Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding 1
Table of Contents
Table of Contents 1
Chapter 01: Professional Nursing 3
Chapter 02: Health Equity and Culturally Competent CareChapter 13
03: Health History and Physical Examination Chapter 04: Patient 21
and Caregiver Teaching 28
Chapter 05: Chronic Illness and Older Adults 38
Chapter 06: Stress Management 48
Chapter 07: Sleep and Sleep Disorders 54
Chapter 08: Pain 59
Chapter 09: Palliative and End of Life Care 71
Chapter 10: Substance Use Disorders Chapter 11: 79
Inflammation and Healing Chapter 12: Genetics 91
Chapter 13: Immune Responses and TransplantationChapter 14: 101
Infection 105
Chapter 15: Cancer 117
Chapter 16: Fluid, Electrolyte, and Acid-Base ImbalancesChapter 129
17: Preoperative Care 148
Chapter 18: Intraoperative Care 165
Chapter 19: Postoperative Care 175
Chapter 20: Assessment and Management: Visual Problems Chapter 21: 184
Assessment and Management: Auditory ProblemsChapter 22: Assessment: 196
Integumentary System 216
Chapter 23: Integumentary Problems 227
Chapter 24: Burns 233
Chapter 25: Assessment: Respiratory System 245
Chapter 26: Upper Respiratory Problems Chapter 27: 259
Lower Respiratory Problems Chapter 28: Obstructive 270
Pulmonary Diseases Chapter 29: Assessment: 282
Hematologic SystemChapter 30: Hematologic 305
Problems 325
Chapter 31: Assessment: Cardiovascular SystemChapter 32: 332
Hypertension 353
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome 364
Chapter 34: Heart Failure 375
Chapter 35: Dysrhythmias 394
Chapter 36: Inflammatory and Structural Heart DisordersChapter 406
37: Vascular Disorders 420
Chapter 38: Assessment: Gastrointestinal SystemChapter 39: 435
Nutritional Problems 450
Chapter 40: Obesity 458
Chapter 41: Upper Gastrointestinal Problems 469
Chapter 42: Lower Gastrointestinal Problems 478
Chapter 43: Liver, Biliary Tract, and Pancreas ProblemsChapter 499
44: Assessment: Urinary System 523
Chapter 45: Renal and Urologic Problems 543
Chapter 46: Acute Kidney Injury and Chronic Kidney DiseaseChapter 47: 553
Assessment: Endocrine System 573
Chapter 48: Diabetes Mellitus 590
Chapter 49: Endocrine Problems 600
Chapter 50: Assessment: Reproductive System 622
642
,Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding 2
Chapter 51: Breast Disorders 650
Chapter 52: Sexually Transmitted InfectionsChapter 662
53: Female Reproductive ProblemsChapter 54: 671
Male Reproductive Problems Chapter 55: 693
Assessment: Nervous System Chapter 56: Acute 708
Intracranial Problems Chapter 57: Stroke 717
Chapter 58: Chronic Neurologic ProblemsChapter 734
59: Dementia and Delirium 747
Chapter 60: Spinal Cord and Peripheral Nerve ProblemsChapter 61: 763
Assessment: Musculoskeletal System 772
Chapter 62: Musculoskeletal Trauma and Orthopedic SurgeryChapter 787
63: Musculoskeletal Problems 794
Chapter 64: Arthritis and Connective Tissue DiseasesChapter 65: 814
Critical Care 825
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 845
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress SyndromeChapter 864
68: Emergency and Disaster Nursing 877
889
TEST BANK FOR
Lewis’s Medical Surgical
Nursing 11th Edition
Harding
,Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding 3
Chapter 01: Professional Nursing
Test Bank
MULTIPLE CHOICE
1. The nurse/ teaches/ a/ student/ nurse/ about/ how/ to/ apply/ the/ nursing/ process/ when/ providing/ patient/ care./
Which/ statement,/ if/ made/ by/ the/ student/ nurse,/ indicates/ that/ teaching/ was/ successful?
a. The/ nursing/ process/ is/ a/ scientific-based/ method/ of/ diagnosing/ the/ patients/ health/ care/ problems.
b. The/ nursing/ process/ is/ a/ problem-solving/ tool/ used/ to/ identify/ and/ treat/ patients/ health/ care/ needs.
c. The/ nursing/ process/ is/ based/ on/ nursing/ theory/ that/ incorporates/ the/ biopsychosocial/ nature/ of/
humans.
d. The/ nursing/ process/ is/ used/ primarily/ to/ explain/ nursing/ interventions/ to/ other/ health/ care/
professionals.
