TestBankForLewis'sMedical-SurgicalNursing,12thEditionby
i i i i i i i i i
Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter
i i i i i i i i
1-69 Complete Latest 2024-2025
i i i i
, 3
Chapter i 01: i Professional i Nursing
Harding: i Lewis’s iMedical-Surgical i Nursing,
i 12th
MULTIPLE i CHOICE
1. The inurse icompletes ian iadmission idatabase iand iexplains ithat ithe iplan i of i care i and
idischarge i i goals i i will i i be i i developed i i with i i the i i patient‗s i i input. i i The i i patient i i asks,
i i ―How iis ithis idifferent ifrom iwhat ithe iphysician idoes?‖ i Which i response i would i the
i nurse iprovide?
a. ―The i irole i iof i ithe i inurse i iis i ito i iadminister i imedications i iand i
iother itreatments iprescribed iby i your iphysician.‖
b. ―In i iaddition i ito i icaring i ifor i iyou i iwhile i iyou i iare i isick, i ithe i inurses i iwill
i ihelp iyou i plan ito imaintain iyour i ihealth.‖
c. ―The i inurse‗s i ijob i iis i ito i icollect i iinformation i iand i icommunicate i
iany iproblems ithat ioccur ito i the iphysician.‖
d. ―Nurses i iperform i imany i iof i ithe i isame i iprocedures i ias i ithe i iphysician, i
ibut inurses iare iwith ithe ipatients i for ia ilonger itime i than ithe
iphysician.‖
ANS: i B
The iAmerican iNurses iAssociation i(ANA) idefinition iof i nursing i describes i the i role i of
inurses i in i promoting i health. i The i other i i iresponses i i idescribe i i idependent i i iand
icollaborative ifunctions iof ithe inursing irole ibut ido inot iaccurately i describe i the i nurse‗s
iunique i role i iin i ithe i health i icare i system.
DIF: i i i Cognitive i Level: i Analyze i (Analysis)
TOP: Nursing i Process: i Implementation MSC: i NCLEX: i Safe i and i Effective i Care i Environment
2. Which i statement i by i the i nurse i accurately i describes ithe i use i of i evidence-based i practice
i (EBP)?
a. ―Patient i icare i iis i ibased i ion i iclinical i ijudgment, i iexperience, i iand i itraditions.‖
b. ―Data i iare i ianalyzed i ilater i ito i ishow i ithat i ithe i ipatient i ioutcomes i iare i iconsistently i imet.‖
c. ―Research i ifrom i iall i ipublished i iarticles i iare i iused i ias i ia i iguide i ifor i iplanning i ipatient i icare.‖
d. ―Recommendations i iare i ibased i ion i iresearch, i iclinical i
iexpertise, iand ipatient ipreferences.‖
ANS: i D
Evidence-based ipractice i(EBP) iis ithe i use i of i the i best i research-based i evidence
icombined iwith iclinician iexpertise iand iconsideration iof ipatient ipreferences. iClinical
ijudgment ibased ion ithe inurse‗s iclinical i experience i is i part i of i EBP, i but i clinical
idecision imaking ishould ialso iincorporate i current i research i and i research-based
iguidelines. iEvaluation iof ipatient ioutcomes iis iimportant, ibut i data i analysis i is i not
irequired ito iuse iEBP. iAll ipublished iarticles ido inot iprovide iresearch ievidence;
iinterventions i should i be i based i on i credible i research, i preferably i randomized
icontrolledistudies i with ia i large i number i of i subjects.
DIF: Cognitive i Level: i Understand i (Comprehension) TOP: iNursing
iProcess:iPlanning i MSC: NCLEX: i Safe i and
i Effective i Care i Environment
3. Which i statement i by i the i nurse i provides i a i clear i explanation i of i the i nursing i process?
a. ―The i inursing i iprocess i iis i ia i iresearch i imethod i iof i idiagnosing i ithe i
ipatient‗s ihealth icare i problems.‖
b. ―The i inursing i iprocess i iis i iused i iprimarily i ito i iexplain i
inursing iinterventions i to iother i health icare iprofessionals.‖
c. ―The i inursing i iprocess i iis i ia i iproblem-solving i itool i iused i ito i iidentify i iand i imanage i ithe
, 4
patients‗ i health i care i needs.‖
d. ―The i inursing i iprocess i iis i ibased i ion i inursing i itheory i
ithat iincorporates i the i biopsychosocial i nature i of
i humans.‖
ANS: i C
The inursing iprocess iis i a i problem-solving i approach i to i the i identification i and
i treatmentiof ipatients‗ iproblems. iNursing i process i does i not i require i research
i methods i for idiagnosis. iThe iprimary iuse iof ithe inursing iprocess iis iin ipatient icare, inot
i to i establishinursing i theory i or i explain i nursing i interventions ito i iother i health
i care iprofessionals.
