14/01/2024g13:2 MedgSurggtestgquestion
4 s
Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
Chapterg 01:g Professionalg Nursing
Harding:gLewis’sgMedical-SurgicalgNursing,g11thgEdition
MULTIPLEgCHOICE
1. Thegnursegcompletesgangadmissiongdatabasegandgexplainsgthatgthegplangofgcaregandgdisc
hargeg goalsgwillgbegdevelopedgwithgthegpatient’sginput.gThegpatientgasks,g“Howgisgthis
gdifferentgfromg whatgthegdoctorgdoes?”gWhichgresponsegwouldgbegmostgappropriategfo
rgthegnursegtogmake?
a. “Thegrolegofgthegnursegisgtogadministergmedicationsgandgothergtreatmentsgpres
cribedg bygyourgdoctor.”
b. “Ingadditiongtogcaringgforgyougwhilegyougaregsick,gthegnursesgwillghelpgyou
gplangtog maintaingyourghealth.”
c. “Thegnurse’sgjobgisgtoghelpgthegdoctorgbygcollectingginformationgand
communicatingganygproblemsgthatgoccur.”
d. “Nursesgperformgmanygofgthegsamegproceduresgasgthegdoctor,gbutgnursesgar
egwithg thegpatientsgforgaglongergtimegthangthegdoctor.”
ANS:g B
ThegAmericangNursesgAssociationg(ANA)gdefinitiongofgnursinggdescribesgthegrolegofgnurse
sging promotingghealth.gThegothergresponsesgdescribegdependentgandgcollaborativegfunction
sgofgtheg nursinggrolegbutgdognotgaccuratelygdescribegthegnurse’sguniquegrolegingtheghealth
gcaregsystem.
DIF:g CognitivegLevel:gAnalyzeg(analysis)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
2. Thegnursegdescribesgtogagstudentgnurseghowgtogusegevidence-
basedgpracticeg(EBP)gwhengcaringg forgpatients.gWhichgstatementgbygthegnursegaccuratel
ygdescribesgthegusegofgEBP?
a. “Inferencesgfromgallgpublishedgarticlesgaregusedgasgagguide.”
b. “Patientgcaregisgbasedgongclinicalgjudgment,gexperience,gandgtraditions.”
c. “Datagareganalyzedglatergtogshowgthatgthegpatientgoutcomesgaregconsistentlygmet.”
d. “Recommendationsgaregbasedgongresearch,gclinicalgexpertise,gandgpa
tientg preferences.”
ANS:g D
Evidence-basedgpracticeg(EBP)gisgthegusegofgthegbestgresearch-
basedgevidencegcombinedgwithg cliniciangexpertisegandgconsiderationgofgpatientgpreferen
ces.gClinicalgjudgmentgbasedgongtheg nurse’sgclinicalgexperiencegisgpartgofgEBP,gbutgcl
inicalgdecisiongmakinggshouldgalsog incorporategcurrentgresearchgandgresearch-
basedgguidelines.gEvaluationgofgpatientgoutcomesgisg important,gbutgdataganalysisgisgnot
grequiredgtogusegEBP.gAllgpublishedgarticlesgdognotgprovideg researchgevidence;ginterve
ntionsgshouldgbegbasedgongcrediblegresearch,gpreferablygrandomizedg controlledgstudiesg
withgaglargegnumbergofgsubjects.
DIF:g CognitivegLevel:gRememberg(knowledge)
TOP:g NursinggProcess:gPlanni
ngg MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
3. Thegnursegteachesgagstudentgnursegaboutghowgtogapplygthegnursinggprocessgwhengpr
ovidingg patientgcare.gWhichgstatementgbygthegstudentgnursegindicatesgthatgteachingg
wasgsuccessful?
a. “Thegnursinggprocessgisgagresearchgmethodgofgdiagnosinggthegpatient’sghealthgcare
problems.”
b. “Thegnursinggprocessgisgusedgprimarilygtogexplaingnursingginterventionsgtogother
TESTBANKWORLD.ORG
about:blank 1/702
,14/01/2024g13:2 MedgSurggtestgquestion
4 s
Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
healthgcaregprofessionals.”
c. “Thegnursinggprocessgisgagproblem-solvinggtoolgusedgtogidentifygandgtreatgthe
patients’ghealthgcaregneeds.”
d. “Thegnursinggprocessgisgbasedgongnursinggtheorygthatgincorporate
sgtheg biopsychosocialgnaturegofghumans.”
