Lewis's Medical-Surgical Nursing
Assessment and Management of
Clinical Problems
13th Edition
• Author(s)Mariann M. Harding;
Jeffrey Kwong; Debra Hagler;
Courtney Reinisch
TEST BANK
Question 1
A newly licensed nurse is caring for four patients. Which action
best demonstrates patient-centered care?
A. Following the unit routine without discussing preferences
with the patient
B. Developing a care plan based on the nurse's priorities
,C. Involving the patient in selecting goals and interventions
D. Using the same teaching plan for all patients with similar
diagnoses
Correct Answer: C
Rationale:
Patient-centered care emphasizes respect for patient values,
preferences, and involvement in decision-making.
Collaboratively establishing goals promotes engagement and
individualized care. Following routines without patient input,
imposing nurse priorities, or using standardized teaching
without customization does not reflect patient-centered care.
Question 2
A nurse identifies that a patient receiving opioid medication is
becoming increasingly sedated and difficult to arouse. Which
action should the nurse take first?
A. Document the finding and reassess in one hour
B. Recognize the change and perform further assessment
C. Notify the patient's family
D. Administer the next scheduled medication dose
Correct Answer: B
Rationale:
Clinical judgment begins with recognizing and assessing
significant patient cues. Increased sedation may indicate opioid
,toxicity or respiratory compromise and requires immediate
assessment before additional actions. Delaying assessment or
administering more medication could place the patient at risk.
Question 3
A nurse is teaching a patient about a newly prescribed
medication. Which action best demonstrates effective
professional communication?
A. Using medical terminology throughout the discussion
B. Providing information and asking the patient to repeat key
points
C. Speaking only with the patient's family member
D. Giving written information without verbal explanation
Correct Answer: B
Rationale:
Teach-back confirms understanding and supports effective
communication. Medical jargon may confuse patients.
Excluding the patient or relying solely on written material may
limit comprehension and participation.
Question 4
A nurse is reviewing the standards of professional nursing
practice. Which activity is most consistent with professional
accountability?
A. Delegating all patient teaching to assistive personnel
, B. Accepting responsibility for nursing actions and outcomes
C. Performing procedures outside the nurse's scope of practice
D. Following physician instructions without critical thinking
Correct Answer: B
Rationale:
Professional accountability requires nurses to accept
responsibility for decisions, actions, and outcomes. Nurses
must practice within scope, apply clinical judgment, and
appropriately supervise delegated activities.
Question 5
A nurse is participating in an evidence-based practice project.
What is the first step in the evidence-based practice process?
A. Evaluate outcomes
B. Implement changes
C. Formulate a clinical question
D. Disseminate findings
Correct Answer: C
Rationale:
Evidence-based practice begins by identifying a clinical problem
and developing a focused clinical question. Once the question is
formed, evidence can be gathered, evaluated, implemented,
and assessed.
Question 6
Assessment and Management of
Clinical Problems
13th Edition
• Author(s)Mariann M. Harding;
Jeffrey Kwong; Debra Hagler;
Courtney Reinisch
TEST BANK
Question 1
A newly licensed nurse is caring for four patients. Which action
best demonstrates patient-centered care?
A. Following the unit routine without discussing preferences
with the patient
B. Developing a care plan based on the nurse's priorities
,C. Involving the patient in selecting goals and interventions
D. Using the same teaching plan for all patients with similar
diagnoses
Correct Answer: C
Rationale:
Patient-centered care emphasizes respect for patient values,
preferences, and involvement in decision-making.
Collaboratively establishing goals promotes engagement and
individualized care. Following routines without patient input,
imposing nurse priorities, or using standardized teaching
without customization does not reflect patient-centered care.
Question 2
A nurse identifies that a patient receiving opioid medication is
becoming increasingly sedated and difficult to arouse. Which
action should the nurse take first?
A. Document the finding and reassess in one hour
B. Recognize the change and perform further assessment
C. Notify the patient's family
D. Administer the next scheduled medication dose
Correct Answer: B
Rationale:
Clinical judgment begins with recognizing and assessing
significant patient cues. Increased sedation may indicate opioid
,toxicity or respiratory compromise and requires immediate
assessment before additional actions. Delaying assessment or
administering more medication could place the patient at risk.
Question 3
A nurse is teaching a patient about a newly prescribed
medication. Which action best demonstrates effective
professional communication?
A. Using medical terminology throughout the discussion
B. Providing information and asking the patient to repeat key
points
C. Speaking only with the patient's family member
D. Giving written information without verbal explanation
Correct Answer: B
Rationale:
Teach-back confirms understanding and supports effective
communication. Medical jargon may confuse patients.
Excluding the patient or relying solely on written material may
limit comprehension and participation.
Question 4
A nurse is reviewing the standards of professional nursing
practice. Which activity is most consistent with professional
accountability?
A. Delegating all patient teaching to assistive personnel
, B. Accepting responsibility for nursing actions and outcomes
C. Performing procedures outside the nurse's scope of practice
D. Following physician instructions without critical thinking
Correct Answer: B
Rationale:
Professional accountability requires nurses to accept
responsibility for decisions, actions, and outcomes. Nurses
must practice within scope, apply clinical judgment, and
appropriately supervise delegated activities.
Question 5
A nurse is participating in an evidence-based practice project.
What is the first step in the evidence-based practice process?
A. Evaluate outcomes
B. Implement changes
C. Formulate a clinical question
D. Disseminate findings
Correct Answer: C
Rationale:
Evidence-based practice begins by identifying a clinical problem
and developing a focused clinical question. Once the question is
formed, evidence can be gathered, evaluated, implemented,
and assessed.
Question 6
