TestBankForLewis'sMedical-SurgicalNursing,12thEdition by
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Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter 1-
h h h h h h h h h
69 Complete Latest 2023-2024
h h h
, 3
Chapter 01: Professional Nursing
h h h
Harding: Lewis’sMedical-Surgical Nursing, 12th Edition
h h h h h
MULTIPLE CHOICE h
1. The nurse completes an admission database and explains that the plan of care and discharge
h h h h h h h h h h h h h h
goals will be developed with the patient‗s input. The patient asks, ―How is this different from
h h h h h h h h h h h h h h h h
what the physician does?‖ Which response would the nurse provide?
h h h h h h h h h h
a. ―The role ofthe nurseis to administer medications and other treatments
h h h h h h h h h h h
prescribed by your physician.‖
h h h h
b. ―In additiontocaringfor you while you aresick,thenurses willhelp you plan to
h h h h h h h h h h h h h h h h
maintain your health.‖
h h h
c. ―Thenurse‗sjobistocollect information and communicateanyproblems thath h h h h h h h h h h
occur to the physician.‖
h h h h
d. ―Nursesperformmanyofthesameprocedures asthephysician, butnurses are h h h h h h h h h h h h
with the patients for a longer time than the physician.‖
h h h h h h h h h h
ANS: B h
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
h h h h h h h h h h h h h
promoting health. The other responses describe dependent and collaborative functions of the
h h h h h h h h h h h h
nursing role but do not accurately describe the nurse‗s unique role in the health care system.
h h h h h h h h h h h h h h h h
DIF: Cognitive Level: Analyze (Analysis)
h h h h
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h h h h h
2. Which statement bythe nurse accuratelydescribes the use of evidence-based practice (EBP)?
h h h h h h h h h h h h
a. ―Patientcare is based on clinical judgment, experience, and traditions.‖ h h h h h h h h h
b. ―Dataareanalyzedlatertoshowthatthepatient outcomes areconsistentlymet.‖ h h h h h h h h h h h h
c. ―Researchfrom all published articles are used as a guideforplanningpatient care.‖ h h h h h h h h h h h h h
d. ―Recommendationsarebasedonresearch,clinicalexpertise,and h h h h h h h
patient preferences.‖
h h
ANS: D h
Evidence-based practice (EBP) is the use of the best research-based evidence combined with h h h h h h h h h h h h
clinician expertise and consideration of patient preferences. Clinical judgment based on the
h h h h h h h h h h h h
nurse‗s clinical experience is part of EBP, but clinical decision making should also incorporate
h h h h h h h h h h h h h h
current research and research-based guidelines. Evaluation of patient outcomes is important, but
h h h h h h h h h h h h
data analysis is not required to use EBP. All published articles do not provide research evidence;
h h h h h h h h h h h h h h h h
interventions should be based on credible research, preferably randomized controlled studies with
h h h h h h h h h h h h
a large number of subjects.
h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h TOP: NursingProcess:Planning h h h
MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h
3. Which statement bythe nurse provides a clear explanation of the nursing process?
h h h h h h h h h h h h
a. ―Thenursing process is a research method ofdiagnosingthe patient‗s health care
h h h h h h h h h h h h
problems.‖
h
b. ―Thenursing process is used primarilyto explain nursinginterventions to
h h h h h h h h h h
other health care professionals.‖
h h h h
c. ―Thenursing process is a problem-solving tool used to identify and manage the
h h h h h h h h h h h h
, 4
patients‗ health care needs.‖ h h h
d. ―Thenursing process is based on nursingtheorythat incorporates the
h h h h h h h h h h
biopsychosocial nature of humans.‖
h h h h
ANS: C h
The nursing process is a problem-solving approach to the identification and treatment of
h h h h h h h h h h h h
patients‗ problems. Nursing process does not require research methods for diagnosis. The
h h h h h h h h h h h h
primary use of the nursing process is in patient care, not to establish nursing theory or explain
h h h h h h h h h h h h h h h h h
nursing interventions to other health care professionals.
h h h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h TOP: NursingProcess:Evaluation h h h
MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel
h h h h h h h h h h h h h h
comfortable leaving my children with my parents.‖ Which action would the nurse
h h h h h h h h h h h h
take next?
h h
a. Reassure the patient that these feelings are common for parents. h h h h h h h h h
b. Have the patient call the children to ensure that they are doing well.
h h h h h h h h h h h h
c. Gatherinformation on the patient‗s concerns about the child care arrangements.
