Medical-SurgicalWNursingWinWCanadaW5thWEditionWLewiWTestWBank
,ChapterW01:WIntroductionWtoWMedical-
SurgicalWNursingWPracticeWinWCanadaWLewis:WMedical-
SurgicalWNursingWinWCanada,W5thW5TH Canadian Edition
MULTIPLEWCHOICE
1.W WhenWcaringWforWclientsWusingWevidence-
informedWpractice,WwhichWofWtheWfollowingWdoesWtheWnurseWuse?
a.W ClinicalWjudgementWbasedWonWexp
erienceWb.W EvidenceWfromWaWclinical
WresearchWstudy
c.W TheWbestWavailableWevidenceWtoWguideWclinicalWexpertise
d.W EvaluationWofWdataWshowingWthatWtheWclientWoutcomesWareWmet
ANS:W C
Evidence-
informedWnursingWpracticeWisWaWcontinuousWinteractiveWprocessWinvolvingWtheWexp
licit,Wconscientious,WandWjudiciousWconsiderationWofWtheWbestWavailableWevidenceWt
oWprovideWcare.WFourWprimaryWelementsWare:W(a)WclinicalWstate,Wsetting,WandWcir
cumstances;W(b)WclientWpreferencesWandWactions;W(c)WbestWresearchWevidence;Wand
W(d)WhealthWcareWresources.WClinicalWjudgementWbasedWonWtheWnurse’sWclinicalWe
xperienceWisWpartWofWEIP,WbutWclinicalWdecisionWmakingWalsoWshouldWincorporate
WcurrentWresearchWandWresearch-
basedWguidelines.WEvidenceWfromWoneWclinicalWresearchWstudyWdoesWnotWprovideW
anWadequateWsubstantiationWforWinterventions.WEvaluationWofWclientWoutcomesWisWi
mportant,WbutWinterventionsWshouldWbeWbasedWonWresearchWfromWrandomizedWcont
rolWstudiesWwithWaWlargeWnumberWofWsubjects.
DIF:W CognitiveWLevel:WComprehension TOP:W NursingWProcess:WPlanning
2.W WhichWofWtheWfollowingWbestWexplainsWtheWnurses’WprimaryWuseWofWtheWn
ursingWprocessWwhenWprovidingWcareWtoWclients?
a.W ToWexplainWnursingWinterventionsWtoWotherWhealthWcareWprofessionals
b.W AsWaWproblem-solvingWtoolWtoWidentifyWandWtreatWclients’WhealthWcareWneeds
c.W AsWaWscientific-basedWprocessWofWdiagnosingWtheWclient’sWhealthWcareWproblems
d.W ToWestablishWnursingWtheoryWthatWincorporatesWtheWbiopsychosocialWnatureWofWh
umans
ANS:W B
TheWnursingWprocessWisWanWassertiveWproblem-
solvingWapproachWtoWtheWidentificationWandWtreatmentWofWclients’Wproblems.WDia
gnosisWisWonlyWoneWphaseWofWtheWnursingWprocess.WTheWprimaryWuseWofWtheW
nursingWprocessWisWinWclientWcare,WnotWtoWestablishWnursingWtheoryWorWexplain
WnursingWinterventionsWtoWotherWhealthWcareWprofessionals.
DIF:W CognitiveWLevel:WComprehension TOP:W NursingWProcess:WImplementation
3.W TheWnurseWisWcaringWforWaWcriticallyWillWclientWinWtheWintensiveWcareWunitWan
dWplansWanWeveryW2-
hourWturningWscheduleWtoWpreventWskinWbreakdown.WWhichWtypeWofWnursingWfunc
tionWisWdemonstratedWwithWthisWturningWschedule?
a.W Dependent
W b.W Coopera
tiveWc.W Inde
pendent
,d.W Collaborative
ANS:W D
NURSINGTB.COM
, Medical-SurgicalWNursingWinWCanadaW5thWEditionWLewiWTestWBank
WhenWimplementingWcollaborativeWnursingWactions,WtheWnurseWisWresponsibleW
primarilyWforWmonitoringWforWcomplicationsWofWacuteWillnessWorWprovidingWc
areWtoWpreventWorWtreatWcomplications.WIndependentWnursingWactionsWareWfoc
usedWonWhealthWpromotion,WillnessWprevention,WandWclientWadvocacy.WAWdep
endentWactionWwouldWrequireWaWphysicianWorderWtoWimplement.WCooperativeW
nursingWfunctionsWareWnotWdescribedWasWoneWofWtheWformalWnursingWfunctio
ns.
