LEWIS'S MEDICAL-SURGICAL NURSING
ASSESSMENT AND MANAGEMENT OF
CLINICAL PROBLEMS, SINGLE VOLUME
12TH EDITION
• AUTHOR(S)MARIANN M. HARDING;
JEFFREY KWONG; DEBRA HAGLER;
COURTNEY REINISCH
TEST BANK
1
Reference: Ch. 1 — Professional Nursing — Professional Nursing
Practice
Stem: A nurse in a medical-surgical unit is asked to explain to a
newly hired tech what distinguishes professional nursing
practice from technical tasks. Which statement best reflects the
nurse’s role in professional nursing practice?
A. "Providing routine bed baths and vital signs are the main
components of nursing practice."
,B. "Professional nursing integrates assessment, clinical
judgment, evidence-based interventions, and advocacy for
patients."
C. "Nurses primarily follow provider orders and document the
care provided."
D. "Nursing focuses only on physical care; psychosocial needs
are secondary."
Correct Answer: B
Rationale — Correct: This mirrors Lewis’s definition
emphasizing assessment, clinical judgment, evidence-based
interventions, and advocacy. Recognize: identifies holistic
nursing scope; Analyze/Plan: integrates assessment and
evidence for interventions; Intervene/Evaluate: supports
ongoing evaluation and advocacy for patient outcomes.
Professional nursing is autonomous and collaborative, beyond
routine tasks.
Rationale — Incorrect A: Overemphasizes tasks; nursing is more
than routine care.
Rationale — Incorrect C: Passive description; nursing includes
independent judgment, not just following orders.
Rationale — Incorrect D: Incorrectly minimizes psychosocial
care, which is integral per Lewis.
Teaching Point: Professional nursing blends assessment,
judgment, evidence-based interventions, and advocacy.
Citation: Harding, M. M., Kwong, J., Hagler, D., & Reinisch, C.
(2023). Lewis’s Medical-Surgical Nursing (12th Ed.). Ch. 1.
,2
Reference: Ch. 1 — Professional Nursing — Domain of Nursing
Practice
Stem: A nurse leader is updating the unit’s orientation
materials. Which example best illustrates the domain of nursing
practice as described in Lewis?
A. Counting inventory for the unit supply room.
B. Collaborating with interdisciplinary team members to
develop a discharge plan that addresses patient goals and
safety.
C. Scheduling provider follow-up appointments for all patients.
D. Preparing operating room trays for a surgical patient.
Correct Answer: B
Rationale — Correct: Collaboration for discharge planning
exemplifies the nursing domain: holistic care, coordination,
patient advocacy, and safety planning. Recognize: identifies
patient needs; Analyze: priorities and risks for discharge;
Plan/Intervene/Evaluate: coordinates team efforts and
evaluates readiness for discharge per Lewis.
Rationale — Incorrect A: Administrative but not central to
nursing domain.
Rationale — Incorrect C: Clerical task; nurses coordinate care
but scheduling alone doesn’t demonstrate domain scope.
Rationale — Incorrect D: Perioperative supply preparation is
support work, not domain-defining nursing practice.
Teaching Point: Nursing domain centers on holistic care
, coordination, advocacy, and safety planning.
Citation: Harding et al. (2023). Ch. 1.
3
Reference: Ch. 1 — Professional Nursing — Definitions of
Nursing
Stem: During a staff meeting, the manager asks nurses to
articulate the profession’s defining elements. Which statement
best aligns with Lewis’s contemporary definition of nursing?
A. "Nursing is strictly a set of technical skills performed by
trained staff."
B. "Nursing is a science and art that integrates evidence, clinical
judgment, ethical practice, and compassionate care."
C. "Nursing is synonymous with bedside tasks delegated by
physicians."
D. "Nursing is only responsible for implementing provider
orders."
Correct Answer: B
Rationale — Correct: Lewis defines nursing as both science and
art incorporating evidence, clinical judgment, ethics, and
compassion. Recognize: acknowledges complex knowledge
base; Analyze/Plan: uses evidence to guide care;
Intervene/Evaluate: ethical, patient-centered evaluation of
outcomes. This reflects professional practice standards.
Rationale — Incorrect A: Overly narrow and technical, omitting
judgment and evidence.
