Created n By:n Test n Bank
Test Bank For Lewis\'s Medical-
n n n n
n Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffr
n n n n n n n n
ey Kwong, Debra Hagler Chapter 1-69 A+
n n n n n n
Chaptern01:nProfessionalnNursingn Harding
:n Lewis‟sn Medical-Surgicaln Nursing,n 12thn Edition
MULTIPLEn CHOICE
1. Then nursen completesn ann admissionn databasen andn explainsn thatnthen plann ofn caren and nd
ischargen goalsn willn bendevelopedn withnthen patient„sn input.n Then patientn asks,n “Hown isn thisndi
fferent n fromn what n then physiciann does?”n Whichn responsen would n then nursen provide?
a. “Then rolen of n then nursen isn ton administern medicationsn andnotherntreatmentsn prescribed n byny
ourn physician.”
b. “Inn additionntoncaringn forn youn whilen youn aren sick,n then nursesn willn helpn youn plann ton
maintainn yourn health.”
c. “Then nurse„sn jobn isn ton collect n informationn andncommunicaten anynproblemsn thatnoccurn ton t
hen physician.”
d. “Nursesn performn manyn of n thensamen proceduresn asn thenphysician,n but n nursesn arenwithnthenp
atientsn forn an longern timen thann then physician.”
ANS:n B
Then Americann Nursesn Associationn (ANA)n definitionn of n nursingn describesn then rolen of n nursesn inn pro
motingn health.n Then othern responsesn describen dependent nandncollaborativen functionsn of nthen nursingnr
olen but n don not n accuratelyn describen then nurse„sn uniquen rolen inn then healthn caren system.
DIF: Cognitiven Level:n Analyzen (Analysis)
TOP:n Nursingn Process:n Implementation
MSC:nNCLEX:nSafenand nEffectivenCaren
Environment
A+ Pagen1
,Created n By:n Test n Bank
2. Whichn statement n bynthen nursen accuratelyndescribesn then usen of n evidence-
based n practicen (EBP)?
a. “Patient n caren isn based n onn clinicaln judgment,n experience,n and n traditions.”
b. “Datan aren analyzed n latern ton show n that n then patient n outcomesn aren consistentlyn met.”
c. “Researchn fromn alln published n articlesn aren used n asn an guiden forn planningn patient n care.”
d. “Recommendationsn aren based n onn research,n clinicaln expertise,n and n patient n preferences.”n
ANS:n D
Evidence-based n practicen (EBP)n isn then usen of n then best n research-
based n evidencen combined n withn cliniciann expertisen and n considerationn ofn patient n preferences.n Clinica
ln judgment n based n onn the
nurse„sn clinicaln experiencen isn part n of n EBP,n but n clinicaln decisionn makingn should n alson incorporaten cu
rrent n researchn and n research-
based n guidelines.n Evaluationn of n patient noutcomesn isn important,n butn datan analysisn isn not nrequired n ton
usen EBP.n Alln published n articlesn donnot nprovidenresearchn evidence;n interventionsn should n ben based n o
nn crediblen research,n preferablyn randomized n controlled n studiesn withn an largen numbern of n subjects.
DIF: Cognitiven Level:n Understand n (Comprehension)
TOP:nNursingnProcess:nPlanningn MSC:n NCLEX:n Safen and nEffectiven Caren Environmen
t
3. Whichn statement n byn then nursen providesn an clearn explanationn of n then nursingn process?
a. “Then nursingnprocessn isn an researchn method n of n diagnosingnthen patient„sn healthn caren
problems.”
b. “Then nursingn processn isn used n primarilyn ton explainn nursingn interventionsn ton othernhealthnc
aren professionals.”
c. “Then nursingn processn isn an problem-solvingn tooln used n ton identifyn and n managen the
patients„nhealthncarenneeds.”
d. “Then nursingn processn isn based n onn nursingn theorynthat n incorporatesn then biopsychosocialn
naturen of n humans.”
ANS:n C
Then nursingn processn isn an problem-
A+ Pagen2
,Created n By:n Test n Bank
solvingn approachn ton then identificationn andntreatment nofn patients„n problems.n Nursingnprocessn doesnn
ot n requirenresearchn methodsn forndiagnosis.n The
A+ Pagen3
, Created n By:n Test n Bank
primaryn usen of n then nursingn processn isn inn patient ncare,n notntonestablishn nursingn theorynorn explainn nursi
ngn interventionsn ton othern healthn caren professionals.
