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
Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Focus reflects increased NCLEX-style prioritization and clinical
judgment, consistent with your instructions.
1.
,A nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient with chronic back pain requesting breakthrough
medication
B. A patient with oxygen saturation of 89% on room air
C. A patient awaiting discharge teaching
D. A patient requesting assistance to the bathroom
Correct Answer: B
Rationale: Airway and breathing take priority. An SpO₂ of 89%
indicates hypoxemia and requires immediate assessment. Other
needs are non-urgent.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. — Chapter
1
2.
Which action best demonstrates patient-centred care?
A. Providing standardized teaching to all patients
B. Making decisions based on unit routines
C. Involving the patient in goal setting
D. Limiting family involvement to reduce distractions
Correct Answer: C
Rationale: Patient-centred care emphasizes collaboration and
inclusion of patient preferences and goals.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. — Chapter
1
,3.
A nurse uses SBAR to communicate with a provider. What is the
primary purpose of SBAR?
A. To document care
B. To improve interdisciplinary communication
C. To delegate tasks
D. To provide patient education
Correct Answer: B
Rationale: SBAR is a standardized communication framework to
promote clear, safe communication.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. — Chapter
1
4.
Which assessment finding requires immediate intervention?
A. BP 138/88 mm Hg
B. Pain score of 6/10
C. New onset confusion
D. Mild ankle edema
Correct Answer: C
Rationale: Acute change in mental status may indicate hypoxia,
infection, or neurologic compromise and is a priority.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. — Chapter
1
, 5.
Which task is appropriate for the nurse to delegate to an
unregulated care provider (UCP)?
A. Initial patient assessment
B. Teaching insulin administration
C. Measuring vital signs on a stable patient
D. Evaluating pain management effectiveness
Correct Answer: C
Rationale: UCPs may perform routine, non-invasive tasks on
stable patients.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. — Chapter
1
6.
Which situation represents a safety risk that should be
corrected first?
A. Wet floor near the sink
B. Cluttered bedside table
C. Dim lighting in hallway
D. Patient wearing loose socks
Correct Answer: A
Rationale: Wet floors pose an immediate fall risk and require
prompt action.
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
Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Focus reflects increased NCLEX-style prioritization and clinical
judgment, consistent with your instructions.
1.
,A nurse is caring for four patients. Which patient should the
nurse assess first?
A. A patient with chronic back pain requesting breakthrough
medication
B. A patient with oxygen saturation of 89% on room air
C. A patient awaiting discharge teaching
D. A patient requesting assistance to the bathroom
Correct Answer: B
Rationale: Airway and breathing take priority. An SpO₂ of 89%
indicates hypoxemia and requires immediate assessment. Other
needs are non-urgent.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. — Chapter
1
2.
Which action best demonstrates patient-centred care?
A. Providing standardized teaching to all patients
B. Making decisions based on unit routines
C. Involving the patient in goal setting
D. Limiting family involvement to reduce distractions
Correct Answer: C
Rationale: Patient-centred care emphasizes collaboration and
inclusion of patient preferences and goals.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. — Chapter
1
,3.
A nurse uses SBAR to communicate with a provider. What is the
primary purpose of SBAR?
A. To document care
B. To improve interdisciplinary communication
C. To delegate tasks
D. To provide patient education
Correct Answer: B
Rationale: SBAR is a standardized communication framework to
promote clear, safe communication.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. — Chapter
1
4.
Which assessment finding requires immediate intervention?
A. BP 138/88 mm Hg
B. Pain score of 6/10
C. New onset confusion
D. Mild ankle edema
Correct Answer: C
Rationale: Acute change in mental status may indicate hypoxia,
infection, or neurologic compromise and is a priority.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. — Chapter
1
, 5.
Which task is appropriate for the nurse to delegate to an
unregulated care provider (UCP)?
A. Initial patient assessment
B. Teaching insulin administration
C. Measuring vital signs on a stable patient
D. Evaluating pain management effectiveness
Correct Answer: C
Rationale: UCPs may perform routine, non-invasive tasks on
stable patients.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. — Chapter
1
6.
Which situation represents a safety risk that should be
corrected first?
A. Wet floor near the sink
B. Cluttered bedside table
C. Dim lighting in hallway
D. Patient wearing loose socks
Correct Answer: A
Rationale: Wet floors pose an immediate fall risk and require
prompt action.
