Test Bank for Lewis’s Medical-Surgical Nursing 11th Edition by Harding | 1000+ NCLEX & HESI Questions with Rationales | Graded A+

Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding
fi fi fi fi fi fi fi fi fi 1



Table of Contents fi fi




Table of Contents fi fi 1
Chapter 01: Professional Nursing fi fi fi 3
Chapter 02: Health Equity and Culturally Competent CareChapter
fi fi fi fi fi fi fi fi 13
03: Health History and Physical Examination Chapter 04: Patient a
fi fi fi fi fi fi fi fi fi 21
nd Caregiver Teaching
fi fi 28
Chapter 05: Chronic Illness and Older Adults fi fi fi fi fi fi fi 38
Chapter 06: Stress Management fi fi fi 48
Chapter 07: Sleep and Sleep Disorders Chapte fi fi fi fi fi fi 54
r 08: Pain
fi fi 59
Chapter 09: Palliative and End of Life Care Chapte
fi fi fi fi fi fi fi fi 71
r 10: Substance Use Disorders Chapter 11: Inflamm
fi fi fi fi fi fi fi 79
ation and Healing Chapter 12: Genetics
fi fi fi fi fi 91
Chapter 13: Immune Responses and TransplantationChapter 14: Inf
fi fi fi fi fi fi fi 101
ection 105
Chapter 15: Cancer fi fi 117
Chapter 16: Fluid, Electrolyte, and Acid- fi fi fi fi fi 129
Base ImbalancesChapter 17: Preoperative Care
fi fi fi fi 148
Chapter 18: Intraoperative Care Chap fi fi fi fi 165
ter 19: Postoperative Care
fi fi fi 175
Chapter 20: Assessment and Management: Visual Problems Chapter 21: Ass
fi fi fi fi fi fi fi fi fi 184
essment and Management: Auditory ProblemsChapter 22: Assessment: Integ
fi fi fi fi fi fi fi 196
umentary System fi 216
Chapter 23: Integumentary Problems fi fi fi fi 227
Chapter 24: Burns fi fi 233
Chapter 25: Assessment: Respiratory System Chapt
fi fi fi fi f i 245
er 26: Upper Respiratory Problems Chapter 27: Lower
fi fi fi fi fi fi fi 259
Respiratory Problems Chapter 28: Obstructive Pulmo
fi fi fi fi fi fi 270
nary Diseases Chapter 29: Assessment:
fi fi fi fi 282
Hematologic SystemChapter 30: Hematologic Proble fi fi fi fi 305
ms 325
Chapter 31: Assessment: Cardiovascular SystemChapter 32: Hypert
fi fi fi fi fi fi 332
ension 353
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome Chapte
fi fi fi fi fi fi fi fi fi 364
r 34: Heart Failure
fi fi fi 375
Chapter 35: Dysrhythmias fi fi 394
Chapter 36: Inflammatory and Structural Heart DisordersChapter 3
fi fi fi fi fi fi fi 406
7: Vascular Disorders
fi fi 420
Chapter 38: Assessment: Gastrointestinal SystemChapter 39: Nutritiona
fi fi fi fi fi fi 435
l Problems
fi 450
Chapter 40: Obesity fi fi 458
Chapter 41: Upper Gastrointestinal Problems Chap
fi fi fi fi fi 469
ter 42: Lower Gastrointestinal Problems
fi fi fi fi 478
Chapter 43: Liver, Biliary Tract, and Pancreas ProblemsChapter 44
fi fi fi fi fi fi fi fi 499
: Assessment: Urinary System
fi fi fi 523
Chapter 45: Renal and Urologic Problems fi fi fi fi fi 543
Chapter 46: Acute Kidney Injury and Chronic Kidney DiseaseChapter 47: A
fi fi fi fi fi fi fi fi fi fi 553
ssessment: Endocrine System fi fi 573
Chapter 48: Diabetes Mellitus Chapte fi fi fi fi 590
r 49: Endocrine Problems
fi fi fi 600
Chapter 50: Assessment: Reproductive System fi fi fi fi 622
642

,Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding
fi fi fi fi fi fi fi fi fi 2


Chapter 51: Breast Disorders
fi fi fi 650
Chapter 52: Sexually Transmitted InfectionsChapter
fi fi fi fi fi 662
53: Female Reproductive ProblemsChapter 54:
fi fi fi fi 671
Male Reproductive Problems Chapter 55:
fi fi fi fi 693
Assessment: Nervous System Chapter 56: Acute Intra
fi fi fi fi fi fi 708
cranial Problems Chapter 57: Stroke
fi fi fi fi 717
Chapter 58: Chronic Neurologic ProblemsChapter 59
fi fi fi fi fi 734
: Dementia and Delirium
fi fi fi 747
Chapter 60: Spinal Cord and Peripheral Nerve ProblemsChapter 61: Ass
fi fi fi fi fi fi fi fi fi 763
essment: Musculoskeletal Systemfi fi 772
Chapter 62: Musculoskeletal Trauma and Orthopedic SurgeryChapter 63
fi fi fi fi fi fi fi 787
: Musculoskeletal Problems
fi fi 794
Chapter 64: Arthritis and Connective Tissue DiseasesChapter 65: Critica
fi fi fi fi fi fi fi fi 814
l Care
fi 825
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
fi fi fi fi fi fi fi fi 845
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress SyndromeChapter 6
fi fi fi fi fi fi fi fi fi fi 864
8: Emergency and Disaster Nursing
fi fi fi fi 877
889




