Test Bank - Lewis's Medical
Surgical Nursing 13th Edition
by Harding LATEST 2022 All
CHAPTERS 1-63.
,2
Chapter 01: Professional Nursing
Test Bank
MULTIPLE CHOICE
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care.
Which statement, if made by the student nurse, indicates that teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
humans.
d. The nursing process is used primarily to explain nursing interventions to other health care
professionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients problems.
Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in patient care,
not to establish nursing theory or explain nursing interventions to other health care professionals.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for
patients. Which statement, if made by the nurse, would be the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
d. Recommendations are based on research, clinical expertise, and patient preferences.
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of patient outcomes
is important, but interventions should be based on research from randomized control studies with a large
number of subjects.
DIF: Cognitive Level: Remember (knowledge)
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
,2
3. The/nurse/completes/an/admission/database/and/explains/that/the/plan/of/care/and/discharge/goals/will/be/d
eveloped/with/the/patients/input./The/patient/states,/How/is/this/different/from/what/the/doctor/does?/Which/res
ponse/would/be/most/appropriate/for/the/nurse/to/make?
a. The/role/of/the/nurse/is/to/administer/medications/and/other/treatments/prescribed/by/your/doctor.
b. The/nurses/job/is/to/help/the/doctor/by/collecting/information/and/communicating/any/problems/t
hat/occur.
c. Nurses/perform/many/of/the/same/procedures/as/the/doctor,/but/nurses/are/with/the/patients/for/a/l
onger/time/than/the/doctor.
d. In/addition/to/caring/for/you/while/you/are/sick,/the/nurses/will/assist/you/to/develop/an/i
ndividualized/plan/to/maintain/your/health.
ANS:/ D
This/response/is/consistent/with/the/American/Nurses/Association/(ANA)/definition/of/nursing,/which/de
scribes/the/role/of/nurses/in/promoting/health./The/other/responses/describe/some/of/the/dependent/and/coll
aborative/functions/of/the/nursing/role/but/do/not/accurately/describe/the/nurses/role/in/the/health/care/syste
m.
DIF:/Cognitive/Level:/Understand/(comprehension)
TOP:/ Nursing/ Process:/ Implementation/ MSC:/ NCLEX:/ Safe/ and/ Effective/ Care/ Environment
4. A/patient/who/is/paralyzed/on/the/left/side/of/the/body/after/a/stroke/develops/a/pressure/ulcer/on/the/left/hip/
Which/nursing/diagnosis/is/most/appropriate?
a. Impaired/ physical/ mobility/ related/ to/ left-sided/ paralysis
b. Risk/ for/ impaired/ tissue/ integrity/ related/ to/ left-sided/ weakness
c. Impaired/ skin/ integrity/ related/ to/ altered/ circulation/ and/ pressure
d. Ineffective/ tissue/ perfusion/ related/ to/ inability/ to/ move/ independently
ANS:/ C
The/patients/major/problem/is/the/impaired/skin/integrity/as/demonstrated/by/the/presence/of/a/pressure/ulcer./Th
e/nurse/is/able/to/treat/the/cause/of/altered/circulation/and/pressure/by/frequently/repositioning/the/patient./Altho
ugh/left-
sided/weakness/is/a/problem/for/the/patient,/the/nurse/cannot/treat/the/weakness./The/risk/for/diagnosis/is/not/ap
propriate/for/this/patient,/who/already/has/impaired/tissue/integrity./The/patient/does/have/ineffective/tissue/per
fusion,/but/the/impaired/skin/integrity/diagnosis/indicates/more/clearly/what/the/health/problem/is.
DIF:/ Cognitive/ Level:/ Apply/ (application)
TOP:/ Nursing/ Process:/ Diagnosis/ MSC:/ NCLEX:/ Physiological/ Integrity
5. A/patient/has/been/admitted/to/the/hospital/for/surgery/and/tells/the/nurse,/I/do/not/feel/comfortable/leaving/
my/children/with/my/parents./Which/action/should/the/nurse/take/next?
, Test/Bank/-/Lewis's/Medical/Surgical/Nursing/(11th/Edition/by/Harding)/LATEST/2022/CHAPTER/1-/
CHAPTER63.
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/ more/ data/about/ the/ patients/ feelings/ about/ the/ child-care/arrangements.
d. Call/ the/ patients/parents/ to/ determine/ whether/ adequate/ child/ care/ is/ being/ provided.