ANS:/ B
The/ nursing/ process/ is/ a/ problem-solving/ approach/ to/ the/ identification/ and/ treatment/ of/ patients/ problems./
Diagnosis/ is/ only/ one/ phase/ of/ the/ nursing/ process./ 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:/ Implementation/ MSC:/ NCLEX:/ Safe/ and/ Effective/ Care/ Environment
2. The/ nurse/ describes/ to/ a/ student/ nurse/ how/ to/ use/ evidence-based/ practice/ guidelines/ when/ caring/ for/
patients./ Which/ statement,/ if/ made/ by/ the/ nurse,/ would/ be/ the/ most/ accurate?
a. Inferences/ from/ clinical/ research/ studies/ are/ used/ as/ a/ guide.
b. Patient/ care/ is/ based/ on/ clinical/ judgment,/ experience,/ and/ traditions.
c. Data/ are/ evaluated/ to/ show/ that/ the/ patient/ outcomes/ are/ consistently/ met.
d. Recommendations/ are/ based/ on/ research,/ clinical/ expertise,/ and/ patient/ preferences.
ANS:/ D
Evidence-based/ practice/ (EBP)/ is/ the/ use/ of/ the/ best/ research-based/ evidence/ combined/ with/
clinician/ expertise./ Clinical/ judgment/ based/ on/ the/ nurses/ 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/ interventions/ should/ be/ based/ on/ research/ from/ randomized/
control/ studies/ with/ a/ large/ number/ of/ subjects.
DIF:/ Cognitive/ Level:/ Remember/ (knowledge)
TOP:/ Nursing/ Process:/ Planning/ MSC:/ NCLEX:/ Safe/ and/ Effective/ Care/ Environment
, Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding 4
3. The/ nurse/ completes/ an/ admission/ database/ and/ explains/ that/ the/ plan/ of/ care/ and/ discharge/ goals/ will/ be/
developed/ with/ the/ patients/ input./ The/ patient/ states,/ How/ is/ this/ different/ from/ what/ the/ doctor/ does?/ Which/
response/ would/ be/ most/ appropriate/ for/ the/ nurse/ to/ make?
a. The/ role/ of/ the/ nurse/ is/ to/ administer/ medications/ and/ other/ treatments/ prescribed/ by/ your/ doctor.
b. The/ nurses/ job/ is/ to/ help/ the/ doctor/ by/ collecting/ information/ and/ communicating/ any/ problems/
that/ occur.
c. Nurses/ perform/ many/ of/ the/ same/ procedures/ as/ the/ doctor,/ but/ nurses/ are/ with/ the/ patients/ for/ a/
longer/ time/ than/ the/ doctor.
d. In/ addition/ to/ caring/ for/ you/ while/ you/ are/ sick,/ the/ nurses/ will/ assist/ you/ to/ develop/ an/
individualized/ plan/ to/ maintain/ your/ health.
ANS:/ D
This/ response/ is/ consistent/ with/ the/ American/ Nurses/ Association/ (ANA)/ definition/ of/ nursing,/
which/ describes/ the/ role/ of/ nurses/ in/ promoting/ health./ The/ other/ responses/ describe/ some/ of/ the/ dependent/ and/
collaborative/ functions/ of/ the/ nursing/ role/ but/ do/ not/ accurately/ describe/ the/ nurses/ role/ in/ the/ health/ care/
system.
