Lewis’s_Medical_Surgical_Nursing_12th_Edition_Harding__Tes
t_Bank_Chapter_1_-_69_Updated_2025
,Lewis’s_Medical_Surgical_Nursing_12th_Edition_Harding_Test_Bank_
Chapter_01:_Professional_Nursing
Harding:_Lewis’s_Medical-Surgical_Nursing,_12th_Edition
MULTIPLE_CHOICE
1. The_nurse_completes_an_admission_database_and_explains_that_the_plan_of_care_and_dischar
ge_goals_will_be_developed_with_the_patient‗s_input._The_patient_asks,_―How_is_this_differen
t_from_what_the_physician_does?‖_Which_response_would_the_nurse_provide?
a. ―The_role_of_the_nurse_is_to_administer_medications_and_other_treatments_prescrib
ed_by_your_physician.‖
b. ―In_addition_to_caring_for_you_while_you_are_sick,_the_nurses_will_help_you_plan
_to__maintain_your_health.‖
c. ―The_nurse‗s_job_is_to_collect_information_and_communicate_any_problems_t
hat_occur_to_the_physician.‖
d. ―Nurses_perform_many_of_the_same_procedures_as_the_physician,_but_nurses_
are_with_the_patients_for_a_longer_time_than_the_physician.‖
ANS:_ B
The_American_Nurses_Association_(ANA)_definition_of_nursing_describes_the_role_of_nurses
_in_promoting_health._The_other_responses_describe_dependent_and_collaborative_functions_
of_the_nursing_role_but_do_not_accurately_describe_the_nurse‗s_unique_role_in_the_health_car
e_system.
DIF:_ _ Cognitive_Level:_Analyze_(Analysis)
TOP:_ Nursing_Process:_Implementation_ _ _ MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
2. Which_statement_by_the_nurse_accurately_describes_ the_use_of_evidence-based_practice_(EBP)?
a. ―Patient_care_is_based_on_clinical_judgment,_experience,_and_traditions.‖
b. ―Data_are_analyzed_later_to_show_that_the_patient_outcomes_are_consistently_met.‖
c. ―Research_from_all_published_articles_are_used_as_a_guide_for_planning_patient_care.‖
d. ―Recommendations_are_based_on_research,_clinical_expertise,_and_patien
t__preferences.‖
ANS:_ D
Evidence-based_practice_(EBP)_is_the_use_of_the_best_research-
based_evidence_combined_with_clinician_expertise_and_consideration_of_patient_preferences.
_Clinical_judgment_based_on_the_nurse‗s_clinical_experience_is_part_of_EBP,_but_clinical_de
cision_making_should_also_incorporate_current_research_and_research-
based_guidelines._Evaluation_of_patient_outcomes_is_important,_but_data_analysis_is_not_requ
ired_to_use_EBP._All_published_articles_do_not_provide_research_evidence;_interventions_sho
uld_be_based_on_credible_research,_preferably_randomized_controlled_studies_with_a_large_nu
mber_of_subjects.
DIF: Cognitive_Level:_Understand_(Comprehension)
TOP:_Nursing_Process:_Planning_MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
3. Which_statement_by_the_nurse_provides_a_clear_explanation_of_the_nursing_process?
a. ―The_nursing_process_is_a_research_method_of_diagnosing_the_patient‗s_health_c
are_problems.‖
b. ―The_nursing_process_is_used_primarily_to_explain_nursing_interventions_to_oth
er_health_care_professionals.‖
c. ―The_nursing_process_is_a_problem-solving_tool_used_to_identify_and_manage_the
, patients‗_health_care_needs.‖
d. ―The_nursing_process_is_based_on_nursing_theorythat_incorporates_t
he_biopsychosocial_nature_of_humans.‖
ANS:_ C
The_nursing_process_is_a_problem-
solving_approach_to_the_identification_and_treatment_of_patients‗_problems._Nursing_proces
s_does_not_require_research_methods_for_diagnosis._The_primary_use_of_the_nursing_process_
is_in_patient_care,_not_to_establish_nursing_theory_or_explain_nursing_interventions_to_other_h
ealth_care_professionals.
DIF: Cognitive_Level:_Understand_(Comprehension)
TOP:_Nursing_Process:_Evaluation_MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
4. A_patient_admitted_to_the_hospital_for_surgery_tells_the_nurse,_―I_do_not_feel_comforta
ble_leaving_my_children_with_my_parents.‖_Which_action_would_the_nurse_take_next
?
a. Reassure_the_patient_that_these_feelings_are_common_for_parents.
b. Have_the_patient_call_the_children_to_ensure_that_they_are_doing_well.
c. Gather_information_on_the_patient‗s_concerns_about_the_child_care_arrangements.
d. Call_the_patient‗s_parents_to_determine_whether_adequate_child_care_is_bei
ng_provided.
