Test TBank T- TLewis's TMedical TSurgical TNursing T(11th TEdition Tby THarding) TLATEST T2022 TCHAPTER T1-
CHAPTER63.
Test Bank - Lewis's Medical Surgical Nursing (11th
T T T T T T T
Edition by Harding) LATEST 2022 CHAPTER 1-CHAPTER
T T T T T T T
63
T
Chapter 01: Professional Nursing
T T T
Test TBank
MULTIPLE
T
T CHOICE
,Test TBank T- TLewis's TMedical TSurgical TNursing T(11th TEdition Tby THarding) TLATEST T2022 TCHAPTER T1-
CHAPTER63.
1. The Tnurse Tteaches Ta Tstudent Tnurse Tabout Thow Tto Tapply Tthe Tnursing Tprocess Twhen Tproviding Tpatient
Tcare.TWhich Tstatement, Tif Tmade Tby Tthe Tstudent Tnurse, Tindicates Tthat Tteaching Twas Tsuccessful?
a. The Tnursing Tprocess Tis Ta Tscientific-based Tmethod Tof Tdiagnosing Tthe Tpatients Thealth Tcare Tproblems.
b. The Tnursing Tprocess Tis Ta Tproblem-solving Ttool Tused Tto Tidentify Tand Ttreat Tpatients Thealth Tcare
Tneeds.
c. The Tnursing Tprocess Tis Tbased Ton Tnursing Ttheory Tthat Tincorporates Tthe Tbiopsychosocial
Tnature TofThumans.
d. The Tnursing Tprocess Tis Tused Tprimarily Tto Texplain Tnursing Tinterventions Tto Tother Thealth
TcareTprofessionals.
ANS: TB
The Tnursing Tprocess Tis Ta Tproblem-solving Tapproach Tto Tthe Tidentification Tand Ttreatment Tof Tpatients Tproblems.
T Diagnosis Tis Tonly Tone Tphase Tof Tthe Tnursing Tprocess. TThe Tprimary Tuse Tof Tthe Tnursing Tprocess Tis Tin Tpatient
Tcare,Tnot Tto Testablish Tnursing Ttheory Tor Texplain Tnursing Tinterventions Tto Tother Thealth Tcare Tprofessionals.
DIF: T Cognitive T Level: T Understand T (comprehension)
TOP: TNursing TProcess: TImplementation TMSC: TNCLEX: TSafe Tand TEffective TCare TEnvironment
2. The Tnurse Tdescribes Tto Ta Tstudent Tnurse Thow Tto Tuse Tevidence-based Tpractice Tguidelines Twhen Tcaring
TforTpatients. TWhich Tstatement, Tif Tmade Tby Tthe Tnurse, Twould Tbe Tthe Tmost Taccurate?
a. Inferences Tfrom Tclinical Tresearch Tstudies Tare Tused Tas Ta Tguide.
b. Patient Tcare Tis Tbased Ton Tclinical Tjudgment, Texperience, Tand Ttraditions.
c. Data Tare Tevaluated Tto Tshow Tthat Tthe Tpatient Toutcomes Tare Tconsistently Tmet.
d. Recommendations Tare Tbased Ton Tresearch, Tclinical Texpertise, Tand Tpatient Tpreferences.
ANS: TD
Evidence-based Tpractice T(EBP) Tis Tthe Tuse Tof Tthe Tbest Tresearch-based Tevidence Tcombined Twith Tclinician
T expertise. T Clinical Tjudgment T based T on T the T nurses Tclinical T experience Tis T part T of T EBP, T but T clinical
T decision T making Tshould Talso Tincorporate Tcurrent Tresearch Tand Tresearch-based Tguidelines. TEvaluation Tof
Tpatient Toutcomes Tis T important, T but Tinterventions T should T be T based T on Tresearch T from T randomized T control
Tstudies T with Ta Tlarge T number Tof Tsubjects.
