TestgBankgForgLewis’sgMedicalgSurgicalgNursingg11thgEditiongHardin 1
g
Tableg ofg Contents
Tableg ofgContents 1
Chapterg 01:g Professionalg Nursin 3
g
Chapterg02:gHealthgEquitygandgCulturallygCompetentgCareChapter 13
g03:gHealthgHistorygandgPhysicalgExaminationgChapterg04:gPatient 21
gandgCaregivergTeaching 28
Chapterg05:gChronicgIllnessgandgOldergAdults 38
gChapterg06:gStressgManagement 48
Chapterg07:gSleepgandgSleepgDisordersgChapt 54
erg08:gPain 59
Chapterg09:gPalliativegandgEndgofgLifegCaregChapt 71
erg10:gSubstancegUsegDisordersgChapterg11:gInfla 79
mmationgandgHealinggChapterg12:gGenetics 91
Chapterg13:gImmunegResponsesgandgTransplantationChapterg14:gI 101
nfection 105
Chapterg 15:gCancer 117
Chapterg16:gFluid,gElectrolyte,gandgAcid- 129
BasegImbalancesChapterg17:gPreoperativegCare 148
Chapterg18:gIntraoperativegCaregCha 165
pterg 19:g Postoperativeg Care 175
Chapterg20:gAssessmentgandgManagement:gVisualgProblemsgChapterg21:g 184
AssessmentgandgManagement:gAuditorygProblemsChapterg22:gAssessment: 196
gIntegumentarygSystem 216
Chapterg23:gIntegumentarygProblems 227
gChapterg24:gBurns 233
Chapterg25:gAssessment:gRespiratorygSystemg Chapt 245
erg26:gUppergRespiratorygProblemsgChapterg27:gLow 259
ergRespiratorygProblemsgChapterg28:gObstructivegPul 270
monarygDiseasesgChapterg29:gAssessment: 282
HematologicgSystemChapterg30:gHematologicgPro 305
blems 325
Chapterg31:gAssessment:gCardiovasculargSystemChapterg32:gHype 332
rtension 353
Chapterg33:gCoronarygArterygDiseasegandgAcutegCoronarygSyndromegCha 364
pterg34:gHeartgFailure 375
Chapterg 35:g Dysrhythmias 394
Chapterg36:gInflammatorygandgStructuralgHeartgDisordersChapterg 406
37:gVasculargDisorders 420
Chapterg38:gAssessment:gGastrointestinalgSystemChapterg39:gNutr 435
itionalgProblems 450
Chapterg 40:gObesity 458
Chapterg41:gUppergGastrointestinalgProblemsgCha 469
pterg 42:g Lowerg Gastrointestinalg Problems 478
Chapterg43:gLiver,gBiliarygTract,gandgPancreasgProblemsChapterg4 499
4:gAssessment:gUrinarygSystem 523
Chapterg 45:g Renalg andg Urologicg Problems 543
Chapterg46:gAcutegKidneygInjurygandgChronicgKidneygDiseaseChapterg47: 553
gAssessment:gEndocrinegSystem 573
Chapterg48:gDiabetesgMellitusgChapt 590
erg49:gEndocrinegProblems 600
Chapterg 50:g Assessment:g Reproductiveg System 622
642
,TestgBankgForgLewis’sgMedicalgSurgicalgNursingg11thgEditiongHardin 2
g
Chapterg 51:gBreastg Disorders 650
Chapterg52:gSexuallygTransmittedgInfectionsChapter 662
g53:gFemalegReproductivegProblemsChapterg54: 671
MalegReproductivegProblemsgChapterg 55: 693
Assessment:gNervousgSystemgChapterg56:gAcutegInt 708
racranialgProblemsgChapterg57:gStroke 717
Chapterg58:gChronicgNeurologicgProblemsChapterg5 734
9:gDementiagandgDelirium 747
Chapterg60:gSpinalgCordgandgPeripheralgNervegProblemsChapterg61:gA 763
ssessment:gMusculoskeletalgSystem 772
Chapterg62:gMusculoskeletalgTraumagandgOrthopedicgSurgeryChapterg6 787
3:gMusculoskeletalgProblems 794
Chapterg64:gArthritisgandgConnectivegTissuegDiseasesChapterg65:gCriti 814
calgCare 825
Chapterg 66:gShock,g Sepsis,g andg Multipleg Organg Dysfunctiong Syndrome 845
Chapterg67:gAcutegRespiratorygFailuregandgAcutegRespiratorygDistressgSyndromeChapter 864
g68:gEmergencygandgDisastergNursing 877
889
TEST BANK FOR g g
Lewis’s Medical Surgical Nur
g g g
sing 11th Edition Harding
g g g
,TestgBankgForgLewis’sgMedicalgSurgicalgNursingg11thgEditiongHardin 3
g
Chapterg 01:g Professionalg Nursing
TestgBankg MULTIPL
EgCHOICE
1. Thegnursegteachesgagstudentgnursegaboutghowgtogapplygthegnursinggprocessgwhengprovidinggpatientgcar
e.gWhichg statement,g ifg madeg byg theg studentg nurse,g indicatesg thatg teachingg wasg successful?
