Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
NURSINGTB.COM
, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
Chapter 01: Introduction to Medical-
km km km km
Surgical Nursing Practice in Canada Lewis: Medical-
km km km km km km
Surgical Nursing in Canada, 5th Canadian Edition
km km km km km km
MULTIPLE CHOICE km
1. When caring for clients using evidence-
km km km km km
informed practice, which of the following does the nurse use?
km km km km km km km km km
a. Clinical judgement based on experience km km km km
b. Evidence from a clinical research study km km km km km
c. The best available evidence to guide clinical expertise
km km km km km km km
d. Evaluation of data showing that the client outcomes are met
km km km km km km km km km
ANS: k m C
Evidence-
informed nursing practice is a continuous interactive process involving the explicit, cons
km km km km km km km km km km km
cientious, and judicious consideration of the best available evidence to provide care. Four
km km km km km km km km km km km km
primary elements are: (a) clinical state, setting, and circumstances; (b) client preference
km km km km km km km km km km km km
s and actions; (c) best research evidence; and (d) health care resources. Clinical judgeme
km km km km km km km km km km km km km
nt based on the nurse‘s clinical experience is part of EIP, but clinical decision making a
km km km km km km km km km km km km km km km
lso should incorporate current research and research-
km km km km km km
based guidelines. Evidence from one clinical research study does not provide an adequat
km km km km km km km km km km km km
e substantiation for interventions. Evaluation of client outcomes is important, but interve
km km km km km km km km km km km
ntions should be based on research from randomized control studies with a large numbe
km km km km km km km km km km km km km
r of subjects.
km km
DIF: Cognitive Level: Comprehension km km TOP: k m Nursing Process: Planning km km
2. Which of the following best e x p l a i n s t h e n u r s e s ‘ primary use of the nursing process when
km km km km km
N R I G B.C M km km km km km km km
providing care to client km km km USNT O km km km
s?
a. To explain nursing interventions to other health care professionals
km km km km km km km km
b. As a problem-solving tool to identify and treat clients‘ health care needs
km km km km km km km km km km km
c. As a scientific-based process of diagnosing the client‘s health care problems
km km km km km km km km km km
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
km km km km km km km km km km
ANS: k m B
The nursing process is an assertive problem-solving approach to the identification and
km km km km km km km km km km km
treatment of clients‘ problems. Diagnosis is only one phase of the nursing process. The
km km km km km km km km km km km km km km
primary use of the nursing process is in client care, not to establish nursing theory or ex
km km km km km km km km km km km km km km km km
plain nursing interventions to other health care professionals.
km km km km km km km
DIF: Cognitive Level: Comprehension km km TOP: k m Nursing Process: Implementation
km km
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every
km km km km km km km km km km km km km km km km km k
m2-
hour turning schedule to prevent skin breakdown. Which type of nursing function is dem
km km km km km km km km km km km km km
onstrated with this turning schedule?
km km km km
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: k m D
NURSINGTB.COM
, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
When implementing collaborative nursing actions, the nurse is responsible primarily for
km km km km km km km km km km km
monitoring for complications of acute illness or providing care to prevent or treat compl
km km km km km km km km km km km km km
ications. Independent nursing actions are focused on health promotion, illness prevention,
km km km km km km km km km km
and client advocacy. A dependent action would require a physician order to implement.
km km km km km km km km km km km km km k
mCooperative nursing functions are not described as one of the formal nursing functions.
km km km km km km km km km km km km
DIF: Cognitive Level: Application km km TOP: k m Nursing Process: Implementationkm km
4. The nurse is caring for a client who has been admitted to the hospital for surgery and t
km km km km km km km km km km km km km km km km km
ells the nurse, ―I do not feel right about leaving my children with my neighbour.‖ Whi
km km km km km km km km km km km km km km km
ch action should the nurse take next?
km km km km km km
a. Reassure the client that these feelings are common for parents.
km km km km km km km km km
b. Have the client call the children to ensure that they are doing well.
km km km km km km km km km km km km
c. Call the neighbour to determine whether adequate childcare is being provided.