ANS:/ C
Since/a/complete/assessment/is/necessary/in/order/to/identify/a/problem/and/choose/an/appropriate/interve
ntion,/the/nurses/first/action/should/be/to/obtain/more/information./The/other/actions/may/be/appropriate,/b
ut/more/assessment/is/needed/before/the/best/intervention/can/be/chosen.
DIF:/ Cognitive/ Level:/ Apply/ (application)
OBJ:/Special/Questions:/Prioritization/TOP:/Nursing/Process:/Assessment/
MSC:/NCLEX:/Psychosocial/Integrity
6. A/patient/with/a/bacterial/infection/has/a/nursing/diagnosis/of/deficient/fluid/volume/related/to/excessive/d
iaphoresis./Which/outcome/would/the/nurse/recognize/as/most/appropriate/for/this/patient?
a. Patient/has/a/balanced/intake/and/output.
b. Patients/ bedding/ is/ changed/ when/ it/ becomes/ damp.
c. Patient/ understands/ the/ need/ for/ increased/ fluid/ intake.
d. Patients/ skin/ remains/ cool/ and/ dry/ throughout/ hospitalization.
ANS:/ A
This/statement/gives/measurable/data/showing/resolution/of/the/problem/of/deficient/fluid/volume/that/was/ident
ified/in/the/nursing/diagnosis/statement./The/other/statements/would/not/indicate/that/the/problem/of/deficient/f
luid/volume/was/resolved.
DIF:/ Cognitive/ Level:/ Apply/ (application)
TOP:/ Nursing/ Process:/ Planning/ MSC:/ NCLEX:/ Physiological/ Integrity
7. A/nurse/asks/the/patient/if/pain/was/relieved/after/receiving/medication./What/is/the/purpose/of/the/e
valuation/phase/of/the/nursing/process?
a. To/determine/ if/ interventions/ have/ been/ effective/ in/ meeting/ patient/ outcomes
b. To/document/the/nursing/care/plan/in/the/progress/notes/of/the/medical/record
c. To/ decide/ whether/ the/ patients/ health/ problems/ have/ been/ completely/ resolved
Surgical Nursing 13th Edition
by Harding LATEST 2022 All
CHAPTERS 1-63.
,2
Chapter 01: Professional Nursing
Test Bank
MULTIPLE CHOICE
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care.
Which statement, if made by the student nurse, indicates that teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
humans.
d. The nursing process is used primarily to explain nursing interventions to other health care
professionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients problems.
Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in patient care,
not to establish nursing theory or explain nursing interventions to other health care professionals.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for
patients. Which statement, if made by the nurse, would be the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
d. Recommendations are based on research, clinical expertise, and patient preferences.
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of patient outcomes
is important, but interventions should be based on research from randomized control studies with a large
number of subjects.
DIF: Cognitive Level: Remember (knowledge)
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
,2
3. The/nurse/completes/an/admission/database/and/explains/that/the/plan/of/care/and/discharge/goals/will/be/d
eveloped/with/the/patients/input./The/patient/states,/How/is/this/different/from/what/the/doctor/does?/Which/res
ponse/would/be/most/appropriate/for/the/nurse/to/make?
a. The/role/of/the/nurse/is/to/administer/medications/and/other/treatments/prescribed/by/your/doctor.
b. The/nurses/job/is/to/help/the/doctor/by/collecting/information/and/communicating/any/problems/t
hat/occur.
c. Nurses/perform/many/of/the/same/procedures/as/the/doctor,/but/nurses/are/with/the/patients/for/a/l
onger/time/than/the/doctor.
d. In/addition/to/caring/for/you/while/you/are/sick,/the/nurses/will/assist/you/to/develop/an/i
ndividualized/plan/to/maintain/your/health.
ANS:/ D
This/response/is/consistent/with/the/American/Nurses/Association/(ANA)/definition/of/nursing,/which/de
scribes/the/role/of/nurses/in/promoting/health./The/other/responses/describe/some/of/the/dependent/and/coll
aborative/functions/of/the/nursing/role/but/do/not/accurately/describe/the/nurses/role/in/the/health/care/syste
m.
