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 caring for a patient admitted with acute
pancreatitis. Which action best reflects the principles of
medical-surgical nursing practice in Canada?
A. Focusing primarily on treating the patient’s pain and
physiologic symptoms
B. Collaborating with the interprofessional team while
incorporating patient preferences into the care plan
C. Following physician orders without modification
,D. Limiting patient involvement to reduce stress during
hospitalization
Correct Answer: B
Rationale:
Collaborative, patient-centered, and evidence-informed care is
a fundamental principle of medical-surgical nursing practice in
Canada. Integrating patient preferences while working with the
interprofessional team ensures holistic and safe care. Option A
is incomplete because care must extend beyond physiologic
symptoms. Option C limits nursing autonomy and clinical
judgment. Option D contradicts patient-centered care.
Citation:
Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
2. A nurse assesses a patient using clinical judgment. Which
action demonstrates the “noticing” phase of clinical
judgment?
A. Evaluating the effectiveness of interventions
B. Gathering patient assessment data and recognizing abnormal
findings
C. Selecting nursing interventions
D. Documenting patient outcomes
Correct Answer: B
,Rationale:
The noticing phase involves collecting and recognizing relevant
assessment data and cues. Option A represents evaluating.
Option C reflects responding. Option D relates to
communication and documentation rather than initial data
recognition.
Citation:
Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1
3. Which patient situation requires the nurse to assign the
highest priority based on clinical judgment principles?
A. Patient requesting discharge teaching about medications
B. Patient with sudden onset of shortness of breath and
decreased oxygen saturation
C. Patient requesting assistance with hygiene
D. Patient reporting mild incisional pain rated 3/10
Correct Answer: B
Rationale:
Airway and breathing issues take highest priority. Sudden
dyspnea and hypoxia indicate potential life-threatening
deterioration. Options A, C, and D are important but not
immediately life-threatening.
, Citation:
Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1
4. The nurse uses evidence-informed practice when planning
patient care. Which action best demonstrates this
concept?
A. Implementing care solely based on personal experience
B. Using research findings, clinical expertise, and patient
preferences when planning interventions
C. Following unit routines for all patients
D. Implementing interventions based on colleague
recommendations only
Correct Answer: B
Rationale:
Evidence-informed practice integrates research evidence,
clinical expertise, and patient preferences. Options A, C, and D
exclude essential components of evidence-informed decision-
making.
Citation:
Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1
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 caring for a patient admitted with acute
pancreatitis. Which action best reflects the principles of
medical-surgical nursing practice in Canada?
A. Focusing primarily on treating the patient’s pain and
physiologic symptoms
B. Collaborating with the interprofessional team while
incorporating patient preferences into the care plan
C. Following physician orders without modification
,D. Limiting patient involvement to reduce stress during
hospitalization
Correct Answer: B
Rationale:
Collaborative, patient-centered, and evidence-informed care is
a fundamental principle of medical-surgical nursing practice in
Canada. Integrating patient preferences while working with the
interprofessional team ensures holistic and safe care. Option A
is incomplete because care must extend beyond physiologic
symptoms. Option C limits nursing autonomy and clinical
judgment. Option D contradicts patient-centered care.
Citation:
Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
2. A nurse assesses a patient using clinical judgment. Which
action demonstrates the “noticing” phase of clinical
judgment?
A. Evaluating the effectiveness of interventions
B. Gathering patient assessment data and recognizing abnormal
findings
C. Selecting nursing interventions
D. Documenting patient outcomes
Correct Answer: B
,Rationale:
The noticing phase involves collecting and recognizing relevant
assessment data and cues. Option A represents evaluating.
Option C reflects responding. Option D relates to
communication and documentation rather than initial data
recognition.
Citation:
Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1
3. Which patient situation requires the nurse to assign the
highest priority based on clinical judgment principles?
A. Patient requesting discharge teaching about medications
B. Patient with sudden onset of shortness of breath and
decreased oxygen saturation
C. Patient requesting assistance with hygiene
D. Patient reporting mild incisional pain rated 3/10
Correct Answer: B
Rationale:
Airway and breathing issues take highest priority. Sudden
dyspnea and hypoxia indicate potential life-threatening
deterioration. Options A, C, and D are important but not
immediately life-threatening.
, Citation:
Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1
4. The nurse uses evidence-informed practice when planning
patient care. Which action best demonstrates this
concept?
A. Implementing care solely based on personal experience
B. Using research findings, clinical expertise, and patient
preferences when planning interventions
C. Following unit routines for all patients
D. Implementing interventions based on colleague
recommendations only
Correct Answer: B
Rationale:
Evidence-informed practice integrates research evidence,
clinical expertise, and patient preferences. Options A, C, and D
exclude essential components of evidence-informed decision-
making.
Citation:
Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
Chapter 1
