, 3
Chapter 01: Professional Nursing
sm sm sm
Harding: Lewis’s Medical-
sm sm
Surgical Nursing, 12th
MULTIPLEs m CHOICE
1. Thes m nurses m completess m ans m admissions m databases m ands m explainss m thats m thes m plans m ofs m ca
res m andsmdischarges m goalss m wills m bes m developeds m withs m thes m patient‗ss m input.s m Thes m patie
nts m asks,s m ―Hows m iss m thiss m differents m froms m whats m thes m physicians m does?‖s m Whichs m re
sponses m woulds m thes m nursesmprovide?
a. ―Thes m roles m ofs m thes m nurses m iss m tos m administers m medicationss m a
nds m othersmtreatmentss m prescribeds m bys m yours m physician.‖
b. ―Ins m additions m tos m carings m fors m yous m whiles m yous m ares m sick,s m thes m nurses
s m wills m helpsm you s m plans m to s m maintains m yours m health.‖
c. ―Thes m nurse‗ss m jobs m iss m tos m collects m informations m ands m communic
ates m anysmproblemss m thats m occurs m tos m thes m physician.‖
d. ―Nursess m performs m manysmofs m thes m sames m proceduress m ass m thes m physic
ian,s m butsmnursess m ares m withs m thes m patientss m fors m as m longers m times m
thans m thes m physician.‖
ANS:s m B
Thes m Americans m Nursess m Associations m (ANA) s m definitions m ofs m nursings m describess m thes m r
oles m ofsmnursess m ins m promotings m health.s m Thes m others m responsess m describes m depend
ents m andsmcollaboratives m functionss m ofs m thes m nursings m roles m buts m dos m nots m accuratelysmdes
cribes m thes m nurse‗ssmuniques m roles m ins m thes m healths m cares m system.
DIF:s m s m Cognitives m Level:s m Analyzes m (Analysis)
TOP: Nursings m Process:s m Implementation
MSC:s m s m NCLEX:s m Safes m ands m Effectives m Cares m Environment
2. Whichs m statements m bys m thes m nurses m accuratelys m describess m thes m uses m ofs m evidence-
baseds m practices m (EBP)?
a. ―Patients m cares m iss m baseds m ons m clinicals m judgment,s m experience,s m ands m traditions.‖
b. ―Datas m ares m analyzeds m laters m tos m shows m thats m thes m patients m outcomess m ares m consistentlys m met.
‖
c. ―Researchs m froms m alls m publisheds m articless m ares m useds m ass m as m guides m fors m plannings m patients m ca
re.‖
d. ―Recommendationss m ares m baseds m onsm research,s m clinicals m exper
tise,smands m patients m preferences.‖
ANS:s m D
Evidence-baseds m practices m (EBP)s m iss m thes m uses m ofs m thes m bests m research-
baseds m evidencesmcombineds m withs m clinicians m expertises m ands m considerations m ofs m patient
s m preferences. s m Clinicalsm judgment s m baseds m ons m thes m nurse‗ss m clinicals m experience s m iss m
parts m ofs m EBP,s m buts m clinicalsmdecisions m makings m shoulds m alsos m incorporates m currents m r
esearchs m ands m research-
basedsmguidelines.s m Evaluations m ofs m patients m outcomess m iss m important,s m buts m datas m anal
ysiss m iss m notsmrequireds m tos m uses m EBP.s m Alls m publisheds m articless m dos m nots m provides m res
earchs m evidence;sminterventionss m shoulds m bes m baseds m ons m credibles m research,s m preferabl
ys m randomizeds m controlledsmstudiess m withs m as m larges m numbers m ofs m subjects.
