,Lewis’s Medical Surgical Nursing 12th Edition Harding Test Bank
Chapter ,01: ,Professional ,Nursing
Harding: ,Lewis’s ,Medical-Surgical ,Nursing, ,12th ,Edition
MULTIPLE ,CHOICE
1. The ,nurse ,completes ,an ,admission ,database ,and ,explains ,that ,the ,plan ,of ,care ,and
,discharge ,goals ,will ,be ,developed ,with ,the ,patient‗s ,input. ,The ,patient ,asks, ,―How ,is ,this
,different ,from ,what ,the ,physician ,does?‖ ,Which ,response ,would ,the ,nurse ,provide?
a. ―The ,role ,of ,the ,nurse ,is ,to ,administer ,medications ,and ,other ,treatments
,prescribed ,by ,your ,physician.‖
b. ―In ,addition ,to ,caring ,for ,you ,while ,you ,are ,sick, ,the ,nurses ,will ,help ,you ,plan
,to ,maintain ,your ,health.‖
c. ―The ,nurse‗s ,job ,is ,to ,collect ,information ,and ,communicate ,any ,problems
,that ,occur ,to ,the ,physician.‖
d. ―Nurses ,perform ,many ,of ,the ,same ,procedures ,as ,the ,physician, ,but ,nurses
,are ,with ,the ,patients ,for ,a ,longer ,time ,than ,the ,physician.‖
ANS: , B
The ,American ,Nurses ,Association ,(ANA) ,definition ,of ,nursing ,describes ,the ,role ,of ,nurses
,in ,promoting ,health. ,The ,other ,responses ,describe ,dependent ,and ,collaborative ,functions
,of ,the ,nursing ,role ,but ,do ,not ,accurately ,describe ,the ,nurse‗s ,unique ,role ,in ,the ,health
,care ,system.
DIF: , , Cognitive ,Level: ,Analyze ,(Analysis)
TOP: , Nursing ,Process: ,Implementation , , , MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
2. Which ,statement ,by ,the ,nurse ,accurately ,describes ,the ,use ,of ,evidence-based ,practice ,(EBP)?
a. ―Patient ,care ,is ,based ,on ,clinical ,judgment, ,experience, ,and ,traditions.‖
b. ―Data ,are ,analyzed ,later ,to ,show ,that ,the ,patient ,outcomes ,are ,consistently ,met.‖
c. ―Research ,from ,all ,published ,articles ,are ,used ,as ,a ,guide ,for ,planning ,patient ,care.‖
d. ―Recommendations ,are ,based ,on ,research, ,clinical ,expertise, ,and ,patient
,preferences.‖
ANS: , D
Evidence-based ,practice ,(EBP) ,is ,the ,use ,of ,the ,best ,research-based ,evidence ,combined
,with ,clinician ,expertise ,and ,consideration ,of ,patient ,preferences. ,Clinical ,judgment ,based
,on ,the ,nurse‗s ,clinical ,experience ,is ,part ,of ,EBP, ,but ,clinical ,decision ,making ,should ,also
,incorporate ,current ,research ,and ,research-based ,guidelines. ,Evaluation ,of ,patient ,outcomes
,is ,important, ,but ,data ,analysis ,is ,not ,required ,to ,use ,EBP. ,All ,published ,articles ,do ,not
,provide ,research ,evidence; ,interventions ,should ,be ,based ,on ,credible ,research, ,preferably
,randomized ,controlled ,studies ,with ,a ,large ,number ,of ,subjects.
DIF: Cognitive ,Level: ,Understand ,(Comprehension) TOP: ,Nursing ,Process:
,Planning ,MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
3. Which ,statement ,by ,the ,nurse ,provides ,a ,clear ,explanation ,of ,the ,nursing ,process?
a. ―The ,nursing ,process ,is ,a ,research ,method ,of ,diagnosing ,the ,patient‗s ,health
,care ,problems.‖
b. ―The ,nursing ,process ,is ,used ,primarily ,to ,explain ,nursing ,interventions ,to
,other ,health ,care ,professionals.‖
c. ―The ,nursing ,process ,is ,a ,problem-solving ,tool ,used ,to ,identify ,and ,manage ,the
, patients‗ ,health ,care ,needs.‖
d. ―The ,nursing ,process ,is ,based ,on ,nursing ,theory ,that ,incorporates
,the ,biopsychosocial ,nature ,of ,humans.‖
ANS: , C
The ,nursing ,process ,is ,a ,problem-solving ,approach ,to ,the ,identification ,and ,treatment ,of
,patients‗ ,problems. ,Nursing ,process ,does ,not ,require ,research ,methods ,for ,diagnosis. ,The
,primary ,use ,of ,the ,nursing ,process ,is ,in ,patient ,care, ,not ,to ,establish ,nursing ,theory ,or
,explain ,nursing ,interventions ,to ,other ,health ,care ,professionals.
