TEST ,BANK,FOR,LEWIS\'S,MEDICAL-SURGICAL
NURSING,,12TH,EDITION,BY,MARIANN,M.
HARDING,,JEFFREY,KWONG,,DEBRA,HAGLER
CHAPTER,1-69,QUESTIONS,AND,CORRECT,ANSWERS
Chapter,01:,Professional,Nursing
Harding:,Lewis’s,Medical-Surgical,Nursing,,12th,Edition
MULTIPLE,CHOICE
1.
2. .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,fro
m,what,the,physician,does?‖,Which,response,would,the,nurse,provide?
a. ―The,role,of,the,nurse,is,to,administer,medications,and,other,treatments,prescri
bed,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,o
ccur,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,pr
omoting,health.,The,other,responses,describe,dependent,and,collaborative,functions,of,the,n
ursing,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,,MSC:,NCLEX:,Safe,and,Effective,Care,Environment
3. 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,car
e.‖
d. ―Recommendations,are,based,on,research,,clinical,expertise,,and,patient,prefer
ences.‖
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,requir
, ed,to,use,EBP.,All,published,articles,do,not,provide,research,evidence;,interventions,should,b
e,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
4. Which,statement,by,the,nurse,provides,a,clear,explanation,of,the,nursing,process?
a. ―The,nursing,process,is,a,research,method,of,diagnosing,the,patient‗s,health,c
are,problems.‖
b. ―The,nursing,process,is,used,primarily,to,explain,nursing,interventions,to,othe
r,health,care,professionals.‖
c. ―The,nursing,process,is,a,problem-
solving,tool,used,to,identify,and,manage,the
, patients‗,health,care,needs.‖
d. ―The,nursing,process,is,based,on,nursing,theory,that,incorporates,the,biopsyc
hosocial,nature,of,humans.‖
ANS:,C
The,nursing,process,is,a,problem-
solving,approach,to,the,identification,and,treatment,of,patients‗,problems.,Nursing,process,
does,not,require,research,methods,for,diagnosis.,The,primary,use,of,the,nursing,process,is,in,
patient,care,,not,to,establish,nursing,theory,or,explain,nursing,interventions,to,other,health,c
are,professionals.
DIF: Cognitive,Level:,Understand,(Comprehension)
TOP:,Nursing,Process:,Evaluation,MSC:,NCLEX:,Safe,and,Effective,Care,Environment
4. A,patient,admitted,to,the,hospital,for,surgery,tells,the,nurse,,―I,do,not,feel,comfortable,le
aving,my,children,with,my,parents.‖,Which,action,would,the,nurse,take,next?,a.,Reassure,t
he,patient,that,these,feelings,are,common,for,parents.
b. Have,the,patient,call,the,children,to,ensure,that,they,are,doing,well.
c. Gather,information,on,the,patient‗s,concerns,about,the,child,care,arrangements.
d. Call,the,patient‗s,parents,to,determine,whether,adequate,child,care,is,being,provided.
ANS:,C
Because,a,complete,assessment,is,necessary,in,order,to,identify,a,problem,and,choose,an,ap
propriate,intervention,,the,nurse‗s,first,action,should,be,to,obtain,more,information.,The,ot
her,actions,may,be,appropriate,,but,more,assessment,is,needed,before,the,best,intervention
,can,be,chosen.
DIF: Cognitive,Level:,Analyze,(Analysis)
TOP:,Nursing,Process:,Assessment MSC:,NCLEX:,Psychosocial,Integrity
5. A,patient,with,a,bacterial,infection,is,hypovolemic,due,to,a,fever,and,excessive,diaphoresis
.,Which,expected,outcome,would,the,nurse,select,for,this,patient?,a.
Patient,has,a,balanced,intake,and,output.
b. Patient‗s,bedding,is,kept,clean,and,free,of,moisture.
c. Patient,understands,the,need,for,increased,fluid,intake.
d. Patient‗s,skin,remains,cool,and,dry,throughout,hospitalization.
ANS:,A
Balanced,intake,and,output,gives,measurable,data,showing,resolution,of,the,problem,of,defi
cient,fluid,volume.,The,other,statements,would,not,indicate,that,the,problem,of,hypovolemi
a,was,resolved.
