TEST BANK FOR LEWIS\'S MEDICAL-
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SURGICALNURSING, 12TH EDITION BY MARIA
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NN M. HARDING, JEFFREY KWONG, DEBRA HAG
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5
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LER CHAPTER 1- h h
69 QUESTIONS AND CORRECT ANSWERS
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Chapter501:5Professional5Nursing
Harding:5 Lewis’s5 Medical-Surgical5 Nursing,5 12th5 Edition
MULTIPLE5CHOICE
1. The5nurse5completes5an5admission5database5and5explains5that5the5plan5of5care5and5discharge5
goals5will5be5developed5with5the5patient‗s5input.5The5patient5asks,5―How5is5this5different5from
5what5the5physician5does?‖5Which5response5would5the5nurse5provide?
a. ―The5role5of5the5nurse5is5to5administer5medications5and5other5treatments5prescribed
5by5your5physician.‖
b. ―In5addition5to5caring5for5you5while5 you5are5sick,5the5nurses5will5help5 you5plan5to5
maintain5 your5health.‖
c. ―The5nurse‗s5job5is5to5collect5information5and5communicate5anyproblems5that
5occurhto5the5physician.‖
d. ―Nurses5perform5many5of5the5same5procedures5as5the5physician,5but5nurses5are
5with5the5patients5for5a5longer5time5than5the5physician.‖
ANS:5 B
The5American5Nurses5Association5(ANA)5definition5of5nursing5describes5the5role5of5nurses5in5
promoting5health.5The5other5responses5describe5dependent5and5collaborative5functions5of5the5
nursing5role5but5do5not5accurately5describe5the5nurse‗s5unique5role5in5the5health5care5system.
DIF:5 Cognitive5Level:5Analyze5(Analysis)
TOP:5 Nursing5Process:5Implementation5 5 MSC:5 NCLEX:5Safe5and5Effective5Care5Environment
2. Which5statement5by5the5nurse5accurately5describes5 the5use5of5evidence-based5practice5(EBP)?
a. ―Patient5care5is5based5on5clinical5judgment,5experience,5and5traditions.‖
b. ―Data5are5analyzed5later5to5show5that5the5patient5outcomes5are5consistently5met.‖
c. ―Research5from5all5published5articles5are5used5as5a5guide5for5planning5patient5care.‖
d. ―Recommendations5are5based5on5research,5clinical5expertise,5and5patient
5preferences.‖
ANS:5 D
Evidence-based5practice5(EBP)5is5the5use5of5the5best5research-
based5evidence5combined5withclinician5expertise5and5consideration5of5patient5preferences.5C5
linical5judgment5based5on5the5nurse‗s5clinical5experience5is5part5of5EBP,5but5clinical5decisio5
n5making5should5also5incorporate5current5research5and5research-
based5guidelines.5Evaluation5of5patient5outcomes5isimportant,5but5data5analysis5is5not5require5
d5to5use5EBP.5All5published5articles5do5not5provideresearch5evidence;5interventions5should5be5
based5on5credible5research,5preferably5randomizedcontrolled5studies5with5a5large5number5of5s
ubjects.
DIF:5 Cognitive5Level:5Understand5(Comprehension)
TOP:5 Nursing5Process:5PlanninghMSC:55NCLEX:5Safe5and5Effective5Care5Environment
,3. Which5statement5by5thehnurse5provides5a5clear5explanation5of5the5nursing5process?
a. ―The5nursing5process5is5a5research5method5of5diagnosing5the5patient‗s5health5care
5problems.‖
b. ―The5nursing5process5is5used5primarily5to5explain5nursing5interventions5to5other
5health5care5professionals.‖
c. ―The5nursing5process5is5a5problem-solving5tool5used5to5identify5and5manage5the
, patients‗5health5care5needs.‖
d. ―The5nursing5process5is5based5on5nursing5theorythat5incorporates5the
5biopsychosocial5nature5of5humans.‖
ANS:5 C
The5nursing5process5is5a5problem-
solving5approach5to5the5identification5and5treatment5of5patients‗5problems.5Nursing5process5
does5not5require5research5methods5for5diagnosis.5The5primary5use5of5the5nursing5process5is5in5
patient5care,5not5to5establish5nursing5theory5or5explainnursing5interventions5to5other5health5ca5r
e5professionals.
DIF: Cognitive5Level:5Understand5(Comprehension)
TOP:5Nursing5Process:5EvaluationMSC:5 NCLEX:5Safe5and5Effective5Care5Environment
4. A5patient5admitted5 to5the5hospital5 for5surgery5tells5 the5nurse,5 ―I5do5 not5 feel5 comfortable5
leaving5my5children5with5my5parents.‖5Which5action5would5the5nurse5take5 next?
a. Reassure5the5patient5that5these5feelings5are5common5for5parents.
b. Have5the5patient5call5the5children5to5ensure5that5they5are5doinghwell.
c. Gather5information5 on5 the5 patient‗s5 concerns5 about5 the5 child5 care5 arrangements.
d. Call5the5patient‗s5parents5to5determine5whether5adequate5child5care5is5being5
provided.
