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
Test Bank — Lewis’s Medical-Surgical Nursing in Canada, 5th
Ed. (2022)
Section 1: Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
,1. A nurse is preparing to care for a patient with multiple
chronic conditions. Which action best reflects the medical-
surgical nurse’s primary role?
A. Performing independent medical diagnoses
B. Coordinating care using evidence-based practice
C. Limiting care to physician-prescribed treatments
D. Delegating most care to unregulated providers
Answer: B
Rationale: Medical-surgical nursing emphasizes coordination of
holistic, evidence-based care to optimize patient outcomes,
especially in complex illness.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Ch. 1.
2. Which activity demonstrates application of the nursing
process?
A. Administering medications at scheduled times
B. Identifying a patient’s fall risk and initiating precautions
C. Documenting intake and output
D. Following unit routines without modification
Answer: B
Rationale: The nursing process involves assessment, diagnosis,
planning, implementation, and evaluation; identifying risk and
acting reflects clinical judgment.
Citation: Lewis, Ch. 1.
,3. A nurse uses current research to guide wound care
selection. This reflects which professional expectation?
A. Tradition-based care
B. Evidence-informed practice
C. Task-oriented nursing
D. Institutional preference
Answer: B
Rationale: Canadian medical-surgical nursing integrates best
evidence, clinical expertise, and patient preferences to guide
care decisions.
Citation: Lewis, Ch. 1.
4. Which factor is MOST responsible for the increasing
complexity of medical-surgical nursing practice?
A. Reduced hospital admissions
B. Shorter life expectancy
C. Advances in technology and aging population
D. Decreased chronic illness rates
Answer: C
Rationale: Aging populations and technological advances lead
to higher acuity and complexity in hospitalized patients.
Citation: Lewis, Ch. 1.
, 5. When prioritizing care for four patients, which should the
nurse assess FIRST?
A. Patient awaiting discharge teaching
B. Stable patient needing routine dressing change
C. Patient with new-onset confusion
D. Patient requesting pain medication refill
Answer: C
Rationale: New confusion may indicate acute deterioration
(e.g., hypoxia, infection, delirium) and requires immediate
assessment.
Citation: Lewis, Ch. 1 (clinical judgment and prioritization).
6. The nurse’s role in interprofessional collaboration primarily
aims to:
A. Replace physician decision-making
B. Ensure fragmented task completion
C. Achieve coordinated, patient-centred outcomes
D. Maintain discipline-specific independence
Answer: C
Rationale: Collaborative practice integrates multiple disciplines
to provide safe, effective, patient-centred care.
Citation: Lewis, Ch. 1.
7. Which situation best demonstrates patient-centred care?
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
Test Bank — Lewis’s Medical-Surgical Nursing in Canada, 5th
Ed. (2022)
Section 1: Concepts in Nursing Practice
Chapter 1: Introduction to Medical-Surgical Nursing Practice in
Canada
,1. A nurse is preparing to care for a patient with multiple
chronic conditions. Which action best reflects the medical-
surgical nurse’s primary role?
A. Performing independent medical diagnoses
B. Coordinating care using evidence-based practice
C. Limiting care to physician-prescribed treatments
D. Delegating most care to unregulated providers
Answer: B
Rationale: Medical-surgical nursing emphasizes coordination of
holistic, evidence-based care to optimize patient outcomes,
especially in complex illness.
Citation: Lewis’s Medical-Surgical Nursing in Canada, 5th ed.,
Ch. 1.
2. Which activity demonstrates application of the nursing
process?
A. Administering medications at scheduled times
B. Identifying a patient’s fall risk and initiating precautions
C. Documenting intake and output
D. Following unit routines without modification
Answer: B
Rationale: The nursing process involves assessment, diagnosis,
planning, implementation, and evaluation; identifying risk and
acting reflects clinical judgment.
Citation: Lewis, Ch. 1.
,3. A nurse uses current research to guide wound care
selection. This reflects which professional expectation?
A. Tradition-based care
B. Evidence-informed practice
C. Task-oriented nursing
D. Institutional preference
Answer: B
Rationale: Canadian medical-surgical nursing integrates best
evidence, clinical expertise, and patient preferences to guide
care decisions.
Citation: Lewis, Ch. 1.
4. Which factor is MOST responsible for the increasing
complexity of medical-surgical nursing practice?
A. Reduced hospital admissions
B. Shorter life expectancy
C. Advances in technology and aging population
D. Decreased chronic illness rates
Answer: C
Rationale: Aging populations and technological advances lead
to higher acuity and complexity in hospitalized patients.
Citation: Lewis, Ch. 1.
, 5. When prioritizing care for four patients, which should the
nurse assess FIRST?
A. Patient awaiting discharge teaching
B. Stable patient needing routine dressing change
C. Patient with new-onset confusion
D. Patient requesting pain medication refill
Answer: C
Rationale: New confusion may indicate acute deterioration
(e.g., hypoxia, infection, delirium) and requires immediate
assessment.
Citation: Lewis, Ch. 1 (clinical judgment and prioritization).
6. The nurse’s role in interprofessional collaboration primarily
aims to:
A. Replace physician decision-making
B. Ensure fragmented task completion
C. Achieve coordinated, patient-centred outcomes
D. Maintain discipline-specific independence
Answer: C
Rationale: Collaborative practice integrates multiple disciplines
to provide safe, effective, patient-centred care.
Citation: Lewis, Ch. 1.
7. Which situation best demonstrates patient-centred care?