DIF: Cognitive i Level: i Understand i (Comprehension) TOP: iNursing
iProcess:iEvaluation i MSC: NCLEX: i Safe iand
i Effective i Care i Environment
4. A i patient i admitted i to i the i hospital i for i surgery i tells i the i nurse,
i ―I i do i notifeel icomfortable ileaving imy ichildren iwith imy i parents.‖
i Which i action iwould i the i nurse i take inext?
a. Reassure i the i patient i that i these i feelings i are i common i for i parents.
b. Have i the i patient i call i ithe i children i to i ensure i that i they i are i doing i well.
c. Gather i information i on i the i patient‗s i concerns i about i the i child i care i arrangements.
d. Call i the i patient‗s i parents i to i determine i whether i adequate
i childicare i is i being i provided.
ANS: i C
Because ia i complete i assessment i is i necessary i in i order i to i identify i a i problem
i and ichoose i an i appropriate i intervention, i the i nurse‗s i first i action i should i be i to
i obtain i moreiinformation. iThe iother iactions imay ibe iappropriate, i but i more
i assessment i is i needed ibefore i the i best i intervention ican i ibe i chosen.
DIF: Cognitive i Level: i Analyze i (Analysis)
TOP: Nursing i Process: i Assessment MSC: i NCLEX: i Psychosocial i Integrity
5. A ipatient iwith ia ibacterial iinfection iis ihypovolemic idue ito ia ifever
iandiexcessive idiaphoresis. iWhich iexpected ioutcome i would i the i nurse
i selectifor i this i patient?
a. Patient i has i a i balanced i intake i and i output.
b. Patient‗s i bedding i is i kept i clean i and i free i of i moisture.
c. Patient i understands i the i need i for i increased i fluid i intake.
d. Patient‗s i skin i remains i cool i and i dry i throughout i hospitalization.
ANS: i A
Balanced iintake i and i output i gives i measurable i data i showing iresolution i of i the
iproblem iof ideficient ifluid ivolume. i The i other i statements i would i not i indicate
i that i the i problemiof i hypovolemia i iwas iresolved.
DIF: Cognitive i Level: i Apply i (Application) TOP: iNursing
iProcess:iPlanning i MSC: NCLEX: i Physiological
i Integrity
6. Which i statement i describes i the i purpose i of i the i evaluation i phase i of i the i nursing i process?
a. To i document i the i nursing i care i plan i in i the i progress i notes i of i the i health i record
b. To i determine i if i interventions i have i been i effective i in i meeting i patient i outcomes
c. To i decide i whether i the i patient‗s i health i problems i have i been i completely i resolved
d. To i establish i if i the i patient i agrees i that i the i nursing i care i provided i was i satisfactory
ANS: i B
, 5
Evaluation iconsists i of i determining i whether i the i desired i patient i outcomes i have
i been imet iand iwhether ithe inursing i interventions i were i appropriate. i The i other
i responses i do inot i describe i the i evaluation i iphase.
DIF: Cognitive i Level: i Understand i (Comprehension) TOP: Nursing
Process:E
i valuation i MSC: NCLEX: i Safe iand i Effective
i Care i Environment
7. Which i statement i describes i the i purpose i of i the i assessment i phase i of i the i nursing
i process?
a. To i teach i interventions i that i relieve i health i problems
b. To i use i patient i data i to i evaluate i patient i care i outcomes
c. To i obtain i data i to i diagnose i patient i strengths i and i problems
d. To i help i the i patient i identify i realistic i outcomes i for i health i problems
ANS: i C
During ithe iassessment iphase, ithe inurse igathers iinformation iabout ithe i patient
i to idiagnose ipatient istrengths iand iproblems. iThe iother iresponses iare iexamples
iof itheiplanning, i intervention, iand i ievaluation i iphases iof i the i nursing
i process.
