LEWIS MEDICAL-SURGICAL NURSING 10TH
EDITION ACTUAL TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ Which action promotes safe medication delivery?
Answer: Discarding a medication that is not labeled.
◉ What should a nurse do before administering a diuretic?
Answer: Check laboratory test results.
◉ What is an appropriate way to identify a patient before
medication administration?
Answer: Ask the patient's full name and date of birth.
◉ What is the role of the registered nurse regarding patient
education?
Answer: Registered nurses are responsible for patient education,
which is not included in the LPN/VN scope of practice.
◉ What is the significance of the nurse's role in monitoring care
delivered by others?
,Answer: Nurses are responsible for coordinating complex aspects of
patient care and identifying issues associated with poor quality care.
◉ What is the expected outcome of a patient in a transitional care
setting?
Answer: Continued rehabilitation before discharge to home or long-
term care.
◉ What does the nurse need to assess when delegating tasks?
Answer: The experience and stability of the patients.
◉ What is not a responsibility of the case manager?
Answer: Providing direct care in the acute or home setting.
◉ What should a nurse do if a patient develops a catheter-related
infection?
Answer: Understand that payment for care can be withheld if the
infection is considered preventable.
◉ What actions can improve patient safety?
Answer: Performing hand hygiene, disposing of unlabeled
medications, completing appropriate assessments before
administering medications, and providing a list of current medicines
to the patient and caregiver before discharge.
,◉ Which actions demonstrate nursing clinical judgment? (Select all
that apply)
Answer: Identifying priority problems, noticing a change in patient
status, assessing data about a patient situation, generating possible
solutions to a patient problem, and making decisions based on the
implications of a patient's situation.
◉ What is NOT an example of clinical judgment in nursing?
Answer: Memorizing the steps of a procedure.
◉ Which data from a patient's health history should the nurse focus
on for patient teaching?
Answer: Dietary fat intake, as it is a behavior that the patient can
change.
◉ What strategy can decrease health care disparities in a Hispanic
community?
Answer: Teaching clinic staff about cultural health beliefs.
◉ What information is considered a measure of community health?
Answer: The most common causes of death.
, ◉ How can a nurse demonstrate cultural competence when caring
for a patient with traditional Native American beliefs?
Answer: By asking the patient whether it is important that a cultural
healer is contacted.
◉ What respectful action should a nurse take when interviewing an
Asian patient?
Answer: Observe and follow the patient's use of eye contact.
◉ What should a nurse do if an interpreter is not available for a
patient who speaks a different language?
Answer: Use gestures or pictures to demonstrate meaning.
◉ How should a nurse incorporate culturally based treatments in a
patient's care plan?
Answer: Coordinate the use of requested treatments with prescribed
medical therapies.
◉ What intervention is considered appropriate across most
cultures?
Answer: Ask permission before touching a patient during the
physical assessment.
EDITION ACTUAL TEST PAPER QUESTIONS AND
SOLUTIONS GRADED A+
◉ Which action promotes safe medication delivery?
Answer: Discarding a medication that is not labeled.
◉ What should a nurse do before administering a diuretic?
Answer: Check laboratory test results.
◉ What is an appropriate way to identify a patient before
medication administration?
Answer: Ask the patient's full name and date of birth.
◉ What is the role of the registered nurse regarding patient
education?
Answer: Registered nurses are responsible for patient education,
which is not included in the LPN/VN scope of practice.
◉ What is the significance of the nurse's role in monitoring care
delivered by others?
,Answer: Nurses are responsible for coordinating complex aspects of
patient care and identifying issues associated with poor quality care.
◉ What is the expected outcome of a patient in a transitional care
setting?
Answer: Continued rehabilitation before discharge to home or long-
term care.
◉ What does the nurse need to assess when delegating tasks?
Answer: The experience and stability of the patients.
◉ What is not a responsibility of the case manager?
Answer: Providing direct care in the acute or home setting.
◉ What should a nurse do if a patient develops a catheter-related
infection?
Answer: Understand that payment for care can be withheld if the
infection is considered preventable.
◉ What actions can improve patient safety?
Answer: Performing hand hygiene, disposing of unlabeled
medications, completing appropriate assessments before
administering medications, and providing a list of current medicines
to the patient and caregiver before discharge.
,◉ Which actions demonstrate nursing clinical judgment? (Select all
that apply)
Answer: Identifying priority problems, noticing a change in patient
status, assessing data about a patient situation, generating possible
solutions to a patient problem, and making decisions based on the
implications of a patient's situation.
◉ What is NOT an example of clinical judgment in nursing?
Answer: Memorizing the steps of a procedure.
◉ Which data from a patient's health history should the nurse focus
on for patient teaching?
Answer: Dietary fat intake, as it is a behavior that the patient can
change.
◉ What strategy can decrease health care disparities in a Hispanic
community?
Answer: Teaching clinic staff about cultural health beliefs.
◉ What information is considered a measure of community health?
Answer: The most common causes of death.
, ◉ How can a nurse demonstrate cultural competence when caring
for a patient with traditional Native American beliefs?
Answer: By asking the patient whether it is important that a cultural
healer is contacted.
◉ What respectful action should a nurse take when interviewing an
Asian patient?
Answer: Observe and follow the patient's use of eye contact.
◉ What should a nurse do if an interpreter is not available for a
patient who speaks a different language?
Answer: Use gestures or pictures to demonstrate meaning.
◉ How should a nurse incorporate culturally based treatments in a
patient's care plan?
Answer: Coordinate the use of requested treatments with prescribed
medical therapies.
◉ What intervention is considered appropriate across most
cultures?
Answer: Ask permission before touching a patient during the
physical assessment.
