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: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
(2022)
Section 1: Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Blueprint: Increased Prioritization/Clinical Judgment Focus
1.
,A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client with heart failure reporting new onset confusion
B. A client with chronic obstructive pulmonary disease (COPD)
requesting assistance to ambulate
C. A client 2 days post–hip replacement reporting incisional pain
rated 6/10
D. A client with type 2 diabetes mellitus awaiting discharge
teaching
Correct Answer: A
Rationale:
New onset confusion may indicate hypoxia or decreased
cerebral perfusion and requires immediate assessment.
Ambulation assistance (B), moderate pain (C), and discharge
teaching (D) are important but not urgent.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
2.
A nurse uses the clinical judgment model when caring for a
deteriorating client. Which action reflects the “analyze cues”
step?
A. Notifying the provider of abnormal findings
B. Comparing current vital signs with baseline data
C. Implementing oxygen therapy
D. Reassessing the client after intervention
,Correct Answer: B
Rationale:
Analyzing cues involves interpreting and comparing data to
determine significance. Notifying (A) and implementing therapy
(C) are action steps. Reassessment (D) is evaluation.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
A nurse is delegating care to a licensed practical nurse (LPN).
Which task is most appropriate to delegate?
A. Initial assessment of a client admitted with chest pain
B. Administration of IV push morphine
C. Reinforcement of teaching for a stable client with
hypertension
D. Development of a discharge plan
Correct Answer: C
Rationale:
Reinforcement of teaching for a stable client is within LPN
scope. Initial assessments (A), IV push medications (B), and care
planning (D) require RN-level judgment.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4.
, A nurse identifies a pattern of medication errors on the unit.
Which action demonstrates professional accountability?
A. Reporting the issue through the agency’s safety reporting
system
B. Ignoring errors unless harm occurs
C. Confronting the nurse publicly
D. Documenting concerns only in personal notes
Correct Answer: A
Rationale:
Professional nursing practice includes accountability and
participation in quality improvement and safety initiatives.
Ignoring errors (B), public confrontation (C), or personal
documentation (D) are inappropriate.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5.
Which action best reflects evidence-informed nursing practice?
A. Following a procedure because it has always been done that
way
B. Implementing care based on current research and clinical
expertise
C. Relying solely on physician preference
D. Using interventions learned from social media
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
Test Bank: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.
(2022)
Section 1: Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Blueprint: Increased Prioritization/Clinical Judgment Focus
1.
,A nurse is caring for four clients. Which client should the nurse
assess first?
A. A client with heart failure reporting new onset confusion
B. A client with chronic obstructive pulmonary disease (COPD)
requesting assistance to ambulate
C. A client 2 days post–hip replacement reporting incisional pain
rated 6/10
D. A client with type 2 diabetes mellitus awaiting discharge
teaching
Correct Answer: A
Rationale:
New onset confusion may indicate hypoxia or decreased
cerebral perfusion and requires immediate assessment.
Ambulation assistance (B), moderate pain (C), and discharge
teaching (D) are important but not urgent.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
2.
A nurse uses the clinical judgment model when caring for a
deteriorating client. Which action reflects the “analyze cues”
step?
A. Notifying the provider of abnormal findings
B. Comparing current vital signs with baseline data
C. Implementing oxygen therapy
D. Reassessing the client after intervention
,Correct Answer: B
Rationale:
Analyzing cues involves interpreting and comparing data to
determine significance. Notifying (A) and implementing therapy
(C) are action steps. Reassessment (D) is evaluation.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
A nurse is delegating care to a licensed practical nurse (LPN).
Which task is most appropriate to delegate?
A. Initial assessment of a client admitted with chest pain
B. Administration of IV push morphine
C. Reinforcement of teaching for a stable client with
hypertension
D. Development of a discharge plan
Correct Answer: C
Rationale:
Reinforcement of teaching for a stable client is within LPN
scope. Initial assessments (A), IV push medications (B), and care
planning (D) require RN-level judgment.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4.
, A nurse identifies a pattern of medication errors on the unit.
Which action demonstrates professional accountability?
A. Reporting the issue through the agency’s safety reporting
system
B. Ignoring errors unless harm occurs
C. Confronting the nurse publicly
D. Documenting concerns only in personal notes
Correct Answer: A
Rationale:
Professional nursing practice includes accountability and
participation in quality improvement and safety initiatives.
Ignoring errors (B), public confrontation (C), or personal
documentation (D) are inappropriate.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5.
Which action best reflects evidence-informed nursing practice?
A. Following a procedure because it has always been done that
way
B. Implementing care based on current research and clinical
expertise
C. Relying solely on physician preference
D. Using interventions learned from social media
Correct Answer: B
