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)
Section 1: Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
1.
A nurse is caring for four patients on a medical unit. Which
patient should the nurse assess first?
,A. A patient with chronic heart failure reporting mild ankle
edema
B. A postoperative patient reporting pain rated 7/10
C. A patient with chronic obstructive pulmonary disease (COPD)
with new-onset restlessness and confusion
D. A patient scheduled for discharge requesting medication
teaching
Correct Answer: C
Rationale:
Restlessness and confusion in a patient with COPD may indicate
hypoxemia, representing an immediate threat to airway and
breathing. According to the clinical judgment framework and
prioritization principles (ABCs), physiologic instability takes
precedence. Mild edema, pain, and discharge teaching are
important but not immediately life-threatening.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1:
Introduction to Medical-Surgical Nursing Practice in Canada
2.
Which action best reflects evidence-informed nursing practice?
A. Performing care based on personal clinical experience alone
B. Implementing an intervention supported by current research,
clinical expertise, and patient preference
C. Following physician orders without question
D. Using unit routines to guide care decisions
,Correct Answer: B
Rationale:
Evidence-informed practice integrates best available research
evidence, clinical expertise, and patient values/preferences.
Options A, C, and D fail to incorporate all required components
of evidence-informed decision-making.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
A nurse identifies a medication error before it reaches the
patient. What is the priority action?
A. Document the error in the chart and take no further action
B. Inform the charge nurse and complete an incident report
C. Notify the patient’s family
D. Ignore the error since no harm occurred
Correct Answer: B
Rationale:
Patient safety culture requires reporting near-misses and errors
to improve system processes. Completing appropriate reporting
procedures promotes quality improvement. Ignoring or failing
to report undermines safety initiatives.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4.
, Which statement best reflects patient-centered care?
A. “We will follow the unit’s standard routine for your recovery.”
B. “This is the treatment most commonly used.”
C. “Let’s discuss your goals and preferences before finalizing the
care plan.”
D. “The health care team has already decided your plan.”
Correct Answer: C
Rationale:
Patient-centered care emphasizes collaboration, respect for
patient values, and shared decision-making. The other options
reflect provider-centered approaches.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5.
Which factor most directly contributes to improved patient
safety in medical-surgical settings?
A. Increased documentation requirements
B. Interprofessional communication and teamwork
C. Independent nursing decision-making without consultation
D. Limiting patient involvement in care decisions
Correct Answer: B
Rationale:
Effective interprofessional collaboration reduces errors and
improves patient outcomes. Documentation alone does not
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)
Section 1: Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
1.
A nurse is caring for four patients on a medical unit. Which
patient should the nurse assess first?
,A. A patient with chronic heart failure reporting mild ankle
edema
B. A postoperative patient reporting pain rated 7/10
C. A patient with chronic obstructive pulmonary disease (COPD)
with new-onset restlessness and confusion
D. A patient scheduled for discharge requesting medication
teaching
Correct Answer: C
Rationale:
Restlessness and confusion in a patient with COPD may indicate
hypoxemia, representing an immediate threat to airway and
breathing. According to the clinical judgment framework and
prioritization principles (ABCs), physiologic instability takes
precedence. Mild edema, pain, and discharge teaching are
important but not immediately life-threatening.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1:
Introduction to Medical-Surgical Nursing Practice in Canada
2.
Which action best reflects evidence-informed nursing practice?
A. Performing care based on personal clinical experience alone
B. Implementing an intervention supported by current research,
clinical expertise, and patient preference
C. Following physician orders without question
D. Using unit routines to guide care decisions
,Correct Answer: B
Rationale:
Evidence-informed practice integrates best available research
evidence, clinical expertise, and patient values/preferences.
Options A, C, and D fail to incorporate all required components
of evidence-informed decision-making.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
A nurse identifies a medication error before it reaches the
patient. What is the priority action?
A. Document the error in the chart and take no further action
B. Inform the charge nurse and complete an incident report
C. Notify the patient’s family
D. Ignore the error since no harm occurred
Correct Answer: B
Rationale:
Patient safety culture requires reporting near-misses and errors
to improve system processes. Completing appropriate reporting
procedures promotes quality improvement. Ignoring or failing
to report undermines safety initiatives.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4.
, Which statement best reflects patient-centered care?
A. “We will follow the unit’s standard routine for your recovery.”
B. “This is the treatment most commonly used.”
C. “Let’s discuss your goals and preferences before finalizing the
care plan.”
D. “The health care team has already decided your plan.”
Correct Answer: C
Rationale:
Patient-centered care emphasizes collaboration, respect for
patient values, and shared decision-making. The other options
reflect provider-centered approaches.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5.
Which factor most directly contributes to improved patient
safety in medical-surgical settings?
A. Increased documentation requirements
B. Interprofessional communication and teamwork
C. Independent nursing decision-making without consultation
D. Limiting patient involvement in care decisions
Correct Answer: B
Rationale:
Effective interprofessional collaboration reduces errors and
improves patient outcomes. Documentation alone does not
