TEST BANK - LEWIS'S MEDICAL-SURGICAL NURSING ASSESSMENT
AND MANAGEMENT OF CLINICAL PROBLEM EXAM WITH VERIFIED
Q & A 100% ACCURATE
Chapter 01: Professional Nursing
MULTIPLE CHOICE
1. The nurse teaches a student nurse about how to apply the nursing process when
providing patient care.Which statement, if made by the student nurse, indicates that
teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
problems.
b. The nursing process is a problem-solving tool used to identify and treat patient’s health
care needs.
c. The nursing process is based on nursing theory that incorporates the
biopsychosocial nature ofhumans.
d. The nursing process is used primarily to explain nursing interventions to
other health careprofessionals.
,ANS: B
The nursing process is a problem-solving approach to the identification and treatment of
patient’s problems. Diagnosis is only one phase of the nursing process. 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: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines
when caring forpatients. Which statement, if made by the nurse, would be the most
accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
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. Clinical judgment based on the nurses clinical experience is part of EBP,
but clinical decision making should also incorporate current research and research-based
guidelines. Evaluation of patient outcomesis important, but interventions should be based on
research from randomized control studies with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge)
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the patients input. The patient states, How is this
different from what the doctor does? Whichresponse would be most appropriate for the
nurse to make?
a. The role of the nurse is to administer medications and other treatments prescribed by
your doctor.
b. The nurses job is to help the doctor by collecting information and communicating
any problemsthat occur.
c. Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for alonger time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist you
to develop anindividualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA) definition of
nursing, which describes the role of nurses in promoting health. The other responses describe
some of the dependent and collaborative functions of the nursing role but do not accurately
describe the nurses role in the health caresystem.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure
ulcer on the left hipWhich nursing diagnosis is most appropriate?
a. Impaired physical mobility related to left-sided paralysis
b. Risk for impaired tissue integrity related to left-sided weakness
c. Impaired skin integrity related to altered circulation and pressure
, d. Ineffective tissue perfusion related to inability to move
independentlyANS: C
AND MANAGEMENT OF CLINICAL PROBLEM EXAM WITH VERIFIED
Q & A 100% ACCURATE
Chapter 01: Professional Nursing
MULTIPLE CHOICE
1. The nurse teaches a student nurse about how to apply the nursing process when
providing patient care.Which statement, if made by the student nurse, indicates that
teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
problems.
b. The nursing process is a problem-solving tool used to identify and treat patient’s health
care needs.
c. The nursing process is based on nursing theory that incorporates the
biopsychosocial nature ofhumans.
d. The nursing process is used primarily to explain nursing interventions to
other health careprofessionals.
,ANS: B
The nursing process is a problem-solving approach to the identification and treatment of
patient’s problems. Diagnosis is only one phase of the nursing process. 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: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines
when caring forpatients. Which statement, if made by the nurse, would be the most
accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
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. Clinical judgment based on the nurses clinical experience is part of EBP,
but clinical decision making should also incorporate current research and research-based
guidelines. Evaluation of patient outcomesis important, but interventions should be based on
research from randomized control studies with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge)
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The nurse completes an admission database and explains that the plan of care and
discharge goals will be developed with the patients input. The patient states, How is this
different from what the doctor does? Whichresponse would be most appropriate for the
nurse to make?
a. The role of the nurse is to administer medications and other treatments prescribed by
your doctor.
b. The nurses job is to help the doctor by collecting information and communicating
any problemsthat occur.
c. Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for alonger time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist you
to develop anindividualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA) definition of
nursing, which describes the role of nurses in promoting health. The other responses describe
some of the dependent and collaborative functions of the nursing role but do not accurately
describe the nurses role in the health caresystem.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure
ulcer on the left hipWhich nursing diagnosis is most appropriate?
a. Impaired physical mobility related to left-sided paralysis
b. Risk for impaired tissue integrity related to left-sided weakness
c. Impaired skin integrity related to altered circulation and pressure
, d. Ineffective tissue perfusion related to inability to move
independentlyANS: C
