Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
l l l l l l l l l l 1
1
3
Table of Contents
l l
Chapter 01: Professional
l l l
Chapter 02: Health Equity and Culturally Competent Care
l l l l l l l 13
Chapter 03: Health History and Physical Examination Chapter
l l l l l l l l 21
04: Patient and Caregiver Teaching
l l l l l 28
Chapter 05: Chronic Illness and Older Adults Chapter
l l l l l l l 38
06: Stress Management
l l l 48
Chapter 07: Sleep and Sleep Disorders
l l l l l 54
Chapter 08: Pain
l l l 59
Chapter 09: Palliative and End of Life Care
l l l l l l l 71
Chapter 10: Substance Use Disorders
l l l l l 79
Chapter 11: Inflammation and Healing
l l l l l 91
Chapter 12: Genetics
l l l 101
Chapter 13: Immune Responses and Transplantation Chapter
l l l l l l 105
14: Infection
l l 117
Chapter 15: Cancer
l l 129
Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances
l l l l l l 148
Chapter 17: Preoperative Care
l l l l 165
Chapter 18: Intraoperative Care
l l l 175
Chapter 19: Postoperative Care
l l l l 184
Chapter 20: Assessment and Management: Visual Problems Chapter
l l l l l l l 196
21: Assessment and Management: Auditory Problems Chapter 22:
l l l l l l l l 216
Assessment: Integumentary System
l l l 227
Chapter 23: Integumentary Problems Chapter
l l l l 233
24: Burns
l l 245
Chapter 25: Assessment: Respiratory System
l l l l 259
Chapter 26: Upper Respiratory Problems Chapter
l l l l l l 270
27: Lower Respiratory Problems Chapter 28:
l l l l l l 282
Obstructive Pulmonary Diseases Chapter 29:
l l l l l 305
Assessment: Hematologic System Chapter 30:
l l l l l 325
Hematologic Problems
l l 332
Chapter 31: Assessment: Cardiovascular System
l l l l 353
Chapter 32: Hypertension
l l l 364
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
l l l l l l l l 375
Chapter 34: Heart Failure
l l l l 394
Chapter 35: Dysrhythmias
l l 406
Chapter 36: Inflammatory and Structural Heart Disorders
l l l l l l 420
Chapter 37: Vascular Disorders
l l l l 435
Chapter 38: Assessment: Gastrointestinal System
l l l l 450
Chapter 39: Nutritional Problems
l l l l 458
Chapter 40: Obesity
l l 469
Chapter 41: Upper Gastrointestinal Problems
l l l l 478
Chapter 42: Lower Gastrointestinal Problems
l l l l l 499
Chapter 43: Liver, Biliary Tract, and Pancreas Problems
l l l l l l l 523
Chapter 44: Assessment: Urinary System
l l l l l 543
Chapter 45: Renal and Urologic Problems
l l l l l 553
Chapter 46: Acute Kidney Injury and Chronic Kidney Disease Chapter
l l l l l l l l l 573
47: Assessment: Endocrine System
l l l l 590
Chapter 48: Diabetes Mellitus Chapter
l l l l 600
49: Endocrine Problems
l l l 622
Chapter 50: Assessment: Reproductive System
l l l l 642
,Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
l l l l l l l l l l 2
Chapter 51: Breast Disorders
l l l 650
Chapter 52: Sexually Transmitted Infections
l l l l 662
Chapter 53: Female Reproductive Problems
l l l l l 671
Chapter 54: Male Reproductive Problems
l l l l l 693
Chapter 55: Assessment: Nervous System
l l l l l 708
Chapter 56: Acute Intracranial Problems Chapter
l l l l l l 717
57: Stroke
l l 734
Chapter 58: Chronic Neurologic Problems
l l l l 747
Chapter 59: Dementia and Delirium
l l l l l 763
Chapter 60: Spinal Cord and Peripheral Nerve Problems Chapter
l l l l l l l l 772
61: Assessment: Musculoskeletal System
l l l l 787
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
l l l l l l 794
Chapter 63: Musculoskeletal Problems
l l l l 814
Chapter 64: Arthritis and Connective Tissue Diseases Chapter
l l l l l l l 825
65: Critical Care
l l l 845
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
l l l l l l l l 864
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome
l l l l l l l l l 877
Chapter 68: Emergency and Disaster Nursing
l l l l l l 889
,Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
l l l l l l l l l l 3
Chapter 01: Professional Nursing l l l
Test Bank l
l MULTIPLE
CHOICE
l
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care.
