TEST BANK FOR LEWIS\'S MEDICAL-
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SURGICALNURSING, 12TH EDITION BY MARIA
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NN M. HARDING, JEFFREY KWONG, DEBRA HAG
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LER CHAPTER 1- h h
69 QUESTIONS AND CORRECT ANSWERS
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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 anyproblems that
occurhto 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 withclinician expertise and consideration of patient preferences. C
linical judgment based on the nurse‗s clinical experience is part of EBP, but clinical decisio
n making should also incorporate current research and research-
based guidelines. Evaluation of patient outcomes isimportant, but data analysis is not require
d to use EBP. All published articles do not provideresearch evidence; interventions should be
based on credible research, preferably randomizedcontrolled studies with a large number of
subjects.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: PlanninghMSC: NCLEX: Safe and Effective Care Environment
,3. Which statement by thehnurse 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
, patients‗ health care needs.‖
d. ―The nursing process is based on nursing theorythat incorporates the
biopsychosocial nature of humans.‖
ANS: C
The nursing process is a problem-
solving approach to the identification and treatment of patients‗ problems. Nursing process
does not require research methods for diagnosis. The primary use of the nursing process is in
patient care, not to establish nursing theory or explainnursing interventions to other health ca
re professionals.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: EvaluationMSC: NCLEX: Safe and Effective Care Environment
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfortable
leaving my children with my parents.‖ Which action would the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doinghwell.
c. Gather information on the patient‗s concerns about the child care arrangements.
d. Call the patient‗s parents to determine whether adequate child care is being
provided.
ANS: C
Because a complete assessment is necessary in order to identify a problem and choose an ap
propriate intervention, the nurse‗s first action should be to obtain more information. The oth
er actions may be appropriate, but more assessment is needed before the best interventioncan
be chosen.
DIF: Cognitive Level: Analyze (Analysis)
TOP: NursinghProcess: Assessment MSC: NCLEX: Psychosocial Integrity
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
Which expected outcome would the nurse select for this patient?
a. Patient has a balanced intake and output.
b. Patient‗s bedding is kept clean and free of moisture.
c. Patient understands the need for increased fluid intake.
d. Patient‗s skin remains cool and dry throughout hospitalization.
ANS: A
Balanced intake and output gives measurable data showing resolution of the problem ofdefici
ent fluid volume. The other statements would not indicate that the problem of hypovolemia
was resolved.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: PlanninghMSC: NCLEX: Physiological Integrity
6. Which statement describes the purpose of the evaluation phase of the nursing process?
a. To document the nursing care plan in the progress notes of the health record
b. To determine if interventions have been effective in meeting patient outcomes
c. To decide whether the patient‗s health problems have been completely resolved
d. To establish if the patient agrees that the nursing care provided was satisfactory
ANS: B
, Evaluations3consistss3ofs3determinings3whethers3thes3desireds3patients3outcomess3haves3been
s3mets3ands3whethers3thes3nursings3interventionss3weres3appropriate.s3Thes3others3responsess3
dos3nots3describes3thes3evaluations3phase.
DIF:s3Cognitives3Level:s3Understands3(Comprehensio
TOP:s3 Nursings3Process:s3Evaluation
n)s3MSC:s 3 NCLEX:s3Safes3ands3Effectives3Cares3En
vironment
7. Whichs3statements3describess3thes3purposes3ofs3thes3assessments3phases3ofs3thes3nursings3process?
a. Tos3teachs3interventionss3thats3relieves3healths3problems
b. Tos3uses3patients3datas3tos3evaluates3patients3cares3outcomes
c. Tos3obtains3datas3tos3diagnoses3patients3strengthss3ands3problems
d. Tos3helps3thes3patients3identifys3realistics3outcomess3fors3healths3problems
ANS:s3 C
Durings3thes3assessments3phase,s3thes3nurses3gatherss3informations3abouts3thes3patients3tos3diag
nosepaties3nts3strengthss3ands3problems.s3Thes3others3responsess3ares3exampless3ofs3thes3plann
ing,s3intervention,s3as3nds3evaluations3phasess3ofs3thes3nursings3process.
