TEST BANK
Lewis's Medical-Surgical Nursing: Assessment and
Management of Clinical Problems
Mariann M. Harding, Jeffrey Kwong, Debra Hagler, and Courtney Reinisch
12th Edition
,Table of Contents
Chapter 01 Professional Nursing 1
Chapter 02 Social Determinants of Health 9
Chapter 03 Health History and Physical Examination 15
Chapter 04 Patient and Caregiver Teaching 21
Chapter 05 Chronic Illness and Older Adults 29
Chapter 06 Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and
Gender Diverse Patients 38
Chapter 07 Stress Management 43
Chapter 08 Sleep and Sleep Disorders 48
Chapter 09 Pain 53
Chapter 10 Palliative and End-of-Life Care 63
Chapter 11 Substance Use Disorders in Acute Care 70
Chapter 12 Inflammation and Healing 79
Chapter 13 Genetics 87
Chapter 14 Immune Responses and Transplantation 90
Chapter 15 Infection 99
Chapter 16 Cancer 110
Chapter 17 Fluid, Electrolyte, and Acid-Base Imbalances 125
Chapter 18 Preoperative Care 139
Chapter 19 Intraoperative Care 146
Chapter 20 Postoperative Care 153
Chapter 21 Emergency and Disaster Nursing 162
Chapter 22 Assessment and Management Visual Problems 171
Chapter 23 Assessment and Management Auditory Problems 186
Chapter 24 Assessment Integumentary System 194
Chapter 25 Integumentary Problems 199
Chapter 26 Burns 208
Chapter 27 Assessment Respiratory System 219
Chapter 28 Supporting Ventilation 228
Chapter 29 Upper Respiratory Problems 239
Chapter 30 Lower Respiratory Problems 247
Chapter 31 Obstructive Pulmonary Diseases 264
Chapter 32 Acute Respiratory Failure and Acute Respiratory Distress Syndrome 278
Chapter 33 Assessment Hematologic System 288
Chapter 34 Hematologic Problems 294
Chapter 35 Assessment Cardiovascular System 310
Chapter 36 Hypertension 322
Chapter 37 Coronary Artery Disease and Acute Coronary Syndrome 331
Chapter 38 Heart Failure 346
Chapter 39 Dysrhythmias 356
Chapter 40 Inflammatory and Structural Heart Disorders 366
,Chapter 41 Vascular Disorders 378
Chapter 42 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 391
Chapter 43 Assessment Gastrointestinal System 403
Chapter 44 Nutrition Problems 409
Chapter 45 Obesity 417
Chapter 46 Upper Gastrointestinal Problems 424
Chapter 47 Lower Gastrointestinal Problems 438
Chapter 48 Liver, Biliary Tract, and Pancreas Problems 456
Chapter 49 Assessment Urinary System 471
Chapter 50 Renal and Urologic Problems 479
Chapter 51 Acute Kidney Injury and Chronic Kidney Disease 494
Chapter 52 Assessment Endocrine System 507
Chapter 53 Diabetes 515
Chapter 54 Endocrine Problems 532
Chapter 55 Assessment Reproductive System 548
Chapter 56 Breast Problems 553
Chapter 57 Sexually Transmitted Infections 563
Chapter 58 Female Reproductive Problems 571
Chapter 59 Male Reproductive Problems 585
Chapter 60 Assessment Nervous System 598
Chapter 61 Acute Intracranial Problems 605
Chapter 62 Stroke 620
Chapter 63 Chronic Neurologic Problems 630
Chapter 64 Dementia and Delirium 642
Chapter 65 Spinal Cord and Peripheral Nerve Problems 650
Chapter 66 Assessment Musculoskeletal System 661
Chapter 67 Musculoskeletal Trauma and Orthopedic Surgery 667
Chapter 68 Musculoskeletal Problems 682
Chapter 69 Arthritis and Connective Tissue Diseases 690
, ______________________________________________________________________________________________
Test Bank - Lewis's Medical Surgical Nursing, 12th Edition (Harding, 2023)
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. The patient asks, “How is this different
from what the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your physician.”
b. “In addition to caring for you while you are sick, the nurses will help you plan to
maintain your health.”
c. “The nurse‘s job is to collect information and communicate any problems that
occur to the physician.”
d. “Nurses perform many of the same procedures as the physician, but nurses are
with the patients for a longer time than the physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses
in promoting health. The other responses describe dependent and collaborative functions of
the nursing role but do not accurately describe the nurse‘s unique role in the health care
system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation
WWW.TBSM.WS
MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice
(EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient care.”
d. “Recommendations are based on research, clinical expertise, and patient
preferences.”