l l l l l l l l l l l l l l l l
Which statement, if made by the student nurse, indicates that teaching was successful?
l l l l l l l l l l l l l
a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
l l l l l l l l l l l l l
b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
l l l l l l l l l l l l l l l
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
l l l l l l l l l l l l l
humans.
l
d. The nursing process is used primarily to explain nursing interventions to other health care
l l l l l l l l l l l l l
professionals.
l
ANS: B l
The nursing process is a problem-solving approach to the identification and treatment of patients problems.
l l l l l l l l l l l l l l
Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in patient care,
l l l l l l l l l l l l l l l l l l l l
not to establish nursing theory or explain nursing interventions to other health care professionals.
l l l l l l l l l l l l l l
DIF: Cognitive Level: Understand (comprehension)
l l l l
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
l l l l l l l l l l
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for
l l l l l l l l l l l l l l l
patients. Which statement, if made by the nurse, would be the most accurate?
l l l l l l l l l l l l l
a. Inferences from clinical research studies are used as a guide. l l l l l l l l l
b. Patient care is based on clinical judgment, experience, and traditions.
l l l l l l l l l
c. Data are evaluated to show that the patient outcomes are consistently met.
l l l l l l l l l l l
d. Recommendations are based on research, clinical expertise, and patient preferences. l l l l l l l l l
ANS: D l
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
l l l l l l l l l l l l l
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
l l l l l l l l l l l l l l l l
making should also incorporate current research and research-based guidelines. Evaluation of patient
l l l l l l l l l l l l
outcomes is important, but interventions should be based on research from randomized control studies with
l l l l l l l l l l l l l l l
a large number of subjects.
l l l l l
DIF: Cognitive Level: Remember (knowledge)
l l l l
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
l l l l l l l l l l
, Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
l l l l l l l l l l 4
3. The nurse completes an admission database and explains that the plan of care and discharge goals will be
l l l l l l l l l l l l l l l l l
developed with the patients input. The patient states, How is this different from what the doctor does? Which
l l l l l l l l l l l l l l l l l l
lresponse would be most appropriate for the nurse to make?
l l l l l l l l l
a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
l l l l l l l l l l l l l l l
b. The nurses job is to help the doctor by collecting information and communicating any problems that
l l l l l l l l l l l l l l l
occur.
l
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a
l l l l l l l l l l l l l l l l l
longer time than the doctor.
l l l l l
d. In addition to caring for you while you are sick, the nurses will assist you to develop an
l l l l l l l l l l l l l l l l l
individualized plan to maintain your health.
l l l l l l
ANS: D l
This response is consistent with the American Nurses Association (ANA) definition of nursing, which describes
l l l l l l l l l l l l l l
the role of nurses in promoting health. The other responses describe some of the dependent and collaborative
l l l l l l l l l l l l l l l l l
functions of the nursing role but do not accurately describe the nurses role in the health care system.
l l l l l l l l l l l l l l l l l l
DIF: Cognitive Level: Understand (comprehension)
l l l l
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
l l l l l l l l l l
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip
l l l l l l l l l l l l l l l l l l l l l l
lWhich nursing diagnosis is most appropriate?
l l l l l
a. Impaired physical mobility related to left-sided paralysis l l l l l l
b. Risk for impaired tissue integrity related to left-sided weakness
l l l l l l l l
c. Impaired skin integrity related to altered circulation and pressure l l l l l l l l
d. Ineffective tissue perfusion related to inability to move independently l l l l l l l l
ANS: C l
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer.
l l l l l l l l l l l l l l l l l
lThe nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient.
l l l l l l l l l l l l l l l l l
Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for
l l l l l l l l l l l l l l l l l l
ldiagnosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does have
l l l l l l l l l l l l l l l l
ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health
l l l l l l l l l l l l l l l
problem is.
l l
DIF: Cognitive Level: Apply (application)
l l l l
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
l l l l l l l
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving my
l l l l l l l l l l l l l l l l l l l l
children with my parents. Which action should the nurse take next?
