Medical Surgical Nursing 10th-Edition-
g g g
Lewis Test-Bank.
g g
,Chapterg01:gProfessionalgNursinggPracticegLe
wis:gMedical-SurgicalgNursing,g10thgEdition
MULTIPLEgCHOICE
1. Thegnursegcompletesgangadmissiongdatabasegandgexplainsgthatgthegplangofgcaregandgdischargeg
goalsgwillgbegdevelopedgwithgthegpatient’sginput.gThegpatientgstates,g“Howgisgthisgdifferentgfro
mgwhatgthegdoctorgdoes?”gWhichgresponsegwouldgbegmostgappropriategforgthegnursegtogmake?
a. “Thegrolegofgthegnursegisgtogadministergmedicationsgandgothergtreatmentsgprescribe
dgbygyourgdoctor.”
b. “Thegnurse’sgjobgisgtoghelpgthegdoctorgbygcollectingginformationgan
dgcommunicatingganygproblemsgthatgoccur.”
c. “Nursesgperformgmanygofgthegsamegproceduresgasgthegdoctor,gbutgnursesgaregwit
hgthegpatientsgforgaglongergtimegthangthegdoctor.”
d. “Ingadditiongtogcaringgforgyougwhilegyougaregsick,gthegnursesgwillgassistgyoug
togdevelopgangindividualizedgplangtogmaintaingyourghealth.”
ANS:g D
ThisgresponsegisgconsistentgwithgthegAmericangNursesgAssociationg(ANA)gdefinitiongofgnurs
ing,gwhichgdescribesgthegrolegofgnursesgingpromotingghealth.gThegothergresponsesgdescribegso
megofgthegdependentgandgcollaborativegfunctionsgofgthegnursinggrolegbutgdognotgaccuratelygde
scribegthegnurse’sgrolegingtheghealthgcaregsystem.
DIF: CognitivegLevel:gUnderstandg(comprehension) REF:g 3
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
2. Thegnursegdescribesgtogagstudentgnurseghowgtogusegevidence-
basedgpracticegguidelinesgwhengcaringgforgpatients.gWhichgstatement,gifgmadegbygthegnurse
,gwouldgbegthegmostgaccurate?
a. “Inferencesgfromgclinicalgresearchgstudiesgaregusedgasgagguide.”
b. “Patientgcaregisgbasedgongclinicalgjudgment,gexperience,gandgtraditions.”
c. “Datagaregevaluatedgtogshowgthatgthegpatientgoutcomesgaregconsistentlygmet.”
d. “Recommendationsgaregbasedgongresearch,gclinicalgexpertise,gandgpatie
ntgpreferences.”
ANS:g D
Evidence-basedgpracticeg(EBP)gisgthegusegofgthegbestgresearch-
basedgevidencegcombinedgwithgcliniciangexpertise.gClinicalgjudgmentgbasedgongthegnurse’sgcl
inicalgexperiencegisgpartgofgEBP,gbutgclinicalgdecisiongmakinggshouldgalsogincorporategcurren
tgresearchgandgresearch-
basedgguidelines.gEvaluationgofgpatientgoutcomesgisgimportant,gbutginterventionsgshouldgbegb
asedgongresearchgfromgrandomizedgcontrolgstudiesgwithgaglargegnumbergofgsubjects.
DIF: CognitivegLevel:gRememberg(knowledge) REF:g 15
TOP:g NursinggProcess:gPlanning MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
3. Thegnursegteachesgagstudentgnursegaboutghowgtogapplygthegnursinggprocessgwhengprovidi
nggpatientgcare.gWhichgstatement,gifgmadegbygthegstudentgnurse,gindicatesgthatgteachinggw
asgsuccessful?
a. “Thegnursinggprocessgisgagscientific-
basedgmethodgofgdiagnosinggthegpatient’sghealthgcaregproblems.”
b. “Thegnursinggprocessgisgagproblem-solvinggtoolgusedgtogidentifygandgtreatgpatients’
, healthgcaregneeds.”
c. “Thegnursinggprocessgisgusedgprimarilygtogexplaingnursingginterventionsgtogoth
erghealthgcaregprofessionals.”
d. “Thegnursinggprocessgisgbasedgongnursinggtheorygthatgincorporatesgth
egbiopsychosocialgnaturegofghumans.”
ANS:g B
Thegnursinggprocessgisgagproblem-
solvinggapproachgtogthegidentificationgandgtreatmentgofgpatients’gproblems.gDiagnosisgisgonlyg
onegphasegofgthegnursinggprocess.gThegprimarygusegofgthegnursinggprocessgisgingpatientgcare,gn
otgtogestablishgnursinggtheorygorgexplaingnursingginterventionsgtogotherghealthgcaregprofession
als.