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the
nurse‘s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes
is important, but data analysis is not required to use EBP. All published articles do not
provide research evidence; interventions should be based on credible research, preferably
randomized controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
______________________________________________________________________________________________
1|Page
Lewis's Medical-Surgical Nursing: Assessment and
Management of Clinical Problems
Mariann M. Harding, Jeffrey Kwong, Debra Hagler, and Courtney Reinisch
12th Edition
,Table of Contents
Chapter 01 Professional Nursing 1
Chapter 02 Social Determinants of Health 9
Chapter 03 Health History and Physical Examination 15
Chapter 04 Patient and Caregiver Teaching 21
Chapter 05 Chronic Illness and Older Adults 29
Chapter 06 Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and
Gender Diverse Patients 38
Chapter 07 Stress Management 43
Chapter 08 Sleep and Sleep Disorders 48
Chapter 09 Pain 53
Chapter 10 Palliative and End-of-Life Care 63
Chapter 11 Substance Use Disorders in Acute Care 70
Chapter 12 Inflammation and Healing 79
Chapter 13 Genetics 87
Chapter 14 Immune Responses and Transplantation 90
Chapter 15 Infection 99
Chapter 16 Cancer 110
Chapter 17 Fluid, Electrolyte, and Acid-Base Imbalances 125
Chapter 18 Preoperative Care 139
Chapter 19 Intraoperative Care 146
Chapter 20 Postoperative Care 153
Chapter 21 Emergency and Disaster Nursing 162
Chapter 22 Assessment and Management Visual Problems 171
Chapter 23 Assessment and Management Auditory Problems 186
Chapter 24 Assessment Integumentary System 194
Chapter 25 Integumentary Problems 199
Chapter 26 Burns 208
Chapter 27 Assessment Respiratory System 219
Chapter 28 Supporting Ventilation 228
Chapter 29 Upper Respiratory Problems 239
Chapter 30 Lower Respiratory Problems 247
Chapter 31 Obstructive Pulmonary Diseases 264
Chapter 32 Acute Respiratory Failure and Acute Respiratory Distress Syndrome 278
Chapter 33 Assessment Hematologic System 288
Chapter 34 Hematologic Problems 294
Chapter 35 Assessment Cardiovascular System 310
Chapter 36 Hypertension 322
Chapter 37 Coronary Artery Disease and Acute Coronary Syndrome 331
Chapter 38 Heart Failure 346
Chapter 39 Dysrhythmias 356
Chapter 40 Inflammatory and Structural Heart Disorders 366
,Chapter 41 Vascular Disorders 378
Chapter 42 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 391
Chapter 43 Assessment Gastrointestinal System 403
Chapter 44 Nutrition Problems 409
Chapter 45 Obesity 417
Chapter 46 Upper Gastrointestinal Problems 424
Chapter 47 Lower Gastrointestinal Problems 438
Chapter 48 Liver, Biliary Tract, and Pancreas Problems 456
Chapter 49 Assessment Urinary System 471
Chapter 50 Renal and Urologic Problems 479
Chapter 51 Acute Kidney Injury and Chronic Kidney Disease 494
Chapter 52 Assessment Endocrine System 507
Chapter 53 Diabetes 515
Chapter 54 Endocrine Problems 532
Chapter 55 Assessment Reproductive System 548
Chapter 56 Breast Problems 553
Chapter 57 Sexually Transmitted Infections 563
Chapter 58 Female Reproductive Problems 571
Chapter 59 Male Reproductive Problems 585
Chapter 60 Assessment Nervous System 598
Chapter 61 Acute Intracranial Problems 605
Chapter 62 Stroke 620
Chapter 63 Chronic Neurologic Problems 630
Chapter 64 Dementia and Delirium 642
Chapter 65 Spinal Cord and Peripheral Nerve Problems 650
Chapter 66 Assessment Musculoskeletal System 661
Chapter 67 Musculoskeletal Trauma and Orthopedic Surgery 667
Chapter 68 Musculoskeletal Problems 682
Chapter 69 Arthritis and Connective Tissue Diseases 690
, ______________________________________________________________________________________________
Test Bank - Lewis's Medical Surgical Nursing, 12th Edition (Harding, 2023)
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. The patient asks, “How is this different
from what the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your physician.”
b. “In addition to caring for you while you are sick, the nurses will help you plan to
maintain your health.”
c. “The nurse‘s job is to collect information and communicate any problems that
occur to the physician.”
d. “Nurses perform many of the same procedures as the physician, but nurses are
with the patients for a longer time than the physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses
in promoting health. The other responses describe dependent and collaborative functions of
the nursing role but do not accurately describe the nurse‘s unique role in the health care
system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation
WWW.TBSM.WS
MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice
(EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient care.”
d. “Recommendations are based on research, clinical expertise, and patient
preferences.”
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the
nurse‘s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes
is important, but data analysis is not required to use EBP. All published articles do not
provide research evidence; interventions should be based on credible research, preferably
randomized controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
______________________________________________________________________________________________
1|Page
