Lewis’s Medical-Surgical Nursing Canada 5th Ed Study Guide & Practice Test Bank

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 hired medical-surgical nurse is assigned four patients.
Which patient should the nurse assess first?
A. A client with heart failure reporting mild fatigue
B. A postoperative client reporting increasing incisional pain
C. A client with diabetes who has a capillary glucose of 14
mmol/L
D. A client with pneumonia who is increasingly restless and
confused

,Answer: D
Rationale: Increasing restlessness and confusion in a patient
with pneumonia may indicate hypoxemia, which is a priority
and can rapidly compromise airway and oxygenation. Airway
and breathing take precedence in prioritization.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Ch. 1 – Introduction to Medical-Surgical Nursing Practice in
Canada


2.
Which activity best reflects the medical-surgical nurse’s role in
evidence-informed practice?
A. Following unit routines regardless of patient differences
B. Using personal experience as the sole basis for care
C. Integrating current research findings with clinical expertise
and patient preferences
D. Implementing physician orders without question
Answer: C
Rationale: Evidence-informed practice integrates best current
evidence, clinical expertise, and patient values to guide safe and
effective care.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Ch. 1

,3.
A nurse notes that a client’s condition is deteriorating. Which
action reflects appropriate clinical judgment?
A. Waiting for the next scheduled assessment
B. Documenting findings and reassessing later
C. Activating the rapid response system
D. Notifying the charge nurse after completing other tasks
Answer: C
Rationale: Early recognition and activation of rapid response
systems are critical safety strategies to prevent adverse events.
Prompt escalation reflects sound clinical judgment.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Ch. 1


4.
Which outcome best demonstrates quality improvement in a
medical-surgical unit?
A. Increased nurse workload
B. Decreased incidence of hospital-acquired infections
C. Shorter documentation time
D. Fewer interdisciplinary meetings
Answer: B
Rationale: Reduced hospital-acquired infections reflect
improved patient safety and effective quality improvement

, initiatives.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Ch. 1


5.
A nurse is participating in interdisciplinary rounds. What is the
primary purpose of this collaboration?
A. Reduce nursing autonomy
B. Improve communication and patient outcomes
C. Shorten hospital stay regardless of patient readiness
D. Delegate nursing responsibilities
Answer: B
Rationale: Interprofessional collaboration enhances
communication, reduces errors, and improves patient-centered
outcomes.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Ch. 1


6.
Which factor most increases the risk for adverse patient
outcomes in medical-surgical settings?
A. Use of electronic documentation
B. Communication breakdown among health care providers