Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
essional Nursing Practice Lewis: Medical-
g g g g
Surgical Nursing, 10th Edition
g g g
MULTIPLEgCHOICE
1. Thegnursegcompletesgangadmissiongdatabasegandgexplainsgthatgthegplangofgcaregandgdischargeggoa
lsgwillgbegdevelopedgwithgthegpatient’sginput.gThegpatientgstates,g“Howgisgthisgdifferentgfromgwhat
gthegdoctorgdoes?”gWhichgresponsegwouldgbeg mostgappropriategforgthegnursegtogmake?
a. “Thegrolegofgthegnursegisgtogadministergmedicationsgandgothergtreatmentsgprescribedgb
ygyourgdoctor.”
b. “Thegnurse’sgjobgisgtoghelpgthegdoctorgbygcollectingginformationgandgc
ommunicatingganygproblemsgthatgoccur.”
c. “Nursesgperformgmanygofgthegsamegproceduresgasgthegdoctor,gbutgnursesgaregwithgt
hegpatientsgforgaglongergtimegthangthegdoctor.”
d. “Ingadditiongtogcaringgforgyougwhilegyougaregsick,gthegnursesgwillgassistgyougtogd
evelopgangindividualizedgplangtogmaintaingyourghealth.”
ANS:g D
ThisgresponsegisgconsistentgwithgthegAmericangNursesgAssociationg(ANA)gdefinitiongofgnursin
g,gwhichgdescribesgthegrolegofgnursesgingpromotingghealth.gThegothergresponsesgdescribegsomego
fgthegdependentgandgcollaborativegfunctionsgofgthegnursinggrolegbutgdognotgaccuratelygdescribegt
hegnurse’sgrolegingtheghealthgcaregsystem.
DIF: CognitivegLevel:gUnderstandg(comprehension) REF:g 3
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
2. Thegnursegdescribesgtogagstudentgnurseghowgtogusegevidence-
basedgpracticegguidelinesgwhengcaringgforgpatients.gWhichgstatement,gifgmadegbygthegnurse,gw
ouldgbegthegmostgaccurate?
a. “Inferencesgfromgclinicalgresearchgstudiesgaregusedgasgagguide.”
b. “Patientgcaregisgbasedgongclinicalgjudgment,gexperience,gandgtraditions.”
c. “Datagaregevaluatedgtogshowgthatgthegpatientgoutcomesgaregconsistentlygmet.”
d. “Recommendationsgaregbasedgongresearch,gclinicalgexpertise,gandgpatientg
preferences.”
ANS:g D
Evidence-basedgpracticeg(EBP)gisgthegusegofgthegbestgresearch-
basedgevidencegcombinedgwithgcliniciangexpertise.gClinicalgjudgmentgbasedgongthegnurse’sgclini
calgexperiencegisgpartgofgEBP,gbutgclinicalgdecisiongmakinggshouldgalsogincorporategcurrentgrese
archgandgresearch-
basedgguidelines.gEvaluationgofgpatientgoutcomesgisgimportant,gbutginterventionsgshouldgbegbas
edgongresearchgfromgrandomizedgcontrolgstudiesgwithgaglargegnumbergofgsubjects.
DIF: CognitivegLevel:gRememberg(knowledge) REF:g 15
TOP:g NursinggProcess:gPlanning MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
3. Thegnursegteachesgagstudentgnursegaboutghowgtogapplygthegnursinggprocessgwhengprovidinggp
atientgcare.gWhichgstatement,gifgmadegbygthegstudentgnurse,gindicatesgthatgteachinggwasgsucc
essful?
,Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
a. “Thegnursinggprocessgisgagscientific-
basedgmethodgofgdiagnosinggthegpatient’sghealthgcaregproblems.”
b. “Thegnursinggprocessgisgagproblem-solvinggtoolgusedgtogidentifygandgtreatgpatients’
,Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
healthgcaregneeds.”
c. “Thegnursinggprocessgisgusedgprimarilygtogexplaingnursingginterventionsgtogotherg
healthgcaregprofessionals.”
d. “Thegnursinggprocessgisgbasedgongnursinggtheorygthatgincorporatesgtheg
biopsychosocialgnaturegofghumans.”
ANS:g B
Thegnursinggprocessgisgagproblem-
solvinggapproachgtogthegidentificationgandgtreatmentgofgpatients’gproblems.gDiagnosisgisgonlygon
egphasegofgthegnursinggprocess.gThegprimarygusegofgthegnursinggprocessgisgingpatientgcare,gnotgtoge
stablishgnursinggtheorygorgexplaingnursingginterventionsgtogotherghealthgcaregprofessionals.
DIF: CognitivegLevel:gUnderstandg(comprehension) REF:g 5
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
4. Agpatientghasgbeengadmittedgtogtheghospitalgforgsurgerygandgtellsgthegnurse,g“Igdognotgfeelgcomfo
rtablegleavinggmygchildrengwithgmygparents.”gWhichgactiongshouldgthegnursegtakegnext?
a. Reassuregthegpatientgthatgthesegfeelingsgaregcommongforgparents.
b. Havegthegpatientgcallgthegchildrengtogensuregthatgtheygaregdoinggwell.
c. Gathergmoregdatagaboutgthegpatient’sgfeelingsgaboutgthegchild-caregarrangements.
d. Callgthegpatient’sgparentsgtogdeterminegwhethergadequategchildgcaregisgbeingg
provided.
ANS:g C
Becausegagcompletegassessmentgisgnecessarygingordergtogidentifygagproblemgandgchoosegangappr
opriategintervention,gthegnurse’sgfirstgactiongshouldgbegtogobtaingmoreginformation.gThegotherga
ctionsgmaygbegappropriate,gbutgmoregassessmentgisgneededgbeforegthegbestginterventiongcangbegc
hosen.
DIF: CognitivegLevel:gApplyg(application) REF: 6
OBJ:ggg SpecialgQuestions:gPrioritization
TOP:g NursinggProcess:gAssessmentg
MSC:g NCLEX:gPsychosocialgIntegrity
5. Agpatientgwhogisgparalyzedgongthegleftgsidegofgthegbodygaftergagstrokegdevelopsgagpressuregulcergo
ngthegleftghip.gWhichgnursinggdiagnosisgisgmostgappropriate?
a. Impairedgphysicalgmobilitygrelatedgtogleft-sidedgparalysis
b. Riskgforgimpairedgtissuegintegritygrelatedgtogleft-sidedgweakness
c. Impairedgskingintegritygrelatedgtogalteredgcirculationgandgpressure
d. Ineffectivegtissuegperfusiongrelatedgtoginabilitygtogmovegindependently
ANS:g C
Thegpatient’sgmajorgproblemgisgthegimpairedgskingintegritygasgdemonstratedgbygthegpresencegofgag
pressuregulcer.gThegnursegisgablegtogtreatgthegcausegofgalteredgcirculationgandgpressuregbygfrequen
tlygrepositioninggthegpatient.gAlthoughgleft-
sidedgweaknessgisgagproblemgforgthegpatient,gthegnursegcannotgtreatgthegweakness.gTheg“riskgfor”gd
iagnosisgisgnotgappropriategforgthisgpatient,gwhogalreadyghasgimpairedgtissuegintegrity.gThegpatient
gdoesghavegineffectivegtissuegperfusion,gbutgthegimpairedgskingintegritygdiagnosisgindicatesgmoreg
clearlygwhatgtheghealthgproblemgis.
