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Test Bank Lewis Medical-Surgical Nursing: Assessment and Management of Clinical Problems 12th Edition By Harding & Kwong $17.99
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Test Bank Lewis Medical-Surgical Nursing: Assessment and Management of Clinical Problems 12th Edition By Harding & Kwong
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Test Bank Lewis Medical-Surgical Nursing: Assessment and Management of Clinical Problems 12th Edition By Harding & Kwong

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  • January 27, 2025
  • 646
  • 2024/2025
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  • 12th edition
  • by harding kwong
  • test bank lewis medical surgical nursing assessme
  • lewis medical surgical nursing
  • assessment and management of clinical problems
  • test bank

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Test Bank for Lewis\'s Medical-Surgical Nursing, 12th
uu uu uu uu uu uu




Edition by Mariann M. Harding, Jeffrey Kwong, Debra
uu uu uu uu uu uu uu uu uu




Hagler Chapter 1-69
uu uu uu

,Chapter 01: Professional Nursing
uu uu uu




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




MULTIPLE CHOICE uu




1. The nurse completes an admission database and explains that the plan of care and
uu uu uu uu uu uu uu uu uu uu uu uu uu



discharge goals will be developed with the patient‗s input. The patient asks, ―How is this
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu



different from what the physician does?‖ Which response would the nurse provide?
uu uu uu uu uu uu uu uu uu uu uu uu



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



by your physician.‖
uu uu uu



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



maintain your health.‖
uu uu uu



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



occur to the physician.‖
uu uu uu uu



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



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




ANS: B uu



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



promoting health. The other responses describe dependent and collaborative functions of
uu uu uu uu uu uu uu uu uu uu uu



the nursing role but do not accurately describe the nurse‗s unique role in the health care
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu



system.
uu




DIF: u u Cognitive Level: Analyze (Analysis)
u u uu uu uu



TOP: u u Nursing Process: Implementation uu uu u u u u u u MSC: NCLEX: Safe and Effective Care Environment
u u uu uu uu uu uu




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



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



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



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



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



uupreferences.‖
ANS: D uu



Evidence-based practice (EBP) is the use of the best research-based evidence combined uu uu uu uu uu uu uu uu uu uu uu



with clinician expertise and consideration of patient preferences. Clinical judgment based
uu uu uu uu uu uu uu uu uu uu uu



on the nurse‗s clinical experience is part of EBP, but clinical decision making should also
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu



incorporate current research and research-based guidelines. Evaluation of patient outcomes is
uu uu uu uu uu uu uu uu uu uu uu



important, but data analysis is not required to use EBP. All published articles do not
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu



provide research evidence; interventions should be based on credible research, preferably
uu uu uu uu uu uu uu uu uu uu uu



randomized controlled studies with a large number of subjects.
uu uu uu uu uu uu uu uu uu




DIF: Cognitive Level: Understand (Comprehension) uu uu uu TOP: Nursing Process: Planning uu uu uu



MSC: NCLEX: Safe and Effective Care Environment
uu u u uu uu uu uu uu




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



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



problems.‖
uu



b. ―The nursing process is used primarily to explain nursing interventions to other
uu uu uu uu uu uu uu uu uu uu uu



health care professionals.‖
uu uu uu



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

, patients‗ health care needs.‖ uu uu uu



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



uu biopsychosocial nature of humans.‖ uu uu uu




ANS: C uu



The nursing process is a problem-solving approach to the identification and treatment of
uu uu uu uu uu uu uu uu uu uu uu uu



patients‗ problems. Nursing process does not require research methods for diagnosis. The
uu uu uu uu uu uu uu uu uu uu uu uu



primary use of the nursing process is in patient care, not to establish nursing theory or
uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu uu



explain nursing interventions to other health care professionals.
uu uu uu uu uu uu uu uu




DIF: Cognitive Level: Understand (Comprehension) uu uu uu TOP: Nursing Process: Evaluation
uu uu uu



MSC: NCLEX: Safe and Effective Care Environment
uu u u uu uu uu uu uu




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



leaving my children with my parents.‖ Which action would the nurse take next?
uu uu uu uu uu uu uu uu uu uu uu uu uu



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



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



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



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



provided.
uu




ANS: C uu



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



appropriate intervention, the nurse‗s first action should be to obtain more information. The
uu uu uu uu uu uu uu uu uu uu uu uu uu



other actions may be appropriate, but more assessment is needed before the best intervention
uu uu uu uu uu uu uu uu uu uu uu uu uu uu



can be chosen.
uu uu uu




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



TOP: Nursing Process: Assessment
u u MSC: NCLEX: Psychosocial Integrity uu uu u u uu uu




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



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



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



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



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



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




ANS: A uu



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



deficient fluid volume. The other statements would not indicate that the problem of
uu uu uu uu uu uu uu uu uu uu uu uu uu



hypovolemia was resolved.
uu uu uu




DIF: Cognitive Level: Apply (Application) uu uu uu TOP: Nursing Process: Planning
uu uu uu



MSC: NCLEX: Physiological Integrity
uu u u uu uu




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



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



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



c. To decide whether the patient‗s health problems have been completely resolved
uu uu uu uu uu uu uu uu uu uu



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




ANS: B uu

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



and whether the nursing interventions were appropriate. The other responses do not
uu uu uu uu uu uu uu uu uu uu uu uu



describe the evaluation phase.
uu uu uu uu




DIF: Cognitive Level: Understand (Comprehension)
u u uu uu uu TOP: Nursing Process: Evaluation
uu uu uu



MSC: NCLEX: Safe and Effective Care Environment
uu u u uu uu uu uu uu




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



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



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



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



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




ANS: C uu



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



patient strengths and problems. The other responses are examples of the planning,
uu uu uu uu uu uu uu uu uu uu uu uu



intervention, and evaluation phases of the nursing process.
uu uu uu uu uu uu uu uu




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



TOP: Nursing Process: Assessment
u u MSC: NCLEX: Safe and Effective Care Environment
uu uu u u uu uu uu uu uu




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



uu problem statement? uu



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



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



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



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




ANS: B uu



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



data to support the problem‗s existence should be included. Goals, outcomes, and
uu uu uu uu uu uu uu uu uu uu uu uu



interventions are not included in the problem statement.
uu uu uu uu uu uu uu uu




DIF: Cognitive Level: Understand (Comprehension) uu uu uu TOP: Nursing Process: Diagnosis
uu uu uu



MSC: NCLEX: Safe and Effective Care Environment
uu u u uu uu uu uu uu




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



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



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



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



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




ANS: C uu



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



require registered nurse education and scope of practice and cannot be delegated.
uu uu uu uu uu uu uu uu uu uu uu uu




DIF: Cognitive Level: Apply (Application) uu uu uu TOP: Nursing Process: Planning
uu uu uu



MSC: NCLEX: Safe and Effective Care Environment
uu u u uu uu uu uu uu

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