TEST BANK Lewis’s Medical Surgical Nursing 11th Edition Harding
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Edition: 11th Edition
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Test Bank Lewis’s Medical-Surgical Nursing 11th Edition Harding
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 11th Edition
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge
goals will be developed with the patient’s input. The patient asks, “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. “In addition to caring for you while you are sick, the nurses will help you plan to
maintain your health.”
c. “The nurse’s job is to help the doctor by collecting information and
communicating any problems that occur.”
d. “Nurses perform many of the same procedures as the doctor, but nurses are with
the patients for a longer time than the doctor.”
ANS: B
The American Nurses Association (ANA) definition of nursing describes the role of nurses in
promoting health. The other responses describe dependent and collaborative functions of the
nursing role but do not accurately describe the nurse’s unique role in the health care system.
DIF: Cognitive Level: Analyze (analysis)
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 (EBP) when caring
for patients. Which statement by the nurse accurately describes the use of EBP?
a. “Inferences from all published articles are used as a guide.”
b. “Patient care is based on clinical judgment, experience, and traditions.”
c. “Data are analyzed later 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 and consideration of patient preferences. Clinical judgment based on the
nurse’s clinical experience is part of EBP, but clinical decision making should also
incorporate current research and research-based guidelines. Evaluation of patient outcomes is
important, but data analysis is not required to use EBP. All published articles do not provide
research evidence; interventions should be based on credible research, preferably randomized
controlled 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 teaches a student nurse about how to apply the nursing process when providing
patient care. Which statement by the student nurse indicates that teaching was successful?
a. “The nursing process is a research method of diagnosing the patient’s health care
problems.”
b. “The nursing process is used primarily to explain nursing interventions to other
Lewis’s Medical Surgical Nursing 11th Edition Harding Test BankNU
health care professionals.”
c. “The nursing process is a problem-solving tool used to identify and treat the
patients’ health care needs.”
d. “The nursing process is based on nursing theory that incorporates the
biopsychosocial nature of humans.”
ANS: C
A nursing process is a problem-solving approach to the identification and treatment of
patient’s problems. The nursing process does not require research methods for diagnosis. The primary use of the nursing process is inpatient care, not to establish nursing theory or explain nursing interventions to other health care professionals.
DIF: Cognitive Level: Understand (comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
4. A patient admitted to the hospital for surgery 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 information on the patient’s concerns about the child care arrangements.
d. Call the patient’s parents to determine whether adequate child care is being
provided.
ANS: C
Because a complete assessment is necessary in order to identify a problem and choose an appropriate intervention, the nurse’s first action should be to obtain more information. The
other actions may be appropriate, but more assessment is needed before the best intervention can be chosen.
DIF: Cognitive Level: Analyze (Analysis)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity
5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
Which expected outcome would the nurse recognize as appropriate for this patient?
a. Patient has a balanced intake and output.
b. Patient’s bedding is kept clean and free of moisture.
c. Patient understands the need for increased fluid intake.
d. Patient’s skin remains cool and dry throughout hospitalization.
ANS: A
Balanced intake and output give measurable data showing resolution of the problem of deficient fluid volume. The other statements would not indicate that the problem of hypovolemia was resolved.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Planning
MSC: NCLEX: Physiological Integrity
6. After administering medication, the nurse asks the patient if pain was relieved. What is the
purpose of the evaluation phase of the nursing process?
a. To document the nursing care plan in the progress notes of the health record
b. To determine if interventions have been effective in meeting patient outcomes
Lewis’s Medical-Surgical Nursing 11th Edition Harding Test BankNU
c. To decide whether the patient’s health problems have been completely resolved
d. To establish if the patient agrees that the nursing care provided was satisfactory
ANS: B
The evaluation consists of determining whether the desired patient outcomes have been met and whether the nursing interventions were appropriate. The other responses do not describe the
evaluation phase.
DIF: Cognitive Level: Understand (comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
7. 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 help the patient identify realistic outcomes for health problems
d. To obtain data with which to diagnose patient strengths and problems
ANS: D
During the assessment phase, the nurse gathers information about the patient to diagnose
the patient strengths and problems. The other responses are examples of the planning,
intervention, and evaluation phases of the nursing process.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
8. The nurse admits a patient to the hospital and develops a plan of care. What components
should the nurse include in the patient problem statement?
a. The problem and the suggested patient goals or outcomes
b. The problem, its causes, and the signs and symptoms of the problem
c. The problem with the possible etiology and the planned interventions
d. The problem, the pathophysiology of the problem, and the expected outcome
ANS: B
When writing patient problems or nursing diagnoses, this format should be used: problem,
etiology, and signs and symptoms. The subjective, as well as objective data, should be included. Goals, outcomes, and interventions are not included in the problem statement.