DIF: Cognitive i Level: i Understand i (Comprehension)
TOP: Nursing i Process: i Assessment MSC: i NCLEX: i Safe i and i Effective i Care i Environment
8. When i developing i the i plan i of i care, i which i components i would i the i nurse
i includeiin i the i clinical iproblem i istatement?
a. The i problem i and i the i suggested i patient i goals i or i outcomes
b. The i problem, i its i causes, i and i the i signs i and i symptoms i of i the i problem
c. The i problem i with i the i possible i etiology i and i the i planned i interventions
d. The i problem, i its i pathophysiology, i and i the i expected i outcome
ANS: i B
When i writing i clinical i problems i or i nursing i diagnoses, i the i subjective i as i well
i as iobjective i data i to i support i the i problem‗s i existence i should i be i included. i i
iGoals, ioutcomes, i and i iinterventions i are i not i iincluded i iin i the i iproblem i istatement.
DIF: Cognitive i Level: i Understand i (Comprehension) TOP: iNursing
iProcess:iDiagnosis i MSC: NCLEX: i Safe iand
i Effective i Care i Environment
9. Which i patient i care i task iwould i the i nurse i delegate i to i experienced i assistive i personnel
i (AP)?
a. Instruct i the i patient i about i the i need i to i alternate i activity i and i rest.
b. Monitor i level i of i shortness i of i breath i or i fatigue i after i ambulation.
c. Obtain i the i patient‗s i blood i pressure i and i pulse i rate i after i ambulation.
d. Determine i whether i the i patient i is i ready i to i increase ithe i activity i level.
ANS: i C
AP ieducation iincludes iaccurate ivital isign imeasurement. iAssessment iand ipatient
iteaching irequire iregistered inurse ieducation iand iscope iof ipractice iand icannot
ibeidelegated.
DIF: Cognitive i Level: i Apply i (Application) TOP: iNursing
iProcess:iPlanning i MSC: NCLEX: i Safe i and
i Effective i Care i Environment
i i i i i i i i i
Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter
i i i i i i i i
1-69 Complete Latest 2024-2025
i i i i
, 3
Chapter i 01: i Professional i Nursing
Harding: i Lewis’s iMedical-Surgical i Nursing,
i 12th
MULTIPLE i CHOICE
1. The inurse icompletes ian iadmission idatabase iand iexplains ithat ithe iplan i of i care i and
idischarge i i goals i i will i i be i i developed i i with i i the i i patient‗s i i input. i i The i i patient i i asks,
i i ―How iis ithis idifferent ifrom iwhat ithe iphysician idoes?‖ i Which i response i would i the
i nurse iprovide?
a. ―The i irole i iof i ithe i inurse i iis i ito i iadminister i imedications i iand i
iother itreatments iprescribed iby i your iphysician.‖
b. ―In i iaddition i ito i icaring i ifor i iyou i iwhile i iyou i iare i isick, i ithe i inurses i iwill
i ihelp iyou i plan ito imaintain iyour i ihealth.‖
c. ―The i inurse‗s i ijob i iis i ito i icollect i iinformation i iand i icommunicate i
iany iproblems ithat ioccur ito i the iphysician.‖
d. ―Nurses i iperform i imany i iof i ithe i isame i iprocedures i ias i ithe i iphysician, i
ibut inurses iare iwith ithe ipatients i for ia ilonger itime i than ithe
iphysician.‖
ANS: i B
The iAmerican iNurses iAssociation i(ANA) idefinition iof i nursing i describes i the i role i of
inurses i in i promoting i health. i The i other i i iresponses i i idescribe i i idependent i i iand
icollaborative ifunctions iof ithe inursing irole ibut ido inot iaccurately i describe i the i nurse‗s
iunique i role i iin i ithe i health i icare i system.
