?
,Chapter w01: wProfessional wNursing
Harding: wLewis’s wMedical-Surgical wNursing, w12th wEdition
MULTIPLE wCHOICE
1. The wnurse wcompletes wan wadmission wdatabase wand wexplains wthat wthe wplan wof wcare
wand wdischarge wgoals wwill wbe wdeveloped wwith wthe wpatient‗s winput. wThe wpatient wasks,
w―How wis wthis wdifferent wfrom wwhat wthe wphysician wdoes?‖ wWhich wresponse wwould
wthe wnurse wprovide?
a. ―The wrole wof wthe wnurse wis wto wadminister wmedications wand wother wtreatments
wprescribed wby wyour wphysician.‖
b. ―In waddition wto wcaring wfor wyou wwhile wyou ware wsick, wthe wnurses wwill whelp
wyou wplan wto wmaintain wyour whealth.‖
c. ―The wnurse‗s wjob wis wto wcollect winformation wand wcommunicate wany
wproblems wthat woccur wto wthe wphysician.‖
d. ―Nurses wperform wmany wof wthe wsame wprocedures was wthe wphysician, wbut
wnurses ware wwith wthe wpatients wfor wa wlonger wtime wthan wthe
wphysician.‖
ANS: wB
The wAmerican wNurses wAssociation w(ANA) wdefinition wof wnursing wdescribes wthe wrole wof
wnurses win wpromoting whealth. wThe wother wresponses wdescribe wdependent wand
wcollaborative wfunctions wof wthe wnursing wrole wbut wdo wnot waccurately wdescribe wthe
wnurse‗s wunique wrole win wthe whealth wcare wsystem.
DIF: w w Cognitive wLevel: wAnalyze w(Analysis)
TOP: w Nursing wProcess: wImplementation w w w MSC: w NCLEX: wSafe wand wEffective wCare
wEnvironment
2. Which wstatement wby wthe wnurse waccurately wdescribes wthe wuse wof wevidence-based wpractice
w(EBP)?
a. ―Patient wcare wis wbased won wclinical wjudgment, wexperience, wand wtraditions.‖
b. ―Data ware wanalyzed wlater wto wshow wthat wthe wpatient woutcomes ware wconsistently wmet.‖
c. ―Research wfrom wall wpublished warticles ware wused was wa wguide wfor wplanning wpatient
wcare.‖
d. ―Recommendations ware wbased won wresearch, wclinical wexpertise, wand
wpatient wpreferences.‖
ANS: wD
Evidence-based wpractice w(EBP) wis wthe wuse wof wthe wbest wresearch-based wevidence
wcombined wwith wclinician wexpertise wand wconsideration wof wpatient wpreferences. wClinical
wjudgment wbased won wthe wnurse‗s wclinical wexperience wis wpart wof wEBP, wbut wclinical
wdecision wmaking wshould walso wincorporate wcurrent wresearch wand wresearch-based
wguidelines. wEvaluation wof wpatient woutcomes wis wimportant, wbut wdata wanalysis wis wnot
wrequired wto wuse wEBP. wAll wpublished warticles wdo wnot wprovide wresearch wevidence;
winterventions wshould wbe wbased won wcredible wresearch, wpreferably wrandomized wcontrolled
wstudies wwith wa wlarge wnumber wof wsubjects.
DIF: Cognitive wLevel: wUnderstand w(Comprehension) TOP: wNursing wProcess:
wPlanning wMSC: w NCLEX: wSafe wand wEffective wCare wEnvironment
?
,3. Which wstatement wby wthe wnurse wprovides wa wclear wexplanation wof wthe wnursing wprocess?
a. ―The wnursing wprocess wis wa wresearch wmethod wof wdiagnosing wthe wpatient‗s
whealth wcare wproblems.‖
b. ―The wnursing wprocess wis wused wprimarily wto wexplain wnursing winterventions
wto wother whealth wcare wprofessionals.‖
c. ―The wnursing wprocess wis wa wproblem-solving wtool wused wto widentify wand wmanage wthe
?
, patients‗ whealth wcare wneeds.‖
d. ―The wnursing wprocess wis wbased won wnursing wtheory wthat
wincorporates wthe wbiopsychosocial wnature wof whumans.‖
ANS: wC
The wnursing wprocess wis wa wproblem-solving wapproach wto wthe widentification wand wtreatment
wof wpatients‗ wproblems. wNursing wprocess wdoes wnot wrequire wresearch wmethods wfor
wdiagnosis. wThe wprimary wuse wof wthe wnursing wprocess wis win wpatient wcare, wnot wto
westablish wnursing wtheory wor wexplain wnursing winterventions wto wother whealth wcare
wprofessionals.
