MEDICAL-SURGICAL NURSING, 10TH EDITION BY SHARON L. LEWIS, LINDA BUCHER, MARGARET M. HEITKEMPER, MARIANN M. HARDING,
JEFFREY KWONG , DOTTIE ROBERTS
TEST BANK
MEDICAL-SURGICAL NURSING; ASSESSMENT AND MANAGEMENT OF CLINICAL PROBLEMS 10TH EDITION
BY SHARON L. LEWIS, LINDA BUCHER, MARGARET M. HEITKEMPER, MARIANN M. HARDING, JEFFREY
KWONG , DOTTIE ROBERTS ALL CHAPTERS COVERED QUESTIONS AND ANSWERS GRADED A+
,MEDICAL-SURGICAL NURSING, 10TH EDITION BY SHARON L. LEWIS, LINDA BUCHER, MARGARET M. HEITKEMPER, MARIANN M. HARDING,
JEFFREY KWONG , DOTTIE ROBERTS
TABLE OF CONTENT
Section One – Concepts in Nursing Practice
1. Professional Nursing Practice
2. Health Disparities and Culturally Competent Care
3. Health History and Physical Examination
4. Patient and Caregiver Teaching
5. Chronic Illness and Older Adults
6. Stress and Stress Management
7. Sleep and Sleep Disorders
8. Pain
9. Palliative Care at End of Life
10. Substance Use Disorders
Section Two – Pathophysiologic Mechanisms of Disease
11. Inflammation and Wound Healing
12. Genetics and Genomics
13. Altered Immune Responses and Transplantation
14. Infection and Human Immunodeficiency Virus Infection
15. Cancer
16. Fluid, Electrolyte, and Acid-Base Imbalances
Section Three – Perioperative Care
17. Preoperative Care
18. Intraoperative Care
19. Postoperative Care
Section Four – Problems Related to Altered Sensory Input
20. Assessment of Visual and Auditory Systems
21. Visual and Auditory Problems
22. Assessment of Integumentary System
23. Integumentary Problems
24. Burns
Section Five – Problems of Oxygenation: Ventilation
25. Assessment of Respiratory System
26. Upper Respiratory Problems
27. Lower Respiratory Problems
28. Obstructive Pulmonary Diseases
Section Six – Problems of Oxygenation: Transport
29. Assessment of Hematologic System
30. Hematologic Problems
Section Seven – Problems of Oxygenation: Perfusion
31. Assessment of Cardiovascular System
32. Hypertension
33. Coronary Artery Disease and Acute Coronary Syndrome
34. Heart Failure
35. Dysrhythmias
36. Inflammatory and Structural Heart Disorders
,MEDICAL-SURGICAL NURSING, 10TH EDITION BY SHARON L. LEWIS, LINDA BUCHER, MARGARET M. HEITKEMPER, MARIANN M. HARDING,
JEFFREY KWONG , DOTTIE ROBERTS
37. Vascular Disorders
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
38. Assessment of Gastrointestinal System
39. Nutritional Problems
40. Obesity
41. Upper Gastrointestinal Problems
42. Lower Gastrointestinal Problems
43. Liver, Pancreas, and Biliary Tract Problems
Section Nine – Problems of Urinary Function
44. Assessment of Urinary System
45. Renal and Urologic Problems
46. Acute Kidney Injury and Chronic Kidney Disease
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
47. Assessment of Endocrine System
48. Diabetes Mellitus
49. Endocrine Problems
50. Assessment of Reproductive System
51. Breast Disorders
52. Sexually Transmitted Infections
53. Female Reproductive and Genital Problems
54. Male Reproductive and Genital Problems
Section Eleven – Problems Related to Movement and Coordination
55. Assessment of Nervous System
56. Acute Intracranial Problems
57. Stroke
58. Chronic Neurologic Problems
59. Dementia and Delirium
60. Spinal Cord and Peripheral Nerve Problems
61. Assessment of Musculoskeletal System
62. Musculoskeletal Trauma and Orthopedic Surgery
63. Musculoskeletal Problems
64. Arthritis and Connective Tissue Diseases
Section Twelve – Nursing Care in Specialized Settings
65. Critical Care
66. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
67. Acute Respiratory Failure and Acute Respiratory Distress Syndrome
68. Emergency and Disaster Nursing
, MEDICAL-SURGICAL NURSING, 10TH EDITION BY SHARON L. LEWIS, LINDA BUCHER, MARGARET M. HEITKEMPER, MARIANN M. HARDING,
JEFFREY KWONG , DOTTIE ROBERTS
Chapter 01: Professional Nursing Practice Lewis:
Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient’s input. The patient states, “How is this different from
what the doctor does?” Which response would be most appropriate for the nurse to make?
