TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 1
Table of Contents
n n
Tablen ofn Contents 1
Chaptern 01:n Professionaln Nursing 3
Chaptern 02:n Healthn Equityn andn Culturallyn Competentn CareChaptern 13
03:nHealthn Historyn andn Physicaln ExaminationnChaptern 04:nPatientna 21
ndnCaregivernTeaching 28
Chaptern 05:n Chronicn Illnessn andn Oldern Adultsn 38
Chaptern 06:nStressn Management 48
Chaptern 07:n Sleepn andn Sleepn Disordersn 54
Chaptern08:nPain 59
Chaptern 09:nPalliativen andn Endn ofn Lifen CarenChap 71
tern 10:n SubstancenUsenDisordersnChaptern 11:nInfla 79
mmationnandn Healingn Chaptern12:nGenetics 91
Chaptern 13:n Immunen Responsesn andn TransplantationChaptern14:n 101
Infection 105
Chaptern 15:n Cancer 117
Chaptern 16:n Fluid,n Electrolyte,n andn Acid- 129
Basen ImbalancesChaptern17:nPreoperativenCare 148
Chaptern 18:n Intraoperativen Caren 165
Chaptern 19:n Postoperativen Care 175
Chaptern 20:n Assessmentn andn Management:n Visualn ProblemsnChaptern 21:nAs 184
sessmentn andn Management:n Auditoryn ProblemsChaptern22:nAssessment:nInte 196
gumentarynSystem 216
Chaptern 23:n Integumentaryn Problemsn 227
Chaptern24:nBurns 233
Chaptern 25:n Assessment:nRespiratorynSystemnChapte 245
rn26:nUppernRespiratorynProblemsnChaptern 27:nLowern 259
RespiratorynProblemsnChaptern 28:n ObstructivenPulmo 270
naryn DiseasesnChaptern 29:n Assessment: 282
Hematologicn SystemChaptern30:nHematologicn 305
Problems 325
Chaptern 31:n Assessment:n Cardiovascularn SystemChaptern32:nHyper 332
tension 353
Chaptern 33:n Coronaryn Arteryn Diseasen andn Acuten Coronaryn SyndromenChapt 364
ern34:nHeartnFailure 375
Chaptern 35:n Dysrhythmias 394
Chaptern 36:n Inflammatoryn andn Structuraln Heartn DisordersChaptern3 406
7:nVascularn Disorders 420
Chaptern 38:n Assessment:n Gastrointestinaln SystemChaptern39:nNutritional 435
nProblems 450
Chaptern 40:n Obesity 458
Chaptern 41:n Uppern Gastrointestinaln Problemsn 469
Chaptern 42:n Lowern Gastrointestinaln Problems 478
Chaptern 43:n Liver,n Biliaryn Tract,n andn Pancreasn ProblemsChaptern44 499
:nAssessment:nUrinarynSystem 523
Chaptern 45:n Renaln andn Urologicn Problems 543
Chaptern 46:n Acuten Kidneyn Injuryn andn Chronicn Kidneyn DiseaseChaptern47:nA 553
ssessment:nEndocrinen System 573
Chaptern 48:nDiabetesn MellitusnCh 590
aptern 49:n Endocrinen Problems 600
Chaptern 50:n Assessment:n Reproductiven System 622
642
,TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 2
Chaptern 51:n Breastn Disorders 650
Chaptern52:nSexuallynTransmittednInfectionsChaptern53: 662
n Femalen Reproductiven ProblemsChaptern 54: 671
Malen Reproductiven ProblemsnChaptern 55: 693
Assessment:n Nervousn SystemnChaptern 56:nAcuten 708
IntracranialnProblemsnChaptern57:nStroke 717
Chaptern 58:n Chronicn Neurologicn ProblemsChaptern 734
59:nDementian andn Delirium 747
Chaptern 60:n Spinaln Cordn andn Peripheraln Nerven ProblemsChaptern 61:nAsse 763
ssment:nMusculoskeletaln System 772
Chaptern 62:n Musculoskeletaln Trauman andn Orthopedicn SurgeryChaptern63: 787
nMusculoskeletalnProblems 794
Chaptern 64:n Arthritisn andn Connectiven Tissuen DiseasesChaptern65:nCritical 814
nCare 825
Chaptern 66:n Shock,n Sepsis,n andn Multiplen Organn Dysfunctionn Syndrome 845
Chaptern 67:n Acuten Respiratoryn Failuren andn Acuten Respiratoryn Distressn SyndromeChaptern6 864
8:nEmergencynandnDisastern Nursing 877
889
TEST BANK FOR
n n
Lewis’s Medical Surgical
n n n
Nursing 11th Edition Har
n n n
ding
,TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 3
Chapter 01: Professional Nursing
n n n
Testn BanknMULTIPL
En CHOICE
1. Then nursen teachesn an studentn nursen aboutn hown ton applyn then nursingn processn whenn providingn patientn care.n
Whichn statement,n ifn maden byn then studentn nurse,n indicatesnthatn teachingn wasn successful?
