TEST BANK HARDING LEWIS’S MEDICAL SURGICAL NURSINGA
n n n n n n n
SSESSMENT AND MANAGEMENT OF CLINICAL PROBLEMS
n n n n n
11th EDITION Test Bank Questions And Complete Solutions to ALLCHA
n n n n n n n n n n
PTERS.
,Chapter 01: Professional Nursing
n n n
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
n n n n n
MULTIPLEnCHOICE
1. Thennursencompletesnannadmissionndatabasenandnexplainsnthatnthenplannofncarenandndischargengo
alsnwillnbendevelopednwithnthenpatient’sninput.nThenpatientnasks,n“Hownisnthisndifferentnfromnwha
tnthendoctorndoes?”nWhichnresponsenwouldnbenmostnappropriatenfornthennursentonmake?
a. “Thenrolenofnthennursenisntonadministernmedicationsnandnotherntreatmentsnprescribednb
ynyourndoctor.”
b. “Innadditionntoncaringnfornyounwhilenyounarensick,nthennursesnwillnhelpnyounplanntonm
aintainnyournhealth.”
c. “Thennurse’snjobnisntonhelpnthendoctornbyncollectingninformationnandnc
ommunicatingnanynproblemsnthatnoccur.”
d. “Nursesnperformnmanynofnthensamenproceduresnasnthendoctor,nbutnnursesnarenwithnt
henpatientsnfornanlongerntimenthannthendoctor.”
ANS:nB
ThenAmericannNursesnAssociationn(ANA)ndefinitionnofnnursingndescribesnthenrolenofnnursesninnprom
otingnhealth.nThenothernresponsesndescribendependentnandncollaborativenfunctionsnofnthennursingnrol
enbutndonnotnaccuratelyndescribenthennurse’snuniquenroleninnthenhealthncarensystem.
DIF: CognitivenLevel:nAnalyzen(analysis)
TOP:n NursingnProcess:nImplementation MSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
2. Thennursendescribesntonanstudentnnursenhowntonusenevidence-
basednpracticen(EBP)nwhenncaringnfornpatients.nnWhichn statementNbUynR
thSennIN
ursG
eTaccBu.
raC
O
telyndescribe
snnthen usenofnEBP?
a. “Inferencesnfromnallnpublishednarticlesnarenusednasnanguide.”
b. “Patientncarenisnbasednonnclinicalnjudgment,nexperience,nandntraditions.”
c. “Datanarenanalyzednlaterntonshownthatnthenpatientnoutcomesnarenconsistentlynmet.”
d. “Recommendationsnarenbasednonnresearch,nclinicalnexpertise,nandnpatientn
preferences.”
ANS:nD
Evidence-basednpracticen(EBP)nisnthenusenofnthenbestnresearch-
basednevidencencombinednwithncliniciannexpertisenandnconsiderationnofnpatientnpreferences.nCli
nicalnjudgmentnbasednonnthennurse’snclinicalnexperiencenisnpartnofnEBP,nbutnclinicalndecisionnma
kingnshouldnalsonincorporatencurrentnresearchnandnresearch-
basednguidelines.nEvaluationnofnpatientnoutcomesnisnimportant,nbutndatananalysisnisnnotnrequirednt
onusenEBP.nAllnpublishednarticlesndonnotnprovidenresearchnevidence;ninterventionsnshouldnbenbas
ednonncrediblenresearch,npreferablynrandomizedncontrollednstudiesnwithnanlargennumbernofnsubjec
ts.
DIF: CognitivenLevel:nRemembern(knowledge)
TOP:nNursingnProcess:nPlanningnMSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
NURSINGnTESTnBANK
,3. Thennursenteachesnanstudentnnursenaboutnhowntonapplynthennursingnprocessnwhennprovidingnp
atientncare.nWhichnstatementnbynthenstudentnnursenindicatesnthatnteachingnwasnsuccessful?
NURSINGnTESTnBANK
, a. “Thennursingnprocessnisnanresearchnmethodnofndiagnosingnthenpatient’snhealthncarenp
roblems.”
b. “Thennursingnprocessnisnusednprimarilyntonexplainnnursingninterventionsntonother
healthncarenprofessionals.”
c. “Thennursingnprocessnisnanproblem-
solvingntoolnusedntonidentifynandntreatnthenpatients’nhealthncarenneeds.”
d. “Thennursingnprocessnisnbasednonnnursingntheorynthatnincorporatesnthenb
iopsychosocialnnaturenofnhumans.”
ANS:nC
Thennursingnprocessnisnanproblem-
solvingnapproachntonthenidentificationnandntreatmentnofnpatients’nproblems.nNursingnprocessndo
esnnotnrequirenresearchnmethodsnforndiagnosis.nThenprimarynusenofnthennursingnprocessnisninnpati
entncare,nnotntonestablishnnursingntheorynornexplainnnursingninterventionsntonothernhealthncarenpro
fessionals.
