Lewis's Medical Surgical Nursing Test Bank 11th Edition [Harding]
Chapter 1 - Professional Nursing
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 patients
health care needs.
C. The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.
D. The nursing process is used primarily to explain nursing interventions to other
health care professionals.
Answer: B
Explanation: The nursing process is a problem-solving approach to the identification and
treatment of patients' problems. Diagnosis is only one phase of the nursing process, and its
primary use is in patient care, not to explain nursing interventions or establish theory.
2. The nurse describes to a student nurse how to use evidence-based practice
guidelines when caring for patients. 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.
Answer: D
Explanation: Evidence-based practice (EBP) integrates the best research-based evidence with
clinical expertise and patient preferences to guide clinical decision-making.
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? Which response 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 problems that occur.
C. Nurses perform many of the same procedures as the doctor, but nurses are with the
patients for a longer time than the doctor.
D. In addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health.
Answer: D
Explanation: This response is consistent with the ANA definition of nursing, which includes
promoting health and developing individualized plans, not just performing dependent or
collaborative functions.
4. A patient who is paralyzed on the left side of the body after a stroke develops a
pressure ulcer on the left hip. Which 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 independently
Answer: C
Explanation: The patient has actual impaired skin integrity (pressure ulcer). The etiology
(altered circulation and pressure) can be addressed through nursing interventions such as
repositioning.
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do
not feel comfortable leaving my children with my parents. Which action should
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 more data about the patients feelings about the child-care arrangements.
D. Call the patients parents to determine whether adequate child care is being
provided.
Answer: C
Explanation: The nurse should first gather more assessment data to fully understand the
problem before selecting an appropriate intervention.
6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid
volume related to excessive diaphoresis. Which outcome would the nurse
recognize as most appropriate for this patient?
, A. Patient has a balanced intake and output.
B. Patients bedding is changed when it becomes damp.
C. Patient understands the need for increased fluid intake.
D. Patients skin remains cool and dry throughout hospitalization.
Answer: A
Explanation: A balanced intake and output is a measurable outcome that directly addresses
the problem of deficient fluid volume.
7. A nurse asks the patient if pain was relieved after receiving medication. What is
the purpose of the evaluation phase of the nursing process?
A. To determine if interventions have been effective in meeting patient outcomes
B. To document the nursing care plan in the progress notes of the medical record
C. To decide whether the patients health problems have been completely resolved
D. To establish if the patient agrees that the nursing care provided was satisfactory
Answer: A
Explanation: Evaluation involves determining whether the desired patient outcomes have
been met and whether the nursing interventions were appropriate.
8. The nurse interviews a patient while completing the health history and physical
examination. What is the purpose of the assessment phase of the nursing
process?
A. To teach interventions that relieve health problems
B. To use patient data to evaluate patient care outcomes
C. To obtain data with which to diagnose patient problems
D. To help the patient identify realistic outcomes for health problems
Answer: C
Explanation: The assessment phase involves gathering information about the patient to
identify and diagnose patient problems.
9. Which nursing diagnosis statement is written correctly?
A. Altered tissue perfusion related to heart failure
B. Risk for impaired tissue integrity related to sacral redness
C. Ineffective coping related to response to biopsy test results
D. Altered urinary elimination related to urinary tract infection
Answer: C
Chapter 1 - Professional Nursing
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 patients
health care needs.
C. The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.
D. The nursing process is used primarily to explain nursing interventions to other
health care professionals.
Answer: B
Explanation: The nursing process is a problem-solving approach to the identification and
treatment of patients' problems. Diagnosis is only one phase of the nursing process, and its
primary use is in patient care, not to explain nursing interventions or establish theory.
2. The nurse describes to a student nurse how to use evidence-based practice
guidelines when caring for patients. 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.
Answer: D
Explanation: Evidence-based practice (EBP) integrates the best research-based evidence with
clinical expertise and patient preferences to guide clinical decision-making.
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? Which response 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 problems that occur.
C. Nurses perform many of the same procedures as the doctor, but nurses are with the
patients for a longer time than the doctor.
D. In addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health.
Answer: D
Explanation: This response is consistent with the ANA definition of nursing, which includes
promoting health and developing individualized plans, not just performing dependent or
collaborative functions.
4. A patient who is paralyzed on the left side of the body after a stroke develops a
pressure ulcer on the left hip. Which 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 independently
Answer: C
Explanation: The patient has actual impaired skin integrity (pressure ulcer). The etiology
(altered circulation and pressure) can be addressed through nursing interventions such as
repositioning.
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do
not feel comfortable leaving my children with my parents. Which action should
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 more data about the patients feelings about the child-care arrangements.
D. Call the patients parents to determine whether adequate child care is being
provided.
Answer: C
Explanation: The nurse should first gather more assessment data to fully understand the
problem before selecting an appropriate intervention.
6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid
volume related to excessive diaphoresis. Which outcome would the nurse
recognize as most appropriate for this patient?
, A. Patient has a balanced intake and output.
B. Patients bedding is changed when it becomes damp.
C. Patient understands the need for increased fluid intake.
D. Patients skin remains cool and dry throughout hospitalization.
Answer: A
Explanation: A balanced intake and output is a measurable outcome that directly addresses
the problem of deficient fluid volume.
7. A nurse asks the patient if pain was relieved after receiving medication. What is
the purpose of the evaluation phase of the nursing process?
A. To determine if interventions have been effective in meeting patient outcomes
B. To document the nursing care plan in the progress notes of the medical record
C. To decide whether the patients health problems have been completely resolved
D. To establish if the patient agrees that the nursing care provided was satisfactory
Answer: A
Explanation: Evaluation involves determining whether the desired patient outcomes have
been met and whether the nursing interventions were appropriate.
8. The nurse interviews a patient while completing the health history and physical
examination. What is the purpose of the assessment phase of the nursing
process?
A. To teach interventions that relieve health problems
B. To use patient data to evaluate patient care outcomes
C. To obtain data with which to diagnose patient problems
D. To help the patient identify realistic outcomes for health problems
Answer: C
Explanation: The assessment phase involves gathering information about the patient to
identify and diagnose patient problems.
9. Which nursing diagnosis statement is written correctly?
A. Altered tissue perfusion related to heart failure
B. Risk for impaired tissue integrity related to sacral redness
C. Ineffective coping related to response to biopsy test results
D. Altered urinary elimination related to urinary tract infection
Answer: C