DIF: Cognitive wLevel: wUnderstand w(Comprehension) TOP: wNursing wProcess:
wEvaluation wMSC: w NCLEX: wSafe wand wEffective wCare wEnvironment
4. A wpatient wadmitted wto wthe whospital wfor wsurgery wtells wthe wnurse, w―I wdo wnot
wfeel wcomfortable wleaving wmy wchildren wwith wmy wparents.‖ wWhich waction wwould
wthe wnurse wtake wnext?
a. Reassure wthe wpatient wthat wthese wfeelings ware wcommon wfor wparents.
b. Have wthe wpatient wcall wthe wchildren wto wensure wthat wthey ware wdoing wwell.
c. Gather winformation won wthe wpatient‗s wconcerns wabout wthe wchild wcare warrangements.
d. Call wthe wpatient‗s wparents wto wdetermine wwhether wadequate wchild wcare
wis wbeing wprovided.
ANS: wC
Because wa wcomplete wassessment wis wnecessary win worder wto widentify wa wproblem wand
wchoose wan wappropriate wintervention, wthe wnurse‗s wfirst waction wshould wbe wto wobtain
wmore winformation. wThe wother wactions wmay wbe wappropriate, wbut wmore wassessment wis
wneeded wbefore wthe wbest wintervention wcan wbe wchosen.
DIF: Cognitive wLevel: wAnalyze w(Analysis)
TOP: w Nursing wProcess: wAssessment MSC: w NCLEX: wPsychosocial wIntegrity
5. A wpatient wwith wa wbacterial winfection wis whypovolemic wdue wto wa wfever wand wexcessive
wdiaphoresis. wWhich wexpected woutcome wwould wthe wnurse wselect wfor wthis wpatient?
a. Patient whas wa wbalanced wintake wand woutput.
b. Patient‗s wbedding wis wkept wclean wand wfree wof wmoisture.
c. Patient wunderstands wthe wneed wfor wincreased wfluid wintake.
d. Patient‗s wskin wremains wcool wand wdry wthroughout whospitalization.
ANS: wA
Balanced wintake wand woutput wgives wmeasurable wdata wshowing wresolution wof wthe wproblem
wof wdeficient wfluid wvolume. wThe wother wstatements wwould wnot windicate wthat wthe
wproblem wof whypovolemia wwas wresolved.
DIF: Cognitive wLevel: wApply w(Application) TOP: wNursing wProcess:
wPlanning wMSC: w NCLEX: wPhysiological wIntegrity
6. Which wstatement wdescribes wthe wpurpose wof wthe wevaluation wphase wof wthe wnursing
wprocess?
a. To wdocument wthe wnursing wcare wplan win wthe wprogress wnotes wof wthe whealth wrecord
b. To wdetermine wif winterventions whave wbeen weffective win wmeeting wpatient woutcomes
c. To wdecide wwhether wthe wpatient‗s whealth wproblems whave wbeen wcompletely wresolved
?
,Chapter w01: wProfessional wNursing
Harding: wLewis’s wMedical-Surgical wNursing, w12th wEdition
MULTIPLE wCHOICE
1. The wnurse wcompletes wan wadmission wdatabase wand wexplains wthat wthe wplan wof wcare
wand wdischarge wgoals wwill wbe wdeveloped wwith wthe wpatient‗s winput. wThe wpatient wasks,
w―How wis wthis wdifferent wfrom wwhat wthe wphysician wdoes?‖ wWhich wresponse wwould
wthe wnurse wprovide?
a. ―The wrole wof wthe wnurse wis wto wadminister wmedications wand wother wtreatments
wprescribed wby wyour wphysician.‖
b. ―In waddition wto wcaring wfor wyou wwhile wyou ware wsick, wthe wnurses wwill whelp
wyou wplan wto wmaintain wyour whealth.‖
c. ―The wnurse‗s wjob wis wto wcollect winformation wand wcommunicate wany
wproblems wthat woccur wto wthe wphysician.‖
d. ―Nurses wperform wmany wof wthe wsame wprocedures was wthe wphysician, wbut
wnurses ware wwith wthe wpatients wfor wa wlonger wtime wthan wthe
wphysician.‖
ANS: wB
The wAmerican wNurses wAssociation w(ANA) wdefinition wof wnursing wdescribes wthe wrole wof
wnurses win wpromoting whealth. wThe wother wresponses wdescribe wdependent wand
wcollaborative wfunctions wof wthe wnursing wrole wbut wdo wnot waccurately wdescribe wthe
wnurse‗s wunique wrole win wthe whealth wcare wsystem.
DIF: w w Cognitive wLevel: wAnalyze w(Analysis)
TOP: w Nursing wProcess: wImplementation w w w MSC: w NCLEX: wSafe wand wEffective wCare
wEnvironment
2. Which wstatement wby wthe wnurse waccurately wdescribes wthe wuse wof wevidence-based wpractice
w(EBP)?
a. ―Patient wcare wis wbased won wclinical wjudgment, wexperience, wand wtraditions.‖
b. ―Data ware wanalyzed wlater wto wshow wthat wthe wpatient woutcomes ware wconsistently wmet.‖
c. ―Research wfrom wall wpublished warticles ware wused was wa wguide wfor wplanning wpatient
wcare.‖
d. ―Recommendations ware wbased won wresearch, wclinical wexpertise, wand
wpatient wpreferences.‖
ANS: wD
Evidence-based wpractice w(EBP) wis wthe wuse wof wthe wbest wresearch-based wevidence
wcombined wwith wclinician wexpertise wand wconsideration wof wpatient wpreferences. wClinical
wjudgment wbased won wthe wnurse‗s wclinical wexperience wis wpart wof wEBP, wbut wclinical
wdecision wmaking wshould walso wincorporate wcurrent wresearch wand wresearch-based
wguidelines. wEvaluation wof wpatient woutcomes wis wimportant, wbut wdata wanalysis wis wnot
wrequired wto wuse wEBP. wAll wpublished warticles wdo wnot wprovide wresearch wevidence;
winterventions wshould wbe wbased won wcredible wresearch, wpreferably wrandomized wcontrolled
wstudies wwith wa wlarge wnumber wof wsubjects.
