Test BankForLewis's Medical-
x x x x
Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey
x x x x x x x x x x
Kwong, Debra Hagler Chapter 1-69 Complete Latest 2024-
x x x x x x x
2025
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Chapterx 01:x Professionalx Nursing
Harding:xLewis’sxMedical-SurgicalxNursing,x12th
MULTIPLEx CHOICE
1. Thex nursex completesx anx admissionx databasex andx explainsx thatx thex planx ofx carex andxdisc
hargex goalsx willx bex developedx withx thex patient‗sx input.x Thex patientx asks,x ―Howx isx th
isx differentx fromx whatx thex physicianx does?‖x Whichx responsex wouldx thex nursexprovide?
a. ―Thex rolex ofx thex nursex isx tox administerx medicationsx andx other
xtreatmentsx prescribedx byx yourx physician.‖
b. ―Inx additionx tox caringx forx youx whilex youx arex sick,x thex nursesx willx helpx
youx planx tox maintainx yourx health.‖
c. ―Thex nurse‗sx jobx isx tox collectx informationx andx communicatex any
xproblemsx thatx occurx tox thex physician.‖
d. ―Nursesx performx manyxofx thex samex proceduresx asx thex physician,x butx
nursesx arex withx thex patientsx forx ax longerx timex thanx thex physician.‖
ANS:x B
Thex Americanx Nursesx Associationx (ANA)x definitionx ofx nursingx describesx thex rolex ofxnur
sesx inx promotingx health.x Thex otherx responsesx describex dependentx andxcollaborativex f
unctionsx ofx thex nursingx rolex butx dox notx accuratelyxdescribex thex nurse‗sxuniquex rolex inx th
ex healthx carex system.
DIF:x x Cognitivex Level:x Analyzex (Analysis)
TOP: Nursingx Process:x Implementation MSC:x x NCLEX:x Safex andx Effectivex Carex Environment
2. Whichx statementx byx thex nursex accuratelyx describesx thex usex ofx evidence-basedx practicex (EBP)?
a. ―Patientx carex isx basedx onx clinicalx judgment,x experience,x andx traditions.‖
b. ―Datax arex analyzedx laterx tox showx thatx thex patientx outcomesx arex consistentlyx met.‖
c. ―Researchx fromx allx publishedx articlesx arex usedx asx ax guidex forx planningx patientx care.‖
d. ―Recommendationsx arex basedx onxresearch,x clinicalx expertise,
xandx patient x preferences.‖
ANS:x D
Evidence-basedx practicex (EBP)x isx thex usex ofx thex bestx research-
basedx evidencexcombinedx withx clinicianx expertisex andx considerationx ofx patientx prefere
nces.x Clinicalxjudgmentx basedx onx thex nurse‗sx clinicalx experiencex isx partx ofx EBP,x butx
clinicalxdecisionx makingx shouldx alsox incorporatex currentx researchx andx research-
basedxguidelines.x Evaluationx ofx patientx outcomesx isx important,x butx datax analysisx isx no
txrequiredx tox usex EBP.x Allx publishedx articlesx dox notx providex researchx evidence;xinterv
entionsx shouldx bex basedx onx crediblex research,x preferablyx randomizedx controlledxstudie
sx withx ax largex numberx ofx subjects.
DIF: Cognitivex Level:x Understandx (Comprehension)
TOP:x Nursingx Process:xPlanningx MSC:
NCLEX:x Safex andx Effectivex Carex Environment
3. Whichx statementx byx thex nursex providesx ax clearx explanationx ofx thex nursingx process?
a. ―Thex nursingx processx isx ax researchx methodx ofx diagnosingx thex patient‗s
xhealthx carex problems.‖
b. ―Thex nursingx processx isx usedx primarilyx tox explainx nursing
xinterventionsx tox otherx healthx carex professionals.‖
c. ―Thex nursingx processx isx ax problem-solvingx toolx usedx tox identifyx andx managex the
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patients‗x healthx carex needs.‖
d. ―Thex nursingx processx isx basedx onx nursingx theoryx that
xincorporatesx thex biopsychosocialx naturex ofx humans.‖
ANS:x C
Thex nursingx processx isx ax problem-
solvingx approachx tox thex identificationx andx treatmentx ofx patients‗x problems.x Nursingx p
rocessx doesx notx requirex researchx methodsx forxdiagnosis.x Thex primaryx usex ofx thex nursi
ngx processx isx inx patientx care,x notx tox establishxnursingx theoryx orx explainx nursingx interv
entionsx tox otherx healthx carex professionals.
DIF: Cognitivex Level:x Understandx (Comprehension)
TOP:x Nursingx Process:xEvaluationx MSC:
NCLEX:x Safex andx Effectivex Carex Environment
4. Ax patientx admittedx tox thex hospitalx forx surgeryx tellsx thex nurse,x ―Ix dox notxf
eelx comfortablex leavingx myx childrenx withx myx parents.‖x Whichx actionxwou
ldx thex nursex takex next?
a. Reassurex thex patientx thatx thesex feelingsx arex commonx forx parents.
b. Havex thex patientx callx thex childrenx tox ensurex thatx theyx arex doingx well.
c. Gatherx informationx onx thex patient‗sx concernsx aboutx thex childx carex arrangements.
d. Callx thex patient‗sx parentsx tox determinex whetherx adequatex childx
carex isx beingx provided.