ASSESSMENT AND MANAGEMENT OF
CLINICAL PROBLEMS, SINGLE VOLUME
12TH EDITION
• AUTHOR(S)MARIANN M. HARDING;
JEFFREY KWONG; DEBRA HAGLER;
COURTNEY REINISCH
TEST BANK
1
Reference: Ch. 1 — Professional Nursing — Professional Nursing
Practice
Stem: A nurse in a medical-surgical unit is asked to explain to a
newly hired tech what distinguishes professional nursing
practice from technical tasks. Which statement best reflects the
nurse’s role in professional nursing practice?
A. "Providing routine bed baths and vital signs are the main
components of nursing practice."
,B. "Professional nursing integrates assessment, clinical
judgment, evidence-based interventions, and advocacy for
patients."
C. "Nurses primarily follow provider orders and document the
care provided."
D. "Nursing focuses only on physical care; psychosocial needs
are secondary."
Correct Answer: B
Rationale — Correct: This mirrors Lewis’s definition
emphasizing assessment, clinical judgment, evidence-based
interventions, and advocacy. Recognize: identifies holistic
nursing scope; Analyze/Plan: integrates assessment and
evidence for interventions; Intervene/Evaluate: supports
ongoing evaluation and advocacy for patient outcomes.
Professional nursing is autonomous and collaborative, beyond
routine tasks.
Rationale — Incorrect A: Overemphasizes tasks; nursing is more
than routine care.
Rationale — Incorrect C: Passive description; nursing includes
independent judgment, not just following orders.
Rationale — Incorrect D: Incorrectly minimizes psychosocial
care, which is integral per Lewis.
Teaching Point: Professional nursing blends assessment,
judgment, evidence-based interventions, and advocacy.
Citation: Harding, M. M., Kwong, J., Hagler, D., & Reinisch, C.
(2023). Lewis’s Medical-Surgical Nursing (12th Ed.). Ch. 1.
,2
Reference: Ch. 1 — Professional Nursing — Domain of Nursing
Practice
Stem: A nurse leader is updating the unit’s orientation
materials. Which example best illustrates the domain of nursing
practice as described in Lewis?
A. Counting inventory for the unit supply room.
B. Collaborating with interdisciplinary team members to
develop a discharge plan that addresses patient goals and
safety.
C. Scheduling provider follow-up appointments for all patients.
D. Preparing operating room trays for a surgical patient.
Correct Answer: B
Rationale — Correct: Collaboration for discharge planning
exemplifies the nursing domain: holistic care, coordination,
patient advocacy, and safety planning. Recognize: identifies
patient needs; Analyze: priorities and risks for discharge;
Plan/Intervene/Evaluate: coordinates team efforts and
evaluates readiness for discharge per Lewis.
Rationale — Incorrect A: Administrative but not central to
nursing domain.
Rationale — Incorrect C: Clerical task; nurses coordinate care
but scheduling alone doesn’t demonstrate domain scope.
Rationale — Incorrect D: Perioperative supply preparation is
support work, not domain-defining nursing practice.
Teaching Point: Nursing domain centers on holistic care
, coordination, advocacy, and safety planning.
Citation: Harding et al. (2023). Ch. 1.
3
Reference: Ch. 1 — Professional Nursing — Definitions of
Nursing
Stem: During a staff meeting, the manager asks nurses to
articulate the profession’s defining elements. Which statement
best aligns with Lewis’s contemporary definition of nursing?
A. "Nursing is strictly a set of technical skills performed by
trained staff."
B. "Nursing is a science and art that integrates evidence, clinical
judgment, ethical practice, and compassionate care."
C. "Nursing is synonymous with bedside tasks delegated by
physicians."
D. "Nursing is only responsible for implementing provider
orders."
Correct Answer: B
Rationale — Correct: Lewis defines nursing as both science and
art incorporating evidence, clinical judgment, ethics, and
compassion. Recognize: acknowledges complex knowledge
base; Analyze/Plan: uses evidence to guide care;
Intervene/Evaluate: ethical, patient-centered evaluation of
outcomes. This reflects professional practice standards.
Rationale — Incorrect A: Overly narrow and technical, omitting
judgment and evidence.