l l l l l l l l l l l
l l l l l l l l l l 1
1
3
Table of Contents
l l
Chapter 01: Professional
l l l
Chapter 02: Health Equity and Culturally Competent Care
l l l l l l l 13
Chapter 03: Health History and Physical Examination Chapter
l l l l l l l l 21
04: Patient and Caregiver Teaching
l l l l l 28
Chapter 05: Chronic Illness and Older Adults Chapter
l l l l l l l 38
06: Stress Management
l l l 48
Chapter 07: Sleep and Sleep Disorders
l l l l l 54
Chapter 08: Pain
l l l 59
Chapter 09: Palliative and End of Life Care
l l l l l l l 71
Chapter 10: Substance Use Disorders
l l l l l 79
Chapter 11: Inflammation and Healing
l l l l l 91
Chapter 12: Genetics
l l l 101
Chapter 13: Immune Responses and Transplantation Chapter
l l l l l l 105
14: Infection
l l 117
Chapter 15: Cancer
l l 129
Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances
l l l l l l 148
Chapter 17: Preoperative Care
l l l l 165
Chapter 18: Intraoperative Care
l l l 175
Chapter 19: Postoperative Care
l l l l 184
Chapter 20: Assessment and Management: Visual Problems Chapter
l l l l l l l 196
21: Assessment and Management: Auditory Problems Chapter 22:
l l l l l l l l 216
Assessment: Integumentary System
l l l 227
Chapter 23: Integumentary Problems Chapter
l l l l 233
24: Burns
l l 245
Chapter 25: Assessment: Respiratory System
l l l l 259
Chapter 26: Upper Respiratory Problems Chapter
l l l l l l 270
27: Lower Respiratory Problems Chapter 28:
l l l l l l 282
Obstructive Pulmonary Diseases Chapter 29:
l l l l l 305
Assessment: Hematologic System Chapter 30:
l l l l l 325
Hematologic Problems
l l 332
Chapter 31: Assessment: Cardiovascular System
l l l l 353
Chapter 32: Hypertension
l l l 364
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
l l l l l l l l 375
Chapter 34: Heart Failure
l l l l 394
Chapter 35: Dysrhythmias
l l 406
Chapter 36: Inflammatory and Structural Heart Disorders
l l l l l l 420
Chapter 37: Vascular Disorders
l l l l 435
Chapter 38: Assessment: Gastrointestinal System
l l l l 450
Chapter 39: Nutritional Problems
l l l l 458
Chapter 40: Obesity
l l 469
Chapter 41: Upper Gastrointestinal Problems
l l l l 478
Chapter 42: Lower Gastrointestinal Problems
l l l l l 499
Chapter 43: Liver, Biliary Tract, and Pancreas Problems
l l l l l l l 523
Chapter 44: Assessment: Urinary System
l l l l l 543
Chapter 45: Renal and Urologic Problems
l l l l l 553
Chapter 46: Acute Kidney Injury and Chronic Kidney Disease Chapter
l l l l l l l l l 573
47: Assessment: Endocrine System
l l l l 590
Chapter 48: Diabetes Mellitus Chapter
l l l l 600
49: Endocrine Problems
l l l 622
Chapter 50: Assessment: Reproductive System
l l l l 642
,Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
l l l l l l l l l l 2
Chapter 51: Breast Disorders
l l l 650
Chapter 52: Sexually Transmitted Infections
l l l l 662
Chapter 53: Female Reproductive Problems
l l l l l 671
Chapter 54: Male Reproductive Problems
l l l l l 693
Chapter 55: Assessment: Nervous System
l l l l l 708
Chapter 56: Acute Intracranial Problems Chapter
l l l l l l 717
57: Stroke
l l 734
Chapter 58: Chronic Neurologic Problems
l l l l 747
Chapter 59: Dementia and Delirium
l l l l l 763
Chapter 60: Spinal Cord and Peripheral Nerve Problems Chapter
l l l l l l l l 772
61: Assessment: Musculoskeletal System
l l l l 787
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
l l l l l l 794
Chapter 63: Musculoskeletal Problems
l l l l 814
Chapter 64: Arthritis and Connective Tissue Diseases Chapter
l l l l l l l 825
65: Critical Care
l l l 845
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
l l l l l l l l 864
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome
l l l l l l l l l 877
Chapter 68: Emergency and Disaster Nursing
l l l l l l 889
,Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
l l l l l l l l l l 3
Chapter 01: Professional Nursing l l l
Test Bank l
l MULTIPLE
CHOICE
l
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care.