ANS:5 C
Because5a5complete5assessment5is5necessary5in5order5to5identify5a5problem5and5choose5an5ap5
propriate5intervention,5the5nurse‗s5first5action5should5be5to5obtain5more5information.5The5oth5
er5actions5may5be5appropriate,5but5more5assessment5is5needed5before5the5best5interventioncan5
be5chosen.
DIF: Cognitive5Level:5Analyze5(Analysis)
TOP:5 NursinghProcess:5Assessment MSC:5 NCLEX:5Psychosocial5Integrity
5. A5patient5with5a5bacterial5infection5is5hypovolemic5due5to5a5fever5and5excessive5diaphoresis.5
Which5expected5outcome5would5the5nurse5select5for5this5patient?
a. Patient5has5a5balanced5intake5and5output.
b. Patient‗s5bedding5is5kept5clean5and5free5of5moisture.
c. Patient5understands5the5need5for5increased5fluid5intake.
d. Patient‗s5 skin5 remains5 cool5 and5 dry5throughout5 hospitalization.
ANS:5 A
Balanced5intake5and5output5gives5measurable5data5showing5resolution5of5the5problem5ofdefici5
ent5fluid5volume.5The5other5statements5would5not5indicate5that5the5problem5of5hypovolemia5
was5resolved.
DIF: Cognitive5Level:5Apply5(Application)
TOP:5 Nursing5Process:5PlanninghMSC:55NCLEX:5Physiological5 Integrity
6. Which5statement5describes5the5purpose5of5the5evaluation5phase5of5the5nursing5process?
a. To5document5the5nursing5care5plan5in5the5progress5notes5of5the5health5record
b. To5determine5if5interventions5have5been5effective5in5meeting5patient5outcomes
c. To5decide5whether5the5patient‗s5health5problems5have5been5completely5resolved
d. To5establish5if5the5patient5agrees5that5the5nursing5care5provided5was5satisfactory
ANS:5 B
, Evaluation5consists5of5determining5whether5the5desired5patient5outcomes5have5been5met5and5
whether5the5nursing5interventions5were5appropriate.5The5other5responses5do5not5describe5the5
evaluation5phase.
DIF:5Cognitive5Level:5Understand5(Comprehension)5
TOP:5 Nursing5Process:5 Evaluation
MSC:5 NCLEX:5Safe5and5Effective5Care5Environmen
t
7. Which5statement5describes5the5purpose5of5the5assessment5phase5of5the5nursing5process?
a. To5teach5interventions5that5relieve5health5problems
b. To5use5patient5data5to5evaluate5patient5care5outcomes
c. To5obtain5data5to5diagnose5patient5strengths5and5problems
d. To5help5the5patient5identify5realistic5outcomes5for5health5problems
ANS:5 C
During5the5assessment5phase,5the5nurse5gathers5information5about5the5patient5to5diagnosepatie5
nt5strengths5and5problems.5The5other5responses5are5examples5of5the5planning,5intervention,5a5
nd5evaluation5phases5of5the5nursing5process.
DIF:5 Cognitive5Level:5Understand5(Comprehension)
TOP:5 NursinghProcess:5Assessment MSC:5 NCLEX:5Safe5and5Effective5Care5Environment
8. When5developing5the5plan5of5care,5which5components5would5the5nurse5include5in5the5clinical5
problem5statement?
a. The5problem5and5the5suggested5patient5goals5or5outcomes
b. The5problem,5its5causes,5and5the5signs5and5symptoms5of5the5problem
c. The5problem5with5the5possible5etiology5and5the5planned5interventions
d. The5problem,5its5pathophysiology,5and5the5expected5outcome
ANS:5 B
When5writing5clinical5problems5or5nursing5diagnoses,5the5subjective5as5well5as5objective5data5
to5support5the5problem‗s5existence5should5be5included.5Goals,5outcomes,5and5interventions5are5
not5included5in5the5problem5statement.
DIF:5 Cognitive5Level:5Understand5(Comprehension)
TOP:5Nursing5Process:5DiagnosisMSC:5 NCLEX:5Safe5and5Effective5Care5Environment
9. Which5patient5care5task5would5the5nurse5delegate5to5experienced5assistive5personnel5(AP)?
a. Instruct5the5patient5about5the5need5to5alternate5activity5and5rest.
b. Monitor5level5of5shortness5of5breath5or5fatigue5after5ambulation.
c. Obtain5the5patient‗s5blood5pressure5and5pulse5rate5after5ambulation.
d. Determine5whether5the5patient5is5ready5to5increase5the5activity5level.
ANS:5 C
AP5education5includes5accurate5vital5sign5measurement.5Assessment5and5patient5teachingrequ5
ire5registered5nurse5education5and5scope5of5practice5and5cannot5be5delegated.
DIF:5 Cognitive5Level:5Apply5(Application)
TOP:5 Nursing5Process:5PlanninghMSC:55NCLEX:5Safe5and5Effective5Care5Environment
