Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 1
Medical-Surgical Nursing: Assessment and Management of
Clinical Problems, Single Volume 10th Edition by Sharon L.
Lewis, Linda Bucher, Margaret M. Heitkempe
TEST BANK
Chapter 1: Professional Nursing Practice
MULTIPLE CHOICE
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?
The nursing process is a scientific-based method of diagnosing the patient’s health care problems.
The nursing process is a problem-solving tool used to identify and treat patient’s health care needs.
The nursing process is based on nursing theory that incorporates the biopsychosocial nature ofhumans.
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) REF: 7
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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?
Inferences from clinical research studies are used as a guide.
Patient care is based on clinical judgment, experience, and traditions.
Data are evaluated to show that the patient outcomes are consistently met.
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
,Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 2
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) REF: 11
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
,Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 3
The nurse completes an admission database and explains that the plan of care and discharge goals will be
developed with the patients input. The patient states, How is this different from what the doctor does? Which
response would be most appropriate for the nurse to make?
The role of the nurse is to administer medications and other treatments prescribed by your doctor.
The nurses job is to help the doctor by collecting information and communicating any problemsthat occur.
Nurses perform many of the same procedures as the doctor, but nurses are with the patients for alonger
time than the doctor.
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 nurses role in the health care
system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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?
Impaired physical mobility related to left-sided paralysis
Risk for impaired tissue integrity related to left-sided weakness
Impaired skin integrity related to altered circulation and pressure
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.
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
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 - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 4
Reassure the patient that these feelings are common for parents.
Have the patient call the children to ensure that they are doing well.
Gather more data about the patients feelings about the child-care arrangements.
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
intervention, the nurses first action should be to obtain more information. The other actions may be
appropriate, but more assessment is needed before the best intervention can be chosen.
DIF: Cognitive Level: Apply (application) REF: 6
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity
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 most appropriate for this patient?
Patient has a balanced intake and output.
Patients bedding is changed when it becomes damp.
Patient understands the need for increased fluid intake.
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
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
A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the
evaluation phase of the nursing process?
To determine if interventions have been effective in meeting patient outcomes
To document the nursing care plan in the progress notes of the medical record
To decide whether the patients health problems have been completely resolved
Medical-Surgical Nursing: Assessment and Management of
Clinical Problems, Single Volume 10th Edition by Sharon L.
Lewis, Linda Bucher, Margaret M. Heitkempe
TEST BANK
Chapter 1: Professional Nursing Practice
MULTIPLE CHOICE
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?
The nursing process is a scientific-based method of diagnosing the patient’s health care problems.
The nursing process is a problem-solving tool used to identify and treat patient’s health care needs.
The nursing process is based on nursing theory that incorporates the biopsychosocial nature ofhumans.
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) REF: 7
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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?
Inferences from clinical research studies are used as a guide.
Patient care is based on clinical judgment, experience, and traditions.
Data are evaluated to show that the patient outcomes are consistently met.
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
,Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 2
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) REF: 11
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
,Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 3
The nurse completes an admission database and explains that the plan of care and discharge goals will be
developed with the patients input. The patient states, How is this different from what the doctor does? Which
response would be most appropriate for the nurse to make?
The role of the nurse is to administer medications and other treatments prescribed by your doctor.
The nurses job is to help the doctor by collecting information and communicating any problemsthat occur.
Nurses perform many of the same procedures as the doctor, but nurses are with the patients for alonger
time than the doctor.
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 nurses role in the health care
system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
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?
Impaired physical mobility related to left-sided paralysis
Risk for impaired tissue integrity related to left-sided weakness
Impaired skin integrity related to altered circulation and pressure
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.
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
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 - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 4
Reassure the patient that these feelings are common for parents.
Have the patient call the children to ensure that they are doing well.
Gather more data about the patients feelings about the child-care arrangements.
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
intervention, the nurses first action should be to obtain more information. The other actions may be
appropriate, but more assessment is needed before the best intervention can be chosen.
DIF: Cognitive Level: Apply (application) REF: 6
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity
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 most appropriate for this patient?
Patient has a balanced intake and output.
Patients bedding is changed when it becomes damp.
Patient understands the need for increased fluid intake.
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
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
A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the
evaluation phase of the nursing process?
To determine if interventions have been effective in meeting patient outcomes
To document the nursing care plan in the progress notes of the medical record
To decide whether the patients health problems have been completely resolved
