Test Bank Lewis Medical-Surgical Nursing: Assessment and Management of Clinical Problems 12th Edition By Harding & Kwong

Lewis’sMedicalSurgical Nursing 12thEdition Harding Test Bank
Chapter 1- 69 Updated 2025

,Lewis’sMedicalSurgicalNursing 12thEdition Harding Test Bank


Chapter01:ProfessionalNursing
Harding:Lewis’sMedical-SurgicalNursing,12thEdition


MULTIPLE CHOICE

1. The nurse completes an admission database and explains that the plan of care and discharge
goals
will be developedwith the patient‗s input. The patientasks, ―How is this differentfrom what the
physician does?‖ Which response would the nurse provide?
a. ―The roleof thenurseis to administermedicationsandothertreatments prescribedby
your physician.‖
b. ―In additionto caringfor youwhile youaresick,thenurseswill help youplanto
maintain your health.‖
c. ―The nurse‗s jobis to collectinformationandcommunicateanyproblemsthat
occur to the physician.‖
d. ―Nursesperformmanyof thesameproceduresasthephysician,butnursesarewith
‖
the patients for a longer time than the physician.

ANS: B
The American Nurses Association (ANA) definition of nursing describesthe role of nurses in
promoting health. The other responses describe dependent and collaborative functions of the
nursing role but do not accurately ‗s unique role in the health care system.
describe the nurse

DIF: CognitiveLevel:Analyze(Analysis)
TOP: Nursing Process:Implementation MSC: NCLEX: Safeand EffectiveCare Environment

2. Which statementbythenurseaccuratelydescribestheuseof evidence-based practice(EBP)?
a. ―Patient careis basedon clinicaljudgment,experience,andtraditions.‖
b. ―Dataareanalyzedlaterto showthatthepatientoutcomesareconsistentlymet.‖
c. ―Research fromall publishedarticlesareusedas a guidefor planningpatientcare.‖
d. ―Recommendationsare basedon research,clinical expertise,and patient
‖
preferences.

ANS: D
Evidence-basedpractice(EBP) is theuseof thebestresearch-basedevidencecombinedwith
clinician expertise and consideration of patient preferences. Clinical judgment based on the‗s nurse
clinical experience is part of EBP, but clinical decision making should also incorporate
current
researchand research-basedguidelines.Evaluationof patientoutcomesis important, but data
analysis is not required to use
EBP. All published articles do not provide research
evidence;
interventionsshouldbebasedon credibleresearch,preferablyrandomized controlled studies with a
large number of subjects.

DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process:Planning
MSC: NCLEX: Safe and Effective Care Environment

3. Which statementby thenurseprovidesa clearexplanationof thenursingprocess?
a. ―The nursingprocessis a researchmethodof diagnosingthepatient‗s healthcare
problems.‖
b. ―The nursingprocessis usedprimarilytoexplainnursinginterventionstoother
‖
health care professionals.

,c. ―The nursingprocessis a problem-solvingtoolusedto identifyandmanagethe

, patients‗ healthcareneeds.‖
d. ―The nursingprocessis basedon nursingtheorythatincorporatesthe
‖
biopsychosocial nature of humans.

ANS: C
The nursing process is a problem ‗
-solving approach to the identification and treatment of patients
problems. Nursing process does not require research methods for diagnosis. The primaryuseof the
nursingprocessis in patientcare,not to establishnursing theoryor explain nursing interventions to
other health care professionals.

DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process:Evaluation
MSC: NCLEX: Safe and Effective Care Environment

4. A patientadmittedto thehospitalforsurgerytellsthenurse,―I do notfeelcomfortable
‖ Which action would the nurse take
leaving my children with my parents. next?
a. Reassurethepatientthat thesefeelingsarecommonfor parents.
b. Have thepatient callthechildrento ensurethattheyaredoing well.
c. Gatherinformationon thepatient‗s concernsaboutthechild carearrangements .
d. Call thepatient‗s parentsto determinewhetheradequatechild careis being
provided.

ANS: C
Because a complete assessment is necessary in order to identify a problem and choose an
‗s first action should be to obtain more information. The other
appropriate intervention, the nurse
actionsmaybeappropriate,butmoreassessmentis neededbeforethebestintervention can be
chosen.

DIF: CognitiveLevel:Analyze(Analysis)
TOP: Nursing Process:Assessment MSC: NCLEX: PsychosocialIntegrity

5. A patientwitha bacterial infectionis hypovolemicdueto a feverand excessivediaphoresis. Which
expected outcome would the nurse select for this patient?
a. Patienthasa balancedintakeand output.
b. Patient‗s beddingis keptcleanand freeof moisture.
c. Patientunderstandstheneedfor increasedfluid intake.
d. Patient‗s skin remainscool anddrythroughouthospitalization.
ANS: A
Balancedintakeand outputgivesmeasurabledatashowingresolutionof theproblemof deficient
fluid volume. The other statements would not indicate that the problem of hypovolemia was
resolved.

DIF: Cognitive Level: Apply (Application) TOP: Nursing Process:Planning
MSC: NCLEX: Physiological Integrity

6. Which statementdescribesthepurposeof theevaluationphaseof thenursingprocess?
a. To documentthenursing careplan in theprogressnotesof thehealthrecord
b. To determineif interventionshavebeeneffectivein meetingpatientoutcomes
c. To decidewhetherthepatient‗s healthproblemshavebeencompletelyresolved
d. To establishif thepatientagreesthatthenursingcareprovidedwassatisfactory
ANS: B