DIF: T Cognitive T Level: T Remember T (knowledge)
TOP: TNursing TProcess: TPlanning TMSC: TNCLEX: TSafe Tand TEffective TCare TEnvironment
,Test TBank T- TLewis's TMedical TSurgical TNursing T(11th TEdition Tby THarding) TLATEST T2022 TCHAPTER T1-
CHAPTER63.
3. The Tnurse Tcompletes Tan Tadmission Tdatabase Tand Texplains Tthat Tthe Tplan Tof Tcare Tand Tdischarge Tgoals Twill
Tbe T developed Twith Tthe Tpatients Tinput. TThe Tpatient Tstates, THow Tis Tthis Tdifferent Tfrom Twhat Tthe Tdoctor
Tdoes? TWhichT response Twould Tbe Tmost Tappropriate Tfor Tthe Tnurse Tto Tmake?
a. The Trole Tof Tthe Tnurse Tis Tto Tadminister Tmedications Tand Tother Ttreatments Tprescribed Tby Tyour Tdoctor.
b. The Tnurses Tjob Tis Tto Thelp Tthe Tdoctor Tby Tcollecting Tinformation Tand Tcommunicating Tany
Tproblems Tthat Toccur.
c. Nurses Tperform Tmany Tof Tthe Tsame Tprocedures Tas Tthe Tdoctor, Tbut Tnurses Tare Twith Tthe Tpatients
Tfor TaT
longer Ttime Tthan Tthe Tdoctor.
d. In Taddition Tto Tcaring Tfor Tyou Twhile Tyou Tare Tsick, Tthe Tnurses Twill Tassist Tyou Tto
Tdevelop TanTindividualized Tplan Tto Tmaintain Tyour Thealth.
ANS: TD
This Tresponse Tis Tconsistent Twith Tthe TAmerican TNurses TAssociation T(ANA) Tdefinition Tof Tnursing, Twhich
T describes Tthe Trole Tof Tnurses Tin Tpromoting Thealth. TThe Tother Tresponses Tdescribe Tsome Tof Tthe Tdependent Tand
T collaborative Tfunctions Tof Tthe Tnursing Trole Tbut Tdo Tnot Taccurately Tdescribe Tthe Tnurses Trole Tin Tthe Thealth Tcare
Tsystem.
DIF: T Cognitive T Level: T Understand T (comprehension)
TOP: TNursing TProcess: TImplementation TMSC: TNCLEX: TSafe Tand TEffective TCare TEnvironment
4. A Tpatient Twho Tis Tparalyzed Ton Tthe Tleft Tside Tof Tthe Tbody Tafter Ta Tstroke Tdevelops Ta Tpressure Tulcer Ton Tthe
Tleft ThipTWhich Tnursing Tdiagnosis Tis Tmost Tappropriate?
a. Impaired Tphysical Tmobility Trelated Tto Tleft-sided Tparalysis
b. Risk Tfor Timpaired Ttissue Tintegrity Trelated Tto Tleft-sided Tweakness
c. Impaired Tskin Tintegrity Trelated Tto Taltered Tcirculation Tand Tpressure
d. Ineffective Ttissue Tperfusion Trelated Tto Tinability Tto Tmove
independentlyTANS: TC
T
The Tpatients Tmajor Tproblem Tis Tthe Timpaired Tskin Tintegrity Tas Tdemonstrated Tby Tthe Tpresence Tof Ta Tpressure
Tulcer.TThe Tnurse Tis Table Tto Ttreat Tthe Tcause Tof Taltered Tcirculation Tand Tpressure Tby Tfrequently Trepositioning
Tthe Tpatient. T Although T left-sided T weakness T is T a T problem T for Tthe Tpatient, T the T nurse T cannot T treat T the
T weakness. T The Trisk T forTdiagnosis Tis Tnot Tappropriate Tfor Tthis Tpatient, Twho Talready Thas Timpaired Ttissue
Tintegrity. TThe Tpatient Tdoes Thave T ineffective T tissue T perfusion, T but Tthe Timpaired T skin Tintegrity T diagnosis
Tindicates T more T clearly T what Tthe T healthTproblem Tis.
