Test Bank for Lewis's Medical- Surgical Nursing: Assessment and
Management of Clinical Problems 12th Edition By Marianne M. Harding,
Jeffrey Kwong, Debra Hagler Chapter 1- 69 Complete Guide EXAM 2026-
2027 QUESTIONS AND ANSWERS 100 % PASS SOLUTION A+ GRADE
Chapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse interviews a patient while completing the health history and physical examination.
What is the purpose of the assessment phase of the nursing process?
a. To teach interventions that relieve health problems
b. To use patient data to evaluate patient care outcomes
c. To obtain data with which to diagnose patient problems
d. To help the patient identify realistic outcomes for health problems
ANS: C
During the assessment phase, the nurse gathers information about the patient to diagnose patient
problems. The other responses are examples of the planning, intervention, and evaluation phases
of the nursing process.
DIF: Cognitive Level: Understand (comprehension) REF: 5
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
2. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. The patient states, ―How is this different from what
the doctor does?‖ Which response 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 nurse‘s job is to help the doctor by collecting information and communicating
any problems that occur.‖
, c. ―Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for a longer time than the doctor.‖
d. ―In addition to caring for you while you are sick, the nurses will assist you to develop
an individualized plan to maintain your health.‖
ANS: D
This response is consistent with the American Nurses Association (ANA) definition of nursing,
which describes the role of nurses in promoting health. The other responses describe some of the
dependent and collaborative functions of the nursing role but do not accurately describe the
nurse‘s role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
3. Which nursing diagnosis statement is written correctly?
a. Altered tissue perfusion related to heart failure
b. Risk for impaired tissue integrity related to sacral redness
c. Ineffective coping related to response to biopsy test results
d. Altered urinary elimination related to urinary tract infection
ANS: C
This diagnosis statement includes a NANDA nursing diagnosis and an etiology that describes a
patient‘s response to a health problem that can be treated by nursing. The use of a medical
diagnosis as an etiology (as in the responses beginning ―Altered tissue perfusion‖ and
―Altered urinary elimination‖) is not appropriate. The response beginning ―Risk for impaired
tissue integrity‖ uses the defining characteristic as the etiology.
DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
,4. The nurse admits a patient to the hospital and develops a plan of care. What components
should the nurse include in the nursing diagnosis statement?
a. The problem and the suggested patient goals or outcomes
b. The problem with possible causes and the planned interventions
c. The problem, its cause, and objective data that support the problem
d. The problem with an etiology and the signs and symptoms of the problem
ANS: D
When writing nursing diagnoses, this format should be used: problem, etiology, and signs and
symptoms. The subjective, as well as objective, data should be included in the defining
characteristics. Interventions and outcomes are not included in the nursing diagnosis statement.
DIF: Cognitive Level: Remember (knowledge) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
5. 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 patient‘s major problem is the impaired skin integrity as demonstrated by the presence of a
pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently
repositioning the patient. Although left-sided weakness is a problem for the patient, the nurse
cannot treat the weakness. The ―risk for‖ diagnosis is not appropriate for this patient, who
already has impaired tissue integrity. The patient does have ineffective tissue perfusion, but the
impaired skin integrity diagnosis indicates more clearly what the health problem is.
, DIF: Cognitive Level: Apply (application) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to
excessive diaphoresis. Which outcome would the nurse recognize as appropriate for this patient?
a. Patient has a balanced intake and output.
b. Patient‘s bedding is changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
d. Patient‘s 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 identified in the nursing diagnosis statement. The other statements would not indicate
that the problem of deficient fluid volume was resolved.
DIF: Cognitive Level: Apply (application) REF: 7
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 evaluation 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 patient‘s health problems have been completely resolved
d. To establish if the patient agrees that the nursing care provided was satisfactory
ANS: A
Evaluation consists of determining whether the desired patient outcomes have been met and
whether the nursing interventions were appropriate. The other responses do not describe the
evaluation phase.
