Updated/Latest Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems 11th Edition by Mariann M Harding Jeffrey Kwong Debra Hagler and Courtney Reinisch 2025–2026 Comprehensive Test Bank Questions and Answers for Medical Su

Lewis's Medical-Surgical Nursing: Assessment F T. F T. T.
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and Management of Clinical Problems 11th
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Edition TESTBANK FT.




Table of Contents FT. T.
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Chapter 1. Professional Nursing T.
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MULTIPLE CHOICE F T.




1. The nurse completes an admission database and explains that the plan of care
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a. The role of the nurse is to administer medications and other treatments
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b. The nurses job is to help the doctor by collecting information
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c. Nurses perform many of the same procedures as the doctor, but FT. F T. F T. F T. T.
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d. In addition to caring for you while you are sick, the nurses will
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ANS: D F T.




This response is consistent with the American Nurses Association (ANA) definition
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of nursing, which describes the role of nurses in promoting health. The other
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responses describe some of the dependent and collaborative functions of the nursing
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role but do not accurately describe the nurses role in the health care system.
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DIF: Cognitive Level: Understand (comprehension) REF: 3
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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,2. The nurse describes to a student nurse how to use evidence-based practice
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a. Inferences from clinical research studies are used as a guide. T.
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b. Patient care is based on clinical judgment, experience, and traditions.
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c. Data are evaluated to show that the patient outcomes are consistently
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d. Recommendations are based on research, clinical expertise, and patient T.
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ANS: D T.
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Evidence-based practice (EBP) is the use of the best research-based evidence F T. T.
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combined with clinician expertise. Clinical judgment based on the nurses clinical
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experience is part of EBP, but clinical decision making should also incorporate
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current research and research-based guidelines. Evaluation of patient outcomes is
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important, but interventions should be based on research from randomized control
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studies with a large number of subjects.
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DIF: Cognitive Level: Remember (knowledge) REF: 11
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TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
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3. The nurse teaches a student nurse about how to apply the nursing process when
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a. The nursing process is a scientific-based method of diagnosing the
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b. The nursing process is a problem-solving tool used to identify and treat
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c. The nursing process is based on nursing theory that incorporates the
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, d. The nursing process is used primarily to explain nursing interventions
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ANS: B F T.




The nursing process is a problem-solving approach to the identification and
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treatment of patients problems. Diagnosis is only one phase of the nursing process.
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The primary use of the nursing process is in patient care, not to establish nursing
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theory or explain nursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (comprehension) REF: 7
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TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient has been admitted to the hospital for surgery and tells the nurse, I do
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a. Reassure the patient that these feelings are common for parents. T.
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b. Have the patient call the children to ensure that they are doing well.
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c. Gather more data about the patients feelings about the child-care T.
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d. Call the patients parents to determine whether adequate child care
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ANS: C F T.




Since a complete assessment is necessary in order to identify a problem and choose
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an appropriate intervention, the nurses first action should be to obtain more
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information. The other actions may be appropriate, but more assessment is needed
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before the best intervention can be chosen.
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DIF: Cognitive Level: Apply (application) REF: 6-7
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OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
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, MSC: NCLEX: Psychosocial Integrity T.
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5. A patient who is paralyzed on the left side of the body after a stroke develops
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a. Impaired physical mobility related to left-sided paralysis T.
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b. Risk for impaired tissue integrity related to left-sided weakness
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c. Impaired skin integrity related to altered circulation and pressure T.
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d. Ineffective tissue perfusion related to inability to move independently T.
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ANS: C T.
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The patients major problem is the impaired skin integrity as demonstrated by the
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presence of a pressure ulcer. The nurse is able to treat the cause of altered
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circulation and pressure by frequently repositioning the patient. Although left-sided
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weakness is a problem for the patient, the nurse cannot treat the weakness. The risk
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for diagnosis is not appropriate for this patient, who already has impaired tissue
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integrity. The patient does have ineffective tissue perfusion, but the impaired skin
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integrity diagnosis indicates more clearly what the health problem is.
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DIF: Cognitive Level: Apply (application) REF: 7-9
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TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
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6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid
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a. Patient has a balanced intake and output. T.
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b. Patients bedding is changed when it becomes damp. FT. F T. T.
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c. Patient understands the need for increased fluid intake. T.
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d. Patients skin remains cool and dry throughout hospitalization. FT. FT. T.
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ANS: A T.
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