ANS:g C
Thegnursinggprocessgisgagproblem-
solvinggapproachgtogthegidentificationgandgtreatmentgofg patients’gproblems.gNursinggpro
cessgdoesgnotgrequiregresearchgmethodsgforgdiagnosis.gTheg primarygusegofgthegnursingg
processgisgingpatientgcare,gnotgtogestablishgnursinggtheorygorgexplaing nursingginterventio
nsgtogotherghealthgcaregprofessionals.
DIF:g CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gEvaluati
ong MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
4. Agpatientgadmittedgtogtheghospitalgforgsurgerygtellsgthegnurse,g“Igdognotgfeelgco
mfortableg leavinggmygchildrengwithgmygparents.”gWhichgactiongshouldgthegnurse
gtakegnext?
a. Reassuregthegpatientgthatgthesegfeelingsgaregcommongforgparents.
b. Havegthegpatientgcallgthegchildrengtogensuregthatgtheygaregdoinggwell.
c. Gatherginformationgongthegpatient’sgconcernsgaboutgthegchildgcaregarrangements.
d. Callgthegpatient’sgparentsgtogdeterminegwhethergadequategchildgcaregisgbeing
provided.
ANS:g C
Becausegagcompletegassessmentgisgnecessarygingordergtogidentifygagproblemgandgchoos
egang appropriategintervention,gthegnurse’sgfirstgactiongshouldgbegtogobtaingmoreginfor
mation.gTheg othergactionsgmaygbegappropriate,gbutgmoregassessmentgisgneededgbefore
gthegbestginterventiong cangbegchosen.
DIF:g CognitivegLevel:gAnalyzeg(analysis)
OBJ:g SpecialgQuestions:gPrioritization
TOP:g NursinggProcess:gAssessme
ntg MSC:g NCLEX:gPsychosocialgIntegrity
5. Agpatientgwithgagbacterialginfectiongisghypovolemicgduegtogagfevergandgexcessivegdiap
horesis.g Whichgexpectedgoutcomegwouldgthegnursegrecognizegasgappropriategforgthisgp
atient?
a. Patientghasgagbalancedgintakegandgoutput.
b. Patient’sgbeddinggisgkeptgcleangandgfreegofgmoisture.
c. Patientgunderstandsgthegneedgforgincreasedgfluidgintake.
d. Patient’sgskingremainsgcoolgandgdrygthroughoutghospitalization.
ANS:g A
Balancedgintakegandgoutputggivesgmeasurablegdatagshowinggresolutiongofgthegproblemg
ofg deficientgfluidgvolume.gThegothergstatementsgwouldgnotgindicategthatgthegproblemg
ofg hypovolemiagwasgresolved.
DIF:g CognitivegLevel:gApplyg(application) TOP:
NursinggProcess:gPlanningg MSC:g NC
LEX:gPhysiologicalgIntegrity
6. Aftergadministeringgmedication,gthegnursegasksgthegpatientgifgpaingwasgrelieved.gWhat
gisgtheg purposegofgthegevaluationgphasegofgthegnursinggprocess?
a. Togdocumentgthegnursinggcaregplangingthegprogressgnotesgofgtheghealthgrecord
b. Togdeterminegifginterventionsghavegbeengeffectivegingmeetinggpatientgoutcomes
TESTBANKWORLD.ORG
about:blank 2/702
,14/01/2024g13:2 MedgSurggtestgquestion
4 s
Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
c. Togdecidegwhethergthegpatient’sghealthgproblemsghavegbeengcompletelygresolved
d. Togestablishgifgthegpatientgagreesgthatgthegnursinggcaregprovidedgwasgsatisfactory
ANS:g B
Evaluationgconsistsgofgdetermininggwhethergthegdesiredgpatientgoutcomesghavegbeengm
etgandg whethergthegnursingginterventionsgweregappropriate.gThegothergresponsesgdogno
tgdescribegtheg evaluationgphase.
