Test Bank For Lewis's Medical-
Surgical Nursing, 12th Edition by
Mariann M. Harding, Jeffrey Kwong,
Debra Hagler Chapter 1-69 Complete
Latest 2025-2026
,Test .Bank .for .Lewis\'s .Medical-Surgical .Nursing, .12th
.Edition .by .Mariann .M. .Harding, .Jeffrey .Kwong, .Debra
Hagler .Chapter .1-69
,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
Surgical Nursing, 12th Edition by
Mariann M. Harding, Jeffrey Kwong,
Debra Hagler Chapter 1-69 Complete
Latest 2025-2026
,Test .Bank .for .Lewis\'s .Medical-Surgical .Nursing, .12th
.Edition .by .Mariann .M. .Harding, .Jeffrey .Kwong, .Debra
Hagler .Chapter .1-69
,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
