Test Bank for Lewis’s Medical-Surgical Nursing 12th Edition by Mariann – Complete Exam Questions, Answers & Rationales (A+ Updated)

Test Bank for Lewis\'s Medical-
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SurgicalNursing,12thEditionby
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Mariann M. Harding, Jeffrey
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Kwong, DebraHagler Chapter 1-
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69
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,Chapter01:Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE k




1. The nurse completes an admission database and explains that the plan of care and discharge
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goals will be developed with the patient‘s input. The patient asks, “How is this different from what
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the physician does?” Which response would the nurse provide?
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a. “Therole of thenurseis to administer medications and othertreatments prescribed by
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your physician.”
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b. “In addition to caring for you while you aresick, the nurses will help you plan to
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maintain your health.”
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c. “Thenurse‘s job isto collect information and communicate anyproblems that
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occur to the physician.”
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d. “Nurses perform manyof thesame procedures as the physician, but nurses are with
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the patients for a longer time than the physician.”
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ANS: B k




The American Nurses Association (ANA) definition of nursing describes the role of nurses in promoting
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health. The other responses describe dependent and collaborative functions of the nursing role but do
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not accurately describe the nurse‘s unique role in the health care system.
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DIF: Cognitive Level: Analyze (Analysis) k k k




TOP: Nursing Process: Implementation
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2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
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a. “Patient care is based on clinical judgment, experience, and traditions.”
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b. “Data are analyzed later to show that the patient outcomes are consistently met.”
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c. “Research from all published articles are used as a guide for planning patient care.”k k k k k k k k k k k k k




d. “Recommendations arebased onresearch, clinical expertise, and patient k k k k k k k k




k preferences.”
ANS: D k




Evidence-based practice (EBP) is the use of the best research-based evidence combined with k k k k k k k k k k k k




clinician expertise and consideration of patient preferences. Clinical judgment based on the
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nurse‘s clinical experience is part of EBP, but clinical decision making should also incorporate
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current research and research-based guidelines. Evaluation of patient outcomes is important, but
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data analysis is not required to use EBP. All published articles do not provide research evidence;
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interventions should be based on credible research, preferably randomized controlled studies with
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a large number of subjects.
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DIF: Cognitive Level: Understand (Comprehension) k k k TOP: NursingProcess: Planning k k k




MSC: NCLEX: Safe and Effective Care Environment
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3. Which statement by the nurse provides a clear explanation of the nursing process?
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a. “Thenursing process isa research method ofdiagnosing the patient‘s health care
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problems.” k




b. “Thenursing process isused primarilyto explain nursing interventions to other
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health care professionals.”
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c. “The nursing process is a problem-solving tool used to identify and manage the
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, patients‘ health care needs.” k k k




d. “Thenursing process isbased on nursingtheorythatincorporates the
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k biopsychosocial nature of humans.” k k k




ANS: C k




The nursing process is a problem-solving approach to the identification and treatment of patients‘
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problems. Nursing process does not require research methods for diagnosis. The primary use of
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the nursing process is in patient care, not to establish nursing theory or explain nursing
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interventions to other health care professionals.
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DIF: Cognitive Level: Understand (Comprehension) k k k TOP: NursingProcess: Evaluation k k k




MSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted to the hospital forsurgerytells the nurse, “Ido not feel comfortable
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leaving my children with my parents.” Which action would the nurse take next?
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a. Reassure the patient that these feelings are common for parents. k k k k k k k k k




b. Have the patient call the children to ensure that they are doing well.
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c. Gather information on the patient‘s concerns about the child care arrangements.
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d. Call the patient‘s parents to determine whether adequate child care is being
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provided.
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ANS: C k




Because a complete assessment is necessary in order to identify a problem and choose an
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appropriate intervention, the nurse‘s first action should be to obtain more information. The other
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actions maybe appropriate, but more assessment is needed before the best intervention can be
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chosen.
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DIF: Cognitive Level: Analyze (Analysis) k k k




TOP: Nursing Process: Assessment
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5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
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Which expected outcome would the nurse select for this patient?
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a. Patient has a balanced intake and output. k k k k k k




b. Patient‘s bedding is kept clean and free of moisture. k k k k k k k k




c. Patient understands the need for increased fluid intake. k k k k k k k




d. Patient‘s skin remains cool and drythroughout hospitalization. k k k k k k k




ANS: A k




Balanced intake and output gives measurable data showing resolution of the problem of deficient
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fluid volume. The other statements would not indicate that the problem of hypovolemia was
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resolved.
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DIF: Cognitive Level: Apply (Application) k k k TOP: NursingProcess: Planning k k k




MSC: NCLEX: Physiological Integrity
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6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meeting patient outcomes
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c. To decide whether the patient‘s health problems have been completely resolved
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d. To establish if the patient agrees that the nursing care provided was satisfactory
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ANS: B k

, Evaluation consists of determining whether the desired patient outcomes have been met and
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whether the nursing interventions were appropriate. The other responses do not describe the
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evaluation phase.
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DIF: Cognitive Level: Understand (Comprehension) k k k TOP: NursingProcess: Evaluation k k k




MSC: NCLEX: Safe and Effective Care Environment
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7. Which statement describes the purpose of the assessment phase of the nursing process?
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a. To teach interventions that relieve health problems
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b. To use patient data to evaluate patient care outcomes
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c. To obtain data to diagnose patient strengths and problems
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d. To help the patient identify realistic outcomes for health problems
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ANS: C k




During the assessment phase, the nurse gathers information about the patient to diagnose patient
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strengths and problems. The other responses are examples of the planning, intervention, and
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evaluation phases of the nursing process.
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DIF: Cognitive Level: Understand (Comprehension) k k k




TOP: Nursing Process: Assessment
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8. When developing the plan of care, which components would the nurse include in the clinical
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problem statement?
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a. The problem and the suggested patient goals or outcomes
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b. The problem, its causes, and the signs and symptoms of the problem
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c. The problem with the possible etiology and the planned interventions
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d. The problem, its pathophysiology, and the expected outcome
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ANS: B k




When writing clinical problems or nursing diagnoses, the subjective as well as objective data to
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support the problem‘s existence should be included. Goals, outcomes, and interventions are not
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included in the problem statement.
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DIF: Cognitive Level: Understand (Comprehension) k k k TOP: NursingProcess: Diagnosis k k k




MSC: NCLEX: Safe and Effective Care Environment
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9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
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a. Instruct the patient about the need to alternate activity and rest.
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b. Monitor level of shortness of breath or fatigue after ambulation.
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c. Obtain the patient‘s blood pressure and pulse rate after ambulation.
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d. Determine whether the patient is ready to increase the activity level. k k k k k k k k k k




ANS: C k




AP education includes accurate vital sign measurement. Assessment and patient teaching require
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registered nurse education and scope of practice and cannot be delegated.
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DIF: Cognitive Level: Apply (Application) k k k TOP: NursingProcess: Planning k k k




MSC: NCLEX: Safe and Effective Care Environment
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