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TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING 11TH EDITION BY HARDING ( ALL CHAPTERS 1-68) LATEST UPDATED EXAMINATION STUDYGUIDE 2023/2024
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TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING 11TH EDITION BY HARDING ( ALL CHAPTERS 1-68) LATEST UPDATED EXAMINATION STUDYGUIDE 2023/2024

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  • October 3, 2024
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  • testbank for lewis medical surgical nursing 11th e
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TEST BANK FOR LEWIS’S MEDICAL SURGICAL N
i i i i i ii



URSING 11TH EDITION HARDING CHAPTER 1-
i i i i i


68|COMPLETE GUIDE-2024
i i

,Chapter01:Professional Nursing pp


Harding:Lewis’sMedical-SurgicalNursing,11thEdition

MULTIPLECHOICE

1. Thenursecompletes an admissionidatabaseandexplainsthatitheplanofcareanddischargegoals
pp pp


willbedevelopedwiththepatient‘s
pp input. Thepatientasks,―How pp pp


isthisidifferentfromwhatthed
pp octordoes?‖ Whichresponsewouldibe most pp pp pp


appropriatefortheinursetomake?
pp


a. ―Theiroleofthenurseiisitoadministermedicationsandothertreatmentsprescribedibyy
ourdoctor.‖
p p


b. ―Inadditionitocaringfor youwhileiyouaresick, thenurseswillhelp youplantomain pp pp pp


tain yourhealth.‖
pp pp


c. ―Theinurse‘sjobistohelpitheidoctorbycollectinginformationandico
p


mmunicatinganyproblems thatoccur.‖
pp pp


d. ―Nurses performmanyoftheisameiprocedures asitheidoctor, butnursesarewithithei
pp pp pp


patients foralongertimethanthedoctor.‖
p p pp




ANS: B pp


The AmericaniNurses Association(ANA) definitionofnursingidescribestheroleofnursesinpro
pp pp pp


motingihealth. Theotherresponsesdescribeidependentiandcollaborativefunctions ofthenursing
pp pp pp


rolebutdonotaccuratelydescribethenurse‘s
pp uniqueroleinthehealthcaresystem. pp pp




DIF: CognitiveiLevel: Analyzei(analysis) pp


TOP: NursingiProcess: Implementation
pp pp MSC: NCLEX: SafeiandiEffective CareEnvironment
pp pp pp




2. Thenursedescribestoastudentinurseihowito use evidence-
TESTBANKWORLD.OR
pp pp


basedpractice(EBP) whencaringforpatients. Whichstatementbytheinurseaccuratelydescribes
pp pp


theiuseof EBP?
p p pp


a. ―Inferences fromallpublishedarticlesiareiused as a guide.‖
p pp pp pp


b. ―Patientcareisibasedoniclinicaljudgment, experience, andtraditions.‖ pp pp


c. ―Dataareianalyzed later toshowthatthepatientioutcomesareconsistentlymet.‖
p p p p p p p p p p


d. ―Recommendations arebasedonresearch, clinical expertise, andpatient pr pp p pp p pp


eferences.‖
pp




ANS: D pp


Evidence-basedipractice(EBP) is theuseoftheibestiresearch- pp pp


basedevidencecombinedwithclinicianexpertiseandconsiderationiofpatient preferences. Clinic pp pp


al judgmentbasedonthenurse‘s clinical experience ispartof EBP,
p p pp pp pp pp pp


butclinicaldecisionmakingis houldalsoiincorporateicurrentresearchandresearch-
pp pp


basedguidelines. Evaluationofpatientoutcomesisiimportant, butdataianalysis is notrequiredtou
pp pp pp pp


seiEBP. Allpublishedarticlesdonotprovideresearchevidence; interventionsshouldibebasedion
pp pp pp


credibleresearch, preferablyrandomizedcontrolledstudieswithalargenumberofsubjects.
pp pp




