TestEBankEForELewis'sEMedical-
ESurgicalENursing,E12thEEditionEbyEMariannEM.EHa
rding,EJeffreyEKwong,EDebraEHaglerEChapterE1-
69ECompleteELatestE2025-2026
, 3
ChapterE 01:E ProfessionalE Nursing
Harding:ELewis’sEMedical-
SurgicalENursing,E12th
MULTIPLEE CHOICE
1. TheE nurseE completesE anE admissionE databaseE andE explainsE thatE theE planE ofE care
E andEdischargeE goalsE willE beE developedE withE theE patient‗sE input.E TheE patientE
asks,E ―HowE isE thisE differentE fromE whatE theE physicianE does?‖E WhichE response
E wouldE theE nurseEprovide?
a. ―TheE roleE ofE theE nurseE isE toE administerE medicationsE an
dE otherEtreatmentsE prescribedE byE yourE physician.‖
b. ―InE additionE toE caringE forE youE whileE youE areE sick,E theE nursesE
willE helpEyouE planE toE maintainE yourE health.‖
c. ―TheE nurse‗sE jobE isE toE collectE informationE andE communica
teE anyEproblemsE thatE occurE toE theE physician.‖
d. ―NursesE performE manyEofE theE sameE proceduresE asE theE physici
an,E butEnursesE areE withE theE patientsE forE aE longerE timeE than
E theE physician.‖
ANS:E B
TheE AmericanE NursesE AssociationE (ANA)E definitionE ofE nursingE describesE theE role
E ofEnursesE inE promotingE health.E TheE otherE responsesE describeE dependentE and
EcollaborativeE functionsE ofE theE nursingE roleE butE doE notE accuratelyEdescribeE theE
nurse‗sEuniqueE roleE inE theE healthE careE system.
DIF:E E CognitiveE Level:E AnalyzeE (Analysis)
TOP: NursingE Process:E Implementation
MSC:E E NCLEX:E SafeE andE EffectiveE CareE Environment
2. WhichE statementE byE theE nurseE accuratelyE describesE theE useE ofE evidence-
basedE practiceE (EBP)?
a. ―PatientE careE isE basedE onE clinicalE judgment,E experience,E andE traditions.‖
b. ―DataE areE analyzedE laterE toE showE thatE theE patientE outcomesE areE consistentlyE met.‖
c. ―ResearchE fromE allE publishedE articlesE areE usedE asE aE guideE forE planningE patientE care.
‖
d. ―RecommendationsE areE basedE onE research,E clinicalE expe
rtise,EandE patientE preferences.‖
ANS:E D
Evidence-basedE practiceE (EBP)E isE theE useE ofE theE bestE research-
basedE evidenceEcombinedE withE clinicianE expertiseE andE considerationE ofE patient
E preferences.E ClinicalEjudgmentE basedE onE theE nurse‗sE clinicalE experienceE isE p
artE ofE EBP,E butE clinicalEdecisionE makingE shouldE alsoE incorporateE currentE rese
archE andE research-
basedEguidelines.E EvaluationE ofE patientE outcomesE isE important,E butE dataE analysi
sE isE notErequiredE toE useE EBP.E AllE publishedE articlesE doE notE provideE research
E evidence;EinterventionsE shouldE beE basedE onE credibleE research,E preferablyE rand
omizedE controlledEstudiesE withE aE largeE numberE ofE subjects.
DIF: CognitiveE Level:E UnderstandE (Comprehension)
TOP:E NursingE Process:EPlanningE MSC:
NCLEX:E SafeE andE EffectiveE CareE Environment
3. WhichE statementE byE theE nurseE providesE aE clearE explanationE ofE theE nursingE process?
a. ―TheE nursingE processE isE aE researchE methodE ofE diagnosingE theE p
atient‗sEhealthE careE problems.‖
b. ―TheE nursingE processE isE usedE primarilyE toE explainE n
, ursingEinterventionsE toE otherE healthE careE professionals
.‖
c. ―TheE nursingE processE isE aE problem-solvingE toolE usedE toE identifyE andE manageE the
, 4
patients‗E healthE careE needs.‖
d. ―TheE nursingE processE isE basedE onE nursingE theor
yE thatEincorporatesE theE biopsychosocialE natureE of
E humans.‖
ANS:E C
TheE nursingE processE isE aE problem-
solvingE approachE toE theE identificationE andE treatmentE ofE patients‗E problems.E N
ursingE processE doesE notE requireE researchE methodsE forEdiagnosis.E TheE primaryE
useE ofE theE nursingE processE isE inE patientE care,E notE toE establishEnursingE theory
E orE explainE nursingE interventionsE toE otherE healthE careE professionals.