km km km km km km km km km km
d. Gather more data about the client‘s feelings about the childcare arrangements.
km km km km km km km km km km
ANS: k m D
Since a complete assessment is necessary in order to identify a problem and choose an
km km km km km km km km km km km km km km km
appropriate intervention, the nurse‘s first action should be to obtain more information. T
km km km km km km km km km km km km
he other actions may be appropriate, but more assessment is needed before the best inter
km km km km km km km km km km km km km km
vention can be chosen. km km km
DIF: Cognitive Level: Application km km TOP: k m Nursing Process: Assessment km km
5. The nurse is caring for a client who has left-sided paralysis as the result of a stroke and
km km km km km km km km km km km km km km km km km
assesses a pressure injury o n the clie nt‘s left h ip . W hich of the following is the most
appropriate nursing diagnosisNfUo R hI Gl i e nB
Tt.
? C MO
km km km km km km km km km km km
r tS i s cN
km km km km km
a. Impaired physical mobility related to decrease in muscle control (left-
km km km km km km km km km
sided paralysis) km
b. Risk for impaired tissue integrity as evidenced by insufficient knowledge a
km km km km km km km km km km
bout protecting tissue integrity
km km km
c. Impaired skin integrity related to pressure over bony prominence (impai
km km km km km km km km km
red circulation) km
d. Ineffective tissue perfusion related to sedentary lifestyle
km km km km km km
ANS: k m C
The client‘s major problem is the impaired skin integrity as demonstrated by the presenc
km km km km km km km km km km km km km
e of a pressure injury. The nurse is able to treat the cause of altered circulation and pre
km km km km km km km km km km km km km km km km km
ssure by frequently repositioning the client. Although left-
km km km km km km km
sided weakness is a problem for the client,
km km km km km km km
the nurse cannot treat the weakness. The ―risk for‖ diagnosis is not appropriate for this c
km km km km km km km km km km km km km km km
lient, who already has impaired tissue integrity. The client does have ineffective tissue p
km km km km km km km km km km km km km
erfusion, but the impaired skin integrity diagnosis indicates more clearly what the health
km km km km km km km km km km km km k
mproblem is. km
DIF: Cognitive Level: Application km km TOP: k m Nursing Process: Diagnosis km km
6. The nurse caring for a client with an infection has a nursing diagnosis of deficien
km km km km km km km km km km km km km km
t fluid volume related to excessive diaphoresis. Which of the following is an appro
km km km km km km km km km km km km km
priate client outcome?
km km
a. Client has a balanced intake and output.
km km km km km km
b. Client‘s bedding is changed when it becomes damp.
km km km km km km km
NURSINGTB.COM
, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
c. Client understands the need for increased fluid intake.
km km km km km km km
d. Client‘s skin remains cool and dry throughout hospitalization.
km km km km km km km
ANS: k m A
This statement gives measurable data showing resolution of the problem of deficient flui
km km km km km km km km km km km km
d volume that was identified in the nursing diagnosis statement. The other statements wo
km km km km km km km km km km km km km
uld not indicate that the problem of deficient fluid volume was resolved.
km km km km km km km km km km km
DIF: Cognitive Level: Application km km TOP: k m Nursing Process: Planning km km
7. Which of the following represents a nursing activity that is carried out during the eval
km km km km km km km km km km km km km km
uation phase of the nursing process?
km km km km km
a. Determining if interventions have been effective in meeting client outcomes
km km km km km km km km km
b. Documenting the nursing care plan in the progress notes in the medical record
km km km km km km km km km km km km
c. Deciding whether the client‘s health problems have been completely resolved
km km km km km km km km km
d. Asking the client to evaluate whether the nursing care provided was satisfactory
km km km km km km km km km km km
ANS: k m A
Evaluation consists of determining whether the desired client outcomes have been met a
km km km km km km km km km km km km
nd whether the nursing interventions were appropriate. The other responses do not descri
km km km km km km km km km km km km
be the evaluation phase.
