Updated/Latest Lewis’s Medical-Surgical Nursing 12th Edition Harding Test Bank Chapters 1–69 Comprehensive Examination Questions and Answers Study Guide for Adult Health Nursing Medical Surgical Care Pathophysiology Clinical Reasoning Patient Assessment N

Lewis’s Medical Surgical Nursing 12th Edition Harding
Tes Bank Chapter 1 - 69 Updated 2025
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,Lewis’s Medical Surgical Nursing 12th Edition Harding Tes Bank J




Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition


MULTIPLE CHOICE

1. The nurse completes an admission database and explains that the plan of care and discharge goals
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will be developed with the patient‗s input. The patient asks, ―How is this different from what the
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physician does?‖ Which response would the nurse provide? J J J J J J J




a. ―Theroleofthenurseistoadministermedicationsandothertreatmentsprescribed by
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your physician.‖ J




b. ―Inadditiontocaringfor youwhile you aresick,thenurseswillhelp youplanto
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maintain your health.‖ J J




c. ―Thenurse‗sjob is to collect informationand communicate anyproblems that
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occur to the physician.‖ J J J




d. ―Nursesperformmanyofthesameproceduresasthephysician,butnursesare with J J J J J J J J J J J J J J




the patients for a longer time than the physician.‖
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ANS: B J




The American Nurses Association (ANA) definition of nursing describes the role of nurses in
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promoting health. The other responses describe dependent and collaborative functions of the
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nursing role but do not accurately describe the nurse‗s unique role in the health care system.
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DIF: CognitiveLevel:Analyze(Analysis)
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TOP: NursingProcess: Implementation
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2. Whichstatement bythe nurse accuratelydescribes the use of evidence-based practice (EBP)?
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a. ―Patient careis basedon clinical judgment, experience, and traditions.‖ J J J J J J J J J




b. ―Dataareanalyzed latertoshowthatthepatientoutcomesareconsistentlymet.‖J J J J J J J J J J J J




c. ―Research fromallpublishedarticlesareusedasaguideforplanningpatientcare.‖ J J J J J J J J J J J J J




d. ―Recommendations are based on research, clinical expertise, and patient J J J J J J J J JJ




preferences.‖
ANS: D J




Evidence-based practice (EBP) is the use ofthe best research-based evidence combined with J J J J J J J J J J J J J




clinician expertise and consideration of patient preferences. Clinical judgment based on the
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nurse‗s clinical experience is part of EBP, but clinical decision making should also incorporate
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current researchandresearch-based guidelines.Evaluationofpatient outcomesis important, but
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data analysis is not required to use EBP. All published articles do not provide researchevidence;
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interventions should bebasedoncredible research, preferablyrandomized controlled studies with
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a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) J J J TOP:NursingProcess:Planning J J J J




MSC: NCLEX: Safe and Effective Care Environment
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3. Which statement bythe nurse provides a clear explanation ofthe nursingprocess?
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a. ―Thenursingprocess is a research method ofdiagnosingthe patient‗s health care
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problems.‖
b. ―Thenursingprocessisusedprimarilytoexplainnursinginterventionstoother
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health care professionals.‖ J J




c. ―Thenursingprocessis aproblem-solvingtoolusedtoidentifyandmanage the
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, patients‗healthcareneeds.‖ J J J




d. ―Thenursingprocessis basedonnursingtheorythat incorporatesthe
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biopsychosocial nature of humans.‖ J J J




ANS: C J




The nursing process is a problem-solving approach to the identification and treatment of
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patients‗ problems. Nursing process does not require research methods for diagnosis. The
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primaryuseofthe nursingprocess is in patient care, not to establish nursing theoryor explain
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nursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (Comprehension) J J J TOP:NursingProcess:Evaluation J J J J




MSC: NCLEX: Safe and Effective Care Environment
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4. Apatientadmittedtothehospitalforsurgerytellsthenurse,―Idonotfeelcomfortable
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leaving my children with my parents.‖ Which action would the nurse take next?
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a. Reassurethe patient that these feelings are common forparents. J J J J J J J J J




b. Havethe patient call the children to ensure that theyaredoing well.
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c. Gather informationonthepatient‗s concerns aboutthechildcarearrangements.
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d. Callthepatient‗sparents todeterminewhether adequatechild careisbeing
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provided.
ANS: C J




Because a complete assessment is necessary in order to identify a problem and choose an
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appropriate intervention, the nurse‗s first action should be to obtain more information. The other
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actions maybe appropriate, but moreassessment is needed beforethe best intervention can be
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chosen.