DIF: Cognitive,Level:,Apply,(Application) TOP:,Nursing,Process:,
Planning,MSC:,NCLEX:,Physiological,Integrity
6. Which,statement,describes,the,purpose,of,the,evaluation,phase,of,the,nursing,process?
a. To,document,the,nursing,care,plan,in,the,progress,notes,of,the,health,record
b. To,determine,if,interventions,have,been,effective,in,meeting,patient,outcomes
c. To,decide,whether,the,patient‗s,health,problems,have,been,completely,resolved
d. To,establish,if,the,patient,agrees,that,the,nursing,care,provided,was,satisfactory
ANS:,B
, Evaluation,consists,of,determining,whether,the,desired,patient,outcomes,have,been,met,and
,whether,the,nursing,interventions,were,appropriate.,The,other,responses,do,not,describe,th
e,evaluation,phase.
DIF:,Cognitive,Level:,Understand,(Comprehension),TOP:,Nursing,Process:,Evaluation,MSC:,NCLEX:,Safe,an
d,Effective,Care,Environment
7. Which,statement,describes,the,purpose,of,the,assessment,phase,of,the,nursing,process?
a. To,teach,interventions,that,relieve,health,problems
b. To,use,patient,data,to,evaluate,patient,care,outcomes
c. To,obtain,data,to,diagnose,patient,strengths,and,problems
d. To,help,the,patient,identify,realistic,outcomes,for,health,problems
ANS:,C
During,the,assessment,phase,,the,nurse,gathers,information,about,the,patient,to,diagnose,p
atient,strengths,and,problems.,The,other,responses,are,examples,of,the,planning,,interventi
on,,and,evaluation,phases,of,the,nursing,process.
DIF: Cognitive,Level:,Understand,(Comprehension)
TOP:,Nursing,Process:,Assessment MSC:,NCLEX:,Safe,and,Effective,Care,Environment
8. When,developing,the,plan,of,care,,which,components,would,the,nurse,include,in,the,clinic
al,problem,statement?
a. The,problem,and,the,suggested,patient,goals,or,outcomes
b. The,problem,,its,causes,,and,the,signs,and,symptoms,of,the,problem
c. The,problem,with,the,possible,etiology,and,the,planned,interventions
d. The,problem,,its,pathophysiology,,and,the,expected,outcome
ANS:,B
When,writing,clinical,problems,or,nursing,diagnoses,,the,subjective,as,well,as,objective,data,t
o,support,the,problem‗s,existence,should,be,included.,Goals,,outcomes,,and,interventions,ar
e,not,included,in,the,problem,statement.
DIF:,Cognitive,Level:,Understand,(Comprehension),TOP:,Nursing,Process:,Diagnosis,MSC:,NCLEX:,Safe,and
,Effective,Care,Environment
9. Which,patient,care,task,would,the,nurse,delegate,to,experienced,assistive,personnel,(AP)
?
a. Instruct,the,patient,about,the,need,to,alternate,activity,and,rest.
b. Monitor,level,of,shortness,of,breath,or,fatigue,after,ambulation.
c. Obtain,the,patient‗s,blood,pressure,and,pulse,rate,after,ambulation.
d. Determine,whether,the,patient,is,ready,to,increase,the,activity,level.
ANS:,C
AP,education,includes,accurate,vital,sign,measurement.,Assessment,and,patient,teaching,re
quire,registered,nurse,education,and,scope,of,practice,and,cannot,be,delegated.
DIF: Cognitive,Level:,Apply,(Application) TOP:,Nursing,Process:,
Planning,MSC:,NCLEX:,Safe,and,Effective,Care,Environment
10. A,nurse,is,caring,for,a,group,of,patients,on,the,medical-
surgical,unit,with,the,help,of,one,float,registered,nurse,(RN),,one,assistive,personnel,(AP),,
and,one,licensed,practical/vocational,nurse,(LPN/VN).,Which,assignment,,if,delegated,by,t
he,nurse,,would,be,outside,that,individual‗s,scope,of,practice?
a. Check,for,the,presence,of,bowel,sounds,by,AP
NURSING,,12TH,EDITION,BY,MARIANN,M.
