Test Bank For Lewis's Medical- Surgical Nursing, 12th Edition
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler
Chapter 1-69 Complete Latest 2025-2026
, 3
Chapter 01: Professional Nursing
po p o po
Harding: Lewis’s Medical-Surgical Nursing, 12th
po po po po
MULTIPLE CHOICE p o
1. The nurse completes an admission database and explains that the plan of care and
p o p o p o p o p o p o p o p o p o p o p o p o p o
discharge goals will be developed with the patient‗s input. The patient asks, ―H
po p o p o p o p o p o p o p o p o p o p o p o p o
ow is this different from what the physician does?‖ Which response would the n
p o p o p o p o p o p o p o p o p o p o p o p o p o
urse provide? po
a. ―The role of the nurse is to administer medications and ot
p o p o p o p o p o p o p o p o p o p o
her treatments prescribed by your physician.‖
po p o p o p o p o
b. ―In addition to caring for you while you are sick, the nurses will
p o p o p o p o p o p o p o p o p o p o p o p o p
help you plan to maintain your health.‖
o po p o p o p o p o p o
c. ―The nurse‗s job is to collect information and communicate a
po p o p o p o p o p o p o p o p o
ny problems that occur to the physician.‖
po p o p o p o p o p o
d. ―Nurses perform many of the same procedures as the physician, p o p o po p o p o p o p o p o p o p o
but nurses are with the patients for a longer time than the
po p o p o p o p o p o p o p o p o p o p o p o
physician.‖
ANS: B p o
The American Nurses Association (ANA) definition of nursing describes the role of
p o p o p o p o p o p o p o p o p o p o p o
nurses in promoting health. The other responses describe dependent and coll
po p o p o p o p o p o p o p o p o p o po
aborative functions of the nursing role but do not accurately describe the nurse‗s u
p o p o p o p o p o p o p o p o p o po p o p o po
nique role in the health care system.
p o p o p o p o p o p o
DIF: p o p o Cognitive Level: Analyze (Analysis) p o p o p o
TOP: Nursing Process: Implementation MSC:
p o p o p o p o NCLEX: Safe and Effective Care Environment p o p o p o p o p o
2. Which statement by the nurse accurately describes the use of evidence-
p o p o p o p o p o p o p o p o p o p o
based practice (EBP)? p o p o
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
p o p o p o p o p o p o p o p o p o
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
p o p o p o p o p o p o p o p o p o p o p o p o
c. ―Research from all published articles are used as a guide for planning patient care.‖
p o p o p o p o p o p o p o p o p o p o p o p o p o
d. ―Recommendations are based on research, clinical expertise po po po po po po
, and patient preferences.‖
po p o p o
ANS: D p o
Evidence-based practice (EBP) is the use of the best research- p o p o p o p o p o p o p o p o p o
based evidence combined with clinician expertise and consideration of patient pre
p o po p o p o p o p o p o p o p o p o
ferences. Clinical judgment based on the nurse‗s clinical experience is part of E
p o po p o p o p o p o p o p o p o p o p o p o
BP, but clinical decision making should also incorporate current research and res
p o p o po p o p o p o p o p o p o p o p o
earch-
based guidelines. Evaluation of patient outcomes is important, but data analysis i
po p o p o p o p o p o p o p o p o p o p o
s not required to use EBP. All published articles do not provide research eviden
p o po p o p o p o p o p o p o p o p o p o p o p o
ce; interventions should be based on credible research, preferably randomized con
po p o p o p o p o p o p o p o p o p o
trolled studies with a large number of subjects.
