TESTBANK FOR LEWIS MEDICAL SURGICAL
NURSING 12TH EDITION BY HARDING ( ALL
CHAPTERS 1-68) Latest Updated Examination
Study Guide Newest Version Actual
Questions and Answers 100% Correct (A+)
2026
• Evidence-based practice -✓✓is the foundation of professional nursing practice. Based
upon a problem-solving approach to health-care delivery, nursing care practices and
protocols are based upon the best evidence from research studies and the expertise of
clinicians.
• Steps of Evidence-based practice -✓✓*Develop the question
*Search and collate the best evidence
*Evaluate the quality of the evidence
*Integrate evidence into practice
*Evaluate outcomes of practice change
*Disseminate the evidence
• Time-outs -✓✓Requires all personnel involved in the procedure to stop to make sure
that the patient is identified, the correct anatomical site is identified, and all equipment is
in working order, and special procedures for marking surgical sites.
• -✓✓Medical-surgical nursing has historically been practiced in acute care facilities
across the US.
Medical-surgical nursing is now practiced in many different practice settings including
>>Hospitals
>>Same-day surgical centers
>> Acute rehabilitation centers
>> Ambulatory care settings
>> Long-term care agencies
>> Patient homes
Medical-surgical nursing focuses on the management of acutely ill adult patients.
Medical-surgical nurses are the largest group of practicing nursing professionals.
,• Academy of Medical-surgical nurses (AMSN) -✓✓The professional nursing
organizasion for medical-surgical nurses, the foundation of all nursing practices has its
roots in this practice area. (medical-surgical nursing that it)
• Medical-surgical nursing certification board(MSNCB) -✓✓Over the years, medical
surgical nursing has developed into a specialty practice area, and RNs who meet
requirements are eligble for certification in medical-surgical nursing. These nurses earn
the credential Certified medical-surgical registered nurse. (CMSRN)
• American Nurses Credentialing center (ANCC) -✓✓Another available certification in
medical-surgical nursing where nurses are given the credentials Registered nurses-
board certified(RN-BC)
• Entry-level nursing programs, including associates, bachelor, and master (including
clinical nurse leader), and doctoral degrees -✓✓Focus on the preparation of nurses to
practice competently in the various medical-surgical settings.
• Competencies Related to the Nursing Process -✓✓Important to the practice of
medical-surgical nursing:Competencies in the nursing process, clinical decision making,
evidence based practice, patient-centered care, quality and safety, and interprofessional
practice.
• American Nursing Credentialing center (ANCC) Magnent Recognition Program -
✓✓Awarded to health-care facilities that demonstrate excellence in the recruitment,
recognition, and retention of nursing staff as well as excellence in patient care and
quality. Because quality patient care is associated with a foundation i evidence-based
practice findings, the ASMNS scope of medical-surgical nursing practice provides
dissemination of evidene-based practice guidelines for medical-surgical nurses.
• Medical-surgical nursing -✓✓A specialty area characterized by competencies that are
applicable for patients across the health-care continuum from acute care hospitals to
home setting. The largest subspecialty in nursing, medical-surgical nurses are eligible
for certification in this practice through AMSN or ANCC.
• Patient-centered care -✓✓Importance is demonstrated by its incorporation into TJC's
accreditation standards for hospitals. Interprofessional coordination and teamwork are
also essential to effective patient outcomes in the complex health system in the US.
Medical-surgical nurses work closely in interprofessional teams including providers,
social workers, pharmacists, and other disciplines to plan and implement the best
evidence-based practice.
• SBAR -✓✓One approach to decreasing communication barriers and focuses on a
standard way to state the situation, background, assessment, and recommendation.
,• SBAR Approach to effective communication -✓✓Situation- Brief statement of the
problem or issue being addressed.
Background- Data related to the current situation.
Assessment- Summary of causes, significance, severity of situation.
Recommendation- Specific actions needed to address the situation.
The SBAR approach method provides a consistent process for communication,
particularly in high-risk situations. Of particular value is the focus on making a
recommendation that focuses on a definite approach to addressing the issues or clinical
problem.
• Which factors have led to the expansion of medical-surgical nursing from traditional
acute care facilities to other settings?Select all that apply
A. Increase in health-care complexity.
B. Shortage of RN's
C. Changes in insurance coverage
D. Shortened hospital lengths of stay
E. Low salaries for RN's in hospitals -✓✓A, C, D. Rationale: changes in healthcare
delivery, legislation, and insurance coverage, have led to medical-surgical nursing being
practiced in many different practice settings, including hospitals, same day surgical
centers, acute rehabilitation centers, ambulatory care clinics, long term care settings,
and patients' homes
• The medical-surgical nurse implements SBAR to promote effectiveness in which
aspect of quality and safety in patient care? -✓✓Communication
• Which outcome of interprofessional teams is associated with the increased focus on
educating health professional students together? -✓✓Increased safety and quality
• The medical-surgical nurse needs to be knowledgeable of which organization that
scores patient-centered care via a telephone survey of selected patients after
discharge? -✓✓Hospital consumer assessment of healthcare providers and systems
(HCAHPS)
• In designing an evidence-based practice guideline for a medical-surgical unit, which
source provides the most reliable information? -✓✓Results from research studies
• Academy of medical-surgical nursing nurses strategic framework -✓✓>>Mission: To
promote excellence in medical-surgical nursing.
