Test Bank For Lewis's Medical- Surgical Nursing, 12th Edition
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler
Chapter 1-69 Complete Latest 2023-2024
, 3
Chapter 01: Professional Nursing
h h h
Harding: Lewis’s Medicalans>>Surgical Nursing, 12th
h h h h
Edition
h
MULTIPLECHOICE h
1. The nurse completes an admission database and explains that the plan of care and discharge
h h h h h h h h h h h h h h
goals will be developed with the patient‗s input. The patient asks, ―How is this different from
h h h h h h h h h h h h h h h h
what the physician does?‖ Which response would the nurse provide?
h h h h h h h h h h
a. ―The role of the nurse is to administer medications and other
h h h h h h h h h h
treatmentsprescribed by your physician.‖
h h h h h
b. ―In addition to caring for you while you are sick, the nurses will help you planto
h h h h h h h h h h h h h h h h
maintain your health.‖
h h h
c. ―The nurse‗s job is to collect information and communicate any
h h h h h h h h h
problemsthat occur to the physician.‖
h h h h h h
d. ―Nurses perform many of the same procedures as the physician, but nurses are
h h h h h h h h h h h h
with the patients for a longer time than the physician.‖
h h h h h h h h h h
ANS: B h
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
h h h h h h h h h h h h h
promoting health. The other responses describe dependent and collaborative functions of the
h h h h h h h h h h h h
nursing role but do not accurately describe the nurse‗s unique role in the health care system.
h h h h h h h h h h h h h h h h
DIF: Cognitive Level: Analyze (Analysis)
h h h h
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
h h h hh h h h h h h h
2. Which statement bythe nurse accurately describes the use of evidenceans>>based practice (EBP)?
h h h h h h h h h h h h
a. ―Patient care is based on clinical judgment, experience, and traditions.‖ h h h h h h h h h
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
h h h h h h h h h h h h
c. ―Research from all published articles are used as a guide for planning patient care.‖ h h h h h h h h h h h h h
d. ―Recommendations are based on research, clinical expertise, and h h h h h h h
patient preferences.‖
h h
ANS: D h
Evidenceans>>based practice (EBP) is the use of the best researchans>>based evidence h h h h h h h h h h
combined with clinician expertise and consideration of patient preferences. Clinical judgment
h h h h h h h h h h h
based on the nurse‗s clinical experience is part of EBP, but clinical decision making should also
h h h h h h h h h h h h h h h h
incorporate current research and researchans>>based guidelines. Evaluation of patient
h h h h h h h h h
outcomes isimportant, but data analysis is not required to use EBP. All published articles do not
h h h h h h h h h h h h h h h h h
provide research evidence; interventions should be based on credible research, preferably
h h h h h h h h h h h
randomizedcontrolled studies with a large number of subjects.
h h h h h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h TOP: Nursing Process: h h
PlanningMSC: NCLEX: Safe and Effective Care Environment
h h h h h h h h
3. Which statement by the nurse provides a clear explanation of the nursing process?
h h h h h h h h h h h h
a. ―The nursing process is a research method of diagnosing the patient‗s
h h h h h h h h h h
healthcare problems.‖
h h h
b. ―The nursing process is used primarily to explain nursing interventions
h h h h h h h h h
toother health care professionals.‖
h h h h h
c. ―The nursing process is a problemans>>solving tool used to identify and manage the
h h h h h h h h h h h h
, 4
patients‗ health care needs.‖ h h h
d. ―The nursing process is based on nursing theory that incorporatesthe
h h h h h h h h h h
biopsychosocial nature of humans.‖
h h h h
ANS: C h
The nursing process is a problemans>>solving approach to the identification and treatment of
h h h h h h h h h h h h
patients‗ problems. Nursing process does not require research methods for diagnosis. The
h h h h h h h h h h h h
primary use of the nursing process is in patient care, not to establish nursing theory or
h h h h h h h h h h h h h h h h
explainnursing interventions to other health care professionals.
h h h h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h TOP: Nursing Process: h h
EvaluationMSC: NCLEX: Safe and Effective Care Environment
h h h h h h h h
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel
h h h h h h h h h h h h h h
comfortable leaving my children with my parents.‖ Which action would the
h h h h h h h h h h h
nursetake next?
h h h
a. Reassure the patient that these feelings are common for parents. h h h h h h h h h
b. Have the patient call the children to ensure that they are doing well.
