Exam (elaborations)
Test Bank for Lewis Medical Surgical Nursing 12TH Edition by By Mariann M. Harding, Jeffrey Kwong, Debra Hagler, and Courtney Reinisch/Updated Version 2023/2024/ All Chapters Covered(Chapter 1 to Chapter 69)/100% Correct Answers with Rationale/Graded A+/P
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Lewis Medical Surgical Nursing 12TH
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Lewis Medical Surgical Nursing 12TH
Test Bank for Lewis Medical Surgical Nursing 12TH Edition by By Mariann M. Harding, Jeffrey Kwong, Debra Hagler, and Courtney Reinisch/Updated Version 2023/2024/ All Chapters Covered(Chapter 1 to Chapter 69)/100% Correct Answers with Rationale/Graded A+/P
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Book Title: Study Guide for Lewis\'s Medical-Surgical Nursing
Author(s): Mariann M. Harding, Collin Bowman-Woodall, Collin Bowman-Woodall, RN, MS, Jeffrey Kwong, Dottie Roberts, Debra Hagler, Courtney Reinisch, Courtney Reinisch, RN, DNP, FNP-BC
Edition: 2022
ISBN: 9780323792387
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Lewis Medical Surgical Nursing 12TH
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Lewis Medical Surgical Nursing 12TH
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Test Bank for Lewis\'s Medical-Surgical Nursing, 12th Edition by Mariann M. Harding,
Jeffrey Kwong, Debra Hagler Chapter 1-69
,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
;discharge ;goals ;will ;be ;developed ;with ;the ;patient‗s ;input. ;The ;patient ;asks, ;―How ;is ;this
;different ;from;what ;the ;physician ;does?‖ ;Which ;response ;would ;the ;nurse ;provide?
a. ―The ;role ;of ;the ;nurse ;is ;to ;administer ;medications ;and ;other ;treatments
;prescribed;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
;that;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
;care ;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
;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: ;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
;care;problems.‖
b. ―The ;nursing ;process ;is ;used ;primarily ;to ;explain ;nursing ;interventions ;to
;other;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 ;theory ;that ;incorporates
;the;biopsychosocial ;nature ;of ;humans.‖
ANS: ; C
The ;nursing ;process ;is ;a ;problem-solving ;approach ;to ;the ;identification ;and ;treatment ;of
;patients‗ ;problems. ;Nursing ;process ;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 ;health ;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
;comfortable;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
;being;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.
;The ;other ;actions ;may ;be ;appropriate, ;but ;more ;assessment ;is ;needed ;before ;the ;best
;intervention;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
;diaphoresis.;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;deficient ;fluid ;volume. ;The ;other ;statements ;would ;not ;indicate ;that ;the ;problem ;of
;hypovolemia ;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
;and ;whether ;the ;nursing ;interventions ;were ;appropriate. ;The ;other ;responses ;do ;not
;describe ;the;evaluation ;phase.
DIF: ; ; ; Cognitive ;Level: ;Understand ;(Comprehension) TOP: ; Nursing ;Process:
;Evaluation;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;patient ;strengths ;and ;problems. ;The ;other ;responses ;are ;examples ;of ;the
;planning, ;intervention, ;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
;clinical;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
;data ;to ;support ;the ;problem‗s ;existence ;should ;be ;included. ;Goals, ;outcomes, ;and
;interventions ;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;require ;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