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 nurse is caring for a patient with multiple chronic conditions.
Which action best reflects the medical-surgical nurse’s primary
role described in Chapter 1?
A. Performing independent medical diagnoses
B. Coordinating interprofessional care to optimize patient
outcomes
,C. Delegating all care tasks to unregulated care providers
D. Focusing only on acute physiologic problems
Answer: B
Rationale: Medical-surgical nurses function as coordinators of
care, integrating assessment data, collaborating with the
interprofessional team, and ensuring continuity and safety of
care across settings.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
2.
Which patient scenario best represents the complexity typical
of medical-surgical nursing practice?
A. A healthy adult receiving immunizations
B. A postoperative patient with diabetes and heart failure
C. A child with otitis media
D. A client attending a prenatal visit
Answer: B
Rationale: Medical-surgical nursing commonly involves
management of adults with complex, multisystem conditions
requiring advanced assessment and clinical judgment.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
,3.
The nurse identifies subtle mental status changes in an older
adult. What is the priority action?
A. Document and reassess in 24 hours
B. Notify the health care provider immediately
C. Perform a focused assessment for underlying causes
D. Administer prescribed sedatives
Answer: C
Rationale: Clinical judgment requires immediate assessment to
determine potential causes such as hypoxia, infection, or
metabolic imbalance before escalation.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
4.
Which principle best reflects evidence-informed nursing
practice?
A. Following tradition-based interventions
B. Using personal experience exclusively
C. Integrating research evidence with clinical expertise and
patient preferences
D. Relying solely on physician directives
Answer: C
, Rationale: Evidence-informed practice combines best research
evidence, clinical expertise, and patient values to guide safe,
effective care.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
5.
A nurse is prioritizing care for four patients. Which patient
should be assessed first?
A. Stable patient awaiting discharge teaching
B. Patient reporting new-onset chest pain
C. Patient requesting pain medication for chronic arthritis
D. Patient scheduled for routine dressing change
Answer: B
Rationale: Prioritization follows urgency and potential for life-
threatening conditions. New chest pain suggests possible
myocardial ischemia requiring immediate assessment.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
6.
Which competency is essential for safe medical-surgical nursing
practice?
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 nurse is caring for a patient with multiple chronic conditions.
Which action best reflects the medical-surgical nurse’s primary
role described in Chapter 1?
A. Performing independent medical diagnoses
B. Coordinating interprofessional care to optimize patient
outcomes
,C. Delegating all care tasks to unregulated care providers
D. Focusing only on acute physiologic problems
Answer: B
Rationale: Medical-surgical nurses function as coordinators of
care, integrating assessment data, collaborating with the
interprofessional team, and ensuring continuity and safety of
care across settings.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
2.
Which patient scenario best represents the complexity typical
of medical-surgical nursing practice?
A. A healthy adult receiving immunizations
B. A postoperative patient with diabetes and heart failure
C. A child with otitis media
D. A client attending a prenatal visit
Answer: B
Rationale: Medical-surgical nursing commonly involves
management of adults with complex, multisystem conditions
requiring advanced assessment and clinical judgment.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
,3.
The nurse identifies subtle mental status changes in an older
adult. What is the priority action?
A. Document and reassess in 24 hours
B. Notify the health care provider immediately
C. Perform a focused assessment for underlying causes
D. Administer prescribed sedatives
Answer: C
Rationale: Clinical judgment requires immediate assessment to
determine potential causes such as hypoxia, infection, or
metabolic imbalance before escalation.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
4.
Which principle best reflects evidence-informed nursing
practice?
A. Following tradition-based interventions
B. Using personal experience exclusively
C. Integrating research evidence with clinical expertise and
patient preferences
D. Relying solely on physician directives
Answer: C
, Rationale: Evidence-informed practice combines best research
evidence, clinical expertise, and patient values to guide safe,
effective care.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
5.
A nurse is prioritizing care for four patients. Which patient
should be assessed first?
A. Stable patient awaiting discharge teaching
B. Patient reporting new-onset chest pain
C. Patient requesting pain medication for chronic arthritis
D. Patient scheduled for routine dressing change
Answer: B
Rationale: Prioritization follows urgency and potential for life-
threatening conditions. New chest pain suggests possible
myocardial ischemia requiring immediate assessment.
Reference: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
6.
Which competency is essential for safe medical-surgical nursing
practice?
