Lewis’s Medical-Surgical Nursing Canada 5th Ed Study Guide & Practice Test Bank

Lewis's Medical-Surgical Nursing in Canada
Assessment and Management of Clinical
Problems
• 5th Edition - June 15, 2022
• Latest edition
• Authors: Jane Tyerman, Shelley Cobbett,
Mariann M. Harding, Jeffrey Kwong, Dottie
Roberts, Debra Hagler, Courtney Reinisch


TEST BANK

Lewis’s Medical-Surgical Nursing in Canada, 5th ed. (2022)
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
20 Multiple-Choice Questions
(Blueprint applied: Increased prioritization/clinical judgment
focus)


1.

,A nurse is caring for several clients on a medical-surgical unit.
Which action best reflects clinical judgment consistent with
professional nursing practice?
A. Performing tasks delegated by the physician without
questioning
B. Following unit routines regardless of patient differences
C. Integrating assessment findings with evidence-based
knowledge to guide care
D. Waiting for explicit orders before initiating interventions
Correct Answer: C
Rationale:
Clinical judgment involves synthesizing assessment data with
evidence-based knowledge to guide safe, individualized care. A
and D reflect task-based practice rather than professional
accountability. B ignores individualized care principles.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1


2.
Which patient situation requires the nurse’s immediate clinical
judgment and priority intervention?
A. A patient requesting clarification about discharge
medications
B. A patient reporting new-onset shortness of breath

,C. A patient asking for assistance with hygiene
D. A patient requesting a diet change
Correct Answer: B
Rationale:
New-onset shortness of breath suggests potential airway or
breathing compromise, requiring immediate assessment and
intervention. The other concerns are important but not life-
threatening priorities.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1


3.
Which statement best describes evidence-informed nursing
practice?
A. Using traditional methods based on personal preference
B. Relying solely on physician directives
C. Integrating best current evidence with clinical expertise and
patient preferences
D. Following hospital policy without considering research
Correct Answer: C
Rationale:
Evidence-informed practice integrates research evidence,
clinical expertise, and patient values. A and D omit research

, integration. B limits nursing autonomy and professional
responsibility.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1


4.
The nurse identifies that a patient’s cultural beliefs may
influence acceptance of treatment. What is the priority nursing
action?
A. Proceed with treatment to prevent delay
B. Notify the physician immediately
C. Explore the patient’s beliefs and incorporate them into care
planning
D. Document refusal and discontinue discussion
Correct Answer: C
Rationale:
Patient-centred care requires understanding cultural beliefs and
incorporating them into care planning. A disregards autonomy.
B may be premature. D fails to support shared decision-making.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1


5.