Lewis's Medical-Surgical Nursing: Assessment
and Management of Clinical Problems 11th Edition
TESTBANK NEW UPDATE 2025
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the patients input. The patient states, How is
this different from what the doctor does? Which response would be most appropriate
for the nurse to make?
a. The role of the nurse is to administer medications and other treatments
prescribed by your doctor.
b. The nurses job is to help the doctor by collecting information and
communicating any problems that occur.
c. Nurses perform many of the same procedures as the doctor, but nurses
are with the patients for a longer time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist
you to develop an individualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA) definition
of nursing, which describes the role of nurses in promoting health. The other
responses describe some of the dependent and collaborative functions of the nursing
role but do not accurately describe the nurses role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
,TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
,2. The nurse describes to a student nurse how to use evidence-based practice
guidelines when caring for patients. Which statement, if made by the nurse, would be
the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently
met.
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. Clinical judgment based on the nurses 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 interventions should be based on research from randomized control
studies with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) REF: 11
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The nurse teaches a student nurse about how to apply the nursing process when
providing patient care. Which statement, if made by the student nurse, indicates that
teaching was successful?
, a. The nursing process is a scientific-based method of diagnosing the
patients health care problems.
b. The nursing process is a problem-solving tool used to identify and treat
patients health care needs.
c. The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.
and Management of Clinical Problems 11th Edition
TESTBANK NEW UPDATE 2025
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the patients input. The patient states, How is
this different from what the doctor does? Which response would be most appropriate
for the nurse to make?
a. The role of the nurse is to administer medications and other treatments
prescribed by your doctor.
b. The nurses job is to help the doctor by collecting information and
communicating any problems that occur.
c. Nurses perform many of the same procedures as the doctor, but nurses
are with the patients for a longer time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist
you to develop an individualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA) definition
of nursing, which describes the role of nurses in promoting health. The other
responses describe some of the dependent and collaborative functions of the nursing
role but do not accurately describe the nurses role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
,TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
,2. The nurse describes to a student nurse how to use evidence-based practice
guidelines when caring for patients. Which statement, if made by the nurse, would be
the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently
met.
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. Clinical judgment based on the nurses 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 interventions should be based on research from randomized control
studies with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) REF: 11
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The nurse teaches a student nurse about how to apply the nursing process when
providing patient care. Which statement, if made by the student nurse, indicates that
teaching was successful?
, a. The nursing process is a scientific-based method of diagnosing the
patients health care problems.
b. The nursing process is a problem-solving tool used to identify and treat
patients health care needs.
c. The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.
