Stuvia.com u- uThe uMarketplace uto uBuy uand uSell uyour uStudy uMaterial
TESTBANK
Test uBank u-uuFOR uLEWIS
Lewis's uMEDICAL
uMedical uSURGICAL
uSurgical uNursing uNURSING
u(11th uEdition u11TH uEDITION uBY uHARDING 1
uby uHarding)
Table of Contents
u u
TableuofuContents 1
Chapter u01: u Professional uNursing 3
Chapteru02:uHealthuEquityuanduCulturallyuCompetentuCare 13
u Chapteru03:uHealthuHistoryuanduPhysicaluExamination 21
u Chapteru04:uPatientuanduCaregiveruTeaching 28
Chapteru05:uChronicuIllnessuanduOlderuAdults 38
u Chapteru06:uStressuManagement 48
Chapteru07:uSleepuanduSleepuDisorders 54
u Chapter u08: uPain 59
Chapteru09: uPalliative uand uEnduof uLifeuCare 71
u Chapteru10:uSubstanceuUseuDisorders 79
u Chapteru11:uInflammationuanduHealing 91
u Chapteru12:uGenetics 101
Chapter u 13: u Immune u Responses u and u Transplantation 105
u Chapter u 14: u Infection 117
Chapteru15:uCancer 129
Chapter u 16: u Fluid, u Electrolyte, u and u Acid-Base u Imbalances 148
u Chapteru17:uPreoperativeuCare 165
Chapteru18:uIntraoperativeuCare 175
u Chapteru19:uPostoperativeuCare 184
Chapteru20:uAssessmentuanduManagement:uVisualuProblems 196
u Chapter u 21: u Assessment u and u Management: u Auditory u Problems 216
u Chapter u 22: u Assessment: u Integumentary u System 227
Chapter u 23: u Integumentary u Problems 233
u Chapteru24:uBurns 245
Chapter u 25: u Assessment: u Respiratory u System 259
u Chapter u 26: u Upper u Respiratory u Problems 270
u Chapter u 27: u Lower u Respiratory u Problems 282
u Chapter u 28: u Obstructive u Pulmonary u Diseases 305
u Chapter u 29: u Assessment: u Hematologic 325
u System u Chapter u 30: u Hematologic u Problems 332
Chapter u 31: u Assessment: u Cardiovascular u System 353
u Chapter u 32: u Hypertension 364
Chapteru33:uCoronaryuArteryuDiseaseuanduAcuteuCoronaryuSyndrome 375
u Chapteru34:uHeartuFailure 394
Chapter u 35: u Dysrhythmias 406
Chapter u 36: u Inflammatory u and u Structural u Heart u Disorders 420
u Chapter u 37: u Vascular u Disorders 435
Chapter u38: u Assessment: u Gastrointestinal u System 450
u Chapter u39: uNutritional u Problems 458
Chapteru40:uObesity 469
Chapter u 41: u Upper u Gastrointestinal u Problems 478
u Chapter u42: u Lower u Gastrointestinal u Problems 499
Chapteru43:uLiver,uBiliaryuTract,uanduPancreasuProblems 523
u Chapter u 44: u Assessment: u Urinary u System 543
Chapteru45:uRenaluanduUrologicuProblems 553
Chapteru46:uAcuteuKidneyuInjuryuanduChronicuKidneyuDisease 573
u Chapter u 47: u Assessment: u Endocrine u System 590
Chapteru48:uDiabetesuMellitus 600
u Chapter u 49: u Endocrine u Problems 622
Chapter u 50: u Assessment: u Reproductive u System 642
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uMaterial 2
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Chapter u 51: u Breast u Disorders 650
Chapter u 52: u Sexually uTransmitted uInfections 662
u Chapter u 53: u Female u Reproductive u Problems 671
u Chapteru54:uMaleuReproductiveuProblems 693
u Chapter u 55: u Assessment: u Nervous u System 708
u Chapter u 56: u Acute u Intracranial u Problems 717
u Chapteru57:uStroke 734
Chapter u58: uChronic uNeurologic u Problems 747
u Chapteru59:uDementiauanduDelirium 763
Chapteru60:uSpinaluCorduanduPeripheraluNerveuProblems 772
u Chapter u 61: u Assessment: u Musculoskeletal u System 787
Chapter u 62: u Musculoskeletal u Trauma u and u Orthopedic 794
u Surgery u Chapter u 63: u Musculoskeletal u Problems 814
Chapter u 64: u Arthritis u and u Connective u Tissue u Diseases 825
u Chapteru65:uCriticaluCare 845
Chapteru66:uShock,uSepsis,uanduMultipleuOrganuDysfunctionuSyndrome 864
Chapter u 67: u Acute u Respiratory u Failure u and u Acute u Respiratory uDistress 877
u Syndrome u Chapteru68:uEmergencyuanduDisasteruNursing 889
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uMaterial 3
Test uBank u- uLewis's uMedical uSurgical uNursing u(11th uEdition uby uHarding)
Chapter 01: Professional Nursing
u u u
Test u Bank
u MULTIPLE
u CHOICE
1. Theunurseuteachesuaustudentunurseuaboutuhowutouapplyutheunursinguprocessuwhenuprovidingupatient
ucare. u Whichustatement, uif umadeuby uthe ustudent unurse,uindicates uthat uteaching uwasusuccessful?
