Test Bank For Lewis's Medical-Surgical Nursing, 12th Edition by
Mariann M. Harding, Jeffrey Kwong, Debra Hagler
,Table of Contents
Test Bank For Lewis's Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra
Hagler ................................................................................................................................................................................... 1
Chapter 01: Professional Nursing........................................................................................................................................... 3
Chapter 02: Social Determinants of Health .......................................................................................................................... 10
Chapter 03: Health History and Physical Examination Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ............. 15
Chapter 04: patient and Caregiver Teaching ....................................................................................................................... 20
Chapter 05: Chronic Illness and Older Adults ...................................................................................................................... 26
Chapter 06: Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning,and Gender Diverse CLients ........... 34
Chapter 07: Stress Management ........................................................................................................................................... 38
Chapter 08: Sleep and Sleep Disorders................................................................................................................................. 42
Chapter 09: Pain ................................................................................................................................................................... 47
Chapter 10: Palliative and End-of-Life Care ........................................................................................................................ 56
Chapter 11: Substance Use Disorders in Acute Care ............................................................................................................ 61
Chapter 12: Inflammation and Healing................................................................................................................................ 69
Chapter 13: Genetics ............................................................................................................................................................ 76
Chapter 14: Immune Responses and Transplantation Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ............... 79
Chapter 15: Infection ............................................................................................................................................................ 87
Chapter 16: Cancer............................................................................................................................................................... 97
Chapter 17: Fluid, Electrolyte, and Acid-Base ImbalancesHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ..... 111
Chapter 18: Preoperative Care............................................................................................................................................ 124
Chapter 19: Intraoperative Care.......................................................................................................................................... 131
Chapter 20: Postoperative Care .......................................................................................................................................... 137
Chapter 21: Emergency and Disaster Nursing .................................................................................................................... 145
Chapter 22: Assessment and Management: Visual ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition 153
Chapter 23: Assessment and Management: Auditory ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition
........................................................................................................................................................................................... 166
Chapter 24: Assessment: Integumentary System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition .................... 173
Chapter 25: Integumentary Problems ................................................................................................................................. 178
Chapter 26: Burns............................................................................................................................................................... 186
Chapter 27: Assessment: Respiratory System .................................................................................................................... 195
Chapter 28: Supporting Ventilation .................................................................................................................................... 203
Chapter 29: Upper Respiratory Problems ........................................................................................................................... 214
Chapter 30: Lower Respiratory Problems........................................................................................................................... 220
Chapter 31: Obstructive Pulmonary Diseases ..................................................................................................................... 235
Chapter 32: Acute Respiratory Failure and Acute Respiratory Distress SyndromeHarding: Lewis’s Medical-Surgical
Nursing, 12th Edition......................................................................................................................................................... 248
Chapter 33: Assessment: Hematologic System .................................................................................................................. 257
Chapter 34: Hematologic Problems .................................................................................................................................... 262
Chapter 35: Assessment: Cardiovascular System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ................... 277
Chapter 36: Hypertension ................................................................................................................................................... 289
Chapter 37: Coronary Artery Disease and Acute Coronary Syndrome Harding: Lewis’s Medical-Surgical Nursing, 12th
Edition ............................................................................................................................................................................... 297
Chapter 38: Heart Failure ................................................................................................................................................... 311
Chapter 39: Dysrhythmias .................................................................................................................................................. 319
,Chapter 40: Inflammatory and Structural Heart DisordersHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ...... 329
Chapter 41: Vascular Disorders.......................................................................................................................................... 341
Chapter 42: Shock, Sepsis, and Multiple Organ Dysfunction SyndromeHarding: Lewis’s Medical-Surgical Nursing, 12th
Edition ............................................................................................................................................................................... 352
Chapter 43: Assessment: Gastrointestinal System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition .................. 364
Chapter 44: Nutrition Problems .......................................................................................................................................... 369
Chapter 45: Obesity............................................................................................................................................................ 377
Chapter 46: Upper Gastrointestinal Problems..................................................................................................................... 383
Chapter 47: Lower Gastrointestinal Problems .................................................................................................................... 397
Chapter 48: Liver, Biliary Tract, and Pancreas ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ........ 414
Chapter 49: Assessment: Urinary System .......................................................................................................................... 429
Chapter 50: Renal and Urologic Problems ......................................................................................................................... 436
Chapter 51: Acute Kidney Injury and Chronic Kidney DiseaseHarding: Lewis’s Medical-Surgical Nursing, 12th Edition
........................................................................................................................................................................................... 450
Chapter 52: Assessment: Endocrine System ...................................................................................................................... 462
Chapter 53: Diabetes .......................................................................................................................................................... 469
Chapter 54: Endocrine Problems ........................................................................................................................................ 484
Chapter 55: Assessment: Reproductive System.................................................................................................................. 499
Chapter 56: Breast Problems .............................................................................................................................................. 503
Chapter 57: Sexually Transmitted Infections ...................................................................................................................... 512
Chapter 58: Female Reproductive Problems ...................................................................................................................... 519
Chapter 59: Male Reproductive Problems .......................................................................................................................... 533
Chapter 60: Assessment: Nervous System ......................................................................................................................... 544
Chapter 61: Acute Intracranial Problems ............................................................................................................................ 550
Chapter 62: Stroke ............................................................................................................................................................. 565
Chapter 63: Chronic Neurologic Problems ......................................................................................................................... 574
Chapter 64: Dementia and Delirium ................................................................................................................................... 585
Chapter 65: Spinal Cord and Peripheral Nerve ProblemsHarding: Lewis’s Medical-Surgical Nursing, 12th Edition ........ 593
Chapter 66: Assessment: Musculoskeletal System Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ................. 603
Chapter 67: Musculoskeletal Trauma and Orthopedic SurgeryHarding: Lewis’s Medical-Surgical Nursing, 12th Edition
........................................................................................................................................................................................... 608
Chapter 68: Musculoskeletal Problems .............................................................................................................................. 622
Chapter 69: Arthritis and Connective Tissue Diseases Harding: Lewis’s Medical-Surgical Nursing, 12th Edition ........... 629
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 cLient‘s input. The cLient 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
prescribedby your physician.”
b. “In addition to caring for you while you are sick, the Nurses will help you
, plan tomaintain your health.”
c. “The Nurse‘s job is to collect information and communicate
any problems thatoccur to the physician.”
d. “Nurses perform many of the same procedures as the physician, but
Nurses are with the cLients for a longer time than the physician.”
PRECISE ANSWER: B
The American Nurses Association (ANA) definition of nursing describes the role of Nurses inpromoting
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. “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.”
PRECISE ANSWER: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined withclinician
expertise and consideration of cLient 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 cLient outcomes isimportant, 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 randomizedcontrolled 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 cLient‘s
health careproblems.”
b. “The nursing process is used primarily to explain nursing interventions
to otherhealth care professionals.”
c. “The nursing process is a problem-solving tool used to identify and manage the
