,Chapter 01: Professional Nursing
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE mf
1. The nurse completes an admission database and explains that the plan of care and discharg
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e goals will be developed with the patient‗s input. The patient asks, ―How is this different
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from what the physician does?‖ Which response would the nurse provide?
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a. ―The role of t he nurse is t o administer medications and other t reatments
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prescribed by your physician.‖ mf mf mf
b. ―In addition t o caring f or you while you a re sick, t he nurses w ill help you plan
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to maintain your health.‖
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c. ―The nurse‗s job is t o collect information and communicate any problems
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that occur to the physician.‖ mf mf mf mf
d. ―Nurses perform many of t he same procedures as t he physician, but nurses
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are with the patients for a longer time than the physician.‖
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ANS: B mf
The American Nurses Association (ANA) definition of nursing describes the role of nurses
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fin promoting health. The other responses describe dependent and collaborative functions of
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the nursing role but do not accurately describe the nurse‗s unique role in the health care sys
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tem.
DIF: Cognitive Level: Analyze (Analysis)
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TOP: Nursing Process: Implementation
m f MSC: NCLEX: Safe and Effective Care Environment
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2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
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a. ―Patient care is based on clinical judgment, experience, and traditions.‖
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b. ―Data are analyzed later t o show t hat t he patient outcomes are consistently met.‖
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c. ―Research f rom all published articles are used as a guide f or p lanning patient care.‖
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d. ―Recommendations are based on research, clinical expertise, and mf mf mf mf mf mf mf mf
patient preferences.‖ mf
ANS: D mf
Evidence-based practice (EBP) is the use of the best research- mf mf mf mf mf mf mf mf mf
based evidence combined with clinician expertise and consideration of patient preferences.
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Clinical judgment based on the nurse‗s clinical experience is part of EBP, but clinical deci
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sion making should also incorporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but data analysis is not requi
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red to use EBP. All published articles do not provide research evidence; interventions shoul
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d be based on credible research, preferably randomized controlled studies with a large num
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ber of subjects.
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DIF: Cognitive Level: Understand (Comprehension) mf mf mf
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Enviro
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nment
,3. Which statement by the nurse provides a clear explanation of the nursing process?
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a. ―The nursing process is a research method of d iagnosing t he patient‗s health
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care problems.‖
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b. ―The nursing process is u sed primarily t o explain nursing interventions t o
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other health care professionals.‖
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c. ―The nursing process is a p roblem-solving t ool used t o identify and manage t he
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, patients‗ health care needs.‖ mf mf mf
d. ―The nursing process is based on nursing theory t hat incorporates
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the biopsychosocial nature of humans.‖
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ANS: C mf
The nursing process is a problem-
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solving approach to the identification and treatment of patients‗ problems. Nursing process
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does not require research methods for diagnosis. The primary use of the nursing process is i
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n patient care, not to establish nursing theory or explain nursing interventions to other healt
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h care professionals.
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DIF: Cognitive Level: Understand (Comprehension) mf mf mf
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted t o t he hospital f or surgery t ells t he nurse, ―I d o not f eel comfortable
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leaving my children with my parents.‖ Which action would the nurse take next?
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a. Reassure the patient that these feelings are common for parents.
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b. Have the patient call the children to ensure that they are doing well.
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c. Gather information on the patient‗s concerns about the child care arrangements.
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d. Call the patient‗s parents to determine whether adequate child care is
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being provided.
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ANS: C mf
Because a complete assessment is necessary in order to identify a problem and choose an a
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ppropriate intervention, the nurse‗s first action should be to obtain more information. The
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other actions may be appropriate, but more assessment is needed before the best intervention
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can be chosen.
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DIF: Cognitive Level: Analyze (Analysis) mf mf mf
TOP: Nursing Process: Assessment
m f MSC: NCLEX: Psychosocial Integrity mf mf mf mf mf
5. A patient with a bacterial infection is hypovolemic due to a fever and excessiv
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e diaphoresis. Which expected outcome would the nurse select for this patient
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?
a. Patient has a balanced intake and output. mf mf mf mf mf mf
b. Patient‗s bedding is kept clean and free of moisture. mf mf mf mf mf mf mf mf
c. Patient understands the need for increased fluid intake.
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d. Patient‗s skin remains cool and dry t hroughout hospitalization.mf mf mf mf mf mf mf
ANS: A mf
Balanced intake and output gives measurable data showing resolution of the problem of defi
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cient fluid volume. The other statements would not indicate that the problem of hypovolem
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ia was resolved.
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DIF: Cognitive Level: Apply (Application) mf mf mf
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
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6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meeting patient outcomes
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c. To decide whether the patient‗s health problems have been completely resolved
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d. To establish if the patient agrees that the nursing care provided was satisfactory
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ANS: B mf
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Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
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MULTIPLE CHOICE mf
1. The nurse completes an admission database and explains that the plan of care and discharg
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e goals will be developed with the patient‗s input. The patient asks, ―How is this different
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from what the physician does?‖ Which response would the nurse provide?