a. The unursing uprocessuisuauscientific-based umethod uof udiagnosingutheupatientsuhealth ucare uproblems.
b. The unursing uprocess uis ua uproblem-solving utooluused utouidentify uand utreat upatients uhealth ucare uneeds.
c. Theunursinguprocessuisubaseduonunursingutheoryuthatuincorporatesutheubiopsychosocialunature
uof u humans.
d. Theunursinguprocessuisuuseduprimarilyutouexplainunursinguinterventionsutouotheruhealth
ucare u professionals.
ANS: uB
Theunursinguprocessuisuauproblem-solvinguapproachutoutheuidentificationuandutreatmentuofupatientsuproblems.
u Diagnosis uis uonly uone uphase uof uthe unursing uprocess. uThe uprimary uuse uof uthe unursing uprocess uis uin
upatient ucare, u notutouestablishunursingutheoryuoruexplainunursinguinterventionsutouotheruhealthucare
uprofessionals.
DIF: u Cognitive u Level: u Understand u (comprehension)
TOP:uNursinguProcess:uImplementationuMSC:uNCLEX:uSafeuanduEffectiveuCareuEnvironment
2. The unurse udescribes uto ua ustudent unurse uhow uto uuse uevidence-based upractice uguidelines uwhen ucaring
ufor u patients.uWhichustatement,uif umade ubyuthe unurse,uwould ube utheumost uaccurate?
a. Inferencesufrom uclinicaluresearch ustudiesuare uuseduasua uguide.
b. Patientucareuisubaseduonuclinicalujudgment,uexperience,uandutraditions.
c. Datauareuevaluatedutoushowuthatutheupatientuoutcomesuareuconsistentlyumet.
d. Recommendationsuareubaseduonuresearch,uclinicaluexpertise,uandupatientupreferences.
u ANS: uD
Evidence-based upractice u(EBP) uis uthe uuse uof uthe ubest uresearch-based uevidence ucombined uwith uclinician u
u expertise. uClinical ujudgment ubased uon uthe unurses uclinical uexperience uis upart uof uEBP, ubut uclinical udecision u
u makingushouldualsouincorporateucurrenturesearchuanduresearch-baseduguidelines.uEvaluationuofupatient
uoutcomes u isuimportant,ubutuinterventionsushouldubeubaseduonuresearchufromurandomizeducontrolustudies
uwithuaularge u number u of u subjects.
DIF:uCognitiveuLevel:uRememberu(knowledge)
TOP:uNursinguProcess:uPlanninguMSC:uNCLEX:uSafeuanduEffectiveuCareuEnvironment
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uMaterial 4
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3. The unurse ucompletes uan uadmission udatabase uand uexplains uthat uthe uplan uof ucare uand udischarge ugoals uwill
ube u developed uwith uthe upatients uinput. uThe upatient ustates, uHow uis uthis udifferent ufrom uwhat uthe udoctor
udoes? uWhich u responseuwouldubeumostuappropriateuforutheunurseutoumake?
a. Theuroleuofutheunurseuisutouadministerumedicationsuanduotherutreatmentsuprescribedubyuyourudoctor.
b. The unursesujob uisuto uhelp uthe udoctor uby ucollecting uinformation uand ucommunicatinguany
uproblems u that uoccur.
c. Nursesuperformumanyuof utheusameuproceduresuasutheudoctor,ubutunursesuareuwith utheupatientsufor
ua u longerutimeuthanutheudoctor.
d. In uaddition uto ucaring ufor uyou uwhile uyou uare usick, uthe unurses uwill uassist uyou uto
udevelop uan u individualizeduplanutoumaintainuyouruhealth.
ANS: uD
This uresponse uis uconsistent uwith uthe uAmerican uNurses uAssociation u(ANA) udefinition uof unursing, uwhich
u describes uthe urole uof unurses uin upromoting uhealth. uThe uother uresponses udescribe usome uof uthe udependent
uand u collaborativeufunctions uofuthe unursing uroleubut udo unotuaccurately udescribeuthe unurses uroleuin uthe
uhealthucare u system.