h h h h h h h h h h
d. Call thepatient‗s parents todetermine whether adequatechild careis
h h h h h h h h h h
being provided.
h h
ANS: C h
Because a complete assessment is necessary in order to identify a problem and choose an
h h h h h h h h h h h h h h
appropriate intervention, the nurse‗s first action should be to obtain more information. The other
h h h h h h h h h h h h h h
actions maybe appropriate, but more assessment is needed before the best intervention can be
h h h h h h h h h h h h h h h
chosen.
h
DIF: Cognitive Level:Analyze (Analysis) h h h
TOP: NursingProcess: Assessment
h MSC: NCLEX: Psychosocial Integrity h h h h h
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive
h h h h h h h h h h h h h
diaphoresis. Which expected outcome would the nurse select for this patient?
h h h h h h h h h h h
a. Patient has a balanced intake and output. h h h h h h
b. Patient‗s beddingis kept clean and free ofmoisture. h h h h h h h h
c. Patient understands the need for increased fluid intake. h h h h h h h
d. Patient‗sskinremains cool anddrythroughout hospitalization. h h h h h h h
ANS: A h
Balanced intake and output gives measurable data showing resolution of the problem of deficient
h h h h h h h h h h h h h
fluid volume. The other statements would not indicate that the problem of hypovolemia was
h h h h h h h h h h h h h h
resolved.
h
DIF: Cognitive Level: Apply (Application) h h h TOP: NursingProcess: Planning h h h
MSC: NCLEX: Physiological Integrity
h h h h
6. Which statement describes the purpose of the evaluation phase of the nursing process?
h h h h h h h h h h h h
a. To document the nursing care plan in the progress notes of the health record
h h h h h h h h h h h h h
b. To determine if interventions have been effective in meeting patient outcomes
h h h h h h h h h h
c. Todecide whetherthe patient‗s health problems have been completelyresolved
h h h h h h h h h h
d. To establish if the patient agrees that the nursing care provided was satisfactory
h h h h h h h h h h h h
ANS: B h
, 5
Evaluation consists of determining whether the desired patient outcomes have been met and
h h h h h h h h h h h h
whether the nursing interventions were appropriate. The other responses do not describe the
h h h h h h h h h h h h h
evaluation phase.
h h
DIF: Cognitive Level: Understand (Comprehension)
h h h h TOP: Nursing Process: Evaluation
h h h
MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h
7. Which statement describes the purpose of the assessment phase of the nursing process?
h h h h h h h h h h h h
a. To teach interventions that relieve health problems
h h h h h h
b. To use patient data to evaluate patient care outcomes
h h h h h h h h
c. To obtain data to diagnose patient strengths and problems
h h h h h h h h
d. To help the patient identify realistic outcomes for health problems
h h h h h h h h h
ANS: C h
During the assessment phase, the nurse gathers information about the patient to diagnose patient
h h h h h h h h h h h h h
strengths and problems. The other responses are examples of the planning, intervention, and
h h h h h h h h h h h h h
evaluation phases of the nursing process.
h h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h
TOP: NursingProcess: Assessment
h MSC: NCLEX: Safe and Effective Care Environment h h h h h h h h
8. When developing the plan of care, which components would the nurse include in the
h h h h h h h h h h h h h
clinical problem statement?
h h h
a. The problem and the suggested patient goals or outcomes
h h h h h h h h
b. The problem, its causes, and the signs and symptoms of the problem
h h h h h h h h h h h
c. The problem with the possible etiology and the planned interventions
h h h h h h h h h
d. Theproblem, its pathophysiology, and the expected outcome
h h h h h h h
ANS: B h
When writing clinical problems or nursing diagnoses, the subjective as well as objective data to
h h h h h h h h h h h h h h
support the problem‗s existence should be included. Goals, outcomes, and interventions are not
h h h h h h h h h h h h h
included in the problem statement.
h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h TOP: NursingProcess:Diagnosis
h h h
MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h
9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
h h h h h h h h h h h h
a. Instruct the patient about the need to alternate activity and rest.
h h h h h h h h h h
b. Monitor level of shortness of breath or fatigue after ambulation. h h h h h h h h h
c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
h h h h h h h h h
d. Determine whether the patient is readyto increase the activitylevel. h h h h h h h h h h
ANS: C h
AP education includes accurate vital sign measurement. Assessment and patient teaching require
h h h h h h h h h h h
registered nurse education and scope of practice and cannot be delegated.