km km km
DIF: Cognitive Level: Comprehension km km TOP: k m Nursing Process: Evaluation km km
8. Which of the following would the nurse perform during the assessment phase of the n
km km km km km km km km km km km km km km
ursing process? km
a. Obtains data with which to diagnose client problems
km km km km km km km
b. Uses client data to develoNp pR
km
US NI
rioriTty nGursB
in.
kmgOC
d iagMnoses
c. Teaches interventions to relieve client health problems
km
km km
km km
km
km km km
km
km
km
km
km
d. Assists the client to identify realistic outcomes to health problems
km km km km km km km km km
ANS: k m A
During the assessment phase, the nurse gathers information about the client. The other r
km km km km km km km km km km km km km
esponses are examples of the intervention, diagnosis, and planning phases of the nursing
km km km km km km km km km km km km km
process.
DIF: Cognitive Level: Knowledge km km TOP: k m Nursing Process: Assessment km km
9. Which of the following is an example of a correctly written nursing diagnosis statement?
km km km km km km km km km km km km km
a. Altered tissue perfusion related to heart failure
km km km km km km
b. Risk for impaired tissue integrity related to sacral redness
km km km km km km km km
c. Ineffective coping related to insufficient sense of control.
km km km km km km km
d. Altered urinary elimination related to urinary tract infection
km km km km km km km
ANS: k m C
This diagnosis statement includes a NANDA nursing diagnosis and an etiology that desc
km km km km km km km km km km km km
ribes a client‘s response to a health problem that can be treated by nursing. The use of
km km km km km km km km km km km km km km km km k
ma medical diagnosis (as in the responses beginning ―Altered tissue perfusion‖ and ―Alte
km km km km km km km km km km km km
red urinary
km
elimination‖) is not appropriate. The response beginning ―Risk for impaired tissue integrity‖
km km km km km km km km km km km
uses the defining characteristics as the etiology.
km km km km km km
DIF: Cognitive Level: Comprehension km km TOP: k m Nursing Process: Diagnosis km km
NURSINGTB.COM
Surgical Nursing in Canada 5th Edition Lewi Test Bank
NURSINGTB.COM
, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
Chapter 01: Introduction to Medical-
km km km km
Surgical Nursing Practice in Canada Lewis: Medical-
km km km km km km
Surgical Nursing in Canada, 5th Canadian Edition
km km km km km km
MULTIPLE CHOICE km
1. When caring for clients using evidence-
km km km km km
informed practice, which of the following does the nurse use?
km km km km km km km km km
a. Clinical judgement based on experience km km km km
b. Evidence from a clinical research study km km km km km
c. The best available evidence to guide clinical expertise
km km km km km km km
d. Evaluation of data showing that the client outcomes are met
km km km km km km km km km
ANS: k m C
Evidence-
informed nursing practice is a continuous interactive process involving the explicit, cons
km km km km km km km km km km km
cientious, and judicious consideration of the best available evidence to provide care. Four
km km km km km km km km km km km km
primary elements are: (a) clinical state, setting, and circumstances; (b) client preference
km km km km km km km km km km km km
s and actions; (c) best research evidence; and (d) health care resources. Clinical judgeme
km km km km km km km km km km km km km
nt based on the nurse‘s clinical experience is part of EIP, but clinical decision making a
km km km km km km km km km km km km km km km
lso should incorporate current research and research-
km km km km km km
based guidelines. Evidence from one clinical research study does not provide an adequat
km km km km km km km km km km km km
e substantiation for interventions. Evaluation of client outcomes is important, but interve
km km km km km km km km km km km
ntions should be based on research from randomized control studies with a large numbe
km km km km km km km km km km km km km
r of subjects.
km km
DIF: Cognitive Level: Comprehension km km TOP: k m Nursing Process: Planning km km
2. Which of the following best e x p l a i n s t h e n u r s e s ‘ primary use of the nursing process when
km km km km km
N R I G B.C M km km km km km km km
providing care to client km km km USNT O km km km
s?