DIF: u Cognitive u Level: u Understand u (comprehension)
TOP:uNursinguProcess:uImplementationuMSC:uNCLEX:uSafeuanduEffectiveuCareuEnvironment
4. A upatient uwho uis uparalyzed uon uthe uleft uside uof uthe ubody uafter ua ustroke udevelops ua upressure uulcer uon uthe
uleft uhip u Whichunursingudiagnosisuisumostuappropriate?
a. Impaireduphysicalumobilityurelatedutouleft-sideduparalysis
b. Riskuforuimpairedutissueuintegrityurelatedutouleft-sideduweakness
c. Impaired uskin uintegrity urelated uto ualtered ucirculation uand upressure
d. Ineffectiveutissueuperfusion urelatedutouinabilityutoumove uindependently
u ANS: uC
Theupatientsumajoruproblemuisutheuimpaireduskinuintegrityuasudemonstratedubyutheupresenceuofuaupressureuulcer.
u Theunurseuisuableutoutreatutheucauseuofualtereducirculationuandupressureubyufrequentlyurepositioningutheupatient.
u Although uleft-sided uweakness uis ua uproblem ufor uthe upatient, uthe unurse ucannot utreat uthe uweakness. uThe urisk
ufor u diagnosisuisunotuappropriateuforuthisupatient,uwhoualreadyuhasuimpairedutissueuintegrity.uTheupatient
udoesuhave u ineffectiveutissueuperfusion,ubututheuimpaireduskinuintegrityudiagnosisuindicatesumoreuclearly
uwhatutheuhealth u problemuis.
DIF:uCognitiveuLevel:uApplyu(application)
TOP:uNursinguProcess:uDiagnosisuMSC:uNCLEX:uPhysiologicaluIntegrity
5. A upatient uhas ubeen uadmitted uto uthe uhospital ufor usurgery uand utells uthe unurse, uI udo unot ufeel ucomfortable
uleaving u myuchildrenuwithumyuparents. uWhichuactionushould utheunurse utakeunext?
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TESTBANK
Test uBank u-uuFOR uLEWIS
Lewis's uMEDICAL
uMedical uSURGICAL
uSurgical uNursing uNURSING
u(11th uEdition u11TH uEDITION uBY uHARDING 1
uby uHarding)
Table of Contents
u u
TableuofuContents 1
Chapter u01: u Professional uNursing 3
Chapteru02:uHealthuEquityuanduCulturallyuCompetentuCare 13
u Chapteru03:uHealthuHistoryuanduPhysicaluExamination 21
u Chapteru04:uPatientuanduCaregiveruTeaching 28
Chapteru05:uChronicuIllnessuanduOlderuAdults 38
u Chapteru06:uStressuManagement 48
Chapteru07:uSleepuanduSleepuDisorders 54
u Chapter u08: uPain 59
Chapteru09: uPalliative uand uEnduof uLifeuCare 71
u Chapteru10:uSubstanceuUseuDisorders 79
u Chapteru11:uInflammationuanduHealing 91
u Chapteru12:uGenetics 101
Chapter u 13: u Immune u Responses u and u Transplantation 105
u Chapter u 14: u Infection 117
Chapteru15:uCancer 129
Chapter u 16: u Fluid, u Electrolyte, u and u Acid-Base u Imbalances 148
u Chapteru17:uPreoperativeuCare 165
Chapteru18:uIntraoperativeuCare 175
u Chapteru19:uPostoperativeuCare 184
Chapteru20:uAssessmentuanduManagement:uVisualuProblems 196
u Chapter u 21: u Assessment u and u Management: u Auditory u Problems 216
u Chapter u 22: u Assessment: u Integumentary u System 227
Chapter u 23: u Integumentary u Problems 233
u Chapteru24:uBurns 245
Chapter u 25: u Assessment: u Respiratory u System 259
u Chapter u 26: u Upper u Respiratory u Problems 270
u Chapter u 27: u Lower u Respiratory u Problems 282
u Chapter u 28: u Obstructive u Pulmonary u Diseases 305
u Chapter u 29: u Assessment: u Hematologic 325
u System u Chapter u 30: u Hematologic u Problems 332
Chapter u 31: u Assessment: u Cardiovascular u System 353
u Chapter u 32: u Hypertension 364
