UNDERSTANDING MEDICAL SURGICAL NURSING
x x x x
10TH EDITION by Lewis TEST BANK
x x x x x
, UNDERSTANDING MEDICAL SURGICAL NURSING x x x x
10TH EDITION by Lewis TEST BANK x x x x x
Chapter 01: Professional Nursing Practice
x x x x
Lewis: Medical-Surgical Nursing, 10th Edition
x x x x x
MULTIPLE CHOICE x
1. The nurse completes an admission database and explains that the plan of care and discharge
x x x x x x x x x x x x x x
goals will be developed with the patient’s input. The patient states, “How is this different
x x x x x x x x x x x x x x x
fromwhat the doctor does?” Which response would be most appropriate for the nurse to make?
x x x x x x x x x x x x x x x x
a. “The role of the nurse is to administer medications and other treatments
x x x x x x x x x x x
prescribedby your doctor.”
x x x x
b. “The nurse’s job is to help the doctor by collecting information
x x x x x x x x x x
andcommunicating any problems that occur.”
x x x x x x
c. “Nurses perform many of the same procedures as the doctor, but nurses are
x x x x x x x x x x x x
withthe patients for a longer time than the doctor.”
x x x x x x x x x x
d. “In addition to caring for you while you are sick, the nurses will assist you
x x x x x x x x x x x x x x
todevelop an individualized plan to maintain your health.”
x x x x x x x x x
ANS: D x
This response is consistent with the American Nurses Association (ANA) definition of
x x x x x x x x x x x
nursing, which describes the role of nurses in promoting health. The other responses
x x x x x x x x x x x x x
describesome of the dependent and collaborative functions of the nursing role but do not
x x x x x x x x x x x x x x x
accurately describe the nurse’s role in the health care system.
x x x x x x x x x x
DIF: Cognitive Level: Understand (comprehension) REF: 3 x x x x
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x
2. The nurse describes to a student nurse how to use evidence-based practice guidelines
x x x x x x x x x x x x
whencaring for patients. Which statement, if made by the nurse, would be the most
x x x x x x x x x x x x x x x
accurate?
x
a. “Inferences from clinical research studies are used as a guide.” x x x x x x x x x
b. “Patient care is based on clinical judgment, experience, and traditions.”
x x x x x x x x x
c. “Data are evaluated to show that the patient outcomes are consistently met.”
x x x x x x x x x x x
d. “Recommendations are based on research, clinical expertise, and x x x x x x x
patientpreferences.”
x x
ANS: D x
Evidence-based practice (EBP) is the use of the best research-based evidence combined x x x x x x x x x x x
withclinician expertise. Clinical judgment based on the nurse’s clinical experience is part of
x x x x x x x x x x x x x x
EBP,but clinical decision making should also incorporate current research and research-based
x x x x x x x x x x x x
guidelines. Evaluation of patient outcomes is important, but interventions should be based
x x x x x x x x x x x x
onresearch from randomized control studies with a large number of subjects.
x x x x x x x x x x x x
DIF: Cognitive Level: Remember (knowledge) REF: 15 x x x x
TOP: Nursing Process: Planning x MSC: NCLEX: Safe and Effective Care Environment x x x x x x x x
3. The nurse teaches a student nurse about how to apply the nursing process when
x x x x x x x x x x x x x
providingpatient care. Which statement, if made by the student nurse, indicates that
x x x x x x x x x x x x x
teaching was successful?
x x x
a. “The nursing process is a scientific-based method of diagnosing the
x x x x x x x x x
patient’shealth care problems.”
x x x x
,UNDERSTANDING MEDICAL SURGICAL NURSING
x x x x
10TH EDITION by Lewis TEST BANK
x x x x x
b. “The nursing process is a problem-solving tool used to identify and treat patients’
x x x x x x x x x x x x
, UNDERSTANDING MEDICAL SURGICAL NURSING x x x x
10TH EDITION by Lewis TEST BANK x x x x x
health care needs.” x x
c. “The nursing process is used primarily to explain nursing interventions to
x x x x x x x x x x
x otherhealth care professionals.”
x x x
d. “The nursing process is based on nursing theory that incorporates
x x x x x x x x x
x thebiopsychosocial nature of humans.”
x x x x
ANS: B x
The nursing process is a problem-solving approach to the identification and treatment of
x x x x x x x x x x x x
patients’ problems. Diagnosis is only one phase of the nursing process. The primary use of
x x x x x x x x x x x x x x x
thenursing process is in patient care, not to establish nursing theory or explain nursing
x x x x x x x x x x x x x x x
interventions to other health care professionals.
