used to identify and manage the
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patients„ health careneeds.” op aq
d. “The nursing process is based on nursing theory that incorporates the biopsychosocialn
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a ture of humans.”
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ANS: C op
The nursing process is a problem-
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solving approach to the identification and treatment of patients„ problems. Nursing process
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does not require researchmethods for diagnosis. The
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A+ Page 2 aq
,Created By: Test Bank aq aq aq
primaryuse of the nursing process is in patient care, not to establish nursing theory or explainnur si ng
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opaqinterventions to other health care professionals. a q a q aq aq aq
DIF: Cognitive Level: Understand (Comprehension) aq aq aq
TOP: Nursing Process: EvaluationMSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted to the hospital for surgerytells the nurse, “I do not feel comfortablele
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a ving my children with my parents.” Which action would the nurse take next?
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a. Reassure the patient that these feelings are common for parents.
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b. Have the patient call the children to ensure that they are doing well.
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c. Gather information on the patient„s concerns about the child care arrangements.
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d. Call the patient„s parents to determine whether adequate child care is being provided.
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A NS: C a q aq
Because a complete assessment is necessary in order to identify a problem and choose an appropri a
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q te intervention, the nurse„s first action should be to obtain more information. The otheractions ma
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y be appropriate, but more assessment is needed before the best intervention can be chosen.
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DIF: Cognitive Level: Analyze (Analysis) aq aq aq
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
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5. A patient with a bacterial infection is hypovolemic due to a fever and excessived i
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q aphoresis. Which expected outcome would the nurse select for this patient?
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a. Patient has a balanced intake and output. aq aq aq aq aq aq
b. Patient„s bedding is kept clean and free of moisture. aq opaq aq aq aq aq aq aq
c. Patient understands the need for increased fluid intake.
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d. Patient„sskin remains cool and drythroughout hospitalization.
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ANS: A aq
Balanced intake and output gives measurable data showing resolution of the problem of deficientfl
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u id volume. The other statements would not indicate that the problem of hypovolemia was resolv
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ed.
A+ Page 3 aq
, Created By: Test Bank aq aq aq
DIF: Cognitive Level: Apply(Application aq aq
TOP: Nursing Process: Planning MSC:
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) NCLEX: Physiological Integrity
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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
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b. To determine if interventions have been effective in meeting patient outcomes
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c. To decide whether the patient„s health problems have been completelyresolved
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d. To establish if the patient agrees that the nursing care provided was satisfactory
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A NS: B
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Evaluation consists of determining whether the desired patient outcomes have been met and
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w hether the nursing interventions were appropriate. The other responses do not describe the e
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val uation phase.
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DIF: Cognitive Level: Understand (Comprehension) aq aq aq
TOP: Nursing Process: EvaluationMSC: NCLEX: Safe and Effective Care Environment
aq op aq aq aq aq aq aq aq
7. Which statement describes the purpose of the assessment phase of the nursing process?
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a. To teach interventions that relieve health problems
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b. To use patient data to evaluate patient care outcomes
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c. To obtain data to diagnose patient strengths and problems
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d. To help the patient identify realistic outcomes for health problems
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A NS: C
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During the assessment phase, the nurse gathers information about the patient to diagnose patientst r
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engths and problems. The other responses are examples of the planning, intervention, and eval uat
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i on phases of the nursing process.
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DIF: Cognitive Level: Understand (Comprehension) aq aq aq
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
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A+ Page 4 aq
Test Bank For Lewis\'s Medical-
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Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffr ey aq aq aq aq aq aq aq aq aq aq
Kwong, Debra Hagler Chapter 1-69 A + aq aq aq aq aq aq
Chapter01: Professional Nursing aq aq op 7a q a q Hardin
g: Lewis‟s Medical-
aq aq
Surgical Nursing, 12th Edition MULTIPLE CHOICE
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1. The nurse completes an admission database and explains that the plan of care and
aq aq aq op aq aq aq aq aq aq op op aq aq
di scharge goals will be developed with the patient„s input. The patient asks, “How is this d
aq aq aq op aq aq aq aq aq aq aq aq aq aq op aq
iffe rent from what the physician
a q aq aq a q aq a q a q a q ?” Which response would the nurse provide?
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a. “The role of the nurse is to administer medications and other treatments prescribed byy o
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a q ur physician.”
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b. “In additionto caring for you while you are sick, the nurses will help you plan tom
aq aq aq aq aq op aq op aq aq aq aq opaq a q op 7aq aq
a intain your health.”
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c. “Thenurse„s job isto collect information and communicate anyproblems that occurtoth
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e physician.”