Chapteru33:uCoronaryuArteryuDiseaseuanduAcuteuCoronaryuSyndrome 375
u Chapteru34:uHeartuFailure 394
Chapter u 35: u Dysrhythmias 406
Chapter u 36: u Inflammatory u and u Structural u Heart u Disorders 420
u Chapter u 37: u Vascular u Disorders 435
Chapter u38: u Assessment: u Gastrointestinal u System 450
u Chapter u39: uNutritional u Problems 458
Chapteru40:uObesity 469
Chapter u 41: u Upper u Gastrointestinal u Problems 478
u Chapter u42: u Lower u Gastrointestinal u Problems 499
Chapteru43:uLiver,uBiliaryuTract,uanduPancreasuProblems 523
u Chapter u 44: u Assessment: u Urinary u System 543
Chapteru45:uRenaluanduUrologicuProblems 553
Chapteru46:uAcuteuKidneyuInjuryuanduChronicuKidneyuDisease 573
u Chapter u 47: u Assessment: u Endocrine u System 590
Chapteru48:uDiabetesuMellitus 600
u Chapter u 49: u Endocrine u Problems 622
Chapter u 50: u Assessment: u Reproductive u System 642
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, Stuvia.com u- uThe uMarketplace uto uBuy uand uSell uyour uStudy
uMaterial 2
Test uBank u- uLewis's uMedical uSurgical uNursing u(11th uEdition uby uHarding)
Chapter u 51: u Breast u Disorders 650
Chapter u 52: u Sexually uTransmitted uInfections 662
u Chapter u 53: u Female u Reproductive u Problems 671
u Chapteru54:uMaleuReproductiveuProblems 693
u Chapter u 55: u Assessment: u Nervous u System 708
u Chapter u 56: u Acute u Intracranial u Problems 717
u Chapteru57:uStroke 734
Chapter u58: uChronic uNeurologic u Problems 747
u Chapteru59:uDementiauanduDelirium 763
Chapteru60:uSpinaluCorduanduPeripheraluNerveuProblems 772
u Chapter u 61: u Assessment: u Musculoskeletal u System 787
Chapter u 62: u Musculoskeletal u Trauma u and u Orthopedic 794
u Surgery u Chapter u 63: u Musculoskeletal u Problems 814
Chapter u 64: u Arthritis u and u Connective u Tissue u Diseases 825
u Chapteru65:uCriticaluCare 845
Chapteru66:uShock,uSepsis,uanduMultipleuOrganuDysfunctionuSyndrome 864
Chapter u 67: u Acute u Respiratory u Failure u and u Acute u Respiratory uDistress 877
u Syndrome u Chapteru68:uEmergencyuanduDisasteruNursing 889
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uMaterial 3
Test uBank u- uLewis's uMedical uSurgical uNursing u(11th uEdition uby uHarding)
Chapter 01: Professional Nursing
u u u
Test u Bank
u MULTIPLE
u CHOICE
1. Theunurseuteachesuaustudentunurseuaboutuhowutouapplyutheunursinguprocessuwhenuprovidingupatient
ucare. u Whichustatement, uif umadeuby uthe ustudent unurse,uindicates uthat uteaching uwasusuccessful?
a. The unursing uprocessuisuauscientific-based umethod uof udiagnosingutheupatientsuhealth ucare uproblems.
b. The unursing uprocess uis ua uproblem-solving utooluused utouidentify uand utreat upatients uhealth ucare uneeds.
c. Theunursinguprocessuisubaseduonunursingutheoryuthatuincorporatesutheubiopsychosocialunature
uof u humans.
d. Theunursinguprocessuisuuseduprimarilyutouexplainunursinguinterventionsutouotheruhealth
ucare u professionals.
ANS: uB
Theunursinguprocessuisuauproblem-solvinguapproachutoutheuidentificationuandutreatmentuofupatientsuproblems.
u Diagnosis uis uonly uone uphase uof uthe unursing uprocess. uThe uprimary uuse uof uthe unursing uprocess uis uin
upatient ucare, u notutouestablishunursingutheoryuoruexplainunursinguinterventionsutouotheruhealthucare
uprofessionals.