DIF: Cognitiven Level:n Understand n (Comprehension)
TOP:nNursingnProcess:nEvaluationn MSC:n NCLEX:n Safen andn Effectiven Caren Environmen
t
4. A n patient n admittedntonthenhospitaln fornsurgeryn tellsn thennurse,n “Indonnot n feeln comfortablen l
eavingn myn childrenn withn myn parents.”n Whichn actionn would n then nursen taken next?
a. Reassuren then patient n that n thesen feelingsn aren commonn forn parents.
b. Haven then patient n calln then childrenn ton ensuren that n theyn aren doingn well.
c. Gathern informationn onn then patient„sn concernsn about n then child n caren arrangements.
d. Calln then patient„sn parentsntondeterminen whethernadequatenchild n caren isn beingn provided.n
ANS:n C
Becausen an completen assessment n isn necessaryn inn ordern ton identifyn an problemn and n choosen ann appropri
aten intervention,n then nurse„snfirst nactionnshould nbentonobtainnmoren information.n Then othern actionsn ma
yn ben appropriate,n but n moren assessment n isn needed n beforen then best n interventionn cann ben chosen.
DIF: Cognitiven Level:n Analyzen (Analysis)
TOP:n Nursingn Process:n Assessment n n MSC:n NCLEX:n Psychosocialn Integrity
5. A n patient n withnanbacterialn infectionnisn hypovolemicn duentonanfevernandn excessivend
iaphoresis.n Whichn expected n outcomen would n then nursen select n forn thisn patient?
a. Patient n hasn an balanced n intaken and n output.
b. Patient„sn beddingn isn kept n cleann and n freen of n moisture.
c. Patient n understandsn then need n forn increased n fluid n intake.
d. Patient„snskinnremainsncoolnand ndrynthroughout nhospitalization.n
ANS:n A
Balanced n intaken and noutputngivesn measurablen datanshowingnresolutionn of nthen problemn ofndeficient nfl
uid n volume.n Then othern statementsn would nnotn indicaten that nthen problemn of n hypovolemian wasn resolve
d.
A+ Pagen4
Test Bank For Lewis\'s Medical-
n n n n
n Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffr
n n n n n n n n
ey Kwong, Debra Hagler Chapter 1-69 A+
n n n n n n
Chaptern01:nProfessionalnNursingn Harding
:n Lewis‟sn Medical-Surgicaln Nursing,n 12thn Edition
MULTIPLEn CHOICE
1. Then nursen completesn ann admissionn databasen andn explainsn thatnthen plann ofn caren and nd
ischargen goalsn willn bendevelopedn withnthen patient„sn input.n Then patientn asks,n “Hown isn thisndi
fferent n fromn what n then physiciann does?”n Whichn responsen would n then nursen provide?
a. “Then rolen of n then nursen isn ton administern medicationsn andnotherntreatmentsn prescribed n byny
ourn physician.”
b. “Inn additionntoncaringn forn youn whilen youn aren sick,n then nursesn willn helpn youn plann ton
maintainn yourn health.”
c. “Then nurse„sn jobn isn ton collect n informationn andncommunicaten anynproblemsn thatnoccurn ton t
hen physician.”
d. “Nursesn performn manyn of n thensamen proceduresn asn thenphysician,n but n nursesn arenwithnthenp
atientsn forn an longern timen thann then physician.”
ANS:n B
Then Americann Nursesn Associationn (ANA)n definitionn of n nursingn describesn then rolen of n nursesn inn pro
motingn health.n Then othern responsesn describen dependent nandncollaborativen functionsn of nthen nursingnr
olen but n don not n accuratelyn describen then nurse„sn uniquen rolen inn then healthn caren system.