DIF: Cognitive ,Level: ,Understand ,(Comprehension) TOP: ,Nursing ,Process:
,Evaluation ,MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
4. A ,patient ,admitted ,to ,the ,hospital ,for ,surgery ,tells ,the ,nurse, ,―I ,do ,not ,feel
,comfortable ,leaving ,my ,children ,with ,my ,parents.‖ ,Which ,action ,would ,the ,nurse
,take ,next?
a. Reassure ,the ,patient ,that ,these ,feelings ,are ,common ,for ,parents.
b. Have ,the ,patient ,call ,the ,children ,to ,ensure ,that ,they ,are ,doing ,well.
c. Gather ,information ,on ,the ,patient‗s ,concerns ,about ,the ,child ,care ,arrangements.
d. Call ,the ,patient‗s ,parents ,to ,determine ,whether ,adequate ,child ,care ,is
,being ,provided.
ANS: , C
Because ,a ,complete ,assessment ,is ,necessary ,in ,order ,to ,identify ,a ,problem ,and ,choose ,an
,appropriate ,intervention, ,the ,nurse‗s ,first ,action ,should ,be ,to ,obtain ,more ,information.
,The ,other ,actions ,may ,be ,appropriate, ,but ,more ,assessment ,is ,needed ,before ,the ,best
,intervention ,can ,be ,chosen.
DIF: Cognitive ,Level: ,Analyze ,(Analysis)
TOP: , Nursing ,Process: ,Assessment MSC: , NCLEX: ,Psychosocial ,Integrity
5. A ,patient ,with ,a ,bacterial ,infection ,is ,hypovolemic ,due ,to ,a ,fever ,and ,excessive
,diaphoresis. ,Which ,expected ,outcome ,would ,the ,nurse ,select ,for ,this ,patient?
a. Patient ,has ,a ,balanced ,intake ,and ,output.
b. Patient‗s ,bedding ,is ,kept ,clean ,and ,free ,of ,moisture.
c. Patient ,understands ,the ,need ,for ,increased ,fluid ,intake.
d. Patient‗s ,skin ,remains ,cool ,and ,dry ,throughout ,hospitalization.
ANS: , A
Balanced ,intake ,and ,output ,gives ,measurable ,data ,showing ,resolution ,of ,the ,problem ,of
,deficient ,fluid ,volume. ,The ,other ,statements ,would ,not ,indicate ,that ,the ,problem ,of
,hypovolemia ,was ,resolved.
DIF: Cognitive ,Level: ,Apply ,(Application) TOP: ,Nursing ,Process:
,Planning ,MSC: , NCLEX: ,Physiological ,Integrity
6. Which ,statement ,describes ,the ,purpose ,of ,the ,evaluation ,phase ,of ,the ,nursing ,process?
a. To ,document ,the ,nursing ,care ,plan ,in ,the ,progress ,notes ,of ,the ,health ,record
b. To ,determine ,if ,interventions ,have ,been ,effective ,in ,meeting ,patient ,outcomes
c. To ,decide ,whether ,the ,patient‗s ,health ,problems ,have ,been ,completely ,resolved
d. To ,establish ,if ,the ,patient ,agrees ,that ,the ,nursing ,care ,provided ,was ,satisfactory
ANS: , B
, Evaluation ,consists ,of ,determining ,whether ,the ,desired ,patient ,outcomes ,have ,been ,met
,and ,whether ,the ,nursing ,interventions ,were ,appropriate. ,The ,other ,responses ,do ,not
,describe ,the ,evaluation ,phase.
DIF: , Cognitive ,Level: ,Understand ,(Comprehension) TOP: , Nursing ,Process:
,Evaluation ,MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
7. Which ,statement ,describes ,the ,purpose ,of ,the ,assessment ,phase ,of ,the ,nursing ,process?
a. To ,teach ,interventions ,that ,relieve ,health ,problems
b. To ,use ,patient ,data ,to ,evaluate ,patient ,care ,outcomes
c. To ,obtain ,data ,to ,diagnose ,patient ,strengths ,and ,problems
d. To ,help ,the ,patient ,identify ,realistic ,outcomes ,for ,health ,problems
ANS: , C
During ,the ,assessment ,phase, ,the ,nurse ,gathers ,information ,about ,the ,patient ,to ,diagnose
,patient ,strengths ,and ,problems. ,The ,other ,responses ,are ,examples ,of ,the ,planning,
,intervention, ,and ,evaluation ,phases ,of ,the ,nursing ,process.