a. Thegnursingg processgisgag scientific-basedg methodg ofgdiagnosinggtheg patientsg healthg caregproblems.
b. Theg nursinggprocessg isgag problem-solvinggtoolg usedgtogidentifygandgtreatg patientsg healthgcaregneeds.
c. Thegnursinggprocessgisgbasedgongnursinggtheorygthatgincorporatesgthegbiopsychosocialgnaturego
fghumans.
d. Thegnursinggprocessgisgusedgprimarilygtogexplaingnursingginterventionsgtogotherghealthgcar
egprofessionals.
ANS:g B
Thegnursinggprocessgisgagproblem-
solvinggapproachgtogthegidentificationgandgtreatmentgofgpatientsgproblems.gDiagnosisgisgonlygonegphasegofgth
egnursinggprocess.gThegprimarygusegofgthegnursinggprocessgisgingpatientgcare,gnotg tog establishg nursingg theor
yg org explaing nursingg interventionsg tog otherg healthg careg professionals.
DIF:g Cognitiveg Level:g Understandg (comprehension)
TOP:gNursinggProcess:g ImplementationgMSC:g NCLEX:g SafegandgEffectiveg Careg Environment
2. Thegnursegdescribesgtogagstudentgnurseghowgtogusegevidence-
basedgpracticegguidelinesgwhengcaringgforgpatients.g Whichg statement,g ifg madeg bygtheg nurse,g wouldg be
g theg mostg accurate?
a. Inferencesg fromgclinicalgresearchgstudiesg aregusedgasgag guide.
b. Patientgcaregisgbasedg ongclinicalgjudgment,g experience,g andgtraditions.
c. Datagaregevaluatedgtogshowgthatgtheg patientg outcomesg aregconsistentlyg met.
d. Recommendationsg aregbasedgongresearch,g clinicalg expertise,gandg patientg preferences.
ANS:g D
Evidence-basedg practiceg (EBP)g isg theg useg ofg theg bestg research-
basedg evidenceg combinedg withg cliniciangexpertise.g Clinicalg judgmentg basedg ong theg nursesg clinicalg experi
enceg isg partg ofg EBP,g butg clinicalg decisiongmakinggshouldgalsogincorporategcurrentgresearchgandgresearch-
basedg guidelines.gEvaluationg ofg patientgoutcomesg isg important,g butg interventionsg shouldg beg basedg ong rese
archg fromg randomizedg controlg studiesg withg ag largegnumbergofgsubjects.
DIF:g Cognitiveg Level:g Rememberg (knowledge)
TOP:gNursinggProcess:g PlanninggMSC:g NCLEX:g SafegandgEffectiveg Careg Environment
, TestgBankgForgLewis’sgMedicalgSurgicalgNursingg11thgEditiongHardin 4
g
3. Thegnursegcompletesgangadmissiongdatabasegandgexplainsgthatgthegplangofgcaregandgdischargeggoalsgwillgbe
gdevelopedgwithgthegpatientsginput.gThegpatientgstates,gHowgisgthisgdifferentgfromgwhatgthegdoctorgdoes? gWhi
chgresponseg wouldgbeg mostgappropriategforg theg nursegtog make?
a. Thegroleg ofgtheg nursegisg togadministerg medicationsg andg otherg treatmentsgprescribedgbyg yourgdoctor.
b. Thegnursesgjobgisgtoghelpgthegdoctorgbygcollectingginformationgandgcommunicatingganygproblem
sgthatgoccur.
c. Nursesgperformgmanygofgthegsamegproceduresgasgthegdoctor,gbutgnursesgaregwithgthegpatientsgfor
gaglongergtimegthangthegdoctor.
d. Ingadditiongtogcaringgforgyougwhilegyougaregsick,gthegnursesgwillgassistgyougtogdevelopg
angindividualizedgplangtogmaintaingyourghealth.