DIF: CognitiveE Level:E UnderstandE (Comprehension)
TOP:E NursingE Process:EEvaluationE MSC:
NCLEX:E SafeE andE EffectiveE CareE Environment
4. AE patientE admittedE toE theE hospitalE forE surgeryE tellsE theE nurse,E ―I
E doE notEfeelE comfortableE leavingE myE childrenE withE myE parents.‖E
WhichE actionEwouldE theE nurseE takeE next?
a. ReassureE theE patientE thatE theseE feelingsE areE commonE forE parents.
b. HaveE theE patientE callE theE childrenE toE ensureE thatE theyE areE doingE well.
c. GatherE informationE onE theE patient‗sE concernsE aboutE theE childE careE arrangements.
d. CallE theE patient‗sE parentsE toE determineE whetherE adequate
E childEcareE isE beingE provided.
ANS:E C
BecauseE aE completeE assessmentE isE necessaryE inE orderE toE identifyE aE problem
E andEchooseE anE appropriateE intervention,E theE nurse‗sE firstE actionE shouldE beE t
oE obtainE moreEinformation.E TheE otherE actionsE mayE beE appropriate,E butE moreE
assessmentE isE neededEbeforeE theE bestE interventionE canE beE chosen.
DIF: CognitiveE Level:E AnalyzeE (Analysis)
TOP: NursingE Process:E Assessment MSC:E NCLEX:E PsychosocialE Integrity
5. AE patientE withE aE bacterialE infectionE isE hypovolemicE dueE toE aE fev
erE andEexcessiveE diaphoresis.E WhichE expectedE outcomeE wouldE the
E nurseE selectEforE thisE patient?
a. PatientE hasE aE balancedE intakeE andE output.
b. Patient‗sE beddingE isE keptE cleanE andE freeE ofE moisture.
c. PatientE understandsE theE needE forE increasedE fluidE intake.
d. Patient‗sE skinE remainsE coolE andE dryE throughoutE hospitalization.
ANS:E A
BalancedE intakeE andE outputE givesE measurableE dataE showingE resolutionE ofE theE p
roblemEofE deficientE fluidE volume.E TheE otherE statementsE wouldE notE indicateE tha
tE theE problemE ofE hypovolemiaE wasE resolved.
DIF: CognitiveE Level:E ApplyE (Application)
TOP:E NursingE Process:EPlanningE MSC:
NCLEX:E PhysiologicalE Integrity
6. WhichE statementE describesE theE purposeE ofE theE evaluationE phaseE ofE theE nursingE process?
a. ToE documentE theE nursingE careE planE inE theE progressE notesE ofE theE healthE record
b. ToE determineE ifE interventionsE haveE beenE effectiveE inE meetingE patientE outcomes
c. ToE decideE whetherE theE patient‗sE healthE problemsE haveE beenE completelyE resolved
d. ToE establishE ifE theE patientE agreesE thatE theE nursingE careE providedE wasE satisfactory
ANS:E B
ESurgicalENursing,E12thEEditionEbyEMariannEM.EHa
rding,EJeffreyEKwong,EDebraEHaglerEChapterE1-
69ECompleteELatestE2025-2026
, 3
ChapterE 01:E ProfessionalE Nursing
Harding:ELewis’sEMedical-
SurgicalENursing,E12th
MULTIPLEE CHOICE
1. TheE nurseE completesE anE admissionE databaseE andE explainsE thatE theE planE ofE care
E andEdischargeE goalsE willE beE developedE withE theE patient‗sE input.E TheE patientE
asks,E ―HowE isE thisE differentE fromE whatE theE physicianE does?‖E WhichE response
E wouldE theE nurseEprovide?
a. ―TheE roleE ofE theE nurseE isE toE administerE medicationsE an
dE otherEtreatmentsE prescribedE byE yourE physician.‖
b. ―InE additionE toE caringE forE youE whileE youE areE sick,E theE nursesE
willE helpEyouE planE toE maintainE yourE health.‖
c. ―TheE nurse‗sE jobE isE toE collectE informationE andE communica
teE anyEproblemsE thatE occurE toE theE physician.‖
d. ―NursesE performE manyEofE theE sameE proceduresE asE theE physici
an,E butEnursesE areE withE theE patientsE forE aE longerE timeE than
E theE physician.‖
ANS:E B
TheE AmericanE NursesE AssociationE (ANA)E definitionE ofE nursingE describesE theE role
E ofEnursesE inE promotingE health.E TheE otherE responsesE describeE dependentE and
EcollaborativeE functionsE ofE theE nursingE roleE butE doE notE accuratelyEdescribeE theE
nurse‗sEuniqueE roleE inE theE healthE careE system.
DIF:E E CognitiveE Level:E AnalyzeE (Analysis)
TOP: NursingE Process:E Implementation
MSC:E E NCLEX:E SafeE andE EffectiveE CareE Environment
2. WhichE statementE byE theE nurseE accuratelyE describesE theE useE ofE evidence-
basedE practiceE (EBP)?
a. ―PatientE careE isE basedE onE clinicalE judgment,E experience,E andE traditions.‖
b. ―DataE areE analyzedE laterE toE showE thatE theE patientE outcomesE areE consistentlyE met.‖
c. ―ResearchE fromE allE publishedE articlesE areE usedE asE aE guideE forE planningE patientE care.