DIF: TCognitive TLevel: TApply T(application)
TOP: TNursing TProcess: TDiagnosis TMSC: TNCLEX: TPhysiological TIntegrity
5. A Tpatient Thas Tbeen Tadmitted Tto Tthe Thospital Tfor Tsurgery Tand Ttells Tthe Tnurse, TI Tdo Tnot Tfeel Tcomfortable
TleavingTmy Tchildren Twith Tmy Tparents. TWhich Taction Tshould Tthe Tnurse Ttake Tnext?
, Test TBank T- TLewis's TMedical TSurgical TNursing T(11th TEdition Tby THarding) TLATEST T2022 TCHAPTER T1-
CHAPTER63.
a. Reassure Tthe Tpatient Tthat Tthese Tfeelings Tare Tcommon Tfor Tparents.
b. Have Tthe Tpatient Tcall Tthe Tchildren Tto Tensure Tthat Tthey Tare Tdoing Twell.
c. Gather Tmore Tdata Tabout Tthe Tpatients Tfeelings Tabout Tthe Tchild-care Tarrangements.
d. Call Tthe Tpatients Tparents Tto Tdetermine Twhether Tadequate Tchild Tcare Tis Tbeing Tprovided.
ANS: TC
Since Ta Tcomplete Tassessment Tis Tnecessary Tin Torder Tto Tidentify Ta Tproblem Tand Tchoose Tan Tappropriate
Tintervention, Tthe Tnurses Tfirst Taction Tshould Tbe Tto Tobtain Tmore Tinformation. TThe Tother Tactions Tmay Tbe
Tappropriate, Tbut Tmore Tassessment Tis Tneeded Tbefore Tthe Tbest Tintervention Tcan Tbe Tchosen.
DIF: TCognitive TLevel: TApply T(application)
OBJ: T Special T Questions: T Prioritization T TOP: T Nursing T Process:
T AssessmentTMSC: TNCLEX: TPsychosocial TIntegrity
6. A Tpatient Twith Ta Tbacterial Tinfection Thas Ta Tnursing Tdiagnosis Tof Tdeficient Tfluid Tvolume Trelated Tto
Texcessive Tdiaphoresis. TWhich Toutcome Twould Tthe Tnurse Trecognize Tas Tmost Tappropriate Tfor Tthis
Tpatient?
a. Patient Thas Ta Tbalanced Tintake Tand Toutput.
b. Patients Tbedding Tis Tchanged Twhen Tit Tbecomes Tdamp.
c. Patient Tunderstands Tthe Tneed Tfor Tincreased Tfluid Tintake.
d. Patients Tskin Tremains Tcool Tand Tdry Tthroughout Thospitalization.
ANS: TA
This Tstatement Tgives Tmeasurable Tdata Tshowing Tresolution Tof Tthe Tproblem Tof Tdeficient Tfluid Tvolume Tthat Twas
Tidentified Tin Tthe Tnursing Tdiagnosis Tstatement. TThe Tother Tstatements Twould Tnot Tindicate Tthat Tthe Tproblem Tof
T deficient Tfluid Tvolume Twas Tresolved.
DIF: TCognitive TLevel: TApply T(application)
TOP: TNursing TProcess: TPlanning TMSC: TNCLEX: TPhysiological TIntegrity
7. A Tnurse Tasks Tthe Tpatient Tif Tpain Twas Trelieved Tafter Treceiving Tmedication. TWhat Tis Tthe Tpurpose
Tof TtheTevaluation Tphase Tof Tthe Tnursing Tprocess?
a. To Tdetermine Tif Tinterventions Thave Tbeen Teffective Tin Tmeeting Tpatient Toutcomes
b. To Tdocument Tthe Tnursing Tcare Tplan Tin Tthe Tprogress Tnotes Tof Tthe Tmedical Trecord
c. To Tdecide Twhether Tthe Tpatients Thealth Tproblems Thave Tbeen Tcompletely Tresolved
CHAPTER63.