DIF: Cognitives m Level:s m Understands m (Comprehension)
TOP:s m Nursings m Process:smPlannings m MSC:
NCLEX:s m Safes m ands m Effectives m Cares m Environment
3. Whichs m statements m bys m thes m nurses m providess m as m clears m explanations m ofs m thes m nursings m process?
a. ―Thes m nursings m processs m iss m as m researchs m methods m ofs m diagnosings m thes m
patient‗ssmhealths m cares m problems.‖
,b. ―Thes m nursings m processs m iss m useds m primarilys m tos m explains m
nursingsminterventionss m tos m others m healths m cares m profession
als.‖
c. ―Thes m nursings m processs m iss m as m problem-solvings m tools m useds m tos m identifys m ands m manages m the
, 4
patients‗s m healths m cares m needs.‖
d. ―Thes m nursings m processs m iss m baseds m ons m nursings m theor
ys m thatsmincorporatess m thes m biopsychosocials m natures m o
fs m humans.‖
ANS:s m C
Thes m nursings m processs m iss m as m problem-
solvings m approachs m tos m thes m identifications m ands m treatments m ofs m patients‗s m problems.s m
Nursings m processs m doess m nots m requires m researchs m methodss m forsmdiagnosis.s m Thes m prima
rys m uses m ofs m thes m nursings m processs m iss m ins m patients m care,s m nots m tos m establishsmnursings m
theorys m ors m explains m nursings m interventionss m tos m others m healths m cares m professionals.
DIF: Cognitives m Level:s m Understands m (Comprehension)
TOP:s m Nursings m Process:smEvaluations m MSC:
NCLEX:s m Safes m ands m Effectives m Cares m Environment
4. As m patients m admitteds m tos m thes m hospitals m fors m surgerys m tellss m thes m nurse,s m
―Is m dos m notsmfeels m comfortables m leavings m mys m childrens m withs m mys m parent
s.‖s m Whichs m actionsmwoulds m thes m nurses m takes m next?
a. Reassures m thes m patients m thats m theses m feelingss m ares m commons m fors m parents.
b. Haves m thes m patients m calls m thes m childrens m tos m ensures m thats m theys m ares m doings m well.
c. Gathers m informations m ons m thes m patient‗ss m concernss m abouts m thes m childs m cares m arrangements.
d. Calls m thes m patient‗ss m parentss m tos m determines m whethers m adequat
es m childsmcares m iss m beings m provided.
ANS:s m C
Becauses m as m completes m assessments m iss m necessarys m ins m orders m tos m identifys m as m pr
oblems m andsmchooses m ans m appropriates m intervention,s m thes m nurse‗ss m firsts m actions m shoul
ds m bes m tos m obtains m moresminformation.s m Thes m others m actionss m mays m bes m appropriate,s m b
uts m mores m assessments m iss m neededsmbefores m thes m bests m interventions m cans m bes m chosen.
DIF: Cognitives m Level:s m Analyzes m (Analysis)
TOP: Nursings m Process:s m Assessment MSC:s m NCLEX:s m Psychosocials m Integrity
5. As m patients m withs m as m bacterials m infections m iss m hypovolemics m dues m tos m as m f
evers m andsmexcessives m diaphoresis.s m Whichs m expecteds m outcomes m woulds m t
hes m nurses m selectsmfors m thiss m patient?
a. Patients m hass m as m balanceds m intakes m ands m output.
b. Patient‗ss m beddings m iss m kepts m cleans m ands m frees m ofs m moisture.
c. Patients m understandss m thes m needs m fors m increaseds m fluids m intake.
d. Patient‗ss m skins m remainss m cools m ands m drys m throughouts m hospitalization.
ANS:s m A
Balanceds m intakes m ands m outputs m givess m measurables m datas m showings m resolutions m ofs m thes
m problemsmofs m deficient s m fluid s m volume.s m The s m others m statementss m woulds m not s m indicates
m that s m thes m problems m ofs m hypovolemias m was s m resolved.
DIF: Cognitives m Level:s m Applys m (Application)
TOP:s m Nursings m Process:smPlannings m MSC:
NCLEX:s m Physiologicals m Integrity
6. Whichs m statements m describess m thes m purposes m ofs m thes m evaluations m phases m ofs m thes m nursings m pro
cess?