DIF: Cognitive wLevel: wUnderstand w(Comprehension) TOP: wNursing wProcess:
wPlanning wMSC: w NCLEX: wSafe wand wEffective wCare wEnvironment
?
,3. Which wstatement wby wthe wnurse wprovides wa wclear wexplanation wof wthe wnursing wprocess?
a. ―The wnursing wprocess wis wa wresearch wmethod wof wdiagnosing wthe wpatient‗s
whealth wcare wproblems.‖
b. ―The wnursing wprocess wis wused wprimarily wto wexplain wnursing winterventions
wto wother whealth wcare wprofessionals.‖
c. ―The wnursing wprocess wis wa wproblem-solving wtool wused wto widentify wand wmanage wthe
?
, patients‗ whealth wcare wneeds.‖
d. ―The wnursing wprocess wis wbased won wnursing wtheory wthat
wincorporates wthe wbiopsychosocial wnature wof whumans.‖
ANS: wC
The wnursing wprocess wis wa wproblem-solving wapproach wto wthe widentification wand wtreatment
wof wpatients‗ wproblems. wNursing wprocess wdoes wnot wrequire wresearch wmethods wfor
wdiagnosis. wThe wprimary wuse wof wthe wnursing wprocess wis win wpatient wcare, wnot wto
westablish wnursing wtheory wor wexplain wnursing winterventions wto wother whealth wcare
wprofessionals.
DIF: Cognitive wLevel: wUnderstand w(Comprehension) TOP: wNursing wProcess:
wEvaluation wMSC: w NCLEX: wSafe wand wEffective wCare wEnvironment
4. A wpatient wadmitted wto wthe whospital wfor wsurgery wtells wthe wnurse, w―I wdo wnot
wfeel wcomfortable wleaving wmy wchildren wwith wmy wparents.‖ wWhich waction wwould
wthe wnurse wtake wnext?
a. Reassure wthe wpatient wthat wthese wfeelings ware wcommon wfor wparents.
b. Have wthe wpatient wcall wthe wchildren wto wensure wthat wthey ware wdoing wwell.
c. Gather winformation won wthe wpatient‗s wconcerns wabout wthe wchild wcare warrangements.
d. Call wthe wpatient‗s wparents wto wdetermine wwhether wadequate wchild wcare
wis wbeing wprovided.
ANS: wC
Because wa wcomplete wassessment wis wnecessary win worder wto widentify wa wproblem wand
wchoose wan wappropriate wintervention, wthe wnurse‗s wfirst waction wshould wbe wto wobtain
wmore winformation. wThe wother wactions wmay wbe wappropriate, wbut wmore wassessment wis
wneeded wbefore wthe wbest wintervention wcan wbe wchosen.
DIF: Cognitive wLevel: wAnalyze w(Analysis)
TOP: w Nursing wProcess: wAssessment MSC: w NCLEX: wPsychosocial wIntegrity
5. A wpatient wwith wa wbacterial winfection wis whypovolemic wdue wto wa wfever wand wexcessive
wdiaphoresis. wWhich wexpected woutcome wwould wthe wnurse wselect wfor wthis wpatient?
a. Patient whas wa wbalanced wintake wand woutput.
b. Patient‗s wbedding wis wkept wclean wand wfree wof wmoisture.
c. Patient wunderstands wthe wneed wfor wincreased wfluid wintake.
d. Patient‗s wskin wremains wcool wand wdry wthroughout whospitalization.
ANS: wA
Balanced wintake wand woutput wgives wmeasurable wdata wshowing wresolution wof wthe wproblem
wof wdeficient wfluid wvolume. wThe wother wstatements wwould wnot windicate wthat wthe
wproblem wof whypovolemia wwas wresolved.
DIF: Cognitive wLevel: wApply w(Application) TOP: wNursing wProcess:
wPlanning wMSC: w NCLEX: wPhysiological wIntegrity
6. Which wstatement wdescribes wthe wpurpose wof wthe wevaluation wphase wof wthe wnursing
wprocess?
a. To wdocument wthe wnursing wcare wplan win wthe wprogress wnotes wof wthe whealth wrecord
b. To wdetermine wif winterventions whave wbeen weffective win wmeeting wpatient woutcomes
c. To wdecide wwhether wthe wpatient‗s whealth wproblems whave wbeen wcompletely wresolved
?
