TEST BANK FOR LEWIS'S MEDICAL-
SURGICAL NURSING, 13TH
EDITION BY HARDING; KWONG;
REINISCH| ALL CHAPTERS 1-69|
LATEST 2026
Lewis's Medical-Surgical Nursing, 13th Edition
Practice Examination — Harding, Kwong, Hagler & Reinisch
(2026)
ISBN: 9780443121791 | All Chapters 1–69 | Questions 1–50
Instructions: This examination consists of 50 multiple-choice questions drawn from the
Test Bank for the 13th Edition. Each question is followed by the correct answer and a
detailed rationale.
SECTION 1: CONCEPTS IN NURSING PRACTICE (Chapters 1–6)
Question 1
A nurse is caring for a hospitalized patient who expresses concern that the plan of care
was developed without considering personal preferences. Which nursing action best
demonstrates patient-centered care?
A. Following the provider's orders exactly as written
B. Involving the patient in decisions about treatment goals
,C. Limiting information to reduce patient anxiety
D. Deferring all questions to the health care provider
Answer: B
Rationale: Patient-centered care emphasizes respecting patient values, preferences, and
needs. Involving the patient in treatment decisions promotes shared decision-making
and improves outcomes .
Question 2
A newly licensed nurse asks about the primary purpose of professional licensure. Which
response by the nurse educator is most accurate?
A. To increase nurses' salaries
B. To establish workplace schedules
C. To protect the public by ensuring minimum competency
D. To guarantee employment opportunities
Answer: C
Rationale: Professional licensure protects the public by verifying that nurses meet
minimum standards of knowledge and competence .
Question 3
A nurse is caring for a patient whose condition has changed unexpectedly. Which action
best reflects clinical judgment?
A. Continuing the existing care plan without reassessment
B. Waiting for the next shift to report changes
C. Assessing the patient, analyzing findings, and determining appropriate
interventions
D. Immediately documenting the findings without further action
Answer: C
,Rationale: Clinical judgment involves recognizing changes, analyzing assessment data,
making decisions, and implementing interventions .
Question 4
A nurse is assigned to administer medications to four patients. Which patient should the
nurse assess first?
A. A patient scheduled for discharge later in the day
B. A patient reporting new-onset chest pressure
C. A patient requesting assistance with a meal tray
D. A patient waiting for routine morning medications
Answer: B
Rationale: New-onset chest pressure may indicate a life-threatening cardiac event and
requires immediate assessment. Prioritization requires addressing actual or potential
threats to life first .
Question 5
Which statement by a nurse best reflects professionalism?
A. "I only follow policies when someone is supervising me."
B. "I am responsible for maintaining competence and ethical practice."
C. "My primary responsibility is to complete assigned tasks."
D. "Professional development ends after licensure."
Answer: B
Rationale: Professionalism includes accountability for maintaining competence and
ethical practice throughout one's career .
, Question 6
A nurse is applying the principles of patient-centered care for a patient from a different
culture. Which action is most appropriate?
A. Base all screening solely on gender marker
B. Assume sexual practices from identity labels
C. Base screening and clinical decisions on anatomy, organs present, exposures,
and individual risk
D. Avoid preventive screening
Answer: C
Rationale: Risk-based, anatomy-informed care is more clinically appropriate than
assumptions based on identity labels .
SECTION 2: PROBLEMS RELATED TO COMFORT AND COPING
(Chapters 7–11)
Question 7
For a patient whose care relates to Stress Management, which statement reflects the
most appropriate nursing principle?
A. Ignore physical symptoms
B. Treat stress as always beneficial
C. Assume stress has only psychological effects
D. Recognize that prolonged stress can affect sleep, immunity, cardiovascular
function, and coping
Answer: D
Rationale: Chronic stress has physiologic as well as psychological consequences,
affecting multiple body systems .
Question 8
During care related to Stress Management, which action should the nurse take first?
SURGICAL NURSING, 13TH
EDITION BY HARDING; KWONG;
REINISCH| ALL CHAPTERS 1-69|
LATEST 2026
Lewis's Medical-Surgical Nursing, 13th Edition
Practice Examination — Harding, Kwong, Hagler & Reinisch
(2026)
ISBN: 9780443121791 | All Chapters 1–69 | Questions 1–50
Instructions: This examination consists of 50 multiple-choice questions drawn from the
Test Bank for the 13th Edition. Each question is followed by the correct answer and a
detailed rationale.
SECTION 1: CONCEPTS IN NURSING PRACTICE (Chapters 1–6)
Question 1
A nurse is caring for a hospitalized patient who expresses concern that the plan of care
was developed without considering personal preferences. Which nursing action best
demonstrates patient-centered care?
A. Following the provider's orders exactly as written
B. Involving the patient in decisions about treatment goals
,C. Limiting information to reduce patient anxiety
D. Deferring all questions to the health care provider
Answer: B
Rationale: Patient-centered care emphasizes respecting patient values, preferences, and
needs. Involving the patient in treatment decisions promotes shared decision-making
and improves outcomes .
Question 2
A newly licensed nurse asks about the primary purpose of professional licensure. Which
response by the nurse educator is most accurate?
A. To increase nurses' salaries
B. To establish workplace schedules
C. To protect the public by ensuring minimum competency
D. To guarantee employment opportunities
Answer: C
Rationale: Professional licensure protects the public by verifying that nurses meet
minimum standards of knowledge and competence .
Question 3
A nurse is caring for a patient whose condition has changed unexpectedly. Which action
best reflects clinical judgment?
A. Continuing the existing care plan without reassessment
B. Waiting for the next shift to report changes
C. Assessing the patient, analyzing findings, and determining appropriate
interventions
D. Immediately documenting the findings without further action
Answer: C
,Rationale: Clinical judgment involves recognizing changes, analyzing assessment data,
making decisions, and implementing interventions .
Question 4
A nurse is assigned to administer medications to four patients. Which patient should the
nurse assess first?
A. A patient scheduled for discharge later in the day
B. A patient reporting new-onset chest pressure
C. A patient requesting assistance with a meal tray
D. A patient waiting for routine morning medications
Answer: B
Rationale: New-onset chest pressure may indicate a life-threatening cardiac event and
requires immediate assessment. Prioritization requires addressing actual or potential
threats to life first .
Question 5
Which statement by a nurse best reflects professionalism?
A. "I only follow policies when someone is supervising me."
B. "I am responsible for maintaining competence and ethical practice."
C. "My primary responsibility is to complete assigned tasks."
D. "Professional development ends after licensure."
Answer: B
Rationale: Professionalism includes accountability for maintaining competence and
ethical practice throughout one's career .
, Question 6
A nurse is applying the principles of patient-centered care for a patient from a different
culture. Which action is most appropriate?
A. Base all screening solely on gender marker
B. Assume sexual practices from identity labels
C. Base screening and clinical decisions on anatomy, organs present, exposures,
and individual risk
D. Avoid preventive screening
Answer: C
Rationale: Risk-based, anatomy-informed care is more clinically appropriate than
assumptions based on identity labels .
SECTION 2: PROBLEMS RELATED TO COMFORT AND COPING
(Chapters 7–11)
Question 7
For a patient whose care relates to Stress Management, which statement reflects the
most appropriate nursing principle?
A. Ignore physical symptoms
B. Treat stress as always beneficial
C. Assume stress has only psychological effects
D. Recognize that prolonged stress can affect sleep, immunity, cardiovascular
function, and coping
Answer: D
Rationale: Chronic stress has physiologic as well as psychological consequences,
affecting multiple body systems .
Question 8
During care related to Stress Management, which action should the nurse take first?