DIF: CognitiveLevel:Analyze (Analysis) J J J




TOP: NursingProcess: Assessment
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5. Apatient witha bacterial infectionis hypovolemic duetoa fever and excessivediaphoresis.
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Which expected outcome would the nurse select for this patient?
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a. Patient has abalanced intakeand output. J J J J J J




b. Patient‗sbeddingiskept cleanandfreeofmoisture. J J J J J J J J




c. Patient understands the need for increased fluid intake. J J J J J J J




d. Patient‗sskinremainscoolanddrythroughouthospitalization. J J J J J J J




ANS: A J




Balanced intake andoutputgives measurabledata showingresolution ofthe problemof deficient
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fluid volume. The other statements would not indicate that the problem of hypovolemia was
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resolved.

DIF: Cognitive Level: Apply (Application) J J J TOP:NursingProcess:Planning J J J J




MSC: NCLEX: Physiological Integrity
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6. Whichstatement describes the purpose ofthe evaluation phase of the nursingprocess?
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a. Todocument the nursing care plan in the progress notes ofthe health record
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b. Todetermine ifinterventions havebeen effective in meetingpatient outcomes
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c. Todecide whetherthe patient‗s healthproblems have been completelyresolved
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d. Toestablish if thepatient agrees that the nursingcareprovided was satisfactory
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ANS: B J

, Evaluation consists of determining whether the desired patient outcomes have been met and
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whether the nursing interventions were appropriate. The other responses do not describe the
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evaluation phase. J




DIF: Cognitive Level: Understand (Comprehension)
J J J J TOP: Nursing Process: Evaluation
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MSC: NCLEX: Safe and Effective Care Environment
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7. Whichstatement describes the purpose ofthe assessment phase ofthe nursingprocess?
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a. Toteachinterventions that relieve health problems
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b. To usepatient data to evaluatepatient careoutcomes
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c. Toobtaindatato diagnosepatient strengths and problems
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d. Tohelp the patient identifyrealisticoutcomes for health problems
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ANS: C J




Duringtheassessment phase, the nurse gathers informationabout thepatient todiagnose patient
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strengths and problems. The other responses are examples of the planning, intervention, and
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evaluation phases of the nursing process. J J J J J




DIF: CognitiveLevel:Understand(Comprehension) J J J




TOP: NursingProcess: Assessment
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8. Whendevelopingthe plan ofcare, which components wouldthe nurseinclude in theclinical
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problem statement? J




a. Theproblem andthe suggested patient goals or outcomes
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b. Theproblem, its causes, andthe signs and symptoms ofthe problem
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c. Theproblem with thepossible etiologyand the planned interventions
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d. Theproblem, its pathophysiology, and the expected outcome
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ANS: B J




When writing clinical problems or nursing diagnoses, the subjective as well as objective data to
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support the problem‗s existence should be included. Goals, outcomes, and interventions are not
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included in the problem statement. J J J J




DIF: Cognitive Level: Understand (Comprehension) J J J TOP:NursingProcess:DiagnosisJ J J J




MSC: NCLEX: Safe and Effective Care Environment
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9. Whichpatient caretask would the nursedelegate to experienced assistive personnel (AP)?
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a. Instruct thepatient about the need to alternate activityand rest. J J J J J J J J J J




b. Monitor level ofshortness ofbreath or fatigue after ambulation. J J J J J J J J J




c. Obtainthepatient‗sbloodpressureandpulserate after ambulation.
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d. Determinewhether the patient is readyto increase the activitylevel. J J J J J J J J J J




ANS: C J




APeducationincludes accuratevitalsign measurement.Assessmentandpatient teaching require
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registered nurse education and scope of practice and cannot be delegated.
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DIF: Cognitive Level: Apply (Application) J J J TOP:NursingProcess:Planning J J J J




MSC: NCLEX: Safe and Effective Care Environment
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