[Type here]
qy
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
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qy
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Le
qy qy qy qy qy
wis: Medical-Surgical Nursing, 10th Edition
qy qy qy qy
MULTIPLE CHOICE qy
1. The nurse completes an admission database and explains that the plan of care and discharg
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
e goals will be developed with the patient‘s input. The patient states, ―How is this different f
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
rom what the doctor does?‖ Which response would be most appropriate for the nurse to ma
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ke?
a. ―The role of the nurse is to administer medications and other treatments prescrib
qy qy qy qy qy qy qy qy qy qy qy qy
ed by your doctor.‖
qy qy qy
b. ―The nurse‘s job is to help the doctor by collecting information a
qy qy qy qy qy qy qy qy qy qy qy
nd communicating any problems that occur.‖
qy qy qy qy qy
c. ―Nurses perform many of the same procedures as the doctor, but nurses are wi
qy qy qy qy qy qy qy qy qy qy qy qy qy
th the patients for a longer time than the doctor.‖
qy qy qy qy qy qy qy qy qy
d. ―In addition to caring for you while you are sick, the nurses will assist you
qy qy qy qy qy qy qy qy qy qy qy qy qy qy q
to develop an individualized plan to maintain your health.‖
y qy qy qy qy qy qy qy qy
ANS: D qy
This response is consistent with the American Nurses Association (ANA) definition of nurs
qy qy qy qy qy qy qy qy qy qy qy qy
ing, which describes the role of nurses in promoting health. The other responses describe so
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
me of the dependent and collaborative functions of the nursing role but do not accurately d
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
escribe the nurse‘s role in the health care system.
qy qy qy qy qy qy qy qy
DIF: Cognitive Level: Understand (comprehension) REF: 3 qy qy qy q y
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
q y qy qy q y qy qy qy qy qy
2. The nurse describes to a student nurse how to use evidence-
qy qy qy qy qy qy qy qy qy qy
based practice guidelines when caring for patients. Which statement, if made by the nur
qy qy qy qy qy qy qy qy qy qy qy qy qy
se, would be the most accurate?
qy qy qy qy qy
a. ―Inferences from clinical research studies are used as a guide.‖qy qy qy qy qy qy qy qy qy
b. ―Patient care is based on clinical judgment, experience, and traditions.‖
qy qy qy qy qy qy qy qy qy
c. ―Data are evaluated to show that the patient outcomes are consistently met.‖
qy qy qy qy qy qy qy qy qy qy qy
d. ―Recommendations are based on research, clinical expertise, and patie qy qy qy qy qy qy qy qy
nt preferences.‖qy
ANS: D qy
Evidence-based practice (EBP) is the use of the best research- qy qy qy qy qy qy qy qy qy
based evidence combined with clinician expertise. Clinical judgment based on the nurse‘s cl
qy qy qy qy qy qy qy qy qy qy qy qy
inical experience is part of EBP, but clinical decision making should also incorporate curren
qy qy qy qy qy qy qy qy qy qy qy qy qy
t research and research-
qy qy qy
based guidelines. Evaluation of patient outcomes is important, but interventions should be b
qy qy qy qy qy qy qy qy qy qy qy qy
ased on research from randomized control studies with a large number of subjects.
qy qy qy qy qy qy qy qy qy qy qy qy
DIF: Cognitive Level: Remember (knowledge) REF: 15 qy qy qy q y
TOP: Nursing Process: Planning
q y MSC: NCLEX: Safe and Effective Care Environment
qy qy q y qy qy qy qy qy
3. The nurse teaches a student nurse about how to apply the nursing process when providi
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ng patient care. Which statement, if made by the student nurse, indicates that teaching
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
was successful?
qy
a. ―The nursing process is a scientific-
qy qy qy qy qy
based method of diagnosing the patient‘s health care problems.‖
qy qy qy qy qy qy qy qy
,[Type here]
qy
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. ―The nursing process is a problem-solving tool used to identify and treat patients‘
qy qy qy qy qy qy qy qy qy qy qy qy
, [Type here]
qy
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
health care needs.‖ qy qy
c. ―The nursing process is used primarily to explain nursing interventions to oth
qy qy qy qy qy qy qy qy qy qy qy
er health care professionals.‖
qy qy qy
d. ―The nursing process is based on nursing theory that incorporates t
qy qy qy qy qy qy qy qy qy qy
he biopsychosocial nature of humans.‖
qy qy qy qy
ANS: B qy
The nursing process is a problem-
qy qy qy qy qy
solving approach to the identification and treatment of patients‘ problems. Diagnosis is onl
qy qy qy qy qy qy qy qy qy qy qy qy
y one phase of the nursing process. The primary use of the nursing process is in patient car
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
e, not to establish nursing theory or explain nursing interventions to other health care profe
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ssionals.
