TEST BANK FOR LEWIS MEDICAL SURGICAL
NURSING 11TH EDITION BY HARDING QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
Q&A 2027 |INSTANT DOWNLOAD PDF
1. Which assessment finding is most concerning in a patient
with acute respiratory distress?
A. Respiratory rate of 22/min
B. Oxygen saturation of 88%
C. Mild productive cough
D. Temperature of 37.4°C
Correct answer: B. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% indicates hypoxemia
and requires prompt assessment and intervention.
2. Which action is most appropriate when assessing a
patient's pain?
A. Assume pain is absent if the patient is smiling
B. Use a standardized pain scale
C. Ask the family to rate the patient's pain
D. Assess pain only after medication is given
Correct answer: B. Use a standardized pain scale
,Rationale: A standardized pain scale provides a consistent
method for assessing pain intensity.
3. Which electrolyte imbalance is associated with muscle
weakness and cardiac dysrhythmias?
A. Hypokalemia
B. Hypernatremia
C. Hypercalcemia
D. Hypermagnesemia
Correct answer: A. Hypokalemia
Rationale: Low potassium can impair neuromuscular function
and cardiac conduction.
4. Which finding is characteristic of fluid volume deficit?
A. Bounding pulse
B. Peripheral edema
C. Orthostatic hypotension
D. Jugular venous distention
Correct answer: C. Orthostatic hypotension
Rationale: Reduced circulating volume can cause hypotension,
tachycardia, and orthostatic changes.
5. Which intervention helps prevent pressure injuries in an
immobile patient?
A. Massage reddened areas
B. Reposition the patient regularly
C. Keep the skin continuously moist
D. Place the patient in one position
,Correct answer: B. Reposition the patient regularly
Rationale: Frequent repositioning reduces prolonged pressure
over bony prominences.
6. Which assessment finding is commonly associated with
hypoglycemia?
A. Dry skin
B. Bradycardia
C. Diaphoresis
D. Deep respirations
Correct answer: C. Diaphoresis
Rationale: Sweating, tremors, hunger, and tachycardia are
common manifestations of hypoglycemia.
7. A patient with diabetes is conscious and has a blood glucose
of 54 mg/dL. What should the nurse do first?
A. Administer rapid-acting oral carbohydrate
B. Give long-acting insulin
C. Restrict oral fluids
D. Encourage exercise
Correct answer: A. Administer rapid-acting oral carbohydrate
Rationale: A conscious patient with hypoglycemia should
receive a rapidly absorbed carbohydrate.
8. Which finding suggests an upper gastrointestinal bleed?
A. Hematuria
B. Melena
, C. Dysuria
D. Clay-colored stool
Correct answer: B. Melena
Rationale: Black, tarry stool can indicate digested blood from
an upper gastrointestinal source.
9. Which assessment is most important for a patient receiving
opioid analgesics?
A. Bowel sounds
B. Respiratory rate
C. Skin temperature
D. Visual acuity
Correct answer: B. Respiratory rate
Rationale: Opioids can cause respiratory depression, making
respiratory assessment a priority.
10. Which intervention reduces the risk of postoperative
atelectasis?
A. Limiting mobility
B. Encouraging incentive spirometry
C. Maintaining supine positioning
D. Restricting coughing
Correct answer: B. Encouraging incentive spirometry
Rationale: Incentive spirometry promotes lung expansion and
helps prevent atelectasis.
NURSING 11TH EDITION BY HARDING QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS)
Q&A 2027 |INSTANT DOWNLOAD PDF
1. Which assessment finding is most concerning in a patient
with acute respiratory distress?
A. Respiratory rate of 22/min
B. Oxygen saturation of 88%
C. Mild productive cough
D. Temperature of 37.4°C
Correct answer: B. Oxygen saturation of 88%
Rationale: An oxygen saturation of 88% indicates hypoxemia
and requires prompt assessment and intervention.
2. Which action is most appropriate when assessing a
patient's pain?
A. Assume pain is absent if the patient is smiling
B. Use a standardized pain scale
C. Ask the family to rate the patient's pain
D. Assess pain only after medication is given
Correct answer: B. Use a standardized pain scale
,Rationale: A standardized pain scale provides a consistent
method for assessing pain intensity.
3. Which electrolyte imbalance is associated with muscle
weakness and cardiac dysrhythmias?
A. Hypokalemia
B. Hypernatremia
C. Hypercalcemia
D. Hypermagnesemia
Correct answer: A. Hypokalemia
Rationale: Low potassium can impair neuromuscular function
and cardiac conduction.
4. Which finding is characteristic of fluid volume deficit?
A. Bounding pulse
B. Peripheral edema
C. Orthostatic hypotension
D. Jugular venous distention
Correct answer: C. Orthostatic hypotension
Rationale: Reduced circulating volume can cause hypotension,
tachycardia, and orthostatic changes.
5. Which intervention helps prevent pressure injuries in an
immobile patient?
A. Massage reddened areas
B. Reposition the patient regularly
C. Keep the skin continuously moist
D. Place the patient in one position
,Correct answer: B. Reposition the patient regularly
Rationale: Frequent repositioning reduces prolonged pressure
over bony prominences.
6. Which assessment finding is commonly associated with
hypoglycemia?
A. Dry skin
B. Bradycardia
C. Diaphoresis
D. Deep respirations
Correct answer: C. Diaphoresis
Rationale: Sweating, tremors, hunger, and tachycardia are
common manifestations of hypoglycemia.
7. A patient with diabetes is conscious and has a blood glucose
of 54 mg/dL. What should the nurse do first?
A. Administer rapid-acting oral carbohydrate
B. Give long-acting insulin
C. Restrict oral fluids
D. Encourage exercise
Correct answer: A. Administer rapid-acting oral carbohydrate
Rationale: A conscious patient with hypoglycemia should
receive a rapidly absorbed carbohydrate.
8. Which finding suggests an upper gastrointestinal bleed?
A. Hematuria
B. Melena
, C. Dysuria
D. Clay-colored stool
Correct answer: B. Melena
Rationale: Black, tarry stool can indicate digested blood from
an upper gastrointestinal source.
9. Which assessment is most important for a patient receiving
opioid analgesics?
A. Bowel sounds
B. Respiratory rate
C. Skin temperature
D. Visual acuity
Correct answer: B. Respiratory rate
Rationale: Opioids can cause respiratory depression, making
respiratory assessment a priority.
10. Which intervention reduces the risk of postoperative
atelectasis?
A. Limiting mobility
B. Encouraging incentive spirometry
C. Maintaining supine positioning
D. Restricting coughing
Correct answer: B. Encouraging incentive spirometry
Rationale: Incentive spirometry promotes lung expansion and
helps prevent atelectasis.