DIF: CognitivegLevel:gUnderstandg(comprehension) REF:g 5
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
4. Agpatientghasgbeengadmittedgtogtheghospitalgforgsurgerygandgtellsgthegnurse,g“Igdognotgfeelgco
mfortablegleavinggmygchildrengwithgmygparents.”gWhichgactiongshouldgthegnursegtakegnext?
a. Reassuregthegpatientgthatgthesegfeelingsgaregcommongforgparents.
b. Havegthegpatientgcallgthegchildrengtogensuregthatgtheygaregdoinggwell.
c. Gathergmoregdatagaboutgthegpatient’sgfeelingsgaboutgthegchild-caregarrangements.
d. Callgthegpatient’sgparentsgtogdeterminegwhethergadequategchildgcaregisgbein
ggprovided.
ANS:g C
Becausegagcompletegassessmentgisgnecessarygingordergtogidentifygagproblemgandgchooseganga
ppropriategintervention,gthegnurse’sgfirstgactiongshouldgbegtogobtaingmoreginformation.gTheg
othergactionsgmaygbegappropriate,gbutgmoregassessmentgisgneededgbeforegthegbestginterventio
ngcangbegchosen.
DIF: CognitivegLevel:gApplyg(application) REF: 6
OBJ:gggSpecialgQuestions:gPrioritization
TOP:g NursinggProcess:gAssessmen
tgMSC:g NCLEX:gPsychosocialgIntegrity
5. Agpatientgwhogisgparalyzedgongthegleftgsidegofgthegbodygaftergagstrokegdevelopsgagpressuregulc
ergongthegleftghip.gWhichgnursinggdiagnosisgisgmostgappropriate?
a. Impairedgphysicalgmobilitygrelatedgtogleft-sidedgparalysis
b. Riskgforgimpairedgtissuegintegritygrelatedgtogleft-sidedgweakness
c. Impairedgskingintegritygrelatedgtogalteredgcirculationgandgpressure
d. Ineffectivegtissuegperfusiongrelatedgtoginabilitygtogmovegindependently
ANS:g C
Thegpatient’sgmajorgproblemgisgthegimpairedgskingintegritygasgdemonstratedgbygthegpresencego
fgagpressuregulcer.gThegnursegisgablegtogtreatgthegcausegofgalteredgcirculationgandgpressuregbygf
requentlygrepositioninggthegpatient.gAlthoughgleft-
sidedgweaknessgisgagproblemgforgthegpatient,gthegnursegcannotgtreatgthegweakness.gTheg“riskgfo
r”gdiagnosisgisgnotgappropriategforgthisgpatient,gwhogalreadyghasgimpairedgtissuegintegrity.gTheg
patientgdoesghavegineffectivegtissuegperfusion,gbutgthegimpairedgskingintegritygdiagnosisgindica
tesgmoregclearlygwhatgtheghealthgproblemgis.
DIF: CognitivegLevel:gApplyg(application) REF: 7
TOP:g NursinggProcess:gDiagnosis MSC:g NCLEX:gPhysiologicalgIntegrity
, 6. Agpatientgwithgagbacterialginfectionghasgagnursinggdiagnosisgofgdeficientgfluidgvolumegrelatedg
togexcessivegdiaphoresis.gWhichgoutcomegwouldgthegnursegrecognizegasgappropriategforgthisgp
atient?
a. Patientghasgagbalancedgintakegandgoutput.
b. Patient’sgbeddinggisgchangedgwhengitgbecomesgdamp.
c. Patientgunderstandsgthegneedgforgincreasedgfluidgintake.
d. Patient’sgskingremainsgcoolgandgdrygthroughoutghospitalization.
ANS:g A
Thisgstatementggivesgmeasurablegdatagshowinggresolutiongofgthegproblemgofgdeficientgfluidgv
olumegthatgwasgidentifiedgingthegnursinggdiagnosisgstatement.gThegothergstatementsgwouldgnot
gindicategthatgthegproblemgofgdeficientgfluidgvolumegwasgresolved.