ANS:g D
Thisg responseg isg consistentg withg theg Americang Nursesg Associationg (ANA)g definitiong ofg nursing,g whichgd
escribesgthegrolegofgnursesgingpromotingghealth.gThegothergresponsesgdescribegsomegofgthegdependentgandgcoll
aborativegfunctionsgofgthegnursinggrolegbutgdognotgaccuratelygdescribegthegnursesgrolegingtheghealthgcaregsyste
m.
DIF:g Cognitiveg Level:g Understandg (comprehension)
TOP:gNursinggProcess:g ImplementationgMSC:g NCLEX:g SafegandgEffectiveg Careg Environment
4. Agpatientgwhogisgparalyzedgongthegleftgsidegofgthegbodygaftergagstrokegdevelopsgagpressuregulcergongthegleftgh
ipgWhichgnursinggdiagnosisgisgmostgappropriate?
a. Impairedg physicalg mobilityg relatedgtogleft-sidedgparalysis
b. Riskgforg impairedgtissueg integritygrelatedgtogleft-sidedg weakness
c. Impairedgskingintegrityg relatedgtogalteredgcirculationgandg pressure
d. Ineffectivegtissuegperfusiongrelatedgtoginabilitygtog movegindependently
ANS:g C
Thegpatientsgmajorgproblemgisgthegimpairedgskingintegritygasgdemonstratedgbygthegpresencegofgagpressuregulce
r.gThegnursegisgablegtogtreatgthegcausegofgalteredgcirculationgandgpressuregbygfrequentlygrepositioninggthegpatie
nt.gAlthoughg left-
sidedg weaknessg isg ag problemg forg theg patient,g theg nurseg cannotg treatg theg weakness.g Theg riskg forgdiagnosisgi
sgnotgappropriategforgthisgpatient,gwhogalreadyghasgimpairedgtissuegintegrity.gThegpatientgdoesghavegineffective
g tissueg perfusion,g butg theg impairedg sking integrityg diagnosisg indicatesg moreg clearlyg whatg theg healthgproble
mgis.
DIF:gCognitiveg Level:g Applyg (application)
TOP:gNursingg Process:g Diagnosisg MSC:g NCLEX:g Physiologicalg Integrity
5. Agpatientghasgbeengadmittedgtogtheghospitalgforgsurgerygandgtellsgthegnurse,gIgdognotgfeelgcomfortablegleavi
nggmyg childreng withg myg parents.g Whichgactiongshouldgtheg nurseg takeg next?
g
Tableg ofg Contents
Tableg ofgContents 1
Chapterg 01:g Professionalg Nursin 3
g
Chapterg02:gHealthgEquitygandgCulturallygCompetentgCareChapter 13
g03:gHealthgHistorygandgPhysicalgExaminationgChapterg04:gPatient 21
gandgCaregivergTeaching 28
Chapterg05:gChronicgIllnessgandgOldergAdults 38
gChapterg06:gStressgManagement 48
Chapterg07:gSleepgandgSleepgDisordersgChapt 54
erg08:gPain 59
Chapterg09:gPalliativegandgEndgofgLifegCaregChapt 71
erg10:gSubstancegUsegDisordersgChapterg11:gInfla 79
mmationgandgHealinggChapterg12:gGenetics 91
Chapterg13:gImmunegResponsesgandgTransplantationChapterg14:gI 101
nfection 105
Chapterg 15:gCancer 117
Chapterg16:gFluid,gElectrolyte,gandgAcid- 129
BasegImbalancesChapterg17:gPreoperativegCare 148
Chapterg18:gIntraoperativegCaregCha 165
pterg 19:g Postoperativeg Care 175
Chapterg20:gAssessmentgandgManagement:gVisualgProblemsgChapterg21:g 184
AssessmentgandgManagement:gAuditorygProblemsChapterg22:gAssessment: 196
gIntegumentarygSystem 216
Chapterg23:gIntegumentarygProblems 227
gChapterg24:gBurns 233
Chapterg25:gAssessment:gRespiratorygSystemg Chapt 245
erg26:gUppergRespiratorygProblemsgChapterg27:gLow 259
ergRespiratorygProblemsgChapterg28:gObstructivegPul 270
monarygDiseasesgChapterg29:gAssessment: 282
HematologicgSystemChapterg30:gHematologicgPro 305
blems 325
Chapterg31:gAssessment:gCardiovasculargSystemChapterg32:gHype 332
rtension 353
Chapterg33:gCoronarygArterygDiseasegandgAcutegCoronarygSyndromegCha 364
pterg34:gHeartgFailure 375
Chapterg 35:g Dysrhythmias 394
Chapterg36:gInflammatorygandgStructuralgHeartgDisordersChapterg 406