DIF: Cognitive Level: Understand (comprehension) REF: 5 qy qy qy q y
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
q y qy qy q y qy qy qy qy qy
4. A patient has been admitted to the hospital for surgery and tells the nurse, ―I do not feel c
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
omfortable leaving my children with my parents.‖ Which action should the nurse take next
qy qy qy qy qy qy qy qy qy qy qy qy qy
?
a. Reassure the patient that these feelings are common for parents.
qy qy qy qy qy qy qy qy qy
b. Have the patient call the children to ensure that they are doing well.
qy qy qy qy qy qy qy qy qy qy qy qy
c. Gather more data about the patient‘s feelings about the child-care arrangements.
qy qy qy qy qy qy qy qy qy qy
d. Call the patient‘s parents to determine whether adequate child care is bei
qy qy qy qy qy qy qy qy qy qy qy
ng provided. qy
ANS: C qy
Because a complete assessment is necessary in order to identify a problem and choose an a
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ppropriate intervention, the nurse‘s first action should be to obtain more information. The o
qy qy qy qy qy qy qy qy qy qy qy qy qy
ther actions may be appropriate, but more assessment is needed before the best intervention
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
can be chosen.
qy qy
DIF: Cognitive Level: Apply (application) qy qy qy REF: 6
OBJ: Special Questions: Prioritization
q y qy qy
TOP: Nursing Process: Assessmen
qy qy qy
t MSC: NCLEX: Psychosocial Integrity
qy q y qy qy
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ul
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
cer on the left hip. Which nursing diagnosis is most appropriate?
qy qy qy qy qy qy qy qy qy qy
a. Impaired physical mobility related to left-sided paralysisqy qy qy qy qy qy
b. Risk for impaired tissue integrity related to left-sided weakness
qy qy qy qy qy qy qy qy
c. Impaired skin integrity related to altered circulation and pressure
qy qy qy qy qy qy qy qy
d. Ineffective tissue perfusion related to inability to move independently
qy qy qy qy qy qy qy qy
ANS: C qy
The patient‘s major problem is the impaired skin integrity as demonstrated by the presence
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
of a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure b
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
y frequently repositioning the patient. Although left-
qy qy qy qy qy qy
sided weakness is a problem for the patient, the nurse cannot treat the weakness. The ―risk f
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
or‖ diagnosis is not appropriate for this patient, who already has impaired tissue integrity. T
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
he patient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis i
qy qy qy qy qy qy qy qy qy qy qy qy qy
ndicates more clearly what the health problem is.
qy qy qy qy qy qy qy
DIF: Cognitive Level: Apply (application) REF: 7 qy qy qy
TOP: Nursing Process: Diagnosis
q y MSC: NCLEX: Physiological Integrity
qy qy q y qy qy
qy
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
,[Type here]
qy
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
Chapter 01: Professional Nursing Practice Le
qy qy qy qy qy
wis: Medical-Surgical Nursing, 10th Edition
qy qy qy qy
MULTIPLE CHOICE qy
1. The nurse completes an admission database and explains that the plan of care and discharg
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
e goals will be developed with the patient‘s input. The patient states, ―How is this different f
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
rom what the doctor does?‖ Which response would be most appropriate for the nurse to ma
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ke?
a. ―The role of the nurse is to administer medications and other treatments prescrib
qy qy qy qy qy qy qy qy qy qy qy qy
ed by your doctor.‖
qy qy qy
b. ―The nurse‘s job is to help the doctor by collecting information a
qy qy qy qy qy qy qy qy qy qy qy
nd communicating any problems that occur.‖
qy qy qy qy qy
c. ―Nurses perform many of the same procedures as the doctor, but nurses are wi
qy qy qy qy qy qy qy qy qy qy qy qy qy
th the patients for a longer time than the doctor.‖
qy qy qy qy qy qy qy qy qy
d. ―In addition to caring for you while you are sick, the nurses will assist you
qy qy qy qy qy qy qy qy qy qy qy qy qy qy q
to develop an individualized plan to maintain your health.‖
y qy qy qy qy qy qy qy qy
ANS: D qy
This response is consistent with the American Nurses Association (ANA) definition of nurs
qy qy qy qy qy qy qy qy qy qy qy qy
ing, which describes the role of nurses in promoting health. The other responses describe so
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
me of the dependent and collaborative functions of the nursing role but do not accurately d
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
escribe the nurse‘s role in the health care system.
qy qy qy qy qy qy qy qy
DIF: Cognitive Level: Understand (comprehension) REF: 3 qy qy qy q y
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
q y qy qy q y qy qy qy qy qy
2. The nurse describes to a student nurse how to use evidence-
qy qy qy qy qy qy qy qy qy qy
based practice guidelines when caring for patients. Which statement, if made by the nur
qy qy qy qy qy qy qy qy qy qy qy qy qy
se, would be the most accurate?