DIF: Cognitiven Level:n Analyzen (Analysis)
TOP:n Nursingn Process:n Implementation
MSC:nNCLEX:nSafenand nEffectivenCaren
Environment
A+ Pagen1
,Created n By:n Test n Bank
2. Whichn statement n bynthen nursen accuratelyndescribesn then usen of n evidence-
based n practicen (EBP)?
a. “Patient n caren isn based n onn clinicaln judgment,n experience,n and n traditions.”
b. “Datan aren analyzed n latern ton show n that n then patient n outcomesn aren consistentlyn met.”
c. “Researchn fromn alln published n articlesn aren used n asn an guiden forn planningn patient n care.”
d. “Recommendationsn aren based n onn research,n clinicaln expertise,n and n patient n preferences.”n
ANS:n D
Evidence-based n practicen (EBP)n isn then usen of n then best n research-
based n evidencen combined n withn cliniciann expertisen and n considerationn ofn patient n preferences.n Clinica
ln judgment n based n onn the
nurse„sn clinicaln experiencen isn part n of n EBP,n but n clinicaln decisionn makingn should n alson incorporaten cu
rrent n researchn and n research-
based n guidelines.n Evaluationn of n patient noutcomesn isn important,n butn datan analysisn isn not nrequired n ton
usen EBP.n Alln published n articlesn donnot nprovidenresearchn evidence;n interventionsn should n ben based n o
nn crediblen research,n preferablyn randomized n controlled n studiesn withn an largen numbern of n subjects.
DIF: Cognitiven Level:n Understand n (Comprehension)
TOP:nNursingnProcess:nPlanningn MSC:n NCLEX:n Safen and nEffectiven Caren Environmen
t
3. Whichn statement n byn then nursen providesn an clearn explanationn of n then nursingn process?
a. “Then nursingnprocessn isn an researchn method n of n diagnosingnthen patient„sn healthn caren
problems.”
b. “Then nursingn processn isn used n primarilyn ton explainn nursingn interventionsn ton othernhealthnc
aren professionals.”
c. “Then nursingn processn isn an problem-solvingn tooln used n ton identifyn and n managen the
patients„nhealthncarenneeds.”
d. “Then nursingn processn isn based n onn nursingn theorynthat n incorporatesn then biopsychosocialn
naturen of n humans.”
ANS:n C
Then nursingn processn isn an problem-
A+ Pagen2
,Created n By:n Test n Bank
solvingn approachn ton then identificationn andntreatment nofn patients„n problems.n Nursingnprocessn doesnn
ot n requirenresearchn methodsn forndiagnosis.n The
A+ Pagen3
, Created n By:n Test n Bank
primaryn usen of n then nursingn processn isn inn patient ncare,n notntonestablishn nursingn theorynorn explainn nursi
ngn interventionsn ton othern healthn caren professionals.
DIF: Cognitiven Level:n Understand n (Comprehension)
TOP:nNursingnProcess:nEvaluationn MSC:n NCLEX:n Safen andn Effectiven Caren Environmen
t
4. A n patient n admittedntonthenhospitaln fornsurgeryn tellsn thennurse,n “Indonnot n feeln comfortablen l
eavingn myn childrenn withn myn parents.”n Whichn actionn would n then nursen taken next?
a. Reassuren then patient n that n thesen feelingsn aren commonn forn parents.
b. Haven then patient n calln then childrenn ton ensuren that n theyn aren doingn well.
c. Gathern informationn onn then patient„sn concernsn about n then child n caren arrangements.
d. Calln then patient„sn parentsntondeterminen whethernadequatenchild n caren isn beingn provided.n
ANS:n C
Becausen an completen assessment n isn necessaryn inn ordern ton identifyn an problemn and n choosen ann appropri
aten intervention,n then nurse„snfirst nactionnshould nbentonobtainnmoren information.n Then othern actionsn ma
yn ben appropriate,n but n moren assessment n isn needed n beforen then best n interventionn cann ben chosen.
DIF: Cognitiven Level:n Analyzen (Analysis)
TOP:n Nursingn Process:n Assessment n n MSC:n NCLEX:n Psychosocialn Integrity
5. A n patient n withnanbacterialn infectionnisn hypovolemicn duentonanfevernandn excessivend
iaphoresis.n Whichn expected n outcomen would n then nursen select n forn thisn patient?
a. Patient n hasn an balanced n intaken and n output.
b. Patient„sn beddingn isn kept n cleann and n freen of n moisture.
c. Patient n understandsn then need n forn increased n fluid n intake.
d. Patient„snskinnremainsncoolnand ndrynthroughout nhospitalization.n
ANS:n A
Balanced n intaken and noutputngivesn measurablen datanshowingnresolutionn of nthen problemn ofndeficient nfl
uid n volume.n Then othern statementsn would nnotn indicaten that nthen problemn of n hypovolemian wasn resolve
d.
A+ Pagen4
