lOMoAR cPSD| 18092855
Test Bank Lewis Medical-Surgical Nursing
Assessment and Management of Clinical Problems,
12th Edition (updated Qu)
Chapter 1-69
, lOMoAR cPSD| 18092855
Welcome to the comprehensive Test Bank for Lewis
Medical-Surgical Nursing: Assessment and
Management of Clinical Problems, 12th Edition! This
valuable resource is designed to help nursing
students excel in their medical-surgical nursing
courses and prepare for their exams with confidence.
Downloaded by: kilns_diatoms0m | Want to earn
$103 per month?
, lOMoAR
092855
nj nj
cPSD| 18
Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. The patient asks, “How is this different from
what the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your physician.”
b. “In addition to caring for you while you are sick, the nurses will help you plan to
maintain your health.”
c. “The nurse‘s job is to collect information and communicate any problems that
occur to the physician.”
d. “Nurses perform many of the same procedures as the physician, but nurses are
with the patients for a longer time than the physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting health. The other responses describe dependent and collaborative functions of the
nursing role but do not accurately describe the nurse‘s unique role in the health care system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice(EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient care.”
d. “Recommendations are based on research, clinical expertise, and patient
preferences.”
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the
nurse‘s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
a. “The nursing process is a research method of diagnosing the patient‘s health care
problems.”
b. “The nursing process is used primarily to explain nursing interventions to other
health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and manage the
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$103 per month?
nj nj
, lOMoAR
092855
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Stuvia.com - The Marketplace to Buy and Sell your Study Material nj nj nj nj nj nj nj nj nj nj
patients‘ health care needs.” nj nj nj
d. “The nursing process is based on nursing theorythat incorporates the bi
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opsychosocial nature of humans.” nj nj nj
ANS: C nj
The nursing process is a problem-
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solving approach to the identification and treatment of patients‘ problems. Nursing process doe
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s not require research methods for diagnosis. The primary use of the nursing process is in patien
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t care, not to establish nursing theory or explain nursing interventions to other health care profes
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sionals.
DIF: Cognitive Level: Understand (Comprehension) nj nj nj
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted to the hospital for surgerytells the nurse, “Ido not feel comfortable lea
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ving my children with my parents.” Which action would the nurse take next?
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a. Reassure the patient that these feelings are common forparents. nj nj nj nj nj nj nj nj nj
b. Have the patient call the children to ensure that they are doing well.
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c. Gather information on the patient‘s concerns about the child care arrangements.
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d. Call the patient‘s parents to determine whether adequate child care is being pr
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ovided.
ANS: C nj
Because a complete assessment is necessary in order to identify a problem and choose an appro
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priate intervention, the nurse‘s first action should be to obtain more information. The other acti
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ons may be appropriate, but more assessment is needed before the best intervention can be chos
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en.
DIF: Cognitive Level: Analyze (Analysis) nj nj nj
TOP: NursingProcess: Assessment
n j MSC: NCLEX: Psychosocial Integrity nj nj nj nj nj
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis. W
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hich expected outcome would the nurse select for this patient?
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a. Patient has a balanced intake and output. nj nj nj nj nj nj
b. Patient‘s bedding is kept clean and free of moisture. nj nj nj nj nj nj nj nj
c. Patient understands the need for increased fluid intake. nj nj nj nj nj nj nj
d. Patient‘s skin remains cool and dry throughout hospitalization. nj nj nj nj nj nj nj
ANS: A nj
Balanced intake and output gives measurable data showing resolution of the problem of defi
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cient fluid volume. The other statements would not indicate that the problem of hypovolemi
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a was resolved.
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DIF: Cognitive Level: Apply (Application) nj nj nj
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
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6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meeting patient outcomes
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c. To decide whether the patient‘s health problems have been completely resolved
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d. To establish if the patient agrees that the nursing care provided wassatisfactory
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ANS: B nj
Want to earn nj nj
$103 per month? nj nj
Test Bank Lewis Medical-Surgical Nursing
Assessment and Management of Clinical Problems,
12th Edition (updated Qu)
Chapter 1-69
, lOMoAR cPSD| 18092855
Welcome to the comprehensive Test Bank for Lewis
Medical-Surgical Nursing: Assessment and
Management of Clinical Problems, 12th Edition! This
valuable resource is designed to help nursing
students excel in their medical-surgical nursing
courses and prepare for their exams with confidence.
Downloaded by: kilns_diatoms0m | Want to earn
$103 per month?