DIF: Cognitive Level: Understand (comprehension) TOP: Nursing Process: Diagnosis
MSC: NCLEX: Safe and Effective Care Environment
9. Which patient care task is appropriate for the nurse to delegate to experienced unlicensed
assistive personnel (UAP)?
a. Instruct the patient about the need to alternate activity and rest.
b. Monitor level of shortness of breath or fatigue after ambulation.
c. Obtain the patient’s blood pressure and pulse rate after ambulation.
d. Determine whether the patient is ready to increase the activity level.
ANS: C
UAP education includes accurate vital sign measurement. Assessment and patient teaching
require registered nurse education and scope of practice and cannot be delegated.
Lewis’s Medical-Surgical Nursing 11th Edition Harding Test BankNU
DIF: Cognitive Level: Apply (application)
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
Quick Comparison
| Settings | TEST BANK Lewis’s Medical Surgical Nursing 11th Edition Harding remove | Test Bank for Medical Law and Ethics 5th Edition by Fremgen remove | Test Bank for Radiation Protection in Medical Radiography 7th Edition remove | Test bank for Brunner Suddarth Medical Surgical 14th by Hinkle remove | Test Bank for Essentials of Medical Language 3rd Edition by Allan remove | Test Bank for Clinical Procedures for Medical Assistants 9th Edition remove | |||||||||
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| Description | Edition: 11th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | By: Fremgen Edition: 5th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | By: Sherer Edition: 7th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | Edition: 14th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | By: Allan Edition: 3rd Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | By: Bonewit West Edition: 9th Edition Format: Downloadable ZIP Fille Resource Type: Test bank Duration: Unlimited downloads Delivery: Instant Download | |||||||||
| Content | Test Bank Lewis’s Medical-Surgical Nursing 11th Edition HardingChapter 01: Professional Nursing Harding: Lewis’s Medical-Surgical Nursing, 11th Edition MULTIPLE CHOICE 1. The nurse completes an admission database and explains that the plan of care and discharge goals will be developed with the patient’s input. The patient asks, “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. “In addition to caring for you while you are sick, the nurses will help you plan to maintain your health.” c. “The nurse’s job is to help the doctor by collecting information and communicating any problems that occur.” d. “Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a longer time than the doctor.” ANS: B The American Nurses Association (ANA) definition of nursing describes the role of nurses in promoting health. The other responses describe dependent and collaborative functions of the nursing role but do not accurately describe the nurse’s unique role in the health care system. DIF: Cognitive Level: Analyze (analysis) 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 (EBP) when caring for patients. Which statement by the nurse accurately describes the use of EBP? a. “Inferences from all published articles are used as a guide.” b. “Patient care is based on clinical judgment, experience, and traditions.” c. “Data are analyzed later 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 and consideration of patient preferences. Clinical judgment based on the nurse’s clinical experience is part of EBP, but clinical decision making should also incorporate current research and research-based guidelines. Evaluation of patient outcomes is important, but data analysis is not required to use EBP. All published articles do not provide research evidence; interventions should be based on credible research, preferably randomized controlled 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 teaches a student nurse about how to apply the nursing process when providing patient care. Which statement by the student nurse indicates that teaching was successful? a. “The nursing process is a research method of diagnosing the patient’s health care problems.” b. “The nursing process is used primarily to explain nursing interventions to other Lewis's Medical Surgical Nursing 11th Edition Harding Test BankNU health care professionals.” c. “The nursing process is a problem-solving tool used to identify and treat the patients’ health care needs.” d. “The nursing process is based on nursing theory that incorporates the biopsychosocial nature of humans.” ANS: C A nursing process is a problem-solving approach to the identification and treatment of patient's problems. The nursing process does not require research methods for diagnosis. The primary use of the nursing