Test Bank for Lewis Medical Surgical Nursing 12th Edition by Mariann M. Harding, Verified Chapters 1-69, ISBN No; 9780323792387, Complete Study Guide A+ Graded
(NEWEST 2024)
STUDYGUIDESOLUTIONS
,Test Bank for Lewis Medical Surgical Nursing 12th Edition by Mariann M. Harding, Verified Chapters 1-69, ISBN No; 9780323792387, Complete Study Guide A+ Graded
(NEWEST 2024)
Chapter 01: Professional Nursing
Harding: Medical-Surgical Nursing, 12th Edition (NEWEST 2024)
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge goals will be
developed with the input. The patient asks, is this different from what the
Which response would the nurse provide?
a. role of the nurse is to administer medications and other treatments prescribedby your
b. addition to caring for you while you are sick, the nurses will help you plan tomaintain your
c. job is to collect information and communicate any problems thatoccur to the
d. Nurses perform many of the same procedures as the physician, but nurses are with the
patients for a longer time than the
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in promoting
health. The other responses describe dependent and collaborative functions of the nursing role but do not
accurately describe the 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. Patient care is based on clinical judgment, experience, and traditions
b. are analyzed later to show that the patient outcomes are consistently
c. Research from all published articles are used as a guide for planning patient care.
d. Recommendations are based on research, clinical expertise, and patient
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined withclinician expertise
and consideration of patient preferences. Clinical judgment based on the
EBP, but clinical decision making should also incorporate current research and research-based guidelines.
Evaluation of patient 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 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 nurse provides a clear explanation of the nursing process?
a. nursing process is a research method of diagnosing the health care
b. nursing process is used primarily to explain nursing interventions to otherhealth care
c. nursing process is a problem-solving tool used to identify and manage the
STUDYGUIDESOLUTIONS
,Test Bank for Lewis Medical Surgical Nursing 12th Edition by Mariann M. Harding, Verified Chapters 1-69, ISBN No; 9780323792387, Complete Study Guide A+ Graded
(NEWEST 2024)
health care
d. nursing process is based on nursing theory that incorporates the
biopsychosocial nature
ANS: C
The nursing process is a problem-solving approach to the identification and treatment of problems.
Nursing process does not require research methods for diagnosis. The primary use of the nursing process is in
patient care, not to establish nursing theory or explainnursing interventions to other health care professionals.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
4. A patient admitted to the hospital for surgery tells the nurse, do not feel comfortableleaving my
children with my Which action would the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather information on the concerns about the child care arrangements.
d. Call the parents to determine whether adequate child care is beingprovided.
ANS: C
Because a complete assessment is necessary in order to identify a problem and choose an appropriate
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 patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.Which expected
outcome would the nurse select for this patient?
a. Patient has a balanced intake and output.
b. bedding is kept clean and free of moisture.
c. Patient understands the need for increased fluid intake.
d. skin remains cool and dry throughout hospitalization.
ANS: A
Balanced intake and output gives measurable data showing resolution of the problem ofdeficient fluid volume.
The other statements would not indicate that the problem of hypovolemia was resolved.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
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 patient outcomes
c. To decide whether the health problems have been completely resolved
d. To establish if the patient agrees that the nursing care provided was satisfactory
ANS: B
STUDYGUIDESOLUTIONS
, Test Bank for Lewis Medical Surgical Nursing 12th Edition by Mariann M. Harding, Verified Chapters 1-69, ISBN No; 9780323792387, Complete Study Guide A+ Graded
(NEWEST 2024)
Evaluation consists of determining whether the desired patient 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 patient data to evaluate patient care outcomes
c. To obtain data to diagnose patient strengths and problems
d. To help the patient identify realistic outcomes for health problems
ANS: C
During the assessment phase, the nurse gathers information about the patient to diagnosepatient 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 nurse include in the clinicalproblem
statement?
a. The problem and the suggested patient 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
ANS: B
When writing clinical problems or nursing diagnoses, the subjective as well as objective data to support the
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 patient care task would the nurse delegate to experienced assistive personnel (AP)?
a. Instruct the patient about the need to alternate activity and rest.
b. Monitor level of shortness of breath or fatigue after ambulation.
c. Obtain the blood pressure and pulse rate after ambulation.
d. Determine whether the patient is ready to increase the activity level.
ANS: C
AP education includes accurate vital sign measurement. Assessment and patient teachingrequire registered
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
STUDYGUIDESOLUTIONS
