Test Bank For Lewis's Medical-Surgical Nursing, 12th Edition
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter
1-69
Downloaded by rn rn ()
,Table of Contents
Test Bank For Lewis's Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra
Hagler ................................................................................................................................................................................... 1
Chapter 01: Professional Nursing........................................................................................................................................... 3
Chapter 02: Social Determinants of Health .......................................................................................................................... 10
Chapter 03: Health History and Physical Examination Harding: Lewis’s Medical-Surgical Nursing, 12th Edition............. 15
Chapter 04: Patient and Caregiver Teaching ........................................................................................................................ 20
Chapter 05: Chronic Illness and Older Adults ...................................................................................................................... 26
Chapter 06: Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning,and Gender Diverse Patients ............ 34
Chapter 07: Stress Management ........................................................................................................................................... 38
Chapter 08: Sleep and Sleep Disorders................................................................................................................................. 42
Chapter 09: Pain ................................................................................................................................................................... 47
Chapter 10: Palliative and End-of-Life Care ........................................................................................................................ 56
Chapter 11: Substance Use Disorders in Acute Care ............................................................................................................ 61
Chapter 12: Inflammation and Healing................................................................................................................................ 69
Chapter 13: Genetics ............................................................................................................................................................ 76
Chapter 14: Immune Responses and Transplantation Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ............... 79
Chapter 15: Infection............................................................................................................................................................ 87
Chapter 16: Cancer............................................................................................................................................................... 97
Chapter 17: Fluid, Electrolyte, and Acid-Base ImbalancesHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ..... 111
Chapter 18: Preoperative Care............................................................................................................................................ 124
Chapter 19: Intraoperative Care.......................................................................................................................................... 131
Chapter 20: Postoperative Care .......................................................................................................................................... 137
Chapter 21: Emergency and Disaster Nursing .................................................................................................................... 145
Chapter 22: Assessment and Management: Visual ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition 153
Chapter 23: Assessment and Management: Auditory ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition
........................................................................................................................................................................................... 166
Chapter 24: Assessment: Integumentary System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition .................... 173
Chapter 25: Integumentary Problems ................................................................................................................................. 178
Chapter 26: Burns............................................................................................................................................................... 186
Chapter 27: Assessment: Respiratory System .................................................................................................................... 195
Chapter 28: Supporting Ventilation .................................................................................................................................... 203
Chapter 29: Upper Respiratory Problems ........................................................................................................................... 214
Chapter 30: Lower Respiratory Problems........................................................................................................................... 220
Chapter 31: Obstructive Pulmonary Diseases ..................................................................................................................... 235
Chapter 32: Acute Respiratory Failure and Acute Respiratory Distress SyndromeHarding: Lewis’s Medical-Surgical
Nursing, 12th Edition......................................................................................................................................................... 248
Chapter 33: Assessment: Hematologic System .................................................................................................................. 257
Chapter 34: Hematologic Problems .................................................................................................................................... 262
Chapter 35: Assessment: Cardiovascular System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ................... 277
Chapter 36: Hypertension................................................................................................................................................... 289
Chapter 37: Coronary Artery Disease and Acute Coronary Syndrome Harding: Lewis’s Medical-Surgical Nursing, 12th
Edition ............................................................................................................................................................................... 297
Chapter 38: Heart Failure ................................................................................................................................................... 311
Chapter 39: Dysrhythmias .................................................................................................................................................. 319
Chapter 40: Inflammatory and Structural Heart DisordersHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ...... 329
Downloaded by rn rn ()
,Chapter 41: Vascular Disorders.......................................................................................................................................... 341
Chapter 42: Shock, Sepsis, and Multiple Organ Dysfunction SyndromeHarding: Lewis’s Medical-Surgical Nursing, 12th
Edition ............................................................................................................................................................................... 352
Chapter 43: Assessment: Gastrointestinal System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition .................. 364
Chapter 44: Nutrition Problems.......................................................................................................................................... 369
Chapter 45: Obesity............................................................................................................................................................ 377
Chapter 46: Upper Gastrointestinal Problems..................................................................................................................... 383
Chapter 47: Lower Gastrointestinal Problems .................................................................................................................... 397
Chapter 48: Liver, Biliary Tract, and Pancreas ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ........ 414
Chapter 49: Assessment: Urinary System .......................................................................................................................... 429
Chapter 50: Renal and Urologic Problems ......................................................................................................................... 436
Chapter 51: Acute Kidney Injury and Chronic Kidney DiseaseHarding: Lewis’s Medical-Surgical Nursing, 12th Edition
........................................................................................................................................................................................... 450
Chapter 52: Assessment: Endocrine System ...................................................................................................................... 462
Chapter 53: Diabetes .......................................................................................................................................................... 469
Chapter 54: Endocrine Problems ........................................................................................................................................ 484
Chapter 55: Assessment: Reproductive System.................................................................................................................. 499
Chapter 56: Breast Problems .............................................................................................................................................. 503
Chapter 57: Sexually Transmitted Infections ...................................................................................................................... 512
Chapter 58: Female Reproductive Problems ...................................................................................................................... 519
Chapter 59: Male Reproductive Problems .......................................................................................................................... 533
Chapter 60: Assessment: Nervous System ......................................................................................................................... 544
Chapter 61: Acute Intracranial Problems............................................................................................................................ 550
Chapter 62: Stroke ............................................................................................................................................................. 565
Chapter 63: Chronic Neurologic Problems ......................................................................................................................... 574
Chapter 64: Dementia and Delirium ................................................................................................................................... 585
Chapter 65: Spinal Cord and Peripheral Nerve ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ........ 593
Chapter 66: Assessment: Musculoskeletal System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ................. 603
Chapter 67: Musculoskeletal Trauma and Orthopedic SurgeryHarding: Lewis’s Medical-Surgical Nursing, 12th Edition
........................................................................................................................................................................................... 608
Chapter 68: Musculoskeletal Problems .............................................................................................................................. 622
Chapter 69: Arthritis and Connective Tissue Diseases Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ........... 629
Downloaded by rn rn ()
, Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. Which statement describes the purpose of the assessment phase of the nursing
process?