process is inpatient care, not to establish nursing theory or explain nursing interventions to other health care professionals. DIF: Cognitive Level: Understand (comprehension) TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment 4. A patient admitted to the hospital for surgery 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 information on the patient’s concerns about the child care arrangements. d. Call the patient’s parents to determine whether adequate child care is being provided. ANS: C Because a complete assessment is necessary in order to identify a problem and choose an appropriate intervention, the nurse’s first action should be to obtain more information. The other actions may be appropriate, but more assessment is needed before the best intervention can be chosen. DIF: Cognitive Level: Analyze (Analysis) OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity 5. A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis. Which expected outcome would the nurse recognize as appropriate for this patient? a. Patient has a balanced intake and output. b. Patient’s bedding is kept clean and free of moisture. c. Patient understands the need for increased fluid intake. d. Patient’s skin remains cool and dry throughout hospitalization. ANS: A Balanced intake and output give measurable data showing resolution of the problem of deficient fluid volume. The other statements would not indicate that the problem of hypovolemia was resolved. DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity 6. After administering medication, the nurse asks the patient if pain was relieved. What is the purpose of the evaluation phase of the nursing process? a. To document the nursing care plan in the progress notes of the health record b. To determine if interventions have been effective in meeting patient outcomes Lewis's Medical-Surgical Nursing 11th Edition Harding Test BankNU c. To decide whether the patient’s health problems have been completely resolved d. To establish if the patient agrees that the nursing care provided was satisfactory ANS: B The evaluation consists of determining whether the desired patient outcomes have been met and whether the nursing interventions were appropriate. The other responses do not describe the evaluation phase. DIF: Cognitive Level: Understand (comprehension) TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment 7. 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 help the patient identify realistic outcomes for health problems d. To obtain data with which to diagnose patient strengths and problems ANS: D During the assessment phase, the nurse gathers information about the patient to diagnose the patient strengths and problems. The other responses are examples of the planning, intervention, and evaluation phases of the nursing process. DIF: Cognitive Level: Understand (comprehension) TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment 8. The nurse admits a patient to the hospital and develops a plan of care. What components should the nurse include in the patient problem statement? a. The problem and the suggested patient goals or outcomes b. The problem, its causes, and the signs and symptoms of the problem c. The problem with the possible etiology and the planned interventions d. The problem, the pathophysiology of the problem, and the expected outcome ANS: B When writing patient problems or nursing diagnoses, this format should be used: problem, etiology, and signs and symptoms. The subjective, as well as objective data, should be included. Goals, outcomes, and interventions are not included in the problem statement. DIF: Cognitive Level: Understand (comprehension) TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment 9. Which patient care task is appropriate for the nurse to delegate to experienced unlicensed assistive personnel (UAP)? a. Instruct the patient about the need to alternate activity and rest. b. Monitor level of shortness of breath or fatigue after ambulation. c. Obtain the patient’s blood pressure and pulse rate after ambulation. d. Determine whether the patient is ready to increase the activity level. ANS: C UAP education includes accurate vital sign measurement. Assessment and patient teaching require registered nurse education and scope of practice and cannot be delegated. Lewis's Medical-Surgical Nursing 11th Edition Harding Test BankNU DIF: Cognitive Level: Apply (application) OBJ: Special Questions: Delegation TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment | Test Bank for Medical Law and Ethics 5th Edition by FremgenMedical Law and Ethics, 5e (Fremgen) Chapter 1 Introduction to Medical Law, Ethics, and Bioethics 1) Which definition most accurately describes applied ethics?