a. Then nursingn processn isnan scientific-basedn methodn ofn diagnosingn then patientsn healthn caren problems.
b. Then nursingn processn isn an problem-solvingn tooln usedn ton identifyn andn treatn patientsn healthn caren needs.
c. Thennursingnprocessnisnbasednonnnursingntheorynthatnincorporatesnthenbiopsychosocialnnaturenofnhu
mans.
d. Then nursingn processn isn usedn primarilyn ton explainn nursingn interventionsn ton othern healthn caren
professionals.
ANS:n B
Then nursingn processn isn an problem-
solvingn approachn ton then identificationn andn treatmentn ofn patientsn problems.nDiagnosisn isn onlyn onen phasen ofn then nur
singn process.n Then primaryn usen ofn then nursingn processn isn inn patientn care,nnotn tonestablishn nursingn theoryn orn explainn
nursingn interventionsn ton othern healthn caren professionals.
DIF:n Cognitiven Level:n Understandn (comprehension)
TOP:n Nursingn Process:n Implementationn MSC:n NCLEX:n Safen andn Effectiven Caren Environment
2. Then nursen describesn ton an studentn nursen hown ton usen evidence-
basedn practicen guidelinesn whenn caringn fornpatients.n Whichn statement,n ifn maden byn then nurse,n wouldn ben then
mostn accurate?
a. Inferencesn fromn clinicaln researchn studiesn aren usedn asn an guide.
b. Patientn caren isn basedn onn clinicaln judgment,n experience,n andn traditions.
c. Datan aren evaluatedn tonshown thatn then patientn outcomesn aren consistentlyn met.
d. Recommendationsn aren basedn onn research,n clinicaln expertise,n andn patientn preferences.
ANS:nD
Evidence-basednpracticen(EBP)nisnthenusenofnthen bestn research-
basednevidencen combinedn withncliniciannexpertise.nClinicalnjudgmentnbasednonnthennursesnclinicalnexperiencenisn
partn ofnEBP,n butn clinicalndecisionnmakingn shouldn alson incorporaten currentn researchn andn research-
basedn guidelines.n Evaluationn ofn patientn outcomesnisnimportant,nbutninterventionsnshouldnbenbasednonnresearchnfro
mnrandomizedncontroln studiesn withnan largennumbern ofn subjects.
DIF:n Cognitiven Level:n Remembern (knowledge)
TOP:n Nursingn Process:n Planningn MSC:n NCLEX:n Safen andn Effectiven Caren Environment
, TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 4
3. Then nursen completesn annadmissionn databasen andn explainsn thatnthen plann ofn caren andn dischargen goalsn willn bend
evelopedn withn then patientsn input.n Then patientn states,n Hown isn thisn differentn fromn whatn then doctorn does?n Whichnr
esponsen wouldnben mostn appropriaten forn then nursen ton make?
a. Then rolen ofn then nursen isn tonadministern medicationsn andn othern treatmentsn prescribedn byn yourn doctor.
b. Then nursesn jobn isn ton helpn then doctorn byn collectingn informationn andn communicatingn anyn problemsnt
hatn occur.
c. Nursesn performn manyn ofn then samen proceduresn asn then doctor,n butn nursesnaren withnthen patientsn forn anl
ongern timen thann then doctor.
d. Inn additionn ton caringn forn youn whilen youn aren sick,n then nursesn willnassistn youn ton developn anni
ndividualizedn plannton maintainn yourn health.