po p o p o p o p o p o p o
DIF: Cognitive Level: Understand (Comprehension) p o p o p o
TOP: Nursing Process: Planning MSC:
p o p o po p o
NCLEX: Safe and Effective Care Environment p o p o p o p o p o
3. Which statement by the nurse provides a clear explanation of the nursing process?
p o p o p o p o p o p o p o p o p o p o p o p o
a. ―The nursing process is a research method of diagnosing the patien
p o p o p o p o p o p o p o p o po p o
t‗s health care problems.‖ po p o p o
b. ―The nursing process is used primarily to explain nursi
p o p o p o p o p o p o p o p o
ng interventions to other health care professionals.‖
po p o p o p o p o p o
c. ―The nursing process is a problem-solving tool used to identify and manage the
p o p o p o p o p o p o p o p o p o p o p o p o
, 4
patients‗ health care needs.‖ p o p o p o
d. ―The nursing process is based on nursing theory th
p o p o p o p o p o p o p o p o
at incorporates the biopsychosocial nature of huma
po p o p o p o p o p o
ns.‖
ANS: C p o
The nursing process is a problem-
p o p o p o p o p o
solving approach to the identification and treatment of patients‗ problems. Nursi
p o p o p o p o p o p o p o p o p o p o
ng process does not require research methods for diagnosis. The primary use of
p o p o p o p o p o p o p o po p o p o p o p o p o
the nursing process is in patient care, not to establish nursing theory or explain
p o p o p o p o p o p o p o p o p o po p o p o p o p o
nursing interventions to other health care professionals.
p o p o p o p o p o p o
DIF: Cognitive Level: Understand (Comprehension) p o p o p o
TOP: Nursing Process: Evaluation MSC:
p o po po p o
NCLEX: Safe and Effective Care Environment p o p o p o p o p o
4. A patient admitted to the hospital for surgery tells the nurse, ―I do
p o p o p o p o p o p o p o p o p o p o p o p o p
o not feel comfortable leaving my children with my parents.‖ Which a
po p o p o p o p o p o p o p o p o p o
ction would the nurse take next?
po p o p o p o p o
a. Reassure the patient that these feelings are common for parents.
p o p o p o p o p o p o p o p o p o
b. Have the patient call the children to ensure that they are doing well.
p o p o p o p o p o p o p o p o p o p o p o p o
c. Gather information on the patient‗s concerns about the child care arrangements.
p o p o p o p o p o p o p o p o p o p o
d. Call the patient‗s parents to determine whether adequate ch
p o p o p o p o p o p o p o p o
ild care is being provided. po p o p o p o
ANS: C p o
Because a complete assessment is necessary in order to identify a problem
p o p o p o p o p o p o p o p o p o p o p o
p and choose an appropriate intervention, the nurse‗s first action should be to o
o po p o p o p o p o p o p o p o p o p o p o p o
btain more information. The other actions may be appropriate, but more assessme
p o po p o p o p o p o p o p o p o p o p o
nt is needed before the best intervention can be chosen.
p o p o po p o p o p o p o p o p o
DIF: Cognitive Level: Analyze (Analysis) p o p o p o
TOP: Nursing Process: Assessment MSC: p o p o p o NCLEX: Psychosocial Integrity p o p o
5. A patient with a bacterial infection is hypovolemic due to a fever a
p o p o p o p o p o p o p o p o p o p o p o p o
nd excessive diaphoresis. Which expected outcome would the nurse s
po p o p o p o p o p o p o p o p o
elect for this patient?po p o p o
a. Patient has a balanced intake and output. p o p o p o p o p o p o
b. Patient‗s bedding is kept clean and free of moisture. p o p o p o p o p o p o p o p o
c. Patient understands the need for increased fluid intake.
p o p o p o p o p o p o p o
d. Patient‗s skin remains cool and dry throughout hospitalization.
p o p o p o p o p o p o p o
ANS: A p o
Balanced intake and output gives measurable data showing resolution of the probl
p o p o p o p o p o p o p o p o p o p o p o
em of deficient fluid volume. The other statements would not indicate that the pr
po p o p o p o p o p o p o p o p o p o p o p o p o
oblem of hypovolemia was resolved.p o p o p o p o
DIF: Cognitive Level: Apply (Application) p o p o p o
TOP: Nursing Process: Planning MSC:
p o p o po p o
NCLEX: Physiological Integrity p o p o
6. Which p o statement describes the purpose of the evaluation phase of the nursing process?
p o p o p o p o p o p o p o p o p o p o p o
a. To p o document the nursing care plan in the progress notes of the health record
p o p o p o p o p o p o p o p o p o p o p o p o
b. To p o determine if interventions have been effective in meeting patient outcomes
p o p o p o p o p o p o p o p o p o
c. To p o decide whether the patient‗s health problems have been completely resolved
p o p o p o p o p o p o p o p o p o
d. To p o establish if the patient agrees that the nursing care provided was satisfactory
p o p o p o p o p o p o p o p o p o p o p o
ANS: B p o
, 5
Evaluation consists of determining whether the desired patient outcomes have b
p o p o p o p o p o p o p o p o p o p o
een met and whether the nursing interventions were appropriate. The other respons
po p o p o p o p o p o p o p o p o p o p o
es do not describe the evaluation phase.
p o po p o p o p o p o
DIF: Cognitive Level: Understand (Comprehension) p o p o p o TOP: Nursing
Process: Evaluation MSC: po p o
NCLEX: Safe and Effective Care Environment p o p o p o p o p o
7. Which p o statement describes the purpose of the assessment phase of the nursing process?
p o p o p o p o p o p o p o p o p o p o p o
a. To p o teach interventions that relieve health problems
p o p o p o p o p o
b. To p o use patient data to evaluate patient care outcomes
p o p o p o p o p o p o p o
c. To p o obtain data to diagnose patient strengths and problems
p o p o p o p o p o p o p o
d. To p o help the patient identify realistic outcomes for health problems
p o p o p o p o p o p o p o p o
ANS: C p o
During the assessment phase, the nurse gathers information about the patient to d
p o p o p o p o p o p o p o p o p o p o p o po
iagnose patient strengths and problems. The other responses are examples of the
p o p o p o p o p o p o p o p o p o p o p o po
planning, intervention, and evaluation phases of the nursing process.
p o p o p o p o p o p o p o p o
DIF: Cognitive Level: Understand (Comprehension) p o p o p o
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
p o p o p o p o p o p o p o p o p o
8. When developing the plan of care, which components would the nurse incl
p o p o p o p o p o p o p o p o p o p o p o
ude in the clinical problem statement?
po p o p o p o p o
a. The problem and the suggested patient goals or outcomes
p o p o p o p o p o p o p o p o
b. The problem, its causes, and the signs and symptoms of the problem
p o p o p o p o p o p o p o p o p o p o p o
c. The problem with the possible etiology and the planned interventions
p o p o p o p o p o p o p o p o p o
d. The problem, its pathophysiology, and the expected outcome
p o p o p o p o p o p o p o
ANS: B p o
When writing clinical problems or nursing diagnoses, the subjective as well
p o p o p o p o p o p o p o p o p o p o p
oas objective data to support the problem‗s existence should be included. G
po p o p o p o p o p o p o p o p o p o p o
oals, outcomes, and interventions are not included in the problem statement.
po p o p o p o p o p o p o p o p o p o
DIF: Cognitive Level: Understand (Comprehension) p o p o p o
TOP: Nursing Process: Diagnosis MSC:
p o po po p o
NCLEX: Safe and Effective Care Environmentp o p o p o p o p o
9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)
p o p o p o p o p o p o p o p o p o p o p o p o
?
a. Instruct the patient about the need to alternate activity and rest.
p o p o p o p o p o p o p o p o p o p o
b. Monitor level of shortness of breath or fatigue after ambulation.
p o p o p o p o p o p o p o p o p o
c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
p o p o p o p o p o p o p o p o p o
d. Determine whether the patient is ready to increase the activity level.
p o p o p o p o p o p o p o p o p o p o
ANS: C p o
AP education includes accurate vital sign measurement. Assessment and patient te
p o p o p o p o p o p o p o p o p o po
aching require registered nurse education and scope of practice and cannot be de
p o p o p o p o p o p o p o p o p o p o p o po
legated.