DIF: u Cognitive u Level: u Understand u (comprehension)
TOP:uNursinguProcess:uImplementationuMSC:uNCLEX:uSafeuanduEffectiveuCareuEnvironment
2. The unurse udescribes uto ua ustudent unurse uhow uto uuse uevidence-based upractice uguidelines uwhen ucaring
ufor u patients.uWhichustatement,uif umade ubyuthe unurse,uwould ube utheumost uaccurate?
a. Inferencesufrom uclinicaluresearch ustudiesuare uuseduasua uguide.
b. Patientucareuisubaseduonuclinicalujudgment,uexperience,uandutraditions.
c. Datauareuevaluatedutoushowuthatutheupatientuoutcomesuareuconsistentlyumet.
d. Recommendationsuareubaseduonuresearch,uclinicaluexpertise,uandupatientupreferences.
u ANS: uD
Evidence-based upractice u(EBP) uis uthe uuse uof uthe ubest uresearch-based uevidence ucombined uwith uclinician u
u expertise. uClinical ujudgment ubased uon uthe unurses uclinical uexperience uis upart uof uEBP, ubut uclinical udecision u
u makingushouldualsouincorporateucurrenturesearchuanduresearch-baseduguidelines.uEvaluationuofupatient
uoutcomes u isuimportant,ubutuinterventionsushouldubeubaseduonuresearchufromurandomizeducontrolustudies
uwithuaularge u number u of u subjects.
DIF:uCognitiveuLevel:uRememberu(knowledge)
TOP:uNursinguProcess:uPlanninguMSC:uNCLEX:uSafeuanduEffectiveuCareuEnvironment
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uMaterial 4
Test uBank u- uLewis's uMedical uSurgical uNursing u(11th uEdition uby uHarding)
3. The unurse ucompletes uan uadmission udatabase uand uexplains uthat uthe uplan uof ucare uand udischarge ugoals uwill
ube u developed uwith uthe upatients uinput. uThe upatient ustates, uHow uis uthis udifferent ufrom uwhat uthe udoctor
udoes? uWhich u responseuwouldubeumostuappropriateuforutheunurseutoumake?
a. Theuroleuofutheunurseuisutouadministerumedicationsuanduotherutreatmentsuprescribedubyuyourudoctor.
b. The unursesujob uisuto uhelp uthe udoctor uby ucollecting uinformation uand ucommunicatinguany
uproblems u that uoccur.
c. Nursesuperformumanyuof utheusameuproceduresuasutheudoctor,ubutunursesuareuwith utheupatientsufor
ua u longerutimeuthanutheudoctor.
d. In uaddition uto ucaring ufor uyou uwhile uyou uare usick, uthe unurses uwill uassist uyou uto
udevelop uan u individualizeduplanutoumaintainuyouruhealth.
ANS: uD
This uresponse uis uconsistent uwith uthe uAmerican uNurses uAssociation u(ANA) udefinition uof unursing, uwhich
u describes uthe urole uof unurses uin upromoting uhealth. uThe uother uresponses udescribe usome uof uthe udependent
uand u collaborativeufunctions uofuthe unursing uroleubut udo unotuaccurately udescribeuthe unurses uroleuin uthe
uhealthucare u system.
DIF: u Cognitive u Level: u Understand u (comprehension)
TOP:uNursinguProcess:uImplementationuMSC:uNCLEX:uSafeuanduEffectiveuCareuEnvironment
4. A upatient uwho uis uparalyzed uon uthe uleft uside uof uthe ubody uafter ua ustroke udevelops ua upressure uulcer uon uthe
uleft uhip u Whichunursingudiagnosisuisumostuappropriate?
a. Impaireduphysicalumobilityurelatedutouleft-sideduparalysis
b. Riskuforuimpairedutissueuintegrityurelatedutouleft-sideduweakness
c. Impaired uskin uintegrity urelated uto ualtered ucirculation uand upressure
d. Ineffectiveutissueuperfusion urelatedutouinabilityutoumove uindependently
u ANS: uC
Theupatientsumajoruproblemuisutheuimpaireduskinuintegrityuasudemonstratedubyutheupresenceuofuaupressureuulcer.
u Theunurseuisuableutoutreatutheucauseuofualtereducirculationuandupressureubyufrequentlyurepositioningutheupatient.
u Although uleft-sided uweakness uis ua uproblem ufor uthe upatient, uthe unurse ucannot utreat uthe uweakness. uThe urisk
ufor u diagnosisuisunotuappropriateuforuthisupatient,uwhoualreadyuhasuimpairedutissueuintegrity.uTheupatient
udoesuhave u ineffectiveutissueuperfusion,ubututheuimpaireduskinuintegrityudiagnosisuindicatesumoreuclearly
uwhatutheuhealth u problemuis.
DIF:uCognitiveuLevel:uApplyu(application)
TOP:uNursinguProcess:uDiagnosisuMSC:uNCLEX:uPhysiologicaluIntegrity
5. A upatient uhas ubeen uadmitted uto uthe uhospital ufor usurgery uand utells uthe unurse, uI udo unot ufeel ucomfortable
uleaving u myuchildrenuwithumyuparents. uWhichuactionushould utheunurse utakeunext?
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