DIF:/ Cognitive/ Level:/ Understand/ (comprehension)
TOP:/ Nursing/ Process:/ Implementation/ MSC:/ NCLEX:/ Safe/ and/ Effective/ Care/ Environment
4. A/ patient/ who/ is/ paralyzed/ on/ the/ left/ side/ of/ the/ body/ after/ a/ stroke/ develops/ a/ pressure/ ulcer/ on/ the/ left/ hip/
Which/ nursing/ diagnosis/ is/ most/ appropriate?
a. Impaired/ physical/ mobility/ related/ to/ left-sided/ paralysis
b. Risk/ for/ impaired/ tissue/ integrity/ related/ to/ left-sided/ weakness
c. Impaired/ skin/ integrity/ related/ to/ altered/ circulation/ and/ pressure
d. Ineffective/ tissue/ perfusion/ related/ to/ inability/ to/ move/ independently
ANS:/ C
The/ patients/ major/ problem/ is/ the/ impaired/ skin/ integrity/ as/ demonstrated/ by/ the/ presence/ of/ a/ pressure/ ulcer./
The/ nurse/ is/ able/ to/ treat/ the/ cause/ of/ altered/ circulation/ and/ pressure/ by/ frequently/ repositioning/ the/ patient./
Although/ left-sided/ weakness/ is/ a/ problem/ for/ the/ patient,/ the/ nurse/ cannot/ treat/ the/ weakness./ The/
risk/ for/ diagnosis/ is/ not/ appropriate/ for/ this/ patient,/ who/ already/ has/ impaired/ tissue/ integrity./ The/ patient/ does/
have/ ineffective/ tissue/ perfusion,/ but/ the/ impaired/ skin/ integrity/ diagnosis/ indicates/ more/ clearly/ what/
the/ health/ problem/ is.
DIF:/ Cognitive/ Level:/ Apply/ (application)
TOP:/ Nursing/ Process:/ Diagnosis/ MSC:/ NCLEX:/ Physiological/ Integrity
5. A/ patient/ has/ been/ admitted/ to/ the/ hospital/ for/ surgery/ and/ tells/ the/ nurse,/ I/ do/ not/ feel/ comfortable/ leaving/
my/ children/ with/ my/ parents./ Which/ action/ should/ the/ nurse/ take/ next?
Table of Contents
Table of Contents 1
Chapter 01: Professional Nursing 3
Chapter 02: Health Equity and Culturally Competent CareChapter 13
03: Health History and Physical Examination Chapter 04: Patient 21
and Caregiver Teaching 28
Chapter 05: Chronic Illness and Older Adults 38
Chapter 06: Stress Management 48
Chapter 07: Sleep and Sleep Disorders 54
Chapter 08: Pain 59
Chapter 09: Palliative and End of Life Care 71
Chapter 10: Substance Use Disorders Chapter 11: 79
Inflammation and Healing Chapter 12: Genetics 91
Chapter 13: Immune Responses and TransplantationChapter 14: 101
Infection 105
Chapter 15: Cancer 117
Chapter 16: Fluid, Electrolyte, and Acid-Base ImbalancesChapter 129
17: Preoperative Care 148
Chapter 18: Intraoperative Care 165
Chapter 19: Postoperative Care 175
Chapter 20: Assessment and Management: Visual Problems Chapter 21: 184
Assessment and Management: Auditory ProblemsChapter 22: Assessment: 196
Integumentary System 216
Chapter 23: Integumentary Problems 227
Chapter 24: Burns 233
Chapter 25: Assessment: Respiratory System 245
Chapter 26: Upper Respiratory Problems Chapter 27: 259
Lower Respiratory Problems Chapter 28: Obstructive 270
Pulmonary Diseases Chapter 29: Assessment: 282
Hematologic SystemChapter 30: Hematologic 305
Problems 325
Chapter 31: Assessment: Cardiovascular SystemChapter 32: 332
Hypertension 353
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome 364
Chapter 34: Heart Failure 375
Chapter 35: Dysrhythmias 394
Chapter 36: Inflammatory and Structural Heart DisordersChapter 406
37: Vascular Disorders 420
Chapter 38: Assessment: Gastrointestinal SystemChapter 39: 435
Nutritional Problems 450
Chapter 40: Obesity 458
Chapter 41: Upper Gastrointestinal Problems 469
Chapter 42: Lower Gastrointestinal Problems 478