DIF: CognitivegLevel:gApplyg(application) REF: 7
, Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
TOP:g NursinggProcess:gDiagnosis MSC:g NCLEX:gPhysiologicalgIntegrity
essional Nursing Practice Lewis: Medical-
g g g g
Surgical Nursing, 10th Edition
g g g
MULTIPLEgCHOICE
1. Thegnursegcompletesgangadmissiongdatabasegandgexplainsgthatgthegplangofgcaregandgdischargeggoa
lsgwillgbegdevelopedgwithgthegpatient’sginput.gThegpatientgstates,g“Howgisgthisgdifferentgfromgwhat
gthegdoctorgdoes?”gWhichgresponsegwouldgbeg mostgappropriategforgthegnursegtogmake?
a. “Thegrolegofgthegnursegisgtogadministergmedicationsgandgothergtreatmentsgprescribedgb
ygyourgdoctor.”
b. “Thegnurse’sgjobgisgtoghelpgthegdoctorgbygcollectingginformationgandgc
ommunicatingganygproblemsgthatgoccur.”
c. “Nursesgperformgmanygofgthegsamegproceduresgasgthegdoctor,gbutgnursesgaregwithgt
hegpatientsgforgaglongergtimegthangthegdoctor.”
d. “Ingadditiongtogcaringgforgyougwhilegyougaregsick,gthegnursesgwillgassistgyougtogd
evelopgangindividualizedgplangtogmaintaingyourghealth.”
ANS:g D
ThisgresponsegisgconsistentgwithgthegAmericangNursesgAssociationg(ANA)gdefinitiongofgnursin
g,gwhichgdescribesgthegrolegofgnursesgingpromotingghealth.gThegothergresponsesgdescribegsomego
fgthegdependentgandgcollaborativegfunctionsgofgthegnursinggrolegbutgdognotgaccuratelygdescribegt
hegnurse’sgrolegingtheghealthgcaregsystem.
DIF: CognitivegLevel:gUnderstandg(comprehension) REF:g 3
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
2. Thegnursegdescribesgtogagstudentgnurseghowgtogusegevidence-
basedgpracticegguidelinesgwhengcaringgforgpatients.gWhichgstatement,gifgmadegbygthegnurse,gw
ouldgbegthegmostgaccurate?
a. “Inferencesgfromgclinicalgresearchgstudiesgaregusedgasgagguide.”
b. “Patientgcaregisgbasedgongclinicalgjudgment,gexperience,gandgtraditions.”
c. “Datagaregevaluatedgtogshowgthatgthegpatientgoutcomesgaregconsistentlygmet.”
d. “Recommendationsgaregbasedgongresearch,gclinicalgexpertise,gandgpatientg
preferences.”
ANS:g D
Evidence-basedgpracticeg(EBP)gisgthegusegofgthegbestgresearch-
basedgevidencegcombinedgwithgcliniciangexpertise.gClinicalgjudgmentgbasedgongthegnurse’sgclini
calgexperiencegisgpartgofgEBP,gbutgclinicalgdecisiongmakinggshouldgalsogincorporategcurrentgrese
archgandgresearch-
basedgguidelines.gEvaluationgofgpatientgoutcomesgisgimportant,gbutginterventionsgshouldgbegbas
edgongresearchgfromgrandomizedgcontrolgstudiesgwithgaglargegnumbergofgsubjects.
DIF: CognitivegLevel:gRememberg(knowledge) REF:g 15
TOP:g NursinggProcess:gPlanning MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
3. Thegnursegteachesgagstudentgnursegaboutghowgtogapplygthegnursinggprocessgwhengprovidinggp
atientgcare.gWhichgstatement,gifgmadegbygthegstudentgnurse,gindicatesgthatgteachinggwasgsucc
essful?
,Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
a. “Thegnursinggprocessgisgagscientific-
basedgmethodgofgdiagnosinggthegpatient’sghealthgcaregproblems.”
b. “Thegnursinggprocessgisgagproblem-solvinggtoolgusedgtogidentifygandgtreatgpatients’
,Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
healthgcaregneeds.”
c. “Thegnursinggprocessgisgusedgprimarilygtogexplaingnursingginterventionsgtogotherg
healthgcaregprofessionals.”
d. “Thegnursinggprocessgisgbasedgongnursinggtheorygthatgincorporatesgtheg
biopsychosocialgnaturegofghumans.”
