,Chapter 01: Professional Nursing
x1 x1 x1
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
x1 x1 x1 x1 x1
MULTIPLE CHOICE x1
1. The nurse completes an admission database and explains that the plan of care and dischar
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ge goals will be developed with the patient‗s input. The patient asks, ―How is this diffe
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
rent from what the physician does?‖ Which response would the nurse provide?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. ―The role of the nurse is to administer medications and other treatment
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s prescribed by your physician.‖
x1 x1 x1 x1
b. ―In addition to caring for you while you are sick, the nurses will help you pla
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
n to maintain your health.‖
x1 x1 x1 x1
c. ―The nurse‗s job is to collect information and communicate any problem
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s that occur to the physician.‖
x1 x1 x1 x1 x1
d. ―Nurses perform many of the same procedures as the physician, but nurse
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s are with the patients for a longer time than the physician.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: B x1
The American Nurses Association (ANA) definition of nursing describes the role of nurse
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s in promoting health. The other responses describe dependent and collaborative function
x 1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s of the nursing role but do not accurately describe the nurse‗s unique role in the health c
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
are system.
x1
DIF: Cognitive Level: Analyze (Analysis)
x 1 x1 x1 x1
TOP: Nursing Process: Implementation
x 1 MSC: NCLEX: Safe and Effective Care Environment
x1 x1 x 1 x 1 x1 x1 x1 x1 x1 x1
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. ―Research from all published articles are used as a guide for planning patient care.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. ―Recommendations are based on research, clinical expertise, an x1 x1 x1 x1 x1 x1 x1
d patient preferences.‖
x1 x1
ANS: D x1
Evidence-based practice (EBP) is the use of the best research- x1 x1 x1 x1 x1 x1 x1 x1 x1
based evidence combined with clinician expertise and consideration of patient preferences
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
. Clinical judgment based on the nurse‗s clinical experience is part of EBP, but clinical d
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ecision making should also incorporate current research and research-
x1 x1 x1 x1 x1 x1 x1 x1
based guidelines. Evaluation of patient outcomes is important, but data analysis is not req
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
uired to use EBP. All published articles do not provide research evidence; interventions s
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
hould be based on credible research, preferably randomized controlled studies with a larg
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e number of subjects.
x1 x1 x1
DIF: Cognitive Level: Understand (Comprehension) x1 x1 x1
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Envir
x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1
onment
,3. Which statement by the nurse provides a clear explanation of the nursing process?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. ―The nursing process is a research method of diagnosing the patient‗s healt
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
h care problems.‖
x1 x1
b. ―The nursing process is used primarily to explain nursing interventions t
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
o other health care professionals.‖
x1 x1 x1 x1
c. ―The nursing process is a problem-solving tool used to identify and manage the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
, patients‗ health care needs.‖ x1 x1 x1
d. ―The nursing process is based on nursing theory that incorporate
x1 x1 x1 x1 x1 x1 x1 x1 x1
s the biopsychosocial nature of humans.‖
x1 x1 x1 x1 x1
ANS: C x1
The nursing process is a problem-
x1 x1 x1 x1 x1
solving approach to the identification and treatment of patients‗ problems. Nursing proces
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s does not require research methods for diagnosis. The primary use of the nursing process
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
is in patient care, not to establish nursing theory or explain nursing interventions to other
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
health care professionals.x1 x1
DIF: Cognitive Level: Understand (Comprehension) x1 x1 x1
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfortabl
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e leaving my children with my parents.‖ Which action would the nurse take next?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Reassure the patient that these feelings are common for parents.
x1 x1 x1 x1 x1 x1 x1 x1 x1
b. Have the patient call the children to ensure that they are doing well.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Gather information on the patient‗s concerns about the child care arrangements.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. Call the patient‗s parents to determine whether adequate child care
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
is being provided.
x1 x1
ANS: C x1
Because a complete assessment is necessary in order to identify a problem and choose an
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
appropriate intervention, the nurse‗s first action should be to obtain more information. T
1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
he other actions may be appropriate, but more assessment is needed before the best interve
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ntion can be chosen. x1 x1 x1
DIF: Cognitive Level: Analyze (Analysis) x1 x1 x1
TOP: Nursing Process: Assessment
x 1 MSC: NCLEX: Psychosocial Integrity
x1 x1 x1 x1 x1
5. A patient with a bacterial infection is hypovolemic due to a fever and excessi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ve diaphoresis. Which expected outcome would the nurse select for this patie
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nt?
a. Patient has a balanced intake and output. x1 x1 x1 x1 x1 x1
b. Patient‗s bedding is kept clean and free of moisture. x1 x1 x1 x1 x1 x1 x1 x1
c. Patient understands the need for increased fluid intake.
x1 x1 x1 x1 x1 x1 x1
d. Patient‗s skin remains cool and dry throughout hospitalization.
