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Full Test Bank for Lewis's Medical-Surgical Nursing in Canada, 5th Edition(Tyerman, 2025), Chapter 1-72 | All Chapters|newest version 2025/2026 |ISBN: 9780323791571 A+ $18.99
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Full Test Bank for Lewis's Medical-Surgical Nursing in Canada, 5th Edition(Tyerman, 2025), Chapter 1-72 | All Chapters|newest version 2025/2026 |ISBN: 9780323791571 A+
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Full Test Bank for Lewis's Medical-Surgical Nursing in Canada, 5th Edition(Tyerman, 2025), Chapter 1-72 | All Chapters|newest version 2025/2026 |ISBN: 9780323791571 A+

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Medical-Surgical Nursing in Canada 4th Edition Lewi Test
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Bank




NURSINGTB.COM

, Medical-Surgical Nursing in Canada 4th Edition Lewi Test ww ww ww ww ww ww ww



Chapter 01: Introduction
Bankww to Medical-Surgical Nursing Practice in Canada
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Lewis: Medical-Surgical Nursing in Canada, 5th Canadian Edition
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MULTIPLE CHOICE ww




1. When caring for clients using evidence-informed practice, which of the following does
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the nurse use?
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a. Clinical judgement based on experience ww ww ww ww



b. Evidence from a clinical research study ww ww ww ww ww



c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the client outcomes are met ww ww ww ww ww ww ww ww ww




ANS: w w C
Evidence-informed nursing practice is a continuous interactive process involving the ww ww ww ww ww ww ww ww ww



explicit, conscientious, and judicious consideration of the best available evidence to
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provide care. Four primary elements are: (a) clinical state, setting, and circumstances;
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(b) client preferences and actions; (c) best research evidence; and (d) health care
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resources. Clinical judgement based on the nurse‘s clinical experience is part of EIP,
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but clinical decision making also should incorporate current research and research-based
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guidelines. Evidence from one clinical research study does not provide an adequate
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substantiation for interventions. Evaluation of client outcomes is important, but
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interventions should be based on research from randomized control studies with a large
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number of subjects.
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DIF: Cognitive Level: Comprehension ww ww TOP: w w Nursing Process: Planning ww ww




2. Which of the following best N
ww e x p lRa i n sIt h eGn u B
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e sC
ww imary use of the nursing process whenww ww ww ww ww ww ww ww ww




providing care to USNT ww
O ww
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clients?
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a. To explain nursing interventions to other health care professionals
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b. As a problem-solving tool to identify and treat clients‘ health care needs
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c. As a scientific-based process of diagnosing the client‘s health care problems
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d. To establish nursing theory that incorporates the biopsychosocial nature of humans
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ANS: w w B
The nursing process is an assertive problem-solving approach to the identification and
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treatment of clients‘ problems. Diagnosis is only one phase of the nursing process. The
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primary use of the nursing process is in client care, not to establish nursing theory or
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explain nursing interventions to other health care professionals.
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DIF: Cognitive Level: Comprehension ww ww TOP: w w Nursing Process: Implementationww ww




3. The nurse is caring for a critically ill client in the intensive care unit and plans an every
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2-hour turning schedule to prevent skin breakdown. Which type of nursing function is
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demonstrated with this turning schedule?
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a. Dependent
b. Cooperative
c. Independent
d. Collaborative
ANS: w w D




NURSINGTB.COM

, Medical-Surgical Nursing in Canada 4th Edition Lewi Test ww ww ww ww ww ww ww



Bank
When implementing collaborative nursing actions, the nurse is responsible primarily for
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monitoring for complications of acute illness or providing care to prevent or treat
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complications. Independent nursing actions are focused on health promotion, illness
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prevention, and client advocacy. A dependent action would require a physician order to
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implement. Cooperative nursing functions are not described as one of the formal nursing
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functions.
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DIF: Cognitive Level: Application ww ww TOP: w w Nursing Process: Implementation ww ww




4. The nurse is caring for a client who has been admitted to the hospital for surgery and
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tells the nurse, ―I do not feel right about leaving my children with my neighbour.‖
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Which action should the nurse take next?
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a. Reassure the client that these feelings are common for parents.
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b. Have the client call the children to ensure that they are doing well.
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c. Call the neighbour to determine whether adequate childcare is being provided.
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d. Gather more data about the client‘s feelings about the childcare arrangements.
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ANS: w w D
Since a complete assessment is necessary in order to identify a problem and choose an
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appropriate intervention, the nurse‘s first action should be to obtain more information.
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The other actions may be appropriate, but more assessment is needed before the best
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intervention can be chosen.
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DIF: Cognitive Level: Application ww ww TOP: w w Nursing Process: Assessment ww ww




