Test Bank-Medical-Surgical
Test Bank Nursing:
- Lewis's Medical Surgical Nursing (10th
Assessment
Edition by and Management of Clinical 1
Harding)
Problems 10TH Editon
Chapter 01: Professional Nursing
Test Bank
MULTIPLE CHOICE
1. 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 Patients Health Care
Problems.
b. The Nursing Process Is A Problem-Solving Tool Used To Identify And Treat Patients Health Care
Needs.
c. The Nursing Process Is Based On Nursing Theory That Incorporates The Biopsychosocial
Nature OfHumans.
d. The Nursing Process Is Used Primarily To Explain Nursing Interventions To Other
Health Care Professionals.
ANS: B
The Nursing Process Is A Problem-Solving Approach To The Identification And Treatment Of Patients
Problems. Diagnosis Is Only One Phase Of The Nursing Process. The Primary Use Of The Nursing Process Is
In Patient Care,Not To Establish Nursing Theory Or Explain Nursing Interventions To Other Health Care
,Test Bank-Medical-Surgical
Test Bank Nursing:
- Lewis's Medical Surgical Nursing (10th
Assessment
Edition by and Management of Clinical 2
Harding)
Problems 10TH Editon
Professionals.
DIF: Cognitive Level: Understand (Comprehension)
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 ForPatients. 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 Nurses 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)
TOP: Nursing Process: Planning MSC: NCLEX: Safe And Effective Care Environment
,Test Bank-Medical-Surgical
Test Bank Nursing:
- Lewis's Medical Surgical Nursing (10th
Assessment
Edition by and Management of Clinical 3
Harding)
Problems 10TH Editon
3. The Nurse Completes An Admission Database And Explains That The Plan Of Care And Discharge
Goals Will Be Developed With The Patients Input. The Patient States, How Is This Different From What
The Doctor Does? WhichResponse 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 Nurses Job Is To Help The Doctor By Collecting Information And Communicating Any
ProblemsThat Occur.
c. Nurses Perform Many Of The Same Procedures As The Doctor, But Nurses Are With The
Patients For A Longer Time Than The Doctor.
d. In Addition To Caring For You While You Are Sick, The Nurses Will Assist You To
Develop AnIndividualized 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 Nurses Role In The
Health CareSystem.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe And Effective Care Environment
4. A Patient Who Is Paralyzed On The Left Side Of The Body After A Stroke Develops A Pressure Ulcer On
The Left HipWhich Nursing Diagnosis Is Most Appropriate?
a. Impaired Physical Mobility Related To Left-Sided Paralysis
b. Risk For Impaired Tissue Integrity Related To Left-Sided Weakness
c. Impaired Skin Integrity Related To Altered Circulation And Pressure
d. Ineffective Tissue Perfusion Related To Inability To Move
Independently ANS: C
The Patients Major Problem Is The Impaired Skin Integrity As Demonstrated By The Presence Of A Pressure
Ulcer.The Nurse Is Able To Treat The Cause Of Altered Circulation And Pressure By Frequently
Repositioning The Patient. Although Left-Sided Weakness Is A Problem For The Patient, The Nurse
Cannot Treat The Weakness. The Risk ForDiagnosis Is Not Appropriate For This Patient, Who Already Has
Impaired Tissue Integrity. The Patient Does Have Ineffective Tissue Perfusion, But The Impaired Skin
Integrity Diagnosis Indicates More Clearly What The Health Problem Is.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
5. A Patient Has Been Admitted To The Hospital For Surgery And Tells The Nurse, I Do Not Feel
Comfortable LeavingMy Children With My Parents. Which Action Should The Nurse Take Next?
, Test Bank-Medical-Surgical
Test Bank Nursing:
- Lewis's Medical Surgical Nursing (10th
Assessment
Edition by and Management of Clinical 4
Harding)
Problems 10TH Editon
a. Reassure The Patient That These Feelings Are Common For Parents.
b. Have The Patient Call The Children To Ensure That They Are Doing Well.
c. Gather More Data About The Patients Feelings About The Child-Care Arrangements.
d. Call The Patients Parents To Determine Whether Adequate Child Care Is Being Provided.
ANS: C
Since A Complete Assessment Is Necessary In Order To Identify A Problem And Choose An Appropriate
Intervention, The Nurses First Action Should Be To Obtain More Information. The Other Actions May Be
Appropriate, But More Assessment Is Needed Before The Best Intervention Can Be Chosen.
DIF: Cognitive Level: Apply (Application)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity
6. A Patient With A Bacterial Infection Has A Nursing Diagnosis Of Deficient Fluid Volume Related To
ExcessiveDiaphoresis. Which Outcome Would The Nurse Recognize As Most Appropriate For This
Patient?
a. Patient Has A Balanced Intake And Output.
b. Patients Bedding Is Changed When It Becomes Damp.
c. Patient Understands The Need For Increased Fluid Intake.
d. Patients Skin Remains Cool And Dry Throughout Hospitalization.