HARDING,,JEFFREY,KWONG,,DEBRA,HAGLER
CHAPTER,1-69,QUESTIONS,AND,CORRECT,ANSWERS
Chapter,01:,Professional,Nursing
Harding:,Lewis’s,Medical-Surgical,Nursing,,12th,Edition
MULTIPLE,CHOICE
1.
2. .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,fro
m,what,the,physician,does?‖,Which,response,would,the,nurse,provide?
a. ―The,role,of,the,nurse,is,to,administer,medications,and,other,treatments,prescri
bed,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,o
ccur,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,pr
omoting,health.,The,other,responses,describe,dependent,and,collaborative,functions,of,the,n
ursing,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,,MSC:,NCLEX:,Safe,and,Effective,Care,Environment
3. 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,car
e.‖
d. ―Recommendations,are,based,on,research,,clinical,expertise,,and,patient,prefer
ences.‖
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,requir
, ed,to,use,EBP.,All,published,articles,do,not,provide,research,evidence;,interventions,should,b
e,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
4. Which,statement,by,the,nurse,provides,a,clear,explanation,of,the,nursing,process?
a. ―The,nursing,process,is,a,research,method,of,diagnosing,the,patient‗s,health,c
are,problems.‖
b. ―The,nursing,process,is,used,primarily,to,explain,nursing,interventions,to,othe
r,health,care,professionals.‖
c. ―The,nursing,process,is,a,problem-
solving,tool,used,to,identify,and,manage,the
, patients‗,health,care,needs.‖
d. ―The,nursing,process,is,based,on,nursing,theory,that,incorporates,the,biopsyc
hosocial,nature,of,humans.‖
ANS:,C
The,nursing,process,is,a,problem-
solving,approach,to,the,identification,and,treatment,of,patients‗,problems.,Nursing,process,
does,not,require,research,methods,for,diagnosis.,The,primary,use,of,the,nursing,process,is,in,
patient,care,,not,to,establish,nursing,theory,or,explain,nursing,interventions,to,other,health,c
are,professionals.
DIF: Cognitive,Level:,Understand,(Comprehension)
TOP:,Nursing,Process:,Evaluation,MSC:,NCLEX:,Safe,and,Effective,Care,Environment
4. A,patient,admitted,to,the,hospital,for,surgery,tells,the,nurse,,―I,do,not,feel,comfortable,le
aving,my,children,with,my,parents.‖,Which,action,would,the,nurse,take,next?,a.,Reassure,t
he,patient,that,these,feelings,are,common,for,parents.
b. Have,the,patient,call,the,children,to,ensure,that,they,are,doing,well.
c. Gather,information,on,the,patient‗s,concerns,about,the,child,care,arrangements.
d. Call,the,patient‗s,parents,to,determine,whether,adequate,child,care,is,being,provided.
ANS:,C
Because,a,complete,assessment,is,necessary,in,order,to,identify,a,problem,and,choose,an,ap
propriate,intervention,,the,nurse‗s,first,action,should,be,to,obtain,more,information.,The,ot
her,actions,may,be,appropriate,,but,more,assessment,is,needed,before,the,best,intervention
,can,be,chosen.
DIF: Cognitive,Level:,Analyze,(Analysis)
TOP:,Nursing,Process:,Assessment MSC:,NCLEX:,Psychosocial,Integrity
5. A,patient,with,a,bacterial,infection,is,hypovolemic,due,to,a,fever,and,excessive,diaphoresis
.,Which,expected,outcome,would,the,nurse,select,for,this,patient?,a.
Patient,has,a,balanced,intake,and,output.
b. Patient‗s,bedding,is,kept,clean,and,free,of,moisture.
c. Patient,understands,the,need,for,increased,fluid,intake.
d. Patient‗s,skin,remains,cool,and,dry,throughout,hospitalization.
ANS:,A
Balanced,intake,and,output,gives,measurable,data,showing,resolution,of,the,problem,of,defi
cient,fluid,volume.,The,other,statements,would,not,indicate,that,the,problem,of,hypovolemi
a,was,resolved.