DIF: Cognitive ,Level: ,Understand ,(Comprehension)
TOP: , Nursing ,Process: ,Assessment MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
8. When ,developing ,the ,plan ,of ,care, ,which ,components ,would ,the ,nurse ,include ,in ,the
,clinical ,problem ,statement?
a. The ,problem ,and ,the ,suggested ,patient ,goals ,or ,outcomes
b. The ,problem, ,its ,causes, ,and ,the ,signs ,and ,symptoms ,of ,the ,problem
c. The ,problem ,with ,the ,possible ,etiology ,and ,the ,planned ,interventions
d. The ,problem, ,its ,pathophysiology, ,and ,the ,expected ,outcome
ANS: , B
When ,writing ,clinical ,problems ,or ,nursing ,diagnoses, ,the ,subjective ,as ,well ,as ,objective
,data ,to ,support ,the ,problem‗s ,existence ,should ,be ,included. ,Goals, ,outcomes, ,and
,interventions ,are ,not ,included ,in ,the ,problem ,statement.
DIF: Cognitive ,Level: ,Understand ,(Comprehension) TOP: ,Nursing ,Process:
,Diagnosis ,MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
9. Which ,patient ,care ,task ,would ,the ,nurse ,delegate ,to ,experienced ,assistive ,personnel ,(AP)?
a. Instruct ,the ,patient ,about ,the ,need ,to ,alternate ,activity ,and ,rest.
b. Monitor ,level ,of ,shortness ,of ,breath ,or ,fatigue ,after ,ambulation.
c. Obtain ,the ,patient‗s ,blood ,pressure ,and ,pulse ,rate ,after ,ambulation.
d. Determine ,whether ,the ,patient ,is ,ready ,to ,increase ,the ,activity ,level.
ANS: , C
AP ,education ,includes ,accurate ,vital ,sign ,measurement. ,Assessment ,and ,patient ,teaching
,require ,registered ,nurse ,education ,and ,scope ,of ,practice ,and ,cannot ,be ,delegated.
DIF: Cognitive ,Level: ,Apply ,(Application) TOP: ,Nursing ,Process:
,Planning ,MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
Chapter ,01: ,Professional ,Nursing
Harding: ,Lewis’s ,Medical-Surgical ,Nursing, ,12th ,Edition
MULTIPLE ,CHOICE
1. The ,nurse ,completes ,an ,admission ,database ,and ,explains ,that ,the ,plan ,of ,care ,and
,discharge ,goals ,will ,be ,developed ,with ,the ,patient‗s ,input. ,The ,patient ,asks, ,―How ,is ,this
,different ,from ,what ,the ,physician ,does?‖ ,Which ,response ,would ,the ,nurse ,provide?
a. ―The ,role ,of ,the ,nurse ,is ,to ,administer ,medications ,and ,other ,treatments
,prescribed ,by ,your ,physician.‖
b. ―In ,addition ,to ,caring ,for ,you ,while ,you ,are ,sick, ,the ,nurses ,will ,help ,you ,plan
,to ,maintain ,your ,health.‖
c. ―The ,nurse‗s ,job ,is ,to ,collect ,information ,and ,communicate ,any ,problems
,that ,occur ,to ,the ,physician.‖
d. ―Nurses ,perform ,many ,of ,the ,same ,procedures ,as ,the ,physician, ,but ,nurses
,are ,with ,the ,patients ,for ,a ,longer ,time ,than ,the ,physician.‖
ANS: , B
The ,American ,Nurses ,Association ,(ANA) ,definition ,of ,nursing ,describes ,the ,role ,of ,nurses
,in ,promoting ,health. ,The ,other ,responses ,describe ,dependent ,and ,collaborative ,functions
,of ,the ,nursing ,role ,but ,do ,not ,accurately ,describe ,the ,nurse‗s ,unique ,role ,in ,the ,health
,care ,system.
