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Lewis's Medical-Surgical Nursing 11th Edition Test Bank | 2025 Updated NCLEX Practice Questions | 68 Chapters With Rationales

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This comprehensive test bank for Lewis's Medical-Surgical Nursing, 11th Edition (Harding) provides an essential collection of over 2,500 NCLEX-style practice questions covering all 68 chapters of the textbook. Updated for 2025, this resource includes multiple-choice questions, alternate-format items, and detailed answer rationales that explain the reasoning behind correct and incorrect answers. The test bank covers every major body system and nursing concept including professional nursing practice, health equity, patient education, chronic illness, pain management, palliative care, fluid and electrolyte balance, perioperative care, cardiovascular disorders, respiratory conditions, gastrointestinal problems, endocrine disorders, neurological conditions, musculoskeletal issues, critical care, shock, and emergency nursing. Each question is designed to enhance clinical judgment and critical thinking skills essential for success on the NCLEX-RN examination. The rationales identify cognitive levels, nursing process steps, and NCLEX categories, making this an invaluable study tool for nursing students, educators, and practicing nurses preparing for certification. With questions ranging from basic recall to complex clinical scenarios, this resource helps bridge the gap between theoretical knowledge and practical application in medical-surgical nursing practice.

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Lewis\\\'s Medical-Surgical Nursing 11th Edition
Course
Lewis\\\'s Medical-Surgical Nursing 11th Edition

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,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 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

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Institution
Lewis\\\'s Medical-Surgical Nursing 11th Edition
Course
Lewis\\\'s Medical-Surgical Nursing 11th Edition

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Uploaded on
June 16, 2026
Number of pages
1110
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • nursing test prep
  • medical surgical
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