a. To explain nursing interventions to other health care professionals
km km km km km km km km
b. As a problem-solving tool to identify and treat clients‘ health care needs
km km km km km km km km km km km
c. As a scientific-based process of diagnosing the client‘s health care problems
km km km km km km km km km km
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
km km km km km km km km km km
ANS: k m B
The nursing process is an assertive problem-solving approach to the identification and
km km km km km km km km km km km
treatment of clients‘ problems. Diagnosis is only one phase of the nursing process. The
km km km km km km km km km km km km km km
primary use of the nursing process is in client care, not to establish nursing theory or ex
km km km km km km km km km km km km km km km km
plain nursing interventions to other health care professionals.
km km km km km km km
DIF: Cognitive Level: Comprehension km km TOP: k m Nursing Process: Implementation
km km
3. The nurse is caring for a critically ill client in the intensive care unit and plans an every
km km km km km km km km km km km km km km km km km k
m2-
hour turning schedule to prevent skin breakdown. Which type of nursing function is dem
km km km km km km km km km km km km km
onstrated with this turning schedule?
km km km km
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: k m D
NURSINGTB.COM
, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
When implementing collaborative nursing actions, the nurse is responsible primarily for
km km km km km km km km km km km
monitoring for complications of acute illness or providing care to prevent or treat compl
km km km km km km km km km km km km km
ications. Independent nursing actions are focused on health promotion, illness prevention,
km km km km km km km km km km
and client advocacy. A dependent action would require a physician order to implement.
km km km km km km km km km km km km km k
mCooperative nursing functions are not described as one of the formal nursing functions.
km km km km km km km km km km km km
DIF: Cognitive Level: Application km km TOP: k m Nursing Process: Implementationkm km
4. The nurse is caring for a client who has been admitted to the hospital for surgery and t
km km km km km km km km km km km km km km km km km
ells the nurse, ―I do not feel right about leaving my children with my neighbour.‖ Whi
km km km km km km km km km km km km km km km
ch action should the nurse take next?
km km km km km km
a. Reassure the client that these feelings are common for parents.
km km km km km km km km km
b. Have the client call the children to ensure that they are doing well.
km km km km km km km km km km km km
c. Call the neighbour to determine whether adequate childcare is being provided.
km km km km km km km km km km
d. Gather more data about the client‘s feelings about the childcare arrangements.
km km km km km km km km km km
ANS: k m D
Since a complete assessment is necessary in order to identify a problem and choose an
km km km km km km km km km km km km km km km
appropriate intervention, the nurse‘s first action should be to obtain more information. T
km km km km km km km km km km km km
he other actions may be appropriate, but more assessment is needed before the best inter
km km km km km km km km km km km km km km
vention can be chosen. km km km
DIF: Cognitive Level: Application km km TOP: k m Nursing Process: Assessment km km
5. The nurse is caring for a client who has left-sided paralysis as the result of a stroke and
km km km km km km km km km km km km km km km km km
assesses a pressure injury o n the clie nt‘s left h ip . W hich of the following is the most
appropriate nursing diagnosisNfUo R hI Gl i e nB
Tt.
? C MO
km km km km km km km km km km km
r tS i s cN
km km km km km
a. Impaired physical mobility related to decrease in muscle control (left-
km km km km km km km km km
sided paralysis) km
b. Risk for impaired tissue integrity as evidenced by insufficient knowledge a
km km km km km km km km km km
bout protecting tissue integrity
km km km
c. Impaired skin integrity related to pressure over bony prominence (impai
km km km km km km km km km
red circulation) km
d. Ineffective tissue perfusion related to sedentary lifestyle
km km km km km km
ANS: k m C
The client‘s major problem is the impaired skin integrity as demonstrated by the presenc
km km km km km km km km km km km km km
e of a pressure injury. The nurse is able to treat the cause of altered circulation and pre
km km km km km km km km km km km km km km km km km
ssure by frequently repositioning the client. Although left-
km km km km km km km
sided weakness is a problem for the client,
km km km km km km km
the nurse cannot treat the weakness. The ―risk for‖ diagnosis is not appropriate for this c
km km km km km km km km km km km km km km km
lient, who already has impaired tissue integrity. The client does have ineffective tissue p
km km km km km km km km km km km km km
erfusion, but the impaired skin integrity diagnosis indicates more clearly what the health
km km km km km km km km km km km km k
mproblem is. km
DIF: Cognitive Level: Application km km TOP: k m Nursing Process: Diagnosis km km
6. The nurse caring for a client with an infection has a nursing diagnosis of deficien
km km km km km km km km km km km km km km
t fluid volume related to excessive diaphoresis. Which of the following is an appro
km km km km km km km km km km km km km
priate client outcome?