h h h h h h h h h h h h
c. Gather information on the patient‗s concerns about the child care arrangements.
h h h h h h h h h h
d. Call the patient‗s parents to determine whether adequate child care
h h h h h h h h h
isbeing provided.
h h h
ANS: C h
Because a complete assessment is necessary in order to identify a problem and choose an
h h h h h h h h h h h h h h
appropriate intervention, the nurse‗s first action should be to obtain more information. The other
h h h h h h h h h h h h h h
actions may be appropriate, but more assessment is needed before the best interventioncan be
h h h h h h h h h h h h h h h
chosen.
h
DIF: Cognitive Level: Analyze (Analysis) h h h
TOP: Nursing Process: Assessment
h MSC: NCLEX: Psychosocial Integrity h h h h h
5. A patient with a bacterial infection is hypovolemic due to a fever and
h h h h h h h h h h h h
excessivediaphoresis. Which expected outcome would the nurse select for this
h h h h h h h h h h h
patient?
h
a. Patient has a balanced intake and output. h h h h h h
b. Patient‗s bedding is kept clean and free of moisture. h h h h h h h h
c. Patient understands the need for increased fluid intake. h h h h h h h
d. Patient‗s skin remains cool and dry throughout hospitalization. h h h h h h h
ANS: A h
Balanced intake and output gives measurable data showing resolution of the problem ofdeficient
h h h h h h h h h h h h h
fluid volume. The other statements would not indicate that the problem of hypovolemia was
h h h h h h h h h h h h h h
resolved.
h
DIF: Cognitive Level: Apply (Application) h h h TOP: Nursing Process: h h
PlanningMSC: NCLEX: Physiological Integrity
h h h h h
6. Which statement describes the purpose of the evaluation phase of the nursing process?
h h h h h h h h h h h h
a. To document the nursing care plan in the progress notes of the health record
h h h h h h h h h h h h h
b. To determine if interventions have been effective in meeting patient outcomes
h h h h h h h h h h
c. To decide whether the patient‗s health problems have been completely resolved
h h h h h h h h h h
d. To establish if the patient agrees that the nursing care provided was satisfactory
h h h h h h h h h h h h
ANS: B h
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler
Chapter 1-69 Complete Latest 2023-2024
, 3
Chapter 01: Professional Nursing
h h h
Harding: Lewis’s Medicalans>>Surgical Nursing, 12th
h h h h
Edition
h
MULTIPLECHOICE h
1. The nurse completes an admission database and explains that the plan of care and discharge
h h h h h h h h h h h h h h
goals will be developed with the patient‗s input. The patient asks, ―How is this different from
h h h h h h h h h h h h h h h h
what the physician does?‖ Which response would the nurse provide?
h h h h h h h h h h
a. ―The role of the nurse is to administer medications and other
h h h h h h h h h h
treatmentsprescribed by your physician.‖
h h h h h
b. ―In addition to caring for you while you are sick, the nurses will help you planto
h h h h h h h h h h h h h h h h
maintain your health.‖
h h h
c. ―The nurse‗s job is to collect information and communicate any
h h h h h h h h h
problemsthat occur to the physician.‖
h h h h h h
d. ―Nurses perform many of the same procedures as the physician, but nurses are
h h h h h h h h h h h h
with the patients for a longer time than the physician.‖
h h h h h h h h h h
ANS: B h
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
h h h h h h h h h h h h h
promoting health. The other responses describe dependent and collaborative functions of the
h h h h h h h h h h h h
nursing role but do not accurately describe the nurse‗s unique role in the health care system.
h h h h h h h h h h h h h h h h
DIF: Cognitive Level: Analyze (Analysis)
h h h h
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
h h h hh h h h h h h h
2. Which statement bythe nurse accurately describes the use of evidenceans>>based practice (EBP)?
h h h h h h h h h h h h
a. ―Patient care is based on clinical judgment, experience, and traditions.‖ h h h h h h h h h
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
h h h h h h h h h h h h
c. ―Research from all published articles are used as a guide for planning patient care.‖ h h h h h h h h h h h h h
d. ―Recommendations are based on research, clinical expertise, and h h h h h h h
patient preferences.‖
h h
ANS: D h
Evidenceans>>based practice (EBP) is the use of the best researchans>>based evidence h h h h h h h h h h
combined with clinician expertise and consideration of patient preferences. Clinical judgment
h h h h h h h h h h h
based on the nurse‗s clinical experience is part of EBP, but clinical decision making should also
h h h h h h h h h h h h h h h h
incorporate current research and researchans>>based guidelines. Evaluation of patient
h h h h h h h h h
outcomes isimportant, but data analysis is not required to use EBP. All published articles do not
h h h h h h h h h h h h h h h h h
provide research evidence; interventions should be based on credible research, preferably
h h h h h h h h h h h
randomizedcontrolled studies with a large number of subjects.