DIF: CognitivegLevel:gApplyg(application) REF: 7
TOP:g NursinggProcess:gPlanning MSC:g NCLEX:gPhysiologicalgIntegrity
7. Agnursegasksgthegpatientgifgpaingwasgrelievedgaftergreceivinggmedication.gWhatgisgthegpurpo
segofgthegevaluationgphasegofgthegnursinggprocess?
a. Togdeterminegifginterventionsghavegbeengeffectivegingmeetinggpatientgoutcomes
b. Togdocumentgthegnursinggcaregplangingthegprogressgnotesgofgthegmedicalgrecord
c. Togdecidegwhethergthegpatient’sghealthgproblemsghavegbeengcompletelygresolved
d. Togestablishgifgthegpatientgagreesgthatgthegnursinggcaregprovidedgwasgsatisfactory
ANS:g A
Evaluationgconsistsgofgdetermininggwhethergthegdesiredgpatientgoutcomesghavegbeengmetgan
dgwhethergthegnursingginterventionsgweregappropriate.gThegothergresponsesgdognotgdescribeg
thegevaluationgphase.
DIF:ggg CognitivegLevel:gUnderstandg(comprehension) REF:g 5
TOP:g NursinggProcess:gEvaluation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
8. Thegnurseginterviewsgagpatientgwhilegcompletinggtheghealthghistorygandgphysicalgexaminatio
n.gWhatgisgthegpurposegofgthegassessmentgphasegofgthegnursinggprocess?
a. Togteachginterventionsgthatgrelieveghealthgproblems
b. Togusegpatientgdatagtogevaluategpatientgcaregoutcomes
c. Togobtaingdatagwithgwhichgtogdiagnosegpatientgproblems
d. Toghelpgthegpatientgidentifygrealisticgoutcomesgforghealthgproblems
ANS:g C
Duringgthegassessmentgphase,gthegnurseggathersginformationgaboutgthegpatientgtogdiagnos
egpatientgproblems.gThegothergresponsesgaregexamplesgofgthegplanning,gintervention,gandg
evaluationgphasesgofgthegnursinggprocess.
DIF:ggg CognitivegLevel:gUnderstandg(comprehension) REF:g 5
TOP:g NursinggProcess:gAssessment MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
9. Whichgnursinggdiagnosisgstatementgisgwrittengcorrectly?
a. Alteredgtissuegperfusiongrelatedgtogheartgfailure
b. Riskgforgimpairedgtissuegintegritygrelatedgtogsacralgredness
c. Ineffectivegcopinggrelatedgtogresponsegtogbiopsygtestgresults
d. Alteredgurinarygeliminationgrelatedgtogurinarygtractginfection
g g g
Lewis Test-Bank.
g g
,Chapterg01:gProfessionalgNursinggPracticegLe
wis:gMedical-SurgicalgNursing,g10thgEdition
MULTIPLEgCHOICE
1. Thegnursegcompletesgangadmissiongdatabasegandgexplainsgthatgthegplangofgcaregandgdischargeg
goalsgwillgbegdevelopedgwithgthegpatient’sginput.gThegpatientgstates,g“Howgisgthisgdifferentgfro
mgwhatgthegdoctorgdoes?”gWhichgresponsegwouldgbegmostgappropriategforgthegnursegtogmake?
a. “Thegrolegofgthegnursegisgtogadministergmedicationsgandgothergtreatmentsgprescribe
dgbygyourgdoctor.”
b. “Thegnurse’sgjobgisgtoghelpgthegdoctorgbygcollectingginformationgan
dgcommunicatingganygproblemsgthatgoccur.”
c. “Nursesgperformgmanygofgthegsamegproceduresgasgthegdoctor,gbutgnursesgaregwit
hgthegpatientsgforgaglongergtimegthangthegdoctor.”
d. “Ingadditiongtogcaringgforgyougwhilegyougaregsick,gthegnursesgwillgassistgyoug
togdevelopgangindividualizedgplangtogmaintaingyourghealth.”
ANS:g D
ThisgresponsegisgconsistentgwithgthegAmericangNursesgAssociationg(ANA)gdefinitiongofgnurs
ing,gwhichgdescribesgthegrolegofgnursesgingpromotingghealth.gThegothergresponsesgdescribegso
megofgthegdependentgandgcollaborativegfunctionsgofgthegnursinggrolegbutgdognotgaccuratelygde
scribegthegnurse’sgrolegingtheghealthgcaregsystem.
DIF: CognitivegLevel:gUnderstandg(comprehension) REF:g 3
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
2. Thegnursegdescribesgtogagstudentgnurseghowgtogusegevidence-
basedgpracticegguidelinesgwhengcaringgforgpatients.gWhichgstatement,gifgmadegbygthegnurse
,gwouldgbegthegmostgaccurate?
a. “Inferencesgfromgclinicalgresearchgstudiesgaregusedgasgagguide.”
b. “Patientgcaregisgbasedgongclinicalgjudgment,gexperience,gandgtraditions.”
c. “Datagaregevaluatedgtogshowgthatgthegpatientgoutcomesgaregconsistentlygmet.”
d. “Recommendationsgaregbasedgongresearch,gclinicalgexpertise,gandgpatie
ntgpreferences.”
