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
Test Bank: Chapter 1 — Introduction to Medical-Surgical
Nursing Practice in Canada
Modeled on the scope, structure, and pedagogical emphasis of
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. (2022)
1. The nurse is admitting a patient with multiple chronic
illnesses. Which action best reflects the medical-surgical
nurse’s role in providing patient-centred care?
,A. Completing tasks efficiently to meet unit demands
B. Developing a plan of care based solely on physician orders
C. Incorporating the patient’s values and goals into care
planning
D. Prioritizing institutional policies over patient preferences
Correct Answer: C
Rationale: Patient-centred care integrates the patient’s
preferences, beliefs, and goals into decision-making.
A focuses on task completion, not holistic care.
B ignores collaborative practice.
D places systems before the patient.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
2. A nurse uses clinical judgment when caring for a
deteriorating patient. Which action demonstrates clinical
judgment?
A. Following a routine vital-sign schedule
B. Recognizing subtle assessment changes and escalating care
C. Documenting findings at the end of the shift
D. Waiting for direction before intervening
Correct Answer: B
Rationale: Clinical judgment involves noticing, interpreting,
responding, and reflecting on patient data.
,A is routine, not analytical.
C delays response.
D reflects lack of accountability.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
3. Which principle is foundational to evidence-informed
nursing practice?
A. Tradition determines interventions
B. Clinical decisions combine research evidence, expertise, and
patient preferences
C. Policies replace the need for critical thinking
D. Experience is more important than data
Correct Answer: B
Rationale: Evidence-informed practice integrates best evidence,
clinical expertise, and patient values.
A and D rely on tradition alone.
C removes professional reasoning.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
4. The nurse is prioritizing care for four patients. Which
patient should be assessed first?
, A. A stable patient awaiting discharge teaching
B. A patient reporting new-onset shortness of breath
C. A patient requesting pain medication for chronic pain
D. A patient needing routine dressing change
Correct Answer: B
Rationale: Prioritization focuses on airway and breathing
threats. New dyspnea may signal deterioration.
A, C, and D are important but not urgent.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
5. Interprofessional collaboration improves patient outcomes
primarily because it:
A. Reduces the nurse’s workload
B. Allows one discipline to lead all decisions
C. Integrates diverse expertise to address complex needs
D. Eliminates communication challenges
Correct Answer: C
Rationale: Collaborative teams combine knowledge from
multiple disciplines to provide comprehensive care.
A is not the goal.
B contradicts teamwork.
D is unrealistic.
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
Test Bank: Chapter 1 — Introduction to Medical-Surgical
Nursing Practice in Canada
Modeled on the scope, structure, and pedagogical emphasis of
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. (2022)
1. The nurse is admitting a patient with multiple chronic
illnesses. Which action best reflects the medical-surgical
nurse’s role in providing patient-centred care?
,A. Completing tasks efficiently to meet unit demands
B. Developing a plan of care based solely on physician orders
C. Incorporating the patient’s values and goals into care
planning
D. Prioritizing institutional policies over patient preferences
Correct Answer: C
Rationale: Patient-centred care integrates the patient’s
preferences, beliefs, and goals into decision-making.
A focuses on task completion, not holistic care.
B ignores collaborative practice.
D places systems before the patient.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
2. A nurse uses clinical judgment when caring for a
deteriorating patient. Which action demonstrates clinical
judgment?
A. Following a routine vital-sign schedule
B. Recognizing subtle assessment changes and escalating care
C. Documenting findings at the end of the shift
D. Waiting for direction before intervening
Correct Answer: B
Rationale: Clinical judgment involves noticing, interpreting,
responding, and reflecting on patient data.
,A is routine, not analytical.
C delays response.
D reflects lack of accountability.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
3. Which principle is foundational to evidence-informed
nursing practice?
A. Tradition determines interventions
B. Clinical decisions combine research evidence, expertise, and
patient preferences
C. Policies replace the need for critical thinking
D. Experience is more important than data
Correct Answer: B
Rationale: Evidence-informed practice integrates best evidence,
clinical expertise, and patient values.
A and D rely on tradition alone.
C removes professional reasoning.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
4. The nurse is prioritizing care for four patients. Which
patient should be assessed first?
, A. A stable patient awaiting discharge teaching
B. A patient reporting new-onset shortness of breath
C. A patient requesting pain medication for chronic pain
D. A patient needing routine dressing change
Correct Answer: B
Rationale: Prioritization focuses on airway and breathing
threats. New dyspnea may signal deterioration.
A, C, and D are important but not urgent.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
5. Interprofessional collaboration improves patient outcomes
primarily because it:
A. Reduces the nurse’s workload
B. Allows one discipline to lead all decisions
C. Integrates diverse expertise to address complex needs
D. Eliminates communication challenges
Correct Answer: C
Rationale: Collaborative teams combine knowledge from
multiple disciplines to provide comprehensive care.
A is not the goal.
B contradicts teamwork.
D is unrealistic.
