Test Bank For Lewis's Medical- Surgical Nursing,
12th Edition by Mariann M. Harding, Jeffrey
Kwong, Debra Hagler
, Chapter 01: Professional Nursing
Harding: /HZLV¶V Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. A nurse gathers patient information during admission and explains that the care plan and discharge objectives
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Correct Answer: B
The American Nurses Association (ANA) defines nursing as promoting health. The other options describe
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2. Which statement best explains evidence-based practice (EBP)?
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Correct Answer: D
EBP integrates the best research evidence, clinical expertise, and patient choices. While clinical experience is
valuable, decisions should also incorporate up-to-date research. Not all published studies provide credible
evidence, and patient outcomes should be evaluated during care, not just afterward.
3. How should a nurse explain the nursing process?
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,Correct Answer: C
The nursing process is a structured approach to assessing and addressing patient problems. It is not a research
method, primarily for explaining care to others, or a theory-based model.
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What should the nurse do first?
a. Assure the patient that such feelings are common.
b. Suggest that the patient call the children to check on them.
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Correct Answer: C
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helpful, but they should come after understanding the issue.
5. A patient with a bacterial infection is experiencing fluid loss due to fever and sweating. What is the most
appropriate expected outcome for this patient?
a. The patient maintains a balanced fluid intake and output.
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c. The patient understands the need for increased fluid intake.
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Correct Answer: A
Balanced fluid intake and output provide measurable evidence that dehydration has been addressed. The other
statements do not directly confirm that the fluid deficit has been resolved.
6. What is the primary goal of the evaluation phase in the nursing process?
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b. To assess whether interventions have effectively met patient goals.
c. To determine if all health problems have been resolved.
d. To confirm that the patient is satisfied with the care provided.
, Correct Answer: B
The evaluation phase determines if nursing interventions have successfully achieved patient outcomes. The other
options do not accurately describe this phase.
7. What is the main purpose of the assessment phase in the nursing process?
a. To teach interventions that help manage health problems.
b. To use patient data to evaluate the effectiveness of care.
c. To collect information to identify patient strengths and issues.
d. To assist the patient in setting achievable health goals.
Correct Answer: C
During assessment, the nurse gathers data to determine patient needs and strengths. The other options refer to
different phases of the nursing process.
8. When developing a plan of care, what should be included in the clinical problem statement?
a. The problem along with the proposed patient goals or outcomes.
b. The problem, its causes, and the associated signs and symptoms.
c. The problem, the likely causes, and the planned interventions.
d. The problem, its underlying pathology, and the expected outcome.
Correct Answer: B
A clinical problem statement should include the problem itself, contributing factors, and observable signs and
symptoms. Goals, interventions, and pathophysiology are not part of this statement.
9. Which task can the nurse assign to experienced assistive personnel (AP)?
a. Teach the patient about balancing activity and rest.
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d. Determine if the patient is ready to increase their activity level.
Correct Answer: C
APs are trained to take vital signs, but DVVHVVPHQWDQGSDWLHQWHGXFDWLRQUHTXLUHDQXUVH¶VH[SHUWLVH
12th Edition by Mariann M. Harding, Jeffrey
Kwong, Debra Hagler
, Chapter 01: Professional Nursing
Harding: /HZLV¶V Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. A nurse gathers patient information during admission and explains that the care plan and discharge objectives
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GRHV"´+RZVKRXOGWKHQXUVHUHVpond?
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G³1XUVHVSHUIRUPPDQ\SURFHGXUHVVLPLODUWRGRFWRUVEXWVSHQGPRUHWLPHZLWKSDWLHQWV´
Correct Answer: B
The American Nurses Association (ANA) defines nursing as promoting health. The other options describe
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2. Which statement best explains evidence-based practice (EBP)?
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E³$IWHUSDWLHQWFDUHGDWDLVUHYLHZHGWRFRQILUPWKDWRXWFRPHVDUHFRQVLVWHQWO\DFKLHYHG´
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G³'HFLVLRQVDUHPDGHXVLQJUHVHDUFKILQGLQJVFOLQLFDOH[SHUWLVHDQGSDWLHQWSUHIHUHQFHV´
Correct Answer: D
EBP integrates the best research evidence, clinical expertise, and patient choices. While clinical experience is
valuable, decisions should also incorporate up-to-date research. Not all published studies provide credible
evidence, and patient outcomes should be evaluated during care, not just afterward.
3. How should a nurse explain the nursing process?
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,Correct Answer: C
The nursing process is a structured approach to assessing and addressing patient problems. It is not a research
method, primarily for explaining care to others, or a theory-based model.
4. $SDWLHQWVFKHGXOHGIRUVXUJHU\WHOOVWKHQXUVH³,GRQ¶WIHHOFRPIRUWDEOHOHDYLQJP\FKLOGUHQZLWKP\SDUHQWV´
What should the nurse do first?
a. Assure the patient that such feelings are common.
b. Suggest that the patient call the children to check on them.
F*DWKHUPRUHGHWDLOVDERXWWKHSDWLHQW¶VFRQFHUQVUHJDUGLQJFKLOGFDUH
G&RQWDFWWKHSDWLHQW¶VSDUHQWVWRYHULI\the quality of childcare.
Correct Answer: C
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helpful, but they should come after understanding the issue.
5. A patient with a bacterial infection is experiencing fluid loss due to fever and sweating. What is the most
appropriate expected outcome for this patient?
a. The patient maintains a balanced fluid intake and output.
E7KHSDWLHQW¶VEHGGLQJUHPDLQVFOHDQDQGGU\
c. The patient understands the need for increased fluid intake.
G7KHSDWLHQW¶VVNLQUHPDLQVFRRODQGGU\WKURXJKRXWKRVSLWDOL]DWLRQ
Correct Answer: A
Balanced fluid intake and output provide measurable evidence that dehydration has been addressed. The other
statements do not directly confirm that the fluid deficit has been resolved.
6. What is the primary goal of the evaluation phase in the nursing process?
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b. To assess whether interventions have effectively met patient goals.
c. To determine if all health problems have been resolved.
d. To confirm that the patient is satisfied with the care provided.
, Correct Answer: B
The evaluation phase determines if nursing interventions have successfully achieved patient outcomes. The other
options do not accurately describe this phase.
7. What is the main purpose of the assessment phase in the nursing process?
a. To teach interventions that help manage health problems.
b. To use patient data to evaluate the effectiveness of care.
c. To collect information to identify patient strengths and issues.
d. To assist the patient in setting achievable health goals.
Correct Answer: C
During assessment, the nurse gathers data to determine patient needs and strengths. The other options refer to
different phases of the nursing process.
8. When developing a plan of care, what should be included in the clinical problem statement?
a. The problem along with the proposed patient goals or outcomes.
b. The problem, its causes, and the associated signs and symptoms.
c. The problem, the likely causes, and the planned interventions.
d. The problem, its underlying pathology, and the expected outcome.
Correct Answer: B
A clinical problem statement should include the problem itself, contributing factors, and observable signs and
symptoms. Goals, interventions, and pathophysiology are not part of this statement.
9. Which task can the nurse assign to experienced assistive personnel (AP)?
a. Teach the patient about balancing activity and rest.
b. 0RQLWRUWKHSDWLHQW¶VVKRUWQHVVRIEUHDWKDIWHUZDONLQJ
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d. Determine if the patient is ready to increase their activity level.
Correct Answer: C
APs are trained to take vital signs, but DVVHVVPHQWDQGSDWLHQWHGXFDWLRQUHTXLUHDQXUVH¶VH[SHUWLVH