DIF:g CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gEvaluati
ong MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
7. Thegnurseginterviewsgagpatientgwhilegcompletinggtheghealthghistorygandgphysicalgexami
nation.g Whatgisgthegpurposegofgthegassessmentgphasegofgthegnursinggprocess?
a. Togteachginterventionsgthatgrelieveghealthgproblems
b. Togusegpatientgdatagtogevaluategpatientgcaregoutcomes
c. Toghelpgthegpatientgidentifygrealisticgoutcomesgforghealthgproblems
d. Togobtaingdatagwithgwhichgtogdiagnosegpatientgstrengthsgandgproblems
ANS:g D
Duringgthegassessmentgphase,gthegnurseggathersginformationgaboutgthegpatientgtogdiagn
oseg patientgstrengthsgandgproblems.gThegothergresponsesgaregexamplesgofgthegplanning
,g intervention,gandgevaluationgphasesgofgthegnursinggprocess.
DIF:g CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gAssessment MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
8. Thegnursegadmitsgagpatientgtogtheghospitalgandgdevelopsgagplangofgcare.gWhatgco
mponentsg shouldgthegnursegincludegingthegpatientgproblemgstatement?
a. Thegproblemgandgthegsuggestedgpatientggoalsgorgoutcomes
b. Thegproblem,gitsgcauses,gandgthegsignsgandgsymptomsgofgthegproblem
c. Thegproblemgwithgthegpossiblegetiologygandgthegplannedginterventions
d. Thegproblem,gthegpathophysiologygofgthegproblem,gandgthegexpectedgoutcome
ANS:g B
Whengwritinggpatientgproblemsgorgnursinggdiagnoses,gthisgformatgshouldgbegused:gprob
lem,g etiology,gandgsignsgandgsymptoms.gThegsubjectivegasgwellgasgobjectivegdatagsho
uldgbeg included.gGoals,goutcomes,gandginterventionsgaregnotgincludedgingthegproblemg
statement.
DIF:g CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gDiagnos
isg MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
9. Whichgpatientgcaregtaskgisgappropriategforgthegnursegtogdelegategtogexperiencedgunli
censedg assistivegpersonnelg(UAP)?
a. Instructgthegpatientgaboutgthegneedgtogalternategactivitygandgrest.
b. Monitorglevelgofgshortnessgofgbreathgorgfatiguegaftergambulation.
c. Obtaingthegpatient’sgbloodgpressuregandgpulsegrategaftergambulation.
d. Determinegwhethergthegpatientgisgreadygtogincreasegthegactivityglevel.
ANS:g C
UAPgeducationgincludesgaccurategvitalgsigngmeasurement.gAssessmentgandgpatientgteac
hingg requiregregisteredgnursegeducationgandgscopegofgpracticegandgcannotgbegdelegate
d.
TESTBANKWORLD.ORG
about:blank 3/702
, 14/01/2024g13:2 MedgSurggtestgquestion
4 s
Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
DIF:g CognitivegLevel:gApplyg(application)
OBJ:g SpecialgQuestions:gDelegation
TOP:g NursinggProcess:gPlanni
ngg MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
10. Agnursegisgcaringgforgaggroupgofgpatientsgongthegmedical-
surgicalgunitgwithgtheghelpgofgonegfloatg registeredgnurseg(RN),gonegunlicensedgassistive
gpersonnelg(UAP),gandgoneglicensedg practical/vocationalgnurseg(LPN/VN).gWhichgassign
ment,gifgdelegatedgbygthegnurse,gwouldgbeg inappropriate?
a. CheckgforgthegpresencegofgbowelgsoundsgbygUAP
b. AdministrationgofgoralgmedicationsgbygLPN/VN
c. InsulingadministrationgbygfloatgRNgfromgthegpediatricgunit
d. Measurementgofgagpatient’sgurinarygcathetergoutputgbygUAP
ANS:g A
AssessmentgrequiresgRNgeducationgandgscopegofgpracticegsogitgcannotgbegdelegatedgto
gang LPN/VNgorgUAP.gThegothergassignmentsgmadegbygthegRNgaregappropriategforgth
egrolegofgtheg teamgmember.
DIF:g CognitivegLevel:gApplyg(application)
OBJ:g SpecialgQuestions:gDelegation
TOP:g NursinggProcess:gPlanni
ngg MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
11. Whichgtaskgisgappropriategforgthegnursegtogdelegategtogaglicensedgpractical/vocational
gnurseg (LPN/VN)?
a. Completegtheginitialgadmissiongassessmentgandgplangofgcare.
b. Measuregbedsidegbloodgglucosegbeforegadministeringginsulin.
c. Documentgteachinggcompletedgbeforegagdiagnosticgprocedure.
d. Instructgagpatientgaboutglow-fat,greducedgsodiumgdietarygrestrictions.