Test Bank - Lewis's Medical Surgical Nursing (11th
T T T T T T T
Edition by Harding) LATEST 2022 CHAPTER 1-CHAPTER
T T T T T T T
63
T
Chapter 01: Professional Nursing
T T T
Test TBank
MULTIPLE
T
T CHOICE
,Test TBank T- TLewis's TMedical TSurgical TNursing T(11th TEdition Tby THarding) TLATEST T2022 TCHAPTER T1-
CHAPTER63.
1. The Tnurse Tteaches Ta Tstudent Tnurse Tabout Thow Tto Tapply Tthe Tnursing Tprocess Twhen Tproviding Tpatient
Tcare.TWhich Tstatement, Tif Tmade Tby Tthe Tstudent Tnurse, Tindicates Tthat Tteaching Twas Tsuccessful?
a. The Tnursing Tprocess Tis Ta Tscientific-based Tmethod Tof Tdiagnosing Tthe Tpatients Thealth Tcare Tproblems.
b. The Tnursing Tprocess Tis Ta Tproblem-solving Ttool Tused Tto Tidentify Tand Ttreat Tpatients Thealth Tcare
Tneeds.
c. The Tnursing Tprocess Tis Tbased Ton Tnursing Ttheory Tthat Tincorporates Tthe Tbiopsychosocial
Tnature TofThumans.
d. The Tnursing Tprocess Tis Tused Tprimarily Tto Texplain Tnursing Tinterventions Tto Tother Thealth
TcareTprofessionals.
ANS: TB
The Tnursing Tprocess Tis Ta Tproblem-solving Tapproach Tto Tthe Tidentification Tand Ttreatment Tof Tpatients Tproblems.
T Diagnosis Tis Tonly Tone Tphase Tof Tthe Tnursing Tprocess. TThe Tprimary Tuse Tof Tthe Tnursing Tprocess Tis Tin Tpatient
Tcare,Tnot Tto Testablish Tnursing Ttheory Tor Texplain Tnursing Tinterventions Tto Tother Thealth Tcare Tprofessionals.
DIF: T Cognitive T Level: T Understand T (comprehension)
TOP: TNursing TProcess: TImplementation TMSC: TNCLEX: TSafe Tand TEffective TCare TEnvironment
2. The Tnurse Tdescribes Tto Ta Tstudent Tnurse Thow Tto Tuse Tevidence-based Tpractice Tguidelines Twhen Tcaring
TforTpatients. TWhich Tstatement, Tif Tmade Tby Tthe Tnurse, Twould Tbe Tthe Tmost Taccurate?
a. Inferences Tfrom Tclinical Tresearch Tstudies Tare Tused Tas Ta Tguide.
b. Patient Tcare Tis Tbased Ton Tclinical Tjudgment, Texperience, Tand Ttraditions.
c. Data Tare Tevaluated Tto Tshow Tthat Tthe Tpatient Toutcomes Tare Tconsistently Tmet.
d. Recommendations Tare Tbased Ton Tresearch, Tclinical Texpertise, Tand Tpatient Tpreferences.
ANS: TD
Evidence-based Tpractice T(EBP) Tis Tthe Tuse Tof Tthe Tbest Tresearch-based Tevidence Tcombined Twith Tclinician
T expertise. T Clinical Tjudgment T based T on T the T nurses Tclinical T experience Tis T part T of T EBP, T but T clinical
T decision T making Tshould Talso Tincorporate Tcurrent Tresearch Tand Tresearch-based Tguidelines. TEvaluation Tof
Tpatient Toutcomes Tis T important, T but Tinterventions T should T be T based T on Tresearch T from T randomized T control
Tstudies T with Ta Tlarge T number Tof Tsubjects.