DIF:W CognitiveWLevel:WApplication TOP:W NursingWProcess:WImplementation
4.W TheWnurseWisWcaringWforWaWclientWwhoWhasWbeenWadmittedWtoWtheWhospitalWf
orWsurgeryWandWtellsWtheWnurse,W“IWdoWnotWfeelWrightWaboutWleavingWmyWchil
drenWwithWmyWneighbour.”WWhichWactionWshouldWtheWnurseWtakeWnext?
a.W ReassureWtheWclientWthatWtheseWfeelingsWareWcommonWforWparents.
b.W HaveWtheWclientWcallWtheWchildrenWtoWensureWthatWtheyWareWdoingWwell.
c.W CallWtheWneighbourWtoWdetermineWwhetherWadequateWchildcareWisW
beingWprovided.Wd.W GatherWmoreWdataWaboutWtheWclient’sWfeelingsWab
outWtheWchildcareWarrangements.
ANS:W D
SinceWaWcompleteWassessmentWisW necessaryWinWorderWtoWidentifyWaWproblemWan
dWchooseWanWappropriateWintervention,WtheWnurse’sWfirstWactionWshouldWbeWtoWo
btainWmoreWinformation.WTheWotherWactionsWmayWbeWappropriate,WbutWmoreWass
essmentWisWneededWbeforeWtheWbestWinterventionWcanWbeWchosen.
DIF:W CognitiveWLevel:WApplication TOP:W NursingWProcess:WAssessment
5.W TheWnurseWisWcaringWforWaWclientWwhoWhasWleft-
sidedWparalysisWasWtheWresultWofWaWstrokeWand
assessesWaWpressureWinjuryWonWtheWclient’sWleftWhip.WWhichWofWtheWfollowingWisW
theWmost
appropriateWnursingWdiagnosisWforWthisWclient?
a.W ImpairedWphysicalWmobilityWrelatedWtoWdecreaseWinWmuscleWcont
rolW(left-sidedWparalysis)
b.W RiskWforWimpairedWtissueWintegrityWasWevidencedWbyWinsufficient Wk
nowledgeWaboutWprotectingWtissueWintegrity
c.W ImpairedWskinWintegrityWrelatedWtoWpressureWoverWbonyWpromine
nceW(impairedWcirculation)
d.W IneffectiveWtissueWperfusionWrelatedWtoWsedentaryWlifestyle
ANS:W C
TheWclient’sWmajorWproblemWisWtheWimpairedWskinWintegrityWasWdemonstratedWby
WtheWpresenceWofWaWpressureWinjury. WTheWnurseWisWableWtoWtreatWtheWcauseWof
WalteredWcirculationWandWpressureWbyWfrequentlyWrepositioningWtheWclient.WAlthoug
hWleft-
sidedWweaknessWisWaWproblemWforWtheWclient,WtheWnurseWcannotWtreatWtheWweak
ness.WTheW“riskWfor”WdiagnosisWisWnotWappropriateWforWthisWclient,WwhoWalready
WhasWimpairedWtissueWintegrity.WTheWclient WdoesWhaveWineffectiveWtissueWperfusio
n,W butWtheWimpairedWskinWintegrityWdiagnosisWindicatesWmoreWclearlyWwhatWtheW
healthWproblemWis.
DIF:W CognitiveWLevel:WApplication TOP:W NursingWProcess:WDiagnosis
6.W TheWnurseWcaringWforWaWclientWwithWanWinfectionWhasWaWnursingWdiagnos
isWofWdeficientWfluidWvolumeWrelatedWtoWexcessiveWdiaphoresis.WWhichWofWt
heWfollowingWisWanWappropriateWclientWoutcome?