DIF: , , Cognitive ,Level: ,Analyze ,(Analysis)
TOP: , Nursing ,Process: ,Implementation , , , MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
2. Which ,statement ,by ,the ,nurse ,accurately ,describes ,the ,use ,of ,evidence-based ,practice ,(EBP)?
a. ―Patient ,care ,is ,based ,on ,clinical ,judgment, ,experience, ,and ,traditions.‖
b. ―Data ,are ,analyzed ,later ,to ,show ,that ,the ,patient ,outcomes ,are ,consistently ,met.‖
c. ―Research ,from ,all ,published ,articles ,are ,used ,as ,a ,guide ,for ,planning ,patient ,care.‖
d. ―Recommendations ,are ,based ,on ,research, ,clinical ,expertise, ,and ,patient
,preferences.‖
ANS: , D
Evidence-based ,practice ,(EBP) ,is ,the ,use ,of ,the ,best ,research-based ,evidence ,combined
,with ,clinician ,expertise ,and ,consideration ,of ,patient ,preferences. ,Clinical ,judgment ,based
,on ,the ,nurse‗s ,clinical ,experience ,is ,part ,of ,EBP, ,but ,clinical ,decision ,making ,should ,also
,incorporate ,current ,research ,and ,research-based ,guidelines. ,Evaluation ,of ,patient ,outcomes
,is ,important, ,but ,data ,analysis ,is ,not ,required ,to ,use ,EBP. ,All ,published ,articles ,do ,not
,provide ,research ,evidence; ,interventions ,should ,be ,based ,on ,credible ,research, ,preferably
,randomized ,controlled ,studies ,with ,a ,large ,number ,of ,subjects.
DIF: Cognitive ,Level: ,Understand ,(Comprehension) TOP: ,Nursing ,Process:
,Planning ,MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
3. Which ,statement ,by ,the ,nurse ,provides ,a ,clear ,explanation ,of ,the ,nursing ,process?
a. ―The ,nursing ,process ,is ,a ,research ,method ,of ,diagnosing ,the ,patient‗s ,health
,care ,problems.‖
b. ―The ,nursing ,process ,is ,used ,primarily ,to ,explain ,nursing ,interventions ,to
,other ,health ,care ,professionals.‖
c. ―The ,nursing ,process ,is ,a ,problem-solving ,tool ,used ,to ,identify ,and ,manage ,the
, patients‗ ,health ,care ,needs.‖
d. ―The ,nursing ,process ,is ,based ,on ,nursing ,theory ,that ,incorporates
,the ,biopsychosocial ,nature ,of ,humans.‖
ANS: , C
The ,nursing ,process ,is ,a ,problem-solving ,approach ,to ,the ,identification ,and ,treatment ,of
,patients‗ ,problems. ,Nursing ,process ,does ,not ,require ,research ,methods ,for ,diagnosis. ,The
,primary ,use ,of ,the ,nursing ,process ,is ,in ,patient ,care, ,not ,to ,establish ,nursing ,theory ,or
,explain ,nursing ,interventions ,to ,other ,health ,care ,professionals.
DIF: Cognitive ,Level: ,Understand ,(Comprehension) TOP: ,Nursing ,Process:
,Evaluation ,MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
4. A ,patient ,admitted ,to ,the ,hospital ,for ,surgery ,tells ,the ,nurse, ,―I ,do ,not ,feel
,comfortable ,leaving ,my ,children ,with ,my ,parents.‖ ,Which ,action ,would ,the ,nurse
,take ,next?
a. Reassure ,the ,patient ,that ,these ,feelings ,are ,common ,for ,parents.
b. Have ,the ,patient ,call ,the ,children ,to ,ensure ,that ,they ,are ,doing ,well.
c. Gather ,information ,on ,the ,patient‗s ,concerns ,about ,the ,child ,care ,arrangements.
d. Call ,the ,patient‗s ,parents ,to ,determine ,whether ,adequate ,child ,care ,is
,being ,provided.
ANS: , C
Because ,a ,complete ,assessment ,is ,necessary ,in ,order ,to ,identify ,a ,problem ,and ,choose ,an
,appropriate ,intervention, ,the ,nurse‗s ,first ,action ,should ,be ,to ,obtain ,more ,information.
,The ,other ,actions ,may ,be ,appropriate, ,but ,more ,assessment ,is ,needed ,before ,the ,best
,intervention ,can ,be ,chosen.
DIF: Cognitive ,Level: ,Analyze ,(Analysis)
TOP: , Nursing ,Process: ,Assessment MSC: , NCLEX: ,Psychosocial ,Integrity
5. A ,patient ,with ,a ,bacterial ,infection ,is ,hypovolemic ,due ,to ,a ,fever ,and ,excessive
,diaphoresis. ,Which ,expected ,outcome ,would ,the ,nurse ,select ,for ,this ,patient?
a. Patient ,has ,a ,balanced ,intake ,and ,output.
b. Patient‗s ,bedding ,is ,kept ,clean ,and ,free ,of ,moisture.
c. Patient ,understands ,the ,need ,for ,increased ,fluid ,intake.
d. Patient‗s ,skin ,remains ,cool ,and ,dry ,throughout ,hospitalization.
