Chapter 01: Professional Nursing
Test Bank for Lewis Medical Surgical Nursing 11th Edition by
Harding
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
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?
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 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 nurses role in the health care
system.
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. 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.
Test Bank for Lewis Medical Surgical Nursing 11th Edition by
Harding
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
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?
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 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 nurses role in the health care
system.
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. 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.
