TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69 QUESTIONS AND CORRECT ANSWERS

Lewis’s Medical Surgical Nursing 12th Edition Harding Test
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Bank Chapter 1 - 69 Updated 2025 //full chapters
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,Lewis’s Medical Surgical Nursing 12th Edition Harding Test Bank
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Chapter 01: Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE v




1. The nurse completes an admission database and explains that the plan of care and discharge
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goals will be developed with the patient‗s input. The patient asks, ―How is this different from
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what the physician does?‖ Which response would the nurse provide?
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a. ―The role of the nurse is to administer medications and other treatments prescribed
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by your physician.‖
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b. ―In addition to caring for you while you are sick, the nurses will help you plan to
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maintain your health.‖
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c. ―The nurse‗s job is to collect information and communicate any problems that
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occur to the physician.‖
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d. ―Nurses perform many of the same procedures as the physician, but nurses are
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with the patients for a longer time than the physician.‖
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ANS: B v


The American Nurses Association (ANA) definition of nursing describes the role of nurses in
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promoting health. The other responses describe dependent and collaborative functions of the
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nursing role but do not accurately describe the nurse‗s unique role in the health care system.
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DIF: Cognitive Level: Analyze (Analysis)
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TOP: Nursing Process: Implementation
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2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
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a. ―Patient care is based on clinical judgment, experience, and traditions.‖
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b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
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c. ―Research from all published articles are used as a guide for planning patient care.‖
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d. ―Recommendations are based on research, clinical expertise, and patient v v v v v v v v


preferences.‖
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ANS: D v


Evidence-based practice (EBP) is the use of the best research-based evidence combined with
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clinician expertise and consideration of patient preferences. Clinical judgment based on the
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nurse‗s clinical experience is part of EBP, but clinical decision making should also
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incorporate current research and research-based guidelines. Evaluation of patient outcomes is
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important, but data analysis is not required to use EBP. All published articles do not provide
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research evidence; interventions should be based on credible research, preferably randomized
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controlled studies with a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) v v v TOP: Nursing Process: Planning v v v


MSC: NCLEX: Safe and Effective Care Environment
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3. Which statement by the nurse provides a clear explanation of the nursing process?
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a. ―The nursing process is a research method of diagnosing the patient‗s health care
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problems.‖
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b. ―The nursing process is used primarily to explain nursing interventions to other
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health care professionals.‖
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c. ―The nursing process is a problem-solving tool used to identify and manage the
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, patients‗ health care needs.‖ v v v


d. ―The nursing process is based on nursing theory that incorporates the
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biopsychosocial nature of humans.‖
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ANS: C v


The nursing process is a problem-solving approach to the identification and treatment of
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patients‗ problems. Nursing process does not require research methods for diagnosis. The
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primary use of the nursing process is in patient care, not to establish nursing theory or explain
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nursing interventions to other health care professionals.
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DIF: Cognitive Level: Understand (Comprehension) v v v TOP: Nursing Process: Evaluationv v v


MSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfortable
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vleaving my children with my parents.‖ Which action would the nurse take next?
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a. Reassure the patient that these feelings are common for parents.
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b. Have the patient call the children to ensure that they are doing well.
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c. Gather information on the patient‗s concerns about the child care arrangements.
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d. Call the patient‗s parents to determine whether adequate child care is being
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provided.
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ANS: C v


Because a complete assessment is necessary in order to identify a problem and choose an
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appropriate intervention, the nurse‗s first action should be to obtain more information. The
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other actions may be appropriate, but more assessment is needed before the best intervention
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can be chosen.
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DIF: Cognitive Level: Analyze (Analysis) v v v


TOP: Nursing Process: Assessment
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5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
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Which expected outcome would the nurse select for this patient?
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a. Patient has a balanced intake and output. v v v v v v


b. Patient‗s bedding is kept clean and free of moisture. v v v v v v v v


c. Patient understands the need for increased fluid intake.
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d. Patient‗s skin remains cool and dry throughout hospitalization.
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ANS: A v


Balanced intake and output gives measurable data showing resolution of the problem of
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deficient fluid volume. The other statements would not indicate that the problem of
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hypovolemia was resolved.
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DIF: Cognitive Level: Apply (Application) v v v TOP: Nursing Process: Planning v v v


MSC: NCLEX: Physiological Integrity
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6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meeting patient outcomes
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c. To decide whether the patient‗s health problems have been completely resolved
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d. To establish if the patient agrees that the nursing care provided was satisfactory
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ANS: B v

, Evaluation consists of determining whether the desired patient outcomes have been met and
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whether the nursing interventions were appropriate. The other responses do not describe the
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evaluation phase.
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DIF: Cognitive Level: Understand (Comprehension)
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MSC: NCLEX: Safe and Effective Care Environment
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7. Which statement describes the purpose of the assessment phase of the nursing process?
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a. To teach interventions that relieve health problems
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b. To use patient data to evaluate patient care outcomes
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c. To obtain data to diagnose patient strengths and problems
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d. To help the patient identify realistic outcomes for health problems
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ANS: C v


During the assessment phase, the nurse gathers information about the patient to diagnose
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patient strengths and problems. The other responses are examples of the planning,
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intervention, and evaluation phases of the nursing process.
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DIF: Cognitive Level: Understand (Comprehension) v v v


TOP: Nursing Process: Assessment
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8. When developing the plan of care, which components would the nurse include in the clinical
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problem statement?
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a. The problem and the suggested patient goals or outcomes
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b. The problem, its causes, and the signs and symptoms of the problem
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c. The problem with the possible etiology and the planned interventions
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d. The problem, its pathophysiology, and the expected outcome
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ANS: B v


When writing clinical problems or nursing diagnoses, the subjective as well as objective data
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to support the problem‗s existence should be included. Goals, outcomes, and interventions are
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not included in the problem statement.
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DIF: Cognitive Level: Understand (Comprehension) v v v TOP: Nursing Process: Diagnosis
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MSC: NCLEX: Safe and Effective Care Environment
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9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
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a. Instruct the patient about the need to alternate activity and rest.
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b. Monitor level of shortness of breath or fatigue after ambulation.
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c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
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d. Determine whether the patient is ready to increase the activity level.
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ANS: C v


AP education includes accurate vital sign measurement. Assessment and patient teaching
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require registered nurse education and scope of practice and cannot be delegated.
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DIF: Cognitive Level: Apply (Application) v v v TOP: Nursing Process: Planning
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MSC: NCLEX: Safe and Effective Care Environment
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