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Lewis’s Medical-Surgical Nursing 12th Edition Test Bank 1
Test Bank For
Lewis’s Medical-Surgical Nursing, 12th Edition
By Mariann M. Harding, Jeffrey Kwong, Debra Hagler
Table Of Contents:
SECTION 1 Concepts in Nursing Practice
Chapter 1 Professional Nursing
Chapter 2 Social Determinants of Health
Chapter 3 Health History and Physical Examination
Chapter 4 Patient and Caregiver Teaching
Chapter 5 Chronic Illness and Older Adults
Chapter 6 Caring for Lesbian, Gay, Bisexual, Transgender,
Queer or Questioning, and Gender Diverse Patients
SECTION 2 Problems Related to Comfort and Coping
Chapter 7 Stress Management
Chapter 8 Sleep and Sleep Disorders
Chapter 9 Pain
Chapter 10 Palliative and End-of-Life Care
Chapter 11 Substance Use Disorders in Acute Care
SECTION 3 Problems Related to Homeostasis and Protection
Chapter 12 Inflammation and Healing
Chapter 13 Genetics
Chapter 14 Immune Responses and Transplantation
Chapter 15 Infection
Chapter 16 Cancer
Chapter 17 Fluid, Electrolyte, and Acid-Base Imbalances
SECTION 4 Perioperative and Emergency Care
Chapter 18 Preoperative Care
Chapter 19 Intraoperative Care
Chapter 20 Postoperative Care
Chapter 21 Emergency and Disaster Nursing
SECTION 5 Problems Related to Altered Sensory Input
Chapter 22 Assessment and Management: Visual Problems
Chapter 23 Assessment and Management: Auditory Problems
Chapter 24 Assessment: Integumentary System
Chapter 25 Integumentary Problems
Chapter 26 Burns
SECTION 6 Problems of Oxygenation: Ventilation
Chapter 27 Assessment: Respiratory System
Chapter 28 Supporting Ventilation
Chapter 29 Upper Respiratory Problems
Chapter 30 Lower Respiratory Problems
Chapter 31 Obstructive Pulmonary Diseases
Chapter 32 Acute Respiratory Failure and Acute Respiratory Distress Syndrome
SECTION 7 Problems of Oxygenation: Transport
Chapter 33 Assessment: Hematologic System
Chapter 34 Hematologic Problems Chapter
SECTION 8 Problems of Oxygenation: Perfusion
Chapter 35 Assessment: Cardiovascular System
Chapter 36 Hypertension
Chapter 37 Coronary Artery Disease and Acute Coronary Syndrome
Chapter 38 Heart Failure
Chapter 39 Dysrhythmias
Chapter 40 Inflammatory and Structural Heart Disorders
Lewis’s Medical-Surgical Nursing 12th Edition Test Bank 2
Chapter 41 Vascular Disorders
Chapter 42 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
SECTION 9 Problems of Ingestion, Digestion, Absorption, and Elimination
Chapter 43 Assessment: Gastrointestinal System
Chapter 44 Nutrition Problems
Chapter 45 Obesity
Chapter 46 Upper Gastrointestinal Problems
Chapter 47 Lower Gastrointestinal Problems
Chapter 48 Liver, Biliary Tract, and Pancreas Problems
SECTION 10 Problems of Urinary Function
Chapter 49 Assessment: Urinary System
Chapter 50 Renal and Urologic Problems
Chapter 51 Acute Kidney Injury and Chronic Kidney Disease
SECTION 11 Problems Related to Regulatory and Reproductive Mechanisms
Chapter 52 Assessment: Endocrine System
Chapter 53 Diabetes
Chapter 54 Endocrine Problems
Chapter 55 Assessment: Reproductive System
Chapter 56 Breast Problems
Chapter 57 Sexually Transmitted Infections
Chapter 58 Female Reproductive Problems
Chapter 59 Male Reproductive Problems
SECTION 12 Problems Related to Movement and Coordination
Chapter 60 Assessment: Nervous System
Chapter 61 Acute Intracranial Problems
Chapter 62 Stroke
Chapter 63 Chronic Neurologic Problems
Chapter 64 Dementia and Delirium
Chapter 65 Spinal Cord and Peripheral Nerve Problems
Chapter 66 Assessment: Musculoskeletal System
Chapter 67 Musculoskeletal Trauma and Orthopedic Surgery
Chapter 68 Musculoskeletal Problems
Chapter 69 Arthritis and Connective Tissue Diseases
Lewis’s Medical-Surgical Nursing 12th Edition Test Bank 3
Chapter 01: Professional Nursing
Harding: Lewis’s Medical-Surgical Nursing, 12th Edition
MULTIPLE CHOICE
- 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 physician does?‖ Which response would the nurse provide?
a. ―The role of the nurse is to administer medications and other treatments prescribed
by your physician.‖
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 collect information and communicate any problems that
occur to the physician.‖
d. ―Nurses perform many of the same procedures as the physician, but nurses are
with the patients for a longer time than the physician.‖
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 - Which statement by the nurse accurately describes the use of evidence-based practice (EBP)?
a. ―Patient care is based on clinical judgment, experience, and traditions.‖
b. ―Data are analyzed later to show that the patient outcomes are consistently met.‖
c. ―Research from all published articles are used as a guide for planning patient care.‖
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.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment - Which statement by the nurse provides a clear explanation of the nursing process?
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 manage the
Lewis’s Medical-Surgical Nursing 12th Edition Test Bank 4
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.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment
- A patient admitted to the hospital for surgery tells the nurse, ―I do not feel comfortable
leaving my children with my parents.‖ Which action would 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.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity - A patient with a bacterial infection is hypovolemic due to a fever and excessive diaphoresis.
Which expected outcome would the nurse select 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 - 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 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