, >>Vision: MedSN use their powerful voice and focused action to continually improve
patient care.
>>Values: MedSN is distinct specialty with its own body of knowledge. We believe
patients receiving better care when MedSN:
*Engage in ongoing professional development
*Use evidence based practice
*Speak with a unified voice
*Serve as leaders on health care terms
*Have the necessary resources to deliver excellent care
*Practice in a healthy work environment.
>>Strategic Message
The AMSN is a vibrant community of medical-surgical nurses who care about:
*Improving patient care
*Developing personally and professionally
*Advocating for the specialty of medical-surgical nursing
*Connecting with other nurses who share their connection and commitment.
• The nurse has recently been assigned to a medical-surgical clinical rotation. According
to the scope of medical-surgical nursing, what type of client assignments does the nurse
expect to see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chronic illnesses
C. Older adults in a nursing home
D. Working adults in a corporate setting -✓✓B
• The nursing student has been assigned to the hospital's Rapid Response Team
(RRT). Which statement by the student indicates a correct understanding of the RRT
member's purpose?
A. "I will be caring for clients in the hospital."
B. "I will be riding along in the hospital's ambulance."
C. "I will be admitting clients to the hospital."
D. "I will be observing Code Blue resuscitations." -✓✓A
• The nurse is working in the intensive care unit. When does the nurse call the Rapid
Response Team (RRT)?
A. An 87-year-old client awakens mildly confused, then reorients quickly.
B. A newly admitted client requests pain medication.
C. A postoperative client's dressing has mild bloody drainage.
D. A postoperative client's blood pressure suddenly drops. -✓✓D
• Which role of the medical-surgical nurse is demonstrated when writing a plan of care
for a client who is newly admitted to the hospital?
A. Advocate
B. Caregiver
NURSING 12TH EDITION BY HARDING ( ALL
CHAPTERS 1-68) Latest Updated Examination
Study Guide Newest Version Actual
Questions and Answers 100% Correct (A+)
2026
• Evidence-based practice -✓✓is the foundation of professional nursing practice. Based
upon a problem-solving approach to health-care delivery, nursing care practices and
protocols are based upon the best evidence from research studies and the expertise of
clinicians.
• Steps of Evidence-based practice -✓✓*Develop the question
*Search and collate the best evidence
*Evaluate the quality of the evidence
*Integrate evidence into practice
*Evaluate outcomes of practice change
*Disseminate the evidence
• Time-outs -✓✓Requires all personnel involved in the procedure to stop to make sure
that the patient is identified, the correct anatomical site is identified, and all equipment is
in working order, and special procedures for marking surgical sites.
• -✓✓Medical-surgical nursing has historically been practiced in acute care facilities
across the US.
Medical-surgical nursing is now practiced in many different practice settings including
>>Hospitals
>>Same-day surgical centers
>> Acute rehabilitation centers
>> Ambulatory care settings
>> Long-term care agencies
>> Patient homes
Medical-surgical nursing focuses on the management of acutely ill adult patients.
Medical-surgical nurses are the largest group of practicing nursing professionals.
,• Academy of Medical-surgical nurses (AMSN) -✓✓The professional nursing
organizasion for medical-surgical nurses, the foundation of all nursing practices has its
roots in this practice area. (medical-surgical nursing that it)
• Medical-surgical nursing certification board(MSNCB) -✓✓Over the years, medical
surgical nursing has developed into a specialty practice area, and RNs who meet
requirements are eligble for certification in medical-surgical nursing. These nurses earn
the credential Certified medical-surgical registered nurse. (CMSRN)
• American Nurses Credentialing center (ANCC) -✓✓Another available certification in
medical-surgical nursing where nurses are given the credentials Registered nurses-
board certified(RN-BC)
• Entry-level nursing programs, including associates, bachelor, and master (including
clinical nurse leader), and doctoral degrees -✓✓Focus on the preparation of nurses to
practice competently in the various medical-surgical settings.
• Competencies Related to the Nursing Process -✓✓Important to the practice of
medical-surgical nursing:Competencies in the nursing process, clinical decision making,
evidence based practice, patient-centered care, quality and safety, and interprofessional
practice.