DIF:s 3 Cognitives3Level:s3Understands3(Comprehension)
TOP:s 3 NursinghProcess:s3Assessment MSC:s 3 NCLEX:s3Safes3ands3Effectives3Cares3Environment
8. Whens3developings3thes3plans3ofs3care,s3whichs3componentss3woulds3thes3nurses3includes3ins3t
hes3clinicals3problems3statement?
a. Thes3problems3ands3thes3suggesteds3patients3goalss3ors3outcomes
b. Thes3problem,s3itss3causes,s3ands3thes3signss3ands3symptomss3ofs3thes3problem
c. Thes3problems3withs3thes3possibles3etiologys3ands3thes3planneds3interventions
d. Thes3problem,s3itss3pathophysiology,s3ands3thes3expecteds3outcome
ANS:s3 B
Whens3writings3clinicals3problemss3ors3nursings3diagnoses,s3thes3subjectives3ass3wells3ass3obje
ctives3datas3tos3supports3thes3problem‗ss3existences3shoulds3bes3included.s3Goals,s3outcomes,s3a
nds3interventionss3ares3nots3includeds3ins3thes3problems3statement.
DIF:s 3Cognitives3Level:s3Understands3(Comprehension)
TOP:s3Nursings3Process:s3DiagnosisMSC:s 3 NCLEX:s3Safes3ands3Effectives3Cares3Environment
9. Whichs3patients3cares3tasks3woulds3thes3nurses3delegates3tos3experienceds3assistives3personnels3(AP)?
a. Instructs3thes3patients3abouts3thes3needs3tos3alternates3activitys3ands3rest.
b. Monitors3levels3ofs3shortnesss3ofs3breaths3ors3fatigues3afters3ambulation.
c. Obtains3thes3patient‗ss3bloods3pressures3ands3pulses3rates3afters3ambulation.
d. Determines3whethers3thes3patients3iss3readys3tos3increases3thes3activitys3level.
ANS:s3 C
APs3educations3includess3accurates3vitals3signs3measurement.s3Assessments3ands3patients3teach
ingrequs3ires3registereds3nurses3educations3ands3scopes3ofs3practices3ands3cannots3bes3delegate
d.
DIF:s 3Cognitives3Level:s3Applys3(Application)
TOP:s3 Nursings3Process:s3PlanninghMSC:s3s3NCLEX:s3Safes3ands3Effectives3Cares3Environment
h h h h
SURGICALNURSING, 12TH EDITION BY MARIA
h h h h h
NN M. HARDING, JEFFREY KWONG, DEBRA HAG
h h h h h h
LER CHAPTER 1- h h
69 QUESTIONS AND CORRECT ANSWERS
h h h
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 anyproblems that
occurhto 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 withclinician expertise and consideration of patient preferences. C
linical judgment based on the nurse‗s clinical experience is part of EBP, but clinical decisio
n making should also incorporate current research and research-
based guidelines. Evaluation of patient outcomes isimportant, but data analysis is not require
d to use EBP. All published articles do not provideresearch evidence; interventions should be
based on credible research, preferably randomizedcontrolled studies with a large number of
subjects.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: PlanninghMSC: NCLEX: Safe and Effective Care Environment
,3. Which statement by thehnurse 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
, patients‗ health care needs.‖
d. ―The nursing process is based on nursing theorythat incorporates the
biopsychosocial nature of humans.‖
ANS: C
The nursing process is a problem-
solving approach to the identification and treatment of patients‗ problems. Nursing process
does not require research methods for diagnosis. The primary use of the nursing process is in
patient care, not to establish nursing theory or explainnursing interventions to other health ca
re professionals.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: EvaluationMSC: NCLEX: Safe and Effective Care Environment
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfortable
leaving my children with my parents.‖ Which action would the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doinghwell.
c. Gather information on the patient‗s concerns about the child care arrangements.
d. Call the patient‗s parents to determine whether adequate child care is being
provided.
ANS: C
Because a complete assessment is necessary in order to identify a problem and choose an ap
propriate intervention, the nurse‗s first action should be to obtain more information. The oth
er actions may be appropriate, but more assessment is needed before the best interventioncan
be chosen.
DIF: Cognitive Level: Analyze (Analysis)
TOP: NursinghProcess: Assessment MSC: NCLEX: Psychosocial Integrity
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
Which expected outcome would the nurse select for this patient?
a. Patient has a balanced intake and output.
b. Patient‗s bedding is kept clean and free of moisture.
c. Patient understands the need for increased fluid intake.
d. Patient‗s skin remains cool and dry throughout hospitalization.