ANS:g B
ThegeducationgandgscopegofgpracticegofgthegLPN/LVNgincludegactivitiesgsuchgasgobtai
ningg glucosegtestinggusinggagfingergstickgandgadministeringginsulin.gPatientgteachingga
ndgtheginitialg assessmentgandgdevelopmentgofgthegplangofgcaregaregnursinggactionsgtha
tgrequiregregisteredg nursegeducationgandgscopegofgpractice.
DIF:g CognitivegLevel:gApplyg(application)
OBJ:g SpecialgQuestions:gDelegation
TOP:g NursinggProcess:gPlanni
ngg MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
12. Agnursegisgassignedgasgagcasegmanagergforgaghospitalizedgpatientgwithgagspinalgcor
dginjury.g Whichgactivitygcangthegpatientgexpectgthegnursegingthisgrolegtogperform?
a. Caregforgthegpatientgduringghospitalizationgforgtheginjuries.
b. Assistgthegpatientgwithghomegcaregactivitiesgduringgrecovery.
c. Coordinategthegservicesgthegpatientgreceivesgingtheghospitalgandgatghome.
d. Determinegwhatgmedicalgcaregthegpatientgneedsgforgoptimalgrehabilitation.
ANS:g C
Thegrolegofgthegcasegmanagergisgtogcoordinategthegpatient’sgcaregthroughgmultiplegsettin
gsgandg levelsgofgcaregtogallowgthegmaximalgpatientgbenefitgatgthegleastgcost.gThegcaseg
managergdoesgnotg providegdirectgcaregingthegacutegorghomegsetting.gThegcasegmanagerg
coordinatesgandgadvocatesg forgcaregthegHCPgdeterminesgwhatgmedicalgcaregisgneeded.
TESTBANKWORLD.ORG
about:blank 4/702
4 s
Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
Chapterg 01:g Professionalg Nursing
Harding:gLewis’sgMedical-SurgicalgNursing,g11thgEdition
MULTIPLEgCHOICE
1. Thegnursegcompletesgangadmissiongdatabasegandgexplainsgthatgthegplangofgcaregandgdisc
hargeg goalsgwillgbegdevelopedgwithgthegpatient’sginput.gThegpatientgasks,g“Howgisgthis
gdifferentgfromg whatgthegdoctorgdoes?”gWhichgresponsegwouldgbegmostgappropriategfo
rgthegnursegtogmake?
a. “Thegrolegofgthegnursegisgtogadministergmedicationsgandgothergtreatmentsgpres
cribedg bygyourgdoctor.”
b. “Ingadditiongtogcaringgforgyougwhilegyougaregsick,gthegnursesgwillghelpgyou
gplangtog maintaingyourghealth.”
c. “Thegnurse’sgjobgisgtoghelpgthegdoctorgbygcollectingginformationgand
communicatingganygproblemsgthatgoccur.”
d. “Nursesgperformgmanygofgthegsamegproceduresgasgthegdoctor,gbutgnursesgar
egwithg thegpatientsgforgaglongergtimegthangthegdoctor.”
ANS:g B
ThegAmericangNursesgAssociationg(ANA)gdefinitiongofgnursinggdescribesgthegrolegofgnurse
sging promotingghealth.gThegothergresponsesgdescribegdependentgandgcollaborativegfunction
sgofgtheg nursinggrolegbutgdognotgaccuratelygdescribegthegnurse’sguniquegrolegingtheghealth
gcaregsystem.
DIF:g CognitivegLevel:gAnalyzeg(analysis)
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
2. Thegnursegdescribesgtogagstudentgnurseghowgtogusegevidence-
basedgpracticeg(EBP)gwhengcaringg forgpatients.gWhichgstatementgbygthegnursegaccuratel
ygdescribesgthegusegofgEBP?
a. “Inferencesgfromgallgpublishedgarticlesgaregusedgasgagguide.”
b. “Patientgcaregisgbasedgongclinicalgjudgment,gexperience,gandgtraditions.”
c. “Datagareganalyzedglatergtogshowgthatgthegpatientgoutcomesgaregconsistentlygmet.”
d. “Recommendationsgaregbasedgongresearch,gclinicalgexpertise,gandgpa
tientg preferences.”