ANS:_ C
Because_a_complete_assessment_is_necessary_in_order_to_identify_a_problem_and_choose_an_
appropriate_intervention,_the_nurse‗s_first_action_should_be_to_obtain_more_information._Th
e_other_actions_may_be_appropriate,_but_more_assessment_is_needed_before_the_best_intervent
ion_can_be_chosen.
DIF: Cognitive_Level:_Analyze_(Analysis)
TOP:_ Nursing_Process:_Assessment MSC:_ NCLEX:_Psychosocial_Integrity
5. A_patient_with_a_bacterial_infection_is_hypovolemic_due_to_a_fever_and_excessive_diaphore
sis._Which_expected_outcome_would_the_nurse_select_for_this_patient?
a. Patient_has_a_balanced_intake_and_output.
b. Patient‗s_bedding_is_kept_clean_and_free_of_moisture.
c. Patient_understands_the_need_for_increased_fluid_intake.
d. Patient‗s_skin_remains_cool_and_dry_throughout_hospitalization.
ANS:_ A
Balanced_intake_and_output_gives_measurable_data_showing_resolution_of_the_problem_of_def
icient_fluid_volume._The_other_statements_would_not_indicate_that_the_problem_of_hypovole
mia_was_resolved.
DIF: Cognitive_Level:_Apply_(Application)
TOP:_Nursing_Process:_Planning_MSC:_ NCLEX:_Physiological_Integrity
6. Which_statement_describes_the_purpose_of_the_evaluation_phase_of_the_nursing_process?
a. To_document_the_nursing_care_plan_in_the_progress_notes_of_the_health_record
b. To_determine_if_interventions_have_been_effective_in_meeting_patient_outcomes
c. To_decide_whether_the_patient‗s_health_problems_have_been_completely_resolved
d. To_establish_if_the_patient_agrees_that_the_nursing_care_provided_was_satisfactory
ANS:_ B
, Evaluation_consists_of_determining_whether_the_desired_patient_outcomes_have_been_met_a
nd_whether_the_nursing_interventions_were_appropriate._The_other_responses_do_not_descri
be_the_evaluation_phase.
DIF:_ Cognitive_Level:_Understand_(Comprehension)
TOP:_Nursing_Process:_Evaluatio
n_MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
7. Which_statement_describes_the_purpose_of_the_assessment_phase_of_the_nursing_process?
a. To_teach_interventions_that_relieve_health_problems
b. To_use_patient_data_to_evaluate_patient_care_outcomes
c. To_obtain_data_to_diagnose_patient_strengths_and_problems
d. To_help_the_patient_identify_realistic_outcomes_for_health_problems
ANS:_ C
During_the_assessment_phase,_the_nurse_gathers_information_about_the_patient_to_diagnose_pa
tient_strengths_and_problems._The_other_responses_are_examples_of_the_planning,_interventi
on,_and_evaluation_phases_of_the_nursing_process.
DIF: Cognitive_Level:_Understand_(Comprehension)
TOP:_ Nursing_Process:_Assessment MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
8. When_developing_the_plan_of_care,_which_components_would_the_nurse_include_in_the_clini
cal_problem_statement?
a. The_problem_and_the_suggested_patient_goals_or_outcomes
b. The_problem,_its_causes,_and_the_signs_and_symptoms_of_the_problem
c. The_problem_with_the_possible_etiology_and_the_planned_interventions
d. The_problem,_its_pathophysiology,_and_the_expected_outcome
ANS:_ B
When_writing_clinical_problems_or_nursing_diagnoses,_the_subjective_as_well_as_objective_d
ata_to_support_the_problem‗s_existence_should_be_included._Goals,_outcomes,_and_interventio
ns_are_not_included_in_the_problem_statement.
DIF: Cognitive_Level:_Understand_(Comprehension)
TOP:_Nursing_Process:_Diagnosis_MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
9. Which_patient_care_task_would_the_nurse_delegate_to_experienced_assistive_personnel_(AP)?
a. Instruct_the_patient_about_the_need_to_alternate_activity_and_rest.
b. Monitor_level_of_shortness_of_breath_or_fatigue_after_ambulation.
c. Obtain_the_patient‗s_blood_pressure_and_pulse_rate_after_ambulation.
d. Determine_whether_the_patient_is_ready_to_increase_the_activity_level.
ANS:_ C
AP_education_includes_accurate_vital_sign_measurement._Assessment_and_patient_teaching_re
quire_registered_nurse_education_and_scope_of_practice_and_cannot_be_delegated.