• American Nursing Credentialing center (ANCC) Magnent Recognition Program -
✓✓Awarded to health-care facilities that demonstrate excellence in the recruitment,
recognition, and retention of nursing staff as well as excellence in patient care and
quality. Because quality patient care is associated with a foundation i evidence-based
practice findings, the ASMNS scope of medical-surgical nursing practice provides
dissemination of evidene-based practice guidelines for medical-surgical nurses.
• Medical-surgical nursing -✓✓A specialty area characterized by competencies that are
applicable for patients across the health-care continuum from acute care hospitals to
home setting. The largest subspecialty in nursing, medical-surgical nurses are eligible
for certification in this practice through AMSN or ANCC.
• Patient-centered care -✓✓Importance is demonstrated by its incorporation into TJC's
accreditation standards for hospitals. Interprofessional coordination and teamwork are
also essential to effective patient outcomes in the complex health system in the US.
Medical-surgical nurses work closely in interprofessional teams including providers,
social workers, pharmacists, and other disciplines to plan and implement the best
evidence-based practice.
• SBAR -✓✓One approach to decreasing communication barriers and focuses on a
standard way to state the situation, background, assessment, and recommendation.
,• SBAR Approach to effective communication -✓✓Situation- Brief statement of the
problem or issue being addressed.
Background- Data related to the current situation.
Assessment- Summary of causes, significance, severity of situation.
Recommendation- Specific actions needed to address the situation.
The SBAR approach method provides a consistent process for communication,
particularly in high-risk situations. Of particular value is the focus on making a
recommendation that focuses on a definite approach to addressing the issues or clinical
problem.
• Which factors have led to the expansion of medical-surgical nursing from traditional
acute care facilities to other settings?Select all that apply
A. Increase in health-care complexity.
B. Shortage of RN's
C. Changes in insurance coverage
D. Shortened hospital lengths of stay
E. Low salaries for RN's in hospitals -✓✓A, C, D. Rationale: changes in healthcare
delivery, legislation, and insurance coverage, have led to medical-surgical nursing being
practiced in many different practice settings, including hospitals, same day surgical
centers, acute rehabilitation centers, ambulatory care clinics, long term care settings,
and patients' homes
• The medical-surgical nurse implements SBAR to promote effectiveness in which
aspect of quality and safety in patient care? -✓✓Communication
• Which outcome of interprofessional teams is associated with the increased focus on
educating health professional students together? -✓✓Increased safety and quality
• The medical-surgical nurse needs to be knowledgeable of which organization that
scores patient-centered care via a telephone survey of selected patients after
discharge? -✓✓Hospital consumer assessment of healthcare providers and systems
(HCAHPS)
• In designing an evidence-based practice guideline for a medical-surgical unit, which
source provides the most reliable information? -✓✓Results from research studies
• Academy of medical-surgical nursing nurses strategic framework -✓✓>>Mission: To
promote excellence in medical-surgical nursing.
, >>Vision: MedSN use their powerful voice and focused action to continually improve
patient care.
>>Values: MedSN is distinct specialty with its own body of knowledge. We believe
patients receiving better care when MedSN:
*Engage in ongoing professional development
*Use evidence based practice
*Speak with a unified voice
*Serve as leaders on health care terms
*Have the necessary resources to deliver excellent care
*Practice in a healthy work environment.
>>Strategic Message
The AMSN is a vibrant community of medical-surgical nurses who care about:
*Improving patient care
*Developing personally and professionally
*Advocating for the specialty of medical-surgical nursing
*Connecting with other nurses who share their connection and commitment.
• The nurse has recently been assigned to a medical-surgical clinical rotation. According
to the scope of medical-surgical nursing, what type of client assignments does the nurse
expect to see?
A. Hospitalized children with acute and chronic illnesses
B. Hospitalized adults with acute and chronic illnesses
C. Older adults in a nursing home
D. Working adults in a corporate setting -✓✓B
• The nursing student has been assigned to the hospital's Rapid Response Team
(RRT). Which statement by the student indicates a correct understanding of the RRT
member's purpose?
A. "I will be caring for clients in the hospital."
B. "I will be riding along in the hospital's ambulance."
C. "I will be admitting clients to the hospital."
D. "I will be observing Code Blue resuscitations." -✓✓A
• The nurse is working in the intensive care unit. When does the nurse call the Rapid
Response Team (RRT)?
A. An 87-year-old client awakens mildly confused, then reorients quickly.
B. A newly admitted client requests pain medication.
C. A postoperative client's dressing has mild bloody drainage.
D. A postoperative client's blood pressure suddenly drops. -✓✓D
• Which role of the medical-surgical nurse is demonstrated when writing a plan of care
for a client who is newly admitted to the hospital?
A. Advocate
B. Caregiver