DIF: CognitiveiLevel: Remember (knowledge) pp pp


TOP:NursingiProcess:PlanningiMSC: NCLEX: Safeiand EffectiveiCareiEnvironment pp pp pp




3. Thenurseteachesiastudentinurseabouthowtoapplythenursingprocesswheniprovidingipatie p p


p ntcare. Whichstatementibythe studentnurseiindicatesthatteachingiwassuccessful?
p pp pp


a. ―Theinursingiprocessisairesearchimethodofdiagnosingthepatient‘s healthcarepro p


blems.‖
pp


b. ―Theinursingiprocessisusedprimarilyto explainnursingiinterventionstoother pp

, healthcareprofessionals.‖
c. ―Thenursingiprocessisaproblem-
solvingtoolusedtoiidentifyandtreattheipatients‘ p p healthcareineeds.‖
d. ―Theinursingiprocessiisbasedionnursingtheorythatiincorporatestheibio
psychosocialnatureofhumans.‖
pp




ANS: C pp


Thenursingiprocess is aproblem- pp pp


solvingapproachtotheidentificationandtreatment ofpatients‘ problems. Nursingprocessdoesnot pp pp pp


requireiresearchmethodsfordiagnosis. Theprimaryuseiofthenursingprocessisiinpatientcare, nott
pp pp pp


oiestablishnursingtheoryorexplainnursinginterventions tootherhealthicareprofessionals.
pp pp




DIF: p p CognitiveiLevel: Understand (comprehension)
p p pp pp


TOP:NursingiProcess:Evaluation MSC: NCLEX: Safeand Effective Care Environment pp pp pp pp pp pp




4. Apatientadmittedtotheihospitalforsurgerytells thenurse,―Idonotfeelcomfortableileavi pp


ngimychildrenwith myparents.‖ Whichactionshouldtheinursetake next?
pp pp pp pp


a. Reassuretheipatientithat thesefeelingsarecommoniforparents. pp


b. Havetheipatient call theichildren toensureithattheyaredoingiwell.
pp pp pp


c. Gatherinformation onithepatient‘s concernsaboutthechildcareiarrangements.
pp pp


d. Calltheipatient‘sparentstodetermineiwhetheradequatechildcareiisibeingipro
p


vided.
pp




ANS: C pp


Becauseiacompleteiassessmentisnecessaryiniorder to identifyaproblemiandchoose an appropr pp pp pp pp


iate intervention, thenurse‘s first actionshouldbetoobtainmoreinformation. Theotheractions
pp pp pp pp pp pp


maybeiappropriate, butmoreassessmentisneededbeforeitheibestinterventionicanibe chosen.
pp pp pp



TESTBANKWORLD.ORG
DIF: CognitiveiLevel: Analyzei(analysis) p


OBJ: Special Questions: Prioritization
pp p p pp pp


TOP:NursingiProcess:Assessment
MSC: NCLEX: Psychosocial Integrity
pp pp pp




5. Apatientwithabacterialinfectionisihypovolemicduetoiafeverandexcessiveidiaphoresis. Whi pp


p p ch expectedoutcomeiwouldthenurseirecognizeias appropriateforthispatient?
pp pp


a. Patienthasabalancediintakeandoutput.
b. Patient‘sibeddingiis keptcleanandfreeofmoisture. pp


c. Patientunderstandstheineed for increasedfluidintake. pp pp


d. Patient‘siskin remainscoolanddrythroughout hospitalization.
p pp




ANS: A pp


Balancedintakeiandoutputgivesimeasurableidataishowingiresolutionoftheproblemofdeficientif
luidvolume. Theotherstatementswouldnotindicatethattheproblemofhypovolemiaiwasiresolv
pp pp


ed.
p p




DIF: CognitiveiLevel: Apply(application) TOP:
pp


NursingProcess:Planning MSC: NCLEX: Physiological
pp p pp pp


Integrity
pp




6. Afteradministeringmedication, thenurseiasksthepatientifpainiwasirelieved. Whatisthepurp pp pp


oseioftheevaluation phaseoftheinursingprocess?
pp pp


a. To documentithenursingcareplanintheprogressnotesiofthehealthirecord
p p


b. To determineifinterventions havebeenieffectiveinimeetingipatientoutcomes
pp pp

