Test Bank for Lewis's Medical-Surgical
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Nursing, 12th Edition by Mariann M. Ha
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rding, Jeffrey Kwong, Debra HaglerCha
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pter 1-69
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,Chapter001:0Professional0Nursing
Harding:0Lewis’s0Medical-Surgical0Nursing,012th0Edition
MULTIPLE0CHOICE
1. The0nurse0completes0an0admission0database0and0explains0that0the0plan0of0care0and0discharge0
goals0will0be0developed0with0the0patient‘s0input.0The0patient0asks,0“How0is0this0different0from0
what0the0physician0does?”0Which0response0would0the0nurse0provide?
a. “The0role0 of0 the0 nurse0is0 to0 administer0 medications0 and0 other0 treatments0 prescribed0
by0your0physician.”
b. “In0addition0to0 caring0 for0 you0 while0 you0 are0 sick,0the0nurses0 will0 help0 you0 plan0to
0maintain0your0 health.”
c. “The0nurse‘s0job0is0to0collect0information0and0communicate0any0problems0that0o
ccur0to0the0physician.”
d. “Nurses0perform0many0of0the0same0procedures0 as0the0physician,0but0nurses0are
0with0the0patients0for0 a0longer0time0than0the0physician.”
ANS:0 B
The0American0Nurses0Association0(ANA)0definition0of0nursing0describes0the0role0of0nurses0in0pr
omoting0health.0The0other0responses0describe0dependent0and0collaborative0functions0of0the0n
ursing0role0but0do0not0accurately0describe0the0nurse‘s0unique0role0in0the0health0care0system.
DIF:0 Cognitive0Level:0Analyze0(Analysis)
TOP:0 Nursing0Process:0 Implementation0 0 MSC:0 NCLEX:0Safe0and0Effective0Care0Environment
2. Which0 statement0 by0 the0 nurse0 accurately0 describes0 the0 use0 of0 evidence-based0 practice0 (EBP)?
a. “Patient0 care0is0based0on0clinical0judgment,0experience,0and0traditions.”
b. “Data0 are0analyzed0 later0 to0 show0 that0 the0 patient0 outcomes0 are0 consistently0 met.”
c. “Research0from0all0published0articles0are0used0as0a0guide0for0planning0patient0 care.”
d. “Recommendations0are0based0on0research,0clinical0expertise,0and0patient
0preferences.”
ANS:0 D
Evidence-based0 practice0 (EBP)0 is0 the0 use0 of0 the0 best0 research-
based0 evidence0 combined0 with0clinician0expertise0and0consideration0of0patient0preferences.0C
linical0judgment0based0on0the0nurse‘s0clinical0experience0is0part0of0EBP,0but0clinical0decision
0making0should 0also0incorporate0 current0 research0 and0 research-
based0 guidelines.0 Evaluation0 of0 patient0 outcomes0 is0important,0but0data0analysis0is0not0require
d0to0use0EBP.0All0published0articles0do0not0provide0research0 evidence;0 interventions0 should0 be
0 based0 on0 credible0 research,0 preferably0 randomized0controlled 0studies0with0a0large0number0 of0
subjects.
DIF: Cognitive0Level:0Understand0(Comprehension)
TOP:0 Nursing0Process:0Planning0MSC:0 NCLEX:0Safe0and0Effective0Care0Environment
3. Which0 statement0 by0the0 nurse0 provides0 a0 clear0 explanation0 of0 the0 nursing0 process?
a. “The0 nursing0 process0 is0a0 research0 method0 of0diagnosing0the0 patient‘s0 health0 care0
problems.”
b. “The0 nursing0 process0 is0used0 primarily0 to0 explain0 nursing0 interventions0 to0 other0
health0care0professionals.”
c. “The0 nursing0 process0is0a0 problem-solving0 tool0 used0 to0 identify0and0 manage0 the
, patients‘0health0care0needs.”
d. “The0nursing0process0is0based0on0nursing0theory0that0incorporates0the0
biopsychosocial0nature0of0humans.”
ANS:0 C
The0nursing0process0is0a0problem-
solving0approach0to0the0identification0and0treatment0of0patients‘0problems.0Nursing0process0d
oes0not0require0research0methods0for0diagnosis.0The0primary0use0 of0 the0 nursing0 process0 is0 in0 p
atient0 care,0 not0 to0 establish0 nursing0 theory0 or0 explain0nursing0interventions0to0other0 health0care
0professionals.
DIF: Cognitive0Level:0Understand0(Comprehension)
TOP:0 Nursing0Process:0Evaluation0MSC:0 NCLEX:0Safe0and0Effective0Care0Environment
4. A0patient0 admitted0 to0 the0 hospital0 for0 surgery0tells0 the0 nurse,0 “I0 do0 not0 feel0 comfortable0
leaving0my0children0with0my0parents.”0Which0action0would0the0nurse0take0next?
a. Reassure0 the0 patient0 that0 these0 feelings0are0 common0 for0 parents.
b. Have0 the0 patient0 call0 the0 children0 to0 ensure0 that0 they0are0 doing0 well.
c. Gather0 information0 on0 the0 patient‘s0 concerns0 about0 the0 child0 care0 arrangements.
d. Call0 the0 patient‘s0 parents0 to0 determine0 whether0 adequate0 child0 care0 is0 being0
provided.
