Lewis’s Medical Surgical Nursing 12th Edition Harding
Test Bank Chapter 1 - 69 Updated 2025
,Lewis’s Medical Surgical Nursing 12th Edition Harding Test Bank
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
T T T T T T T T T T T T T T T
goals will be developed with the patient‗s input. The patient asks, ―How is this different from
T T T T T T T T T T T T T T T T
what the physician does?‖ Which response would the nurse provide?
T T T T T T T T T
a. ―The role of the nurse is to administer medications and other treatments prescribed
T T T T T T T T T T T T T
by your physician.‖
T T
b. ―In addition to caring for you while you are sick, the nurses will help you plan to
T T T T T T T T T T T T T T T T TT
maintain your health.‖ T T
c. ―The nurse‗s job is to collect information and communicate anyproblems that
T T T T T T T T T T T T
occur to the physician.‖ T T T
d. ―Nurses perform manyof the same procedures as the physician, but nurses are
T T T T T T T T T T T T T
with the patients for a longer time than the physician.‖
T T T T T T T T T
ANS: B T
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
T T T T T T T T T T T T T T
promoting health. The other responses describe dependent and collaborative functions of the
T T T T T T T T T T T T
nursing role but do not accurately describe the nurse‗s unique role in the health care system.
T T T T T T T T T T T T T T T
DIF: Cognitive Level: Analyze (Analysis)
T T T T T
TOP: Nursing Process: Implementation
T T T T T T MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
T T T T T T T T T T T T
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
T T T T T T T T T
b. ―Data are analyzed later to show that the patient outcomes are consistentlymet.‖
T T T T T T T T T T T T
c. ―Research from all published articles are used as a guide for planning patient care.‖
T T T T T T T T T T T T T
d. ―Recommendations are based on research, clinical expertise, and patient T T T T T T T T TT
preferences.‖
ANS: D T
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
T T T T T T T T T T T T T
clinician expertise and consideration of patient preferences. Clinical judgment based on the
T T T T T T T T T T T T
nurse‗s clinical experience is part of EBP, but clinical decision making should also
T T T T T T T T T T T T T
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
T T T T T T T T T T T
important, but data analysis is not required to use EBP. All published articles do not provide
T T T T T T T T T T T T T T T T
research evidence; interventions should be based on credible research, preferably randomized
T T T T T T T T T T T
controlled studies with a large number of subjects.
T T T T T T T
DIF: Cognitive Level: Understand (Comprehension) T T T TOP: Nursing Process: Planning T T T T
MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
3. Which statement by the nurse provides a clear explanation of the nursing process?
T T T T T T T T T T T T
a. ―The nursing process is a research method of diagnosing the patient‗s health care
T T T T T T T T T T T T T
problems.‖
b. ―The nursing process is used primarilyto explain nursing interventions to other
T T T T T T T T T T T T
health care professionals.‖ T T
c. ―The nursing process is a problem-solving tool used to identify and manage the
T T T T T T T T T T T T
, patients‗ health care needs.‖ T T T
d. ―The nursing process is based on nursing theorythat incorporates the
T T T T T T T T T T
biopsychosocial nature of humans.‖ T T T
ANS: C T
The nursing process is a problem-solving approach to the identification and treatment of
T T T T T T T T T T T T T
patients‗ problems. Nursing process does not require research methods for diagnosis. The
T T T T T T T T T T T T
primary use of the nursing process is in patient care, not to establish nursing theory or explain
T T T T T T T T T T T T T T T T T
nursing interventions to other health care professionals.
T T T T T T
DIF: Cognitive Level: Understand (Comprehension) T T T TOP: Nursing Process: Evaluation
T T T T
MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
4. A patient admitted to the hospital for surgerytells the nurse, ―I do not feel comfortable
T T T T T T T T T T T T T T T T
leaving my children with my parents.‖ Which action would the nurse take next?
T T T T T T T T T T T T
a. Reassure the patient that these feelings are common for parents.
T T T T T T T T T
b. Have the patient call the children to ensure that they are doing well.
T T T T T T T T T T T T
c. Gather information on the patient‗s concerns about the child care arrangements.
T T T T T T T T T T
d. Call the patient‗s parents to determine whether adequate child care is being
T T T T T T T T T T T T
provided.