DIF: i i i Cognitive i Level: i Analyze i (Analysis)
TOP: Nursing i Process: i Implementation MSC: i NCLEX: i Safe i and i Effective i Care i Environment
2. Which i statement i by i the i nurse i accurately i describes ithe i use i of i evidence-based i practice
i (EBP)?
a. ―Patient i icare i iis i ibased i ion i iclinical i ijudgment, i iexperience, i iand i itraditions.‖
b. ―Data i iare i ianalyzed i ilater i ito i ishow i ithat i ithe i ipatient i ioutcomes i iare i iconsistently i imet.‖
c. ―Research i ifrom i iall i ipublished i iarticles i iare i iused i ias i ia i iguide i ifor i iplanning i ipatient i icare.‖
d. ―Recommendations i iare i ibased i ion i iresearch, i iclinical i
iexpertise, iand ipatient ipreferences.‖
ANS: i D
Evidence-based ipractice i(EBP) iis ithe i use i of i the i best i research-based i evidence
icombined iwith iclinician iexpertise iand iconsideration iof ipatient ipreferences. iClinical
ijudgment ibased ion ithe inurse‗s iclinical i experience i is i part i of i EBP, i but i clinical
idecision imaking ishould ialso iincorporate i current i research i and i research-based
iguidelines. iEvaluation iof ipatient ioutcomes iis iimportant, ibut i data i analysis i is i not
irequired ito iuse iEBP. iAll ipublished iarticles ido inot iprovide iresearch ievidence;
iinterventions i should i be i based i on i credible i research, i preferably i randomized
icontrolledistudies i with ia i large i number i of i subjects.
DIF: Cognitive i Level: i Understand i (Comprehension) TOP: iNursing
iProcess:iPlanning i MSC: NCLEX: i Safe i and
i Effective i Care i Environment
3. Which i statement i by i the i nurse i provides i a i clear i explanation i of i the i nursing i process?
a. ―The i inursing i iprocess i iis i ia i iresearch i imethod i iof i idiagnosing i ithe i
ipatient‗s ihealth icare i problems.‖
b. ―The i inursing i iprocess i iis i iused i iprimarily i ito i iexplain i
inursing iinterventions i to iother i health icare iprofessionals.‖
c. ―The i inursing i iprocess i iis i ia i iproblem-solving i itool i iused i ito i iidentify i iand i imanage i ithe
, 4
patients‗ i health i care i needs.‖
d. ―The i inursing i iprocess i iis i ibased i ion i inursing i itheory i
ithat iincorporates i the i biopsychosocial i nature i of
i humans.‖
ANS: i C
The inursing iprocess iis i a i problem-solving i approach i to i the i identification i and
i treatmentiof ipatients‗ iproblems. iNursing i process i does i not i require i research
i methods i for idiagnosis. iThe iprimary iuse iof ithe inursing iprocess iis iin ipatient icare, inot
i to i establishinursing i theory i or i explain i nursing i interventions ito i iother i health
i care iprofessionals.
DIF: Cognitive i Level: i Understand i (Comprehension) TOP: iNursing
iProcess:iEvaluation i MSC: NCLEX: i Safe iand
i Effective i Care i Environment
4. A i patient i admitted i to i the i hospital i for i surgery i tells i the i nurse,
i ―I i do i notifeel icomfortable ileaving imy ichildren iwith imy i parents.‖
i Which i action iwould i the i nurse i take inext?
a. Reassure i the i patient i that i these i feelings i are i common i for i parents.
b. Have i the i patient i call i ithe i children i to i ensure i that i they i are i doing i well.
c. Gather i information i on i the i patient‗s i concerns i about i the i child i care i arrangements.
d. Call i the i patient‗s i parents i to i determine i whether i adequate
i childicare i is i being i provided.
ANS: i C
Because ia i complete i assessment i is i necessary i in i order i to i identify i a i problem
i and ichoose i an i appropriate i intervention, i the i nurse‗s i first i action i should i be i to
i obtain i moreiinformation. iThe iother iactions imay ibe iappropriate, i but i more
i assessment i is i needed ibefore i the i best i intervention ican i ibe i chosen.
DIF: Cognitive i Level: i Analyze i (Analysis)
TOP: Nursing i Process: i Assessment MSC: i NCLEX: i Psychosocial i Integrity
5. A ipatient iwith ia ibacterial iinfection iis ihypovolemic idue ito ia ifever
iandiexcessive idiaphoresis. iWhich iexpected ioutcome i would i the i nurse
i selectifor i this i patient?
a. Patient i has i a i balanced i intake i and i output.
b. Patient‗s i bedding i is i kept i clean i and i free i of i moisture.
c. Patient i understands i the i need i for i increased i fluid i intake.
d. Patient‗s i skin i remains i cool i and i dry i throughout i hospitalization.
