Lewis Medical Surgical Nursing, 10th
Edition:Test Bank - Lewis Medical Surgical
Nursing, 10th Edition: 100 % Verified
Question & Answers( Chapters 1-68):
Guaranteed A+
Section I: Foundations of Nursing Practice (Chapters 1–5)
1. A nurse is preparing to delegate tasks to unlicensed assistive personnel (UAP).
Which task is appropriate for the nurse to delegate?
A) Assessing a patient’s wound for signs of infection
B) Administering oral medications to a stable patient
C) Assisting a patient with ambulation to the bathroom
D) Creating a nursing care plan for a newly admitted patient
Correct Answer: C
Rationale: The RN can delegate tasks that do not require nursing judgment to
UAPs, such as assisting with ambulation, bathing, feeding, and vital signs.
Medication administration (B), assessment (A), and care planning (D) require
nursing judgment and cannot be delegated .
2. The nurse interviews a patient while completing the health history and physical
examination. What is 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 with which to diagnose patient problems
D) To help the patient identify realistic outcomes for health problems
Correct Answer: C
, Rationale: During the assessment phase, the nurse gathers information about
the patient to diagnose patient problems. Teaching interventions (A) is
implementation, evaluating outcomes (B) is evaluation, and identifying outcomes
(D) is planning .
3. Which nursing diagnosis statement is written correctly?
A) Altered tissue perfusion related to heart failure
B) Risk for impaired tissue integrity related to sacral redness
C) Ineffective coping related to response to biopsy test results
D) Altered urinary elimination related to urinary tract infection
Correct Answer: C
Rationale: This diagnosis statement includes a NANDA nursing diagnosis and
an etiology that describes a patient’s response to a health problem that can be
treated by nursing. Using a medical diagnosis as etiology (A, D) is inappropriate.
“Risk for impaired tissue integrity” (B) uses the defining characteristic as the
etiology .
4. A nurse is providing care to a patient from a different cultural background.
Which action demonstrates cultural competence?
A) Assuming the patient follows all cultural practices
B) Asking the patient about their cultural beliefs and preferences
C) Ignoring cultural differences to provide equal care
D) Following standard care regardless of culture
Correct Answer: B
Rationale: Cultural competence involves respecting and responding to the
unique cultural needs and preferences of patients. Asking the patient about their
beliefs is the most appropriate approach. Assuming or ignoring differences is not
culturally competent .
,5. A patient who is a recent immigrant expresses distrust of Western medicine and
prefers traditional healing practices. What is the nurse’s best response?
A) Explain that Western medicine is more effective than traditional practices
B) Discourage the use of traditional practices that may interfere with medical
treatment
C) Respect the patient’s beliefs and integrate traditional practices when safely
possible
D) Report the patient’s refusal of Western medicine to the healthcare provider
Correct Answer: C
Rationale: Culturally competent care involves respecting the patient’s beliefs
and integrating traditional practices when they do not interfere with medical safety.
Dismissing or discouraging the patient’s beliefs damages trust .
6. The nurse is providing discharge teaching to a patient. Which teaching method is
most effective for ensuring patient understanding?
A) Providing a written handout only
B) Using the teach-back method
C) Showing a video
D) Giving verbal instructions once
Correct Answer: B
Rationale: The teach-back method, where the patient explains the instructions
in their own words, is the most effective method for ensuring patient
understanding. Written handouts, videos, and verbal instructions are helpful but do
not confirm understanding .
7. A nurse is caring for a patient who speaks a different language. Which action is
most appropriate?
A) Use a family member as an interpreter
B) Use a professional medical interpreter
, C) Use hand gestures to communicate
D) Speak loudly and slowly in English
Correct Answer: B
Rationale: A professional medical interpreter should be used to ensure
accurate communication. Family members may not be appropriate due to
confidentiality concerns and potential for errors. Hand gestures and speaking
loudly are not reliable communication methods .
8. A patient who is paralyzed on the left side of the body after a stroke develops a
pressure ulcer on the left hip. Which nursing diagnosis is most appropriate?
A) Impaired physical mobility related to left-sided paralysis
B) Risk for impaired tissue integrity related to left-sided weakness
C) Impaired skin integrity related to altered circulation and pressure
D) Ineffective tissue perfusion related to inability to move independently
Correct Answer: C
Rationale: The patient’s major problem is the impaired skin integrity as
demonstrated by the presence of a pressure ulcer. The “risk for” diagnosis (B) is
not appropriate for this patient, who already has impaired tissue integrity .
9. A nurse is preparing to perform a sterile procedure. Which action maintains
sterility?
