LATEST TEST BANK BY LEWIS MEDICAL SURGICAL NURSING 11th VERSION QUESTIONS AND ANSWERS CORRECTLY VERIFIED ANSWERS (CHAPTERS 1-20) UPDATED WITH RATIONALES

LATEST TEST BANK BY LEWIS MEDICAL SURGICAL
NURSING 11th VERSION QUESTIONS AND ANSWERS
CORRECTLY VERIFIED ANSWERS (CHAPTERS 1-20)
UPDATED WITH RATIONALES

Chapter 01: Professional Nursing
Test Bank
MULTIPLE
CHOICE
1. The nurseteaches a student nurse about how to applythe nursing process when
providing patientcare.Which statement, if made by the student nurse, indicates
that teaching was successful?
a. The nursing processis a scientific-based method of diagnosing the patients
health care problems.
b. The nursing processis a problem-solving tool used toidentify and treat patients
health care needs.
c. The nursing processis based on nursing theorythat incorporates the
biopsychosocial natureofhumans.
d. The nursing processis used primarilytoexplain nursing interventions
toother health careprofessionals.
ANS: B
Rationale,
The nursing processis a problem-solving approach totheidentification and treatment
of patients problems. Diagnosisisonlyone phaseof the nursing process.The primary
useof the nursing process isin patientcare,not toestablish nursing theory orexplain
nursing interventions toother health care professionals.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective CareEnvironment
2. The nurse describesto a student nurse how to useevidence-based practice
guidelines when caring forpatients. Which statement, if made by the nurse,
would bethe most accurate?
a. Inferencesfrom clinical research studies are used as a guide.
b. Patientcareis based on clinical judgment,experience, and traditions.
c. Data areevaluated toshow that the patientoutcomes areconsistently met.
d. Recommendations are based on research,clinicalexpertise, and patient
preferences.
ANS: D
Rationale.
Evidence-based practice (EBP) is the use of the best research-based evidence
combined with clinician expertise. Clinical judgment based on the nurses clinical
experience is part of EBP, but clinical decision making should alsoincorporatecurrent
research and research-based guidelines.Evaluation of patientoutcomesis important,
but interventions should be based on research from randomized control studies with
a large number of subjects.
DIF: Cognitive Level: Remember (knowledge)
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective CareEnvironment
3. The nursecompletes an admission database and explainsthat the plan ofcare and
discharge goals will be developed with the patientsinput.The patientstates, How is
this different from what the doctor does? Whichresponse would be most appropriate
for the nurse to make?
a. Theroleof the nurseisto administer medications and other treatments
prescribed byyour doctor.
b. The nursesjob isto help the doctor bycollecting information and
communicating any problemsthat occur.
c. Nurses perform manyof thesame procedures asthe doctor, but nurses are
with the patients for alonger time than the doctor.
d. In addition tocaring foryou whileyou aresick, the nurses will assist
you to develop anindividualized plan to maintain your health.
ANS: D
Rationele.
This response is consistent with the American Nurses Association (ANA) definition of
nursing, which describestheroleof nursesin promoting health.Theother responses
describesomeof the dependent and collaborativefunctionsof the nursing role but do
not accurately describethe nursesrolein the health caresystem.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective CareEnvironment
4. A patient whois paralyzed on theleftsideof the body after a stroke develops a
pressure ulceron theleft hipWhich nursing diagnosis is most appropriate?
a. Impaired physical mobilityrelated toleft-sided paralysis
b. Risk for impaired tissueintegrityrelated toleft-sided weakness
c. Impaired skin integrityrelated to altered circulation and pressure
d. Ineffectivetissue perfusion related toinabilityto move
independentlyANS: C
Rationale.
The patients major problem istheimpaired skin integrity as demonstrated bythe
presenceof a pressure ulcer.The nurseis abletotreat thecauseof altered circulation
and pressure byfrequentlyrepositioning the patient. Although left-sided weakness is
a problem for the patient, the nurse cannot treat the weakness. The risk fordiagnosis
is not appropriatefor this patient, who already hasimpaired tissueintegrity.The
patient does have ineffective tissue perfusion, but the impaired skin integrity
diagnosis indicates more clearly what the healthproblem is.
DIF: CognitiveLevel: Apply(application)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
5. A patient has been admitted tothe hospital forsurgery and tellsthe nurse, I do not
feelcomfortableleavingmy children with my parents. Which action should the nurse
take next?
a. Reassurethe patient that thesefeelings arecommon for parents.
b. Havethe patientcall thechildren toensurethat they are doing well.
c. Gather more data about the patientsfeelings about thechild-care
arrangements.
d. Call the patients parentsto determine whether adequatechild careis being
provided.
ANS: C
Rationale.
Since a complete assessment is necessaryin order toidentify a problem and choose
an appropriate intervention, the nursesfirst action should betoobtain more
7
information.Theother actions may beappropriate, but more assessment is needed
beforethe best intervention can bechosen.
DIF: CognitiveLevel: Apply(application)
OBJ: Special Questions: Prioritization TOP: Nursing Process:
AssessmentMSC: NCLEX: Psychosocial Integrity