Test Bank for Lewis\'s Medical-Surgical Nursing,
| | | | |
| 12thEdition by Mariann M. Harding, Jeffrey Kwong,
| | | | | | |
DebraHagler Chapter 1-69
| | | |
,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 |nursing |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 |does |not |require |research |methods |for |diagnosis. |The
|primary |use |of |the |nursing |process |is |in |patient |care, |not |to |establish |nursing |theory |or
|explain|nursing |interventions |to |other |health |care |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|leaving |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
|appropriate |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
|be |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|deficient
|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|patient
|strengths |and |problems. |The |other |responses |are |examples |of |the |planning, |intervention, |and
|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 |to
|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|require
|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 |Environment
| | | | |
| 12thEdition by Mariann M. Harding, Jeffrey Kwong,
| | | | | | |
DebraHagler Chapter 1-69
| | | |
,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 |nursing |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 |does |not |require |research |methods |for |diagnosis. |The
|primary |use |of |the |nursing |process |is |in |patient |care, |not |to |establish |nursing |theory |or
|explain|nursing |interventions |to |other |health |care |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|leaving |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
|appropriate |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
|be |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|deficient
|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|patient
|strengths |and |problems. |The |other |responses |are |examples |of |the |planning, |intervention, |and
|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 |to
|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|require
|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 |Environment