,ChapterW01:WIntroductionWtoWMedical-
SurgicalWNursingWPracticeWinWCanadaWLewis:WMedical-
SurgicalWNursingWinWCanada,W5thW5TH Canadian Edition
MULTIPLEWCHOICE
1.W WhenWcaringWforWclientsWusingWevidence-
informedWpractice,WwhichWofWtheWfollowingWdoesWtheWnurseWuse?
a.W ClinicalWjudgementWbasedWonWexp
erienceWb.W EvidenceWfromWaWclinical
WresearchWstudy
c.W TheWbestWavailableWevidenceWtoWguideWclinicalWexpertise
d.W EvaluationWofWdataWshowingWthatWtheWclientWoutcomesWareWmet
ANS:W C
Evidence-
informedWnursingWpracticeWisWaWcontinuousWinteractiveWprocessWinvolvingWtheWexp
licit,Wconscientious,WandWjudiciousWconsiderationWofWtheWbestWavailableWevidenceWt
oWprovideWcare.WFourWprimaryWelementsWare:W(a)WclinicalWstate,Wsetting,WandWcir
cumstances;W(b)WclientWpreferencesWandWactions;W(c)WbestWresearchWevidence;Wand
W(d)WhealthWcareWresources.WClinicalWjudgementWbasedWonWtheWnurse’sWclinicalWe
xperienceWisWpartWofWEIP,WbutWclinicalWdecisionWmakingWalsoWshouldWincorporate
WcurrentWresearchWandWresearch-
basedWguidelines.WEvidenceWfromWoneWclinicalWresearchWstudyWdoesWnotWprovideW
anWadequateWsubstantiationWforWinterventions.WEvaluationWofWclientWoutcomesWisWi
mportant,WbutWinterventionsWshouldWbeWbasedWonWresearchWfromWrandomizedWcont
rolWstudiesWwithWaWlargeWnumberWofWsubjects.
DIF:W CognitiveWLevel:WComprehension TOP:W NursingWProcess:WPlanning
2.W WhichWofWtheWfollowingWbestWexplainsWtheWnurses’WprimaryWuseWofWtheWn
ursingWprocessWwhenWprovidingWcareWtoWclients?
a.W ToWexplainWnursingWinterventionsWtoWotherWhealthWcareWprofessionals
b.W AsWaWproblem-solvingWtoolWtoWidentifyWandWtreatWclients’WhealthWcareWneeds
c.W AsWaWscientific-basedWprocessWofWdiagnosingWtheWclient’sWhealthWcareWproblems
d.W ToWestablishWnursingWtheoryWthatWincorporatesWtheWbiopsychosocialWnatureWofWh
umans
ANS:W B
TheWnursingWprocessWisWanWassertiveWproblem-
solvingWapproachWtoWtheWidentificationWandWtreatmentWofWclients’Wproblems.WDia
gnosisWisWonlyWoneWphaseWofWtheWnursingWprocess.WTheWprimaryWuseWofWtheW
nursingWprocessWisWinWclientWcare,WnotWtoWestablishWnursingWtheoryWorWexplain
WnursingWinterventionsWtoWotherWhealthWcareWprofessionals.
DIF:W CognitiveWLevel:WComprehension TOP:W NursingWProcess:WImplementation
3.W TheWnurseWisWcaringWforWaWcriticallyWillWclientWinWtheWintensiveWcareWunitWan
dWplansWanWeveryW2-
hourWturningWscheduleWtoWpreventWskinWbreakdown.WWhichWtypeWofWnursingWfunc
tionWisWdemonstratedWwithWthisWturningWschedule?
a.W Dependent
W b.W Coopera
tiveWc.W Inde
pendent
,d.W Collaborative
ANS:W D
NURSINGTB.COM
, Medical-SurgicalWNursingWinWCanadaW5thWEditionWLewiWTestWBank
WhenWimplementingWcollaborativeWnursingWactions,WtheWnurseWisWresponsibleW
primarilyWforWmonitoringWforWcomplicationsWofWacuteWillnessWorWprovidingWc
areWtoWpreventWorWtreatWcomplications.WIndependentWnursingWactionsWareWfoc
usedWonWhealthWpromotion,WillnessWprevention,WandWclientWadvocacy.WAWdep
endentWactionWwouldWrequireWaWphysicianWorderWtoWimplement.WCooperativeW
nursingWfunctionsWareWnotWdescribedWasWoneWofWtheWformalWnursingWfunctio
ns.