h h h h h h h h h h h
DIF: Cognitive Level: Apply (Application) h h h TOP: NursingProcess: Planning
h h h
MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h
h h h h h h h h h
Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter 1-
h h h h h h h h h
69 Complete Latest 2023-2024
h h h
, 3
Chapter 01: Professional Nursing
h h h
Harding: Lewis’sMedical-Surgical Nursing, 12th Edition
h h h h h
MULTIPLE CHOICE h
1. The nurse completes an admission database and explains that the plan of care and discharge
h h h h h h h h h h h h h h
goals will be developed with the patient‗s input. The patient asks, ―How is this different from
h h h h h h h h h h h h h h h h
what the physician does?‖ Which response would the nurse provide?
h h h h h h h h h h
a. ―The role ofthe nurseis to administer medications and other treatments
h h h h h h h h h h h
prescribed by your physician.‖
h h h h
b. ―In additiontocaringfor you while you aresick,thenurses willhelp you plan to
h h h h h h h h h h h h h h h h
maintain your health.‖
h h h
c. ―Thenurse‗sjobistocollect information and communicateanyproblems thath h h h h h h h h h h
occur to the physician.‖
h h h h
d. ―Nursesperformmanyofthesameprocedures asthephysician, butnurses are h h h h h h h h h h h h
with the patients for a longer time than the physician.‖
h h h h h h h h h h
ANS: B h
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
h h h h h h h h h h h h h
promoting health. The other responses describe dependent and collaborative functions of the
h h h h h h h h h h h h
nursing role but do not accurately describe the nurse‗s unique role in the health care system.
h h h h h h h h h h h h h h h h
DIF: Cognitive Level: Analyze (Analysis)
h h h h
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h h h h h
2. Which statement bythe nurse accuratelydescribes the use of evidence-based practice (EBP)?
h h h h h h h h h h h h
a. ―Patientcare is based on clinical judgment, experience, and traditions.‖ h h h h h h h h h
b. ―Dataareanalyzedlatertoshowthatthepatient outcomes areconsistentlymet.‖ h h h h h h h h h h h h
c. ―Researchfrom all published articles are used as a guideforplanningpatient care.‖ h h h h h h h h h h h h h
d. ―Recommendationsarebasedonresearch,clinicalexpertise,and h h h h h h h
patient preferences.‖
h h
ANS: D h
Evidence-based practice (EBP) is the use of the best research-based evidence combined with h h h h h h h h h h h h
clinician expertise and consideration of patient preferences. Clinical judgment based on the
h h h h h h h h h h h h
nurse‗s clinical experience is part of EBP, but clinical decision making should also incorporate
h h h h h h h h h h h h h h
current research and research-based guidelines. Evaluation of patient outcomes is important, but
h h h h h h h h h h h h
data analysis is not required to use EBP. All published articles do not provide research evidence;
h h h h h h h h h h h h h h h h
interventions should be based on credible research, preferably randomized controlled studies with
h h h h h h h h h h h h
a large number of subjects.
h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h TOP: NursingProcess:Planning h h h
MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h
3. Which statement bythe nurse provides a clear explanation of the nursing process?
h h h h h h h h h h h h
a. ―Thenursing process is a research method ofdiagnosingthe patient‗s health care
h h h h h h h h h h h h
problems.‖
h
b. ―Thenursing process is used primarilyto explain nursinginterventions to
h h h h h h h h h h
other health care professionals.‖
h h h h
c. ―Thenursing process is a problem-solving tool used to identify and manage the
h h h h h h h h h h h h
, 4
patients‗ health care needs.‖ h h h
d. ―Thenursing process is based on nursingtheorythat incorporates the
h h h h h h h h h h
biopsychosocial nature of humans.‖
h h h h
ANS: C h
The nursing process is a problem-solving approach to the identification and treatment of
h h h h h h h h h h h h
patients‗ problems. Nursing process does not require research methods for diagnosis. The
h h h h h h h h h h h h
primary use of the nursing process is in patient care, not to establish nursing theory or explain
h h h h h h h h h h h h h h h h h
nursing interventions to other health care professionals.
h h h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h TOP: NursingProcess:Evaluation h h h
MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel
h h h h h h h h h h h h h h
comfortable leaving my children with my parents.‖ Which action would the nurse
h h h h h h h h h h h h
take next?
h h
a. Reassure the patient that these feelings are common for parents. h h h h h h h h h
b. Have the patient call the children to ensure that they are doing well.
h h h h h h h h h h h h
c. Gatherinformation on the patient‗s concerns about the child care arrangements.
h h h h h h h h h h
d. Call thepatient‗s parents todetermine whether adequatechild careis
h h h h h h h h h h
being provided.