DIF: CognitivenLevel:nUnderstandn(comprehension)
TOP:nNursingnProcess:nEvaluationnMSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
4. Anpatientnadmittedntonthenhospitalnfornsurgeryntellsnthennurse,n“Indonnotnfeelncomfortablenle
avingnmynchildrennwithnmynparents.”nWhichnactionnshouldnthennursentaken next?
a. Reassurenthenpatientnthatnthesenfeelingsnarencommonnfornparents.
b. Haventhenpatientncallnthenchildrenntonensurenthatntheynarendoingnwell.
c. Gatherninformationnonnthenpatient’snconcernsnaboutnthenchildncarenarrangements.
d. Callnthenpatient’snparentsntondeterminenwhethernadequatenchildncarenisnbeingnp
rovided.
ANS:nC
Becausenancompletenassessmentnisnnecessaryninnorderntonidentifynanproblemnandnchoosenannappro
priatenintervention,nthennurse’snfirstnactionnshouldnbentonobtainnmoreninformation.nThenothernacti
onsnmaynbenappropriate,nbutnmorenassessmentnisnneedednbeforenthenbestninterventionncannbenchos
en.
DIF: CognitivenLevel:nAnalyzen(analysis)
OBJ:nnnSpecialnQuestions:nPrioritization
TOP:nNursingnProcess:nAssessmentn
MSC:nNCLEX:nPsychosocialnIntegrity
5. Anpatientnwithnanbacterialninfectionnisnhypovolemicnduentonanfevernandnexcessivendiaphoresis.n
Whichnexpectednoutcomenwouldnthennursenrecognizenasnappropriatenfornthisnpatient?
a. Patientnhasnanbalancednintakenandnoutput.
b. Patient’snbeddingnisnkeptncleannandnfreenofnmoisture.
c. Patientnunderstandsnthenneednfornincreasednfluidnintake.
d. Patient’snskinnremainsncoolnandndrynthroughoutnhospitalization.
ANS:nA
Balancednintakenandnoutputngivesnmeasurablendatanshowingnresolutionnofnthenproblemnofndeficie
ntnfluidnvolume.nThenothernstatementsnwouldnnotnindicatenthatnthenproblemnofnhypovolemianwasn
resolved.
DIF: CognitivenLevel:nApplyn(application) TOP:
NursingnProcess:nPlanningnMSC:nNCLEX:nPhysiologicalnIntegrity
6. Afternadministeringnmedication,nthennursenasksnthenpatientnifnpainnwasnrelieved.nWhatnisnthenp
urposenofnthenevaluationnphasenofnthennursingnprocess?
a. Tondocumentnthennursingncarenplanninnthenprogressnnotesnofnthenhealthnrecord
NURSINGnTESTnBANK
n n n n n n n
SSESSMENT AND MANAGEMENT OF CLINICAL PROBLEMS
n n n n n
11th EDITION Test Bank Questions And Complete Solutions to ALLCHA
n n n n n n n n n n
PTERS.
,Chapter 01: Professional Nursing
n n n
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
n n n n n
MULTIPLEnCHOICE
1. Thennursencompletesnannadmissionndatabasenandnexplainsnthatnthenplannofncarenandndischargengo
alsnwillnbendevelopednwithnthenpatient’sninput.nThenpatientnasks,n“Hownisnthisndifferentnfromnwha
tnthendoctorndoes?”nWhichnresponsenwouldnbenmostnappropriatenfornthennursentonmake?
a. “Thenrolenofnthennursenisntonadministernmedicationsnandnotherntreatmentsnprescribednb
ynyourndoctor.”
b. “Innadditionntoncaringnfornyounwhilenyounarensick,nthennursesnwillnhelpnyounplanntonm
aintainnyournhealth.”
c. “Thennurse’snjobnisntonhelpnthendoctornbyncollectingninformationnandnc
ommunicatingnanynproblemsnthatnoccur.”
d. “Nursesnperformnmanynofnthensamenproceduresnasnthendoctor,nbutnnursesnarenwithnt
henpatientsnfornanlongerntimenthannthendoctor.”
ANS:nB
ThenAmericannNursesnAssociationn(ANA)ndefinitionnofnnursingndescribesnthenrolenofnnursesninnprom
otingnhealth.nThenothernresponsesndescribendependentnandncollaborativenfunctionsnofnthennursingnrol
enbutndonnotnaccuratelyndescribenthennurse’snuniquenroleninnthenhealthncarensystem.
DIF: CognitivenLevel:nAnalyzen(analysis)
TOP:n NursingnProcess:nImplementation MSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
2. Thennursendescribesntonanstudentnnursenhowntonusenevidence-
basednpracticen(EBP)nwhenncaringnfornpatients.nnWhichn statementNbUynR
thSennIN
ursG
eTaccBu.
raC
O
telyndescribe
snnthen usenofnEBP?
a. “Inferencesnfromnallnpublishednarticlesnarenusednasnanguide.”
b. “Patientncarenisnbasednonnclinicalnjudgment,nexperience,nandntraditions.”
c. “Datanarenanalyzednlaterntonshownthatnthenpatientnoutcomesnarenconsistentlynmet.”
d. “Recommendationsnarenbasednonnresearch,nclinicalnexpertise,nandnpatientn
preferences.”