ANS: , A
Balanced ,intake ,and ,output ,gives ,measurable ,data ,showing ,resolution ,of ,the ,problem ,of
,deficient ,fluid ,volume. ,The ,other ,statements ,would ,not ,indicate ,that ,the ,problem ,of
,hypovolemia ,was ,resolved.
DIF: Cognitive ,Level: ,Apply ,(Application) TOP: ,Nursing ,Process:
,Planning ,MSC: , NCLEX: ,Physiological ,Integrity
6. Which ,statement ,describes ,the ,purpose ,of ,the ,evaluation ,phase ,of ,the ,nursing ,process?
a. To ,document ,the ,nursing ,care ,plan ,in ,the ,progress ,notes ,of ,the ,health ,record
b. To ,determine ,if ,interventions ,have ,been ,effective ,in ,meeting ,patient ,outcomes
c. To ,decide ,whether ,the ,patient‗s ,health ,problems ,have ,been ,completely ,resolved
d. To ,establish ,if ,the ,patient ,agrees ,that ,the ,nursing ,care ,provided ,was ,satisfactory
ANS: , B
, Evaluation ,consists ,of ,determining ,whether ,the ,desired ,patient ,outcomes ,have ,been ,met
,and ,whether ,the ,nursing ,interventions ,were ,appropriate. ,The ,other ,responses ,do ,not
,describe ,the ,evaluation ,phase.
DIF: , Cognitive ,Level: ,Understand ,(Comprehension) TOP: , Nursing ,Process:
,Evaluation ,MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
7. Which ,statement ,describes ,the ,purpose ,of ,the ,assessment ,phase ,of ,the ,nursing ,process?
a. To ,teach ,interventions ,that ,relieve ,health ,problems
b. To ,use ,patient ,data ,to ,evaluate ,patient ,care ,outcomes
c. To ,obtain ,data ,to ,diagnose ,patient ,strengths ,and ,problems
d. To ,help ,the ,patient ,identify ,realistic ,outcomes ,for ,health ,problems
ANS: , C
During ,the ,assessment ,phase, ,the ,nurse ,gathers ,information ,about ,the ,patient ,to ,diagnose
,patient ,strengths ,and ,problems. ,The ,other ,responses ,are ,examples ,of ,the ,planning,
,intervention, ,and ,evaluation ,phases ,of ,the ,nursing ,process.
DIF: Cognitive ,Level: ,Understand ,(Comprehension)
TOP: , Nursing ,Process: ,Assessment MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
8. When ,developing ,the ,plan ,of ,care, ,which ,components ,would ,the ,nurse ,include ,in ,the
,clinical ,problem ,statement?
a. The ,problem ,and ,the ,suggested ,patient ,goals ,or ,outcomes
b. The ,problem, ,its ,causes, ,and ,the ,signs ,and ,symptoms ,of ,the ,problem
c. The ,problem ,with ,the ,possible ,etiology ,and ,the ,planned ,interventions
d. The ,problem, ,its ,pathophysiology, ,and ,the ,expected ,outcome
ANS: , B
When ,writing ,clinical ,problems ,or ,nursing ,diagnoses, ,the ,subjective ,as ,well ,as ,objective
,data ,to ,support ,the ,problem‗s ,existence ,should ,be ,included. ,Goals, ,outcomes, ,and
,interventions ,are ,not ,included ,in ,the ,problem ,statement.
DIF: Cognitive ,Level: ,Understand ,(Comprehension) TOP: ,Nursing ,Process:
,Diagnosis ,MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
9. Which ,patient ,care ,task ,would ,the ,nurse ,delegate ,to ,experienced ,assistive ,personnel ,(AP)?
a. Instruct ,the ,patient ,about ,the ,need ,to ,alternate ,activity ,and ,rest.
b. Monitor ,level ,of ,shortness ,of ,breath ,or ,fatigue ,after ,ambulation.
c. Obtain ,the ,patient‗s ,blood ,pressure ,and ,pulse ,rate ,after ,ambulation.
d. Determine ,whether ,the ,patient ,is ,ready ,to ,increase ,the ,activity ,level.
ANS: , C
AP ,education ,includes ,accurate ,vital ,sign ,measurement. ,Assessment ,and ,patient ,teaching
,require ,registered ,nurse ,education ,and ,scope ,of ,practice ,and ,cannot ,be ,delegated.
DIF: Cognitive ,Level: ,Apply ,(Application) TOP: ,Nursing ,Process:
,Planning ,MSC: , NCLEX: ,Safe ,and ,Effective ,Care ,Environment