DIF: Cognitive_Level:_Apply_(Application)
TOP:_Nursing_Process:_Planning_MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
t_Bank_Chapter_1_-_69_Updated_2025
,Lewis’s_Medical_Surgical_Nursing_12th_Edition_Harding_Test_Bank_
Chapter_01:_Professional_Nursing
Harding:_Lewis’s_Medical-Surgical_Nursing,_12th_Edition
MULTIPLE_CHOICE
1. The_nurse_completes_an_admission_database_and_explains_that_the_plan_of_care_and_dischar
ge_goals_will_be_developed_with_the_patient‗s_input._The_patient_asks,_―How_is_this_differen
t_from_what_the_physician_does?‖_Which_response_would_the_nurse_provide?
a. ―The_role_of_the_nurse_is_to_administer_medications_and_other_treatments_prescrib
ed_by_your_physician.‖
b. ―In_addition_to_caring_for_you_while_you_are_sick,_the_nurses_will_help_you_plan
_to__maintain_your_health.‖
c. ―The_nurse‗s_job_is_to_collect_information_and_communicate_any_problems_t
hat_occur_to_the_physician.‖
d. ―Nurses_perform_many_of_the_same_procedures_as_the_physician,_but_nurses_
are_with_the_patients_for_a_longer_time_than_the_physician.‖
ANS:_ B
The_American_Nurses_Association_(ANA)_definition_of_nursing_describes_the_role_of_nurses
_in_promoting_health._The_other_responses_describe_dependent_and_collaborative_functions_
of_the_nursing_role_but_do_not_accurately_describe_the_nurse‗s_unique_role_in_the_health_car
e_system.
DIF:_ _ Cognitive_Level:_Analyze_(Analysis)
TOP:_ Nursing_Process:_Implementation_ _ _ MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
2. Which_statement_by_the_nurse_accurately_describes_ the_use_of_evidence-based_practice_(EBP)?
a. ―Patient_care_is_based_on_clinical_judgment,_experience,_and_traditions.‖
b. ―Data_are_analyzed_later_to_show_that_the_patient_outcomes_are_consistently_met.‖
c. ―Research_from_all_published_articles_are_used_as_a_guide_for_planning_patient_care.‖
d. ―Recommendations_are_based_on_research,_clinical_expertise,_and_patien
t__preferences.‖
ANS:_ D
Evidence-based_practice_(EBP)_is_the_use_of_the_best_research-
based_evidence_combined_with_clinician_expertise_and_consideration_of_patient_preferences.
_Clinical_judgment_based_on_the_nurse‗s_clinical_experience_is_part_of_EBP,_but_clinical_de
cision_making_should_also_incorporate_current_research_and_research-
based_guidelines._Evaluation_of_patient_outcomes_is_important,_but_data_analysis_is_not_requ
ired_to_use_EBP._All_published_articles_do_not_provide_research_evidence;_interventions_sho
uld_be_based_on_credible_research,_preferably_randomized_controlled_studies_with_a_large_nu
mber_of_subjects.
DIF: Cognitive_Level:_Understand_(Comprehension)
TOP:_Nursing_Process:_Planning_MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
3. Which_statement_by_the_nurse_provides_a_clear_explanation_of_the_nursing_process?
a. ―The_nursing_process_is_a_research_method_of_diagnosing_the_patient‗s_health_c
are_problems.‖
b. ―The_nursing_process_is_used_primarily_to_explain_nursing_interventions_to_oth
er_health_care_professionals.‖
c. ―The_nursing_process_is_a_problem-solving_tool_used_to_identify_and_manage_the
, patients‗_health_care_needs.‖
d. ―The_nursing_process_is_based_on_nursing_theorythat_incorporates_t
he_biopsychosocial_nature_of_humans.‖
ANS:_ C
The_nursing_process_is_a_problem-
solving_approach_to_the_identification_and_treatment_of_patients‗_problems._Nursing_proces
s_does_not_require_research_methods_for_diagnosis._The_primary_use_of_the_nursing_process_
is_in_patient_care,_not_to_establish_nursing_theory_or_explain_nursing_interventions_to_other_h
ealth_care_professionals.
DIF: Cognitive_Level:_Understand_(Comprehension)
TOP:_Nursing_Process:_Evaluation_MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
4. A_patient_admitted_to_the_hospital_for_surgery_tells_the_nurse,_―I_do_not_feel_comforta
ble_leaving_my_children_with_my_parents.‖_Which_action_would_the_nurse_take_next
?
a. Reassure_the_patient_that_these_feelings_are_common_for_parents.
b. Have_the_patient_call_the_children_to_ensure_that_they_are_doing_well.
c. Gather_information_on_the_patient‗s_concerns_about_the_child_care_arrangements.
d. Call_the_patient‗s_parents_to_determine_whether_adequate_child_care_is_bei
ng_provided.