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d. “Nurses perform manyof the same procedures as the physician, but nurses arewith thepat i
aq op op aq aq aq aq aq aq aq aq op aq
ents for a longer time than the physician.”
aq aq aq aq aq 7aq aq
ANS: B op
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
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pr omoting health. The other responses describe dependent and collaborative functions of the n
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ursi ng role but do not accurately describe the nurse„s unique role in the health care system.
aq op aq aq aq aq aq aq aq aq aq aq op aq aq aq
DIF:
Cognitive Level: Analyze (Analysis) aq op aq
TOP: Nursing Process: Implementation
aq aq aq MSC: NCLEX: Safe and Effective Care
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Environment
A+ Page 1 aq
, Created By: Test Bank aq aq aq
2. Which statement bythe nurse accuratelydescribes the use of evidence-
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aq based practice(EBP)? aq
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 preferences.” aq aq aq op aq aq aq aq 7aq aq
A NS: D a q aq
Evidence-based practice (EBP) is the use of the best research- aq aq aq aq aq aq op aq aq
based evidence combined with clinician expertise and consideration of patient preferences. Clinic a
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q l judgment based on the nurse„s clinical experience is part of EBP, but clinical decision making s
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ho uld also incorporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but data analysis is not required to u
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q s e EBP. All published articles do not provide research evidence;interventions should be based on
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cr edible research, preferably randomized controlled studies with a large number of subjects.
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DIF: a q a q Cognitive Level: Understand (Comprehension) aq aq aq
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
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3. Which statement bythe 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 carep
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r oblems.”
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b. “Thenursing process is used primarilyto explain nursing interventions to other healthca r
aq op aq aq aq aq op 7aq aq aq aq aq
e professionals.”
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c. “The nursing process is a problem-solving tool used to identify and manage the
aq op a q aq aq op aq aq aq aq aq aq
patients„ health careneeds.” op aq
d. “The nursing process is based on nursing theory that incorporates the biopsychosocialn
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a ture of humans.”
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ANS: C op
The nursing process is a problem-
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solving approach to the identification and treatment of patients„ problems. Nursing process
7aq opaq aq a q opaq a q a q aq op aq 7aq
does not require researchmethods for diagnosis. The
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A+ Page 2 aq
,Created By: Test Bank aq aq aq
primaryuse of the nursing process is in patient care, not to establish nursing theory or explainnur si ng
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opaqinterventions to other health care professionals. a q a q aq aq aq
DIF: Cognitive Level: Understand (Comprehension) aq aq aq
TOP: Nursing Process: EvaluationMSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted to the hospital for surgerytells the nurse, “I do not feel comfortablele
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a ving my children with my parents.” Which action would the nurse take next?
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a. Reassure the patient that these feelings are common for parents.
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b. Have the patient call the children to ensure that they are doing well.
aq aq aq aq aq aq aq aq aq aq aq op
c. Gather information on the patient„s concerns about the child care arrangements.
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d. Call the patient„s parents to determine whether adequate child care is being provided.
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A NS: C a q aq
Because a complete assessment is necessary in order to identify a problem and choose an appropri a
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q te intervention, the nurse„s first action should be to obtain more information. The otheractions ma
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y be appropriate, but more assessment is needed before the best intervention can be chosen.
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DIF: Cognitive Level: Analyze (Analysis) aq aq aq
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
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5. A patient with a bacterial infection is hypovolemic due to a fever and excessived i
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q aphoresis. Which expected outcome would the nurse select for this patient?
a q op a q aq 7aq aq aq aq aq aq
a. Patient has a balanced intake and output. aq aq aq aq aq aq
b. Patient„s bedding is kept clean and free of moisture. aq opaq aq aq aq aq aq aq
c. Patient understands the need for increased fluid intake.
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d. Patient„sskin remains cool and drythroughout hospitalization.
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ANS: A aq
Balanced intake and output gives measurable data showing resolution of the problem of deficientfl
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u id volume. The other statements would not indicate that the problem of hypovolemia was resolv
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ed.
A+ Page 3 aq
, Created By: Test Bank aq aq aq
DIF: Cognitive Level: Apply(Application aq aq
TOP: Nursing Process: Planning MSC:
op aq aq 7aq
) NCLEX: Physiological Integrity
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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
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b. To determine if interventions have been effective in meeting patient outcomes
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c. To decide whether the patient„s health problems have been completelyresolved
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d. To establish if the patient agrees that the nursing care provided was satisfactory
aq op op aq aq aq aq aq op aq aq aq aq
A NS: B
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Evaluation consists of determining whether the desired patient outcomes have been met and
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w hether the nursing interventions were appropriate. The other responses do not describe the e
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val uation phase.
aq aq
DIF: Cognitive Level: Understand (Comprehension) aq aq aq
TOP: Nursing Process: EvaluationMSC: NCLEX: Safe and Effective Care Environment
aq op aq aq aq aq aq aq aq
7. Which statement describes the purpose of the assessment phase of the nursing process?
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a. To teach interventions that relieve health problems
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b. To use patient data to evaluate patient care outcomes
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c. To obtain data to diagnose patient strengths and problems
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d. To help the patient identify realistic outcomes for health problems
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A NS: C
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During the assessment phase, the nurse gathers information about the patient to diagnose patientst r
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engths and problems. The other responses are examples of the planning, intervention, and eval uat
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i on phases of the nursing process.
oaqp aq aq aq aq 7aq
DIF: Cognitive Level: Understand (Comprehension) aq aq aq
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
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A+ Page 4 aq