a. “The role of the nurse is to administer medications and other treatments
prescribed by your doctor.”
b. “The nurse’s job is to help the doctor by collecting information and
communicating any problems that occur.”
c. “Nurses perform many of the same procedures as the doctor, but nurses are
with the patients for a longer time thadoctor.”
d. “In addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health.”
ANS >> D
This response is consistent with the American Nurses Association (ANA) definition of nursing,
which describes the role of nurses in promoting health. The other responses describe some of the
dependent and collaborative functions of the nursing role but do not accurately describe the
nurse’s role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines
when caring for patients. Which statement, if made by the nurse, would be the most
accurate?
a. “Inferences from clinical research studies are used as a guide.”
b. “Patient care is based on clinical judgment, experience, and traditions.”
c. “Data are evaluated to show that the patient outcomes are consistently met.”
d. “Recommendations are based on research, clinical expertise, and
patient preferences.”
ANS >> D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise. Clinical judgment based on the nurse’s clinical experience is part of EBP, but
clinical decision making should also incorporate current research and research-based guidelines.
Evaluation of patient outcomes is important, but interventions should be based on research
from randomized control studies with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) REF: 15
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The nurse teaches a student nurse about how to apply the nursing process when providing
patient care. Which statement, if made by the student nurse, indicates that teaching was
successful?
a. “The nursing process is a scientific-based method of diagnosing the patient’s
JEFFREY KWONG , DOTTIE ROBERTS
TEST BANK
MEDICAL-SURGICAL NURSING; ASSESSMENT AND MANAGEMENT OF CLINICAL PROBLEMS 10TH EDITION
BY SHARON L. LEWIS, LINDA BUCHER, MARGARET M. HEITKEMPER, MARIANN M. HARDING, JEFFREY
KWONG , DOTTIE ROBERTS ALL CHAPTERS COVERED QUESTIONS AND ANSWERS GRADED A+
,MEDICAL-SURGICAL NURSING, 10TH EDITION BY SHARON L. LEWIS, LINDA BUCHER, MARGARET M. HEITKEMPER, MARIANN M. HARDING,
JEFFREY KWONG , DOTTIE ROBERTS
TABLE OF CONTENT
Section One – Concepts in Nursing Practice
1. Professional Nursing Practice
2. Health Disparities and Culturally Competent Care
3. Health History and Physical Examination
4. Patient and Caregiver Teaching
5. Chronic Illness and Older Adults
6. Stress and Stress Management
7. Sleep and Sleep Disorders
8. Pain
9. Palliative Care at End of Life
10. Substance Use Disorders
Section Two – Pathophysiologic Mechanisms of Disease
11. Inflammation and Wound Healing
12. Genetics and Genomics
13. Altered Immune Responses and Transplantation
14. Infection and Human Immunodeficiency Virus Infection
15. Cancer
16. Fluid, Electrolyte, and Acid-Base Imbalances
Section Three – Perioperative Care
17. Preoperative Care
18. Intraoperative Care
19. Postoperative Care
Section Four – Problems Related to Altered Sensory Input
20. Assessment of Visual and Auditory Systems
21. Visual and Auditory Problems
22. Assessment of Integumentary System
23. Integumentary Problems
24. Burns
Section Five – Problems of Oxygenation: Ventilation
25. Assessment of Respiratory System
26. Upper Respiratory Problems
27. Lower Respiratory Problems
28. Obstructive Pulmonary Diseases
Section Six – Problems of Oxygenation: Transport
29. Assessment of Hematologic System
30. Hematologic Problems
Section Seven – Problems of Oxygenation: Perfusion
31. Assessment of Cardiovascular System
32. Hypertension
33. Coronary Artery Disease and Acute Coronary Syndrome
34. Heart Failure
35. Dysrhythmias
36. Inflammatory and Structural Heart Disorders