DIF:W CognitiveWLevel:WApplication TOP:W NursingWProcess:WImplementation
4.W TheWnurseWisWcaringWforWaWclientWwhoWhasWbeenWadmittedWtoWtheWhospitalWf
orWsurgeryWandWtellsWtheWnurse,W“IWdoWnotWfeelWrightWaboutWleavingWmyWchil
drenWwithWmyWneighbour.”WWhichWactionWshouldWtheWnurseWtakeWnext?
a.W ReassureWtheWclientWthatWtheseWfeelingsWareWcommonWforWparents.
b.W HaveWtheWclientWcallWtheWchildrenWtoWensureWthatWtheyWareWdoingWwell.
c.W CallWtheWneighbourWtoWdetermineWwhetherWadequateWchildcareWisW
beingWprovided.Wd.W GatherWmoreWdataWaboutWtheWclient’sWfeelingsWab
outWtheWchildcareWarrangements.
ANS:W D
SinceWaWcompleteWassessmentWisW necessaryWinWorderWtoWidentifyWaWproblemWan
dWchooseWanWappropriateWintervention,WtheWnurse’sWfirstWactionWshouldWbeWtoWo
btainWmoreWinformation.WTheWotherWactionsWmayWbeWappropriate,WbutWmoreWass
essmentWisWneededWbeforeWtheWbestWinterventionWcanWbeWchosen.
DIF:W CognitiveWLevel:WApplication TOP:W NursingWProcess:WAssessment
5.W TheWnurseWisWcaringWforWaWclientWwhoWhasWleft-
sidedWparalysisWasWtheWresultWofWaWstrokeWand
assessesWaWpressureWinjuryWonWtheWclient’sWleftWhip.WWhichWofWtheWfollowingWisW
theWmost
appropriateWnursingWdiagnosisWforWthisWclient?
a.W ImpairedWphysicalWmobilityWrelatedWtoWdecreaseWinWmuscleWcont
rolW(left-sidedWparalysis)
b.W RiskWforWimpairedWtissueWintegrityWasWevidencedWbyWinsufficient Wk
nowledgeWaboutWprotectingWtissueWintegrity
c.W ImpairedWskinWintegrityWrelatedWtoWpressureWoverWbonyWpromine
nceW(impairedWcirculation)
d.W IneffectiveWtissueWperfusionWrelatedWtoWsedentaryWlifestyle
ANS:W C
TheWclient’sWmajorWproblemWisWtheWimpairedWskinWintegrityWasWdemonstratedWby
WtheWpresenceWofWaWpressureWinjury. WTheWnurseWisWableWtoWtreatWtheWcauseWof
WalteredWcirculationWandWpressureWbyWfrequentlyWrepositioningWtheWclient.WAlthoug
hWleft-
sidedWweaknessWisWaWproblemWforWtheWclient,WtheWnurseWcannotWtreatWtheWweak
ness.WTheW“riskWfor”WdiagnosisWisWnotWappropriateWforWthisWclient,WwhoWalready
WhasWimpairedWtissueWintegrity.WTheWclient WdoesWhaveWineffectiveWtissueWperfusio
n,W butWtheWimpairedWskinWintegrityWdiagnosisWindicatesWmoreWclearlyWwhatWtheW
healthWproblemWis.
DIF:W CognitiveWLevel:WApplication TOP:W NursingWProcess:WDiagnosis
6.W TheWnurseWcaringWforWaWclientWwithWanWinfectionWhasWaWnursingWdiagnos
isWofWdeficientWfluidWvolumeWrelatedWtoWexcessiveWdiaphoresis.WWhichWofWt
heWfollowingWisWanWappropriateWclientWoutcome?