TEST BANK FOR fi fi




Lewis’sMedical Surgical fi fi fi




Nursing 11th Edition Hard fi fi fi




ing

,Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding
fi fi fi fi fi fi fi fi fi 3



Chapter 01: Professional Nursing fi fi fi




Test Bank MULTIPL fi f i




E CHOICE
fi




1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care. W
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


hich statement, if made by the student nurse, indicates that teaching was successful?
fi f i f i fi fi f i f i fi fi fi fi f i




a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
fi fi fi fi fi fi fi fi fi fi fi fi fi




b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi




c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of h
fi fi fi fi fi fi fi fi fi fi fi fi fi fi


umans.


d. The nursing process is used primarily to explain nursing interventions to other health care pr
fi fi fi fi fi fi fi fi fi fi fi fi fi fi


ofessionals.


ANS: B fi




The nursing process is a problem-
fi fi fi fi fi


solving approach to the identification and treatment of patients problems. Diagnosis is only one phase of the nu
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


rsing process. The primary use of the nursing process is in patient care, not to establish nursing theory or e
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi f i fi fi f i


xplain nursing interventions to other health care professionals.
f i fi f i fi f i fi fi




DIF: Cognitive Level: Understand (comprehension)
fi fi fi fi




TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
fi fi fi fi fi fi fi fi fi fi




2. The nurse describes to a student nurse how to use evidence-
fi fi fi fi fi fi fi fi fi fi


based practice guidelines when caring for patients. Which statement, if made by the nurse, would be
fi fi fi fi fi fi f i fi fi f i fi fi f i fi f i


the most accurate?
fi f i fi




a. Inferences from clinical research studies are used as a guide.
fi fi fi fi fi fi fi fi fi




b. Patient care is based on clinical judgment, experience, and traditions.
fi fi fi fi fi fi fi fi fi




c. Data are evaluated to show that the patient outcomes are consistently met.
fi fi fi fi fi fi fi fi fi fi fi




d. Recommendations are based on research, clinical expertise, and patient preferences. fi fi fi fi fi fi fi fi fi




ANS: D fi




Evidence-based practice (EBP) is the use of the best research- f i fi f i f i f i f i f i f i f i


based evidence combined with clinician expertise. Clinical judgment based on the nurses clinical expe
f i f i f i f i fi f i fi f i fi fi f i f i fi


rience is part of EBP, but clinical decision making should also incorporate current research and research-
f i f i f i f i f i f i fi fi fi fi fi fi fi fi fi


based guidelines. Evaluation of patient outcomes is important, but interventions should be based on res
fi fi fi fi fi f i fi f i f i f i fi f i f i fi


earch from randomized control studies with a large number of subjects.
fi fi fi f i f i fi f i fi fi fi




DIF: Cognitive Level: Remember (knowledge)
fi fi fi fi




TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
fi fi fi fi fi fi fi fi fi fi

, Test Bank For Lewis’s Medical Surgical Nursing 11th Edition Harding
fi fi fi fi fi fi fi fi fi 4


3. The nurse completes an admission database and explains that the plan of care and discharge goals will be dev
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


eloped with the patients input. The patient states, How is this different from what the doctor does? Which respo
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


nse would be most appropriate for the nurse to make?
f i fi f i fi fi f i f i fi f i




a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi




b. The nurses job is to help the doctor by collecting information and communicating any problems th
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


at occur. fi




c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a lo
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


nger time than the doctor.
fi fi fi fi




d. In addition to caring for you while you are sick, the nurses will assist you to develop an in
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


dividualized plan to maintain your health. fi fi fi fi fi




ANS: D fi




This response is consistent with the American Nurses Association (ANA) definition of nursing, whi
fi fi fi f i fi fi fi f i fi f i f i f i f i


ch describes the role of nurses in promoting health. The other responses describe some of the dependent and co
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


llaborative functions of the nursing role but do not accurately describe the nurses role in the health care system.
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi




DIF: Cognitive Level: Understand (comprehension)
fi fi fi fi




TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
fi fi fi fi fi fi fi fi fi fi




4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip W
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


hich nursing diagnosis is most appropriate?
fi fi fi fi fi




a. Impaired physical mobility related to left-sided paralysis
fi fi fi fi fi fi




b. Risk for impaired tissue integrity related to left-sided weakness
fi fi fi fi fi fi fi fi




c. Impaired skin integrity related to altered circulation and pressure
fi fi fi fi fi fi fi fi




d. Ineffective tissue perfusion related to inability to move independently
fi fi fi fi fi fi fi fi fi




ANS: C fi




The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. Th
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


e nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient. Althou
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


gh left-
fi


sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for diagnosis i
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


s not appropriate for this patient, who already has impaired tissue integrity. The patient does have ineffective tiss
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


ue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health problem is.
fi fi fi fi fi fi fi fi f i fi fi fi fi fi fi




DIF: Cognitive Level: Apply (application)
fi fi fi fi




TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
fi fi fi fi fi fi fi




5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving m
fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi fi


y children with my parents. Which action should the nurse take next?
f i f i f i f i f i fi fi fi f i fi fi