a. Tos m documents m thes m nursings m cares m plans m ins m thes m progresss m notess m ofs m thes m healths m record
b. Tos m determines m ifs m interventionss m haves m beens m effectives m ins m meetings m patients m outcomes
c. Tos m decides m whethers m thes m patient‗ss m healths m problemss m haves m beens m completelys m resolved
d. Tos m establishs m ifs m thes m patients m agreess m thats m thes m nursings m cares m provideds m wass m satisfactory
ANS:s m B
Chapter 01: Professional Nursing
sm sm sm
Harding: Lewis’s Medical-
sm sm
Surgical Nursing, 12th
MULTIPLEs m CHOICE
1. Thes m nurses m completess m ans m admissions m databases m ands m explainss m thats m thes m plans m ofs m ca
res m andsmdischarges m goalss m wills m bes m developeds m withs m thes m patient‗ss m input.s m Thes m patie
nts m asks,s m ―Hows m iss m thiss m differents m froms m whats m thes m physicians m does?‖s m Whichs m re
sponses m woulds m thes m nursesmprovide?
a. ―Thes m roles m ofs m thes m nurses m iss m tos m administers m medicationss m a
nds m othersmtreatmentss m prescribeds m bys m yours m physician.‖
b. ―Ins m additions m tos m carings m fors m yous m whiles m yous m ares m sick,s m thes m nurses
s m wills m helpsm you s m plans m to s m maintains m yours m health.‖
c. ―Thes m nurse‗ss m jobs m iss m tos m collects m informations m ands m communic
ates m anysmproblemss m thats m occurs m tos m thes m physician.‖
d. ―Nursess m performs m manysmofs m thes m sames m proceduress m ass m thes m physic
ian,s m butsmnursess m ares m withs m thes m patientss m fors m as m longers m times m
thans m thes m physician.‖
ANS:s m B
Thes m Americans m Nursess m Associations m (ANA) s m definitions m ofs m nursings m describess m thes m r
oles m ofsmnursess m ins m promotings m health.s m Thes m others m responsess m describes m depend
ents m andsmcollaboratives m functionss m ofs m thes m nursings m roles m buts m dos m nots m accuratelysmdes
cribes m thes m nurse‗ssmuniques m roles m ins m thes m healths m cares m system.
DIF:s m s m Cognitives m Level:s m Analyzes m (Analysis)
TOP: Nursings m Process:s m Implementation
MSC:s m s m NCLEX:s m Safes m ands m Effectives m Cares m Environment
2. Whichs m statements m bys m thes m nurses m accuratelys m describess m thes m uses m ofs m evidence-
baseds m practices m (EBP)?
a. ―Patients m cares m iss m baseds m ons m clinicals m judgment,s m experience,s m ands m traditions.‖
b. ―Datas m ares m analyzeds m laters m tos m shows m thats m thes m patients m outcomess m ares m consistentlys m met.
‖
c. ―Researchs m froms m alls m publisheds m articless m ares m useds m ass m as m guides m fors m plannings m patients m ca
re.‖
d. ―Recommendationss m ares m baseds m onsm research,s m clinicals m exper
tise,smands m patients m preferences.‖
ANS:s m D
Evidence-baseds m practices m (EBP)s m iss m thes m uses m ofs m thes m bests m research-
baseds m evidencesmcombineds m withs m clinicians m expertises m ands m considerations m ofs m patient
s m preferences. s m Clinicalsm judgment s m baseds m ons m thes m nurse‗ss m clinicals m experience s m iss m
parts m ofs m EBP,s m buts m clinicalsmdecisions m makings m shoulds m alsos m incorporates m currents m r
esearchs m ands m research-
basedsmguidelines.s m Evaluations m ofs m patients m outcomess m iss m important,s m buts m datas m anal
ysiss m iss m notsmrequireds m tos m uses m EBP.s m Alls m publisheds m articless m dos m nots m provides m res
earchs m evidence;sminterventionss m shoulds m bes m baseds m ons m credibles m research,s m preferabl
ys m randomizeds m controlledsmstudiess m withs m as m larges m numbers m ofs m subjects.