DIF: Cognitive Level: Apply (Application) p o p o p o
TOP: Nursing Process: Planning MSC:
p o p o po p o
NCLEX: Safe and Effective Care Environmentp o p o p o p o p o
by Mariann M. Harding, Jeffrey Kwong, Debra Hagler
Chapter 1-69 Complete Latest 2025-2026
, 3
Chapter 01: Professional Nursing
po p o po
Harding: Lewis’s Medical-Surgical Nursing, 12th
po po po po
MULTIPLE CHOICE p o
1. The nurse completes an admission database and explains that the plan of care and
p o p o p o p o p o p o p o p o p o p o p o p o p o
discharge goals will be developed with the patient‗s input. The patient asks, ―H
po p o p o p o p o p o p o p o p o p o p o p o p o
ow is this different from what the physician does?‖ Which response would the n
p o p o p o p o p o p o p o p o p o p o p o p o p o
urse provide? po
a. ―The role of the nurse is to administer medications and ot
p o p o p o p o p o p o p o p o p o p o
her treatments prescribed by your physician.‖
po p o p o p o p o
b. ―In addition to caring for you while you are sick, the nurses will
p o p o p o p o p o p o p o p o p o p o p o p o p
help you plan to maintain your health.‖
o po p o p o p o p o p o
c. ―The nurse‗s job is to collect information and communicate a
po p o p o p o p o p o p o p o p o
ny problems that occur to the physician.‖
po p o p o p o p o p o
d. ―Nurses perform many of the same procedures as the physician, p o p o po p o p o p o p o p o p o p o
but nurses are with the patients for a longer time than the
po p o p o p o p o p o p o p o p o p o p o p o
physician.‖
ANS: B p o
The American Nurses Association (ANA) definition of nursing describes the role of
p o p o p o p o p o p o p o p o p o p o p o
nurses in promoting health. The other responses describe dependent and coll
po p o p o p o p o p o p o p o p o p o po
aborative functions of the nursing role but do not accurately describe the nurse‗s u
p o p o p o p o p o p o p o p o p o po p o p o po
nique role in the health care system.
p o p o p o p o p o p o
DIF: p o p o Cognitive Level: Analyze (Analysis) p o p o p o
TOP: Nursing Process: Implementation MSC:
p o p o p o p o NCLEX: Safe and Effective Care Environment p o p o p o p o p o
2. Which statement by the nurse accurately describes the use of evidence-
p o p o p o p o p o p o p o p o p o p o
based practice (EBP)? p o p o
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
p o p o p o p o p o p o p o p o p o
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
p o p o p o p o p o p o p o p o p o p o p o p o
c. ―Research from all published articles are used as a guide for planning patient care.‖
p o p o p o p o p o p o p o p o p o p o p o p o p o
d. ―Recommendations are based on research, clinical expertise po po po po po po
, and patient preferences.‖
po p o p o
ANS: D p o
Evidence-based practice (EBP) is the use of the best research- p o p o p o p o p o p o p o p o p o
based evidence combined with clinician expertise and consideration of patient pre
p o po p o p o p o p o p o p o p o p o
ferences. Clinical judgment based on the nurse‗s clinical experience is part of E
p o po p o p o p o p o p o p o p o p o p o p o
BP, but clinical decision making should also incorporate current research and res
p o p o po p o p o p o p o p o p o p o p o
earch-
based guidelines. Evaluation of patient outcomes is important, but data analysis i
po p o p o p o p o p o p o p o p o p o p o
s not required to use EBP. All published articles do not provide research eviden
p o po p o p o p o p o p o p o p o p o p o p o p o
ce; interventions should be based on credible research, preferably randomized con
po p o p o p o p o p o p o p o p o p o
trolled studies with a large number of subjects.