x x x x x x
DIF: Cognitive Level: Understand (comprehension) REF: 5 x x x x
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x
4. A patient has been admitted to the hospital for surgery and tells the nurse, “I do not feel
x x x x x x x x x x x x x x x x x
comfortable leaving my children with my parents.” Which action should the nurse take next?
x x x x x x x x x x x x x x
a. Reassure the patient that these feelings are common for parents. x x x x x x x x x
b. Have the patient call the children to ensure that they are doing well.
x x x x x x x x x x x x
c. Gather more data about the patient’s feelings about the child-care arrangements.
x x x x x x x x x x
d. Call the patient’s parents to determine whether adequate child care is
x x x x x x x x x x
beingprovided.
x x
ANS: C x
Because a complete assessment is necessary in order to identify a problem and choose an
x x x x x x x x x x x x x x
appropriate intervention, the nurse’s first action should be to obtain more information. The
x x x x x x x x x x x x x
other actions may be appropriate, but more assessment is needed before the best
x x x x x x x x x x x x x
interventioncan be chosen.
x x x x
DIF: Cognitive Level: Apply (application) REF: 6 x x x
OBJ: Special Questions: Prioritization
xx x TOP: Nursing Process: x x x x
AssessmentMSC: NCLEX: Psychosocial Integrity
x x x x x
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulceron
x x x x x x x x x x x x x x x x x x x
the left hip. Which nursing diagnosis is most appropriate?
x x x x x x x x x
a. Impaired physical mobility related to left-sided paralysis x x x x x x
b. Risk for impaired tissue integrity related to left-sided weakness
x x x x x x x x
c. Impaired skin integrity related to altered circulation and pressure x x x x x x x x
d. Ineffective tissue perfusion related to inability to move independently x x x x x x x x
ANS: C x
The patient’s major problem is the impaired skin integrity as demonstrated by the presence of a
x x x x x x x x x x x x x x x
pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by
x x x x x x x x x x x x x x x x
frequently repositioning the patient. Although left-sided weakness is a problem for the
x x x x x x x x x x x x
patient,the nurse cannot treat the weakness. The “risk for” diagnosis is not appropriate for this
x x x x x x x x x x x x x x x x
patient,who already has impaired tissue integrity. The patient does have ineffective tissue
x x x x x x x x x x x x x
perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health
x x x x x x x x x x x x x
problem is.
x x
DIF: Cognitive Level: Apply (application) REF: 7 x x x
TOP: Nursing Process: Diagnosis
x MSC: NCLEX: Physiological Integrity x x x x x
x x x x
10TH EDITION by Lewis TEST BANK
x x x x x
, UNDERSTANDING MEDICAL SURGICAL NURSING x x x x
10TH EDITION by Lewis TEST BANK x x x x x
Chapter 01: Professional Nursing Practice
x x x x
Lewis: Medical-Surgical Nursing, 10th Edition
x x x x x
MULTIPLE CHOICE x
1. The nurse completes an admission database and explains that the plan of care and discharge
x x x x x x x x x x x x x x
goals will be developed with the patient’s input. The patient states, “How is this different
x x x x x x x x x x x x x x x
fromwhat the doctor does?” Which response would be most appropriate for the nurse to make?
x x x x x x x x x x x x x x x x
a. “The role of the nurse is to administer medications and other treatments
x x x x x x x x x x x
prescribedby your doctor.”
x x x x
b. “The nurse’s job is to help the doctor by collecting information
x x x x x x x x x x
andcommunicating any problems that occur.”
x x x x x x
c. “Nurses perform many of the same procedures as the doctor, but nurses are
x x x x x x x x x x x x
withthe patients for a longer time than the doctor.”
x x x x x x x x x x
d. “In addition to caring for you while you are sick, the nurses will assist you
x x x x x x x x x x x x x x
todevelop an individualized plan to maintain your health.”
x x x x x x x x x
ANS: D x
This response is consistent with the American Nurses Association (ANA) definition of
x x x x x x x x x x x
nursing, which describes the role of nurses in promoting health. The other responses
x x x x x x x x x x x x x
describesome of the dependent and collaborative functions of the nursing role but do not
x x x x x x x x x x x x x x x
accurately describe the nurse’s role in the health care system.
x x x x x x x x x x
DIF: Cognitive Level: Understand (comprehension) REF: 3 x x x x
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x
2. The nurse describes to a student nurse how to use evidence-based practice guidelines
x x x x x x x x x x x x
whencaring for patients. Which statement, if made by the nurse, would be the most
x x x x x x x x x x x x x x x
accurate?
x
a. “Inferences from clinical research studies are used as a guide.” x x x x x x x x x
b. “Patient care is based on clinical judgment, experience, and traditions.”
x x x x x x x x x
c. “Data are evaluated to show that the patient outcomes are consistently met.”
x x x x x x x x x x x
d. “Recommendations are based on research, clinical expertise, and x x x x x x x
patientpreferences.”