h h
ANS: C h
Because a complete assessment is necessary in order to identify a problem and choose an
h h h h h h h h h h h h h h
appropriate intervention, the nurse‗s first action should be to obtain more information. The other
h h h h h h h h h h h h h h
actions maybe appropriate, but more assessment is needed before the best intervention can be
h h h h h h h h h h h h h h h
chosen.
h
DIF: Cognitive Level:Analyze (Analysis) h h h
TOP: NursingProcess: Assessment
h MSC: NCLEX: Psychosocial Integrity h h h h h
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive
h h h h h h h h h h h h h
diaphoresis. Which expected outcome would the nurse select for this patient?
h h h h h h h h h h h
a. Patient has a balanced intake and output. h h h h h h
b. Patient‗s beddingis kept clean and free ofmoisture. h h h h h h h h
c. Patient understands the need for increased fluid intake. h h h h h h h
d. Patient‗sskinremains cool anddrythroughout hospitalization. h h h h h h h
ANS: A h
Balanced intake and output gives measurable data showing resolution of the problem of deficient
h h h h h h h h h h h h h
fluid volume. The other statements would not indicate that the problem of hypovolemia was
h h h h h h h h h h h h h h
resolved.
h
DIF: Cognitive Level: Apply (Application) h h h TOP: NursingProcess: Planning h h h
MSC: NCLEX: Physiological Integrity
h h h h
6. Which statement describes the purpose of the evaluation phase of the nursing process?
h h h h h h h h h h h h
a. To document the nursing care plan in the progress notes of the health record
h h h h h h h h h h h h h
b. To determine if interventions have been effective in meeting patient outcomes
h h h h h h h h h h
c. Todecide whetherthe patient‗s health problems have been completelyresolved
h h h h h h h h h h
d. To establish if the patient agrees that the nursing care provided was satisfactory
h h h h h h h h h h h h
ANS: B h
, 5
Evaluation consists of determining whether the desired patient outcomes have been met and
h h h h h h h h h h h h
whether the nursing interventions were appropriate. The other responses do not describe the
h h h h h h h h h h h h h
evaluation phase.
h h
DIF: Cognitive Level: Understand (Comprehension)
h h h h TOP: Nursing Process: Evaluation
h h h
MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h
7. Which statement describes the purpose of the assessment phase of the nursing process?
h h h h h h h h h h h h
a. To teach interventions that relieve health problems
h h h h h h
b. To use patient data to evaluate patient care outcomes
h h h h h h h h
c. To obtain data to diagnose patient strengths and problems
h h h h h h h h
d. To help the patient identify realistic outcomes for health problems
h h h h h h h h h
ANS: C h
During the assessment phase, the nurse gathers information about the patient to diagnose patient
h h h h h h h h h h h h h
strengths and problems. The other responses are examples of the planning, intervention, and
h h h h h h h h h h h h h
evaluation phases of the nursing process.
h h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h
TOP: NursingProcess: Assessment
h MSC: NCLEX: Safe and Effective Care Environment h h h h h h h h
8. When developing the plan of care, which components would the nurse include in the
h h h h h h h h h h h h h
clinical problem statement?
h h h
a. The problem and the suggested patient goals or outcomes
h h h h h h h h
b. The problem, its causes, and the signs and symptoms of the problem
h h h h h h h h h h h
c. The problem with the possible etiology and the planned interventions
h h h h h h h h h
d. Theproblem, its pathophysiology, and the expected outcome
h h h h h h h
ANS: B h
When writing clinical problems or nursing diagnoses, the subjective as well as objective data to
h h h h h h h h h h h h h h
support the problem‗s existence should be included. Goals, outcomes, and interventions are not
h h h h h h h h h h h h h
included in the problem statement.
h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h TOP: NursingProcess:Diagnosis
h h h
MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h
9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
h h h h h h h h h h h h
a. Instruct the patient about the need to alternate activity and rest.
h h h h h h h h h h
b. Monitor level of shortness of breath or fatigue after ambulation. h h h h h h h h h
c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
h h h h h h h h h
d. Determine whether the patient is readyto increase the activitylevel. h h h h h h h h h h
ANS: C h
AP education includes accurate vital sign measurement. Assessment and patient teaching require
h h h h h h h h h h h
registered nurse education and scope of practice and cannot be delegated.
h h h h h h h h h h h
DIF: Cognitive Level: Apply (Application) h h h TOP: NursingProcess: Planning
h h h
MSC: NCLEX: Safe and Effective Care Environment
h h h h h h h