DIF: T Cognitive T Level: T Remember T (knowledge)
TOP: TNursing TProcess: TPlanning TMSC: TNCLEX: TSafe Tand TEffective TCare TEnvironment
,Test TBank T- TLewis's TMedical TSurgical TNursing T(11th TEdition Tby THarding) TLATEST T2022 TCHAPTER T1-
CHAPTER63.
3. The Tnurse Tcompletes Tan Tadmission Tdatabase Tand Texplains Tthat Tthe Tplan Tof Tcare Tand Tdischarge Tgoals Twill
Tbe T developed Twith Tthe Tpatients Tinput. TThe Tpatient Tstates, THow Tis Tthis Tdifferent Tfrom Twhat Tthe Tdoctor
Tdoes? TWhichT response Twould Tbe Tmost Tappropriate Tfor Tthe Tnurse Tto Tmake?
a. The Trole Tof Tthe Tnurse Tis Tto Tadminister Tmedications Tand Tother Ttreatments Tprescribed Tby Tyour Tdoctor.
b. The Tnurses Tjob Tis Tto Thelp Tthe Tdoctor Tby Tcollecting Tinformation Tand Tcommunicating Tany
Tproblems Tthat Toccur.
c. Nurses Tperform Tmany Tof Tthe Tsame Tprocedures Tas Tthe Tdoctor, Tbut Tnurses Tare Twith Tthe Tpatients
Tfor TaT
longer Ttime Tthan Tthe Tdoctor.
d. In Taddition Tto Tcaring Tfor Tyou Twhile Tyou Tare Tsick, Tthe Tnurses Twill Tassist Tyou Tto
Tdevelop TanTindividualized Tplan Tto Tmaintain Tyour Thealth.
ANS: TD
This Tresponse Tis Tconsistent Twith Tthe TAmerican TNurses TAssociation T(ANA) Tdefinition Tof Tnursing, Twhich
T describes Tthe Trole Tof Tnurses Tin Tpromoting Thealth. TThe Tother Tresponses Tdescribe Tsome Tof Tthe Tdependent Tand
T collaborative Tfunctions Tof Tthe Tnursing Trole Tbut Tdo Tnot Taccurately Tdescribe Tthe Tnurses Trole Tin Tthe Thealth Tcare
Tsystem.
DIF: T Cognitive T Level: T Understand T (comprehension)
TOP: TNursing TProcess: TImplementation TMSC: TNCLEX: TSafe Tand TEffective TCare TEnvironment
4. A Tpatient Twho Tis Tparalyzed Ton Tthe Tleft Tside Tof Tthe Tbody Tafter Ta Tstroke Tdevelops Ta Tpressure Tulcer Ton Tthe
Tleft ThipTWhich Tnursing Tdiagnosis Tis Tmost Tappropriate?
a. Impaired Tphysical Tmobility Trelated Tto Tleft-sided Tparalysis
b. Risk Tfor Timpaired Ttissue Tintegrity Trelated Tto Tleft-sided Tweakness
c. Impaired Tskin Tintegrity Trelated Tto Taltered Tcirculation Tand Tpressure
d. Ineffective Ttissue Tperfusion Trelated Tto Tinability Tto Tmove
independentlyTANS: TC
T
The Tpatients Tmajor Tproblem Tis Tthe Timpaired Tskin Tintegrity Tas Tdemonstrated Tby Tthe Tpresence Tof Ta Tpressure
Tulcer.TThe Tnurse Tis Table Tto Ttreat Tthe Tcause Tof Taltered Tcirculation Tand Tpressure Tby Tfrequently Trepositioning
Tthe Tpatient. T Although T left-sided T weakness T is T a T problem T for Tthe Tpatient, T the T nurse T cannot T treat T the
T weakness. T The Trisk T forTdiagnosis Tis Tnot Tappropriate Tfor Tthis Tpatient, Twho Talready Thas Timpaired Ttissue
Tintegrity. TThe Tpatient Tdoes Thave T ineffective T tissue T perfusion, T but Tthe Timpaired T skin Tintegrity T diagnosis
Tindicates T more T clearly T what Tthe T healthTproblem Tis.