ANS:0 C
Because0a0complete0assessment0is0necessary0in0order0to0identify0a0problem 0and0choose0an0
appropriate0intervention,0the0nurse‘s0first0action0should0be0to0obtain0more0information.0The
0other0actions0may0be0appropriate,0but0more0assessment0is0needed0before0the0best0intervention0c
an0be0chosen.
DIF: Cognitive0Level:0Analyze0(Analysis)
TOP:0 Nursing0Process:0Assessment MSC:0 NCLEX:0Psychosocial0Integrity
5. A0 patient0 with0a0 bacterial0 infection0 is0 hypovolemic0 due0 to0a0 fever0 and0 excessive0 diaphoresis.0
Which0expected0outcome0would0the0nurse0select0for0this0patient?
a. Patient0 has0 a0 balanced0 intake0and0 output.
b. Patient‘s0bedding0is0kept0clean0and0free0of0moisture.
c. Patient0 understands0 the0 need0 for0 increased0 fluid0 intake.
d. Patient‘s0 skin0 remains0 cool0 and0 dry0 throughout0 hospitalization.
ANS:0 A
Balanced0intake0and0output0gives0measurable0data0showing0resolution0of0the0problem0of0defici
ent0fluid0volume.0The0other0statements0would0not0indicate0that0the0problem0of0hypovolemi
a0 was0resolved.
DIF: Cognitive0Level:0Apply0(Application)
TOP:0 Nursing0Process:0Planning0MSC:0 NCLEX:0Physiological0Integrity
6. Which0 statement0 describes0 the0 purpose0 of0 the0 evaluation0 phase0 of0 the0 nursing0 process?
a. To0document0 the0 nursing0 care0 plan0 in0 the0 progress0 notes0 of0 the0 health0 record
b. To0 determine0 if0 interventions0 have0 been0 effective0 in0 meeting0 patient0 outcomes
c. To0 decide0 whether0 the0 patient‘s0 health0 problems0 have0 been0 completely0 resolved
d. To0establish0 if0 the0 patient0 agrees0 that0 the0 nursing0 care0 provided0 was0 satisfactory
ANS:0 B
, Evaluation0consists0of0determining0whether0the0desired0patient0outcomes0have0been0met0and
0whether0the0nursing 0interventions 0were0appropriate.0The0other0responses 0do0not0describe0the0
evaluation0phase.
DIF: Cognitive0Level:0Understand0(Comprehension)
TOP:0 Nursing0Process:0Evaluation0MSC:0 NCLEX:0Safe0and0Effective0Care0Environment
7. Which0 statement0 describes0 the0 purpose0 of0the0 assessment0 phase0 of0 the0 nursing0 process?
a. To0 teach0 interventions0 that0 relieve0 health0 problems
b. To0use0patient0data0to0evaluate0patient0care0outcomes
c. To0obtain0 data0 to0 diagnose0 patient0 strengths0 and0 problems
d. To0 help0 the0 patient0 identify0 realistic0 outcomes0 for0 health0 problems
ANS:0 C
During0the0assessment0phase,0the0nurse0gathers0information0about0the0patient0to0diagnose0patie
nt0strengths0and0problems.0The0other0responses0are0examples0of0the0planning,0intervention,0a
nd0evaluation0phases0of0the0nursing0process.
DIF: Cognitive0Level:0Understand0(Comprehension)
TOP:0 Nursing0Process:0Assessment MSC:0 NCLEX:0Safe0and0Effective0Care0Environment
8. When0developing0the0plan0of0care,0which0components0would0the0nurse0include0in0the0clinical0pr
oblem0statement?
a. The0problem0and0the0suggested0patient0goals0or0outcomes
b. The0 problem,0 its0 causes,0 and0 the0 signs0 and0 symptoms0 of0 the0 problem
c. The0 problem0 with0 the0 possible0 etiology0 and0 the0 planned0 interventions
d. The0 problem,0 its0 pathophysiology,0 and0 the0 expected0 outcome
ANS:0 B
When0writing0clinical0problems0or0nursing0diagnoses,0the0subjective0as0well0as0objective0dat
a0to0support0the0problem‘s0existence0should0be0included.0Goals,0outcomes,0and0interventions0ar
e0not0included0in0the0problem0statement.
DIF: Cognitive0Level:0Understand0(Comprehension)
TOP:0 Nursing0Process:0 Diagnosis0MSC:0 NCLEX:0Safe0and0Effective0Care0Environment
9. Which0 patient0 care0 task0 would0 the0 nurse0 delegate0 to0 experienced0 assistive0 personnel0 (AP)?
a. Instruct0 the0 patient0 about0 the0 need0 to0 alternate0 activity0and0 rest.
b. Monitor0 level0 of0 shortness0 of0 breath0 or0 fatigue0 after0 ambulation.
c. Obtain0 the0 patient‘s0 blood0 pressure0 and0 pulse0 rate0 after0 ambulation.
d. Determine0 whether0 the0 patient0 is0ready0 to0 increase0 the0 activity0 level.
ANS:0 C
AP0 education0 includes0 accurate0 vital0 sign0 measurement.0 Assessment0 and0 patient0 teaching0requi
re0registered0nurse0education0and0scope0of0practice0and0cannot0be0delegated.
DIF: Cognitive0Level:0Apply0(Application)
TOP:0 Nursing0Process:0Planning0MSC:0 NCLEX:0Safe0and0Effective0Care0Environment
