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 newly licensed 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 patient with diabetes reporting a blood glucose of 11
mmol/L before meals
,C. A postoperative patient reporting sudden shortness of
breath and chest pain
D. A patient with hypertension requesting information about
medications
Correct Answer: C
Rationale:
Sudden shortness of breath and chest pain may indicate a life-
threatening complication such as pulmonary embolism and
requires immediate assessment. The other situations are
stable or non-urgent.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
2.
Which nursing action best reflects the clinical judgment model
emphasized in medical-surgical nursing practice?
A. Following provider orders without modification
B. Prioritizing tasks based on routine unit schedules
C. Interpreting patient data to determine the most urgent
need
D. Documenting care after all tasks are completed
Correct Answer: C
Rationale:
Clinical judgment involves analyzing and interpreting patient
data to prioritize care. The other options reflect task-based
,rather than judgment-based practice.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
A nurse applies evidence-informed practice when performing
which action?
A. Using personal experience as the primary basis for
decisions
B. Combining best research evidence with clinical expertise
and patient preferences
C. Relying on institutional tradition
D. Following standardized care plans without adaptation
Correct Answer: B
Rationale:
Evidence-informed practice integrates current evidence,
clinical expertise, and patient values. The other options
exclude one or more required components.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4.
Which patient outcome best demonstrates quality
improvement in medical-surgical nursing?
A. Reduced length of hospital stay through improved discharge
planning
, B. Increased number of tasks completed per shift
C. Decreased documentation time
D. Increased nurse-to-patient ratios
Correct Answer: A
Rationale:
Quality improvement focuses on improving patient outcomes
and system performance, such as reducing hospital stays. The
other options do not directly reflect quality outcomes.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5.
The nurse recognizes that patient-centered care primarily
involves:
A. Completing tasks efficiently
B. Encouraging patient independence only
C. Respecting patient values, preferences, and expressed
needs
D. Delegating care to unregulated care providers
Correct Answer: C
Rationale:
Patient-centered care emphasizes respect for individual
patient values and preferences. The other options represent
incomplete or incorrect interpretations.
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 newly licensed 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 patient with diabetes reporting a blood glucose of 11
mmol/L before meals
,C. A postoperative patient reporting sudden shortness of
breath and chest pain
D. A patient with hypertension requesting information about
medications
Correct Answer: C
Rationale:
Sudden shortness of breath and chest pain may indicate a life-
threatening complication such as pulmonary embolism and
requires immediate assessment. The other situations are
stable or non-urgent.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
2.
Which nursing action best reflects the clinical judgment model
emphasized in medical-surgical nursing practice?
A. Following provider orders without modification
B. Prioritizing tasks based on routine unit schedules
C. Interpreting patient data to determine the most urgent
need
D. Documenting care after all tasks are completed
Correct Answer: C
Rationale:
Clinical judgment involves analyzing and interpreting patient
data to prioritize care. The other options reflect task-based
,rather than judgment-based practice.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
3.
A nurse applies evidence-informed practice when performing
which action?
A. Using personal experience as the primary basis for
decisions
B. Combining best research evidence with clinical expertise
and patient preferences
C. Relying on institutional tradition
D. Following standardized care plans without adaptation
Correct Answer: B
Rationale:
Evidence-informed practice integrates current evidence,
clinical expertise, and patient values. The other options
exclude one or more required components.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
4.
Which patient outcome best demonstrates quality
improvement in medical-surgical nursing?
A. Reduced length of hospital stay through improved discharge
planning
, B. Increased number of tasks completed per shift
C. Decreased documentation time
D. Increased nurse-to-patient ratios
Correct Answer: A
Rationale:
Quality improvement focuses on improving patient outcomes
and system performance, such as reducing hospital stays. The
other options do not directly reflect quality outcomes.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
5.
The nurse recognizes that patient-centered care primarily
involves:
A. Completing tasks efficiently
B. Encouraging patient independence only
C. Respecting patient values, preferences, and expressed
needs
D. Delegating care to unregulated care providers
Correct Answer: C
Rationale:
Patient-centered care emphasizes respect for individual
patient values and preferences. The other options represent
incomplete or incorrect interpretations.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Chapter 1
