Lewis's Medical-Surgical Nursing Assessment and Management of Clinical
Problems 11th Edition Test Bank
1. Question: What is the primary purpose of the assessment phase of the nursing process?
o Answer: To gather comprehensive data about the patient to identify health problems and strengths.
2. Question: During which phase of the nursing process are nursing diagnoses made?
o Answer: Diagnosis phase.
3. Question: Which term describes the specific, measurable outcomes expected from nursing interventions?
o Answer: Patient goals.
4. Question: What is the primary focus of the implementation phase in the nursing process?
o Answer: To execute the planned interventions to achieve the desired patient outcomes.
5. Question: Why is ongoing evaluation important after implementing a nursing care plan?
o Answer: To determine if the patient’s health outcomes are being met and to make necessary adjustments
to the plan.
6. Question: What is included in a well-written nursing diagnosis?
o Answer: The problem, its etiology, and defining characteristics.
7. Question: What is the purpose of the planning phase in the nursing process?
o Answer: To develop a comprehensive care plan that includes interventions and expected outcomes.
8. Question: How should a nurse prioritize nursing diagnoses?
o Answer: By determining which issues are most critical to the patient’s safety and wellbeing.
9. Question: What is the difference between short-term and long-term goals in nursing care?
o Answer: Short-term goals are expected to be achieved in a short time, while long-term goals take longer
to accomplish.
10. Question: Which step follows the implementation phase in the nursing process?
o Answer: Evaluation phase.
Delegation and Supervision
11. Question: What factors should a nurse consider when delegating tasks to unlicensed assistive personnel
(UAP)?
o Answer: The complexity of the task, the patient’s condition, and the UAP's training and experience.
12. Question: Which task is appropriate to delegate to a licensed practical/vocational nurse (LPN/VN)?
o Answer: Administering medications to stable patients.
13. Question: Can a nurse delegate the task of performing a head-to-toe assessment?
o Answer: No, that task should be performed by a registered nurse.
14. Question: What is the primary role of a nurse supervisor?
o Answer: To oversee nursing staff and ensure quality patient care delivery.
15. Question: When should a nurse intervene during a task delegated to another nursing staff member?
o Answer: If the task is not being performed according to established protocols or if patient safety is at risk.
Therapeutic Communication
16. Question: What communication technique involves summarizing what the patient has said to ensure
understanding?
o Answer: Reflection.
17. Question: How can a nurse create a therapeutic relationship with a patient?
o Answer: By being empathetic, respectful, and maintaining open lines of communication.
, Lewis's Medical-Surgical Nursing Assessment and Management of Clinical
Problems 11th Edition Test Bank
18. Question: Why is active listening important in nursing practice?
o Answer: It helps build trust and understanding between the nurse and the patient.
19. Question: What should a nurse do if a patient is expressing anger?
o Answer: Listen to the patient’s concerns without becoming defensive and validate their feelings.
20. Question: In which situation should the nurse use silence during a conversation with a patient?
o Answer: When allowing the patient time to process information or gather their thoughts.
Cultural Competence
21. Question: What is cultural competence in nursing care?
o Answer: The ability to understand, respect, and effectively interact with people from diverse backgrounds.
22. Question: How can a nurse demonstrate respect for a patient’s cultural beliefs?
o Answer: By asking the patient about their cultural practices and considering them in the care plan.
23. Question: Why is it essential for nurses to be aware of cultural differences in health care?
o Answer: To provide appropriate and individualized care that respects each patient’s values and beliefs.
24. Question: What should a nurse do if a patient wants to use alternative medicine alongside traditional
treatment?
o Answer: Coordinate care and discuss how both approaches can be safely integrated.
25. Question: What is the nurse’s responsibility when caring for a patient from a different cultural
background?
o Answer: To assess cultural needs and provide care that is sensitive to those needs.
Evidence-Based Practice
26. Question: What is evidence-based practice (EBP) in nursing?
o Answer: A problem-solving approach to decision-making that integrates the best available research,
clinical expertise, and patient values.
27. Question: What is a key component of EBP?
o Answer: Use of standardized guidelines and protocols based on research findings.
28. Question: Why is keeping up with current research important for nurses?
o Answer: It allows nurses to provide the most effective and safe care to their patients.
29. Question: How can a nurse implement EBP in daily practice?
o Answer: By applying the latest research findings to clinical situations and patient care plans.
30. Question: What might influence a nurse’s clinical decision-making besides research evidence?
o Answer: Clinical judgment and patient preferences.
Patient-centered Care
31. Question: What does patient-centered care emphasize?
o Answer: Involving patients in their own care and respecting their preferences, needs, and values.
32. Question: How can nurses support patient autonomy?
o Answer: By providing information and allowing patients to make informed decisions about their care.
33. Question: What is one way to evaluate patient-centered care?
o Answer: Assessing patient satisfaction and outcomes post-intervention.
