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
Item 1
Reference: Ch. 1 — Professional Nursing — Definitions of
Nursing / Domain of Nursing Practice
Stem: A newly licensed nurse is orienting to a medical–surgical
unit. A patient recovering from stroke asks the nurse to explain
why nursing cares include patient teaching, coordination with
PT/OT, and monitoring hemodynamic status. Which statement
,by the nurse best reflects the professional domain of nursing to
the patient and family?
A. “My role is to complete providers’ orders and document
them in the chart.”
B. “Nursing focuses on holistic patient care, which includes
teaching, coordinating services, and assessing clinical status.”
C. “Nurses mainly assist with daily needs; the physician
manages the medical plan.”
D. “I’m here primarily to give medications on time and report
changes to the doctor.”
Correct answer: B
Rationales — Correct (B):
Lewis stresses that the domain of nursing is holistic and
includes assessment, teaching, coordination, and ongoing
clinical monitoring. Choosing B demonstrates application of
professional nursing scope and patient-centered care. In
NCSBN-CJM terms, this supports recognizing patient needs,
analyzing interdisciplinary options, and planning nursing
interventions.
Rationales — Incorrect:
A. Reduces nursing to task completion and misses
assessment/teaching—incomplete view inconsistent with
Lewis.
C. Minimizes nursing autonomy; unsafe because nurses perform
ongoing assessment and advocacy.
,D. Narrow focus on meds and reporting ignores education and
coordination responsibilities.
Teaching point: Nursing’s domain is holistic assessment,
teaching, coordination, and monitoring.
Citation: Harding, M. M., Kwong, J., Hagler, D., & Reinisch, C.
(2023). Lewis’s Medical-Surgical Nursing (12th Ed.). Ch. 1.
Item 2
Reference: Ch. 1 — Professional Nursing — Standards of
Professional Nursing Practice / Nursing Core Competencies
Stem: During a clinical skills check, a nurse manager observes a
staff nurse who fails to check two patient identifiers before
administering an oral analgesic. Which action by the manager
best reflects adherence to standards of professional nursing
practice?
A. Document the incident and schedule remedial training for
the staff nurse.
B. Replace the medication and remind the nurse to check
identifiers next time.
C. Give a verbal warning at the end of shift to avoid upsetting
the nurse.
D. Ignore it because no adverse event occurred.
Correct answer: A
, Rationales — Correct (A):
Lewis and professional standards require accountability,
remediation, and safety-focused quality improvement when
practice deviates from standards. Documenting the incident
and arranging remedial education addresses competence,
reduces future risk, and follows QI processes. This aligns with
CJM: recognize the safety lapse, analyze competency gap, plan
corrective action.
Rationales — Incorrect:
B. Verbal reminder alone is insufficient—no documentation or
remediation to reduce recurrence.
C. Avoiding documentation fails to address patient safety and
professional accountability.
D. Ignoring an error despite no harm misses near-miss reporting
opportunities and violates standards.
Teaching point: Document and remediate lapses in standards to
improve safety and competence.
Citation: Harding et al. (2023). Ch. 1.
Item 3
Reference: Ch. 1 — Professional Nursing — Patient-Centered
Care / Communication
Stem: A hospitalized patient with limited English proficiency
needs discharge teaching about wound care. Which action best
meets patient-centered care principles and reduces safety risk?
ASSESSMENT AND MANAGEMENT OF
CLINICAL PROBLEMS, SINGLE VOLUME
12TH EDITION
• AUTHOR(S)MARIANN M. HARDING;
JEFFREY KWONG; DEBRA HAGLER;
COURTNEY REINISCH
TEST BANK
Item 1
Reference: Ch. 1 — Professional Nursing — Definitions of
Nursing / Domain of Nursing Practice
Stem: A newly licensed nurse is orienting to a medical–surgical
unit. A patient recovering from stroke asks the nurse to explain
why nursing cares include patient teaching, coordination with
PT/OT, and monitoring hemodynamic status. Which statement
,by the nurse best reflects the professional domain of nursing to
the patient and family?
A. “My role is to complete providers’ orders and document
them in the chart.”
B. “Nursing focuses on holistic patient care, which includes
teaching, coordinating services, and assessing clinical status.”
C. “Nurses mainly assist with daily needs; the physician
manages the medical plan.”
D. “I’m here primarily to give medications on time and report
changes to the doctor.”
Correct answer: B
Rationales — Correct (B):
Lewis stresses that the domain of nursing is holistic and
includes assessment, teaching, coordination, and ongoing
clinical monitoring. Choosing B demonstrates application of
professional nursing scope and patient-centered care. In
NCSBN-CJM terms, this supports recognizing patient needs,
analyzing interdisciplinary options, and planning nursing
interventions.
Rationales — Incorrect:
A. Reduces nursing to task completion and misses
assessment/teaching—incomplete view inconsistent with
Lewis.
C. Minimizes nursing autonomy; unsafe because nurses perform
ongoing assessment and advocacy.
,D. Narrow focus on meds and reporting ignores education and
coordination responsibilities.
Teaching point: Nursing’s domain is holistic assessment,
teaching, coordination, and monitoring.
Citation: Harding, M. M., Kwong, J., Hagler, D., & Reinisch, C.
(2023). Lewis’s Medical-Surgical Nursing (12th Ed.). Ch. 1.
Item 2
Reference: Ch. 1 — Professional Nursing — Standards of
Professional Nursing Practice / Nursing Core Competencies
Stem: During a clinical skills check, a nurse manager observes a
staff nurse who fails to check two patient identifiers before
administering an oral analgesic. Which action by the manager
best reflects adherence to standards of professional nursing
practice?
A. Document the incident and schedule remedial training for
the staff nurse.
B. Replace the medication and remind the nurse to check
identifiers next time.
C. Give a verbal warning at the end of shift to avoid upsetting
the nurse.
D. Ignore it because no adverse event occurred.
Correct answer: A
, Rationales — Correct (A):
Lewis and professional standards require accountability,
remediation, and safety-focused quality improvement when
practice deviates from standards. Documenting the incident
and arranging remedial education addresses competence,
reduces future risk, and follows QI processes. This aligns with
CJM: recognize the safety lapse, analyze competency gap, plan
corrective action.
Rationales — Incorrect:
B. Verbal reminder alone is insufficient—no documentation or
remediation to reduce recurrence.
C. Avoiding documentation fails to address patient safety and
professional accountability.
D. Ignoring an error despite no harm misses near-miss reporting
opportunities and violates standards.
Teaching point: Document and remediate lapses in standards to
improve safety and competence.
Citation: Harding et al. (2023). Ch. 1.
Item 3
Reference: Ch. 1 — Professional Nursing — Patient-Centered
Care / Communication
Stem: A hospitalized patient with limited English proficiency
needs discharge teaching about wound care. Which action best
meets patient-centered care principles and reduces safety risk?
