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)
Section 1 — Chapter 1: Introduction to Medical-Surgical
Nursing Practice in Canada
Blueprint applied with increased NCLEX-style prioritization and
clinical judgment focus.
1.
,A newly admitted client has multiple chronic conditions and
limited English proficiency. Which nursing action best reflects
the principles of patient-centred care?
A. Assign standard teaching materials in English
B. Focus teaching on the primary diagnosis only
C. Engage an interpreter and assess client priorities
D. Provide written discharge instructions only
Answer: C
Rationale: Patient-centred care emphasizes individualized care,
cultural safety, and shared decision-making using appropriate
communication supports.
Citation: Lewis Canada 5th ed., Ch. 1
2.
Which nurse action best demonstrates accountability under
Canadian nursing practice standards?
A. Delegating assessment to unregulated care providers
B. Documenting and evaluating outcomes of nursing
interventions
C. Following provider orders without question
D. Relying on shift report instead of chart review
Answer: B
Rationale: Accountability includes documenting, evaluating,
and taking responsibility for nursing judgments and outcomes.
Citation: Lewis Canada 5th ed., Ch. 1
,3.
A client questions why two nurses gave different instructions.
What is the nurse’s best response to support interprofessional
collaborative practice?
A. “Follow whichever nurse you prefer.”
B. “Each nurse works independently.”
C. “Let me clarify with the team to ensure consistent care.”
D. “The physician will decide.”
Answer: C
Rationale: Interprofessional collaboration promotes
coordinated, consistent care through team communication.
Citation: Lewis Canada 5th ed., Ch. 1
4.
Which situation best reflects evidence-informed nursing
practice?
A. Using unit routines without review
B. Applying current research with clinical expertise
C. Following tradition over research
D. Using only personal experience
Answer: B
Rationale: Evidence-informed practice integrates best evidence,
clinical expertise, and patient preferences.
Citation: Lewis Canada 5th ed., Ch. 1
, 5.
A nurse identifies a near-miss medication error. What is the
priority action to promote a culture of safety?
A. Correct the error quietly
B. Report through the incident reporting system
C. Blame the administering nurse
D. Avoid documentation
Answer: B
Rationale: Reporting near misses supports system improvement
and patient safety.
Citation: Lewis Canada 5th ed., Ch. 1
6.
Which principle best supports quality improvement in med-surg
nursing?
A. Focusing only on individual performance
B. Using data to evaluate and improve processes
C. Avoiding audits
D. Limiting feedback
Answer: B
Rationale: Quality improvement uses data and outcomes to
improve care processes.
Citation: Lewis Canada 5th ed., Ch. 1
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)
Section 1 — Chapter 1: Introduction to Medical-Surgical
Nursing Practice in Canada
Blueprint applied with increased NCLEX-style prioritization and
clinical judgment focus.
1.
,A newly admitted client has multiple chronic conditions and
limited English proficiency. Which nursing action best reflects
the principles of patient-centred care?
A. Assign standard teaching materials in English
B. Focus teaching on the primary diagnosis only
C. Engage an interpreter and assess client priorities
D. Provide written discharge instructions only
Answer: C
Rationale: Patient-centred care emphasizes individualized care,
cultural safety, and shared decision-making using appropriate
communication supports.
Citation: Lewis Canada 5th ed., Ch. 1
2.
Which nurse action best demonstrates accountability under
Canadian nursing practice standards?
A. Delegating assessment to unregulated care providers
B. Documenting and evaluating outcomes of nursing
interventions
C. Following provider orders without question
D. Relying on shift report instead of chart review
Answer: B
Rationale: Accountability includes documenting, evaluating,
and taking responsibility for nursing judgments and outcomes.
Citation: Lewis Canada 5th ed., Ch. 1
,3.
A client questions why two nurses gave different instructions.
What is the nurse’s best response to support interprofessional
collaborative practice?
A. “Follow whichever nurse you prefer.”
B. “Each nurse works independently.”
C. “Let me clarify with the team to ensure consistent care.”
D. “The physician will decide.”
Answer: C
Rationale: Interprofessional collaboration promotes
coordinated, consistent care through team communication.
Citation: Lewis Canada 5th ed., Ch. 1
4.
Which situation best reflects evidence-informed nursing
practice?
A. Using unit routines without review
B. Applying current research with clinical expertise
C. Following tradition over research
D. Using only personal experience
Answer: B
Rationale: Evidence-informed practice integrates best evidence,
clinical expertise, and patient preferences.
Citation: Lewis Canada 5th ed., Ch. 1
, 5.
A nurse identifies a near-miss medication error. What is the
priority action to promote a culture of safety?
A. Correct the error quietly
B. Report through the incident reporting system
C. Blame the administering nurse
D. Avoid documentation
Answer: B
Rationale: Reporting near misses supports system improvement
and patient safety.
Citation: Lewis Canada 5th ed., Ch. 1
6.
Which principle best supports quality improvement in med-surg
nursing?
A. Focusing only on individual performance
B. Using data to evaluate and improve processes
C. Avoiding audits
D. Limiting feedback
Answer: B
Rationale: Quality improvement uses data and outcomes to
improve care processes.
Citation: Lewis Canada 5th ed., Ch. 1