a. To teach interventions that relieve health problems
b. To use patient data to evaluate patient care outcomes
c. To obtain data to diagnose patient strengths and problems
d. To help the patient identify realistic outcomes for health problems
ANS: C
During the assessment phase, the nurse gathers information about the patient to diagnosepatient
strengths and problems. The other responses are examples of the planning, intervention, and
evaluation phases of the nursing process.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
2. When developing the plan of care, which components would the nurse include in
the clinicalproblem statement?
a. The problem and the suggested patient goals or outcomes
b. The problem, its causes, and the signs and symptoms of the problem
c. The problem with the possible etiology and the planned interventions
d. The problem, its pathophysiology, and the expected outcome
ANS: B
When writing clinical problems or nursing diagnoses, the subjective as well as objective data to
support the problem‘s existence should be included. Goals, outcomes, and interventions arenot
included in the problem statement.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Diagnosis
MSC: NCLEX: Safe and Effective Care Environment
3. Which patient care task would the nurse delegate to experienced assistive personnel
(AP)?
a. Instruct the patient about the need to alternate activity and rest.
b. Monitor level of shortness of breath or fatigue after ambulation.
c. Obtain the patient‘s blood pressure and pulse rate after ambulation.
d. Determine whether the patient is ready to increase the activity level.
ANS: C
AP education includes accurate vital sign measurement. Assessment and patient teachingrequire
registered nurse education and scope of practice and cannot be delegated.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
Downloaded by rn rn ()
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter
1-69
Downloaded by rn rn ()
,Table of Contents
Test Bank For Lewis's Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra
Hagler ................................................................................................................................................................................... 1
Chapter 01: Professional Nursing........................................................................................................................................... 3
Chapter 02: Social Determinants of Health .......................................................................................................................... 10
Chapter 03: Health History and Physical Examination Harding: Lewis’s Medical-Surgical Nursing, 12th Edition............. 15
Chapter 04: Patient and Caregiver Teaching ........................................................................................................................ 20
Chapter 05: Chronic Illness and Older Adults ...................................................................................................................... 26
Chapter 06: Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning,and Gender Diverse Patients ............ 34
Chapter 07: Stress Management ........................................................................................................................................... 38
Chapter 08: Sleep and Sleep Disorders................................................................................................................................. 42
Chapter 09: Pain ................................................................................................................................................................... 47
Chapter 10: Palliative and End-of-Life Care ........................................................................................................................ 56
Chapter 11: Substance Use Disorders in Acute Care ............................................................................................................ 61
Chapter 12: Inflammation and Healing................................................................................................................................ 69
Chapter 13: Genetics ............................................................................................................................................................ 76
Chapter 14: Immune Responses and Transplantation Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ............... 79
Chapter 15: Infection............................................................................................................................................................ 87
Chapter 16: Cancer............................................................................................................................................................... 97
Chapter 17: Fluid, Electrolyte, and Acid-Base ImbalancesHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ..... 111
Chapter 18: Preoperative Care............................................................................................................................................ 124
Chapter 19: Intraoperative Care.......................................................................................................................................... 131
Chapter 20: Postoperative Care .......................................................................................................................................... 137
Chapter 21: Emergency and Disaster Nursing .................................................................................................................... 145
Chapter 22: Assessment and Management: Visual ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition 153
Chapter 23: Assessment and Management: Auditory ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition
........................................................................................................................................................................................... 166
Chapter 24: Assessment: Integumentary System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition .................... 173
Chapter 25: Integumentary Problems ................................................................................................................................. 178
Chapter 26: Burns............................................................................................................................................................... 186
Chapter 27: Assessment: Respiratory System .................................................................................................................... 195
Chapter 28: Supporting Ventilation .................................................................................................................................... 203
Chapter 29: Upper Respiratory Problems ........................................................................................................................... 214
Chapter 30: Lower Respiratory Problems........................................................................................................................... 220
Chapter 31: Obstructive Pulmonary Diseases ..................................................................................................................... 235
Chapter 32: Acute Respiratory Failure and Acute Respiratory Distress SyndromeHarding: Lewis’s Medical-Surgical
Nursing, 12th Edition......................................................................................................................................................... 248
Chapter 33: Assessment: Hematologic System .................................................................................................................. 257
Chapter 34: Hematologic Problems .................................................................................................................................... 262
Chapter 35: Assessment: Cardiovascular System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ................... 277
