LEWIS’S MEDICAL SURGICAL NURSING 11TH EDITION BY
HARDING/ALL CHAPTERS 1-68 COVERED/LATEST
EDITION 2024-2025/COMPLETE GUIDE
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Chapter 01: Professional Nursing
Test Bank
MULTIPLE
RESPONSE
1. The caregiver teaches a student caregiver about how to apply the nursing process when providing
clientele care. Which statement, if made by the student caregiver, indicates that teaching was
successful?
a. The nursing process is a scientific-based method of diagnosing the client health care problems.
b. The nursing process is a problem-solving tool used to identify and treat client health care needs.
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature
of humans.
d. The nursing process is used primarily to explain nursing interventions to other health
care professionals.
RIGHT CHOICE:-B
The nursing process is a problem-solving approach to the identification and treatment of client problems.
Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in clientele
care, not to establish nursing theory or explain nursing interventions to other health care professionals.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The caregiver describes to a student caregiver how to use evidence-based practice guidelines
when caringfor client. Which statement, if made by the caregiver, would be the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Clientele care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the clientele outcomes are consistently met.
d. Recommendations are based on research, clinical expertise, and clientele preferences.
RIGHT CHOICE:-D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the caregivers clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of clientele
outcomes is important, but interventions should be based on research from randomized control studies with a
large number of subjects.
DIF: Cognitive Level: Remember (knowledge)
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TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The caregiver completes an admission database and explains that the plan of care and discharge goals
will be developed with the client input. The clientele states, How is this different from what the doctor
does? Which response would be most appropriate for the caregiver to make?
a. The role of the caregiver is to administer medications and other treatments prescribed by your doctor.
b. The caregivers job is to help the doctor by collecting information and communicating
any problems that occur.
c. Caregivers perform many of the same procedures as the doctor, but caregivers are with the
client for a longer time than the doctor.
d. In addition to caring for you while you are sick, the caregivers will assist you to
developan individualized plan to maintain your health.
RIGHT CHOICE:-D
This response is consistent with the American Caregivers Association (ANA) definition of nursing, which
describes the role of caregivers in promoting health. The other responses describe some of the dependent
andcollaborative functions of the nursing role but do not accurately describe the caregivers role in the
health care system.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A clientele who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the
left hip Which nursing diagnosis is most appropriate?
a. Impaired physical mobility related to left-sided paralysis
b. Risk for impaired tissue integrity related to left-sided weakness
c. Impaired skin integrity related to altered circulation and pressure
d. Ineffective tissue perfusion related to inability to move
independently RIGHT CHOICE:-C
The client major problem is the impaired skin integrity as demonstrated by the presence of a pressure
ulcer. The caregiver is able to treat the cause of altered circulation and pressure by frequently repositioning
the clientele. Although left-sided weakness is a problem for the clientele, the caregiver cannot treat the
weakness. The risk for diagnosis is not appropriate for this clientele, who already has impaired tissue
integrity. The clientele does have ineffective tissue perfusion, but the impaired skin integrity diagnosis
indicates more clearly what the health problem is.
5. A clientele has been admitted to the hospital for surgery and tells the caregiver, I do not feel
comfortable leaving my children with my parents. Which action should the caregiver take next?
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a. Reassure the clientele that these feelings are common for parents.
b. Have the clientele call the children to ensure that they are doing well.
c. Gather more data about the client feelings about the child-care arrangements.
d. Call the client parents to determine whether adequate child care is being provided.
RIGHT CHOICE:-C
Since a complete assessment is necessary in order to identify a problem and choose an appropriate
intervention, the caregivers 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: Apply (application)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity
6. A clientele with a bacterial infection has a nursing diagnosis of deficient fluid volume related to
excessive diaphoresis. Which outcome would the caregiver recognize as most appropriate for this
clientele?
a. Clientele has a balanced intake and output.
b. Client bedding is changed when it becomes damp.
c. Clientele understands the need for increased fluid intake.
d. Client skin remains cool and dry throughout hospitalization.
RIGHT CHOICE:-A
This statement gives measurable data showing resolution of the problem of deficient fluid volume that was
identified in the nursing diagnosis statement. The other statements would not indicate that the problem of
deficient fluid volume was resolved.
7. A caregiver asks the clientele if pain was relieved after receiving medication. What is the
purpose of the evaluation phase of the nursing process?
a. To determine if interventions have been effective in meeting clientele outcomes
b. To document the nursing care plan in the progress notes of the medical record
c. To decide whether the client health problems have been completely resolved
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