ANS:x C
Becausex ax completex assessmentx isx necessaryx inx orderx tox identifyx ax problemx andxch
oosex anx appropriatex intervention,x thex nurse‗sx firstx actionx shouldx bex tox obtainx morexin
formation.x Thex otherx actionsx mayx bex appropriate,x butx morex assessmentx isx neededxbefo
rex thex bestx interventionx canx bex chosen.
DIF: Cognitivex Level:x Analyzex (Analysis)
TOP: Nursingx Process:x Assessment MSC:x NCLEX:x Psychosocialx Integrity
5. Ax patientx withx ax bacterialx infectionx isx hypovolemicx duex tox ax feverx andxe
xcessivex diaphoresis.x Whichx expectedx outcomex wouldx thex nursex selectxfo
rx thisx patient?
a. Patientx hasx ax balancedx intakex andx output.
b. Patient‗sx beddingx isx keptx cleanx andx freex ofx moisture.
c. Patientx understandsx thex needx forx increasedx fluidx intake.
d. Patient‗sx skinx remainsx coolx andx dryx throughoutx hospitalization.
ANS:x A
Balancedx intakex andx outputx givesx measurablex datax showingx resolutionx ofx thex problemxo
fx deficientx fluidx volume.x Thex otherx statementsx wouldx notx indicatex thatx thex problemx of
x hypovolemiax wasx resolved.
DIF: Cognitivex Level:x Applyx (Application)
TOP:x Nursingx Process:xPlanningx MSC:
NCLEX:x Physiologicalx Integrity
6. Whichx statementx describesx thex purposex ofx thex evaluationx phasex ofx thex nursingx process?
a. Tox documentx thex nursingx carex planx inx thex progressx notesx ofx thex healthx record
b. Tox determinex ifx interventionsx havex beenx effectivex inx meetingx patientx outcomes
c. Tox decidex whetherx thex patient‗sx healthx problemsx havex beenx completelyx resolved
d. Tox establishx ifx thex patientx agreesx thatx thex nursingx carex providedx wasx satisfactory
ANS:x B
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Evaluationx consistsx ofx determiningx whetherx thex desiredx patientx outcomesx havex beenxm
etx andx whetherx thex nursingx interventionsx werex appropriate.x Thex otherx responsesx doxnotx
describex thex evaluationx phase.
DIF: Cognitivex Level:x Understandx (Comprehension) TOP: Nursing
Process:xEvaluationx MSC:
NCLEX:x Safex andx Effectivex Carex Environment
7. Whichx statementx describesx thex purposex ofx thex assessmentx phasex ofx thex nursingx process?
a. Tox teachx interventionsx thatx relievex healthx problems
b. Tox usex patientx datax tox evaluatex patientx carex outcomes
c. Tox obtainx datax tox diagnosex patientx strengthsx andx problems
d. Tox helpx thex patientx identifyx realisticx outcomesx forx healthx problems
ANS:x C
Duringx thex assessmentx phase,x thex nursex gathersx informationx aboutx thex patientx toxdiagn
osex patientx strengthsx andx problems.x Thex otherx responsesx arex examplesx ofx thexplanning
,x intervention,x andx evaluationx phasesx ofx thex nursingx process.
DIF: Cognitivex Level:x Understandx (Comprehension)
TOP: Nursingx Process:x Assessment MSC:x x NCLEX:x Safex andx Effectivex Carex Environment
8. Whenx developingx thex planx ofx care,x whichx componentsx wouldx thex nursex includexi
nx thex clinicalx problemx statement?
a. Thex problemx andx thex suggestedx patientx goalsx orx outcomes
b. Thex problem,x itsx causes,x andx thex signsx andx symptomsx ofx thex problem
c. Thex problemx withx thex possiblex etiologyx andx thex plannedx interventions
d. Thex problem,x itsx pathophysiology,x andx thex expectedx outcome
ANS:x B
Whenx writingx clinicalx problemsx orx nursingx diagnoses,x thex subjectivex asx wellx asxobjec
tivex datax tox supportx thex problem‗sx existencex shouldx bex included.x Goals,xoutcomes,x a
ndx interventionsx arex notx includedx inx thex problemx statement.
DIF: Cognitivex Level:x Understandx (Comprehension)
TOP:x Nursingx Process:xDiagnosisx MSC:
NCLEX:x Safex andx Effectivex Carex Environment
9. Whichx patientx carex taskx wouldx thex nursex delegatex tox experiencedx assistivex personnelx (AP)?
a. Instructx thex patientx aboutx thex needx tox alternatex activityx andx rest.
b. Monitorx levelx ofx shortnessx ofx breathx orx fatiguex afterx ambulation.
c. Obtainx thex patient‗sx bloodx pressurex andx pulsex ratex afterx ambulation.
d. Determinex whetherx thex patientx isx readyx tox increasex thex activityx level.
ANS:x C
APx educationx includesx accuratex vitalx signx measurement.x Assessmentx andx patientxteachi
ngx requirex registeredx nursex educationx andx scopex ofx practicex andx cannotx bexdelegated.
DIF: Cognitivex Level:x Applyx (Application)
TOP:x Nursingx Process:xPlanningx MSC:
NCLEX:x Safex andx Effectivex Carex Environment