34. Question: Why is it important to involve family members in the care of the patient?
, Lewis's Medical-Surgical Nursing Assessment and Management of Clinical
Problems 11th Edition Test Bank
o Answer: Family members can provide emotional support and help reinforce the patient’s understanding of
their health.
35. Question: How can a nurse ensure that care is holistic and patient-centered?
o Answer: By addressing the physical, emotional, social, and spiritual needs of the patient.
Patient Education
36. Question: What is the primary goal of patient education?
o Answer: To empower patients to take an active role in their health and manage their conditions
effectively.
37. Question: Which teaching method is most effective for demonstrating a new skill to a patient?
o Answer: Return demonstration.
38. Question: How should a nurse assess a patient's understanding of discharge instructions?
o Answer: By asking the patient to explain the instructions in their own words.
39. Question: What should a nurse consider when developing educational materials for a patient?
o Answer: The patient’s literacy level and preferred learning style.
40. Question: Why is it important to document patient education?
o Answer: To ensure continuity of care and verify that the patient has received necessary information.
Infection Control
41. Question: What is the primary purpose of hand hygiene in a clinical setting?
o Answer: To prevent the transmission of infections.
42. Question: What is the proper order for donning personal protective equipment (PPE)?
o Answer: Gown, mask, goggles, gloves.
43. Question: What is a nurse's role in preventing healthcare-associated infections (HAIs)?
o Answer: To follow infection control protocols and adhere to best practices.
44. Question: Why is it critical to isolate patients with contagious diseases?
o Answer: To prevent the spread of the infection to other patients and healthcare staff.
45. Question: What is the significance of using aseptic technique during procedures?
o Answer: To minimize the risk of infection during invasive procedures.
Nutrition and Hydration
46. Question: What role does nutrition play in patient recovery?
o Answer: Proper nutrition supports healing, immune function, and overall health.
47. Question: What is a clear liquid diet, and when is it used?
o Answer: A diet consisting of clear fluids that provide hydration and electrolytes, often used post-surgery
or for gastrointestinal issues.
48. Question: How can a nurse promote adequate hydration in patients?
o Answer: By encouraging fluid intake and offering a variety of beverages.
49. Question: Why is it important to assess a patient’s dietary habits?
o Answer: To identify nutritional deficiencies and address them in the care plan.
50. Question: How can cultural considerations impact a patient’s nutrition?
o Answer: Different cultures have unique dietary restrictions and preferences that should be considered in
the care plan.
Problems 11th Edition Test Bank
1. Question: What is the primary purpose of the assessment phase of the nursing process?
o Answer: To gather comprehensive data about the patient to identify health problems and strengths.
2. Question: During which phase of the nursing process are nursing diagnoses made?
o Answer: Diagnosis phase.
3. Question: Which term describes the specific, measurable outcomes expected from nursing interventions?
o Answer: Patient goals.
4. Question: What is the primary focus of the implementation phase in the nursing process?
o Answer: To execute the planned interventions to achieve the desired patient outcomes.
5. Question: Why is ongoing evaluation important after implementing a nursing care plan?
o Answer: To determine if the patient’s health outcomes are being met and to make necessary adjustments
to the plan.
6. Question: What is included in a well-written nursing diagnosis?
o Answer: The problem, its etiology, and defining characteristics.
7. Question: What is the purpose of the planning phase in the nursing process?
o Answer: To develop a comprehensive care plan that includes interventions and expected outcomes.
8. Question: How should a nurse prioritize nursing diagnoses?
o Answer: By determining which issues are most critical to the patient’s safety and wellbeing.
9. Question: What is the difference between short-term and long-term goals in nursing care?
o Answer: Short-term goals are expected to be achieved in a short time, while long-term goals take longer
to accomplish.
10. Question: Which step follows the implementation phase in the nursing process?
o Answer: Evaluation phase.
Delegation and Supervision
11. Question: What factors should a nurse consider when delegating tasks to unlicensed assistive personnel
(UAP)?
o Answer: The complexity of the task, the patient’s condition, and the UAP's training and experience.
12. Question: Which task is appropriate to delegate to a licensed practical/vocational nurse (LPN/VN)?
o Answer: Administering medications to stable patients.
13. Question: Can a nurse delegate the task of performing a head-to-toe assessment?
o Answer: No, that task should be performed by a registered nurse.
14. Question: What is the primary role of a nurse supervisor?
o Answer: To oversee nursing staff and ensure quality patient care delivery.
15. Question: When should a nurse intervene during a task delegated to another nursing staff member?
o Answer: If the task is not being performed according to established protocols or if patient safety is at risk.
Therapeutic Communication
16. Question: What communication technique involves summarizing what the patient has said to ensure
understanding?
o Answer: Reflection.
17. Question: How can a nurse create a therapeutic relationship with a patient?
o Answer: By being empathetic, respectful, and maintaining open lines of communication.
