Description

Lewis’s Medical-Surgical Nursing, 11th Edition Test Bank

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 dischargegoals will be developed with the patient’s input. The patient asks, “How is this different fromwhat 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 prescribedby your doctor.”
b.“In addition to caring for you while you are sick, the nurses will help you plan tomaintain your health.”
c.“The nurse’s job is to help the doctor by collecting information andcommunicating any problems that occur.”
d.“Nurses perform many of the same procedures as the doctor, but nurses are withthe 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 caringfor 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 patientpreferences.”
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 providingpatient 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 careproblems.”
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 thepatients’ health care needs.”
d.“The nursing process is based on nursing theory that incorporates thebiopsychosocial 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.
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 comfortableleaving 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 beingprovided.
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 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.
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 thepurpose 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