ANS:g D
Evidence-basedgpracticeg(EBP)gisgthegusegofgthegbestgresearch-
basedgevidencegcombinedgwithgcliniciangexpertise.gClinicalgjudgmentgbasedgongthegnurse’sgcl
inicalgexperiencegisgpartgofgEBP,gbutgclinicalgdecisiongmakinggshouldgalsogincorporategcurren
tgresearchgandgresearch-
basedgguidelines.gEvaluationgofgpatientgoutcomesgisgimportant,gbutginterventionsgshouldgbegb
asedgongresearchgfromgrandomizedgcontrolgstudiesgwithgaglargegnumbergofgsubjects.
DIF: CognitivegLevel:gRememberg(knowledge) REF:g 15
TOP:g NursinggProcess:gPlanning MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
3. Thegnursegteachesgagstudentgnursegaboutghowgtogapplygthegnursinggprocessgwhengprovidi
nggpatientgcare.gWhichgstatement,gifgmadegbygthegstudentgnurse,gindicatesgthatgteachinggw
asgsuccessful?
a. “Thegnursinggprocessgisgagscientific-
basedgmethodgofgdiagnosinggthegpatient’sghealthgcaregproblems.”
b. “Thegnursinggprocessgisgagproblem-solvinggtoolgusedgtogidentifygandgtreatgpatients’
, healthgcaregneeds.”
c. “Thegnursinggprocessgisgusedgprimarilygtogexplaingnursingginterventionsgtogoth
erghealthgcaregprofessionals.”
d. “Thegnursinggprocessgisgbasedgongnursinggtheorygthatgincorporatesgth
egbiopsychosocialgnaturegofghumans.”
ANS:g B
Thegnursinggprocessgisgagproblem-
solvinggapproachgtogthegidentificationgandgtreatmentgofgpatients’gproblems.gDiagnosisgisgonlyg
onegphasegofgthegnursinggprocess.gThegprimarygusegofgthegnursinggprocessgisgingpatientgcare,gn
otgtogestablishgnursinggtheorygorgexplaingnursingginterventionsgtogotherghealthgcaregprofession
als.
DIF: CognitivegLevel:gUnderstandg(comprehension) REF:g 5
TOP:g NursinggProcess:gImplementation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
4. Agpatientghasgbeengadmittedgtogtheghospitalgforgsurgerygandgtellsgthegnurse,g“Igdognotgfeelgco
mfortablegleavinggmygchildrengwithgmygparents.”gWhichgactiongshouldgthegnursegtakegnext?
a. Reassuregthegpatientgthatgthesegfeelingsgaregcommongforgparents.
b. Havegthegpatientgcallgthegchildrengtogensuregthatgtheygaregdoinggwell.
c. Gathergmoregdatagaboutgthegpatient’sgfeelingsgaboutgthegchild-caregarrangements.
d. Callgthegpatient’sgparentsgtogdeterminegwhethergadequategchildgcaregisgbein
ggprovided.
ANS:g C
Becausegagcompletegassessmentgisgnecessarygingordergtogidentifygagproblemgandgchooseganga
ppropriategintervention,gthegnurse’sgfirstgactiongshouldgbegtogobtaingmoreginformation.gTheg
othergactionsgmaygbegappropriate,gbutgmoregassessmentgisgneededgbeforegthegbestginterventio
ngcangbegchosen.
DIF: CognitivegLevel:gApplyg(application) REF: 6
OBJ:gggSpecialgQuestions:gPrioritization
TOP:g NursinggProcess:gAssessmen
tgMSC:g NCLEX:gPsychosocialgIntegrity
5. Agpatientgwhogisgparalyzedgongthegleftgsidegofgthegbodygaftergagstrokegdevelopsgagpressuregulc
ergongthegleftghip.gWhichgnursinggdiagnosisgisgmostgappropriate?
