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TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69 QUESTIONS AND VERIFIED ANSWERS LATEST EDITION $16.49
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TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69 QUESTIONS AND VERIFIED ANSWERS LATEST EDITION
TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69 QUESTIONS AND VERIFIED ANSWERS LATEST EDITION
TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER 1-69...
TEST BANK FOR LEWIS'S MEDICAL-SURGICAL NURSING, 12TH EDITION
BY MARIANN M. HARDING, JEFFREY KWONG, DEBRA HAGLER CHAPTER
1-69 QUESTIONS AND VERIFIED ANSWERS LATEST EDITION 2024-2025
,Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
QUESTIONS
1. The nurse practitioner completes an admission database and explains that the plan of care and
discharge goals will be developed with the client‗s input. The client asks, ―How is this
different from what the physician does?‖ Which response would the nurse practitioner
provide?
a. ―The role of the nurse practitioner is to administer medications and
other treatments prescribed by your physician.‖
b. ―In addition to caring for you while you are sick, the nurse practitioners will
help you plan to maintain your health.‖
c. ―The nurse practitioner‗s job is to collect information and communicate
any problems that occur to the physician.‖
d. ―Nurse practitioners perform many of the same procedures as the
physician, but nurse practitioners are with the clients for a longer time
than the physician.‖
SOLUTION: B
The American Nurse practitioners Association (ANA) definition of nursing describes the role
of nurse practitioners in promoting health. The other responses describe dependent and
collaborative functions of the nursing role but do not accurately describe the nurse
practitioner‗s unique role in the health care system.
DIF: Cognitive Level: Analyze (Analysis)
TOPIC: Nursing Process: Implementation MASTER OF SCIENCE: NCLEX: Safe and Effective Care
Environment
2. Which statement by the nurse practitioner accurately describes the use of evidence-based practice
(EBP)?
a. ―Client care is based on clinical judgment, experience, and traditions.‖
b. ―Data are analyzed later to show that the client outcomes are consistently met.‖
c. ―Research from all published articles are used as a guide for planning client care.‖
d. ―Recommendations are based on research, clinical expertise, and
client preferences.‖
SOLUTION: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with
clinician expertise and consideration of client preferences. Clinical judgment based on the
nurse practitioner‗s clinical experience is part of EBP, but clinical decision making should
also incorporate current research and research-based guidelines. Evaluation of client
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: Understand (Comprehension) TOPIC: Nursing
Process: Planning MASTER OF SCIENCE: NCLEX: Safe and Effective Care
Environment
,3. Which statement by the nurse practitioner provides a clear explanation of the nursing process?
a. ―The nursing process is a research method of diagnosing the client‗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 manage the
, clients‗ health care needs.‖
d. ―The nursing process is based on nursing theory that incorporates
the biopsychosocial nature of humans.‖
SOLUTION: C
The nursing process is a problem-solving approach to the identification and treatment of
clients‗ problems. Nursing process does not require research methods for diagnosis. The
primary use of the nursing process is in client care, not to establish nursing theory or explain
nursing interventions to other health care professionals.
DIF: Cognitive Level: Understand (Comprehension) TOPIC: Nursing Process:
Evaluation MASTER OF SCIENCE: NCLEX: Safe and Effective Care Environment
4. A client admitted to the hospital for surgery tells the nurse practitioner, ―I do not feel
comfortable leaving my children with my parents.‖ Which action would the nurse
practitioner take next?
a. Reassure the client that these feelings are common for parents.
b. Have the client call the children to ensure that they are doing well.
c. Gather information on the client‗s concerns about the child care arrangements.
d. Call the client‗s parents to determine whether adequate child care is
being provided.
SOLUTION: C
Because a complete assessment is necessary in order to identify a problem and choose an
appropriate intervention, the nurse practitioner‗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.
5. A client with a bacterial infection is hypovolemic due to a fever and excessive
diaphoresis. Which expected outcome would the nurse practitioner select for
this client?
a. Client has a balanced intake and output.
b. Client‗s bedding is kept clean and free of moisture.
c. Client understands the need for increased fluid intake.
d. Client‗s skin remains cool and dry throughout hospitalization.
SOLUTION: 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.
6. Which statement describes 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 client outcomes
c. To decide whether the client‗s health problems have been completely resolved
d. To establish if the client agrees that the nursing care provided was satisfactory
SOLUTION: B
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