ANS:g D
Evidence-basedgpracticeg(EBP)gisgthegusegofgthegbestgresearch-
basedgevidencegcombinedgwithg cliniciangexpertisegandgconsiderationgofgpatientgpreferen
ces.gClinicalgjudgmentgbasedgongtheg nurse’sgclinicalgexperiencegisgpartgofgEBP,gbutgcl
inicalgdecisiongmakinggshouldgalsog incorporategcurrentgresearchgandgresearch-
basedgguidelines.gEvaluationgofgpatientgoutcomesgisg important,gbutgdataganalysisgisgnot
grequiredgtogusegEBP.gAllgpublishedgarticlesgdognotgprovideg researchgevidence;ginterve
ntionsgshouldgbegbasedgongcrediblegresearch,gpreferablygrandomizedg controlledgstudiesg
withgaglargegnumbergofgsubjects.
DIF:g CognitivegLevel:gRememberg(knowledge)
TOP:g NursinggProcess:gPlanni
ngg MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
3. Thegnursegteachesgagstudentgnursegaboutghowgtogapplygthegnursinggprocessgwhengpr
ovidingg patientgcare.gWhichgstatementgbygthegstudentgnursegindicatesgthatgteachingg
wasgsuccessful?
a. “Thegnursinggprocessgisgagresearchgmethodgofgdiagnosinggthegpatient’sghealthgcare
problems.”
b. “Thegnursinggprocessgisgusedgprimarilygtogexplaingnursingginterventionsgtogother
TESTBANKWORLD.ORG
about:blank 1/702
,14/01/2024g13:2 MedgSurggtestgquestion
4 s
Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
healthgcaregprofessionals.”
c. “Thegnursinggprocessgisgagproblem-solvinggtoolgusedgtogidentifygandgtreatgthe
patients’ghealthgcaregneeds.”
d. “Thegnursinggprocessgisgbasedgongnursinggtheorygthatgincorporate
sgtheg biopsychosocialgnaturegofghumans.”
ANS:g C
Thegnursinggprocessgisgagproblem-
solvinggapproachgtogthegidentificationgandgtreatmentgofg patients’gproblems.gNursinggpro
cessgdoesgnotgrequiregresearchgmethodsgforgdiagnosis.gTheg primarygusegofgthegnursingg
processgisgingpatientgcare,gnotgtogestablishgnursinggtheorygorgexplaing nursingginterventio
nsgtogotherghealthgcaregprofessionals.
DIF:g CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gEvaluati
ong MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
4. Agpatientgadmittedgtogtheghospitalgforgsurgerygtellsgthegnurse,g“Igdognotgfeelgco
mfortableg leavinggmygchildrengwithgmygparents.”gWhichgactiongshouldgthegnurse
gtakegnext?
a. Reassuregthegpatientgthatgthesegfeelingsgaregcommongforgparents.
b. Havegthegpatientgcallgthegchildrengtogensuregthatgtheygaregdoinggwell.
c. Gatherginformationgongthegpatient’sgconcernsgaboutgthegchildgcaregarrangements.
d. Callgthegpatient’sgparentsgtogdeterminegwhethergadequategchildgcaregisgbeing
provided.
ANS:g C
Becausegagcompletegassessmentgisgnecessarygingordergtogidentifygagproblemgandgchoos
egang appropriategintervention,gthegnurse’sgfirstgactiongshouldgbegtogobtaingmoreginfor
mation.gTheg othergactionsgmaygbegappropriate,gbutgmoregassessmentgisgneededgbefore
gthegbestginterventiong cangbegchosen.
DIF:g CognitivegLevel:gAnalyzeg(analysis)
OBJ:g SpecialgQuestions:gPrioritization
TOP:g NursinggProcess:gAssessme
ntg MSC:g NCLEX:gPsychosocialgIntegrity
5. Agpatientgwithgagbacterialginfectiongisghypovolemicgduegtogagfevergandgexcessivegdiap
horesis.g Whichgexpectedgoutcomegwouldgthegnursegrecognizegasgappropriategforgthisgp
atient?
a. Patientghasgagbalancedgintakegandgoutput.
b. Patient’sgbeddinggisgkeptgcleangandgfreegofgmoisture.
c. Patientgunderstandsgthegneedgforgincreasedgfluidgintake.
d. Patient’sgskingremainsgcoolgandgdrygthroughoutghospitalization.