,MEDICAL-SURGICAL NURSING, 10TH EDITION BY SHARON L. LEWIS, LINDA BUCHER, MARGARET M. HEITKEMPER, MARIANN M. HARDING,
JEFFREY KWONG , DOTTIE ROBERTS
37. Vascular Disorders
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
38. Assessment of Gastrointestinal System
39. Nutritional Problems
40. Obesity
41. Upper Gastrointestinal Problems
42. Lower Gastrointestinal Problems
43. Liver, Pancreas, and Biliary Tract Problems
Section Nine – Problems of Urinary Function
44. Assessment of Urinary System
45. Renal and Urologic Problems
46. Acute Kidney Injury and Chronic Kidney Disease
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
47. Assessment of Endocrine System
48. Diabetes Mellitus
49. Endocrine Problems
50. Assessment of Reproductive System
51. Breast Disorders
52. Sexually Transmitted Infections
53. Female Reproductive and Genital Problems
54. Male Reproductive and Genital Problems
Section Eleven – Problems Related to Movement and Coordination
55. Assessment of Nervous System
56. Acute Intracranial Problems
57. Stroke
58. Chronic Neurologic Problems
59. Dementia and Delirium
60. Spinal Cord and Peripheral Nerve Problems
61. Assessment of Musculoskeletal System
62. Musculoskeletal Trauma and Orthopedic Surgery
63. Musculoskeletal Problems
64. Arthritis and Connective Tissue Diseases
Section Twelve – Nursing Care in Specialized Settings
65. Critical Care
66. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
67. Acute Respiratory Failure and Acute Respiratory Distress Syndrome
68. Emergency and Disaster Nursing
, MEDICAL-SURGICAL NURSING, 10TH EDITION BY SHARON L. LEWIS, LINDA BUCHER, MARGARET M. HEITKEMPER, MARIANN M. HARDING,
JEFFREY KWONG , DOTTIE ROBERTS
Chapter 01: Professional Nursing Practice Lewis:
Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient’s input. The patient states, “How is this different from
what the doctor does?” Which response would be most appropriate for the nurse to make?
a. “The role of the nurse is to administer medications and other treatments
prescribed by your doctor.”
b. “The nurse’s job is to help the doctor by collecting information and
communicating any problems that occur.”
c. “Nurses perform many of the same procedures as the doctor, but nurses are
with the patients for a longer time thadoctor.”
d. “In addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health.”
ANS >> D
This response is consistent with the American Nurses Association (ANA) definition of nursing,
which describes the role of nurses in promoting health. The other responses describe some of the
dependent and collaborative functions of the nursing role but do not accurately describe the
nurse’s role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines
when caring for patients. Which statement, if made by the nurse, would be the most
accurate?
a. “Inferences from clinical research studies are used as a guide.”
b. “Patient care is based on clinical judgment, experience, and traditions.”
c. “Data are evaluated to show that the patient outcomes are consistently met.”
d. “Recommendations are based on research, clinical expertise, and
patient preferences.”
ANS >> D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise. Clinical judgment based on the nurse’s clinical experience is part of EBP, but
clinical decision making should also incorporate current research and research-based guidelines.
Evaluation of patient outcomes is important, but interventions should be based on research
from randomized control studies with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) REF: 15
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The nurse teaches a student nurse about how to apply the nursing process when providing
patient care. Which statement, if made by the student nurse, indicates that teaching was
successful?
a. “The nursing process is a scientific-based method of diagnosing the patient’s
