Test Bank for Lewis’s Medical-Surgical Nursing 12th Edition by Mariann M. Harding, Jeffrey Kwong, Dottie Roberts, Beth Hogan-Quigley & Courtney Reinisch – Updated 2025

,
,
,
,
,
, ficientNfluidNvolume.NTheNotherNstatementsNwouldNnotNindicateNthatNtheNproblemNofNhypovol
emiaNwasNresolved.

DIF: CognitiveNLevel:NApplyN(Application)
TOP:N NursingNProcess:NPlanningNMSC:N NCLEX:NPhysiologicalNIntegrity


6. WhichNstatementNdescribesNtheNpurposeNofNtheNevaluationNphaseNofNtheNnursingNprocess?
a. ToNdocumentNtheNnursingNcareNplanNinNtheNprogressNnotesNofNtheNhealthNrecord
b. ToNdetermineNifNinterventionsNhaveNbeenNeffectiveNinNmeetingNpatientNoutcomes
c. ToNdecideNwhetherNtheNpatient‗sNhealthNproblemsNhaveNbeenNcompletelyNresolved
d. ToNestablishNifNtheNpatientNagreesNthatNtheNnursingNcareNprovidedNwasNsatisfactory

ANSWER:N B

, EvaluationNconsistsNofNdeterminingNwhetherNtheNdesiredNpatientNoutcomesNhaveNbeenNmetN
andNwhetherNtheNnursingNinterventionsNwereNappropriate.NTheNotherNresponsesNdoNnotNdesc
ribeNtheNevaluationNphase.

DIF: CognitiveNLevel:NUnderstandN(Comprehension)
TOP:N NursingNProcess:NEvaluationNMSC:N NCLEX:NSafeNandNEffectiveNCareNEnvironment


7. WhichNstatementNdescribesNtheNpurposeNofNtheNassessmentNphaseNofNtheNnursingNprocess?
a. ToNteachNinterventionsNthatNrelieveNhealthNproblems
b. ToNuseNpatientNdataNtoNevaluateNpatientNcareNoutcomes
c. ToNobtainNdataNtoNdiagnoseNpatientNstrengthsNandNproblems
d. ToNhelpNtheNpatientNidentifyNrealisticNoutcomesNforNhealthNproblems

ANSWER:N C
DuringNtheNassessmentNphase,NtheNnurseNgathersNinformationNaboutNtheNpatientNtoNdiagnoseNp
atientNstrengthsNandNproblems.NTheNotherNresponsesNareNexamplesNofNtheNplanning,Nintervent
ion,NandNevaluationNphasesNofNtheNnursingNprocess.

DIF: CognitiveNLevel:NUnderstandN(Comprehension)
TOP:N NursingNProcess:NAssessment MSC:N NCLEX:NSafeNandNEffectiveNCareNEnvironment

8. WhenNdevelopingNtheNplanNofNcare,NwhichNcomponentsNwouldNtheNnurseNincludeNinNtheNclin
icalNproblemNstatement?
a. TheNproblemNandNtheNsuggestedNpatientNgoalsNorNoutcomes
b. TheNproblem,NitsNcauses,NandNtheNsignsNandNsymptomsNofNtheNproblem
c. TheNproblemNwithNtheNpossibleNetiologyNandNtheNplannedNinterventions
d. TheNproblem,NitsNpathophysiology,NandNtheNexpectedNoutcome

ANSWER:N B
WhenNwritingNclinicalNproblemsNorNnursingNdiagnoses,NtheNsubjectiveNasNwellNasNobjectiveNd
ataNtoNsupportNtheNproblem‗sNexistenceNshouldNbeNincluded.NGoals,Noutcomes,NandNinterventi
onsNareNnotNincludedNinNtheNproblemNstatement.