ANS:g A
Balancedgintakegandgoutputggivesgmeasurablegdatagshowinggresolutiongofgthegproblemg
ofg deficientgfluidgvolume.gThegothergstatementsgwouldgnotgindicategthatgthegproblemg
ofg hypovolemiagwasgresolved.
DIF:g CognitivegLevel:gApplyg(application) TOP:
NursinggProcess:gPlanningg MSC:g NC
LEX:gPhysiologicalgIntegrity
6. Aftergadministeringgmedication,gthegnursegasksgthegpatientgifgpaingwasgrelieved.gWhat
gisgtheg purposegofgthegevaluationgphasegofgthegnursinggprocess?
a. Togdocumentgthegnursinggcaregplangingthegprogressgnotesgofgtheghealthgrecord
b. Togdeterminegifginterventionsghavegbeengeffectivegingmeetinggpatientgoutcomes
TESTBANKWORLD.ORG
about:blank 2/702
,14/01/2024g13:2 MedgSurggtestgquestion
4 s
Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
c. Togdecidegwhethergthegpatient’sghealthgproblemsghavegbeengcompletelygresolved
d. Togestablishgifgthegpatientgagreesgthatgthegnursinggcaregprovidedgwasgsatisfactory
ANS:g B
Evaluationgconsistsgofgdetermininggwhethergthegdesiredgpatientgoutcomesghavegbeengm
etgandg whethergthegnursingginterventionsgweregappropriate.gThegothergresponsesgdogno
tgdescribegtheg evaluationgphase.
DIF:g CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gEvaluati
ong MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
7. Thegnurseginterviewsgagpatientgwhilegcompletinggtheghealthghistorygandgphysicalgexami
nation.g Whatgisgthegpurposegofgthegassessmentgphasegofgthegnursinggprocess?
a. Togteachginterventionsgthatgrelieveghealthgproblems
b. Togusegpatientgdatagtogevaluategpatientgcaregoutcomes
c. Toghelpgthegpatientgidentifygrealisticgoutcomesgforghealthgproblems
d. Togobtaingdatagwithgwhichgtogdiagnosegpatientgstrengthsgandgproblems
ANS:g D
Duringgthegassessmentgphase,gthegnurseggathersginformationgaboutgthegpatientgtogdiagn
oseg patientgstrengthsgandgproblems.gThegothergresponsesgaregexamplesgofgthegplanning
,g intervention,gandgevaluationgphasesgofgthegnursinggprocess.
DIF:g CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gAssessment MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
8. Thegnursegadmitsgagpatientgtogtheghospitalgandgdevelopsgagplangofgcare.gWhatgco
mponentsg shouldgthegnursegincludegingthegpatientgproblemgstatement?
a. Thegproblemgandgthegsuggestedgpatientggoalsgorgoutcomes
b. Thegproblem,gitsgcauses,gandgthegsignsgandgsymptomsgofgthegproblem
c. Thegproblemgwithgthegpossiblegetiologygandgthegplannedginterventions
d. Thegproblem,gthegpathophysiologygofgthegproblem,gandgthegexpectedgoutcome
ANS:g B
Whengwritinggpatientgproblemsgorgnursinggdiagnoses,gthisgformatgshouldgbegused:gprob
lem,g etiology,gandgsignsgandgsymptoms.gThegsubjectivegasgwellgasgobjectivegdatagsho
uldgbeg included.gGoals,goutcomes,gandginterventionsgaregnotgincludedgingthegproblemg
statement.
DIF:g CognitivegLevel:gUnderstandg(comprehension)
TOP:g NursinggProcess:gDiagnos
isg MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
9. Whichgpatientgcaregtaskgisgappropriategforgthegnursegtogdelegategtogexperiencedgunli
censedg assistivegpersonnelg(UAP)?
a. Instructgthegpatientgaboutgthegneedgtogalternategactivitygandgrest.
b. Monitorglevelgofgshortnessgofgbreathgorgfatiguegaftergambulation.
c. Obtaingthegpatient’sgbloodgpressuregandgpulsegrategaftergambulation.
d. Determinegwhethergthegpatientgisgreadygtogincreasegthegactivityglevel.