ANS: i A
Balanced iintake i and i output i gives i measurable i data i showing iresolution i of i the
iproblem iof ideficient ifluid ivolume. i The i other i statements i would i not i indicate
i that i the i problemiof i hypovolemia i iwas iresolved.
DIF: Cognitive i Level: i Apply i (Application) TOP: iNursing
iProcess:iPlanning i MSC: NCLEX: i Physiological
i Integrity
6. Which i statement i describes i the i purpose i of i the i evaluation i phase i of i the i nursing i process?
a. To i document i the i nursing i care i plan i in i the i progress i notes i of i the i health i record
b. To i determine i if i interventions i have i been i effective i in i meeting i patient i outcomes
c. To i decide i whether i the i patient‗s i health i problems i have i been i completely i resolved
d. To i establish i if i the i patient i agrees i that i the i nursing i care i provided i was i satisfactory
ANS: i B
, 5
Evaluation iconsists i of i determining i whether i the i desired i patient i outcomes i have
i been imet iand iwhether ithe inursing i interventions i were i appropriate. i The i other
i responses i do inot i describe i the i evaluation i iphase.
DIF: Cognitive i Level: i Understand i (Comprehension) TOP: Nursing
Process:E
i valuation i MSC: NCLEX: i Safe iand i Effective
i Care i Environment
7. Which i statement i describes i the i purpose i of i the i assessment i phase i of i the i nursing
i process?
a. To i teach i interventions i that i relieve i health i problems
b. To i use i patient i data i to i evaluate i patient i care i outcomes
c. To i obtain i data i to i diagnose i patient i strengths i and i problems
d. To i help i the i patient i identify i realistic i outcomes i for i health i problems
ANS: i C
During ithe iassessment iphase, ithe inurse igathers iinformation iabout ithe i patient
i to idiagnose ipatient istrengths iand iproblems. iThe iother iresponses iare iexamples
iof itheiplanning, i intervention, iand i ievaluation i iphases iof i the i nursing
i process.
DIF: Cognitive i Level: i Understand i (Comprehension)
TOP: Nursing i Process: i Assessment MSC: i NCLEX: i Safe i and i Effective i Care i Environment
8. When i developing i the i plan i of i care, i which i components i would i the i nurse
i includeiin i the i clinical iproblem i istatement?
a. The i problem i and i the i suggested i patient i goals i or i outcomes
b. The i problem, i its i causes, i and i the i signs i and i symptoms i of i the i problem
c. The i problem i with i the i possible i etiology i and i the i planned i interventions
d. The i problem, i its i pathophysiology, i and i the i expected i outcome
ANS: i B
When i writing i clinical i problems i or i nursing i diagnoses, i the i subjective i as i well
i as iobjective i data i to i support i the i problem‗s i existence i should i be i included. i i
iGoals, ioutcomes, i and i iinterventions i are i not i iincluded i iin i the i iproblem i istatement.
DIF: Cognitive i Level: i Understand i (Comprehension) TOP: iNursing
iProcess:iDiagnosis i MSC: NCLEX: i Safe iand
i Effective i Care i Environment
9. Which i patient i care i task iwould i the i nurse i delegate i to i experienced i assistive i personnel
i (AP)?
a. Instruct i the i patient i about i the i need i to i alternate i activity i and i rest.
b. Monitor i level i of i shortness i of i breath i or i fatigue i after i ambulation.
c. Obtain i the i patient‗s i blood i pressure i and i pulse i rate i after i ambulation.
d. Determine i whether i the i patient i is i ready i to i increase ithe i activity i level.
ANS: i C
AP ieducation iincludes iaccurate ivital isign imeasurement. iAssessment iand ipatient
iteaching irequire iregistered inurse ieducation iand iscope iof ipractice iand icannot
ibeidelegated.
DIF: Cognitive i Level: i Apply i (Application) TOP: iNursing
iProcess:iPlanning i MSC: NCLEX: i Safe i and
i Effective i Care i Environment
