Test Bank For Lewis's Medical-
Surgical Nursing, 12th Edition
by Mariann M. Harding, Jeffrey
Kwong, Debra Hagler Chapter
1-69 Complete Latest 2024/2025
,Chapter 1 – Professional Nursing Practice (Lewis’s Med-Surg 12th Ed.)
, Key Concepts
• Definition of Nursing: ANA—nursing is the protection, promotion, and optimization of health,
prevention of illness/injury, and alleviation of suffering.
• Roles of the Professional Nurse:
o Caregiver
o Advocate
o Educator
o Communicator
o Manager/Coordinator of Care
• Standards of Practice: Assessment, diagnosis, outcomes identification, planning,
implementation, and evaluation.
• Evidence-Based Practice (EBP): Integration of best current evidence with clinical expertise and
patient preferences.
• Delegation: Nurse retains accountability; tasks may be assigned to UAP/LPN within their scope.
• Quality & Safety (QSEN Competencies): Patient-centered care, teamwork & collaboration, EBP,
quality improvement, safety, informatics.
• Clinical Judgment: Combines critical thinking, clinical reasoning, and decision-making.
Sample NCLEX-Style Questions
Q1.
A patient says, “I don’t understand why the nurse is planning my care instead of the doctor.” What is the
best response?
a) “The nurse focuses on wellness and supporting your self-care needs.”
b) “The doctor provides treatment, but nurses are here to follow those orders.”
c) “The nurse is mainly responsible for carrying out procedures ordered by the physician.”
d) “The nurse does everything the physician doesn’t have time to do.”
✅ Correct Answer: a
Rationale: Nursing focuses on holistic care, health promotion, and patient empowerment, not just
physician-directed tasks.
Q2.
Which task can the RN safely delegate to an unlicensed assistive personnel (UAP)?
a) Teaching a patient about insulin administration.
b) Assessing a patient’s pain after surgery.
, c) Measuring and recording intake and output.
d) Developing a discharge plan with the patient.
✅ Correct Answer: c
Rationale: UAPs may perform routine, non-invasive tasks (vitals, hygiene, intake/output). Education,
assessment, and planning require an RN.
Q3.
The nurse uses evidence-based practice (EBP) when:
a) Following procedures exactly as learned in nursing school.
b) Asking peers for their experiences before deciding on care.
c) Integrating patient preferences, clinical expertise, and the best current research.
d) Relying on personal intuition and judgment.
✅ Correct Answer: c
Rationale: EBP integrates research evidence, patient values, and clinician expertise.
Quick Study Tip
Make flashcards for:
• Nurse roles
• ANA standards of practice
• QSEN competencies
• Delegation rules
? Great choice — going chapter by chapter will make it much easier to digest the material, while also
giving you NCLEX-style practice questions with rationales along the way.
We already covered Chapter 1 (Professional Nursing Practice). Let’s move on to:
Chapter 2 – Health Equity and the Determinants of Health
(Lewis’s Medical-Surgical Nursing, 12th Edition)
Key Concepts
1. Health Equity
o Achieved when everyone has the opportunity to reach their highest level of health.
Surgical Nursing, 12th Edition
by Mariann M. Harding, Jeffrey
Kwong, Debra Hagler Chapter
1-69 Complete Latest 2024/2025
,Chapter 1 – Professional Nursing Practice (Lewis’s Med-Surg 12th Ed.)
, Key Concepts
• Definition of Nursing: ANA—nursing is the protection, promotion, and optimization of health,
prevention of illness/injury, and alleviation of suffering.
• Roles of the Professional Nurse:
o Caregiver
o Advocate
o Educator
o Communicator
o Manager/Coordinator of Care
• Standards of Practice: Assessment, diagnosis, outcomes identification, planning,
implementation, and evaluation.
• Evidence-Based Practice (EBP): Integration of best current evidence with clinical expertise and
patient preferences.
• Delegation: Nurse retains accountability; tasks may be assigned to UAP/LPN within their scope.
• Quality & Safety (QSEN Competencies): Patient-centered care, teamwork & collaboration, EBP,
quality improvement, safety, informatics.
• Clinical Judgment: Combines critical thinking, clinical reasoning, and decision-making.
Sample NCLEX-Style Questions
Q1.
A patient says, “I don’t understand why the nurse is planning my care instead of the doctor.” What is the
best response?
a) “The nurse focuses on wellness and supporting your self-care needs.”
b) “The doctor provides treatment, but nurses are here to follow those orders.”
c) “The nurse is mainly responsible for carrying out procedures ordered by the physician.”
d) “The nurse does everything the physician doesn’t have time to do.”
✅ Correct Answer: a
Rationale: Nursing focuses on holistic care, health promotion, and patient empowerment, not just
physician-directed tasks.
Q2.
Which task can the RN safely delegate to an unlicensed assistive personnel (UAP)?
a) Teaching a patient about insulin administration.
b) Assessing a patient’s pain after surgery.
, c) Measuring and recording intake and output.
d) Developing a discharge plan with the patient.
✅ Correct Answer: c
Rationale: UAPs may perform routine, non-invasive tasks (vitals, hygiene, intake/output). Education,
assessment, and planning require an RN.
Q3.
The nurse uses evidence-based practice (EBP) when:
a) Following procedures exactly as learned in nursing school.
b) Asking peers for their experiences before deciding on care.
c) Integrating patient preferences, clinical expertise, and the best current research.
d) Relying on personal intuition and judgment.
✅ Correct Answer: c
Rationale: EBP integrates research evidence, patient values, and clinician expertise.
Quick Study Tip
Make flashcards for:
• Nurse roles
• ANA standards of practice
• QSEN competencies
• Delegation rules
? Great choice — going chapter by chapter will make it much easier to digest the material, while also
giving you NCLEX-style practice questions with rationales along the way.
We already covered Chapter 1 (Professional Nursing Practice). Let’s move on to:
Chapter 2 – Health Equity and the Determinants of Health
(Lewis’s Medical-Surgical Nursing, 12th Edition)
Key Concepts
1. Health Equity
o Achieved when everyone has the opportunity to reach their highest level of health.