ANS:_ C
Because_a_complete_assessment_is_necessary_in_order_to_identify_a_problem_and_choose_an_
appropriate_intervention,_the_nurse‗s_first_action_should_be_to_obtain_more_information._Th
e_other_actions_may_be_appropriate,_but_more_assessment_is_needed_before_the_best_intervent
ion_can_be_chosen.
DIF: Cognitive_Level:_Analyze_(Analysis)
TOP:_ Nursing_Process:_Assessment MSC:_ NCLEX:_Psychosocial_Integrity
5. A_patient_with_a_bacterial_infection_is_hypovolemic_due_to_a_fever_and_excessive_diaphore
sis._Which_expected_outcome_would_the_nurse_select_for_this_patient?
a. Patient_has_a_balanced_intake_and_output.
b. Patient‗s_bedding_is_kept_clean_and_free_of_moisture.
c. Patient_understands_the_need_for_increased_fluid_intake.
d. Patient‗s_skin_remains_cool_and_dry_throughout_hospitalization.
ANS:_ A
Balanced_intake_and_output_gives_measurable_data_showing_resolution_of_the_problem_of_def
icient_fluid_volume._The_other_statements_would_not_indicate_that_the_problem_of_hypovole
mia_was_resolved.
DIF: Cognitive_Level:_Apply_(Application)
TOP:_Nursing_Process:_Planning_MSC:_ NCLEX:_Physiological_Integrity
6. Which_statement_describes_the_purpose_of_the_evaluation_phase_of_the_nursing_process?
a. To_document_the_nursing_care_plan_in_the_progress_notes_of_the_health_record
b. To_determine_if_interventions_have_been_effective_in_meeting_patient_outcomes
c. To_decide_whether_the_patient‗s_health_problems_have_been_completely_resolved
d. To_establish_if_the_patient_agrees_that_the_nursing_care_provided_was_satisfactory
ANS:_ B
, Evaluation_consists_of_determining_whether_the_desired_patient_outcomes_have_been_met_a
nd_whether_the_nursing_interventions_were_appropriate._The_other_responses_do_not_descri
be_the_evaluation_phase.
DIF:_ Cognitive_Level:_Understand_(Comprehension)
TOP:_Nursing_Process:_Evaluatio
n_MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
7. Which_statement_describes_the_purpose_of_the_assessment_phase_of_the_nursing_process?
a. To_teach_interventions_that_relieve_health_problems
b. To_use_patient_data_to_evaluate_patient_care_outcomes
c. To_obtain_data_to_diagnose_patient_strengths_and_problems
d. To_help_the_patient_identify_realistic_outcomes_for_health_problems
ANS:_ C
During_the_assessment_phase,_the_nurse_gathers_information_about_the_patient_to_diagnose_pa
tient_strengths_and_problems._The_other_responses_are_examples_of_the_planning,_interventi
on,_and_evaluation_phases_of_the_nursing_process.
DIF: Cognitive_Level:_Understand_(Comprehension)
TOP:_ Nursing_Process:_Assessment MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
8. When_developing_the_plan_of_care,_which_components_would_the_nurse_include_in_the_clini
cal_problem_statement?
a. The_problem_and_the_suggested_patient_goals_or_outcomes
b. The_problem,_its_causes,_and_the_signs_and_symptoms_of_the_problem
c. The_problem_with_the_possible_etiology_and_the_planned_interventions
d. The_problem,_its_pathophysiology,_and_the_expected_outcome
ANS:_ B
When_writing_clinical_problems_or_nursing_diagnoses,_the_subjective_as_well_as_objective_d
ata_to_support_the_problem‗s_existence_should_be_included._Goals,_outcomes,_and_interventio
ns_are_not_included_in_the_problem_statement.
DIF: Cognitive_Level:_Understand_(Comprehension)
TOP:_Nursing_Process:_Diagnosis_MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
9. Which_patient_care_task_would_the_nurse_delegate_to_experienced_assistive_personnel_(AP)?
a. Instruct_the_patient_about_the_need_to_alternate_activity_and_rest.
b. Monitor_level_of_shortness_of_breath_or_fatigue_after_ambulation.
c. Obtain_the_patient‗s_blood_pressure_and_pulse_rate_after_ambulation.
d. Determine_whether_the_patient_is_ready_to_increase_the_activity_level.
ANS:_ C
AP_education_includes_accurate_vital_sign_measurement._Assessment_and_patient_teaching_re
quire_registered_nurse_education_and_scope_of_practice_and_cannot_be_delegated.
DIF: Cognitive_Level:_Apply_(Application)
TOP:_Nursing_Process:_Planning_MSC:_ NCLEX:_Safe_and_Effective_Care_Environment
