Test Bank For Lewis's Medical-Surgical
Nursing Assessment and Management of
Clinical Problems, Single Volume 12th Edition
by Mariann M. Harding, Jeffrey Kwong, Debra
Hagler Chapter 1-200
1. Q: What is the primary purpose of performing a focused assessment?
A: To gather data specific to the patient’s current problem to guide immediate care.
2. Q: Which laboratory value most directly reflects kidney function?
A: Serum creatinine.
3. Q: What is the earliest sign of hypoxemia in a patient?
A: Restlessness or agitation.
4. Q: Normal range for adult heart rate?
A: 60–100 beats per minute.
5. Q: First action when a patient has sudden chest pain and shortness of breath post-op?
A: Assess airway, breathing, and circulation; call for rapid response if unstable.
6. Q: Best position to promote airway patency in an unconscious patient?
A: Lateral (recovery) position.
, 7. Q: What does a positive Tinel’s sign indicate?
A: Median nerve irritation/compression (e.g., carpal tunnel).
8. Q: Primary nursing intervention for a patient with suspected pulmonary embolism?
A: Call for emergency evaluation and administer oxygen.
9. Q: Most important nursing action before administering a new IV medication?
A: Verify patient identity and check compatibility/IV site patency.
10.Q: What electrolyte imbalance is associated with peaked T waves on ECG?
A: Hyperkalemia.
11.Q: Best way to prevent surgical site infection?
A: Proper hand hygiene and sterile technique.
12.Q: What is orthostatic hypotension?
A: A drop in BP with position change (systolic ≥20 mmHg or diastolic ≥10 mmHg).
13.Q: Common sign of fluid volume overload?
A: Peripheral edema and bounding pulses.
14.Q: What does an elevated troponin indicate?
A: Myocardial injury/necrosis (possible MI).
15.Q: First-line treatment for anaphylactic shock?
A: IM epinephrine immediately.
16.Q: Primary nursing priority for a patient with acute stroke?
A: Rapid assessment and activation of stroke protocol (time-sensitive interventions).
17.Q: Which assessment finding suggests increased intracranial pressure (ICP)?
A: Decreasing level of consciousness.
18.Q: What is the normal PaO₂ range on arterial blood gases?
A: 80–100 mmHg.
19.Q: Most common cause of hospital-acquired urinary tract infections?
A: Indwelling urinary catheter use.
20.Q: When should informed consent be obtained?
A: Before any invasive procedure, when patient is competent and informed.
Nursing Assessment and Management of
Clinical Problems, Single Volume 12th Edition
by Mariann M. Harding, Jeffrey Kwong, Debra
Hagler Chapter 1-200
1. Q: What is the primary purpose of performing a focused assessment?
A: To gather data specific to the patient’s current problem to guide immediate care.
2. Q: Which laboratory value most directly reflects kidney function?
A: Serum creatinine.
3. Q: What is the earliest sign of hypoxemia in a patient?
A: Restlessness or agitation.
4. Q: Normal range for adult heart rate?
A: 60–100 beats per minute.
5. Q: First action when a patient has sudden chest pain and shortness of breath post-op?
A: Assess airway, breathing, and circulation; call for rapid response if unstable.
6. Q: Best position to promote airway patency in an unconscious patient?
A: Lateral (recovery) position.
, 7. Q: What does a positive Tinel’s sign indicate?
A: Median nerve irritation/compression (e.g., carpal tunnel).
8. Q: Primary nursing intervention for a patient with suspected pulmonary embolism?
A: Call for emergency evaluation and administer oxygen.
9. Q: Most important nursing action before administering a new IV medication?
A: Verify patient identity and check compatibility/IV site patency.
10.Q: What electrolyte imbalance is associated with peaked T waves on ECG?
A: Hyperkalemia.
11.Q: Best way to prevent surgical site infection?
A: Proper hand hygiene and sterile technique.
12.Q: What is orthostatic hypotension?
A: A drop in BP with position change (systolic ≥20 mmHg or diastolic ≥10 mmHg).
13.Q: Common sign of fluid volume overload?
A: Peripheral edema and bounding pulses.
14.Q: What does an elevated troponin indicate?
A: Myocardial injury/necrosis (possible MI).
15.Q: First-line treatment for anaphylactic shock?
A: IM epinephrine immediately.
16.Q: Primary nursing priority for a patient with acute stroke?
A: Rapid assessment and activation of stroke protocol (time-sensitive interventions).
17.Q: Which assessment finding suggests increased intracranial pressure (ICP)?
A: Decreasing level of consciousness.
18.Q: What is the normal PaO₂ range on arterial blood gases?
A: 80–100 mmHg.
19.Q: Most common cause of hospital-acquired urinary tract infections?
A: Indwelling urinary catheter use.
20.Q: When should informed consent be obtained?
A: Before any invasive procedure, when patient is competent and informed.