, Lewis's Medical-Surgical Nursing Assessment and Management of Clinical
Problems 11th Edition Test Bank
18. Question: Why is active listening important in nursing practice?
o Answer: It helps build trust and understanding between the nurse and the patient.
19. Question: What should a nurse do if a patient is expressing anger?
o Answer: Listen to the patient’s concerns without becoming defensive and validate their feelings.
20. Question: In which situation should the nurse use silence during a conversation with a patient?
o Answer: When allowing the patient time to process information or gather their thoughts.
Cultural Competence
21. Question: What is cultural competence in nursing care?
o Answer: The ability to understand, respect, and effectively interact with people from diverse backgrounds.
22. Question: How can a nurse demonstrate respect for a patient’s cultural beliefs?
o Answer: By asking the patient about their cultural practices and considering them in the care plan.
23. Question: Why is it essential for nurses to be aware of cultural differences in health care?
o Answer: To provide appropriate and individualized care that respects each patient’s values and beliefs.
24. Question: What should a nurse do if a patient wants to use alternative medicine alongside traditional
treatment?
o Answer: Coordinate care and discuss how both approaches can be safely integrated.
25. Question: What is the nurse’s responsibility when caring for a patient from a different cultural
background?
o Answer: To assess cultural needs and provide care that is sensitive to those needs.
Evidence-Based Practice
26. Question: What is evidence-based practice (EBP) in nursing?
o Answer: A problem-solving approach to decision-making that integrates the best available research,
clinical expertise, and patient values.
27. Question: What is a key component of EBP?
o Answer: Use of standardized guidelines and protocols based on research findings.
28. Question: Why is keeping up with current research important for nurses?
o Answer: It allows nurses to provide the most effective and safe care to their patients.
29. Question: How can a nurse implement EBP in daily practice?
o Answer: By applying the latest research findings to clinical situations and patient care plans.
30. Question: What might influence a nurse’s clinical decision-making besides research evidence?
o Answer: Clinical judgment and patient preferences.
Patient-centered Care
31. Question: What does patient-centered care emphasize?
o Answer: Involving patients in their own care and respecting their preferences, needs, and values.
32. Question: How can nurses support patient autonomy?
o Answer: By providing information and allowing patients to make informed decisions about their care.
33. Question: What is one way to evaluate patient-centered care?
o Answer: Assessing patient satisfaction and outcomes post-intervention.
34. Question: Why is it important to involve family members in the care of the patient?
, Lewis's Medical-Surgical Nursing Assessment and Management of Clinical
Problems 11th Edition Test Bank
o Answer: Family members can provide emotional support and help reinforce the patient’s understanding of
their health.
35. Question: How can a nurse ensure that care is holistic and patient-centered?
o Answer: By addressing the physical, emotional, social, and spiritual needs of the patient.
Patient Education
36. Question: What is the primary goal of patient education?
o Answer: To empower patients to take an active role in their health and manage their conditions
effectively.
37. Question: Which teaching method is most effective for demonstrating a new skill to a patient?
o Answer: Return demonstration.
38. Question: How should a nurse assess a patient's understanding of discharge instructions?
o Answer: By asking the patient to explain the instructions in their own words.
39. Question: What should a nurse consider when developing educational materials for a patient?
o Answer: The patient’s literacy level and preferred learning style.
40. Question: Why is it important to document patient education?
o Answer: To ensure continuity of care and verify that the patient has received necessary information.
Infection Control
41. Question: What is the primary purpose of hand hygiene in a clinical setting?
o Answer: To prevent the transmission of infections.
42. Question: What is the proper order for donning personal protective equipment (PPE)?
o Answer: Gown, mask, goggles, gloves.
43. Question: What is a nurse's role in preventing healthcare-associated infections (HAIs)?
o Answer: To follow infection control protocols and adhere to best practices.
44. Question: Why is it critical to isolate patients with contagious diseases?
o Answer: To prevent the spread of the infection to other patients and healthcare staff.
45. Question: What is the significance of using aseptic technique during procedures?
o Answer: To minimize the risk of infection during invasive procedures.
Nutrition and Hydration
46. Question: What role does nutrition play in patient recovery?
o Answer: Proper nutrition supports healing, immune function, and overall health.
47. Question: What is a clear liquid diet, and when is it used?
o Answer: A diet consisting of clear fluids that provide hydration and electrolytes, often used post-surgery
or for gastrointestinal issues.
48. Question: How can a nurse promote adequate hydration in patients?
o Answer: By encouraging fluid intake and offering a variety of beverages.
49. Question: Why is it important to assess a patient’s dietary habits?
o Answer: To identify nutritional deficiencies and address them in the care plan.
50. Question: How can cultural considerations impact a patient’s nutrition?
o Answer: Different cultures have unique dietary restrictions and preferences that should be considered in
the care plan.
