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Test Bank For Lewis's Medical-Surgical Nursing Assessment and Management of
Clinical Problems, 12th Edition
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler
All Chapters (1-69)|Q&As Verified |Grade A+ Assured
ISBN 9780323789615
~1~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
Chapter 01: Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the patient‘s input. The patient asks, “How is this different
from what the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other treatments prescribed by your
physician.”
b. “In addition to caring for you while you are sick, the nurses will help you plan to maintain
your health.”
c. “The nurse‘s job is to collect information and communicate any problems that occur to the
physician.”
d. “Nurses perform many of the same procedures as the physician, but nurses are with the
patients for a longer time than the physician.”
CORRECT ANSWER: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting health. The other responses describe dependent and collaborative functions of the
nursing role but do not accurately describe the nurse‘s unique role in the health care system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice
(EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient care.”
d. “Recommendations are based on research, clinical expertise, and patient preferences.”
CORRECT ANSWER: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the nurse‘s
clinical experience is part of EBP, but clinical decision making should also incorporate current
research and research-based guidelines. Evaluation of patient outcomes is important, but data
analysis is not required to use EBP. All published articles do not provide research evidence;
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interventions should be based on credible research, preferably randomized controlled studies with
a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
a. “The nursing process is a research method of diagnosing the patient‘s health care
problems.”
b. “The nursing process is used primarily to explain nursing interventions to other health care
professionals.”
c. “The nursing process is a problem-solving tool used to identify and manage the patients‘
health care needs.”
d. “The nursing process is based on nursing theory that incorporates the biopsychosocial
nature of humans.”
CORRECT ANSWER: C
The nursing process is a problem-solving approach to the identification and treatment of patients‘
problems. Nursing process does not require research methods for diagnosis. The primary use of the
nursing process is in patient care, not to establish nursing theory or explain nursing interventions
to other health care professionals.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
4. A patient admitted to the hospital for surgery tells the nurse, “I do not feel comfortable
leaving my children with my parents.” Which action would the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather information on the patient‘s concerns about the child care arrangements.
d. Call the patient‘s parents to determine whether adequate child care is being provided.
CORRECT ANSWER: C
Because a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the nurse‘s first action should be to obtain more information. The other
actions may be appropriate, but more assessment is needed before the best intervention can be
chosen.
DIF: Cognitive Level: Analyze (Analysis)
~3~
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TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
Which expected outcome would the nurse select for this patient?
a. Patient has a balanced intake and output.
b. Patient‘s bedding is kept clean and free of moisture.
c. Patient understands the need for increased fluid intake.
d. Patient‘s skin remains cool and dry throughout hospitalization.
CORRECT ANSWER: A
Balanced intake and output gives measurable data showing resolution of the problem of deficient
fluid volume. The other statements would not indicate that the problem of hypovolemia was
resolved.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning MSC: NCLEX:
Physiological Integrity
6. Which statement describes the purpose of the evaluation phase of the nursing process?
a. To document the nursing care plan in the progress notes of the health record
b. To determine if interventions have been effective in meeting patient outcomes
c. To decide whether the patient‘s health problems have been completely resolved
d. To establish if the patient agrees that the nursing care provided was satisfactory
CORRECT ANSWER: B
5
Evaluation consists of determining whether the desired patient outcomes have been met and
whether the nursing interventions were appropriate. The other responses do not describe the
evaluation phase.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation MSC:
NCLEX: Safe and Effective Care Environment
7. Which statement describes the purpose of the assessment phase of the nursing process?
a. To teach interventions that relieve health problems
~4~
Test Bank For Lewis's Medical-Surgical Nursing Assessment and Management of
Clinical Problems, 12th Edition
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler
All Chapters (1-69)|Q&As Verified |Grade A+ Assured
ISBN 9780323789615
~1~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
Chapter 01: Professional Nursing
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the patient‘s input. The patient asks, “How is this different
from what the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other treatments prescribed by your
physician.”
b. “In addition to caring for you while you are sick, the nurses will help you plan to maintain
your health.”
c. “The nurse‘s job is to collect information and communicate any problems that occur to the
physician.”
d. “Nurses perform many of the same procedures as the physician, but nurses are with the
patients for a longer time than the physician.”
CORRECT ANSWER: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting health. The other responses describe dependent and collaborative functions of the
nursing role but do not accurately describe the nurse‘s unique role in the health care system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice
(EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient care.”
d. “Recommendations are based on research, clinical expertise, and patient preferences.”
CORRECT ANSWER: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the nurse‘s
clinical experience is part of EBP, but clinical decision making should also incorporate current
research and research-based guidelines. Evaluation of patient outcomes is important, but data
analysis is not required to use EBP. All published articles do not provide research evidence;
~2~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
interventions should be based on credible research, preferably randomized controlled studies with
a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
a. “The nursing process is a research method of diagnosing the patient‘s health care
problems.”
b. “The nursing process is used primarily to explain nursing interventions to other health care
professionals.”
c. “The nursing process is a problem-solving tool used to identify and manage the patients‘
health care needs.”
d. “The nursing process is based on nursing theory that incorporates the biopsychosocial
nature of humans.”
CORRECT ANSWER: C
The nursing process is a problem-solving approach to the identification and treatment of patients‘
problems. Nursing process does not require research methods for diagnosis. The primary use of the
nursing process is in patient care, not to establish nursing theory or explain nursing interventions
to other health care professionals.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
4. A patient admitted to the hospital for surgery tells the nurse, “I do not feel comfortable
leaving my children with my parents.” Which action would the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather information on the patient‘s concerns about the child care arrangements.
d. Call the patient‘s parents to determine whether adequate child care is being provided.
CORRECT ANSWER: C
Because a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the nurse‘s first action should be to obtain more information. The other
actions may be appropriate, but more assessment is needed before the best intervention can be
chosen.
DIF: Cognitive Level: Analyze (Analysis)
~3~
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
Which expected outcome would the nurse select for this patient?
a. Patient has a balanced intake and output.
b. Patient‘s bedding is kept clean and free of moisture.
c. Patient understands the need for increased fluid intake.
d. Patient‘s skin remains cool and dry throughout hospitalization.
CORRECT ANSWER: A
Balanced intake and output gives measurable data showing resolution of the problem of deficient
fluid volume. The other statements would not indicate that the problem of hypovolemia was
resolved.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning MSC: NCLEX:
Physiological Integrity
6. Which statement describes the purpose of the evaluation phase of the nursing process?
a. To document the nursing care plan in the progress notes of the health record
b. To determine if interventions have been effective in meeting patient outcomes
c. To decide whether the patient‘s health problems have been completely resolved
d. To establish if the patient agrees that the nursing care provided was satisfactory
CORRECT ANSWER: B
5
Evaluation consists of determining whether the desired patient outcomes have been met and
whether the nursing interventions were appropriate. The other responses do not describe the
evaluation phase.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation MSC:
NCLEX: Safe and Effective Care Environment
7. Which statement describes the purpose of the assessment phase of the nursing process?
a. To teach interventions that relieve health problems
~4~