5. The nurse is caring for a client who has left-sided paralysis as the result of a stroke and
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assesses a pressure injury on the clie nt‘s left h ip . W hich of the following is the most
appropriate nursing diagnosisNfUo R hI Gl i e nBTt.? C MO
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r tS i s cN
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a. Impaired physical mobility related to decrease in muscle control (left-
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sided paralysis) ww



b. Risk for impaired tissue integrity as evidenced by insufficient knowledge
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about protecting tissue integrity
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c. Impaired skin integrity related to pressure over bony prominence
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(impaired circulation)
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d. Ineffective tissue perfusion related to sedentary lifestyle
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ANS: w w C
The client‘s major problem is the impaired skin integrity as demonstrated by the presence
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of a pressure injury. The nurse is able to treat the cause of altered circulation and
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pressure by frequently repositioning the client. Although left-sided weakness is a
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problem for the client,
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the nurse cannot treat the weakness. The ―risk for‖ diagnosis is not appropriate for this
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client, who already has impaired tissue integrity. The client does have ineffective tissue
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perfusion, but the impaired skin integrity diagnosis indicates more clearly what the
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health problem is.
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DIF: Cognitive Level: Application ww ww TOP: w w Nursing Process: Diagnosis ww ww




6. The nurse caring for a client with an infection has a nursing diagnosis of
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deficient fluid volume related to excessive diaphoresis. Which of the following is
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an appropriate client outcome?
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a. Client has a balanced intake and output.
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b. Client‘s bedding is changed when it becomes damp.
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NURSINGTB.COM

, Medical-Surgical Nursing in Canada 4th Edition Lewi Test ww ww ww ww ww ww ww



Bank
c. Client understands the need for increased fluid intake.
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d. Client‘s skin remains cool and dry throughout hospitalization.
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ANS: w w A
This statement gives measurable data showing resolution of the problem of deficient
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fluid volume that was identified in the nursing diagnosis statement. The other statements
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would not indicate that the problem of deficient fluid volume was resolved.
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DIF: Cognitive Level: Application ww ww TOP: w w Nursing Process: Planning ww ww




7. Which of the following represents a nursing activity that is carried out during the
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evaluation phase of the nursing process?
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a. Determining if interventions have been effective in meeting client outcomes
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b. Documenting the nursing care plan in the progress notes in the medical record
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c. Deciding whether the client‘s health problems have been completely resolved
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d. Asking the client to evaluate whether the nursing care provided was satisfactory
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ANS: w w A
Evaluation consists of determining whether the desired client outcomes have been met
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and whether the nursing interventions were appropriate. The other responses do not
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describe the evaluation phase.
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DIF: Cognitive Level: Comprehension ww ww TOP: w w Nursing Process: Evaluation ww ww




8. Which of the following would the nurse perform during the assessment phase of the
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nursing process?
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a. Obtains data with which to diagnose client problems
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b. Uses client data to develoNp pR
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N TIty nGursB
U Sriori in.
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d iagMnoses
c. Teaches interventions to relieve client health problems
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d. Assists the client to identify realistic outcomes to health problems
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ANS: w w A
During the assessment phase, the nurse gathers information about the client. The other
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responses are examples of the intervention, diagnosis, and planning phases of the nursing
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process.
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DIF: Cognitive Level: Knowledge ww ww TOP: w w Nursing Process: Assessment ww ww




9. Which of the following is an example of a correctly written nursing diagnosis statement?
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a. Altered tissue perfusion related to heart failure
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b. Risk for impaired tissue integrity related to sacral redness
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c. Ineffective coping related to insufficient sense of control.
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d. Altered urinary elimination related to urinary tract infection
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ANS: w w C
This diagnosis statement includes a NANDA nursing diagnosis and an etiology that
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describes a client‘s response to a health problem that can be treated by nursing. The
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use of a medical diagnosis (as in the responses beginning ―Altered tissue perfusion‖
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and ―Altered urinary
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elimination‖) is not appropriate. The response beginning ―Risk for impaired tissue integrity‖
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uses the defining characteristics as the etiology.
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DIF: Cognitive Level: Comprehension ww ww TOP: w w Nursing Process: Diagnosis ww ww




NURSINGTB.COM

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