TEST BANK
x
,Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
x x x x x x x x
Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
x x x x x x x x
MULTIPLE xCHOICE
1. When xcaring xfor xclients xusing xevidence-informed xpractice, xwhich xof xthe
xfollowing xdoes xthe xnurse xuse?
a. Clinical xjudgement xbased xon xexperience
b. Evidence xfrom xa xclinical xresearch xstudy
c. The xbest xavailable xevidence xto xguide xclinical xexpertise
d. Evaluation xof xdata xshowing xthat xthe xclient xoutcomes xare xmet
ANS: x C
Evidence-informed xnursing xpractice xis xa xcontinuous xinteractive xprocess xinvolving
xthe xexplicit, xconscientious, xand xjudicious xconsideration xof xthe xbest xavailable
xevidence xto xprovide xcare. xFour xprimary xelements xare: x(a) xclinical xstate, xsetting,
xand xcircumstances; x(b) xclient xpreferences xand xactions; x(c) xbest xresearch xevidence;
xand x(d) xhealth xcare xresources. xClinical xjudgement xbased xon xthe xnurse’s xclinical
xexperience xis xpart xof xEIP, xbut xclinical xdecision xmaking xalso xshould xincorporate
xcurrent xresearch xand xresearch-based xguidelines. xEvidence xfrom xone xclinical
xresearch xstudy xdoes xnot xprovide xan xadequate xsubstantiation xfor xinterventions.
xEvaluation xof xclient xoutcomes xis ximportant, xbut xinterventions xshould xbe xbased
xon xresearch xfrom xrandomized xcontrol xstudies xwith xa xlarge xnumber xof xsubjects.
DIF: Cognitive xLevel: xComprehension TOP: x Nursing xProcess: xPlanning
2. Which x of xthe xfollowing xbest x e x pl ai ns the nu r ses’ pri ma ry xuse xof xthe xnursing
N R I G B .C M
xprocess x whenxproviding xcare xto xclients? U xS xN xT O
a. To xexplain xnursing xinterventions xto xother xhealth xcare xprofessionals
b. As xa xproblem-solving xtool xto xidentify xand xtreat xclients’ xhealth xcare xneeds
c. As xa xscientific-based xprocess xof xdiagnosing xthe xclient’s xhealth xcare xproblems
d. To xestablish xnursing xtheory xthat xincorporates xthe xbiopsychosocial xnature xof
xhumans
ANS: x B
The xnursing xprocess xis xan xassertive xproblem-solving xapproach xto xthe
xidentification xand xtreatment xof xclients’ xproblems. xDiagnosis xis xonly xone xphase xof
xthe xnursing xprocess. xThe xprimary xuse xof xthe xnursing xprocess xis xin xclient xcare, xnot
xto xestablish xnursing xtheory xor xexplain xnursing xinterventions xto xother xhealth xcare
xprofessionals.
DIF: Cognitive xLevel: xComprehension TOP: x Nursing xProcess: xImplementation
3. The xnurse xis xcaring xfor xa xcritically xill xclient xin xthe xintensive xcare xunit xand xplans xan
xevery x2-hour xturning xschedule xto xprevent xskin xbreakdown. xWhich xtype xof
xnursing xfunction xis xdemonstrated xwith xthis xturning xschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: x D
, When ximplementing xcollaborative xnursing xactions, xthe xnurse xis xresponsible
xprimarily xfor xmonitoring xfor xcomplications xof xacute xillness xor xproviding xcare xto
xprevent xor xtreat xcomplications. xIndependent xnursing xactions xare xfocused xon
xhealth xpromotion, xillness xprevention, xand xclient xadvocacy. xA xdependent xaction
xwould xrequire xa xphysician xorder xto ximplement. xCooperative xnursing xfunctions
xare xnot xdescribed xas xone xof xthe xformal xnursing xfunctions.
DIF: Cognitive xLevel: xApplication TOP: x Nursing xProcess: xImplementation
4. The xnurse xis xcaring xfor xa xclient xwho xhas xbeen xadmitted xto xthe xhospital xfor
xsurgery xand xtells xthe xnurse, x“I xdo xnot xfeel xright xabout xleaving xmy xchildren xwith
xmy xneighbour.” xWhich xaction xshould xthe xnurse xtake xnext?
a. Reassure xthe xclient xthat xthese xfeelings xare xcommon xfor xparents.
b. Have xthe xclient xcall xthe xchildren xto xensure xthat xthey xare xdoing xwell.
c. Call xthe xneighbour xto xdetermine xwhether xadequate xchildcare xis xbeing xprovided.
d. Gather xmore xdata xabout xthe xclient’s xfeelings xabout xthe xchildcare xarrangements.
ANS: x D
Since xa xcomplete xassessment xis xnecessary xin xorder xto xidentify xa xproblem xand
xchoose xan xappropriate xintervention, xthe xnurse’s xfirst xaction xshould xbe xto xobtain
xmore xinformation. xThe xother xactions xmay xbe xappropriate, xbut xmore xassessment xis
xneeded xbefore xthe xbest xintervention xcan xbe xchosen.