a. Impairedgphysicalgmobilitygrelatedgtogleft-sidedgparalysis
b. Riskgforgimpairedgtissuegintegritygrelatedgtogleft-sidedgweakness
c. Impairedgskingintegritygrelatedgtogalteredgcirculationgandgpressure
d. Ineffectivegtissuegperfusiongrelatedgtoginabilitygtogmovegindependently
ANS:g C
Thegpatient’sgmajorgproblemgisgthegimpairedgskingintegritygasgdemonstratedgbygthegpresencego
fgagpressuregulcer.gThegnursegisgablegtogtreatgthegcausegofgalteredgcirculationgandgpressuregbygf
requentlygrepositioninggthegpatient.gAlthoughgleft-
sidedgweaknessgisgagproblemgforgthegpatient,gthegnursegcannotgtreatgthegweakness.gTheg“riskgfo
r”gdiagnosisgisgnotgappropriategforgthisgpatient,gwhogalreadyghasgimpairedgtissuegintegrity.gTheg
patientgdoesghavegineffectivegtissuegperfusion,gbutgthegimpairedgskingintegritygdiagnosisgindica
tesgmoregclearlygwhatgtheghealthgproblemgis.
DIF: CognitivegLevel:gApplyg(application) REF: 7
TOP:g NursinggProcess:gDiagnosis MSC:g NCLEX:gPhysiologicalgIntegrity
, 6. Agpatientgwithgagbacterialginfectionghasgagnursinggdiagnosisgofgdeficientgfluidgvolumegrelatedg
togexcessivegdiaphoresis.gWhichgoutcomegwouldgthegnursegrecognizegasgappropriategforgthisgp
atient?
a. Patientghasgagbalancedgintakegandgoutput.
b. Patient’sgbeddinggisgchangedgwhengitgbecomesgdamp.
c. Patientgunderstandsgthegneedgforgincreasedgfluidgintake.
d. Patient’sgskingremainsgcoolgandgdrygthroughoutghospitalization.
ANS:g A
Thisgstatementggivesgmeasurablegdatagshowinggresolutiongofgthegproblemgofgdeficientgfluidgv
olumegthatgwasgidentifiedgingthegnursinggdiagnosisgstatement.gThegothergstatementsgwouldgnot
gindicategthatgthegproblemgofgdeficientgfluidgvolumegwasgresolved.
DIF: CognitivegLevel:gApplyg(application) REF: 7
TOP:g NursinggProcess:gPlanning MSC:g NCLEX:gPhysiologicalgIntegrity
7. Agnursegasksgthegpatientgifgpaingwasgrelievedgaftergreceivinggmedication.gWhatgisgthegpurpo
segofgthegevaluationgphasegofgthegnursinggprocess?
a. Togdeterminegifginterventionsghavegbeengeffectivegingmeetinggpatientgoutcomes
b. Togdocumentgthegnursinggcaregplangingthegprogressgnotesgofgthegmedicalgrecord
c. Togdecidegwhethergthegpatient’sghealthgproblemsghavegbeengcompletelygresolved
d. Togestablishgifgthegpatientgagreesgthatgthegnursinggcaregprovidedgwasgsatisfactory
ANS:g A
Evaluationgconsistsgofgdetermininggwhethergthegdesiredgpatientgoutcomesghavegbeengmetgan
dgwhethergthegnursingginterventionsgweregappropriate.gThegothergresponsesgdognotgdescribeg
thegevaluationgphase.
DIF:ggg CognitivegLevel:gUnderstandg(comprehension) REF:g 5
TOP:g NursinggProcess:gEvaluation MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
8. Thegnurseginterviewsgagpatientgwhilegcompletinggtheghealthghistorygandgphysicalgexaminatio
n.gWhatgisgthegpurposegofgthegassessmentgphasegofgthegnursinggprocess?
a. Togteachginterventionsgthatgrelieveghealthgproblems
b. Togusegpatientgdatagtogevaluategpatientgcaregoutcomes
c. Togobtaingdatagwithgwhichgtogdiagnosegpatientgproblems
d. Toghelpgthegpatientgidentifygrealisticgoutcomesgforghealthgproblems
ANS:g C
Duringgthegassessmentgphase,gthegnurseggathersginformationgaboutgthegpatientgtogdiagnos
egpatientgproblems.gThegothergresponsesgaregexamplesgofgthegplanning,gintervention,gandg
evaluationgphasesgofgthegnursinggprocess.
DIF:ggg CognitivegLevel:gUnderstandg(comprehension) REF:g 5
TOP:g NursinggProcess:gAssessment MSC:g NCLEX:gSafegandgEffectivegCaregEnvironment
9. Whichgnursinggdiagnosisgstatementgisgwrittengcorrectly?
a. Alteredgtissuegperfusiongrelatedgtogheartgfailure
b. Riskgforgimpairedgtissuegintegritygrelatedgtogsacralgredness
c. Ineffectivegcopinggrelatedgtogresponsegtogbiopsygtestgresults
d. Alteredgurinarygeliminationgrelatedgtogurinarygtractginfection