DIF: Cognitive,Level:,Apply,(Application) TOP:,Nursing,Process:,
Planning,MSC:,NCLEX:,Physiological,Integrity
6. Which,statement,describes,the,purpose,of,the,evaluation,phase,of,the,nursing,process?
a. To,document,the,nursing,care,plan,in,the,progress,notes,of,the,health,record
b. To,determine,if,interventions,have,been,effective,in,meeting,patient,outcomes
c. To,decide,whether,the,patient‗s,health,problems,have,been,completely,resolved
d. To,establish,if,the,patient,agrees,that,the,nursing,care,provided,was,satisfactory
ANS:,B
, Evaluation,consists,of,determining,whether,the,desired,patient,outcomes,have,been,met,and
,whether,the,nursing,interventions,were,appropriate.,The,other,responses,do,not,describe,th
e,evaluation,phase.
DIF:,Cognitive,Level:,Understand,(Comprehension),TOP:,Nursing,Process:,Evaluation,MSC:,NCLEX:,Safe,an
d,Effective,Care,Environment
7. Which,statement,describes,the,purpose,of,the,assessment,phase,of,the,nursing,process?
a. To,teach,interventions,that,relieve,health,problems
b. To,use,patient,data,to,evaluate,patient,care,outcomes
c. To,obtain,data,to,diagnose,patient,strengths,and,problems
d. To,help,the,patient,identify,realistic,outcomes,for,health,problems
ANS:,C
During,the,assessment,phase,,the,nurse,gathers,information,about,the,patient,to,diagnose,p
atient,strengths,and,problems.,The,other,responses,are,examples,of,the,planning,,interventi
on,,and,evaluation,phases,of,the,nursing,process.
DIF: Cognitive,Level:,Understand,(Comprehension)
TOP:,Nursing,Process:,Assessment MSC:,NCLEX:,Safe,and,Effective,Care,Environment
8. When,developing,the,plan,of,care,,which,components,would,the,nurse,include,in,the,clinic
al,problem,statement?
a. The,problem,and,the,suggested,patient,goals,or,outcomes
b. The,problem,,its,causes,,and,the,signs,and,symptoms,of,the,problem
c. The,problem,with,the,possible,etiology,and,the,planned,interventions
d. The,problem,,its,pathophysiology,,and,the,expected,outcome
ANS:,B
When,writing,clinical,problems,or,nursing,diagnoses,,the,subjective,as,well,as,objective,data,t
o,support,the,problem‗s,existence,should,be,included.,Goals,,outcomes,,and,interventions,ar
e,not,included,in,the,problem,statement.
DIF:,Cognitive,Level:,Understand,(Comprehension),TOP:,Nursing,Process:,Diagnosis,MSC:,NCLEX:,Safe,and
,Effective,Care,Environment
9. Which,patient,care,task,would,the,nurse,delegate,to,experienced,assistive,personnel,(AP)
?
a. Instruct,the,patient,about,the,need,to,alternate,activity,and,rest.
b. Monitor,level,of,shortness,of,breath,or,fatigue,after,ambulation.
c. Obtain,the,patient‗s,blood,pressure,and,pulse,rate,after,ambulation.
d. Determine,whether,the,patient,is,ready,to,increase,the,activity,level.
ANS:,C
AP,education,includes,accurate,vital,sign,measurement.,Assessment,and,patient,teaching,re
quire,registered,nurse,education,and,scope,of,practice,and,cannot,be,delegated.
DIF: Cognitive,Level:,Apply,(Application) TOP:,Nursing,Process:,
Planning,MSC:,NCLEX:,Safe,and,Effective,Care,Environment
10. A,nurse,is,caring,for,a,group,of,patients,on,the,medical-
surgical,unit,with,the,help,of,one,float,registered,nurse,(RN),,one,assistive,personnel,(AP),,
and,one,licensed,practical/vocational,nurse,(LPN/VN).,Which,assignment,,if,delegated,by,t
he,nurse,,would,be,outside,that,individual‗s,scope,of,practice?
a. Check,for,the,presence,of,bowel,sounds,by,AP