DIF: Cognitive xLevel: xApplication TOP: x Nursing xProcess: xAssessment
5. The xnurse xis xcaring xfor xa xclient xwho xhas xleft-sided xparalysis xas xthe xresult xof
xa xstroke xand xassesses xa xpressure xinjury xon xthe xclient’s xleft xhip. xWhich xof
N xR xI xG xB.C xM
xthe xfollowing xis xthe xmost xappropriate xnursing xdiagnosis xfU o r xt S
his
xcNlienTt? O
a. Impaired xphysical xmobility xrelated xto xdecrease xin xmuscle xcontrol x(left-sided
paralysis)
b. Risk xfor ximpaired xtissue xintegrity xas xevidenced xby xinsufficient
xknowledge xabout xprotecting xtissue xintegrity
c. Impaired xskin xintegrity xrelated xto xpressure xover xbony xprominence
x(impaired xcirculation)
d. Ineffective xtissue xperfusion xrelated xto xsedentary xlifestyle
ANS: x C
The xclient’s xmajor xproblem xis xthe ximpaired xskin xintegrity xas xdemonstrated xby xthe
xpresence xof xa xpressure xinjury. xThe xnurse xis xable xto xtreat xthe xcause xof xaltered
xcirculation xand xpressure xby xfrequently xrepositioning xthe xclient. xAlthough xleft-
sided xweakness xis xa xproblem xfor xthe xclient, xthe xnurse xcannot xtreat xthe xweakness.
xThe x“risk xfor” xdiagnosis xis xnot xappropriate xfor xthis xclient, xwho xalready xhas
ximpaired xtissue xintegrity. xThe xclient xdoes xhave xineffective xtissue xperfusion, xbut
xthe ximpaired xskin xintegrity xdiagnosis xindicates xmore xclearly xwhat xthe xhealth
xproblem xis.
DIF: Cognitive xLevel: xApplication TOP: x Nursing xProcess: xDiagnosis
6. The xnurse xcaring xfor xa xclient xwith xan xinfection xhas xa xnursing xdiagnosis xof
xdeficient xfluid xvolume xrelated xto xexcessive xdiaphoresis. xWhich xof xthe
xfollowing xis xan xappropriate xclient xoutcome?
, a. Client xhas xa xbalanced xintake xand xoutput.
b. Client’s xbedding xis xchanged xwhen xit xbecomes xdamp.
x
,Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
x x x x x x x x
Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
x x x x x x x x
MULTIPLE xCHOICE
1. When xcaring xfor xclients xusing xevidence-informed xpractice, xwhich xof xthe
xfollowing xdoes xthe xnurse xuse?
a. Clinical xjudgement xbased xon xexperience
b. Evidence xfrom xa xclinical xresearch xstudy
c. The xbest xavailable xevidence xto xguide xclinical xexpertise
d. Evaluation xof xdata xshowing xthat xthe xclient xoutcomes xare xmet
ANS: x C
Evidence-informed xnursing xpractice xis xa xcontinuous xinteractive xprocess xinvolving
xthe xexplicit, xconscientious, xand xjudicious xconsideration xof xthe xbest xavailable
xevidence xto xprovide xcare. xFour xprimary xelements xare: x(a) xclinical xstate, xsetting,
xand xcircumstances; x(b) xclient xpreferences xand xactions; x(c) xbest xresearch xevidence;
xand x(d) xhealth xcare xresources. xClinical xjudgement xbased xon xthe xnurse’s xclinical
xexperience xis xpart xof xEIP, xbut xclinical xdecision xmaking xalso xshould xincorporate
xcurrent xresearch xand xresearch-based xguidelines. xEvidence xfrom xone xclinical
xresearch xstudy xdoes xnot xprovide xan xadequate xsubstantiation xfor xinterventions.
xEvaluation xof xclient xoutcomes xis ximportant, xbut xinterventions xshould xbe xbased
xon xresearch xfrom xrandomized xcontrol xstudies xwith xa xlarge xnumber xof xsubjects.
DIF: Cognitive xLevel: xComprehension TOP: x Nursing xProcess: xPlanning
2. Which x of xthe xfollowing xbest x e x pl ai ns the nu r ses’ pri ma ry xuse xof xthe xnursing
N R I G B .C M
xprocess x whenxproviding xcare xto xclients? U xS xN xT O
a. To xexplain xnursing xinterventions xto xother xhealth xcare xprofessionals
b. As xa xproblem-solving xtool xto xidentify xand xtreat xclients’ xhealth xcare xneeds
c. As xa xscientific-based xprocess xof xdiagnosing xthe xclient’s xhealth xcare xproblems
d. To xestablish xnursing xtheory xthat xincorporates xthe xbiopsychosocial xnature xof
xhumans
ANS: x B
The xnursing xprocess xis xan xassertive xproblem-solving xapproach xto xthe
xidentification xand xtreatment xof xclients’ xproblems. xDiagnosis xis xonly xone xphase xof
xthe xnursing xprocess. xThe xprimary xuse xof xthe xnursing xprocess xis xin xclient xcare, xnot
xto xestablish xnursing xtheory xor xexplain xnursing xinterventions xto xother xhealth xcare
xprofessionals.
