TEST BANK
Lewis's Medical-Surgical Nursing
Assessment and Management of Clinical Problems
Mariann M. Harding, Jeffrey Kwong, Dottie Roberts, Debra Hagler, Courtney Reinisch
11th Edition
,Test Bank - Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems 11th Edition (Harding, 2020)
Table of Contents
Section One – Concepts in Nursing Practice
1. Professional Nursing
2. Health Equity and Culturally Competent Care
3. Health History and Physical Examination
4. Patient and Caregiver Teaching
5. Chronic Illness and Older Adults
Section Two – Problems Related to Comfort and Coping
6. Stress Management
7. Sleep and Sleep Disorders
8. Pain
9. Palliative and End-of-Life Care
10. Substance Use Disorders
Section Three – Problems Related to Homeostasis and Protection
11. Inflammation and Healing
12. Genetics
13. Immune Responses and Transplantation
14. Infection
15. Cancer
16. Fluid, Electrolyte, and Acid-Base Imbalances
Section Four – Perioperative Care
17. Management: Preoperative Care
18. Management: Intraoperative Care
19. Management: Postoperative Care
Section Five – Problems Related to Altered Sensory Input
20. Assessment and Management: Visual Problems
21. Assessment and Management: Auditory Problems
22. Assessment: Integumentary System
23. Management: Integumentary Problems
24. Management: Burns
Section Six – Problems of Oxygenation: Ventilation
25. Assessment: Respiratory System
26. Management: Upper Respiratory Problems
27. Management: Lower Respiratory Problems
28. Management: Obstructive Pulmonary Diseases
Section Seven – Problems of Oxygenation: Transport
29. Assessment: Hematologic System
30. Management: Hematologic Problems
Section Eight – Problems of Oxygenation: Perfusion
31. Assessment: Cardiovascular System
32. Management: Hypertension
33. Management: Coronary Artery Disease and Acute Coronary Syndrome
34. Management: Heart Failure
,Test Bank - Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems 11th Edition (Harding, 2020)
35. Management: Dysrhythmias
36. Management: Inflammatory and Structural Heart Disorders
37. Management: Vascular Disorders
Section Nine – Problems of Ingestion, Digestion, Absorption, and Elimination
38. Assessment: Gastrointestinal System
39. Management: Nutritional Problems
40. Management: Obesity
41. Management: Upper Gastrointestinal Problems
42. Management: Lower Gastrointestinal Problems
43. Management: Liver, Biliary Tract, Pancreas
Section Ten – Problems of Urinary Function
44. Assessment: Urinary System
45. Management: Renal and Urologic Problems
46. Management: Acute Renal Failure and Chronic Kidney Disease
Section Eleven – Problems Related to Regulatory and Reproductive Mechanisms
47. Assessment: Endocrine System
48. Management: Diabetes Mellitus
49. Management: Endocrine Problems
50. Assessment: Reproductive System
51. Management: Breast Disorders
52. Management: Sexually Transmitted Infections
53. Management: Female Reproductive Problems
54. Management: Male Reproductive Problems
Section Twelve – Problems Related to Movement and Coordination
55. Assessment: Nervous System
56. Management: Acute Intracranial Problems
57. Management: Stroke
58. Management: Chronic Neurologic Problems
59. Management: Alzheimer’s Disease and Dementia
60. Management: Peripheral Nerve and Spinal Cord Problems
61. Assessment: Musculoskeletal System
62. Management: Musculoskeletal Trauma and Orthopedic Surgery
63. Management: Musculoskeletal Problems
64. Management: Arthritis and Connective Tissue Diseases
Section Thirteen – Nursing Care in Specialized Settings
65. Management: Critical Care
66. Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ Dysfunction
Syndrome
67. Management: Respiratory Failure and Acute Respiratory Distress Syndrome
68. Management: Emergency Care Situations
, Test Bank - Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems 11th Edition (Harding, 2020)
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient’s input. The patient asks, “How is this different from
what the doctor does?” Which response would be most appropriate for the nurse to make?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your doctor.”
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 help the doctor by collecting information and
communicating any problems that occur.”
d. “Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for a longer time than the doctor.”
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 care system.
DIF: Cognitive Level: Analyze (analysis)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice (EBP) when caring
for patients. Which statement by the nurse accurately describes the use of EBP?
a. “Inferences from all published articles are used as a guide.”
b. “Patient care is based on clinical judgment, experience, and traditions.”
c. “Data are analyzed later to show that the patient outcomes are consistently met.”
d. “Recommendations are based on research, clinical expertise, and patient
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 decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled studies with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
3. The nurse teaches a student nurse about how to apply the nursing process when providing
patient care. Which statement by the student nurse indicates that teaching was successful?
a. “The nursing process is a research method of diagnosing the patient’s health care
problems.”
b. “The nursing process is used primarily to explain nursing interventions to other