Chapter 43: Liver, Biliary Tract, and Pancreas ProblemsChapter 499
44: Assessment: Urinary System 523
Chapter 45: Renal and Urologic Problems 543
Chapter 46: Acute Kidney Injury and Chronic Kidney DiseaseChapter 47: 553
Assessment: Endocrine System 573
Chapter 48: Diabetes Mellitus 590
Chapter 49: Endocrine Problems 600
Chapter 50: Assessment: Reproductive System 622
642
,Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding 2
Chapter 51: Breast Disorders 650
Chapter 52: Sexually Transmitted InfectionsChapter 662
53: Female Reproductive ProblemsChapter 54: 671
Male Reproductive Problems Chapter 55: 693
Assessment: Nervous System Chapter 56: Acute 708
Intracranial Problems Chapter 57: Stroke 717
Chapter 58: Chronic Neurologic ProblemsChapter 734
59: Dementia and Delirium 747
Chapter 60: Spinal Cord and Peripheral Nerve ProblemsChapter 61: 763
Assessment: Musculoskeletal System 772
Chapter 62: Musculoskeletal Trauma and Orthopedic SurgeryChapter 787
63: Musculoskeletal Problems 794
Chapter 64: Arthritis and Connective Tissue DiseasesChapter 65: 814
Critical Care 825
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 845
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress SyndromeChapter 864
68: Emergency and Disaster Nursing 877
889
TEST BANK FOR
Lewis’s Medical Surgical
Nursing 11th Edition
Harding
,Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding 3
Chapter 01: Professional Nursing
Test Bank
MULTIPLE CHOICE
1. The nurse/ teaches/ a/ student/ nurse/ about/ how/ to/ apply/ the/ nursing/ process/ when/ providing/ patient/ care./
Which/ statement,/ if/ made/ by/ the/ student/ nurse,/ indicates/ that/ teaching/ was/ successful?
a. The/ nursing/ process/ is/ a/ scientific-based/ method/ of/ diagnosing/ the/ patients/ health/ care/ problems.
b. The/ nursing/ process/ is/ a/ problem-solving/ tool/ used/ to/ identify/ and/ treat/ patients/ health/ care/ needs.
c. The/ nursing/ process/ is/ based/ on/ nursing/ theory/ that/ incorporates/ the/ biopsychosocial/ nature/ of/
humans.
d. The/ nursing/ process/ is/ used/ primarily/ to/ explain/ nursing/ interventions/ to/ other/ health/ care/
professionals.
ANS:/ B
The/ nursing/ process/ is/ a/ problem-solving/ approach/ to/ the/ identification/ and/ treatment/ of/ patients/ problems./
Diagnosis/ is/ only/ one/ phase/ of/ the/ nursing/ process./ 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:/ Implementation/ MSC:/ NCLEX:/ Safe/ and/ Effective/ Care/ Environment
2. The/ nurse/ describes/ to/ a/ student/ nurse/ how/ to/ use/ evidence-based/ practice/ guidelines/ when/ caring/ for/
patients./ Which/ statement,/ if/ made/ by/ the/ nurse,/ would/ be/ the/ most/ accurate?
a. Inferences/ from/ clinical/ research/ studies/ are/ used/ as/ a/ guide.
b. Patient/ care/ is/ based/ on/ clinical/ judgment,/ experience,/ and/ traditions.
c. Data/ are/ evaluated/ to/ show/ that/ the/ patient/ outcomes/ are/ consistently/ met.
d. Recommendations/ are/ based/ on/ research,/ clinical/ expertise,/ and/ patient/ preferences.
ANS:/ D
Evidence-based/ practice/ (EBP)/ is/ the/ use/ of/ the/ best/ research-based/ evidence/ combined/ with/
clinician/ expertise./ Clinical/ judgment/ based/ on/ the/ nurses/ 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/ interventions/ should/ be/ based/ on/ research/ from/ randomized/
control/ studies/ with/ a/ large/ number/ of/ subjects.