DIF: CognitiveNLevel:NUnderstandN(Comprehension)
TOP:N NursingNProcess:NDiagnosisNMSC:N NCLEX:NSafeNandNEffectiveNCareNEnvironment

9. WhichNpatientNcareNtaskNwouldNtheNnurseNdelegateNtoNexperiencedNassistiveNpersonnelN(AP)?
a. InstructNtheNpatientNaboutNtheNneedNtoNalternateNactivityNandNrest.
b. MonitorNlevelNofNshortnessNofNbreathNorNfatigueNafterNambulation.
c. ObtainNtheNpatient‗sNbloodNpressureNandNpulseNrateNafterNambulation.
d. DetermineNwhetherNtheNpatientNisNreadyNtoNincreaseNtheNactivityNlevel.

,ANSWER:N C
APNeducationNincludesNaccurateNvitalNsignNmeasurement.NAssessmentNandNpatientNteachingNr
equireNregisteredNnurseNeducationNandNscopeNofNpracticeNandNcannotNbeNdelegated.

DIF: CognitiveNLevel:NApplyN(Application)
TOP:N NursingNProcess:NPlanningNMSC:N NCLEX:NSafeNandNEffectiveNCareNEnvironment

, 10. ANnurseNisNcaringNforNaNgroupNofNpatientsNonNtheNmedical-
surgicalNunitNwithNtheNhelpNofNoneNfloatNregisteredNnurseN(RN),NoneNassistiveNpersonnelN(AP)
,NandNoneNlicensedNpractical/vocationalNnurseN(LPN/VN).NWhichNassignment,NifNdelegatedNb
yNtheNnurse,NwouldNbeNoutsideNthatNindividual‗sNscopeNofNpractice?
a. CheckNforNtheNpresenceNofNbowelNsoundsNbyNAP
b. AdministrationNofNoralNmedicationsNbyNLPN/VN
c. InsulinNadministrationNbyNfloatNRNNfromNtheNpediatricNunit
d. MeasurementNofNaNpatient‗sNurinaryNcatheterNoutputNbyNAP

ANSWER:N A
AssessmentNrequiresNRNNeducationNandNscopeNofNpracticeNsoNitNcannotNbeNdelegatedNtoNanN
LPN/VNNorNAP.NTheNotherNassignmentsNmadeNbyNtheNRNNareNappropriateNforNtheNroleNofNthe
NteamNmember.

DIF: CognitiveNLevel:NApplyN(Application)
TOP:N NursingNProcess:NPlanningNMSC:N NCLEX:NSafeNandNEffectiveNCareNEnvironment

11. WhichNtaskNisNappropriateNforNtheNnurseNtoNdelegateNtoNaNlicensedNpractical/vocationalNn
urseN(LPN/VN)?
a. CompleteNtheNinitialNadmissionNassessmentNandNplanNofNcare.
b. MeasureNbedsideNbloodNglucoseNbeforeNadministeringNinsulin.
c. DocumentNteachingNcompletedNbeforeNaNdiagnosticNprocedure.
d. InstructNaNpatientNaboutNlow-fat,NreducedNsodiumNdietaryNrestrictions.

ANSWER:N B
TheNeducationNandNscopeNofNpracticeNofNtheNLPN/LVNNincludeNactivitiesNsuchNasNobtaining
NglucoseNtestingNusingNaNfingerNstickNandNadministeringNinsulin.NPatientNteachingNandNtheNinit
ialNassessmentNandNdevelopmentNofNtheNplanNofNcareNareNnursingNactionsNthatNrequireNregiste
redNnurseNeducationNandNscopeNofNpractice.

DIF: CognitiveNLevel:NApplyN(Application)
TOP:N NursingNProcess:NPlanningNMSC:N NCLEX:NSafeNandNEffectiveNCareNEnvironment

12. ANnurseNisNassignedNasNaNcaseNmanagerNforNaNhospitalizedNpatientNwhoNhasNaNspinalNcordNin
jury.NWhichNactivityNcanNtheNpatientNexpectNtheNnurseNinNthisNroleNtoNperform?
a. CareNforNtheNpatientNduringNhospitalizationNforNtheNinjuries.
b. AssistNtheNpatientNwithNhomeNcareNactivitiesNduringNrecovery.
c. CoordinateNtheNservicesNtheNpatientNreceivesNinNtheNhospitalNandNatNhome.
d. DetermineNwhatNmedicalNcareNtheNpatientNneedsNforNoptimalNrehabilitation.

ANSWER:N C