37:gVasculargDisorders 420
Chapterg38:gAssessment:gGastrointestinalgSystemChapterg39:gNutr 435
itionalgProblems 450
Chapterg 40:gObesity 458
Chapterg41:gUppergGastrointestinalgProblemsgCha 469
pterg 42:g Lowerg Gastrointestinalg Problems 478
Chapterg43:gLiver,gBiliarygTract,gandgPancreasgProblemsChapterg4 499
4:gAssessment:gUrinarygSystem 523
Chapterg 45:g Renalg andg Urologicg Problems 543
Chapterg46:gAcutegKidneygInjurygandgChronicgKidneygDiseaseChapterg47: 553
gAssessment:gEndocrinegSystem 573
Chapterg48:gDiabetesgMellitusgChapt 590
erg49:gEndocrinegProblems 600
Chapterg 50:g Assessment:g Reproductiveg System 622
642
,TestgBankgForgLewis’sgMedicalgSurgicalgNursingg11thgEditiongHardin 2
g
Chapterg 51:gBreastg Disorders 650
Chapterg52:gSexuallygTransmittedgInfectionsChapter 662
g53:gFemalegReproductivegProblemsChapterg54: 671
MalegReproductivegProblemsgChapterg 55: 693
Assessment:gNervousgSystemgChapterg56:gAcutegInt 708
racranialgProblemsgChapterg57:gStroke 717
Chapterg58:gChronicgNeurologicgProblemsChapterg5 734
9:gDementiagandgDelirium 747
Chapterg60:gSpinalgCordgandgPeripheralgNervegProblemsChapterg61:gA 763
ssessment:gMusculoskeletalgSystem 772
Chapterg62:gMusculoskeletalgTraumagandgOrthopedicgSurgeryChapterg6 787
3:gMusculoskeletalgProblems 794
Chapterg64:gArthritisgandgConnectivegTissuegDiseasesChapterg65:gCriti 814
calgCare 825
Chapterg 66:gShock,g Sepsis,g andg Multipleg Organg Dysfunctiong Syndrome 845
Chapterg67:gAcutegRespiratorygFailuregandgAcutegRespiratorygDistressgSyndromeChapter 864
g68:gEmergencygandgDisastergNursing 877
889
TEST BANK FOR g g
Lewis’s Medical Surgical Nur
g g g
sing 11th Edition Harding
g g g
,TestgBankgForgLewis’sgMedicalgSurgicalgNursingg11thgEditiongHardin 3
g
Chapterg 01:g Professionalg Nursing
TestgBankg MULTIPL
EgCHOICE
1. Thegnursegteachesgagstudentgnursegaboutghowgtogapplygthegnursinggprocessgwhengprovidinggpatientgcar
e.gWhichg statement,g ifg madeg byg theg studentg nurse,g indicatesg thatg teachingg wasg successful?
a. Thegnursingg processgisgag scientific-basedg methodg ofgdiagnosinggtheg patientsg healthg caregproblems.
b. Theg nursinggprocessg isgag problem-solvinggtoolg usedgtogidentifygandgtreatg patientsg healthgcaregneeds.
c. Thegnursinggprocessgisgbasedgongnursinggtheorygthatgincorporatesgthegbiopsychosocialgnaturego
fghumans.
d. Thegnursinggprocessgisgusedgprimarilygtogexplaingnursingginterventionsgtogotherghealthgcar
egprofessionals.
ANS:g B
Thegnursinggprocessgisgagproblem-
solvinggapproachgtogthegidentificationgandgtreatmentgofgpatientsgproblems.gDiagnosisgisgonlygonegphasegofgth
egnursinggprocess.gThegprimarygusegofgthegnursinggprocessgisgingpatientgcare,gnotg tog establishg nursingg theor
yg org explaing nursingg interventionsg tog otherg healthg careg professionals.
DIF:g Cognitiveg Level:g Understandg (comprehension)
TOP:gNursinggProcess:g ImplementationgMSC:g NCLEX:g SafegandgEffectiveg Careg Environment
2. Thegnursegdescribesgtogagstudentgnurseghowgtogusegevidence-
basedgpracticegguidelinesgwhengcaringgforgpatients.g Whichg statement,g ifg madeg bygtheg nurse,g wouldg be
g theg mostg accurate?
a. Inferencesg fromgclinicalgresearchgstudiesg aregusedgasgag guide.
b. Patientgcaregisgbasedg ongclinicalgjudgment,g experience,g andgtraditions.
c. Datagaregevaluatedgtogshowgthatgtheg patientg outcomesg aregconsistentlyg met.
d. Recommendationsg aregbasedgongresearch,g clinicalg expertise,gandg patientg preferences.