ANS:nD
ThisnresponsenisnconsistentnwithnthenAmericannNursesnAssociationn(ANA)ndefinitionnofnnursing,nwhichndescribe
sn then rolen ofn nursesn inn promotingn health.n Then othern responsesn describen somen ofn then dependentn andncollaborativ
en functionsn ofn then nursingn rolen butn don notn accuratelyn describen then nursesn rolen inn then healthn carensystem.
DIF:n Cognitiven Level:n Understandn (comprehension)
TOP:n Nursingn Process:n Implementationn MSC:n NCLEX:n Safen andn Effectiven Caren Environment
4. An patientn whon isnparalyzedn onn then leftn siden ofn then bodyn aftern an stroken developsn an pressuren ulcern onn then leftn hipn
Whichn nursingn diagnosisn isn mostn appropriate?
a. Impairedn physicaln mobilityn relatedn ton left-sidedn paralysis
b. Riskn forn impairedn tissuen integrityn relatedn ton left-sidedn weakness
c. Impairedn skinn integrityn relatedn ton alteredn circulationn andn pressure
d. Ineffectiven tissuen perfusionn relatedn ton inabilityn ton moven independentlyn
ANS:n C
Then patientsn majorn problemnisn then impairedn skinn integritynasn demonstratedn byn then presencen ofn an pressuren ulcer.nT
hen nursen isnablen ton treatn then causen ofn alteredn circulationn andn pressuren byn frequentlyn repositioningn then patient.nAlt
houghn left-
sidedn weaknessn isn an problemn forn then patient,n then nursen cannotn treatn then weakness.n Then riskn forndiagnosisn isn notn
appropriaten forn thisn patient,n whonalreadyn hasn impairedn tissuen integrity.n Then patientn doesn havenineffectiven tissuen p
erfusion,n butn then impairedn skinn integrityn diagnosisn indicatesn moren clearlyn whatn then healthnproblemnis.
DIF:n Cognitiven Level:n Applyn (application)
TOP:n Nursingn Process:n Diagnosisn MSC:n NCLEX:n Physiologicaln Integrity
5. An patientn hasn beenn admittedn ton then hospitaln forn surgeryn andn tellsn then nurse,n In don notn feeln comfortablen leavingn
myn childrenn withn myn parents.n Whichnactionn shouldnthen nursen takennext?
Table of Contents
n n
Tablen ofn Contents 1
Chaptern 01:n Professionaln Nursing 3
Chaptern 02:n Healthn Equityn andn Culturallyn Competentn CareChaptern 13
03:nHealthn Historyn andn Physicaln ExaminationnChaptern 04:nPatientna 21
ndnCaregivernTeaching 28
Chaptern 05:n Chronicn Illnessn andn Oldern Adultsn 38
Chaptern 06:nStressn Management 48
Chaptern 07:n Sleepn andn Sleepn Disordersn 54
Chaptern08:nPain 59
Chaptern 09:nPalliativen andn Endn ofn Lifen CarenChap 71
tern 10:n SubstancenUsenDisordersnChaptern 11:nInfla 79
mmationnandn Healingn Chaptern12:nGenetics 91
Chaptern 13:n Immunen Responsesn andn TransplantationChaptern14:n 101
Infection 105
Chaptern 15:n Cancer 117
Chaptern 16:n Fluid,n Electrolyte,n andn Acid- 129
Basen ImbalancesChaptern17:nPreoperativenCare 148
Chaptern 18:n Intraoperativen Caren 165
Chaptern 19:n Postoperativen Care 175
Chaptern 20:n Assessmentn andn Management:n Visualn ProblemsnChaptern 21:nAs 184
sessmentn andn Management:n Auditoryn ProblemsChaptern22:nAssessment:nInte 196
gumentarynSystem 216
Chaptern 23:n Integumentaryn Problemsn 227
Chaptern24:nBurns 233
Chaptern 25:n Assessment:nRespiratorynSystemnChapte 245
rn26:nUppernRespiratorynProblemsnChaptern 27:nLowern 259
RespiratorynProblemsnChaptern 28:n ObstructivenPulmo 270
naryn DiseasesnChaptern 29:n Assessment: 282
Hematologicn SystemChaptern30:nHematologicn 305
Problems 325
Chaptern 31:n Assessment:n Cardiovascularn SystemChaptern32:nHyper 332
tension 353
Chaptern 33:n Coronaryn Arteryn Diseasen andn Acuten Coronaryn SyndromenChapt 364
ern34:nHeartnFailure 375
Chaptern 35:n Dysrhythmias 394