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a. ―The role of t he nurse is t o administer medications and other t reatments
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prescribed by your physician.‖ mf mf mf
b. ―In addition t o caring f or you while you a re sick, t he nurses w ill help you plan
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
to maintain your health.‖
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c. ―The nurse‗s job is t o collect information and communicate any problems
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that occur to the physician.‖ mf mf mf mf
d. ―Nurses perform many of t he same procedures as t he physician, but nurses
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are with the patients for a longer time than the physician.‖
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ANS: B mf
The American Nurses Association (ANA) definition of nursing describes the role of nurses
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fin promoting health. The other responses describe dependent and collaborative functions of
mf mf mf mf mf mf mf mf mf mf mf m
the nursing role but do not accurately describe the nurse‗s unique role in the health care sys
f mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
tem.
DIF: Cognitive Level: Analyze (Analysis)
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TOP: Nursing Process: Implementation
m f MSC: NCLEX: Safe and Effective Care Environment
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2. Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
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a. ―Patient care is based on clinical judgment, experience, and traditions.‖
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b. ―Data are analyzed later t o show t hat t he patient outcomes are consistently met.‖
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c. ―Research f rom all published articles are used as a guide f or p lanning patient care.‖
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d. ―Recommendations are based on research, clinical expertise, and mf mf mf mf mf mf mf mf
patient preferences.‖ mf
ANS: D mf
Evidence-based practice (EBP) is the use of the best research- mf mf mf mf mf mf mf mf mf
based evidence combined with clinician expertise and consideration of patient preferences.
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Clinical judgment based on the nurse‗s clinical experience is part of EBP, but clinical deci
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sion making should also incorporate current research and research-
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based guidelines. Evaluation of patient outcomes is important, but data analysis is not requi
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red to use EBP. All published articles do not provide research evidence; interventions shoul
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d be based on credible research, preferably randomized controlled studies with a large num
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ber of subjects.
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DIF: Cognitive Level: Understand (Comprehension) mf mf mf
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Enviro
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nment
,3. Which statement by the nurse provides a clear explanation of the nursing process?
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a. ―The nursing process is a research method of d iagnosing t he patient‗s health
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care problems.‖
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b. ―The nursing process is u sed primarily t o explain nursing interventions t o
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other health care professionals.‖
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c. ―The nursing process is a p roblem-solving t ool used t o identify and manage t he
mf mf mf mf mf mf mf mf mf mf mf mf
, patients‗ health care needs.‖ mf mf mf
d. ―The nursing process is based on nursing theory t hat incorporates
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the biopsychosocial nature of humans.‖
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ANS: C mf
The nursing process is a problem-
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solving approach to the identification and treatment of patients‗ problems. Nursing process
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does not require research methods for diagnosis. The primary use of the nursing process is i
mf mf mf mf mf mf mf mf mf mf mf mf mf mf mf
n patient care, not to establish nursing theory or explain nursing interventions to other healt
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h care professionals.
mf mf
DIF: Cognitive Level: Understand (Comprehension) mf mf mf
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
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4. A patient admitted t o t he hospital f or surgery t ells t he nurse, ―I d o not f eel comfortable
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leaving my children with my parents.‖ Which action would the nurse take next?
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a. Reassure the patient that these feelings are common for parents.
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b. Have the patient call the children to ensure that they are doing well.
mf mf mf mf mf mf mf mf mf mf mf mf
c. Gather information on the patient‗s concerns about the child care arrangements.
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d. Call the patient‗s parents to determine whether adequate child care is
mf mf mf mf mf mf mf mf mf mf
being provided.
mf mf
ANS: C mf
Because a complete assessment is necessary in order to identify a problem and choose an a
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ppropriate intervention, the nurse‗s first action should be to obtain more information. The
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other actions may be appropriate, but more assessment is needed before the best intervention
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can be chosen.
mf mf mf
DIF: Cognitive Level: Analyze (Analysis) mf mf mf
TOP: Nursing Process: Assessment
m f MSC: NCLEX: Psychosocial Integrity mf mf mf mf mf
5. A patient with a bacterial infection is hypovolemic due to a fever and excessiv
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e diaphoresis. Which expected outcome would the nurse select for this patient
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?
a. Patient has a balanced intake and output. mf mf mf mf mf mf
b. Patient‗s bedding is kept clean and free of moisture. mf mf mf mf mf mf mf mf
c. Patient understands the need for increased fluid intake.
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d. Patient‗s skin remains cool and dry t hroughout hospitalization.mf mf mf mf mf mf mf
ANS: A mf
Balanced intake and output gives measurable data showing resolution of the problem of defi
mf mf mf mf mf mf mf mf mf mf mf mf mf
cient fluid volume. The other statements would not indicate that the problem of hypovolem
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ia was resolved.
mf mf
DIF: Cognitive Level: Apply (Application) mf mf mf
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
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6. Which statement describes the purpose of the evaluation phase of the nursing process?
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a. To document the nursing care plan in the progress notes of the health record
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b. To determine if interventions have been effective in meeting patient outcomes
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c. To decide whether the patient‗s health problems have been completely resolved
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d. To establish if the patient agrees that the nursing care provided was satisfactory
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ANS: B mf