ANS: A
Balanced intake and output gives measurable data showing resolution of the problem ofdefici
ent fluid volume. The other statements would not indicate that the problem of hypovolemia
was resolved.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: PlanninghMSC: NCLEX: Physiological Integrity
6. Which statement describes the purpose of the evaluation phase of the nursing process?
a. To document the nursing care plan in the progress notes of the health record
b. To determine if interventions have been effective in meeting patient outcomes
c. To decide whether the patient‗s health problems have been completely resolved
d. To establish if the patient agrees that the nursing care provided was satisfactory
ANS: B
, Evaluations3consistss3ofs3determinings3whethers3thes3desireds3patients3outcomess3haves3been
s3mets3ands3whethers3thes3nursings3interventionss3weres3appropriate.s3Thes3others3responsess3
dos3nots3describes3thes3evaluations3phase.
DIF:s3Cognitives3Level:s3Understands3(Comprehensio
TOP:s3 Nursings3Process:s3Evaluation
n)s3MSC:s 3 NCLEX:s3Safes3ands3Effectives3Cares3En
vironment
7. Whichs3statements3describess3thes3purposes3ofs3thes3assessments3phases3ofs3thes3nursings3process?
a. Tos3teachs3interventionss3thats3relieves3healths3problems
b. Tos3uses3patients3datas3tos3evaluates3patients3cares3outcomes
c. Tos3obtains3datas3tos3diagnoses3patients3strengthss3ands3problems
d. Tos3helps3thes3patients3identifys3realistics3outcomess3fors3healths3problems
ANS:s3 C
Durings3thes3assessments3phase,s3thes3nurses3gatherss3informations3abouts3thes3patients3tos3diag
nosepaties3nts3strengthss3ands3problems.s3Thes3others3responsess3ares3exampless3ofs3thes3plann
ing,s3intervention,s3as3nds3evaluations3phasess3ofs3thes3nursings3process.
DIF:s 3 Cognitives3Level:s3Understands3(Comprehension)
TOP:s 3 NursinghProcess:s3Assessment MSC:s 3 NCLEX:s3Safes3ands3Effectives3Cares3Environment
8. Whens3developings3thes3plans3ofs3care,s3whichs3componentss3woulds3thes3nurses3includes3ins3t
hes3clinicals3problems3statement?
a. Thes3problems3ands3thes3suggesteds3patients3goalss3ors3outcomes
b. Thes3problem,s3itss3causes,s3ands3thes3signss3ands3symptomss3ofs3thes3problem
c. Thes3problems3withs3thes3possibles3etiologys3ands3thes3planneds3interventions
d. Thes3problem,s3itss3pathophysiology,s3ands3thes3expecteds3outcome
ANS:s3 B
Whens3writings3clinicals3problemss3ors3nursings3diagnoses,s3thes3subjectives3ass3wells3ass3obje
ctives3datas3tos3supports3thes3problem‗ss3existences3shoulds3bes3included.s3Goals,s3outcomes,s3a
nds3interventionss3ares3nots3includeds3ins3thes3problems3statement.
DIF:s 3Cognitives3Level:s3Understands3(Comprehension)
TOP:s3Nursings3Process:s3DiagnosisMSC:s 3 NCLEX:s3Safes3ands3Effectives3Cares3Environment
9. Whichs3patients3cares3tasks3woulds3thes3nurses3delegates3tos3experienceds3assistives3personnels3(AP)?
a. Instructs3thes3patients3abouts3thes3needs3tos3alternates3activitys3ands3rest.
b. Monitors3levels3ofs3shortnesss3ofs3breaths3ors3fatigues3afters3ambulation.
c. Obtains3thes3patient‗ss3bloods3pressures3ands3pulses3rates3afters3ambulation.
d. Determines3whethers3thes3patients3iss3readys3tos3increases3thes3activitys3level.
ANS:s3 C
APs3educations3includess3accurates3vitals3signs3measurement.s3Assessments3ands3patients3teach
ingrequs3ires3registereds3nurses3educations3ands3scopes3ofs3practices3ands3cannots3bes3delegate
d.
DIF:s 3Cognitives3Level:s3Applys3(Application)
TOP:s3 Nursings3Process:s3PlanninghMSC:s3s3NCLEX:s3Safes3ands3Effectives3Cares3Environment