Chapter 36: Hypertension................................................................................................................................................... 289
Chapter 37: Coronary Artery Disease and Acute Coronary Syndrome Harding: Lewis’s Medical-Surgical Nursing, 12th
Edition ............................................................................................................................................................................... 297
Chapter 38: Heart Failure ................................................................................................................................................... 311
Chapter 39: Dysrhythmias .................................................................................................................................................. 319
Chapter 40: Inflammatory and Structural Heart DisordersHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ...... 329
Downloaded by rn rn ()
,Chapter 41: Vascular Disorders.......................................................................................................................................... 341
Chapter 42: Shock, Sepsis, and Multiple Organ Dysfunction SyndromeHarding: Lewis’s Medical-Surgical Nursing, 12th
Edition ............................................................................................................................................................................... 352
Chapter 43: Assessment: Gastrointestinal System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition .................. 364
Chapter 44: Nutrition Problems.......................................................................................................................................... 369
Chapter 45: Obesity............................................................................................................................................................ 377
Chapter 46: Upper Gastrointestinal Problems..................................................................................................................... 383
Chapter 47: Lower Gastrointestinal Problems .................................................................................................................... 397
Chapter 48: Liver, Biliary Tract, and Pancreas ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ........ 414
Chapter 49: Assessment: Urinary System .......................................................................................................................... 429
Chapter 50: Renal and Urologic Problems ......................................................................................................................... 436
Chapter 51: Acute Kidney Injury and Chronic Kidney DiseaseHarding: Lewis’s Medical-Surgical Nursing, 12th Edition
........................................................................................................................................................................................... 450
Chapter 52: Assessment: Endocrine System ...................................................................................................................... 462
Chapter 53: Diabetes .......................................................................................................................................................... 469
Chapter 54: Endocrine Problems ........................................................................................................................................ 484
Chapter 55: Assessment: Reproductive System.................................................................................................................. 499
Chapter 56: Breast Problems .............................................................................................................................................. 503
Chapter 57: Sexually Transmitted Infections ...................................................................................................................... 512
Chapter 58: Female Reproductive Problems ...................................................................................................................... 519
Chapter 59: Male Reproductive Problems .......................................................................................................................... 533
Chapter 60: Assessment: Nervous System ......................................................................................................................... 544
Chapter 61: Acute Intracranial Problems............................................................................................................................ 550
Chapter 62: Stroke ............................................................................................................................................................. 565
Chapter 63: Chronic Neurologic Problems ......................................................................................................................... 574
Chapter 64: Dementia and Delirium ................................................................................................................................... 585
Chapter 65: Spinal Cord and Peripheral Nerve ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ........ 593
Chapter 66: Assessment: Musculoskeletal System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ................. 603
Chapter 67: Musculoskeletal Trauma and Orthopedic SurgeryHarding: Lewis’s Medical-Surgical Nursing, 12th Edition
........................................................................................................................................................................................... 608
Chapter 68: Musculoskeletal Problems .............................................................................................................................. 622
Chapter 69: Arthritis and Connective Tissue Diseases Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ........... 629
Downloaded by rn rn ()
, Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. Which statement describes the purpose of the assessment phase of the nursing
process?
a. To teach interventions that relieve health problems
b. To use patient data to evaluate patient care outcomes
c. To obtain data to diagnose patient strengths and problems
d. To help the patient identify realistic outcomes for health problems
ANS: C
During the assessment phase, the nurse gathers information about the patient to diagnosepatient
strengths and problems. The other responses are examples of the planning, intervention, and
evaluation phases of the nursing process.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
2. When developing the plan of care, which components would the nurse include in
the clinicalproblem statement?
a. The problem and the suggested patient goals or outcomes
b. The problem, its causes, and the signs and symptoms of the problem
c. The problem with the possible etiology and the planned interventions
d. The problem, its pathophysiology, and the expected outcome
ANS: B
When writing clinical problems or nursing diagnoses, the subjective as well as objective data to
support the problem‘s existence should be included. Goals, outcomes, and interventions arenot
included in the problem statement.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Diagnosis
MSC: NCLEX: Safe and Effective Care Environment
3. Which patient care task would the nurse delegate to experienced assistive personnel
(AP)?
a. Instruct the patient about the need to alternate activity and rest.
b. Monitor level of shortness of breath or fatigue after ambulation.
c. Obtain the patient‘s blood pressure and pulse rate after ambulation.
d. Determine whether the patient is ready to increase the activity level.
ANS: C
AP education includes accurate vital sign measurement. Assessment and patient teachingrequire
registered nurse education and scope of practice and cannot be delegated.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
Downloaded by rn rn ()
