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, Test Bank Lewis's Medical-Surgical Nursing, 12th Edition
SECTION 1 Concepts in Nursing Practice
1 Professional Nursing
2 Social Determinants of Health
3 Health History and Physical Examination
4 Patient and Caregiver Teaching
5 Chronic Illness and Older Adults
6 Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and
Gender Diverse Patients
SECTION 2 Problems Related to Comfort and Coping
7 Stress Management
8 Sleep and Sleep Disorders
9 Pain
10 Palliative and End-of-Life Care
11 Substance Use Disorders in Acute Care
SECTION 3 Problems Related to Homeostasis and Protection
12 Inflammation and Healing
13 Genetics
14 Immune Responses and Transplantation
15 Infection
16 Cancer
17 Fluid, Electrolyte, and Acid-Base Imbalances
SECTION 4 Perioperative and Emergency Care
18 Preoperative Care
19 Intraoperative Care
20 Postoperative Care
21 Emergency and Disaster Nursing
SECTION 5 Problems Related to Altered Sensory Input
22 Assessment and Management: Visual Problems
23 Assessment and Management: Auditory Problems
24 Assessment: Integumentary System
25 Integumentary Problems
26 Burns
SECTION 6 Problems of Oxygenation: Ventilation
27 Assessment: Respiratory System
28 Supporting Ventilation
29 Upper Respiratory Problems
30 Lower Respiratory Problems
31 Obstructive Pulmonary Diseases
32 Acute Respiratory Failure and Acute Respiratory Distress Syndrome
,SECTION 7 Problems of Oxygenation: Transport
33 Assessment: Hematologic System
34 Hematologic Problems
SECTION 8 Problems of Oxygenation: Perfusion
35 Assessment: Cardiovascular System
36 Hypertension
37 Coronary Artery Disease and Acute Coronary Syndrome
38 Heart Failure
39 Dysrhythmias
40 Inflammatory and Structural Heart Disorders
41 Vascular Disorders
42 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
SECTION 9 Problems of Ingestion, Digestion, Absorption, and Elimination
43 Assessment: Gastrointestinal System
44 Nutrition Problems
45 Obesity
46 Upper Gastrointestinal Problems
47 Lower Gastrointestinal Problems
48 Liver, Biliary Tract, and Pancreas Problems
SECTION 10 Problems of Urinary Function
49 Assessment: Urinary System
50 Renal and Urologic Problems
51 Acute Kidney Injury and Chronic Kidney Disease
SECTION 11 Problems Related to Regulatory and Reproductive Mechanisms
52 Assessment: Endocrine System
53 Diabetes
54 Endocrine Problems
55 Assessment: Reproductive System
56 Breast Problems
57 Sexually Transmitted Infections
58 Female Reproductive Problems
59 Male Reproductive Problems
SECTION 12 Problems Related to Movement and Coordination
60 Assessment: Nervous System
61 Acute Intracranial Problems
62 Stroke
63 Chronic Neurologic Problems
64 Dementia and Delirium
65 Spinal Cord and Peripheral Nerve Problems
66 Assessment: Musculoskeletal System
67 Musculoskeletal Trauma and Orthopedic Surgery
68 Musculoskeletal Problems
69 Arthritis and Connective Tissue Diseases
, 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
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, Test Bank Lewis's Medical-Surgical Nursing, 12th Edition
SECTION 1 Concepts in Nursing Practice
1 Professional Nursing
2 Social Determinants of Health
3 Health History and Physical Examination
4 Patient and Caregiver Teaching
5 Chronic Illness and Older Adults
6 Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and
Gender Diverse Patients
SECTION 2 Problems Related to Comfort and Coping
7 Stress Management
8 Sleep and Sleep Disorders
9 Pain
10 Palliative and End-of-Life Care
11 Substance Use Disorders in Acute Care
SECTION 3 Problems Related to Homeostasis and Protection
12 Inflammation and Healing
13 Genetics
14 Immune Responses and Transplantation
15 Infection
16 Cancer
17 Fluid, Electrolyte, and Acid-Base Imbalances
SECTION 4 Perioperative and Emergency Care
18 Preoperative Care
19 Intraoperative Care
20 Postoperative Care
21 Emergency and Disaster Nursing
SECTION 5 Problems Related to Altered Sensory Input
22 Assessment and Management: Visual Problems
23 Assessment and Management: Auditory Problems
24 Assessment: Integumentary System
25 Integumentary Problems
26 Burns
SECTION 6 Problems of Oxygenation: Ventilation
27 Assessment: Respiratory System
28 Supporting Ventilation
29 Upper Respiratory Problems
30 Lower Respiratory Problems
31 Obstructive Pulmonary Diseases
32 Acute Respiratory Failure and Acute Respiratory Distress Syndrome
,SECTION 7 Problems of Oxygenation: Transport
33 Assessment: Hematologic System
34 Hematologic Problems
SECTION 8 Problems of Oxygenation: Perfusion
35 Assessment: Cardiovascular System
36 Hypertension
37 Coronary Artery Disease and Acute Coronary Syndrome
38 Heart Failure
39 Dysrhythmias
40 Inflammatory and Structural Heart Disorders
41 Vascular Disorders
42 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
SECTION 9 Problems of Ingestion, Digestion, Absorption, and Elimination
43 Assessment: Gastrointestinal System
44 Nutrition Problems
45 Obesity
46 Upper Gastrointestinal Problems
47 Lower Gastrointestinal Problems
48 Liver, Biliary Tract, and Pancreas Problems
SECTION 10 Problems of Urinary Function
49 Assessment: Urinary System
50 Renal and Urologic Problems
51 Acute Kidney Injury and Chronic Kidney Disease
SECTION 11 Problems Related to Regulatory and Reproductive Mechanisms
52 Assessment: Endocrine System
53 Diabetes
54 Endocrine Problems
55 Assessment: Reproductive System
56 Breast Problems
57 Sexually Transmitted Infections
58 Female Reproductive Problems
59 Male Reproductive Problems
SECTION 12 Problems Related to Movement and Coordination
60 Assessment: Nervous System
61 Acute Intracranial Problems
62 Stroke
63 Chronic Neurologic Problems
64 Dementia and Delirium
65 Spinal Cord and Peripheral Nerve Problems
66 Assessment: Musculoskeletal System
67 Musculoskeletal Trauma and Orthopedic Surgery
68 Musculoskeletal Problems
69 Arthritis and Connective Tissue Diseases
, 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
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