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
Section 1: Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. (2022)
1.
,A newly licensed nurse is caring for several patients on a
medical unit. Which action best demonstrates clinical judgment
as defined in Canadian medical-surgical nursing practice?
A. Following unit routines exactly as written
B. Prioritizing care based on patient assessment and expected
outcomes
C. Completing documentation before patient care
D. Delegating tasks to unregulated care providers
Correct Answer: B
Rationale:
Clinical judgment involves assessment, interpretation,
prioritization, and decision-making to achieve patient
outcomes. Prioritizing care based on patient condition reflects
this process. The other options reflect tasks or routines without
judgment.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
2.
Which patient would the nurse identify as the highest priority
for immediate assessment?
A. A stable patient awaiting discharge teaching
B. A patient reporting new-onset shortness of breath
,C. A patient requesting pain medication for chronic back pain
D. A patient asking for assistance with ambulation
Correct Answer: B
Rationale:
New-onset shortness of breath suggests a potential life-
threatening change requiring immediate assessment. The other
situations are important but not immediately threatening.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
3.
Which statement best reflects the Canadian nursing approach
to evidence-informed practice?
A. Using interventions based solely on physician preference
B. Applying research evidence combined with clinical expertise
and patient values
C. Following hospital policies without question
D. Prioritizing tradition over current evidence
Correct Answer: B
Rationale:
Evidence-informed practice integrates best research evidence,
clinical expertise, and patient preferences. The other options
exclude essential components of this approach.
, Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
4.
A nurse is using the nursing process to plan care. Which step
involves setting measurable outcomes?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: C
Rationale:
The planning phase includes establishing patient-centered goals
and measurable outcomes. Assessment collects data, diagnosis
identifies problems, and evaluation measures goal
achievement.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
5.
Which factor most influences prioritization of care in medical-
surgical nursing?
A. Patient preference alone
B. Unit staffing levels
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
Section 1: Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
Lewis’s Medical-Surgical Nursing in Canada, 5th ed. (2022)
1.
,A newly licensed nurse is caring for several patients on a
medical unit. Which action best demonstrates clinical judgment
as defined in Canadian medical-surgical nursing practice?
A. Following unit routines exactly as written
B. Prioritizing care based on patient assessment and expected
outcomes
C. Completing documentation before patient care
D. Delegating tasks to unregulated care providers
Correct Answer: B
Rationale:
Clinical judgment involves assessment, interpretation,
prioritization, and decision-making to achieve patient
outcomes. Prioritizing care based on patient condition reflects
this process. The other options reflect tasks or routines without
judgment.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
2.
Which patient would the nurse identify as the highest priority
for immediate assessment?
A. A stable patient awaiting discharge teaching
B. A patient reporting new-onset shortness of breath
,C. A patient requesting pain medication for chronic back pain
D. A patient asking for assistance with ambulation
Correct Answer: B
Rationale:
New-onset shortness of breath suggests a potential life-
threatening change requiring immediate assessment. The other
situations are important but not immediately threatening.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
3.
Which statement best reflects the Canadian nursing approach
to evidence-informed practice?
A. Using interventions based solely on physician preference
B. Applying research evidence combined with clinical expertise
and patient values
C. Following hospital policies without question
D. Prioritizing tradition over current evidence
Correct Answer: B
Rationale:
Evidence-informed practice integrates best research evidence,
clinical expertise, and patient preferences. The other options
exclude essential components of this approach.
, Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
4.
A nurse is using the nursing process to plan care. Which step
involves setting measurable outcomes?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: C
Rationale:
The planning phase includes establishing patient-centered goals
and measurable outcomes. Assessment collects data, diagnosis
identifies problems, and evaluation measures goal
achievement.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Chapter 1
5.
Which factor most influences prioritization of care in medical-
surgical nursing?
A. Patient preference alone
B. Unit staffing levels