A) Placing the sterile field 1 inch from the edge of the table
B) Reaching over the sterile field to retrieve an item
C) Opening sterile packages on the sterile field
D) Allowing the sterile field to become wet
Correct Answer: A
Edition:Test Bank - Lewis Medical Surgical
Nursing, 10th Edition: 100 % Verified
Question & Answers( Chapters 1-68):
Guaranteed A+
Section I: Foundations of Nursing Practice (Chapters 1–5)
1. A nurse is preparing to delegate tasks to unlicensed assistive personnel (UAP).
Which task is appropriate for the nurse to delegate?
A) Assessing a patient’s wound for signs of infection
B) Administering oral medications to a stable patient
C) Assisting a patient with ambulation to the bathroom
D) Creating a nursing care plan for a newly admitted patient
Correct Answer: C
Rationale: The RN can delegate tasks that do not require nursing judgment to
UAPs, such as assisting with ambulation, bathing, feeding, and vital signs.
Medication administration (B), assessment (A), and care planning (D) require
nursing judgment and cannot be delegated .
2. The nurse interviews a patient while completing the health history and physical
examination. What is 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 with which to diagnose patient problems
D) To help the patient identify realistic outcomes for health problems
Correct Answer: C
, Rationale: During the assessment phase, the nurse gathers information about
the patient to diagnose patient problems. Teaching interventions (A) is
implementation, evaluating outcomes (B) is evaluation, and identifying outcomes
(D) is planning .
3. Which nursing diagnosis statement is written correctly?
A) Altered tissue perfusion related to heart failure
B) Risk for impaired tissue integrity related to sacral redness
C) Ineffective coping related to response to biopsy test results
D) Altered urinary elimination related to urinary tract infection
Correct Answer: C
Rationale: This diagnosis statement includes a NANDA nursing diagnosis and
an etiology that describes a patient’s response to a health problem that can be
treated by nursing. Using a medical diagnosis as etiology (A, D) is inappropriate.
“Risk for impaired tissue integrity” (B) uses the defining characteristic as the
etiology .
4. A nurse is providing care to a patient from a different cultural background.
Which action demonstrates cultural competence?
A) Assuming the patient follows all cultural practices
B) Asking the patient about their cultural beliefs and preferences
C) Ignoring cultural differences to provide equal care
D) Following standard care regardless of culture
Correct Answer: B
Rationale: Cultural competence involves respecting and responding to the
unique cultural needs and preferences of patients. Asking the patient about their
beliefs is the most appropriate approach. Assuming or ignoring differences is not
culturally competent .
,5. A patient who is a recent immigrant expresses distrust of Western medicine and
prefers traditional healing practices. What is the nurse’s best response?
A) Explain that Western medicine is more effective than traditional practices
B) Discourage the use of traditional practices that may interfere with medical
treatment
C) Respect the patient’s beliefs and integrate traditional practices when safely
possible
D) Report the patient’s refusal of Western medicine to the healthcare provider
Correct Answer: C
Rationale: Culturally competent care involves respecting the patient’s beliefs
and integrating traditional practices when they do not interfere with medical safety.
Dismissing or discouraging the patient’s beliefs damages trust .
6. The nurse is providing discharge teaching to a patient. Which teaching method is
most effective for ensuring patient understanding?
A) Providing a written handout only
B) Using the teach-back method
C) Showing a video
D) Giving verbal instructions once
Correct Answer: B
Rationale: The teach-back method, where the patient explains the instructions
in their own words, is the most effective method for ensuring patient
understanding. Written handouts, videos, and verbal instructions are helpful but do
not confirm understanding .
7. A nurse is caring for a patient who speaks a different language. Which action is
most appropriate?
A) Use a family member as an interpreter
B) Use a professional medical interpreter
, C) Use hand gestures to communicate
D) Speak loudly and slowly in English
Correct Answer: B
Rationale: A professional medical interpreter should be used to ensure
accurate communication. Family members may not be appropriate due to
confidentiality concerns and potential for errors. Hand gestures and speaking
loudly are not reliable communication methods .
8. A patient who is paralyzed on the left side of the body after a stroke develops a
pressure ulcer on the left hip. Which nursing diagnosis is most appropriate?
A) Impaired physical mobility related to left-sided paralysis
B) Risk for impaired tissue integrity related to left-sided weakness
C) Impaired skin integrity related to altered circulation and pressure
D) Ineffective tissue perfusion related to inability to move independently
Correct Answer: C
Rationale: The patient’s major problem is the impaired skin integrity as
demonstrated by the presence of a pressure ulcer. The “risk for” diagnosis (B) is
not appropriate for this patient, who already has impaired tissue integrity .
9. A nurse is preparing to perform a sterile procedure. Which action maintains
sterility?
A) Placing the sterile field 1 inch from the edge of the table
B) Reaching over the sterile field to retrieve an item
C) Opening sterile packages on the sterile field
D) Allowing the sterile field to become wet
Correct Answer: A