‖
d. ―RecommendationsE areE basedE onE research,E clinicalE expe
rtise,EandE patientE preferences.‖
ANS:E D
Evidence-basedE practiceE (EBP)E isE theE useE ofE theE bestE research-
basedE evidenceEcombinedE withE clinicianE expertiseE andE considerationE ofE patient
E preferences.E ClinicalEjudgmentE basedE onE theE nurse‗sE clinicalE experienceE isE p
artE ofE EBP,E butE clinicalEdecisionE makingE shouldE alsoE incorporateE currentE rese
archE andE research-
basedEguidelines.E EvaluationE ofE patientE outcomesE isE important,E butE dataE analysi
sE isE notErequiredE toE useE EBP.E AllE publishedE articlesE doE notE provideE research
E evidence;EinterventionsE shouldE beE basedE onE credibleE research,E preferablyE rand
omizedE controlledEstudiesE withE aE largeE numberE ofE subjects.
DIF: CognitiveE Level:E UnderstandE (Comprehension)
TOP:E NursingE Process:EPlanningE MSC:
NCLEX:E SafeE andE EffectiveE CareE Environment
3. WhichE statementE byE theE nurseE providesE aE clearE explanationE ofE theE nursingE process?
a. ―TheE nursingE processE isE aE researchE methodE ofE diagnosingE theE p
atient‗sEhealthE careE problems.‖
b. ―TheE nursingE processE isE usedE primarilyE toE explainE n
, ursingEinterventionsE toE otherE healthE careE professionals
.‖
c. ―TheE nursingE processE isE aE problem-solvingE toolE usedE toE identifyE andE manageE the
, 4
patients‗E healthE careE needs.‖
d. ―TheE nursingE processE isE basedE onE nursingE theor
yE thatEincorporatesE theE biopsychosocialE natureE of
E humans.‖
ANS:E C
TheE nursingE processE isE aE problem-
solvingE approachE toE theE identificationE andE treatmentE ofE patients‗E problems.E N
ursingE processE doesE notE requireE researchE methodsE forEdiagnosis.E TheE primaryE
useE ofE theE nursingE processE isE inE patientE care,E notE toE establishEnursingE theory
E orE explainE nursingE interventionsE toE otherE healthE careE professionals.
DIF: CognitiveE Level:E UnderstandE (Comprehension)
TOP:E NursingE Process:EEvaluationE MSC:
NCLEX:E SafeE andE EffectiveE CareE Environment
4. AE patientE admittedE toE theE hospitalE forE surgeryE tellsE theE nurse,E ―I
E doE notEfeelE comfortableE leavingE myE childrenE withE myE parents.‖E
WhichE actionEwouldE theE nurseE takeE next?
a. ReassureE theE patientE thatE theseE feelingsE areE commonE forE parents.
b. HaveE theE patientE callE theE childrenE toE ensureE thatE theyE areE doingE well.
c. GatherE informationE onE theE patient‗sE concernsE aboutE theE childE careE arrangements.
d. CallE theE patient‗sE parentsE toE determineE whetherE adequate
E childEcareE isE beingE provided.
ANS:E C
BecauseE aE completeE assessmentE isE necessaryE inE orderE toE identifyE aE problem
E andEchooseE anE appropriateE intervention,E theE nurse‗sE firstE actionE shouldE beE t
oE obtainE moreEinformation.E TheE otherE actionsE mayE beE appropriate,E butE moreE
assessmentE isE neededEbeforeE theE bestE interventionE canE beE chosen.
DIF: CognitiveE Level:E AnalyzeE (Analysis)
TOP: NursingE Process:E Assessment MSC:E NCLEX:E PsychosocialE Integrity
5. AE patientE withE aE bacterialE infectionE isE hypovolemicE dueE toE aE fev
erE andEexcessiveE diaphoresis.E WhichE expectedE outcomeE wouldE the
E nurseE selectEforE thisE patient?
a. PatientE hasE aE balancedE intakeE andE output.
b. Patient‗sE beddingE isE keptE cleanE andE freeE ofE moisture.
c. PatientE understandsE theE needE forE increasedE fluidE intake.
d. Patient‗sE skinE remainsE coolE andE dryE throughoutE hospitalization.
ANS:E A
BalancedE intakeE andE outputE givesE measurableE dataE showingE resolutionE ofE theE p
roblemEofE deficientE fluidE volume.E TheE otherE statementsE wouldE notE indicateE tha
tE theE problemE ofE hypovolemiaE wasE resolved.
DIF: CognitiveE Level:E ApplyE (Application)
TOP:E NursingE Process:EPlanningE MSC:
NCLEX:E PhysiologicalE Integrity
6. WhichE statementE describesE theE purposeE ofE theE evaluationE phaseE ofE theE nursingE process?
a. ToE documentE theE nursingE careE planE inE theE progressE notesE ofE theE healthE record
b. ToE determineE ifE interventionsE haveE beenE effectiveE inE meetingE patientE outcomes
c. ToE decideE whetherE theE patient‗sE healthE problemsE haveE beenE completelyE resolved
d. ToE establishE ifE theE patientE agreesE thatE theE nursingE careE providedE wasE satisfactory
ANS:E B