Chaptern 36:n Inflammatoryn andn Structuraln Heartn DisordersChaptern3 406
7:nVascularn Disorders 420
Chaptern 38:n Assessment:n Gastrointestinaln SystemChaptern39:nNutritional 435
nProblems 450
Chaptern 40:n Obesity 458
Chaptern 41:n Uppern Gastrointestinaln Problemsn 469
Chaptern 42:n Lowern Gastrointestinaln Problems 478
Chaptern 43:n Liver,n Biliaryn Tract,n andn Pancreasn ProblemsChaptern44 499
:nAssessment:nUrinarynSystem 523
Chaptern 45:n Renaln andn Urologicn Problems 543
Chaptern 46:n Acuten Kidneyn Injuryn andn Chronicn Kidneyn DiseaseChaptern47:nA 553
ssessment:nEndocrinen System 573
Chaptern 48:nDiabetesn MellitusnCh 590
aptern 49:n Endocrinen Problems 600
Chaptern 50:n Assessment:n Reproductiven System 622
642
,TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 2
Chaptern 51:n Breastn Disorders 650
Chaptern52:nSexuallynTransmittednInfectionsChaptern53: 662
n Femalen Reproductiven ProblemsChaptern 54: 671
Malen Reproductiven ProblemsnChaptern 55: 693
Assessment:n Nervousn SystemnChaptern 56:nAcuten 708
IntracranialnProblemsnChaptern57:nStroke 717
Chaptern 58:n Chronicn Neurologicn ProblemsChaptern 734
59:nDementian andn Delirium 747
Chaptern 60:n Spinaln Cordn andn Peripheraln Nerven ProblemsChaptern 61:nAsse 763
ssment:nMusculoskeletaln System 772
Chaptern 62:n Musculoskeletaln Trauman andn Orthopedicn SurgeryChaptern63: 787
nMusculoskeletalnProblems 794
Chaptern 64:n Arthritisn andn Connectiven Tissuen DiseasesChaptern65:nCritical 814
nCare 825
Chaptern 66:n Shock,n Sepsis,n andn Multiplen Organn Dysfunctionn Syndrome 845
Chaptern 67:n Acuten Respiratoryn Failuren andn Acuten Respiratoryn Distressn SyndromeChaptern6 864
8:nEmergencynandnDisastern Nursing 877
889
TEST BANK FOR
n n
Lewis’s Medical Surgical
n n n
Nursing 11th Edition Har
n n n
ding
,TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 3
Chapter 01: Professional Nursing
n n n
Testn BanknMULTIPL
En CHOICE
1. Then nursen teachesn an studentn nursen aboutn hown ton applyn then nursingn processn whenn providingn patientn care.n
Whichn statement,n ifn maden byn then studentn nurse,n indicatesnthatn teachingn wasn successful?
a. Then nursingn processn isnan scientific-basedn methodn ofn diagnosingn then patientsn healthn caren problems.
b. Then nursingn processn isn an problem-solvingn tooln usedn ton identifyn andn treatn patientsn healthn caren needs.
c. Thennursingnprocessnisnbasednonnnursingntheorynthatnincorporatesnthenbiopsychosocialnnaturenofnhu
mans.
d. Then nursingn processn isn usedn primarilyn ton explainn nursingn interventionsn ton othern healthn caren
professionals.
ANS:n B
Then nursingn processn isn an problem-
solvingn approachn ton then identificationn andn treatmentn ofn patientsn problems.nDiagnosisn isn onlyn onen phasen ofn then nur
singn process.n Then primaryn usen ofn then nursingn processn isn inn patientn care,nnotn tonestablishn nursingn theoryn orn explainn
nursingn interventionsn ton othern healthn caren professionals.
DIF:n Cognitiven Level:n Understandn (comprehension)
TOP:n Nursingn Process:n Implementationn MSC:n NCLEX:n Safen andn Effectiven Caren Environment
2. Then nursen describesn ton an studentn nursen hown ton usen evidence-
basedn practicen guidelinesn whenn caringn fornpatients.n Whichn statement,n ifn maden byn then nurse,n wouldn ben then
mostn accurate?
a. Inferencesn fromn clinicaln researchn studiesn aren usedn asn an guide.
b. Patientn caren isn basedn onn clinicaln judgment,n experience,n andn traditions.
c. Datan aren evaluatedn tonshown thatn then patientn outcomesn aren consistentlyn met.
d. Recommendationsn aren basedn onn research,n clinicaln expertise,n andn patientn preferences.
