LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION COMPLETE TEST BANK BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69 |NEWWEST UPDATE 2026|ISBN:9780323825191

TEST BANK FOR LEWIS'S
MEDICAL-SURGICAL NURSING,
12TH EDITION BY MARIANN M.
HARDING, JEFFREY KWONG,
DEBRA HAGLER CHAPTER 1-69
QUESTIONS AND CORRECT
ANSWERS

, 3

Chapter 01: Professional Nursing
F F F




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




MULTIPLE CHOICE F




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




goals will be developed with the patient‘s input. The patient asks, “How is this different from
F F F F F F F F F F F F F F F F




what the physician does?” Which response would the nurse provide?
F F F F F F F F F F




a. “The role of the nurse is to administer medications and other treatments
F F F F F F F F F F F




prescribed by your physician.”
F F F F




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




maintain your health.”
F F F




c. “The nurse‘s job is to collect information and communicate any problems
F F F F F F F F F F




that occur to the physician.”
F F F F F




d. “Nurses perform manyof the same procedures as the physician, but nurses are F F F F F F F F F F F F




with the patients for a longer time than the physician.”
F F F F F F F F F F




ANS: B F




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




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




nursing role but do not accurately describe the nurse‘s unique role in the health care system.
F F F F F F F F F F F F F F F F




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




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




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




a. “Patient care is based on clinical judgment, experience, and traditions.” F F F F F F F F F




b. “Data are analyzed later to show that the patient outcomes are consistently met.”
F F F F F F F F F F F F




c. “Research from all published articles are used as a guide for planning patient care.” F F F F F F F F F F F F F




d. “Recommendations are based on research, clinical expertise, and F F F F F F F




patient preferences.”
F F




ANS: D F




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




clinician expertise and consideration of patient preferences. Clinical judgment based on the
F F F F F F F F F F F F




nurse‘s clinical experience is part of EBP, but clinical decision making should also incorporate
F F F F F F F F F F F F F F




current research and research-based guidelines. Evaluation of patient outcomes is important, but
F F F F F F F F F F F F




data analysis is not required to use EBP. All published articles do not provide research evidence;
F F F F F F F F F F F F F F F F




interventions should be based on credible research, preferably randomized controlled studies
F F F F F F F F F F F




with a large number of subjects.
F F F F F F




DIF: Cognitive Level: Understand (Comprehension) F F F TOP: NursingProcess: Planning F F F




MSC: NCLEX: Safe and Effective Care Environment
F F F F F F F




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




a. “The nursing process is a research method of diagnosing the patient‘s health
F F F F F F F F F F F




care problems.”
F F




b. “The nursing process is used primarily to explain nursing interventions to
F F F F F F F F F F

, other health care professionals.”
F F F F




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

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patients‘ health care needs.” F F F




d. “The nursing process is based on nursing theory that incorporates the
F F F F F F F F F F




biopsychosocial nature of humans.”
F F F F




ANS: C F




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




patients‘ problems. Nursing process does not require research methods for diagnosis. The
F F F F F F F F F F F F




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




nursing interventions to other health care professionals.
F F F F F F F




DIF: Cognitive Level: Understand (Comprehension) F F F TOP: NursingProcess: Evaluation F F F




MSC: NCLEX: Safe and Effective Care Environment
F F F F F F F




4. A patient admitted to the hospital for surgery tells the nurse, “I do not feel
F F F F F F F F F F F F F F




comfortable leaving my children with my parents.” Which action would the nurse
F F F F F F F F F F F F




take next?
F F




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




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




c. Gather information on the patient‘s concerns about the child care arrangements.
F F F F F F F F F F




d. Call the patient‘s parents to determine whether adequate child care is
F F F F F F F F F F




being provided.
F F




ANS: C F




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




appropriate intervention, the nurse‘s first action should be to obtain more information. The other
F F F F F F F F F F F F F F




actions may be appropriate, but more assessment is needed before the best intervention can be
F F F F F F F F F F F F F F F




chosen.
F




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




TOP: Nursing Process: Assessment
F MSC: NCLEX: Psychosocial Integrity F F F F F




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




diaphoresis. Which expected outcome would the nurse select for this patient?
F F F F F F F F F F F




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




b. Patient‘s bedding is kept clean and free of moisture. F F F F F F F F




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




d. Patient‘s skin remains cool and dry throughout hospitalization. F F F F F F F




ANS: A F




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




fluid volume. The other statements would not indicate that the problem of hypovolemia was
F F F F F F F F F F F F F F




resolved.
F




DIF: Cognitive Level: Apply (Application) F F F TOP: NursingProcess: Planning F F F




MSC: NCLEX: Physiological Integrity
F F F F




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




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




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




c. To decide whether the patient‘s health problems have been completely resolved
F F F F F F F F F F




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




ANS: B F