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. (2022)
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
20 Multiple-Choice Questions
(Blueprint: Emphasis on application and prioritization/clinical
judgment)
1.
,A nurse on a medical-surgical unit is caring for four clients.
Which client should the nurse assess first?
A. A client with type 2 diabetes who reports polyuria and
polydipsia
B. A client with heart failure who reports new onset shortness
of breath at rest
C. A client with chronic kidney disease scheduled for routine
laboratory testing
D. A client with pneumonia receiving scheduled IV antibiotics
Correct Answer: B
Rationale:
New shortness of breath at rest in a client with heart failure
suggests acute decompensation and possible pulmonary
edema, requiring immediate assessment. Polyuria (A) is
concerning but not emergent. Routine labs (C) and scheduled
antibiotics (D) are lower priority.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
2.
Which action by the nurse best demonstrates evidence-
informed practice?
A. Following unit tradition for postoperative wound care
B. Using personal experience as the only basis for a decision
C. Integrating current research, clinical expertise, and patient
,preferences
D. Deferring all decisions to the physician
Correct Answer: C
Rationale:
Evidence-informed practice integrates best research evidence,
clinical expertise, and patient values. Unit tradition (A) and
personal experience alone (B) are insufficient. Deferring
decisions (D) contradicts professional nursing accountability.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
A nurse is implementing the nursing process for a newly
admitted client. Which action reflects the analysis phase?
A. Collecting vital signs
B. Identifying nursing diagnoses
C. Administering prescribed medications
D. Documenting outcomes
Correct Answer: B
Rationale:
The analysis phase involves interpreting assessment data to
identify nursing diagnoses. Collecting data (A) is assessment.
Administering medications (C) is implementation. Documenting
outcomes (D) is evaluation.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
, 4.
Which statement by a nurse reflects accountability in
professional nursing practice?
A. “I’ll do what I’m told to avoid conflict.”
B. “The physician is responsible for patient outcomes.”
C. “I am responsible for the care I provide and my clinical
decisions.”
D. “The charge nurse will address any issues.”
Correct Answer: C
Rationale:
Professional accountability requires nurses to accept
responsibility for their actions and decisions. Avoidance (A),
shifting responsibility (B, D) contradicts professional standards.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5.
The nurse notes a near-miss medication error. What is the
priority action?
A. Document in the personal notebook only
B. Report the incident according to agency policy
C. Ignore it since no harm occurred
D. Confront the colleague publicly
Correct 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
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. (2022)
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
20 Multiple-Choice Questions
(Blueprint: Emphasis on application and prioritization/clinical
judgment)
1.
,A nurse on a medical-surgical unit is caring for four clients.
Which client should the nurse assess first?
A. A client with type 2 diabetes who reports polyuria and
polydipsia
B. A client with heart failure who reports new onset shortness
of breath at rest
C. A client with chronic kidney disease scheduled for routine
laboratory testing
D. A client with pneumonia receiving scheduled IV antibiotics
Correct Answer: B
Rationale:
New shortness of breath at rest in a client with heart failure
suggests acute decompensation and possible pulmonary
edema, requiring immediate assessment. Polyuria (A) is
concerning but not emergent. Routine labs (C) and scheduled
antibiotics (D) are lower priority.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
2.
Which action by the nurse best demonstrates evidence-
informed practice?
A. Following unit tradition for postoperative wound care
B. Using personal experience as the only basis for a decision
C. Integrating current research, clinical expertise, and patient
,preferences
D. Deferring all decisions to the physician
Correct Answer: C
Rationale:
Evidence-informed practice integrates best research evidence,
clinical expertise, and patient values. Unit tradition (A) and
personal experience alone (B) are insufficient. Deferring
decisions (D) contradicts professional nursing accountability.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
A nurse is implementing the nursing process for a newly
admitted client. Which action reflects the analysis phase?
A. Collecting vital signs
B. Identifying nursing diagnoses
C. Administering prescribed medications
D. Documenting outcomes
Correct Answer: B
Rationale:
The analysis phase involves interpreting assessment data to
identify nursing diagnoses. Collecting data (A) is assessment.
Administering medications (C) is implementation. Documenting
outcomes (D) is evaluation.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
, 4.
Which statement by a nurse reflects accountability in
professional nursing practice?
A. “I’ll do what I’m told to avoid conflict.”
B. “The physician is responsible for patient outcomes.”
C. “I am responsible for the care I provide and my clinical
decisions.”
D. “The charge nurse will address any issues.”
Correct Answer: C
Rationale:
Professional accountability requires nurses to accept
responsibility for their actions and decisions. Avoidance (A),
shifting responsibility (B, D) contradicts professional standards.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5.
The nurse notes a near-miss medication error. What is the
priority action?
A. Document in the personal notebook only
B. Report the incident according to agency policy
C. Ignore it since no harm occurred
D. Confront the colleague publicly
Correct Answer: B