h h h h h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h TOP: Nursing Process: h h
PlanningMSC: NCLEX: Safe and Effective Care Environment
h h h h h h h h
3. Which statement by the nurse provides a clear explanation of the nursing process?
h h h h h h h h h h h h
a. ―The nursing process is a research method of diagnosing the patient‗s
h h h h h h h h h h
healthcare problems.‖
h h h
b. ―The nursing process is used primarily to explain nursing interventions
h h h h h h h h h
toother health care professionals.‖
h h h h h
c. ―The nursing process is a problemans>>solving tool used to identify and manage the
h h h h h h h h h h h h
, 4
patients‗ health care needs.‖ h h h
d. ―The nursing process is based on nursing theory that incorporatesthe
h h h h h h h h h h
biopsychosocial nature of humans.‖
h h h h
ANS: C h
The nursing process is a problemans>>solving approach to the identification and treatment of
h h h h h h h h h h h h
patients‗ problems. Nursing process does not require research methods for diagnosis. The
h h h h h h h h h h h h
primary use of the nursing process is in patient care, not to establish nursing theory or
h h h h h h h h h h h h h h h h
explainnursing interventions to other health care professionals.
h h h h h h h h
DIF: Cognitive Level: Understand (Comprehension) h h h TOP: Nursing Process: h h
EvaluationMSC: NCLEX: Safe and Effective Care Environment
h h h h h h h h
4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel
h h h h h h h h h h h h h h
comfortable leaving my children with my parents.‖ Which action would the
h h h h h h h h h h h
nursetake next?
h h h
a. Reassure the patient that these feelings are common for parents. h h h h h h h h h
b. Have the patient call the children to ensure that they are doing well.
h h h h h h h h h h h h
c. Gather information on the patient‗s concerns about the child care arrangements.
h h h h h h h h h h
d. Call the patient‗s parents to determine whether adequate child care
h h h h h h h h h
isbeing provided.
h h h
ANS: C h
Because a complete assessment is necessary in order to identify a problem and choose an
h h h h h h h h h h h h h h
appropriate intervention, the nurse‗s first action should be to obtain more information. The other
h h h h h h h h h h h h h h
actions may be appropriate, but more assessment is needed before the best interventioncan be
h h h h h h h h h h h h h h h
chosen.
h
DIF: Cognitive Level: Analyze (Analysis) h h h
TOP: Nursing Process: Assessment
h MSC: NCLEX: Psychosocial Integrity h h h h h
5. A patient with a bacterial infection is hypovolemic due to a fever and
h h h h h h h h h h h h
excessivediaphoresis. Which expected outcome would the nurse select for this
h h h h h h h h h h h
patient?
h
a. Patient has a balanced intake and output. h h h h h h
b. Patient‗s bedding is kept clean and free of moisture. h h h h h h h h
c. Patient understands the need for increased fluid intake. h h h h h h h
d. Patient‗s skin remains cool and dry throughout hospitalization. h h h h h h h
ANS: A h
Balanced intake and output gives measurable data showing resolution of the problem ofdeficient
h h h h h h h h h h h h h
fluid volume. The other statements would not indicate that the problem of hypovolemia was
h h h h h h h h h h h h h h
resolved.
h
DIF: Cognitive Level: Apply (Application) h h h TOP: Nursing Process: h h
PlanningMSC: NCLEX: Physiological Integrity
h h h h h
6. Which statement describes the purpose of the evaluation phase of the nursing process?
h h h h h h h h h h h h
a. To document the nursing care plan in the progress notes of the health record
h h h h h h h h h h h h h
b. To determine if interventions have been effective in meeting patient outcomes
h h h h h h h h h h
c. To decide whether the patient‗s health problems have been completely resolved
h h h h h h h h h h
d. To establish if the patient agrees that the nursing care provided was satisfactory
h h h h h h h h h h h h
ANS: B h