ANS:g D
Evidence-basedg practiceg (EBP)g isg theg useg ofg theg bestg research-
basedg evidenceg combinedg withg cliniciangexpertise.g Clinicalg judgmentg basedg ong theg nursesg clinicalg experi
enceg isg partg ofg EBP,g butg clinicalg decisiongmakinggshouldgalsogincorporategcurrentgresearchgandgresearch-
basedg guidelines.gEvaluationg ofg patientgoutcomesg isg important,g butg interventionsg shouldg beg basedg ong rese
archg fromg randomizedg controlg studiesg withg ag largegnumbergofgsubjects.
DIF:g Cognitiveg Level:g Rememberg (knowledge)
TOP:gNursinggProcess:g PlanninggMSC:g NCLEX:g SafegandgEffectiveg Careg Environment
, TestgBankgForgLewis’sgMedicalgSurgicalgNursingg11thgEditiongHardin 4
g
3. Thegnursegcompletesgangadmissiongdatabasegandgexplainsgthatgthegplangofgcaregandgdischargeggoalsgwillgbe
gdevelopedgwithgthegpatientsginput.gThegpatientgstates,gHowgisgthisgdifferentgfromgwhatgthegdoctorgdoes? gWhi
chgresponseg wouldgbeg mostgappropriategforg theg nursegtog make?
a. Thegroleg ofgtheg nursegisg togadministerg medicationsg andg otherg treatmentsgprescribedgbyg yourgdoctor.
b. Thegnursesgjobgisgtoghelpgthegdoctorgbygcollectingginformationgandgcommunicatingganygproblem
sgthatgoccur.
c. Nursesgperformgmanygofgthegsamegproceduresgasgthegdoctor,gbutgnursesgaregwithgthegpatientsgfor
gaglongergtimegthangthegdoctor.
d. Ingadditiongtogcaringgforgyougwhilegyougaregsick,gthegnursesgwillgassistgyougtogdevelopg
angindividualizedgplangtogmaintaingyourghealth.
ANS:g D
Thisg responseg isg consistentg withg theg Americang Nursesg Associationg (ANA)g definitiong ofg nursing,g whichgd
escribesgthegrolegofgnursesgingpromotingghealth.gThegothergresponsesgdescribegsomegofgthegdependentgandgcoll
aborativegfunctionsgofgthegnursinggrolegbutgdognotgaccuratelygdescribegthegnursesgrolegingtheghealthgcaregsyste
m.
DIF:g Cognitiveg Level:g Understandg (comprehension)
TOP:gNursinggProcess:g ImplementationgMSC:g NCLEX:g SafegandgEffectiveg Careg Environment
4. Agpatientgwhogisgparalyzedgongthegleftgsidegofgthegbodygaftergagstrokegdevelopsgagpressuregulcergongthegleftgh
ipgWhichgnursinggdiagnosisgisgmostgappropriate?
a. Impairedg physicalg mobilityg relatedgtogleft-sidedgparalysis
b. Riskgforg impairedgtissueg integritygrelatedgtogleft-sidedg weakness
c. Impairedgskingintegrityg relatedgtogalteredgcirculationgandg pressure
d. Ineffectivegtissuegperfusiongrelatedgtoginabilitygtog movegindependently
ANS:g C
Thegpatientsgmajorgproblemgisgthegimpairedgskingintegritygasgdemonstratedgbygthegpresencegofgagpressuregulce
r.gThegnursegisgablegtogtreatgthegcausegofgalteredgcirculationgandgpressuregbygfrequentlygrepositioninggthegpatie
nt.gAlthoughg left-
sidedg weaknessg isg ag problemg forg theg patient,g theg nurseg cannotg treatg theg weakness.g Theg riskg forgdiagnosisgi
sgnotgappropriategforgthisgpatient,gwhogalreadyghasgimpairedgtissuegintegrity.gThegpatientgdoesghavegineffective
g tissueg perfusion,g butg theg impairedg sking integrityg diagnosisg indicatesg moreg clearlyg whatg theg healthgproble
mgis.
DIF:gCognitiveg Level:g Applyg (application)
TOP:gNursingg Process:g Diagnosisg MSC:g NCLEX:g Physiologicalg Integrity
5. Agpatientghasgbeengadmittedgtogtheghospitalgforgsurgerygandgtellsgthegnurse,gIgdognotgfeelgcomfortablegleavi
nggmyg childreng withg myg parents.g Whichgactiongshouldgtheg nurseg takeg next?
