FULL TEST BANK for Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems 12th Edition By Harding & Kwong|ISBN: 9780323789615|newest edition 2024/2025

TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING
ASSESSMENT ANDMANAGEMENT OF CLINICAL PROBLEMS
12TH EDITION BY HARDING & KWONG



Chapter01:Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE g




1. The nurse completes an admission database and explains that the plan
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gdischarge goals will be developed with the patient‗s input. The patient asks, ―How is
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gthis different from what the physician does?‖ Which response would the nurse provide?
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a. ―Theroleofthenurseis to administermedications and othertreatments prescribed by g g g g g g g


your physician.‖
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b. ―In addition to caring for you while you aresick, thenurses will help you plan to
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maintain your health.‖
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c. ―Thenurse‗sjob isto collectinformationand communicate anyproblems that
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occur to the physician.‖
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d. ―Nurses perform manyof the same procedures as the physician, but nurses are
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with the patients for a longer time than the physician.‖
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ANS: B g


The American Nurses Association (ANA) definition of nursing describes the role of nurses
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ginpromoting health. The other responses describe dependent and collaborative functions of
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gthe nursing role but do not accurately describe the nurse‗s unique role in the health care
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gsystem.

DIF: gggg g Cognitive Level: Analyze(Analysis) g g


TOP: gggg g Nursing Process: Implementation io g gggggggg MSC: NCLEX: Safe and Effective Care Environment
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2. Which statement bythe nurse accuratelydescribes the use of evidence-based practice (EBP)?
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a. ―Patient care is based on clinical judgment, experience, and traditions.‖
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b. ―Data areanalyzed later to show that thepatient outcomes areconsistentlymet.‖
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c. ―Research from all published articles are used as a guide forplanningpatient care.‖
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d. ―Recommendations arebased onresearch, clinical expertise,and patient g g g g io



g preferences.‖
ANS: D g


Evidence-based practice (EBP) is the use of the best research-based evidence combined
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withclinician expertise and consideration of patient preferences. Clinical judgment based
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onthe nurse‗s clinical experience is part of EBP, but clinical decision making should also
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incorporate current research and research-based guidelines. Evaluation of patient outcomes
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isimportant, but data analysis is not required to use EBP. All published articles do not
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provide research evidence; interventions should be based on credible research, preferably
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randomizedcontrolled studies with a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) TOP:
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NursingProcess:PlanningMSC: NCLEX: Safe and Effective Care Environment
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3. Which statement bythe nurse provides a clear explanation of the nursing process?
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a. ―Thenursingprocess is a research method ofdiagnosing thepatient‗s health care g g g g g io g g g


g problems.‖
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,b. ―Thenursing process is used primarilyto explain nursing interventions to other
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health care professionals.‖
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c. ―Thenursing process is a problem-solving tool used to identifyand manage the
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, patients‗ health care needs.‖ g g g


d. ―Thenursing process is basedon nursingtheorythat incorporates the io g io g g


g biopsychosocial nature of humans.‖ g g g




ANS: C g


The nursing process is a problem-solving approach to the identification and treatment of
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patients‗ problems. Nursing process does not require research methods for diagnosis.
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Theprimaryuse of the nursing process is in patient care, not to establish nursing theoryor
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explainnursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing g g g g


Process:EvaluationMSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel
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comfortableleaving my children with my parents.‖ Which action would the
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nursetake next?
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a. Reassurethe patient that these feelings are common for parents. g g g g g g g g


b. Have the patient call the children to ensure that theyare doing well.
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c. Gatherinformation on the patient‗s concerns about thechild carearrangements. g g g g g g g


d. Call the patient‗s parents to determine whether adequate child
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careisbeingprovided.
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ANS: C g


Because a complete assessment is necessary in order to identify a problem and choose an
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appropriate intervention, the nurse‗s first action should be to obtain more information.
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Theother actions maybe appropriate, but more assessment is needed before the best
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interventioncan be chosen.
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DIF: CognitiveLevel: Analyze (Analysis) g g g


TOP: NursingProcess: Assessment MSC: NCLEX: Psychosocial Integrity g g g g g




5. A patient with a bacterial infection is hypovolemic due to a fever and
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excessivediaphoresis.Which expected outcome would the nurse select for
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this patient?
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a. Patient has abalanced intake and output. g g g g g


b. Patient‗s beddingis kept clean and freeof moisture. g g g g g g


c. Patient understands the need forincreased fluid intake.
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d. Patient‗s skin remains cool and dry throughout hospitalization.
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ANS: A g


Balanced intake and output gives measurable data showingresolution of the problem
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ofdeficient fluid volume. The other statements would not indicate that the problem
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ofhypovolemia was resolved.
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DIF: Cognitive Level: Apply (Application) g g g TOP: Nursing Process: g gg io



PlanningMSC: NCLEX: Physiological Integrity
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6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meetingpatient outcomes
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c. To decide whether the patient‗s health problems have been completelyresolved
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d. To establish if the patient agrees that the nursing care provided was satisfactory
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ANS: B g




?

, Evaluation consists of determining whether the desired patient outcomes have been
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met and whether the nursing interventions were appropriate. The other responses do not
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describe theevaluation phase.
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DIF: Cognitive Level: Understand (Comprehension)
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Process:EvaluationMSC: NCLEX: Safe and Effective Care Environment
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7. Which statement describes the purpose of the assessment phase of the nursing process?
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a. To teach interventions that relieve health problems
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b. To use patient data to evaluate patient care outcomes
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c. To obtain data to diagnose patient strengths and problems
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d. To help the patient identifyrealistic outcomes for health problems
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ANS: C g


During the assessment phase, the nurse gathers information about the patient to diagnosepatient
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strengths and problems. The other responses are examples of the planning,intervention, and
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evaluation phases of the nursing process.
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DIF: Cognitive Level: Understand (Comprehension) g g g


TOP: NursingProcess: Assessment MSC: NCLEX: Safe and Effective Care Environment
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8. When developing the plan of care, which components would the nurse include in
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gtheclinicalproblem statement?
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a. Theproblem and the suggested patient goals or outcomes g g g g g g g


b. Theproblem, its causes, and the signs and symptoms of the problem
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c. The problem with the possible etiologyand the planned interventions
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d. Theproblem, its pathophysiology, and the expected outcome g g g g g g




ANS: B g


When writing clinical problems or nursing diagnoses, the subjective as well as objective data
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to support the problem‗s existence should be included. Goals, outcomes, and interventions
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arenot included in the problem statement.
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DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process:g g g g g io



DiagnosisMSC: NCLEX: Safe and Effective Care Environment
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9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
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a. Instruct the patient about the need to alternate activityand rest.
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b. Monitor level of shortness of breath or fatigue after ambulation.
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c. Obtainthepatient‗s blood pressure and pulse rate after ambulation. g g g g g g g


d. Determine whether the patient is readyto increase the activitylevel.
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ANS: C g


AP education includes accurate vital sign measurement. Assessment and patient
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teachingrequire registered nurse education and scope of practice and cannot be delegated.
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DIF: Cognitive Level: Apply (Application) TOP: Nursing Process:g g g g gg io



PlanningMSC: NCLEX: Safe and Effective Care Environment
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