Test Bank for Lewis's Medical-Surgical Nursing, 11th Edition by Mariann M. Harding
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Course
Advance nursing
Institution
Advance Nursing
Test Bank for Lewis's Medical-Surgical Nursing, 11th Edition 11e by Mariann M. Harding, Jeffrey Kwong, Dottie Roberts. ISBN-13: 1496
Full Chapters test bank are included
Section One – Concepts in Nursing Practice
1. Professional Nursing
2. Health Equity and Culturally Competent Care ...
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.
PTS: 1
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.
PTS: 1
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 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
The nursing process is a problem-solving approach to the identification
and treatment of patients' problems. Nursing process does not require
research methods for diagnosis. The primary use of the nursing process
is in patient care, not to establish nursing theory or explain nursing
interventions to other health care professionals.
PTS: 1
,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.
PTS: 1
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 gives measurable data showing resolution of
, the problem of deficient fluid volume. The other statements would not
indicate that the problem of hypovolemia was resolved.
PTS: 1
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
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
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.
PTS: 1
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
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