DIF: TCognitive TLevel: TApply T(application)
TOP: TNursing TProcess: TDiagnosis TMSC: TNCLEX: TPhysiological TIntegrity
5. A Tpatient Thas Tbeen Tadmitted Tto Tthe Thospital Tfor Tsurgery Tand Ttells Tthe Tnurse, TI Tdo Tnot Tfeel Tcomfortable
TleavingTmy Tchildren Twith Tmy Tparents. TWhich Taction Tshould Tthe Tnurse Ttake Tnext?
, Test TBank T- TLewis's TMedical TSurgical TNursing T(11th TEdition Tby THarding) TLATEST T2022 TCHAPTER T1-
CHAPTER63.
a. Reassure Tthe Tpatient Tthat Tthese Tfeelings Tare Tcommon Tfor Tparents.
b. Have Tthe Tpatient Tcall Tthe Tchildren Tto Tensure Tthat Tthey Tare Tdoing Twell.
c. Gather Tmore Tdata Tabout Tthe Tpatients Tfeelings Tabout Tthe Tchild-care Tarrangements.
d. Call Tthe Tpatients Tparents Tto Tdetermine Twhether Tadequate Tchild Tcare Tis Tbeing Tprovided.
ANS: TC
Since Ta Tcomplete Tassessment Tis Tnecessary Tin Torder Tto Tidentify Ta Tproblem Tand Tchoose Tan Tappropriate
Tintervention, Tthe Tnurses Tfirst Taction Tshould Tbe Tto Tobtain Tmore Tinformation. TThe Tother Tactions Tmay Tbe
Tappropriate, Tbut Tmore Tassessment Tis Tneeded Tbefore Tthe Tbest Tintervention Tcan Tbe Tchosen.
DIF: TCognitive TLevel: TApply T(application)
OBJ: T Special T Questions: T Prioritization T TOP: T Nursing T Process:
T AssessmentTMSC: TNCLEX: TPsychosocial TIntegrity
6. A Tpatient Twith Ta Tbacterial Tinfection Thas Ta Tnursing Tdiagnosis Tof Tdeficient Tfluid Tvolume Trelated Tto
Texcessive Tdiaphoresis. TWhich Toutcome Twould Tthe Tnurse Trecognize Tas Tmost Tappropriate Tfor Tthis
Tpatient?
a. Patient Thas Ta Tbalanced Tintake Tand Toutput.
b. Patients Tbedding Tis Tchanged Twhen Tit Tbecomes Tdamp.
c. Patient Tunderstands Tthe Tneed Tfor Tincreased Tfluid Tintake.
d. Patients Tskin Tremains Tcool Tand Tdry Tthroughout Thospitalization.
ANS: TA
This Tstatement Tgives Tmeasurable Tdata Tshowing Tresolution Tof Tthe Tproblem Tof Tdeficient Tfluid Tvolume Tthat Twas
Tidentified Tin Tthe Tnursing Tdiagnosis Tstatement. TThe Tother Tstatements Twould Tnot Tindicate Tthat Tthe Tproblem Tof
T deficient Tfluid Tvolume Twas Tresolved.
DIF: TCognitive TLevel: TApply T(application)
TOP: TNursing TProcess: TPlanning TMSC: TNCLEX: TPhysiological TIntegrity
7. A Tnurse Tasks Tthe Tpatient Tif Tpain Twas Trelieved Tafter Treceiving Tmedication. TWhat Tis Tthe Tpurpose
Tof TtheTevaluation Tphase Tof Tthe Tnursing Tprocess?
a. To Tdetermine Tif Tinterventions Thave Tbeen Teffective Tin Tmeeting Tpatient Toutcomes
b. To Tdocument Tthe Tnursing Tcare Tplan Tin Tthe Tprogress Tnotes Tof Tthe Tmedical Trecord
c. To Tdecide Twhether Tthe Tpatients Thealth Tproblems Thave Tbeen Tcompletely Tresolved
