TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING 11TH EDITION BY HARDING ( ALL CHAPTERS 1-68) LATEST UPDATED EXAMINATION STUDYGUIDE 2025/2026

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TESTBANK
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Test Bank - Lewis's
v vv MedicalMEDICAL
Surgical v SURGICAL
Material Nursing
v NURSING
(11th Edition 11TH EDITION BY HARDING
by Harding)
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Table of Contents v v




Table of Contents
v v 1
Chapter 01: Professional Nursing
v v v 3
Chapter 02: Health Equity and Culturally Competent Care
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Chapter 03: Health History and Physical Examination
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Chapter 04: Patient and Caregiver Teaching
v v v v v v 28
Chapter 05: Chronic Illness and Older Adults
v v v v v v 38
Chapter 06: Stress Management
v v v v 48
Chapter 07: Sleep and Sleep Disorders
v v v v v 54
Chapter 08: Pain
v v v 59
Chapter 09: Palliative and End of Life Care
v v v v v v v 71
Chapter 10: Substance Use Disorders
v v v v v 79
Chapter 11: Inflammation and Healing
v v v v v 91
Chapter 12: Genetics
v v v 101
Chapter 13: Immune Responses and Transplantation
v v v v v 105
Chapter 14: Infection
v v v 117
Chapter 15: Cancer
v v 129
Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances
v v v v v v 148
Chapter 17: Preoperative Care
v v v v 165
Chapter 18: Intraoperative Care
v v v 175
Chapter 19: Postoperative Care
v v v v 184
Chapter 20: Assessment and Management: Visual Problems
v v v v v v 196
Chapter 21: Assessment and Management: Auditory Problems
v v v v v v v 216
Chapter 22: Assessment: Integumentary System
v v v v v 227
Chapter 23: Integumentary Problems
v v v 233
Chapter 24: Burns
v v v 245
Chapter 25: Assessment: Respiratory System
v v v v 259
Chapter 26: Upper Respiratory Problems
v v v v v 270
Chapter 27: Lower Respiratory Problems
v v v v v 282
Chapter 28: Obstructive Pulmonary Diseases
v v v v v 305
Chapter 29: Assessment: Hematologic System
v v v v v 325
Chapter 30: Hematologic Problems
v v v v 332
Chapter 31: Assessment: Cardiovascular System
v v v v 353
Chapter 32: Hypertension
v v v 364
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
v v v v v v v v 375
Chapter 34: Heart Failure
v v v v 394
Chapter 35: Dysrhythmias
v v 406
Chapter 36: Inflammatory and Structural Heart Disorders
v v v v v v 420
Chapter 37: Vascular Disorders
v v v v 435
Chapter 38: Assessment: Gastrointestinal System
v v v v 450
Chapter 39: Nutritional Problems
v v v v 458
Chapter 40: Obesity
v v 469
Chapter 41: Upper Gastrointestinal Problems
v v v v 478
Chapter 42: Lower Gastrointestinal Problems
v v v v v 499
Chapter 43: Liver, Biliary Tract, and Pancreas Problems
v v v v v v v 523
Chapter 44: Assessment: Urinary System
v v v v v 543
Chapter 45: Renal and Urologic Problems
v v v v v 553
Chapter 46: Acute Kidney Injury and Chronic Kidney Disease
v v v v v v v v 573
Chapter 47: Assessment: Endocrine System
v v v v v 590
Chapter 48: Diabetes Mellitus
v v v 600
Chapter 49: Endocrine Problems
v v v v 622
Chapter 50: Assessment: Reproductive System
v v v v 642


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Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
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Chapter 51: Breast Disorders
v v v 650
Chapter 52: Sexually Transmitted Infections
v v v v 662
Chapter 53: Female Reproductive Problems
v v v v v 671
Chapter 54: Male Reproductive Problems
v v v v v 693
Chapter 55: Assessment: Nervous System
v v v v v 708
Chapter 56: Acute Intracranial Problems
v v v v v 717
Chapter 57: Stroke
v v v 734
Chapter 58: Chronic Neurologic Problems
v v v v 747
Chapter 59: Dementia and Delirium
v v v v v 763
Chapter 60: Spinal Cord and Peripheral Nerve Problems
v v v v v v v 772
Chapter 61: Assessment: Musculoskeletal System
v v v v v 787
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
v v v v v v 794
Chapter 63: Musculoskeletal Problems
v v v v 814
Chapter 64: Arthritis and Connective Tissue Diseases
v v v v v v 825
Chapter 65: Critical Care
v v v v 845
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
v v v v v v v v 864
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome
v v v v v v v v v 877
Chapter 68: Emergency and Disaster Nursing
v v v v v v 889




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Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
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Chapter 01: Professional Nursing v v v




Test Bank v




v MULTIPLE

v CHOICE

1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care.
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Which statement, if made by the student nurse, indicates that teaching was successful?
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a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
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b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
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c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
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humans.
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d. The nursing process is used primarily to explain nursing interventions to other health care
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professionals.
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ANS: B v




The nursing process is a problem-solving approach to the identification and treatment of patients problems.
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Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in patient care,
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vnot to establish nursing theory or explain nursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (comprehension)
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for
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patients. Which statement, if made by the nurse, would be the most accurate?
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a. Inferences from clinical research studies are used as a guide.
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b. Patient care is based on clinical judgment, experience, and traditions.
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c. Data are evaluated to show that the patient outcomes are consistently met.
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d. Recommendations are based on research, clinical expertise, and patient preferences. v v v v v v v v v




ANS: D v




Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
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expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
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making should also incorporate current research and research-based guidelines. Evaluation of patient
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outcomes is important, but interventions should be based on research from randomized control studies
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with a large number of subjects.
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DIF: Cognitive Level: Remember (knowledge)
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TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
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Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
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3. The nurse completes an admission database and explains that the plan of care and discharge goals will be
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developed with the patients input. The patient states, How is this different from what the doctor does? Which
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vresponse would be most appropriate for the nurse to make?
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a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
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b. The nurses job is to help the doctor by collecting information and communicating any problems
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that occur.
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c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a
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longer time than the doctor.
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d. In addition to caring for you while you are sick, the nurses will assist you to develop an
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vindividualized plan to maintain your health. v v v v v




ANS: D v




This response is consistent with the American Nurses Association (ANA) definition of nursing, which
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describes the role of nurses in promoting health. The other responses describe some of the dependent and
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vcollaborative functions of the nursing role but do not accurately describe the nurses role in the health care
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system.
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DIF: Cognitive Level: Understand (comprehension)
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip
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vWhich nursing diagnosis is most appropriate?
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a. Impaired physical mobility related to left-sided paralysis
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b. Risk for impaired tissue integrity related to left-sided weakness
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c. Impaired skin integrity related to altered circulation and pressure
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d. Ineffective tissue perfusion related to inability to move independently
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ANS: C v




The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer.
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vThe nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient.
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Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for
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vdiagnosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does have
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ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health
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problem is.
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DIF: Cognitive Level: Apply (application)
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TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
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5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving
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my children with my parents. Which action should the nurse take next?
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