km km
a. Client has a balanced intake and output.
km km km km km km
b. Client‘s bedding is changed when it becomes damp.
km km km km km km km
NURSINGTB.COM
, Medical-
Surgical Nursing in Canada 5th Edition Lewi Test Bank
c. Client understands the need for increased fluid intake.
km km km km km km km
d. Client‘s skin remains cool and dry throughout hospitalization.
km km km km km km km
ANS: k m A
This statement gives measurable data showing resolution of the problem of deficient flui
km km km km km km km km km km km km
d volume that was identified in the nursing diagnosis statement. The other statements wo
km km km km km km km km km km km km km
uld not indicate that the problem of deficient fluid volume was resolved.
km km km km km km km km km km km
DIF: Cognitive Level: Application km km TOP: k m Nursing Process: Planning km km
7. Which of the following represents a nursing activity that is carried out during the eval
km km km km km km km km km km km km km km
uation phase of the nursing process?
km km km km km
a. Determining if interventions have been effective in meeting client outcomes
km km km km km km km km km
b. Documenting the nursing care plan in the progress notes in the medical record
km km km km km km km km km km km km
c. Deciding whether the client‘s health problems have been completely resolved
km km km km km km km km km
d. Asking the client to evaluate whether the nursing care provided was satisfactory
km km km km km km km km km km km
ANS: k m A
Evaluation consists of determining whether the desired client outcomes have been met a
km km km km km km km km km km km km
nd whether the nursing interventions were appropriate. The other responses do not descri
km km km km km km km km km km km km
be the evaluation phase.
km km km
DIF: Cognitive Level: Comprehension km km TOP: k m Nursing Process: Evaluation km km
8. Which of the following would the nurse perform during the assessment phase of the n
km km km km km km km km km km km km km km
ursing process? km
a. Obtains data with which to diagnose client problems
km km km km km km km
b. Uses client data to develoNp pR
km
US NI
rioriTty nGursB
in.
kmgOC
d iagMnoses
c. Teaches interventions to relieve client health problems
km
km km
km km
km
km km km
km
km
km
km
km
d. Assists the client to identify realistic outcomes to health problems
km km km km km km km km km
ANS: k m A
During the assessment phase, the nurse gathers information about the client. The other r
km km km km km km km km km km km km km
esponses are examples of the intervention, diagnosis, and planning phases of the nursing
km km km km km km km km km km km km km
process.
DIF: Cognitive Level: Knowledge km km TOP: k m Nursing Process: Assessment km km
9. Which of the following is an example of a correctly written nursing diagnosis statement?
km km km km km km km km km km km km km
a. Altered tissue perfusion related to heart failure
km km km km km km
b. Risk for impaired tissue integrity related to sacral redness
km km km km km km km km
c. Ineffective coping related to insufficient sense of control.
km km km km km km km
d. Altered urinary elimination related to urinary tract infection
km km km km km km km
ANS: k m C
This diagnosis statement includes a NANDA nursing diagnosis and an etiology that desc
km km km km km km km km km km km km
ribes a client‘s response to a health problem that can be treated by nursing. The use of
km km km km km km km km km km km km km km km km k
ma medical diagnosis (as in the responses beginning ―Altered tissue perfusion‖ and ―Alte
km km km km km km km km km km km km
red urinary
km
elimination‖) is not appropriate. The response beginning ―Risk for impaired tissue integrity‖
km km km km km km km km km km km
uses the defining characteristics as the etiology.
km km km km km km
DIF: Cognitive Level: Comprehension km km TOP: k m Nursing Process: Diagnosis km km
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