| Test Bank for Radiation Protection in Medical Radiography 7th EditionTable of Content1. Introduction to Radiation Protection 2. Radiation: Types, Sources, and Doses Received 3. Interaction of X-Radiation with Matter 4. Radiation Quantities and Units 5. Radiation Monitoring 6. Overview of Cell Biology 7. Molecular and Cellular Radiation Biology 8. Early Deterministic Radiation Effects on Organ Systems 9. Late Deterministic and Stochastic Radiation Effects on Organ Systems 10. Dose Limits for Exposure to Ionizing Radiation 11. Equipment Design for Radiation Protection 12. Management of Patient Radiation Dose during Diagnostic X-Ray Procedures 13. Management of Imaging Personnel Radiation Dose During Diagnostic X-Ray Procedures 14. Radioisotopes and Radiation Protection | Test Bank for Brunner Suddarth Medical Surgical 14th HinkleTable of Contents Chapter 01: Health Care Delivery and Evidence-Based Nursing Practice Chapter 02: Community-Based Nursing Practice Chapter 03: Critical Thinking, Ethical Decision Making and the Nursing Process Chapter 04: Health Education and Promotion Chapter 05: Adult Health and Nutritional Assessment Chapter 06: Individual and Family Homeostasis, Stress, and Adaptation Chapter 07: Overview of Transcultural Nursing Chapter 08: Overview of Genetics and Genomics in Nursing Chapter 09: Chronic Illness and Disability Chapter 10: Principles and Practices of Rehabilitation Chapter 11: Health Care of the Older Adult Chapter 12: Pain Management Chapter 13: Fluid and Electrolytes: Balance and Disturbance Chapter 14: Shock and Multiple Organ Dysfunction Syndrome Chapter 15: Management of Patients with Oncologic Disorders Chapter 16: End-of-Life Care Chapter 17: Preoperative Nursing Management Chapter 18: Intraoperative Nursing Management Chapter 19: Postoperative Nursing Management Chapter 20: Assessment of Respiratory Function Chapter 21: Respiratory Care Modalities Chapter 22: Management of Patients With Upper Respiratory Tract Disorders Chapter 23: Management of Patients with Chest and Lower Respiratory Tract Disorders Chapter 24: Management of Patients With Chronic Pulmonary Disease Chapter 25: Assessment of Cardiovascular Function Chapter 26: Management of Patients With Dysrhythmias and Conduction Problems Chapter 27: Management of Patients With Coronary Vascular Disorders Chapter 28: Management of Patients With Structural, Infectious, and Inflammatory Cardiac Disorders Chapter 29: Management of Patients With Complications from Heart Disease Chapter 30: Assessment and Management of Patients With Vascular Disorders and Problems of Peripheral Circulation Chapter 31: Assessment and Management of Patients With Hypertension Chapter 32: Assessment of Hematologic Function and Treatment Modalities Chapter 33: Management of Patients With Nonmalignant Hematologic Disorders Chapter 34: Management of Patients With Hematologic Neoplasms Chapter 35: Assessment of Immune Function Chapter 36: Management of Patients With Immune Deficiency Disorders Chapter 37: Assessment and Management of Patients With Allergic Disorders Chapter 38: Assessment and Management of Patients With Rheumatic Disorders Chapter 39: Assessment of Musculoskeletal Function Chapter 40: Musculoskeletal Care Modalities Chapter 41: Management of Patients With Musculoskeletal Disorders Chapter 42: Management of Patients With Musculoskeletal Trauma Chapter 43: Assessment of Digestive and Gastrointestinal Function Chapter 44: Digestive and Gastrointestinal Treatment Modalities Chapter 45: Management of Patients with Oral and Esophageal Disorders Chapter 46: Management of Patients with Gastric and Duodenal Disorders Chapter 47: Management of Patients With Intestinal and Rectal Disorders Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017) 1911 Chapter 48: Assessment and Management of Patients with Obesity Chapter 49: Assessment and Management of Patients with Hepatic Disorders Chapter 50: Assessment and Management of Patients with Biliary Disorders Chapter 51: Assessment and Management of Patients with Diabetes Chapter 52: Assessment and Management of Patients with Endocrine Disorders Chapter 53: Assessment of Kidney and Urinary Function Chapter 54: Management of Patients with Kidney Disorders Chapter 55: Management of Patients with Urinary Disorders Chapter 56: Assessment and Management of Patients With Female Physiologic Processes Chapter 57: Management of Patients with Female Reproductive Disorders Chapter 58: Assessment and Management of Patients with Breast Disorders Chapter 59: Assessment and Management of Patients With Male Reproductive Disorders Chapter 60: Assessment of Integumentary Function Chapter 61: Management of Patients with Dermatologic Problems Chapter 62: Management of Patients with Burn Injury Chapter 63: Assessment and Management of Patients with Eye and Vision Disorders Chapter 64: Assessment and Management of Patients with Hearing and Balance Disorders Chapter 65: Assessment of Neurologic Function Chapter 66: Management of Patients with Neurologic Dysfunction Chapter 67: Management of Patients with Cerebrovascular Disorders Chapter 68: Management of Patients with Neurologic Trauma Chapter 69: Management of Patients with Neurologic Infections, Autoimmune Disorders, and Neuropathies Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders Chapter 71: Management of Patients With Infectious Diseases Chapter 72: Emergency Nursing Chapter 73: Terrorism, Mass Casualty, and Disaster Nursing | Test Bank for Essentials of Medical Language 3rd Edition by AllanChapter 01 Test Bank Student: ___________________________________________________________________________
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