DIF: Cognitive xLevel: xComprehension TOP: x Nursing xProcess: xImplementation
3. The xnurse xis xcaring xfor xa xcritically xill xclient xin xthe xintensive xcare xunit xand xplans xan
xevery x2-hour xturning xschedule xto xprevent xskin xbreakdown. xWhich xtype xof
xnursing xfunction xis xdemonstrated xwith xthis xturning xschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: x D
, When ximplementing xcollaborative xnursing xactions, xthe xnurse xis xresponsible
xprimarily xfor xmonitoring xfor xcomplications xof xacute xillness xor xproviding xcare xto
xprevent xor xtreat xcomplications. xIndependent xnursing xactions xare xfocused xon
xhealth xpromotion, xillness xprevention, xand xclient xadvocacy. xA xdependent xaction
xwould xrequire xa xphysician xorder xto ximplement. xCooperative xnursing xfunctions
xare xnot xdescribed xas xone xof xthe xformal xnursing xfunctions.
DIF: Cognitive xLevel: xApplication TOP: x Nursing xProcess: xImplementation
4. The xnurse xis xcaring xfor xa xclient xwho xhas xbeen xadmitted xto xthe xhospital xfor
xsurgery xand xtells xthe xnurse, x“I xdo xnot xfeel xright xabout xleaving xmy xchildren xwith
xmy xneighbour.” xWhich xaction xshould xthe xnurse xtake xnext?
a. Reassure xthe xclient xthat xthese xfeelings xare xcommon xfor xparents.
b. Have xthe xclient xcall xthe xchildren xto xensure xthat xthey xare xdoing xwell.
c. Call xthe xneighbour xto xdetermine xwhether xadequate xchildcare xis xbeing xprovided.
d. Gather xmore xdata xabout xthe xclient’s xfeelings xabout xthe xchildcare xarrangements.
ANS: x D
Since xa xcomplete xassessment xis xnecessary xin xorder xto xidentify xa xproblem xand
xchoose xan xappropriate xintervention, xthe xnurse’s xfirst xaction xshould xbe xto xobtain
xmore xinformation. xThe xother xactions xmay xbe xappropriate, xbut xmore xassessment xis
xneeded xbefore xthe xbest xintervention xcan xbe xchosen.
DIF: Cognitive xLevel: xApplication TOP: x Nursing xProcess: xAssessment
5. The xnurse xis xcaring xfor xa xclient xwho xhas xleft-sided xparalysis xas xthe xresult xof
xa xstroke xand xassesses xa xpressure xinjury xon xthe xclient’s xleft xhip. xWhich xof
N xR xI xG xB.C xM
xthe xfollowing xis xthe xmost xappropriate xnursing xdiagnosis xfU o r xt S
his
xcNlienTt? O
a. Impaired xphysical xmobility xrelated xto xdecrease xin xmuscle xcontrol x(left-sided
paralysis)
b. Risk xfor ximpaired xtissue xintegrity xas xevidenced xby xinsufficient
xknowledge xabout xprotecting xtissue xintegrity
c. Impaired xskin xintegrity xrelated xto xpressure xover xbony xprominence
x(impaired xcirculation)
d. Ineffective xtissue xperfusion xrelated xto xsedentary xlifestyle
ANS: x C
The xclient’s xmajor xproblem xis xthe ximpaired xskin xintegrity xas xdemonstrated xby xthe
xpresence xof xa xpressure xinjury. xThe xnurse xis xable xto xtreat xthe xcause xof xaltered
xcirculation xand xpressure xby xfrequently xrepositioning xthe xclient. xAlthough xleft-
sided xweakness xis xa xproblem xfor xthe xclient, xthe xnurse xcannot xtreat xthe xweakness.
xThe x“risk xfor” xdiagnosis xis xnot xappropriate xfor xthis xclient, xwho xalready xhas
ximpaired xtissue xintegrity. xThe xclient xdoes xhave xineffective xtissue xperfusion, xbut
xthe ximpaired xskin xintegrity xdiagnosis xindicates xmore xclearly xwhat xthe xhealth
xproblem xis.
DIF: Cognitive xLevel: xApplication TOP: x Nursing xProcess: xDiagnosis
6. The xnurse xcaring xfor xa xclient xwith xan xinfection xhas xa xnursing xdiagnosis xof
xdeficient xfluid xvolume xrelated xto xexcessive xdiaphoresis. xWhich xof xthe
xfollowing xis xan xappropriate xclient xoutcome?
, a. Client xhas xa xbalanced xintake xand xoutput.
b. Client’s xbedding xis xchanged xwhen xit xbecomes xdamp.