ANS:g B
Thegnursinggprocessgisgagproblem-
solvinggapproachgtogthegidentificationgandgtreatmentgofgpatients’gproblems.gDiagnosisgisgonlygon
egphasegofgthegnursinggprocess.gThegprimarygusegofgthegnursinggprocessgisgingpatientgcare,gnotgtoge
stablishgnursinggtheorygorgexplaingnursingginterventionsgtogotherghealthgcaregprofessionals.
DIF: CognitivegLevel:gUnderstandg(comprehension) REF:g 5
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
4. Agpatientghasgbeengadmittedgtogtheghospitalgforgsurgerygandgtellsgthegnurse,g“Igdognotgfeelgcomfo
rtablegleavinggmygchildrengwithgmygparents.”gWhichgactiongshouldgthegnursegtakegnext?
a. Reassuregthegpatientgthatgthesegfeelingsgaregcommongforgparents.
b. Havegthegpatientgcallgthegchildrengtogensuregthatgtheygaregdoinggwell.
c. Gathergmoregdatagaboutgthegpatient’sgfeelingsgaboutgthegchild-caregarrangements.
d. Callgthegpatient’sgparentsgtogdeterminegwhethergadequategchildgcaregisgbeingg
provided.
ANS:g C
Becausegagcompletegassessmentgisgnecessarygingordergtogidentifygagproblemgandgchoosegangappr
opriategintervention,gthegnurse’sgfirstgactiongshouldgbegtogobtaingmoreginformation.gThegotherga
ctionsgmaygbegappropriate,gbutgmoregassessmentgisgneededgbeforegthegbestginterventiongcangbegc
hosen.
DIF: CognitivegLevel:gApplyg(application) REF: 6
OBJ:ggg SpecialgQuestions:gPrioritization
TOP:g NursinggProcess:gAssessmentg
MSC:g NCLEX:gPsychosocialgIntegrity
5. Agpatientgwhogisgparalyzedgongthegleftgsidegofgthegbodygaftergagstrokegdevelopsgagpressuregulcergo
ngthegleftghip.gWhichgnursinggdiagnosisgisgmostgappropriate?
a. Impairedgphysicalgmobilitygrelatedgtogleft-sidedgparalysis
b. Riskgforgimpairedgtissuegintegritygrelatedgtogleft-sidedgweakness
c. Impairedgskingintegritygrelatedgtogalteredgcirculationgandgpressure
d. Ineffectivegtissuegperfusiongrelatedgtoginabilitygtogmovegindependently
ANS:g C
Thegpatient’sgmajorgproblemgisgthegimpairedgskingintegritygasgdemonstratedgbygthegpresencegofgag
pressuregulcer.gThegnursegisgablegtogtreatgthegcausegofgalteredgcirculationgandgpressuregbygfrequen
tlygrepositioninggthegpatient.gAlthoughgleft-
sidedgweaknessgisgagproblemgforgthegpatient,gthegnursegcannotgtreatgthegweakness.gTheg“riskgfor”gd
iagnosisgisgnotgappropriategforgthisgpatient,gwhogalreadyghasgimpairedgtissuegintegrity.gThegpatient
gdoesghavegineffectivegtissuegperfusion,gbutgthegimpairedgskingintegritygdiagnosisgindicatesgmoreg
clearlygwhatgtheghealthgproblemgis.
DIF: CognitivegLevel:gApplyg(application) REF: 7
, Medical-Surgical-Nursing-10th-Edition-Lewis-Test-Bank
TOP:g NursinggProcess:gDiagnosis MSC:g NCLEX:gPhysiologicalgIntegrity