, c. To decideiwhetherthepatient‘s healthiproblemsihaveibeenicompletelyresolved
pp pp


d. To establishifthepatientagreesthatthenursingicareiprovidediwasisatisfactory
p p




ANS: B pp


Evaluationiconsistsofdeterminingwhetherthedesiredipatientioutcomeshavebeenimetandiwhe
therthenursinginterventionswereiappropriate. Theiotherresponsesdonotidescribeitheievaluati
pp pp


oniphase.
pp




DIF: Cognitive Level:
p p pp


TOP:NursingiProcess:Evaluationi
Understand(comprehension) MSC: NCLEX:
pp pp pp




Safeand Effective Care Environment
pp pp pp pp




7. Thenurseinterviewsapatientwhilecompletingthehealthhistoryandphysicalexamination. Wh p


p p at isithepurposeoftheiassessmentphaseofthenursingiprocess?
p


a. To teachinterventions thatrelieveihealth problems
pp pp pp


b. To usepatientdatatoevaluatepatientcareoutcomes
pp


c. To helpthepatientidentifyrealisticioutcomesforhealthproblems
p p


d. To obtaindataiwithwhichtoidiagnoseipatientistrengthsandproblems
pp




ANS: D pp


Duringitheassessmentphase, thenursegathersinformationaboutthepatienttodiagnosepatientst
pp


rengthsandproblems.
pp Theotherresponsesareexamplesioftheplanning, intervention,
pp pp


andevaluat ionphasesofithenursingprocess.
pp pp




DIF: CognitiveiLevel: Understand(comprehension) pp


TOP: NursingiProcess: Assessment
pp MSC: NCLEX: Safeiand Effective CareEnvironment
pp pp pp pp pp




8. Thenurseadmitsapatienttotheihospitalanddevelopsaiplaniof care. Whatcomponents shou pp pp pp



pp ld the nurseiinclude in thTeEpS
atiTenBtA
prNoK
blWOR
em staLteDm.eO
ntR
? iG
a. Theproblemandthesuggestedpatientigoals oroutcomes p p

b. Theproblem, its causes, andtheisignsandsymptoms oftheproblem
pp pp pp pp


c. Theproblemwith thepossibleetiologyandtheplannedinterventions
pp


d. Theproblem, theipathophysiologyoftheproblem, andtheexpectedoutcome
p pp




ANS: B pp


Whenwritingpatientproblemsornursingdiagnoses, thisformatshouldbeused: problem, etiolog pp pp pp


y, andsignsandsymptoms. Thesubjective as well as objectivedatashouldbeincluded. Goals,
pp pp pp pp pp pp pp pp


out comes, andinterventions arenotincludediintheproblemistatement.
pp pp pp pp




DIF: CognitiveiLevel: Understand (comprehension)
pp pp


TOP:NursingiProcess:DiagnosisiMSC: NCLEX: Safe and Effective CareiEnvironment pp pp pp pp pp




9. Whichipatientcareitaskisappropriateforthenursetodelegatetoiexperiencedunlicensedassi p p


p p stivepersonnel(UAP)?
a. Instruct thepatient abouttheneedtoalternateiactivityand rest.
pp pp pp


b. Monitorleveliofshortnessofbreathiorfatigueiafterambulation.
c. Obtainthepatient‘s bloodpressureiandpulserateafterambulation.
pp


d. Determinewhetherthepatientisireadytoincreaseitheiactivitylevel.
ANS: C pp


UAP educationincludesaccurateivitalsignmeasurement. Assessmentandpatientteachingirequirer
p p


egisterednurseeducation andscopeiofpracticeiandcannotibeidelegated.
pp pp

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