ANSWER KEY FOR Lewis' Medical-Surgical
Nursing 10th Edition 2025 Test Bank| 68
Chapters Comprehensively Covered
Chapter 01: Professional Nursing
Test Bank MULTIPLE CHOICE
2. The nurse describes to a student nurse how to use evidence-based practice patients. Which statement, if made by the
nurse, would be the most accurate
a. Inferences from clinical researchstudies 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
d. Recommendations are based on research, clinical expertise, and patient prefe
ANS: D
Evidence-based practice(EBP) is the use of the best research-based evidence combine expertise. Clinicaljudgment based on
the nurses clinical experience is part of making should also incorporate current research and research-based guidelines
Evaluation is important, but interventions should be based on research from randomized number of subjects.
DIF: Cognitive Level: Remember (knowledge)
TOP: NursingProcess: Planning MSC: NCLEX: Safe and Effective Care Environ
3. The nurse completes an admission database and explains that the
developed with the patients input. The patient states, How is this different from response would be most appropriate for
the nurse to make?
a. The role of the nurse is to administer medications and other treat
b. The nurses job is to help the doctor by collecting information and
that occur.
c. Nurses performmany of the same procedures as the doctor, but nurses are longer time than the doctor.
d. In additionto caring for you while you are sick, the nurses will assis individualized plan to maintain your health.
,Test Bank - Lewis's MedicalSurgical Nursing(11th Edition by Harding) 1
ANS: D
This response is consistent with the American Nurses Association (ANA) definitio
describes the role of nurses in promoting health. The other responses
describe collaborative functions of the nursing role but do not accurately
describe system.
DIF: Cognitive Level: Understand (comprehension)
TOP: NursingProcess: Implementation MSC: NCLEX: Safe and Effective Care Environ
1. The nurse teaches a student nurse about how to apply the nursing process when
Which statement, if made by the student nurse, indicates that teaching was
a. The nursing process is a scientific-based method of diagnosing the patients healt
b. The nursing process is a problem-solvingtool used to identify and treat patie
c. The nursing process is based on nursing theory that incorporates the biopsychosoc
humans.
d. The nursing process is used primarily to explain nursing interventions to othe
professionals.
ANS: B
The nursing process is a problem-solvingapproach to the identification and treatmen Diagnosis is only one phase of the
nursing process.The primaryuse of the not to establish nursing theory or explain nursing interventions to other health care
DIF: Cognitive Level: Understand (comprehension)
TOP: NursingProcess: Implementation MSC: NCLEX: Safe and Effective Care Environ
4. A patient who is paralyzed on the left side of the body after
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
,Test Bank - Lewis's MedicalSurgical Nursing(11th Edition by Harding) 2
The nurse is able to treat the cause of altered circulation and pressure
Although left-sided weakness is a problem for the patient, the nurse diagnosis is not appropriate for this patient, who
already has impaired tissue ineffective tissue perfusion, but the impaired skin integrity diagnosis indicate problem is.
DIF: Cognitive Level: Apply (application)
TOP: NursingProcess: Diagnosis MSC: NCLEX: Physiological Integrity
5. A patient has been admitted to the hospitalfor surgery and tells the my childrenwith my parents. Which action should
the nurse take next?
, Test Bank - Lewis's MedicalSurgical Nursing(11th Edition by Harding) 3
a. Reassure the patient that these feelingsare common for parents.
b. Have the patient call the childrento ensure that they are doing well.
c. Gather more data about the patients feelingsabout the child-care arrangements.
d. Call the patients parents to determine whetheradequate child care is bein
ANS: C
Since a complete assessment is necessary in order to identify a problem
intervention, the nurses first action should be to obtain more information. The other
appropriate, but more assessment is needed before the best intervention can be
DIF: Cognitive Level: Apply (application)
OBJ: Special Questions: Prioritization TOP: NursingProcess: Assessment
MSC: NCLEX: Psychosocial Integrity
6. A patient with a bacterial infection has a nursing diagnosis of
diaphoresis. Which outcome would the nurse recognize as most appropriate for
a. Patient has a balanced intake and output.
b. Patientsbeddingis changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
hospitalization.
d. Patientsskin remainscool and dry throughout
ANS: A
This statement gives measurable data showing resolution of the problem
identified in the nursing diagnosis statement. deficient fluid volume wasThe other statements would not
resolved.
DIF: Cognitive Level: Apply (application)
TOP: NursingProcess: Planning MSC: NCLEX: Physiological Integrity
relievedafter receiving medication.
