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
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
20 Exam-Ready MCQs
1.
A nurse is caring for four patients on a medical-surgical unit.
Which patient should the nurse assess first?
,A. A patient with pneumonia reporting fatigue
B. A patient with diabetes with a blood glucose of 12 mmol/L
C. A patient 1 day postoperative with a respiratory rate of 28
breaths/min
D. A patient with heart failure requesting assistance to the
bathroom
Answer: C
Rationale: A respiratory rate of 28 indicates potential
respiratory compromise. Airway and breathing take priority in
clinical judgment. Postoperative patients are at increased risk
for complications such as atelectasis or pulmonary embolism.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Ch. 1 –
Clinical Judgment and Prioritization in Acute Care
2.
Which action best reflects evidence-informed nursing practice?
A. Performing care based on unit tradition
B. Following physician preference
C. Integrating research evidence, clinical expertise, and patient
preferences
D. Using past experience alone
Answer: C
Rationale: Evidence-informed practice integrates current
research evidence, clinical expertise, and patient values to
,guide care decisions.
Lewis’s Med-Surg Nursing in Canada, 5th ed., Ch. 1 – Evidence-
Informed Practice
3.
A nurse recognizes early deterioration in a hospitalized patient.
What is the priority action?
A. Document findings
B. Notify the health care provider after completing assessments
C. Activate the rapid response system
D. Reassess in 30 minutes
Answer: C
Rationale: Early recognition of deterioration requires
immediate activation of emergency response systems to
prevent adverse outcomes. Delayed action increases risk.
Lewis’s Med-Surg Nursing in Canada, 5th ed., Ch. 1 – Patient
Safety and Rapid Response Systems
4.
Which statement best describes the focus of medical-surgical
nursing practice in Canada?
A. Managing only acute illnesses
B. Providing holistic care across the illness continuum
, C. Delivering physician-directed tasks
D. Specializing only in critical care
Answer: B
Rationale: Medical-surgical nursing encompasses holistic care
across acute, chronic, rehabilitative, and palliative settings.
Lewis’s Med-Surg Nursing in Canada, 5th ed., Ch. 1 – Scope of
Medical-Surgical Nursing Practice
5.
A nurse applies clinical judgment when caring for a patient with
worsening dyspnea. Which action demonstrates this process?
A. Waiting for provider orders
B. Comparing current assessment findings with baseline data
C. Documenting abnormal findings
D. Reassuring the patient
Answer: B
Rationale: Clinical judgment involves interpreting cues and
comparing current findings to baseline data to detect changes.
Lewis’s Med-Surg Nursing in Canada, 5th ed., Ch. 1 – Clinical
Judgment Model
6.
Which is an example of secondary prevention?
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
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
20 Exam-Ready MCQs
1.
A nurse is caring for four patients on a medical-surgical unit.
Which patient should the nurse assess first?
,A. A patient with pneumonia reporting fatigue
B. A patient with diabetes with a blood glucose of 12 mmol/L
C. A patient 1 day postoperative with a respiratory rate of 28
breaths/min
D. A patient with heart failure requesting assistance to the
bathroom
Answer: C
Rationale: A respiratory rate of 28 indicates potential
respiratory compromise. Airway and breathing take priority in
clinical judgment. Postoperative patients are at increased risk
for complications such as atelectasis or pulmonary embolism.
Lewis’s Medical-Surgical Nursing in Canada, 5th ed., Ch. 1 –
Clinical Judgment and Prioritization in Acute Care
2.
Which action best reflects evidence-informed nursing practice?
A. Performing care based on unit tradition
B. Following physician preference
C. Integrating research evidence, clinical expertise, and patient
preferences
D. Using past experience alone
Answer: C
Rationale: Evidence-informed practice integrates current
research evidence, clinical expertise, and patient values to
,guide care decisions.
Lewis’s Med-Surg Nursing in Canada, 5th ed., Ch. 1 – Evidence-
Informed Practice
3.
A nurse recognizes early deterioration in a hospitalized patient.
What is the priority action?
A. Document findings
B. Notify the health care provider after completing assessments
C. Activate the rapid response system
D. Reassess in 30 minutes
Answer: C
Rationale: Early recognition of deterioration requires
immediate activation of emergency response systems to
prevent adverse outcomes. Delayed action increases risk.
Lewis’s Med-Surg Nursing in Canada, 5th ed., Ch. 1 – Patient
Safety and Rapid Response Systems
4.
Which statement best describes the focus of medical-surgical
nursing practice in Canada?
A. Managing only acute illnesses
B. Providing holistic care across the illness continuum
, C. Delivering physician-directed tasks
D. Specializing only in critical care
Answer: B
Rationale: Medical-surgical nursing encompasses holistic care
across acute, chronic, rehabilitative, and palliative settings.
Lewis’s Med-Surg Nursing in Canada, 5th ed., Ch. 1 – Scope of
Medical-Surgical Nursing Practice
5.
A nurse applies clinical judgment when caring for a patient with
worsening dyspnea. Which action demonstrates this process?
A. Waiting for provider orders
B. Comparing current assessment findings with baseline data
C. Documenting abnormal findings
D. Reassuring the patient
Answer: B
Rationale: Clinical judgment involves interpreting cues and
comparing current findings to baseline data to detect changes.
Lewis’s Med-Surg Nursing in Canada, 5th ed., Ch. 1 – Clinical
Judgment Model
6.
Which is an example of secondary prevention?