DIF:/Cognitive/Level:/Understand/(comprehension)
TOP:/ Nursing/ Process:/ Implementation/ MSC:/ NCLEX:/ Safe/ and/ Effective/ Care/ Environment
4. A/patient/who/is/paralyzed/on/the/left/side/of/the/body/after/a/stroke/develops/a/pressure/ulcer/on/the/left/hip/
Which/nursing/diagnosis/is/most/appropriate?
a. Impaired/ physical/ mobility/ related/ to/ left-sided/ paralysis
b. Risk/ for/ impaired/ tissue/ integrity/ related/ to/ left-sided/ weakness
c. Impaired/ skin/ integrity/ related/ to/ altered/ circulation/ and/ pressure
d. Ineffective/ tissue/ perfusion/ related/ to/ inability/ to/ move/ independently
ANS:/ C
The/patients/major/problem/is/the/impaired/skin/integrity/as/demonstrated/by/the/presence/of/a/pressure/ulcer./Th
e/nurse/is/able/to/treat/the/cause/of/altered/circulation/and/pressure/by/frequently/repositioning/the/patient./Altho
ugh/left-
sided/weakness/is/a/problem/for/the/patient,/the/nurse/cannot/treat/the/weakness./The/risk/for/diagnosis/is/not/ap
propriate/for/this/patient,/who/already/has/impaired/tissue/integrity./The/patient/does/have/ineffective/tissue/per
fusion,/but/the/impaired/skin/integrity/diagnosis/indicates/more/clearly/what/the/health/problem/is.
DIF:/ Cognitive/ Level:/ Apply/ (application)
TOP:/ Nursing/ Process:/ Diagnosis/ MSC:/ NCLEX:/ Physiological/ Integrity
5. A/patient/has/been/admitted/to/the/hospital/for/surgery/and/tells/the/nurse,/I/do/not/feel/comfortable/leaving/
my/children/with/my/parents./Which/action/should/the/nurse/take/next?
, Test/Bank/-/Lewis's/Medical/Surgical/Nursing/(11th/Edition/by/Harding)/LATEST/2022/CHAPTER/1-/
CHAPTER63.
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/ more/ data/about/ the/ patients/ feelings/ about/ the/ child-care/arrangements.
d. Call/ the/ patients/parents/ to/ determine/ whether/ adequate/ child/ care/ is/ being/ provided.
ANS:/ C
Since/a/complete/assessment/is/necessary/in/order/to/identify/a/problem/and/choose/an/appropriate/interve
ntion,/the/nurses/first/action/should/be/to/obtain/more/information./The/other/actions/may/be/appropriate,/b
ut/more/assessment/is/needed/before/the/best/intervention/can/be/chosen.
DIF:/ Cognitive/ Level:/ Apply/ (application)
OBJ:/Special/Questions:/Prioritization/TOP:/Nursing/Process:/Assessment/
MSC:/NCLEX:/Psychosocial/Integrity
6. A/patient/with/a/bacterial/infection/has/a/nursing/diagnosis/of/deficient/fluid/volume/related/to/excessive/d
iaphoresis./Which/outcome/would/the/nurse/recognize/as/most/appropriate/for/this/patient?
a. Patient/has/a/balanced/intake/and/output.
b. Patients/ bedding/ is/ changed/ when/ it/ becomes/ damp.
c. Patient/ understands/ the/ need/ for/ increased/ fluid/ intake.
d. Patients/ skin/ remains/ cool/ and/ dry/ throughout/ hospitalization.
ANS:/ A
This/statement/gives/measurable/data/showing/resolution/of/the/problem/of/deficient/fluid/volume/that/was/ident
ified/in/the/nursing/diagnosis/statement./The/other/statements/would/not/indicate/that/the/problem/of/deficient/f
luid/volume/was/resolved.
DIF:/ Cognitive/ Level:/ Apply/ (application)
TOP:/ Nursing/ Process:/ Planning/ MSC:/ NCLEX:/ Physiological/ Integrity
7. A/nurse/asks/the/patient/if/pain/was/relieved/after/receiving/medication./What/is/the/purpose/of/the/e
valuation/phase/of/the/nursing/process?
a. To/determine/ if/ interventions/ have/ been/ effective/ in/ meeting/ patient/ outcomes
b. To/document/the/nursing/care/plan/in/the/progress/notes/of/the/medical/record
c. To/ decide/ whether/ the/ patients/ health/ problems/ have/ been/ completely/ resolved