ANS:g C
UAPgeducationgincludesgaccurategvitalgsigngmeasurement.gAssessmentgandgpatientgteac
hingg requiregregisteredgnursegeducationgandgscopegofgpracticegandgcannotgbegdelegate
d.
TESTBANKWORLD.ORG
about:blank 3/702
, 14/01/2024g13:2 MedgSurggtestgquestion
4 s
Lewis'sgMedicalgSurgicalgNursingg11thgEditiongHardinggTestgBank
DIF:g CognitivegLevel:gApplyg(application)
OBJ:g SpecialgQuestions:gDelegation
TOP:g NursinggProcess:gPlanni
ngg MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
10. Agnursegisgcaringgforgaggroupgofgpatientsgongthegmedical-
surgicalgunitgwithgtheghelpgofgonegfloatg registeredgnurseg(RN),gonegunlicensedgassistive
gpersonnelg(UAP),gandgoneglicensedg practical/vocationalgnurseg(LPN/VN).gWhichgassign
ment,gifgdelegatedgbygthegnurse,gwouldgbeg inappropriate?
a. CheckgforgthegpresencegofgbowelgsoundsgbygUAP
b. AdministrationgofgoralgmedicationsgbygLPN/VN
c. InsulingadministrationgbygfloatgRNgfromgthegpediatricgunit
d. Measurementgofgagpatient’sgurinarygcathetergoutputgbygUAP
ANS:g A
AssessmentgrequiresgRNgeducationgandgscopegofgpracticegsogitgcannotgbegdelegatedgto
gang LPN/VNgorgUAP.gThegothergassignmentsgmadegbygthegRNgaregappropriategforgth
egrolegofgtheg teamgmember.
DIF:g CognitivegLevel:gApplyg(application)
OBJ:g SpecialgQuestions:gDelegation
TOP:g NursinggProcess:gPlanni
ngg MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
11. Whichgtaskgisgappropriategforgthegnursegtogdelegategtogaglicensedgpractical/vocational
gnurseg (LPN/VN)?
a. Completegtheginitialgadmissiongassessmentgandgplangofgcare.
b. Measuregbedsidegbloodgglucosegbeforegadministeringginsulin.
c. Documentgteachinggcompletedgbeforegagdiagnosticgprocedure.
d. Instructgagpatientgaboutglow-fat,greducedgsodiumgdietarygrestrictions.
ANS:g B
ThegeducationgandgscopegofgpracticegofgthegLPN/LVNgincludegactivitiesgsuchgasgobtai
ningg glucosegtestinggusinggagfingergstickgandgadministeringginsulin.gPatientgteachingga
ndgtheginitialg assessmentgandgdevelopmentgofgthegplangofgcaregaregnursinggactionsgtha
tgrequiregregisteredg nursegeducationgandgscopegofgpractice.
DIF:g CognitivegLevel:gApplyg(application)
OBJ:g SpecialgQuestions:gDelegation
TOP:g NursinggProcess:gPlanni
ngg MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
12. Agnursegisgassignedgasgagcasegmanagergforgaghospitalizedgpatientgwithgagspinalgcor
dginjury.g Whichgactivitygcangthegpatientgexpectgthegnursegingthisgrolegtogperform?
a. Caregforgthegpatientgduringghospitalizationgforgtheginjuries.
b. Assistgthegpatientgwithghomegcaregactivitiesgduringgrecovery.
c. Coordinategthegservicesgthegpatientgreceivesgingtheghospitalgandgatghome.
d. Determinegwhatgmedicalgcaregthegpatientgneedsgforgoptimalgrehabilitation.
ANS:g C
Thegrolegofgthegcasegmanagergisgtogcoordinategthegpatient’sgcaregthroughgmultiplegsettin
gsgandg levelsgofgcaregtogallowgthegmaximalgpatientgbenefitgatgthegleastgcost.gThegcaseg
managergdoesgnotg providegdirectgcaregingthegacutegorghomegsetting.gThegcasegmanagerg
coordinatesgandgadvocatesg forgcaregthegHCPgdeterminesgwhatgmedicalgcaregisgneeded.
TESTBANKWORLD.ORG
about:blank 4/702