x1 x1 x1 x1 x1 x1 x1
ANS: A x1
Balanced intake and output gives measurable data showing resolution of the problem of de
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ficient fluid volume. The other statements would not indicate that the problem of hypovol
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
emia was resolved. x1 x1
DIF: Cognitive Level: Apply (Application) x1 x1 x1
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
x1 x1 x1 x1 x 1 x1 x1
6. Which statement describes the purpose of the evaluation phase of the nursing process?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. To document the nursing care plan in the progress notes of the health record
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. To determine if interventions have been effective in meeting patient outcomes
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. To decide whether the patient‗s health problems have been completely resolved
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. To establish if the patient agrees that the nursing care provided was satisfactory
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: B x1
x1 x1 x1
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
x1 x1 x1 x1 x1
MULTIPLE CHOICE x1
1. The nurse completes an admission database and explains that the plan of care and dischar
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ge goals will be developed with the patient‗s input. The patient asks, ―How is this diffe
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
rent from what the physician does?‖ Which response would the nurse provide?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. ―The role of the nurse is to administer medications and other treatment
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s prescribed by your physician.‖
x1 x1 x1 x1
b. ―In addition to caring for you while you are sick, the nurses will help you pla
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
n to maintain your health.‖
x1 x1 x1 x1
c. ―The nurse‗s job is to collect information and communicate any problem
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s that occur to the physician.‖
x1 x1 x1 x1 x1
d. ―Nurses perform many of the same procedures as the physician, but nurse
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s are with the patients for a longer time than the physician.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: B x1
The American Nurses Association (ANA) definition of nursing describes the role of nurse
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s in promoting health. The other responses describe dependent and collaborative function
x 1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s of the nursing role but do not accurately describe the nurse‗s unique role in the health c
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
are system.
x1
DIF: Cognitive Level: Analyze (Analysis)
x 1 x1 x1 x1
TOP: Nursing Process: Implementation
x 1 MSC: NCLEX: Safe and Effective Care Environment
x1 x1 x 1 x 1 x1 x1 x1 x1 x1 x1
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. ―Research from all published articles are used as a guide for planning patient care.‖
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. ―Recommendations are based on research, clinical expertise, an x1 x1 x1 x1 x1 x1 x1
d patient preferences.‖
x1 x1
ANS: D x1
Evidence-based practice (EBP) is the use of the best research- x1 x1 x1 x1 x1 x1 x1 x1 x1
based evidence combined with clinician expertise and consideration of patient preferences
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
. Clinical judgment based on the nurse‗s clinical experience is part of EBP, but clinical d
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ecision making should also incorporate current research and research-
x1 x1 x1 x1 x1 x1 x1 x1
based guidelines. Evaluation of patient outcomes is important, but data analysis is not req
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
uired to use EBP. All published articles do not provide research evidence; interventions s
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
hould be based on credible research, preferably randomized controlled studies with a larg
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e number of subjects.
x1 x1 x1
DIF: Cognitive Level: Understand (Comprehension) x1 x1 x1
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Envir
x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1
onment
,3. Which statement by the nurse provides a clear explanation of the nursing process?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. ―The nursing process is a research method of diagnosing the patient‗s healt
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
h care problems.‖
x1 x1
b. ―The nursing process is used primarily to explain nursing interventions t
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
o other health care professionals.‖
x1 x1 x1 x1
c. ―The nursing process is a problem-solving tool used to identify and manage the
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
, patients‗ health care needs.‖ x1 x1 x1
d. ―The nursing process is based on nursing theory that incorporate
x1 x1 x1 x1 x1 x1 x1 x1 x1
s the biopsychosocial nature of humans.‖
x1 x1 x1 x1 x1
ANS: C x1
The nursing process is a problem-
x1 x1 x1 x1 x1
solving approach to the identification and treatment of patients‗ problems. Nursing proces
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
s does not require research methods for diagnosis. The primary use of the nursing process
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
is in patient care, not to establish nursing theory or explain nursing interventions to other
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
health care professionals.x1 x1
DIF: Cognitive Level: Understand (Comprehension) x1 x1 x1
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
x1 x1 x1 x1 x 1 x1 x1 x1 x1 x1
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfortabl
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
e leaving my children with my parents.‖ Which action would the nurse take next?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. Reassure the patient that these feelings are common for parents.
x1 x1 x1 x1 x1 x1 x1 x1 x1
b. Have the patient call the children to ensure that they are doing well.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. Gather information on the patient‗s concerns about the child care arrangements.
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. Call the patient‗s parents to determine whether adequate child care
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
is being provided.
x1 x1
ANS: C x1
Because a complete assessment is necessary in order to identify a problem and choose an
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x
appropriate intervention, the nurse‗s first action should be to obtain more information. T
1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
he other actions may be appropriate, but more assessment is needed before the best interve
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ntion can be chosen. x1 x1 x1
DIF: Cognitive Level: Analyze (Analysis) x1 x1 x1
TOP: Nursing Process: Assessment
x 1 MSC: NCLEX: Psychosocial Integrity
x1 x1 x1 x1 x1
5. A patient with a bacterial infection is hypovolemic due to a fever and excessi
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ve diaphoresis. Which expected outcome would the nurse select for this patie
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
nt?
a. Patient has a balanced intake and output. x1 x1 x1 x1 x1 x1
b. Patient‗s bedding is kept clean and free of moisture. x1 x1 x1 x1 x1 x1 x1 x1
c. Patient understands the need for increased fluid intake.
x1 x1 x1 x1 x1 x1 x1
d. Patient‗s skin remains cool and dry throughout hospitalization.
x1 x1 x1 x1 x1 x1 x1
ANS: A x1
Balanced intake and output gives measurable data showing resolution of the problem of de
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ficient fluid volume. The other statements would not indicate that the problem of hypovol
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
emia was resolved. x1 x1
DIF: Cognitive Level: Apply (Application) x1 x1 x1
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
x1 x1 x1 x1 x 1 x1 x1
6. Which statement describes the purpose of the evaluation phase of the nursing process?
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
a. To document the nursing care plan in the progress notes of the health record
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
b. To determine if interventions have been effective in meeting patient outcomes
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
c. To decide whether the patient‗s health problems have been completely resolved
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
d. To establish if the patient agrees that the nursing care provided was satisfactory
x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1 x1
ANS: B x1