7. A nurse asks the patient if pain was
evaluation phase of the nursing process?
a. To determine if interventions have been effective in meetingpatient outc
b. To document the nursing care plan in the progress notes of the
c. To decide whetherthe patients health problems have been completely resolved
Nursing 10th Edition 2025 Test Bank| 68
Chapters Comprehensively Covered
Chapter 01: Professional Nursing
Test Bank MULTIPLE CHOICE
2. The nurse describes to a student nurse how to use evidence-based practice patients. Which statement, if made by the
nurse, would be the most accurate
a. Inferences from clinical researchstudies 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
d. Recommendations are based on research, clinical expertise, and patient prefe
ANS: D
Evidence-based practice(EBP) is the use of the best research-based evidence combine expertise. Clinicaljudgment based on
the nurses clinical experience is part of making should also incorporate current research and research-based guidelines
Evaluation is important, but interventions should be based on research from randomized number of subjects.
DIF: Cognitive Level: Remember (knowledge)
TOP: NursingProcess: Planning MSC: NCLEX: Safe and Effective Care Environ
3. The nurse completes an admission database and explains that the
developed with the patients input. The patient states, How is this different from response would be most appropriate for
the nurse to make?
a. The role of the nurse is to administer medications and other treat
b. The nurses job is to help the doctor by collecting information and
that occur.
c. Nurses performmany of the same procedures as the doctor, but nurses are longer time than the doctor.
d. In additionto caring for you while you are sick, the nurses will assis individualized plan to maintain your health.
,Test Bank - Lewis's MedicalSurgical Nursing(11th Edition by Harding) 1
ANS: D
This response is consistent with the American Nurses Association (ANA) definitio
describes the role of nurses in promoting health. The other responses
describe collaborative functions of the nursing role but do not accurately
describe system.
DIF: Cognitive Level: Understand (comprehension)
TOP: NursingProcess: Implementation MSC: NCLEX: Safe and Effective Care Environ
1. The nurse teaches a student nurse about how to apply the nursing process when
Which statement, if made by the student nurse, indicates that teaching was
a. The nursing process is a scientific-based method of diagnosing the patients healt
b. The nursing process is a problem-solvingtool used to identify and treat patie
c. The nursing process is based on nursing theory that incorporates the biopsychosoc
humans.
d. The nursing process is used primarily to explain nursing interventions to othe
professionals.
ANS: B
The nursing process is a problem-solvingapproach to the identification and treatmen Diagnosis is only one phase of the
nursing process.The primaryuse of the not to establish nursing theory or explain nursing interventions to other health care
DIF: Cognitive Level: Understand (comprehension)
TOP: NursingProcess: Implementation MSC: NCLEX: Safe and Effective Care Environ
4. A patient who is paralyzed on the left side of the body after
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
,Test Bank - Lewis's MedicalSurgical Nursing(11th Edition by Harding) 2
The nurse is able to treat the cause of altered circulation and pressure
Although left-sided weakness is a problem for the patient, the nurse diagnosis is not appropriate for this patient, who
already has impaired tissue ineffective tissue perfusion, but the impaired skin integrity diagnosis indicate problem is.
DIF: Cognitive Level: Apply (application)
TOP: NursingProcess: Diagnosis MSC: NCLEX: Physiological Integrity
5. A patient has been admitted to the hospitalfor surgery and tells the my childrenwith my parents. Which action should
the nurse take next?
, Test Bank - Lewis's MedicalSurgical Nursing(11th Edition by Harding) 3
a. Reassure the patient that these feelingsare common for parents.
b. Have the patient call the childrento ensure that they are doing well.
c. Gather more data about the patients feelingsabout the child-care arrangements.
d. Call the patients parents to determine whetheradequate child care is bein
ANS: C
Since a complete assessment is necessary in order to identify a problem
intervention, the nurses first action should be to obtain more information. The other
appropriate, but more assessment is needed before the best intervention can be
DIF: Cognitive Level: Apply (application)
OBJ: Special Questions: Prioritization TOP: NursingProcess: Assessment
MSC: NCLEX: Psychosocial Integrity
6. A patient with a bacterial infection has a nursing diagnosis of
diaphoresis. Which outcome would the nurse recognize as most appropriate for
a. Patient has a balanced intake and output.
b. Patientsbeddingis changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
hospitalization.
d. Patientsskin remainscool and dry throughout
ANS: A
This statement gives measurable data showing resolution of the problem
identified in the nursing diagnosis statement. deficient fluid volume wasThe other statements would not
resolved.
DIF: Cognitive Level: Apply (application)
TOP: NursingProcess: Planning MSC: NCLEX: Physiological Integrity
relievedafter receiving medication.
7. A nurse asks the patient if pain was
evaluation phase of the nursing process?
a. To determine if interventions have been effective in meetingpatient outc
b. To document the nursing care plan in the progress notes of the
c. To decide whetherthe patients health problems have been completely resolved