qy qy qy qy qy
a. ―Inferences from clinical research studies are used as a guide.‖qy qy qy qy qy qy qy qy qy
b. ―Patient care is based on clinical judgment, experience, and traditions.‖
qy qy qy qy qy qy qy qy qy
c. ―Data are evaluated to show that the patient outcomes are consistently met.‖
qy qy qy qy qy qy qy qy qy qy qy
d. ―Recommendations are based on research, clinical expertise, and patie qy qy qy qy qy qy qy qy
nt preferences.‖qy
ANS: D qy
Evidence-based practice (EBP) is the use of the best research- qy qy qy qy qy qy qy qy qy
based evidence combined with clinician expertise. Clinical judgment based on the nurse‘s cl
qy qy qy qy qy qy qy qy qy qy qy qy
inical experience is part of EBP, but clinical decision making should also incorporate curren
qy qy qy qy qy qy qy qy qy qy qy qy qy
t research and research-
qy qy qy
based guidelines. Evaluation of patient outcomes is important, but interventions should be b
qy qy qy qy qy qy qy qy qy qy qy qy
ased on research from randomized control studies with a large number of subjects.
qy qy qy qy qy qy qy qy qy qy qy qy
DIF: Cognitive Level: Remember (knowledge) REF: 15 qy qy qy q y
TOP: Nursing Process: Planning
q y MSC: NCLEX: Safe and Effective Care Environment
qy qy q y qy qy qy qy qy
3. The nurse teaches a student nurse about how to apply the nursing process when providi
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ng patient care. Which statement, if made by the student nurse, indicates that teaching
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
was successful?
qy
a. ―The nursing process is a scientific-
qy qy qy qy qy
based method of diagnosing the patient‘s health care problems.‖
qy qy qy qy qy qy qy qy
,[Type here]
qy
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
b. ―The nursing process is a problem-solving tool used to identify and treat patients‘
qy qy qy qy qy qy qy qy qy qy qy qy
, [Type here]
qy
Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
health care needs.‖ qy qy
c. ―The nursing process is used primarily to explain nursing interventions to oth
qy qy qy qy qy qy qy qy qy qy qy
er health care professionals.‖
qy qy qy
d. ―The nursing process is based on nursing theory that incorporates t
qy qy qy qy qy qy qy qy qy qy
he biopsychosocial nature of humans.‖
qy qy qy qy
ANS: B qy
The nursing process is a problem-
qy qy qy qy qy
solving approach to the identification and treatment of patients‘ problems. Diagnosis is onl
qy qy qy qy qy qy qy qy qy qy qy qy
y one phase of the nursing process. The primary use of the nursing process is in patient car
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
e, not to establish nursing theory or explain nursing interventions to other health care profe
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ssionals.
DIF: Cognitive Level: Understand (comprehension) REF: 5 qy qy qy q y
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
q y qy qy q y qy qy qy qy qy
4. A patient has been admitted to the hospital for surgery and tells the nurse, ―I do not feel c
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
omfortable leaving my children with my parents.‖ Which action should the nurse take next
qy qy qy qy qy qy qy qy qy qy qy qy qy
?
a. Reassure the patient that these feelings are common for parents.
qy qy qy qy qy qy qy qy qy
b. Have the patient call the children to ensure that they are doing well.
qy qy qy qy qy qy qy qy qy qy qy qy
c. Gather more data about the patient‘s feelings about the child-care arrangements.
qy qy qy qy qy qy qy qy qy qy
d. Call the patient‘s parents to determine whether adequate child care is bei
qy qy qy qy qy qy qy qy qy qy qy
ng provided. qy
ANS: C qy
Because a complete assessment is necessary in order to identify a problem and choose an a
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
ppropriate intervention, the nurse‘s first action should be to obtain more information. The o
qy qy qy qy qy qy qy qy qy qy qy qy qy
ther actions may be appropriate, but more assessment is needed before the best intervention
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
can be chosen.
qy qy
DIF: Cognitive Level: Apply (application) qy qy qy REF: 6
OBJ: Special Questions: Prioritization
q y qy qy
TOP: Nursing Process: Assessmen
qy qy qy
t MSC: NCLEX: Psychosocial Integrity
qy q y qy qy
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ul
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
cer on the left hip. Which nursing diagnosis is most appropriate?
qy qy qy qy qy qy qy qy qy qy
a. Impaired physical mobility related to left-sided paralysisqy qy qy qy qy qy
b. Risk for impaired tissue integrity related to left-sided weakness
qy qy qy qy qy qy qy qy
c. Impaired skin integrity related to altered circulation and pressure
qy qy qy qy qy qy qy qy
d. Ineffective tissue perfusion related to inability to move independently
qy qy qy qy qy qy qy qy
ANS: C qy
The patient‘s major problem is the impaired skin integrity as demonstrated by the presence
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
of a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure b
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
y frequently repositioning the patient. Although left-
qy qy qy qy qy qy
sided weakness is a problem for the patient, the nurse cannot treat the weakness. The ―risk f
qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy qy
or‖ diagnosis is not appropriate for this patient, who already has impaired tissue integrity. T
qy qy qy qy qy qy qy qy qy qy qy qy qy qy
he patient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis i
qy qy qy qy qy qy qy qy qy qy qy qy qy
ndicates more clearly what the health problem is.
qy qy qy qy qy qy qy
DIF: Cognitive Level: Apply (application) REF: 7 qy qy qy
TOP: Nursing Process: Diagnosis
q y MSC: NCLEX: Physiological Integrity
qy qy q y qy qy