po p o p o p o p o p o p o
DIF: Cognitive Level: Understand (Comprehension) p o p o p o
TOP: Nursing Process: Planning MSC:
p o p o po p o
NCLEX: Safe and Effective Care Environment p o p o p o p o p o
3. Which statement by the nurse provides a clear explanation of the nursing process?
p o p o p o p o p o p o p o p o p o p o p o p o
a. ―The nursing process is a research method of diagnosing the patien
p o p o p o p o p o p o p o p o po p o
t‗s health care problems.‖ po p o p o
b. ―The nursing process is used primarily to explain nursi
p o p o p o p o p o p o p o p o
ng interventions to other health care professionals.‖
po p o p o p o p o p o
c. ―The nursing process is a problem-solving tool used to identify and manage the
p o p o p o p o p o p o p o p o p o p o p o p o
, 4
patients‗ health care needs.‖ p o p o p o
d. ―The nursing process is based on nursing theory th
p o p o p o p o p o p o p o p o
at incorporates the biopsychosocial nature of huma
po p o p o p o p o p o
ns.‖
ANS: C p o
The nursing process is a problem-
p o p o p o p o p o
solving approach to the identification and treatment of patients‗ problems. Nursi
p o p o p o p o p o p o p o p o p o p o
ng process does not require research methods for diagnosis. The primary use of
p o p o p o p o p o p o p o po p o p o p o p o p o
the nursing process is in patient care, not to establish nursing theory or explain
p o p o p o p o p o p o p o p o p o po p o p o p o p o
nursing interventions to other health care professionals.
p o p o p o p o p o p o
DIF: Cognitive Level: Understand (Comprehension) p o p o p o
TOP: Nursing Process: Evaluation MSC:
p o po po p o
NCLEX: Safe and Effective Care Environment p o p o p o p o p o
4. A patient admitted to the hospital for surgery tells the nurse, ―I do
p o p o p o p o p o p o p o p o p o p o p o p o p
o not feel comfortable leaving my children with my parents.‖ Which a
po p o p o p o p o p o p o p o p o p o
ction would the nurse take next?
po p o p o p o p o
a. Reassure the patient that these feelings are common for parents.
p o p o p o p o p o p o p o p o p o
b. Have the patient call the children to ensure that they are doing well.
p o p o p o p o p o p o p o p o p o p o p o p o
c. Gather information on the patient‗s concerns about the child care arrangements.
p o p o p o p o p o p o p o p o p o p o
d. Call the patient‗s parents to determine whether adequate ch
p o p o p o p o p o p o p o p o
ild care is being provided. po p o p o p o
ANS: C p o
Because a complete assessment is necessary in order to identify a problem
p o p o p o p o p o p o p o p o p o p o p o
p and choose an appropriate intervention, the nurse‗s first action should be to o
o po p o p o p o p o p o p o p o p o p o p o p o
btain more information. The other actions may be appropriate, but more assessme
p o po p o p o p o p o p o p o p o p o p o
nt is needed before the best intervention can be chosen.
p o p o po p o p o p o p o p o p o
DIF: Cognitive Level: Analyze (Analysis) p o p o p o
TOP: Nursing Process: Assessment MSC: p o p o p o NCLEX: Psychosocial Integrity p o p o
5. A patient with a bacterial infection is hypovolemic due to a fever a
p o p o p o p o p o p o p o p o p o p o p o p o
nd excessive diaphoresis. Which expected outcome would the nurse s
po p o p o p o p o p o p o p o p o
elect for this patient?po p o p o
a. Patient has a balanced intake and output. p o p o p o p o p o p o
b. Patient‗s bedding is kept clean and free of moisture. p o p o p o p o p o p o p o p o
c. Patient understands the need for increased fluid intake.
p o p o p o p o p o p o p o
d. Patient‗s skin remains cool and dry throughout hospitalization.
p o p o p o p o p o p o p o
ANS: A p o
Balanced intake and output gives measurable data showing resolution of the probl
p o p o p o p o p o p o p o p o p o p o p o
em of deficient fluid volume. The other statements would not indicate that the pr
po p o p o p o p o p o p o p o p o p o p o p o p o
oblem of hypovolemia was resolved.p o p o p o p o
DIF: Cognitive Level: Apply (Application) p o p o p o
TOP: Nursing Process: Planning MSC:
p o p o po p o
NCLEX: Physiological Integrity p o p o
6. Which p o statement describes the purpose of the evaluation phase of the nursing process?
p o p o p o p o p o p o p o p o p o p o p o
a. To p o document the nursing care plan in the progress notes of the health record
p o p o p o p o p o p o p o p o p o p o p o p o
b. To p o determine if interventions have been effective in meeting patient outcomes
p o p o p o p o p o p o p o p o p o
c. To p o decide whether the patient‗s health problems have been completely resolved
p o p o p o p o p o p o p o p o p o
d. To p o establish if the patient agrees that the nursing care provided was satisfactory
p o p o p o p o p o p o p o p o p o p o p o
ANS: B p o
, 5
Evaluation consists of determining whether the desired patient outcomes have b
p o p o p o p o p o p o p o p o p o p o
een met and whether the nursing interventions were appropriate. The other respons
po p o p o p o p o p o p o p o p o p o p o
es do not describe the evaluation phase.
p o po p o p o p o p o
DIF: Cognitive Level: Understand (Comprehension) p o p o p o TOP: Nursing
Process: Evaluation MSC: po p o
NCLEX: Safe and Effective Care Environment p o p o p o p o p o
7. Which p o statement describes the purpose of the assessment phase of the nursing process?
p o p o p o p o p o p o p o p o p o p o p o
a. To p o teach interventions that relieve health problems
p o p o p o p o p o
b. To p o use patient data to evaluate patient care outcomes
p o p o p o p o p o p o p o
c. To p o obtain data to diagnose patient strengths and problems
p o p o p o p o p o p o p o
d. To p o help the patient identify realistic outcomes for health problems
p o p o p o p o p o p o p o p o
ANS: C p o
During the assessment phase, the nurse gathers information about the patient to d
p o p o p o p o p o p o p o p o p o p o p o po
iagnose patient strengths and problems. The other responses are examples of the
p o p o p o p o p o p o p o p o p o p o p o po
planning, intervention, and evaluation phases of the nursing process.
p o p o p o p o p o p o p o p o
DIF: Cognitive Level: Understand (Comprehension) p o p o p o
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
p o p o p o p o p o p o p o p o p o
8. When developing the plan of care, which components would the nurse incl
p o p o p o p o p o p o p o p o p o p o p o
ude in the clinical problem statement?
po p o p o p o p o
a. The problem and the suggested patient goals or outcomes
p o p o p o p o p o p o p o p o
b. The problem, its causes, and the signs and symptoms of the problem
p o p o p o p o p o p o p o p o p o p o p o
c. The problem with the possible etiology and the planned interventions
p o p o p o p o p o p o p o p o p o
d. The problem, its pathophysiology, and the expected outcome
p o p o p o p o p o p o p o
ANS: B p o
When writing clinical problems or nursing diagnoses, the subjective as well
p o p o p o p o p o p o p o p o p o p o p
oas objective data to support the problem‗s existence should be included. G
po p o p o p o p o p o p o p o p o p o p o
oals, outcomes, and interventions are not included in the problem statement.
po p o p o p o p o p o p o p o p o p o
DIF: Cognitive Level: Understand (Comprehension) p o p o p o
TOP: Nursing Process: Diagnosis MSC:
p o po po p o
NCLEX: Safe and Effective Care Environmentp o p o p o p o p o
9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)
p o p o p o p o p o p o p o p o p o p o p o p o
?
a. Instruct the patient about the need to alternate activity and rest.
p o p o p o p o p o p o p o p o p o p o
b. Monitor level of shortness of breath or fatigue after ambulation.
p o p o p o p o p o p o p o p o p o
c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
p o p o p o p o p o p o p o p o p o
d. Determine whether the patient is ready to increase the activity level.
p o p o p o p o p o p o p o p o p o p o
ANS: C p o
AP education includes accurate vital sign measurement. Assessment and patient te
p o p o p o p o p o p o p o p o p o po
aching require registered nurse education and scope of practice and cannot be de
p o p o p o p o p o p o p o p o p o p o p o po
legated.
DIF: Cognitive Level: Apply (Application) p o p o p o
TOP: Nursing Process: Planning MSC:
p o p o po p o
NCLEX: Safe and Effective Care Environmentp o p o p o p o p o
