Lewis's Medical-Surgical Nursing in Canada
Assessment and Management of Clinical
Problems
• 5th Edition - June 15, 2022
• Latest edition
• Authors: Jane Tyerman, Shelley Cobbett,
Mariann M. Harding, Jeffrey Kwong, Dottie
Roberts, Debra Hagler, Courtney Reinisch
TEST BANK
1. A nurse is assigned four clients at the beginning of the
shift. Which action best reflects the role of the medical-
surgical nurse as described in this chapter when planning
care?
A. Completing tasks in the order they were received
B. Collaborating with the interprofessional team to
establish priorities
C. Waiting for prescriptions before assessing clients
D. Delegating most care to unregulated care providers
Answer: B
,Rationale: Collaboration and prioritization with the
interprofessional team are central expectations of medical-
surgical nursing practice. Task order alone (A) may not reflect
acuity. Nurses are responsible for ongoing assessment, not
waiting (C). Delegation (D) occurs but accountability remains
with the nurse.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1:
Introduction to Medical-Surgical Nursing Practice in Canada
2. The nurse uses clinical judgment when caring for a client
with worsening dyspnea. Which behaviour demonstrates
clinical judgment?
A. Following the care plan exactly as written
B. Recognizing changes, interpreting meaning, and
deciding to escalate care
C. Asking another nurse to make decisions
D. Documenting findings at the end of the shift
Answer: B
Rationale: Clinical judgment involves noticing, interpreting,
responding, and reflecting. Simply following the plan (A) ignores
change. Transferring responsibility (C) abdicates accountability.
Delayed documentation (D) is not decision-making.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
, 3. Which statement by a student nurse indicates
understanding of evidence-informed practice?
A. “I will perform care the way I prefer.”
B. “I will use unit routines even if new evidence exists.”
C. “I will integrate research, clinical expertise, and patient
preferences.”
D. “I will rely only on randomized trials.”
Answer: C
Rationale: Evidence-informed practice integrates best research
evidence, clinician expertise, and patient values. Preference (A)
and routine (B) ignore evidence. Exclusive reliance on trials (D)
is too narrow.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4. A client refuses a recommended treatment. What is the
nurse’s priority action?
A. Notify security
B. Re-explain risks and benefits and respect the client’s
decision
C. Document refusal and take no further action
D. Ask the family to convince the client
Answer: B
Rationale: Respect for autonomy requires ensuring informed
understanding while honouring the decision. Security (A) is
inappropriate. Documentation alone (C) is incomplete. Family
, coercion (D) violates autonomy.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5. Which example best illustrates accountability in nursing
practice?
A. Completing tasks assigned by others
B. Accepting responsibility for outcomes of care provided
C. Asking the charge nurse to check all work
D. Following what another nurse would do
Answer: B
Rationale: Accountability means being answerable for one’s
professional actions and outcomes. Tasks (A) do not equal
ownership. Oversight (C) and imitation (D) do not replace
responsibility.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
6. During handover, which information is most important for
safe continuity of care?
A. The nurse’s opinion of the client
B. Objective, current assessment data and priority
concerns
C. Events from previous admissions
D. Non-clinical personal details
Answer: B
Assessment and Management of Clinical
Problems
• 5th Edition - June 15, 2022
• Latest edition
• Authors: Jane Tyerman, Shelley Cobbett,
Mariann M. Harding, Jeffrey Kwong, Dottie
Roberts, Debra Hagler, Courtney Reinisch
TEST BANK
1. A nurse is assigned four clients at the beginning of the
shift. Which action best reflects the role of the medical-
surgical nurse as described in this chapter when planning
care?
A. Completing tasks in the order they were received
B. Collaborating with the interprofessional team to
establish priorities
C. Waiting for prescriptions before assessing clients
D. Delegating most care to unregulated care providers
Answer: B
,Rationale: Collaboration and prioritization with the
interprofessional team are central expectations of medical-
surgical nursing practice. Task order alone (A) may not reflect
acuity. Nurses are responsible for ongoing assessment, not
waiting (C). Delegation (D) occurs but accountability remains
with the nurse.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1:
Introduction to Medical-Surgical Nursing Practice in Canada
2. The nurse uses clinical judgment when caring for a client
with worsening dyspnea. Which behaviour demonstrates
clinical judgment?
A. Following the care plan exactly as written
B. Recognizing changes, interpreting meaning, and
deciding to escalate care
C. Asking another nurse to make decisions
D. Documenting findings at the end of the shift
Answer: B
Rationale: Clinical judgment involves noticing, interpreting,
responding, and reflecting. Simply following the plan (A) ignores
change. Transferring responsibility (C) abdicates accountability.
Delayed documentation (D) is not decision-making.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
, 3. Which statement by a student nurse indicates
understanding of evidence-informed practice?
A. “I will perform care the way I prefer.”
B. “I will use unit routines even if new evidence exists.”
C. “I will integrate research, clinical expertise, and patient
preferences.”
D. “I will rely only on randomized trials.”
Answer: C
Rationale: Evidence-informed practice integrates best research
evidence, clinician expertise, and patient values. Preference (A)
and routine (B) ignore evidence. Exclusive reliance on trials (D)
is too narrow.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4. A client refuses a recommended treatment. What is the
nurse’s priority action?
A. Notify security
B. Re-explain risks and benefits and respect the client’s
decision
C. Document refusal and take no further action
D. Ask the family to convince the client
Answer: B
Rationale: Respect for autonomy requires ensuring informed
understanding while honouring the decision. Security (A) is
inappropriate. Documentation alone (C) is incomplete. Family
, coercion (D) violates autonomy.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5. Which example best illustrates accountability in nursing
practice?
A. Completing tasks assigned by others
B. Accepting responsibility for outcomes of care provided
C. Asking the charge nurse to check all work
D. Following what another nurse would do
Answer: B
Rationale: Accountability means being answerable for one’s
professional actions and outcomes. Tasks (A) do not equal
ownership. Oversight (C) and imitation (D) do not replace
responsibility.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
6. During handover, which information is most important for
safe continuity of care?
A. The nurse’s opinion of the client
B. Objective, current assessment data and priority
concerns
C. Events from previous admissions
D. Non-clinical personal details
Answer: B