ANS: C T
Because a complete assessment is necessary in order to identify a problem and choose an
T T T T T T T T T T T T T T T
appropriate intervention, the nurse‗s first action should be to obtain more information. The
T T T T T T T T T T T T T
other actions may be appropriate, but more assessment is needed before the best intervention
T T T T T T T T T T T T T T
can be chosen.
T T
DIF: Cognitive Level: Analyze (Analysis) T T T
TOP: Nursing Process: Assessment
T MSC: NCLEX: Psychosocial Integrity T T T T T
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
T T T T T T T T T T T T T T T
Which expected outcome would the nurse select for this patient?
T T T T T T T T T
a. Patient has a balanced intake and output. T T T T T T
b. Patient‗s bedding is kept clean and free of moisture. T T T T T T T T
c. Patient understands the need for increased fluid intake.
T T T T T T T
d. Patient‗s skin remains cool and drythroughout hospitalization. T T T T T T T
ANS: A T
Balanced intake and output gives measurable data showing resolution of the problem of
T T T T T T T T T T T T T
deficient fluid volume. The other statements would not indicate that the problem of
T T T T T T T T T T T T T
hypovolemia was resolved. T T
DIF: Cognitive Level: Apply (Application) T T T TOP: Nursing Process: Planning
T T T T
MSC: NCLEX: Physiological Integrity
T T T
6. Which statement describes the purpose of the evaluation phase of the nursing process?
T T T T T T T T T T T T
a. To document the nursing care plan in the progress notes of the health record
T T T T T T T T T T T T T
b. To determine if interventions have been effective in meeting patient outcomes
T T T T T T T T T T
c. To decide whether the patient‗s health problems have been completely resolved
T T T T T T T T T T
d. To establish if the patient agrees that the nursing care provided was satisfactory
T T T T T T T T T T T T
ANS: B T
, Evaluation consists of determining whether the desired patient outcomes have been met and
T T T T T T T T T T T T T
whether the nursing interventions were appropriate. The other responses do not describe the
T T T T T T T T T T T T T
evaluation phase. T
DIF: Cognitive Level: Understand (Comprehension)
T T T T TOP: Nursing Process: Evaluation
T T T T
MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
7. Which statement describes the purpose of the assessment phase of the nursing process?
T T T T T T T T T T T T
a. To teach interventions that relieve health problems
T T T T T T
b. To use patient data to evaluate patient care outcomes
T T T T T T T T
c. To obtain data to diagnose patient strengths and problems
T T T T T T T T
d. To help the patient identify realistic outcomes for health problems
T T T T T T T T T
ANS: C T
During the assessment phase, the nurse gathers information about the patient to diagnose patient
T T T T T T T T T T T T T T
strengths and problems. The other responses are examples of the planning, intervention, and
T T T T T T T T T T T T T
evaluation phases of the nursing process. T T T T T
DIF: Cognitive Level: Understand (Comprehension) T T T
TOP: Nursing Process: Assessment
T MSC: NCLEX: Safe and Effective Care Environment
T T T T T T T T
8. When developing the plan of care, which components would the nurse include in the clinical
T T T T T T T T T T T T T T T
problem statement? T
a. The problem and the suggested patient goals or outcomes
T T T T T T T T
b. The problem, its causes, and the signs and symptoms of the problem
T T T T T T T T T T T
c. The problem with the possible etiology and the planned interventions
T T T T T T T T T
d. The problem, its pathophysiology, and the expected outcome
T T T T T T T
ANS: B T
When writing clinical problems or nursing diagnoses, the subjective as well as objective data
T T T T T T T T T T T T T T
to support the problem‗s existence should be included. Goals, outcomes, and interventions are
T T T T T T T T T T T T T
not included in the problem statement.
T T T T T
DIF: Cognitive Level: Understand (Comprehension) T T T TOP: Nursing Process: Diagnosis
T T T T
MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
T T T T T T T T T T T T
a. Instruct the patient about the need to alternate activity and rest.
T T T T T T T T T T
b. Monitor level of shortness of breath or fatigue after ambulation.
T T T T T T T T T
c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
T T T T T T T T T
d. Determine whether the patient is ready to increase the activity level. T T T T T T T T T T
ANS: C T
AP education includes accurate vital sign measurement. Assessment and patient teaching
T T T T T T T T T T T
require registered nurse education and scope of practice and cannot be delegated.