, lOMoAR
092855
nj nj
cPSD| 18
Stuvia.com - The Marketplace to Buy and Sell your Study Material
nj nj nj nj nj nj nj nj nj nj
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. The patient asks, “How is this different from
what the physician does?” Which response would the nurse provide?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your physician.”
b. “In addition to caring for you while you are sick, the nurses will help you plan to
maintain your health.”
c. “The nurse‘s job is to collect information and communicate any problems that
occur to the physician.”
d. “Nurses perform many of the same procedures as the physician, but nurses are
with the patients for a longer time than the physician.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting health. The other responses describe dependent and collaborative functions of the
nursing role but do not accurately describe the nurse‘s unique role in the health care system.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. Which statement by the nurse accurately describes the use of evidence-based practice(EBP)?
a. “Patient care is based on clinical judgment, experience, and traditions.”
b. “Data are analyzed later to show that the patient outcomes are consistently met.”
c. “Research from all published articles are used as a guide for planning patient care.”
d. “Recommendations are based on research, clinical expertise, and patient
preferences.”
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of patient preferences. Clinical judgment based on the
nurse‘s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled studies with a large number of subjects.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3. Which statement by the nurse provides a clear explanation of the nursing process?
a. “The nursing process is a research method of diagnosing the patient‘s health care
problems.”
b. “The nursing process is used primarily to explain nursing interventions to other
health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and manage the
Want to earn
nj nj
$103 per month?
nj nj
, lOMoAR
092855
nj njcPSD| 18
Stuvia.com - The Marketplace to Buy and Sell your Study Material nj nj nj nj nj nj nj nj nj nj
patients‘ health care needs.” nj nj nj
d. “The nursing process is based on nursing theorythat incorporates the bi
nj nj nj nj nj nj nj nj nj nj nj
opsychosocial nature of humans.” nj nj nj
ANS: C nj
The nursing process is a problem-
nj nj nj nj nj
solving approach to the identification and treatment of patients‘ problems. Nursing process doe
nj nj nj nj nj nj nj nj nj nj nj nj
s not require research methods for diagnosis. The primary use of the nursing process is in patien
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
t care, not to establish nursing theory or explain nursing interventions to other health care profes
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
sionals.
DIF: Cognitive Level: Understand (Comprehension) nj nj nj
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
nj nj nj nj nj nj nj nj nj nj
4. A patient admitted to the hospital for surgerytells the nurse, “Ido not feel comfortable lea
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
ving my children with my parents.” Which action would the nurse take next?
nj nj nj nj nj nj nj nj nj nj nj nj
a. Reassure the patient that these feelings are common forparents. nj nj nj nj nj nj nj nj nj
b. Have the patient call the children to ensure that they are doing well.
nj nj nj nj nj nj nj nj nj nj nj nj
c. Gather information on the patient‘s concerns about the child care arrangements.
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d. Call the patient‘s parents to determine whether adequate child care is being pr
nj nj nj nj nj nj nj nj nj nj nj nj
ovided.
ANS: C nj
Because a complete assessment is necessary in order to identify a problem and choose an appro
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
priate intervention, the nurse‘s first action should be to obtain more information. The other acti
nj nj nj nj nj nj nj nj nj nj nj nj nj nj
ons may be appropriate, but more assessment is needed before the best intervention can be chos
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
en.
DIF: Cognitive Level: Analyze (Analysis) nj nj nj
TOP: NursingProcess: Assessment
n j MSC: NCLEX: Psychosocial Integrity nj nj nj nj nj
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis. W
nj nj nj nj nj nj nj nj nj nj nj nj nj nj nj
hich expected outcome would the nurse select for this patient?
nj nj nj nj nj nj nj nj nj
a. Patient has a balanced intake and output. nj nj nj nj nj nj
b. Patient‘s bedding is kept clean and free of moisture. nj nj nj nj nj nj nj nj
c. Patient understands the need for increased fluid intake. nj nj nj nj nj nj nj
d. Patient‘s skin remains cool and dry throughout hospitalization. nj nj nj nj nj nj nj
ANS: A nj
Balanced intake and output gives measurable data showing resolution of the problem of defi
nj nj nj nj nj nj nj nj nj nj nj nj nj
cient fluid volume. The other statements would not indicate that the problem of hypovolemi
nj nj nj nj nj nj nj nj nj nj nj nj nj
a was resolved.
nj nj
DIF: Cognitive Level: Apply (Application) nj nj nj
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
nj nj nj nj nj nj nj
6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meeting patient outcomes
nj nj nj nj nj nj nj nj nj nj
c. To decide whether the patient‘s health problems have been completely resolved
nj nj nj nj nj nj nj nj nj nj
d. To establish if the patient agrees that the nursing care provided wassatisfactory
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ANS: B nj
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$103 per month? nj nj