DIF: Cognitives m Level:s m Understands m (Comprehension)
TOP:s m Nursings m Process:smPlannings m MSC:
NCLEX:s m Safes m ands m Effectives m Cares m Environment
3. Whichs m statements m bys m thes m nurses m providess m as m clears m explanations m ofs m thes m nursings m process?
a. ―Thes m nursings m processs m iss m as m researchs m methods m ofs m diagnosings m thes m
patient‗ssmhealths m cares m problems.‖
,b. ―Thes m nursings m processs m iss m useds m primarilys m tos m explains m
nursingsminterventionss m tos m others m healths m cares m profession
als.‖
c. ―Thes m nursings m processs m iss m as m problem-solvings m tools m useds m tos m identifys m ands m manages m the
, 4
patients‗s m healths m cares m needs.‖
d. ―Thes m nursings m processs m iss m baseds m ons m nursings m theor
ys m thatsmincorporatess m thes m biopsychosocials m natures m o
fs m humans.‖
ANS:s m C
Thes m nursings m processs m iss m as m problem-
solvings m approachs m tos m thes m identifications m ands m treatments m ofs m patients‗s m problems.s m
Nursings m processs m doess m nots m requires m researchs m methodss m forsmdiagnosis.s m Thes m prima
rys m uses m ofs m thes m nursings m processs m iss m ins m patients m care,s m nots m tos m establishsmnursings m
theorys m ors m explains m nursings m interventionss m tos m others m healths m cares m professionals.
DIF: Cognitives m Level:s m Understands m (Comprehension)
TOP:s m Nursings m Process:smEvaluations m MSC:
NCLEX:s m Safes m ands m Effectives m Cares m Environment
4. As m patients m admitteds m tos m thes m hospitals m fors m surgerys m tellss m thes m nurse,s m
―Is m dos m notsmfeels m comfortables m leavings m mys m childrens m withs m mys m parent
s.‖s m Whichs m actionsmwoulds m thes m nurses m takes m next?
a. Reassures m thes m patients m thats m theses m feelingss m ares m commons m fors m parents.
b. Haves m thes m patients m calls m thes m childrens m tos m ensures m thats m theys m ares m doings m well.
c. Gathers m informations m ons m thes m patient‗ss m concernss m abouts m thes m childs m cares m arrangements.
d. Calls m thes m patient‗ss m parentss m tos m determines m whethers m adequat
es m childsmcares m iss m beings m provided.
ANS:s m C
Becauses m as m completes m assessments m iss m necessarys m ins m orders m tos m identifys m as m pr
oblems m andsmchooses m ans m appropriates m intervention,s m thes m nurse‗ss m firsts m actions m shoul
ds m bes m tos m obtains m moresminformation.s m Thes m others m actionss m mays m bes m appropriate,s m b
uts m mores m assessments m iss m neededsmbefores m thes m bests m interventions m cans m bes m chosen.
DIF: Cognitives m Level:s m Analyzes m (Analysis)
TOP: Nursings m Process:s m Assessment MSC:s m NCLEX:s m Psychosocials m Integrity
5. As m patients m withs m as m bacterials m infections m iss m hypovolemics m dues m tos m as m f
evers m andsmexcessives m diaphoresis.s m Whichs m expecteds m outcomes m woulds m t
hes m nurses m selectsmfors m thiss m patient?
a. Patients m hass m as m balanceds m intakes m ands m output.
b. Patient‗ss m beddings m iss m kepts m cleans m ands m frees m ofs m moisture.
c. Patients m understandss m thes m needs m fors m increaseds m fluids m intake.
d. Patient‗ss m skins m remainss m cools m ands m drys m throughouts m hospitalization.
ANS:s m A
Balanceds m intakes m ands m outputs m givess m measurables m datas m showings m resolutions m ofs m thes
m problemsmofs m deficient s m fluid s m volume.s m The s m others m statementss m woulds m not s m indicates
m that s m thes m problems m ofs m hypovolemias m was s m resolved.
DIF: Cognitives m Level:s m Applys m (Application)
TOP:s m Nursings m Process:smPlannings m MSC:
NCLEX:s m Physiologicals m Integrity
6. Whichs m statements m describess m thes m purposes m ofs m thes m evaluations m phases m ofs m thes m nursings m pro
cess?
a. Tos m documents m thes m nursings m cares m plans m ins m thes m progresss m notess m ofs m thes m healths m record
b. Tos m determines m ifs m interventionss m haves m beens m effectives m ins m meetings m patients m outcomes
c. Tos m decides m whethers m thes m patient‗ss m healths m problemss m haves m beens m completelys m resolved
d. Tos m establishs m ifs m thes m patients m agreess m thats m thes m nursings m cares m provideds m wass m satisfactory
ANS:s m B