ANS: A
This Statement Gives Measurable Data Showing Resolution Of The Problem Of Deficient Fluid Volume That
WasIdentified In The Nursing Diagnosis Statement. The Other Statements Would Not Indicate That The
Problem Of Deficient Fluid Volume Was Resolved.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
7. A Nurse Asks The Patient If Pain Was Relieved After Receiving Medication. What Is The
Purpose Of TheEvaluation Phase Of The Nursing Process?
a. To Determine If Interventions Have Been Effective In Meeting Patient Outcomes
b. To Document The Nursing Care Plan In The Progress Notes Of The Medical Record
c. To Decide Whether The Patients Health Problems Have Been Completely Resolved
Test Bank Nursing:
- Lewis's Medical Surgical Nursing (10th
Assessment
Edition by and Management of Clinical 1
Harding)
Problems 10TH Editon
Chapter 01: Professional Nursing
Test Bank
MULTIPLE CHOICE
1. 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 Patients Health Care
Problems.
b. The Nursing Process Is A Problem-Solving Tool Used To Identify And Treat Patients Health Care
Needs.
c. The Nursing Process Is Based On Nursing Theory That Incorporates The Biopsychosocial
Nature OfHumans.
d. The Nursing Process Is Used Primarily To Explain Nursing Interventions To Other
Health Care Professionals.
ANS: B
The Nursing Process Is A Problem-Solving Approach To The Identification And Treatment Of Patients
Problems. Diagnosis Is Only One Phase Of The Nursing Process. The Primary Use Of The Nursing Process Is
In Patient Care,Not To Establish Nursing Theory Or Explain Nursing Interventions To Other Health Care
,Test Bank-Medical-Surgical
Test Bank Nursing:
- Lewis's Medical Surgical Nursing (10th
Assessment
Edition by and Management of Clinical 2
Harding)
Problems 10TH Editon
Professionals.
DIF: Cognitive Level: Understand (Comprehension)
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 ForPatients. 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 Nurses 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)
TOP: Nursing Process: Planning MSC: NCLEX: Safe And Effective Care Environment
,Test Bank-Medical-Surgical
Test Bank Nursing:
- Lewis's Medical Surgical Nursing (10th
Assessment
Edition by and Management of Clinical 3
Harding)
Problems 10TH Editon
3. The Nurse Completes An Admission Database And Explains That The Plan Of Care And Discharge
Goals Will Be Developed With The Patients Input. The Patient States, How Is This Different From What
The Doctor Does? WhichResponse 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 Nurses Job Is To Help The Doctor By Collecting Information And Communicating Any
ProblemsThat Occur.
c. Nurses Perform Many Of The Same Procedures As The Doctor, But Nurses Are With The
Patients For A Longer Time Than The Doctor.
d. In Addition To Caring For You While You Are Sick, The Nurses Will Assist You To
Develop AnIndividualized 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 Nurses Role In The
Health CareSystem.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe And Effective Care Environment
4. A Patient Who Is Paralyzed On The Left Side Of The Body After A Stroke Develops A Pressure Ulcer On
The Left HipWhich Nursing Diagnosis Is Most Appropriate?
a. Impaired Physical Mobility Related To Left-Sided Paralysis
b. Risk For Impaired Tissue Integrity Related To Left-Sided Weakness
c. Impaired Skin Integrity Related To Altered Circulation And Pressure
d. Ineffective Tissue Perfusion Related To Inability To Move
Independently ANS: C
The Patients Major Problem Is The Impaired Skin Integrity As Demonstrated By The Presence Of A Pressure
Ulcer.The Nurse Is Able To Treat The Cause Of Altered Circulation And Pressure By Frequently
Repositioning The Patient. Although Left-Sided Weakness Is A Problem For The Patient, The Nurse
Cannot Treat The Weakness. The Risk ForDiagnosis Is Not Appropriate For This Patient, Who Already Has
Impaired Tissue Integrity. The Patient Does Have Ineffective Tissue Perfusion, But The Impaired Skin
Integrity Diagnosis Indicates More Clearly What The Health Problem Is.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
5. A Patient Has Been Admitted To The Hospital For Surgery And Tells The Nurse, I Do Not Feel
Comfortable LeavingMy Children With My Parents. Which Action Should The Nurse Take Next?
, Test Bank-Medical-Surgical
Test Bank Nursing:
- Lewis's Medical Surgical Nursing (10th
Assessment
Edition by and Management of Clinical 4
Harding)
Problems 10TH Editon
a. Reassure The Patient That These Feelings Are Common For Parents.
b. Have The Patient Call The Children To Ensure That They Are Doing Well.
c. Gather More Data About The Patients Feelings About The Child-Care Arrangements.
d. Call The Patients Parents To Determine Whether Adequate Child Care Is Being Provided.
ANS: C
Since A Complete Assessment Is Necessary In Order To Identify A Problem And Choose An Appropriate
Intervention, The Nurses First Action Should Be To Obtain More Information. The Other Actions May Be
Appropriate, But More Assessment Is Needed Before The Best Intervention Can Be Chosen.
DIF: Cognitive Level: Apply (Application)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity
6. A Patient With A Bacterial Infection Has A Nursing Diagnosis Of Deficient Fluid Volume Related To
ExcessiveDiaphoresis. Which Outcome Would The Nurse Recognize As Most Appropriate For This
Patient?
a. Patient Has A Balanced Intake And Output.
b. Patients Bedding Is Changed When It Becomes Damp.
c. Patient Understands The Need For Increased Fluid Intake.
d. Patients Skin Remains Cool And Dry Throughout Hospitalization.
ANS: A
This Statement Gives Measurable Data Showing Resolution Of The Problem Of Deficient Fluid Volume That
WasIdentified In The Nursing Diagnosis Statement. The Other Statements Would Not Indicate That The
Problem Of Deficient Fluid Volume Was Resolved.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
7. A Nurse Asks The Patient If Pain Was Relieved After Receiving Medication. What Is The
Purpose Of TheEvaluation Phase Of The Nursing Process?
a. To Determine If Interventions Have Been Effective In Meeting Patient Outcomes
b. To Document The Nursing Care Plan In The Progress Notes Of The Medical Record
c. To Decide Whether The Patients Health Problems Have Been Completely Resolved