x x
ANS: D x
Evidence-based practice (EBP) is the use of the best research-based evidence combined x x x x x x x x x x x
withclinician expertise. Clinical judgment based on the nurse’s clinical experience is part of
x x x x x x x x x x x x x x
EBP,but clinical decision making should also incorporate current research and research-based
x x x x x x x x x x x x
guidelines. Evaluation of patient outcomes is important, but interventions should be based
x x x x x x x x x x x x
onresearch from randomized control studies with a large number of subjects.
x x x x x x x x x x x x
DIF: Cognitive Level: Remember (knowledge) REF: 15 x x x x
TOP: Nursing Process: Planning x MSC: NCLEX: Safe and Effective Care Environment x x x x x x x x
3. The nurse teaches a student nurse about how to apply the nursing process when
x x x x x x x x x x x x x
providingpatient care. Which statement, if made by the student nurse, indicates that
x x x x x x x x x x x x x
teaching was successful?
x x x
a. “The nursing process is a scientific-based method of diagnosing the
x x x x x x x x x
patient’shealth care problems.”
x x x x
,UNDERSTANDING MEDICAL SURGICAL NURSING
x x x x
10TH EDITION by Lewis TEST BANK
x x x x x
b. “The nursing process is a problem-solving tool used to identify and treat patients’
x x x x x x x x x x x x
, UNDERSTANDING MEDICAL SURGICAL NURSING x x x x
10TH EDITION by Lewis TEST BANK x x x x x
health care needs.” x x
c. “The nursing process is used primarily to explain nursing interventions to
x x x x x x x x x x
x otherhealth care professionals.”
x x x
d. “The nursing process is based on nursing theory that incorporates
x x x x x x x x x
x thebiopsychosocial nature of humans.”
x x x x
ANS: B x
The nursing process is a problem-solving approach to the identification and treatment of
x x x x x x x x x x x x
patients’ problems. Diagnosis is only one phase of the nursing process. The primary use of
x x x x x x x x x x x x x x x
thenursing process is in patient care, not to establish nursing theory or explain nursing
x x x x x x x x x x x x x x x
interventions to other health care professionals.
x x x x x x
DIF: Cognitive Level: Understand (comprehension) REF: 5 x x x x
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
x x x x x x x x x
4. A patient has been admitted to the hospital for surgery and tells the nurse, “I do not feel
x x x x x x x x x x x x x x x x x
comfortable leaving my children with my parents.” Which action should the nurse take next?
x x x x x x x x x x x x x x
a. Reassure the patient that these feelings are common for parents. x x x x x x x x x
b. Have the patient call the children to ensure that they are doing well.
x x x x x x x x x x x x
c. Gather more data about the patient’s feelings about the child-care arrangements.
x x x x x x x x x x
d. Call the patient’s parents to determine whether adequate child care is
x x x x x x x x x x
beingprovided.
x x
ANS: C x
Because a complete assessment is necessary in order to identify a problem and choose an
x x x x x x x x x x x x x x
appropriate intervention, the nurse’s first action should be to obtain more information. The
x x x x x x x x x x x x x
other actions may be appropriate, but more assessment is needed before the best
x x x x x x x x x x x x x
interventioncan be chosen.
x x x x
DIF: Cognitive Level: Apply (application) REF: 6 x x x
OBJ: Special Questions: Prioritization
xx x TOP: Nursing Process: x x x x
AssessmentMSC: NCLEX: Psychosocial Integrity
x x x x x
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulceron
x x x x x x x x x x x x x x x x x x x
the left hip. Which nursing diagnosis is most appropriate?
x x x x x x x x x
a. Impaired physical mobility related to left-sided paralysis x x x x x x
b. Risk for impaired tissue integrity related to left-sided weakness
x x x x x x x x
c. Impaired skin integrity related to altered circulation and pressure x x x x x x x x
d. Ineffective tissue perfusion related to inability to move independently x x x x x x x x
ANS: C x
The patient’s major problem is the impaired skin integrity as demonstrated by the presence of a
x x x x x x x x x x x x x x x
pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by
x x x x x x x x x x x x x x x x
frequently repositioning the patient. Although left-sided weakness is a problem for the
x x x x x x x x x x x x
patient,the nurse cannot treat the weakness. The “risk for” diagnosis is not appropriate for this
x x x x x x x x x x x x x x x x
patient,who already has impaired tissue integrity. The patient does have ineffective tissue
x x x x x x x x x x x x x
perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health
x x x x x x x x x x x x x
problem is.
x x
DIF: Cognitive Level: Apply (application) REF: 7 x x x
TOP: Nursing Process: Diagnosis
x MSC: NCLEX: Physiological Integrity x x x x x
