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Test Bank for Lewis's Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter 1-69
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Test Bank for Lewis's Medical-Surgical Nursing, 12th Edition by Mariann M. Harding, Jeffrey Kwong, Debra Hagler Chapter 1-69

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  • October 17, 2024
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,Chapter 01: Professional Nursing
qi qi qi


Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
qi qi qi qi qi




MULTIPLE CHOICE qi




1. The nurse completes an admission database and explains that the plan of care and discharge
qi qi qi qi qi qi qi qi qi qi qi qi qi qi q


goals will be developed with the patient‗s input. The patient asks, ―How is this different from
i qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi


what the physician does?‖ Which response would the nurse provide?
qi qi qi qi qi qi qi qi qi


a. ―The role of the nurse is to administer medications and other treatments prescribed
qi qi qi qi qi qi qi qi qi qi qi qi qi


by your physician.‖ qi qi


b. ―In addition to caring for you while you are sick, the nurses will help you plan to
qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi


maintain your health.‖ qi qi


c. ―The nurse‗s job is to collect information and communicate any problems that
qi qi qi qi qi qi qi qi qi qi qi qi


occur to the physician.‖ qi qi qi


d. ―Nurses perform many of the same procedures as the physician, but nurses are
qi qi qi qi qi qi qi qi qi qi qi qi qi


with the patients for a longer time than the physician.‖
qi qi qi qi qi qi qi qi qi




ANS: B qi


The American Nurses Association (ANA) definition of nursing describes the role of nurses in
qi qi qi qi qi qi qi qi qi qi qi qi qi qi


promoting health. The other responses describe dependent and collaborative functions of the
qi qi qi qi qi qi qi qi qi qi qi q


nursing role but do not accurately describe the nurse‗s unique role in the health care system.
i qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi




DIF: Cognitive Level: Analyze (Analysis)
q i q i qi qi qi


TOP: Nursing Process: Implementation
q i qi qi q i q i q i MSC: NCLEX: Safe and Effective Care Environment
q i qi qi qi qi qi




2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
qi qi qi qi qi qi qi qi qi qi qi qi


a. ―Patient care is based on clinical judgment, experience, and traditions.‖
qi qi qi qi qi qi qi qi qi


b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
qi qi qi qi qi qi qi qi qi qi qi qi


c. ―Research from all published articles are used as a guide for planning patient care.‖
qi qi qi qi qi qi qi qi qi qi qi qi qi


d. ―Recommendations are based on research, clinical expertise, and patient qi qi qi qi qi qi qi qi qi


preferences.‖
ANS: D qi


Evidence-based practice (EBP) is the use of the best research- qi qi qi qi qi qi qi qi qi


based evidence combined with clinician expertise and consideration of patient preferences.
qi qi qi qi qi qi qi qi qi qi qi


Clinical judgment based on the nurse‗s clinical experience is part of EBP, but clinical decisi
qi qi qi qi qi qi qi qi qi qi qi qi qi qi


on making should also incorporate current research and research-
qi qi qi qi qi qi qi qi


based guidelines. Evaluation of patient outcomes is important, but data analysis is not require
qi qi qi qi qi qi qi qi qi qi qi qi qi


d to use EBP. All published articles do not provide research evidence; interventions should b
qi qi qi qi qi qi qi qi qi qi qi qi qi qi


e based on credible research, preferably randomized controlled studies with a large number of
qi qi qi qi qi qi qi qi qi qi qi qi qi


subjects.
qi




DIF: Cognitive Level: Understand (Comprehension) qi qi qi


TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
qi qi qi qi q i qi qi qi qi qi




3. Which statement by the nurse provides a clear explanation of the nursing process?
qi qi qi qi qi qi qi qi qi qi qi qi


a. ―The nursing process is a research method of diagnosing the patient‗s health care
qi qi qi qi qi qi qi qi qi qi qi qi qi


problems.‖
b. ―The nursing process is used primarily to explain nursing interventions to other
qi qi qi qi qi qi qi qi qi qi qi qi


health care professionals.‖ qi qi


c. ―The nursing process is a problem-solving tool used to identify and manage the
qi qi qi qi qi qi qi qi qi qi qi qi

, patients‗ health care needs.‖ qi qi qi


d. ―The nursing process is based on nursing theory that incorporates the
qi qi qi qi qi qi qi qi qi qi qi


biopsychosocial nature of humans.‖ qi qi qi




ANS: C qi


The nursing process is a problem-
qi qi qi qi qi


solving approach to the identification and treatment of patients‗ problems. Nursing process
qi qi qi qi qi qi qi qi qi qi qi qi


does not require research methods for diagnosis. The primary use of the nursing process is in
qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi


patient care, not to establish nursing theory or explain nursing interventions to other health ca
qi qi qi qi qi qi qi qi qi qi qi qi qi qi


re professionals.
qi




DIF: Cognitive Level: Understand (Comprehension) qi qi qi


TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
qi qi qi qi q i qi qi qi qi qi




4. A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfortable l
qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi


eaving my children with my parents.‖ Which action would the nurse take next?
qi qi qi qi qi qi qi qi qi qi qi qi


a. Reassure the patient that these feelings are common for parents.
qi qi qi qi qi qi qi qi qi


b. Have the patient call the children to ensure that they are doing well.
qi qi qi qi qi qi qi qi qi qi qi qi


c. Gather information on the patient‗s concerns about the child care arrangements.
qi qi qi qi qi qi qi qi qi qi


d. Call the patient‗s parents to determine whether adequate child care is being
qi qi qi qi qi qi qi qi qi qi qi qi


provided.
ANS: C qi


Because a complete assessment is necessary in order to identify a problem and choose an ap
qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi


propriate intervention, the nurse‗s first action should be to obtain more information. The oth
qi qi qi qi qi qi qi qi qi qi qi qi qi


er actions may be appropriate, but more assessment is needed before the best intervention can b
qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi


e chosen.
qi




DIF: Cognitive Level: Analyze (Analysis) qi qi qi


TOP: Nursing Process: Assessment
q i MSC: NCLEX: Psychosocial Integrity
qi qi qi qi qi