ANS:nD
Evidence-basednpracticen(EBP)nisnthenusenofnthenbestnresearch-
basednevidencencombinednwithncliniciannexpertisenandnconsiderationnofnpatientnpreferences.nCli
nicalnjudgmentnbasednonnthennurse’snclinicalnexperiencenisnpartnofnEBP,nbutnclinicalndecisionnma
kingnshouldnalsonincorporatencurrentnresearchnandnresearch-
basednguidelines.nEvaluationnofnpatientnoutcomesnisnimportant,nbutndatananalysisnisnnotnrequirednt
onusenEBP.nAllnpublishednarticlesndonnotnprovidenresearchnevidence;ninterventionsnshouldnbenbas
ednonncrediblenresearch,npreferablynrandomizedncontrollednstudiesnwithnanlargennumbernofnsubjec
ts.
DIF: CognitivenLevel:nRemembern(knowledge)
TOP:nNursingnProcess:nPlanningnMSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
NURSINGnTESTnBANK
,3. Thennursenteachesnanstudentnnursenaboutnhowntonapplynthennursingnprocessnwhennprovidingnp
atientncare.nWhichnstatementnbynthenstudentnnursenindicatesnthatnteachingnwasnsuccessful?
NURSINGnTESTnBANK
, a. “Thennursingnprocessnisnanresearchnmethodnofndiagnosingnthenpatient’snhealthncarenp
roblems.”
b. “Thennursingnprocessnisnusednprimarilyntonexplainnnursingninterventionsntonother
healthncarenprofessionals.”
c. “Thennursingnprocessnisnanproblem-
solvingntoolnusedntonidentifynandntreatnthenpatients’nhealthncarenneeds.”
d. “Thennursingnprocessnisnbasednonnnursingntheorynthatnincorporatesnthenb
iopsychosocialnnaturenofnhumans.”
ANS:nC
Thennursingnprocessnisnanproblem-
solvingnapproachntonthenidentificationnandntreatmentnofnpatients’nproblems.nNursingnprocessndo
esnnotnrequirenresearchnmethodsnforndiagnosis.nThenprimarynusenofnthennursingnprocessnisninnpati
entncare,nnotntonestablishnnursingntheorynornexplainnnursingninterventionsntonothernhealthncarenpro
fessionals.
DIF: CognitivenLevel:nUnderstandn(comprehension)
TOP:nNursingnProcess:nEvaluationnMSC:nNCLEX:nSafenandnEffectivenCarenEnvironment
4. Anpatientnadmittedntonthenhospitalnfornsurgeryntellsnthennurse,n“Indonnotnfeelncomfortablenle
avingnmynchildrennwithnmynparents.”nWhichnactionnshouldnthennursentaken next?
a. Reassurenthenpatientnthatnthesenfeelingsnarencommonnfornparents.
b. Haventhenpatientncallnthenchildrenntonensurenthatntheynarendoingnwell.
c. Gatherninformationnonnthenpatient’snconcernsnaboutnthenchildncarenarrangements.
d. Callnthenpatient’snparentsntondeterminenwhethernadequatenchildncarenisnbeingnp
rovided.
ANS:nC
Becausenancompletenassessmentnisnnecessaryninnorderntonidentifynanproblemnandnchoosenannappro
priatenintervention,nthennurse’snfirstnactionnshouldnbentonobtainnmoreninformation.nThenothernacti
onsnmaynbenappropriate,nbutnmorenassessmentnisnneedednbeforenthenbestninterventionncannbenchos
en.
DIF: CognitivenLevel:nAnalyzen(analysis)
OBJ:nnnSpecialnQuestions:nPrioritization
TOP:nNursingnProcess:nAssessmentn
MSC:nNCLEX:nPsychosocialnIntegrity
5. Anpatientnwithnanbacterialninfectionnisnhypovolemicnduentonanfevernandnexcessivendiaphoresis.n
Whichnexpectednoutcomenwouldnthennursenrecognizenasnappropriatenfornthisnpatient?
a. Patientnhasnanbalancednintakenandnoutput.
b. Patient’snbeddingnisnkeptncleannandnfreenofnmoisture.
c. Patientnunderstandsnthenneednfornincreasednfluidnintake.
d. Patient’snskinnremainsncoolnandndrynthroughoutnhospitalization.
ANS:nA
Balancednintakenandnoutputngivesnmeasurablendatanshowingnresolutionnofnthenproblemnofndeficie
ntnfluidnvolume.nThenothernstatementsnwouldnnotnindicatenthatnthenproblemnofnhypovolemianwasn
resolved.
DIF: CognitivenLevel:nApplyn(application) TOP:
NursingnProcess:nPlanningnMSC:nNCLEX:nPhysiologicalnIntegrity
6. Afternadministeringnmedication,nthennursenasksnthenpatientnifnpainnwasnrelieved.nWhatnisnthenp
urposenofnthenevaluationnphasenofnthennursingnprocess?
a. Tondocumentnthennursingncarenplanninnthenprogressnnotesnofnthenhealthnrecord
NURSINGnTESTnBANK