l l l l l l l l l l l l l l l l
Which statement, if made by the student nurse, indicates that teaching was successful?
l l l l l l l l l l l l l
a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
l l l l l l l l l l l l l
b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
l l l l l l l l l l l l l l l
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
l l l l l l l l l l l l l
humans.
l
d. The nursing process is used primarily to explain nursing interventions to other health care
l l l l l l l l l l l l l
professionals.
l
ANS: B l
The nursing process is a problem-solving approach to the identification and treatment of patients problems.
l l l l l l l l l l l l l l
Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in patient care,
l l l l l l l l l l l l l l l l l l l l
not to establish nursing theory or explain nursing interventions to other health care professionals.
l l l l l l l l l l l l l l
DIF: Cognitive Level: Understand (comprehension)
l l l l
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
l l l l l l l l l l
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for
l l l l l l l l l l l l l l l
patients. Which statement, if made by the nurse, would be the most accurate?
l l l l l l l l l l l l l
a. Inferences from clinical research studies are used as a guide. l l l l l l l l l
b. Patient care is based on clinical judgment, experience, and traditions.
l l l l l l l l l
c. Data are evaluated to show that the patient outcomes are consistently met.
l l l l l l l l l l l
d. Recommendations are based on research, clinical expertise, and patient preferences. l l l l l l l l l
ANS: D l
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
l l l l l l l l l l l l l
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
l l l l l l l l l l l l l l l l
making should also incorporate current research and research-based guidelines. Evaluation of patient
l l l l l l l l l l l l
outcomes is important, but interventions should be based on research from randomized control studies with
l l l l l l l l l l l l l l l
a large number of subjects.
l l l l l
DIF: Cognitive Level: Remember (knowledge)
l l l l
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
l l l l l l l l l l
, Test Bank - Lewis's Medical Surgical Nursing (11th Edition by Harding)
l l l l l l l l l l 4
3. The nurse completes an admission database and explains that the plan of care and discharge goals will be
l l l l l l l l l l l l l l l l l
developed with the patients input. The patient states, How is this different from what the doctor does? Which
l l l l l l l l l l l l l l l l l l
lresponse would be most appropriate for the nurse to make?
l l l l l l l l l
a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
l l l l l l l l l l l l l l l
b. The nurses job is to help the doctor by collecting information and communicating any problems that
l l l l l l l l l l l l l l l
occur.
l
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a
l l l l l l l l l l l l l l l l l
longer time than the doctor.
l l l l l
d. In addition to caring for you while you are sick, the nurses will assist you to develop an
l l l l l l l l l l l l l l l l l
individualized plan to maintain your health.
l l l l l l
ANS: D l
This response is consistent with the American Nurses Association (ANA) definition of nursing, which describes
l l l l l l l l l l l l l l
the role of nurses in promoting health. The other responses describe some of the dependent and collaborative
l l l l l l l l l l l l l l l l l
functions of the nursing role but do not accurately describe the nurses role in the health care system.
l l l l l l l l l l l l l l l l l l
DIF: Cognitive Level: Understand (comprehension)
l l l l
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
l l l l l l l l l l
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip
l l l l l l l l l l l l l l l l l l l l l l
lWhich nursing diagnosis is most appropriate?
l l l l l
a. Impaired physical mobility related to left-sided paralysis l l l l l l
b. Risk for impaired tissue integrity related to left-sided weakness
l l l l l l l l
c. Impaired skin integrity related to altered circulation and pressure l l l l l l l l
d. Ineffective tissue perfusion related to inability to move independently l l l l l l l l
ANS: C l
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer.
l l l l l l l l l l l l l l l l l
lThe nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient.
l l l l l l l l l l l l l l l l l
Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for
l l l l l l l l l l l l l l l l l l
ldiagnosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does have
l l l l l l l l l l l l l l l l
ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health
l l l l l l l l l l l l l l l
problem is.
l l
DIF: Cognitive Level: Apply (application)
l l l l
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
l l l l l l l
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving my
l l l l l l l l l l l l l l l l l l l l
children with my parents. Which action should the nurse take next?
l l l l l l l l l l l