Management of Clinical Problems 12th Edition By Marianne M. Harding,
Jeffrey Kwong, Debra Hagler Chapter 1- 69 Complete Guide EXAM 2026-
2027 QUESTIONS AND ANSWERS 100 % PASS SOLUTION A+ GRADE
Chapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. The nurse interviews a patient while completing the health history and physical examination.
What is the purpose of the assessment phase of the nursing process?
a. To teach interventions that relieve health problems
b. To use patient data to evaluate patient care outcomes
c. To obtain data with which to diagnose patient problems
d. To help the patient identify realistic outcomes for health problems
ANS: C
During the assessment phase, the nurse gathers information about the patient to diagnose patient
problems. The other responses are examples of the planning, intervention, and evaluation phases
of the nursing process.
DIF: Cognitive Level: Understand (comprehension) REF: 5
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
2. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient‘s input. The patient states, ―How is this different from what
the doctor does?‖ Which response 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 nurse‘s job is to help the doctor by collecting information and communicating
any problems that occur.‖
, c. ―Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for a longer time than the doctor.‖
d. ―In addition to caring for you while you are sick, the nurses will assist you to develop
an individualized plan to maintain your health.‖
ANS: D
This response is consistent with the American Nurses Association (ANA) definition of nursing,
which describes the role of nurses in promoting health. The other responses describe some of the
dependent and collaborative functions of the nursing role but do not accurately describe the
nurse‘s role in the health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
3. Which nursing diagnosis statement is written correctly?
a. Altered tissue perfusion related to heart failure
b. Risk for impaired tissue integrity related to sacral redness
c. Ineffective coping related to response to biopsy test results
d. Altered urinary elimination related to urinary tract infection
ANS: C
This diagnosis statement includes a NANDA nursing diagnosis and an etiology that describes a
patient‘s response to a health problem that can be treated by nursing. The use of a medical
diagnosis as an etiology (as in the responses beginning ―Altered tissue perfusion‖ and
―Altered urinary elimination‖) is not appropriate. The response beginning ―Risk for impaired
tissue integrity‖ uses the defining characteristic as the etiology.
DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
,4. The nurse admits a patient to the hospital and develops a plan of care. What components
should the nurse include in the nursing diagnosis statement?
a. The problem and the suggested patient goals or outcomes
b. The problem with possible causes and the planned interventions
c. The problem, its cause, and objective data that support the problem
d. The problem with an etiology and the signs and symptoms of the problem
ANS: D
When writing nursing diagnoses, this format should be used: problem, etiology, and signs and
symptoms. The subjective, as well as objective, data should be included in the defining
characteristics. Interventions and outcomes are not included in the nursing diagnosis statement.
DIF: Cognitive Level: Remember (knowledge) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
5. 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 patient‘s major problem is the impaired skin integrity as demonstrated by the presence of a
pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently
repositioning the patient. Although left-sided weakness is a problem for the patient, the nurse
cannot treat the weakness. The ―risk for‖ diagnosis is not appropriate for this patient, who
already has impaired tissue integrity. The patient does have ineffective tissue perfusion, but the
impaired skin integrity diagnosis indicates more clearly what the health problem is.
, DIF: Cognitive Level: Apply (application) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to
excessive diaphoresis. Which outcome would the nurse recognize as appropriate for this patient?
a. Patient has a balanced intake and output.
b. Patient‘s bedding is changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
d. Patient‘s 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 identified in the nursing diagnosis statement. The other statements would not indicate
that the problem of deficient fluid volume was resolved.
DIF: Cognitive Level: Apply (application) REF: 7
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 evaluation 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 patient‘s health problems have been completely resolved
d. To establish if the patient agrees that the nursing care provided was satisfactory
ANS: A
Evaluation consists of determining whether the desired patient outcomes have been met and
whether the nursing interventions were appropriate. The other responses do not describe the
evaluation phase.
