TEST BANK LEWI'S MEDICAL SURGICAL NURSING
11TH EDITION.
Table of Contents
Table of Contents
Chapter 01: Professional Nursing
Chapter 02: Health Equity and Culturally Competent Care Chapter
03: Health History and Physical Examination Chapter
04: Patient and Caregiver Teaching
Chapter 05: Chronic Illness and Older Adults Chapter 06: Stress
Management
Chapter 07: Sleep and Sleep Disorders Chapter 08: Pain
Chapter 09: Palliative and End of Life Care Chapter 10:
Substance Use Disorders Chapter 11: Inflammation and Healing
Chapter 12: Genetics
Chapter 13: Immune Responses and Transplantation Chapter 14: Infection
Chapter 15: Cancer
Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances Chapter 17:
Preoperative Care
Chapter 18: Intraoperative Care Chapter 19:
Postoperative Care
Chapter 20: Assessment and Management: Visual Problems Chapter 21: Assessment
and Management: Auditory Problems Chapter 22: Assessment: Integumentary System
Chapter 23: Integumentary Problems Chapter 24: Burns
Chapter 25: Assessment: Respiratory System Chapter 26: Upper
Respiratory Problems Chapter 27: Lower Respiratory Problems
Chapter 28: Obstructive Pulmonary Diseases Chapter 29:
Assessment: Hematologic System Chapter 30: Hematologic
Problems
Chapter 31: Assessment: Cardiovascular System Chapter 32: Hypertension
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome Chapter 34: Heart
Failure
Chapter 35: Dysrhythmias
Chapter 36: Inflammatory and Structural Heart Disorders Chapter 37: Vascular
Disorders
Chapter 38: Assessment: Gastrointestinal System Chapter 39: Nutritional
Problems
Chapter 40: Obesity
Chapter 41: Upper Gastrointestinal Problems Chapter 42: Lower
Gastrointestinal Problems
Chapter 43: Liver, Biliary Tract, and Pancreas Problems Chapter 44:
Assessment: Urinary System
Chapter 45: Renal and Urologic Problems
,Chapter 46: Acute Kidney Injury and Chronic Kidney Disease Chapter 47: Assessment:
Endocrine System
Chapter 48: Diabetes Mellitus Chapter 49: Endocrine
Problems
Chapter 50: Assessment: Reproductive System
Chapter 51: Breast Disorders
Chapter 52: Sexually Transmitted Infections Chapter
53: Female Reproductive Problems Chapter 54: Male
Reproductive Problems Chapter 55: Assessment:
Nervous System Chapter 56: Acute Intracranial
Problems Chapter 57: Stroke
Chapter 58: Chronic Neurologic Problems Chapter 59:
Dementia and Delirium
Chapter 60: Spinal Cord and Peripheral Nerve Problems Chapter 61:
Assessment: Musculoskeletal System
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery Chapter
63: Musculoskeletal Problems
Chapter 64: Arthritis and Connective Tissue Diseases Chapter 65:
Critical Care
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome Chapter
68: Emergency and Disaster Nursing
Chapter 01: Professional Nursing
• 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
• 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
• 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
• 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.
DIF: Cognitive Level: Apply (application)
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?
A. Reassure the patient that these feelings are common for parents.
B. Have the patient call the children to ensure that they are doing well.
C. Gather more data about the patients feelings about the child-care arrangements.
D. 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)
11TH EDITION.
Table of Contents
Table of Contents
Chapter 01: Professional Nursing
Chapter 02: Health Equity and Culturally Competent Care Chapter
03: Health History and Physical Examination Chapter
04: Patient and Caregiver Teaching
Chapter 05: Chronic Illness and Older Adults Chapter 06: Stress
Management
Chapter 07: Sleep and Sleep Disorders Chapter 08: Pain
Chapter 09: Palliative and End of Life Care Chapter 10:
Substance Use Disorders Chapter 11: Inflammation and Healing
Chapter 12: Genetics
Chapter 13: Immune Responses and Transplantation Chapter 14: Infection
Chapter 15: Cancer
Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances Chapter 17:
Preoperative Care
Chapter 18: Intraoperative Care Chapter 19:
Postoperative Care
Chapter 20: Assessment and Management: Visual Problems Chapter 21: Assessment
and Management: Auditory Problems Chapter 22: Assessment: Integumentary System
Chapter 23: Integumentary Problems Chapter 24: Burns
Chapter 25: Assessment: Respiratory System Chapter 26: Upper
Respiratory Problems Chapter 27: Lower Respiratory Problems
Chapter 28: Obstructive Pulmonary Diseases Chapter 29:
Assessment: Hematologic System Chapter 30: Hematologic
Problems
Chapter 31: Assessment: Cardiovascular System Chapter 32: Hypertension
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome Chapter 34: Heart
Failure
Chapter 35: Dysrhythmias
Chapter 36: Inflammatory and Structural Heart Disorders Chapter 37: Vascular
Disorders
Chapter 38: Assessment: Gastrointestinal System Chapter 39: Nutritional
Problems
Chapter 40: Obesity
Chapter 41: Upper Gastrointestinal Problems Chapter 42: Lower
Gastrointestinal Problems
Chapter 43: Liver, Biliary Tract, and Pancreas Problems Chapter 44:
Assessment: Urinary System
Chapter 45: Renal and Urologic Problems
,Chapter 46: Acute Kidney Injury and Chronic Kidney Disease Chapter 47: Assessment:
Endocrine System
Chapter 48: Diabetes Mellitus Chapter 49: Endocrine
Problems
Chapter 50: Assessment: Reproductive System
Chapter 51: Breast Disorders
Chapter 52: Sexually Transmitted Infections Chapter
53: Female Reproductive Problems Chapter 54: Male
Reproductive Problems Chapter 55: Assessment:
Nervous System Chapter 56: Acute Intracranial
Problems Chapter 57: Stroke
Chapter 58: Chronic Neurologic Problems Chapter 59:
Dementia and Delirium
Chapter 60: Spinal Cord and Peripheral Nerve Problems Chapter 61:
Assessment: Musculoskeletal System
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery Chapter
63: Musculoskeletal Problems
Chapter 64: Arthritis and Connective Tissue Diseases Chapter 65:
Critical Care
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome Chapter
68: Emergency and Disaster Nursing
Chapter 01: Professional Nursing
• 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
• 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
• 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
• 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.
DIF: Cognitive Level: Apply (application)
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?
A. Reassure the patient that these feelings are common for parents.
B. Have the patient call the children to ensure that they are doing well.
C. Gather more data about the patients feelings about the child-care arrangements.
D. 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)