DIF:/ Cognitive/ Level:/ Remember/ (knowledge)
TOP:/ Nursing/ Process:/ Planning/ MSC:/ NCLEX:/ Safe/ and/ Effective/ Care/ Environment
, Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding 4
3. The/ nurse/ completes/ an/ admission/ database/ and/ explains/ that/ the/ plan/ of/ care/ and/ discharge/ goals/ will/ be/
developed/ with/ the/ patients/ input./ The/ patient/ states,/ How/ is/ this/ different/ from/ what/ the/ doctor/ does?/ Which/
response/ would/ be/ most/ appropriate/ for/ the/ nurse/ to/ make?
a. The/ role/ of/ the/ nurse/ is/ to/ administer/ medications/ and/ other/ treatments/ prescribed/ by/ your/ doctor.
b. The/ nurses/ job/ is/ to/ help/ the/ doctor/ by/ collecting/ information/ and/ communicating/ any/ problems/
that/ occur.
c. Nurses/ perform/ many/ of/ the/ same/ procedures/ as/ the/ doctor,/ but/ nurses/ are/ with/ the/ patients/ for/ a/
longer/ time/ than/ the/ doctor.
d. In/ addition/ to/ caring/ for/ you/ while/ you/ are/ sick,/ the/ nurses/ will/ assist/ you/ to/ develop/ an/
individualized/ plan/ to/ maintain/ your/ health.
ANS:/ D
This/ response/ is/ consistent/ with/ the/ American/ Nurses/ Association/ (ANA)/ definition/ of/ nursing,/
which/ describes/ the/ role/ of/ nurses/ in/ promoting/ health./ The/ other/ responses/ describe/ some/ of/ the/ dependent/ and/
collaborative/ functions/ of/ the/ nursing/ role/ but/ do/ not/ accurately/ describe/ the/ nurses/ role/ in/ the/ health/ care/
system.
DIF:/ Cognitive/ Level:/ Understand/ (comprehension)
TOP:/ Nursing/ Process:/ Implementation/ MSC:/ NCLEX:/ Safe/ and/ Effective/ Care/ Environment
4. A/ patient/ who/ is/ paralyzed/ on/ the/ left/ side/ of/ the/ body/ after/ a/ stroke/ develops/ a/ pressure/ ulcer/ on/ the/ left/ hip/
Which/ nursing/ diagnosis/ is/ most/ appropriate?
a. Impaired/ physical/ mobility/ related/ to/ left-sided/ paralysis
b. Risk/ for/ impaired/ tissue/ integrity/ related/ to/ left-sided/ weakness
c. Impaired/ skin/ integrity/ related/ to/ altered/ circulation/ and/ pressure
d. Ineffective/ tissue/ perfusion/ related/ to/ inability/ to/ move/ independently
ANS:/ C
The/ patients/ major/ problem/ is/ the/ impaired/ skin/ integrity/ as/ demonstrated/ by/ the/ presence/ of/ a/ pressure/ ulcer./
The/ nurse/ is/ able/ to/ treat/ the/ cause/ of/ altered/ circulation/ and/ pressure/ by/ frequently/ repositioning/ the/ patient./
Although/ left-sided/ weakness/ is/ a/ problem/ for/ the/ patient,/ the/ nurse/ cannot/ treat/ the/ weakness./ The/
risk/ for/ diagnosis/ is/ not/ appropriate/ for/ this/ patient,/ who/ already/ has/ impaired/ tissue/ integrity./ The/ patient/ does/
have/ ineffective/ tissue/ perfusion,/ but/ the/ impaired/ skin/ integrity/ diagnosis/ indicates/ more/ clearly/ what/
the/ health/ problem/ is.
DIF:/ Cognitive/ Level:/ Apply/ (application)
TOP:/ Nursing/ Process:/ Diagnosis/ MSC:/ NCLEX:/ Physiological/ Integrity
5. A/ patient/ has/ been/ admitted/ to/ the/ hospital/ for/ surgery/ and/ tells/ the/ nurse,/ I/ do/ not/ feel/ comfortable/ leaving/
my/ children/ with/ my/ parents./ Which/ action/ should/ the/ nurse/ take/ next?