5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi


Which expected outcome would the nurse select for this patient?
qi qi qi qi qi qi qi qi qi


a. Patient has a balanced intake and output. qi qi qi qi qi qi


b. Patient‗s bedding is kept clean and free of moisture. qi qi qi qi qi qi qi qi


c. Patient understands the need for increased fluid intake.
qi qi qi qi qi qi qi


d. Patient‗s skin remains cool and dry throughout hospitalization.
qi qi qi qi qi qi qi




ANS: A qi


Balanced intake and output gives measurable data showing resolution of the problem of deficie
qi qi qi qi qi qi qi qi qi qi qi qi qi


nt fluid volume. The other statements would not indicate that the problem of hypovolemia
qi qi qi qi qi qi qi qi qi qi qi qi qi qi


was resolved.
qi




DIF: Cognitive Level: Apply (Application) qi qi qi


TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
qi qi qi qi q i qi qi




6. Which statement describes the purpose of the evaluation phase of the nursing process?
qi qi qi qi qi qi qi qi qi qi qi qi


a. To document the nursing care plan in the progress notes of the health record
qi qi qi qi qi qi qi qi qi qi qi qi qi


b. To determine if interventions have been effective in meeting patient outcomes
qi qi qi qi qi qi qi qi qi qi


c. To decide whether the patient‗s health problems have been completely resolved
qi qi qi qi qi qi qi qi q i qi


d. To establish if the patient agrees that the nursing care provided was satisfactory
qi qi qi qi qi qi qi qi qi qi qi qi




ANS: B qi

, Evaluation consists of determining whether the desired patient outcomes have been met and
qi qi qi qi qi qi qi qi qi qi qi qi qi


whether the nursing interventions were appropriate. The other responses do not describe the
qi qi qi qi qi qi qi qi qi qi qi qi qi


evaluation phase. qi




DIF: Cognitive Level: Understand (Comprehension) qi qi qi


TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
qi qi qi qi q i qi qi qi qi qi




7. Which statement describes the purpose of the assessment phase of the nursing process?
qi qi qi qi qi qi qi qi qi qi qi qi


a. To teach interventions that relieve health problems
qi qi qi qi qi qi


b. To use patient data to evaluate patient care outcomes
qi qi qi qi qi qi qi qi


c. To obtain data to diagnose patient strengths and problems
qi qi qi qi qi qi qi qi


d. To help the patient identify realistic outcomes for health problems
qi qi qi qi qi qi qi qi qi




ANS: C qi


During the assessment phase, the nurse gathers information about the patient to diagnose patie
qi qi qi qi qi qi qi qi qi qi qi qi qi


nt strengths and problems. The other responses are examples of the planning, intervention, a
qi qi qi qi qi qi qi qi qi qi qi qi qi


nd evaluation phases of the nursing process.
qi qi qi qi qi qi




DIF: Cognitive Level: Understand (Comprehension) qi qi qi


TOP: Nursing Process: Assessment
q i MSC: NCLEX: Safe and Effective Care Environment
qi qi qi qi qi qi qi qi




8. When developing the plan of care, which components would the nurse include in the clinical
qi qi qi qi qi qi qi qi qi qi qi qi qi qi qi


problem statement? qi


a. The problem and the suggested patient goals or outcomes
qi qi qi qi qi qi qi qi


b. The problem, its causes, and the signs and symptoms of the problem
qi qi qi qi qi qi qi qi qi qi qi


c. The problem with the possible etiology and the planned interventions
qi qi qi qi qi qi qi qi qi


d. The problem, its pathophysiology, and the expected outcome
qi qi qi qi qi qi qi




ANS: B qi


When writing clinical problems or nursing diagnoses, the subjective as well as objective data
qi qi qi qi qi qi qi qi qi qi qi qi qi


to support the problem‗s existence should be included. Goals, outcomes, and interventions are
qi qi qi qi qi qi qi qi qi qi qi qi qi q


not included in the problem statement.
i qi qi qi qi qi




DIF: Cognitive Level: Understand (Comprehension) qi qi qi


TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
qi qi qi qi q i qi qi qi qi qi




9. Which patient care task would the nurse delegate to experienced assistive personnel (AP)?
qi qi qi qi qi qi qi qi qi qi qi qi


a. Instruct the patient about the need to alternate activity and rest.
qi qi qi qi qi qi qi qi qi qi


b. Monitor level of shortness of breath or fatigue after ambulation.
qi qi qi qi qi qi qi qi qi


c. Obtain the patient‗s blood pressure and pulse rate after ambulation.
qi qi qi qi qi qi qi qi qi


d. Determine whether the patient is ready to increase the activity level.
qi qi qi qi qi qi qi qi qi qi




ANS: C qi


AP education includes accurate vital sign measurement. Assessment and patient teaching requi
qi qi qi qi qi qi qi qi qi qi qi


re registered nurse education and scope of practice and cannot be delegated.
qi qi qi qi qi qi qi qi qi qi qi




DIF: Cognitive Level: Apply (Application) qi qi qi


TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
qi qi qi qi q i qi qi qi qi qi

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