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