T T T T T T T T T T T
DIF: Cognitive Level: Apply (Application) T T T TOP: Nursing Process: Planning
T T T T
MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
Test Bank Chapter 1 - 69 Updated 2025
,Lewis’s Medical Surgical Nursing 12th Edition Harding Test Bank
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
T T T T T T T T T T T T T T T
goals will be developed with the patient‗s input. The patient asks, ―How is this different from
T T T T T T T T T T T T T T T T
what the physician does?‖ Which response would the nurse provide?
T T T T T T T T T
a. ―The role of the nurse is to administer medications and other treatments prescribed
T T T T T T T T T T T T T
by your physician.‖
T T
b. ―In addition to caring for you while you are sick, the nurses will help you plan to
T T T T T T T T T T T T T T T T TT
maintain your health.‖ T T
c. ―The nurse‗s job is to collect information and communicate anyproblems that
T T T T T T T T T T T T
occur to the physician.‖ T T T
d. ―Nurses perform manyof the same procedures as the physician, but nurses are
T T T T T T T T T T T T T
with the patients for a longer time than the physician.‖
T T T T T T T T T
ANS: B T
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
T T T T T T T T T T T T T T
promoting health. The other responses describe dependent and collaborative functions of the
T T T T T T T T T T T T
nursing role but do not accurately describe the nurse‗s unique role in the health care system.
T T T T T T T T T T T T T T T
DIF: Cognitive Level: Analyze (Analysis)
T T T T T
TOP: Nursing Process: Implementation
T T T T T T MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
T T T T T T T T T T T T
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
T T T T T T T T T
b. ―Data are analyzed later to show that the patient outcomes are consistentlymet.‖
T T T T T T T T T T T T
c. ―Research from all published articles are used as a guide for planning patient care.‖
T T T T T T T T T T T T T
d. ―Recommendations are based on research, clinical expertise, and patient T T T T T T T T TT
preferences.‖
ANS: D T
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
T T T T T T T T T T T T T
clinician expertise and consideration of patient preferences. Clinical judgment based on the
T T T T T T T T T T T T
nurse‗s clinical experience is part of EBP, but clinical decision making should also
T T T T T T T T T T T T T
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
T T T T T T T T T T T
important, but data analysis is not required to use EBP. All published articles do not provide
T T T T T T T T T T T T T T T T
research evidence; interventions should be based on credible research, preferably randomized
T T T T T T T T T T T
controlled studies with a large number of subjects.
T T T T T T T
DIF: Cognitive Level: Understand (Comprehension) T T T TOP: Nursing Process: Planning T T T T
MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
3. Which statement by the nurse provides a clear explanation of the nursing process?
T T T T T T T T T T T T
a. ―The nursing process is a research method of diagnosing the patient‗s health care
T T T T T T T T T T T T T
problems.‖
b. ―The nursing process is used primarilyto explain nursing interventions to other
T T T T T T T T T T T T
health care professionals.‖ T T
c. ―The nursing process is a problem-solving tool used to identify and manage the
T T T T T T T T T T T T
, patients‗ health care needs.‖ T T T
d. ―The nursing process is based on nursing theorythat incorporates the
T T T T T T T T T T
biopsychosocial nature of humans.‖ T T T
ANS: C T
The nursing process is a problem-solving approach to the identification and treatment of
T T T T T T T T T T T T T
patients‗ problems. Nursing process does not require research methods for diagnosis. The
T T T T T T T T T T T T
primary use of the nursing process is in patient care, not to establish nursing theory or explain
T T T T T T T T T T T T T T T T T
nursing interventions to other health care professionals.
T T T T T T
DIF: Cognitive Level: Understand (Comprehension) T T T TOP: Nursing Process: Evaluation
T T T T
MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
4. A patient admitted to the hospital for surgerytells the nurse, ―I do not feel comfortable
T T T T T T T T T T T T T T T T
leaving my children with my parents.‖ Which action would the nurse take next?
T T T T T T T T T T T T
a. Reassure the patient that these feelings are common for parents.
T T T T T T T T T
b. Have the patient call the children to ensure that they are doing well.
T T T T T T T T T T T T
c. Gather information on the patient‗s concerns about the child care arrangements.
T T T T T T T T T T
d. Call the patient‗s parents to determine whether adequate child care is being
T T T T T T T T T T T T
provided.
ANS: C T
Because a complete assessment is necessary in order to identify a problem and choose an
T T T T T T T T T T T T T T T
appropriate intervention, the nurse‗s first action should be to obtain more information. The
T T T T T T T T T T T T T
other actions may be appropriate, but more assessment is needed before the best intervention
T T T T T T T T T T T T T T
can be chosen.
