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TEST BANK FOR LEWIS’S MEDICAL-SURGICAL NURSING, 12TH EDITION BY HARDING. KWONG. HAGLER. REINISCH||CHAPTER 1-69||QUESTIONS AND CORRECT ANSWERS $20.49
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TEST BANK FOR LEWIS’S MEDICAL-SURGICAL NURSING, 12TH EDITION BY
HARDING. KWONG. HAGLER. REINISCH||CHAPTER 1-69||QUESTIONS AND
CORRECT ANSWERS
,Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
1. The professional nurse completes an admission database and explains that the plan of care
and discharge goals will be developed with the client‗s input. The client asks, ―How is
this different from what the physician does?‖ Which response would the professional nurse
provide?
a. ―The role of the professional nurse is to administer medications and
other treatments prescribed by your physician.‖
b. ―In addition to caring for you while you are sick, the professional nurses will
help you plan to maintain your health.‖
c. ―The professional nurse‗s job is to collect information and communicate
any problems that occur to the physician.‖
d. ―Professional nurses perform many of the same procedures as the
physician, but professional nurses are with the clients for a longer time
than the physician.‖
CORRECT ANSWER: B
The American Professional nurses Association (ANA) definition of nursing describes the role
of professional nurses in promoting health. The other responses describe dependent and
collaborative functions of the nursing role but do not accurately describe the professional
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 professional nurse accurately describes the use of evidence-based practice
(EBP)?
a. ―Client care is based on clinical judgment, experience, and traditions.‖
b. ―Data are analyzed later to show that the client outcomes are consistently met.‖
c. ―Research from all published articles are used as a guide for planning client care.‖
d. ―Recommendations are based on research, clinical expertise, and
client preferences.‖
CORRECT ANSWER: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of client preferences. Clinical judgment based on the
professional nurse‗s clinical experience is part of EBP, but clinical decision making should
also incorporate current research and research-based guidelines. Evaluation of client
outcomes is critical, 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 professional nurse provides a clear explanation of the nursing process?
a. ―The nursing process is a research method of diagnosing the client‗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
clients‗ health care needs.‖
d. ―The nursing process is based on nursing theory that incorporates
the biopsychosocial nature of humans.‖
CORRECT ANSWER: C
The nursing process is a problem-solving approach to the identification and treatment of
clients‗ problems. Nursing process does not require research methods for diagnosis. The
primary use of the nursing process is in client 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 client admitted to the hospital for surgery tells the professional nurse, ―I do not
feelcomfortable leaving my children with my parents.‖ Which action would the
professional nurse take next?
a. Reassure the client that these feelings are common for parents.
b. Have the client call the children to ensure that they are doing well.
c. Gather information on the client’s concerns about the child care arrangements.
d. Call the client’s parents to determine whether adequate child care is
being provided.
CORRECT ANSWER: C
Because a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the professional nurse‗s first action should be to obtain more
information. The other actions may be appropriate, but more assessment is needed before the
best interventioncan be chosen.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
5. A client with a bacterial infection is hypovolemic due to a fever and excessive
diaphoresis. Which expected outcome would the professional nurse select for
this client?
a. Client has a balanced intake and output.
b. Client‗s bedding is kept clean and free of moisture.
c. Client understands the need for increased fluid intake.
d. Client‗s skin remains cool and dry throughout hospitalization.
CORRECT ANSWER: 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.
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 client outcomes
c. To decide whether the client‗s health problems have been completely resolved
d. To establish if the client agrees that the nursing care provided was satisfactory
, CORRECT ANSWER: B
Evaluation consists of determining whether the desired client 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 client data to evaluate client care outcomes
c. To obtain data to diagnose client strengths and problems
d. To help the client identify realistic outcomes for health problems
CORRECT ANSWER: C
During the assessment phase, the professional nurse gathers information about the client to
diagnoseclient 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 professional nurse
include in theclinical problem statement?
a. The problem and the suggested client 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
CORRECT ANSWER: 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 client care task would the professional nurse delegate to experienced assistive personnel
(AP)?
a. Instruct the client about the need to alternate activity and rest.
b. Monitor level of shortness of breath or fatigue after ambulation.
c. Obtain the client‗s blood pressure and pulse rate after ambulation.
d. Determine whether the client is ready to increase the activity level.
CORRECT ANSWER: C
AP education includes accurate vital sign measurement. Assessment and client teaching
require registered professional 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
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