ANS:nD
Evidence-basednpracticen(EBP)nisnthenusenofnthen bestn research-
basednevidencen combinedn withncliniciannexpertise.nClinicalnjudgmentnbasednonnthennursesnclinicalnexperiencenisn
partn ofnEBP,n butn clinicalndecisionnmakingn shouldn alson incorporaten currentn researchn andn research-
basedn guidelines.n Evaluationn ofn patientn outcomesnisnimportant,nbutninterventionsnshouldnbenbasednonnresearchnfro
mnrandomizedncontroln studiesn withnan largennumbern ofn subjects.
DIF:n Cognitiven Level:n Remembern (knowledge)
TOP:n Nursingn Process:n Planningn MSC:n NCLEX:n Safen andn Effectiven Caren Environment
, TestnBanknFornLewis’snMedicalnSurgicalnNursingn11thnEditionnHarding 4
3. Then nursen completesn annadmissionn databasen andn explainsn thatnthen plann ofn caren andn dischargen goalsn willn bend
evelopedn withn then patientsn input.n Then patientn states,n Hown isn thisn differentn fromn whatn then doctorn does?n Whichnr
esponsen wouldnben mostn appropriaten forn then nursen ton make?
a. Then rolen ofn then nursen isn tonadministern medicationsn andn othern treatmentsn prescribedn byn yourn doctor.
b. Then nursesn jobn isn ton helpn then doctorn byn collectingn informationn andn communicatingn anyn problemsnt
hatn occur.
c. Nursesn performn manyn ofn then samen proceduresn asn then doctor,n butn nursesnaren withnthen patientsn forn anl
ongern timen thann then doctor.
d. Inn additionn ton caringn forn youn whilen youn aren sick,n then nursesn willnassistn youn ton developn anni
ndividualizedn plannton maintainn yourn health.
ANS:nD
ThisnresponsenisnconsistentnwithnthenAmericannNursesnAssociationn(ANA)ndefinitionnofnnursing,nwhichndescribe
sn then rolen ofn nursesn inn promotingn health.n Then othern responsesn describen somen ofn then dependentn andncollaborativ
en functionsn ofn then nursingn rolen butn don notn accuratelyn describen then nursesn rolen inn then healthn carensystem.
DIF:n Cognitiven Level:n Understandn (comprehension)
TOP:n Nursingn Process:n Implementationn MSC:n NCLEX:n Safen andn Effectiven Caren Environment
4. An patientn whon isnparalyzedn onn then leftn siden ofn then bodyn aftern an stroken developsn an pressuren ulcern onn then leftn hipn
Whichn nursingn diagnosisn isn mostn appropriate?
a. Impairedn physicaln mobilityn relatedn ton left-sidedn paralysis
b. Riskn forn impairedn tissuen integrityn relatedn ton left-sidedn weakness
c. Impairedn skinn integrityn relatedn ton alteredn circulationn andn pressure
d. Ineffectiven tissuen perfusionn relatedn ton inabilityn ton moven independentlyn
ANS:n C
Then patientsn majorn problemnisn then impairedn skinn integritynasn demonstratedn byn then presencen ofn an pressuren ulcer.nT
hen nursen isnablen ton treatn then causen ofn alteredn circulationn andn pressuren byn frequentlyn repositioningn then patient.nAlt
houghn left-
sidedn weaknessn isn an problemn forn then patient,n then nursen cannotn treatn then weakness.n Then riskn forndiagnosisn isn notn
appropriaten forn thisn patient,n whonalreadyn hasn impairedn tissuen integrity.n Then patientn doesn havenineffectiven tissuen p
erfusion,n butn then impairedn skinn integrityn diagnosisn indicatesn moren clearlyn whatn then healthnproblemnis.
DIF:n Cognitiven Level:n Applyn (application)
TOP:n Nursingn Process:n Diagnosisn MSC:n NCLEX:n Physiologicaln Integrity
5. An patientn hasn beenn admittedn ton then hospitaln forn surgeryn andn tellsn then nurse,n In don notn feeln comfortablen leavingn
myn childrenn withn myn parents.n Whichnactionn shouldnthen nursen takennext?