T T
DIF: Cognitive Level: Analyze (Analysis) T T T
TOP: Nursing Process: Assessment
T MSC: NCLEX: Psychosocial Integrity T T T T T
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
T T T T T T T T T T T T T T T
Which expected outcome would the nurse select for this patient?
T T T T T T T T T
a. Patient has a balanced intake and output. T T T T T T
b. Patient‗s bedding is kept clean and free of moisture. T T T T T T T T
c. Patient understands the need for increased fluid intake.
T T T T T T T
d. Patient‗s skin remains cool and drythroughout hospitalization. T T T T T T T
ANS: A T
Balanced intake and output gives measurable data showing resolution of the problem of
T T T T T T T T T T T T T
deficient fluid volume. The other statements would not indicate that the problem of
T T T T T T T T T T T T T
hypovolemia was resolved. T T
DIF: Cognitive Level: Apply (Application) T T T TOP: Nursing Process: Planning
T T T T
MSC: NCLEX: Physiological Integrity
T T T
6. Which statement describes the purpose of the evaluation phase of the nursing process?
T T T T T T T T T T T T
a. To document the nursing care plan in the progress notes of the health record
T T T T T T T T T T T T T
b. To determine if interventions have been effective in meeting patient outcomes
T T T T T T T T T T
c. To decide whether the patient‗s health problems have been completely resolved
T T T T T T T T T T
d. To establish if the patient agrees that the nursing care provided was satisfactory
T T T T T T T T T T T T
ANS: B T
, Evaluation consists of determining whether the desired patient outcomes have been met and
T T T T T T T T T T T T T
whether the nursing interventions were appropriate. The other responses do not describe the
T T T T T T T T T T T T T
evaluation phase. T
DIF: Cognitive Level: Understand (Comprehension)
T T T T TOP: Nursing Process: Evaluation
T T T T
MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
7. Which statement describes the purpose of the assessment phase of the nursing process?
T T T T T T T T T T T T
a. To teach interventions that relieve health problems
T T T T T T
b. To use patient data to evaluate patient care outcomes
T T T T T T T T
c. To obtain data to diagnose patient strengths and problems
T T T T T T T T
d. To help the patient identify realistic outcomes for health problems
T T T T T T T T T
ANS: C T
During the assessment phase, the nurse gathers information about the patient to diagnose patient
T T T T T T T T T T T T T T
strengths and problems. The other responses are examples of the planning, intervention, and
T T T T T T T T T T T T T
evaluation phases of the nursing process. T T T T T
DIF: Cognitive Level: Understand (Comprehension) T T T
TOP: Nursing Process: Assessment
T MSC: NCLEX: Safe and Effective Care Environment
T T T T T T T T
8. When developing the plan of care, which components would the nurse include in the clinical
T T T T T T T T T T T T T T T
problem statement? T
a. The problem and the suggested patient goals or outcomes
T T T T T T T T
b. The problem, its causes, and the signs and symptoms of the problem
T T T T T T T T T T T
c. The problem with the possible etiology and the planned interventions
T T T T T T T T T
d. The problem, its pathophysiology, and the expected outcome
T T T T T T T
ANS: B T
When writing clinical problems or nursing diagnoses, the subjective as well as objective data
T T T T T T T T T T T T T T
to support the problem‗s existence should be included. Goals, outcomes, and interventions are
T T T T T T T T T T T T T
not included in the problem statement.
T T T T T
DIF: Cognitive Level: Understand (Comprehension) T T T TOP: Nursing Process: Diagnosis
T T T T
MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
T T T T T T T T T T T T
a. Instruct the patient about the need to alternate activity and rest.
T T T T T T T T T T
b. Monitor level of shortness of breath or fatigue after ambulation.
T T T T T T T T T
c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
T T T T T T T T T
d. Determine whether the patient is ready to increase the activity level. T T T T T T T T T T
ANS: C T
AP education includes accurate vital sign measurement. Assessment and patient teaching
T T T T T T T T T T T
require registered nurse education and scope of practice and cannot be delegated.
T T T T T T T T T T T
DIF: Cognitive Level: Apply (Application) T T T TOP: Nursing Process: Planning
T T T T
MSC: NCLEX: Safe and Effective Care Environment
T T T T T T
