{"id":115653,"date":"2023-08-24T13:00:12","date_gmt":"2023-08-24T13:00:12","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115653"},"modified":"2023-08-24T13:00:14","modified_gmt":"2023-08-24T13:00:14","slug":"lewiss-medical-surgical-nursing-11th-edition-harding-test-bank","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/24\/lewiss-medical-surgical-nursing-11th-edition-harding-test-bank\/","title":{"rendered":"Lewis\u2019s Medical Surgical Nursing 11th Edition Harding TEST BANK"},"content":{"rendered":"\n

Lewis’s Medical Surgical Nursing 11th Edition Harding Test Bank
NURSING TEST BANK
N R I G B.C M
Lewis\u2019s Medical Surgical Nursing 11th Edition Harding
Test Bank
Chapter 01: Professional Nursing
Harding: Lewis\u2019s Medical-Surgical Nursing, 11th Edition
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. The nurse completes an admission database and explains that the plan of care and discharge
    goals will be developed with the patient\u2019s input. The patient asks, \u201cHow is this different from
    what the doctor does?\u201d Which response would be most appropriate for the nurse to make?
    a. \u201cThe role of the nurse is to administer medications and other treatments prescribed
    by your doctor.\u201d
    b. \u201cIn addition to caring for you while you are sick, the nurses will help you plan to
    maintain your health.\u201d
    c. \u201cThe nurse\u2019s job is to help the doctor by collecting information and
    communicating any problems that occur.\u201d
    d. \u201cNurses perform many of the same procedures as the doctor, but nurses are with
    the patients for a longer time than the doctor.\u201d
    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\u2019s unique role in the health care system.
    DIF: Cognitive Level: Analyze (analysis)
    TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
  2. The nurse describes to a student nurse how to use evidence-based practice (EBP) when caring
    for patients. Which statement bUy thSe nNurseTaccuraOtely describes the use of EBP?
    a. \u201cInferences from all published articles are used as a guide.\u201d
    b. \u201cPatient care is based on clinical judgment, experience, and traditions.\u201d
    c. \u201cData are analyzed later to show that the patient outcomes are consistently met.\u201d
    d. \u201cRecommendations are based on research, clinical expertise, and patient
    preferences.\u201d
    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\u2019s 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<\/li>\n\n\n\n
  3. The nurse teaches a student nurse about how to apply the nursing process when providing
    patient care. Which statement by the student nurse indicates that teaching was successful?<\/li>\n<\/ol>\n\n\n\n

    Lewis’s Medical Surgical Nursing 11th Edition Harding Test Bank
    NURSING TEST BANK
    a. \u201cThe nursing process is a research method of diagnosing the patient\u2019s health care
    problems.\u201d
    b. \u201cThe nursing process is used primarily to explain nursing interventions to other
    health care professionals.\u201d
    c. \u201cThe nursing process is a problem-solving tool used to identify and treat the
    patients\u2019 health care needs.\u201d
    d. \u201cThe nursing process is based on nursing theory that incorporates the
    biopsychosocial nature of humans.\u201d
    ANS: C
    The nursing process is a problem-solving approach to the identification and treatment of
    patients\u2019 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<\/p>\n\n\n\n

      \n
    1. A patient admitted to the hospital for surgery tells the nurse, \u201cI do not feel comfortable
      leaving my children with my parents.\u201d 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\u2019s concerns about the child care arrangements.
      d. Call the patient\u2019s 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\u2019s 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<\/li>\n\n\n\n
    2. 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\u2019s bedding is kept clean and free of moisture.
      c. Patient understands the need for increased fluid intake.
      d. Patient\u2019s 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<\/li>\n\n\n\n
    3. After administering medication, the nurse asks the patient if pain was relieved. What is 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<\/li>\n<\/ol>\n\n\n\n

      Lewis’s Medical Surgical Nursing 11th Edition Harding Test Bank
      NURSING TEST BANK
      U S N T O
      c. To decide whether the patient\u2019s health problems have been completely resolved
      d. To establish if the patient agrees that the nursing care provided was satisfactory
      ANS: B
      Evaluation consists of determining whether the desired patient outcomes have been met and
      whether the nursing interventions were appropriate. The other responses do not describe the
      evaluation phase.
      DIF: Cognitive Level: Understand (comprehension) TOP: Nursing Process: Evaluation
      MSC: NCLEX: Safe and Effective Care Environment<\/p>\n\n\n\n

        \n
      1. The nurse interviews a patient while completing the health history and physical examination.
        What is the purpose of the assessment phase of the nursing process?
        a. To teach interventions that relieve health problems
        b. To use patient data to evaluate patient care outcomes
        c. To help the patient identify realistic outcomes for health problems
        d. To obtain data with which to diagnose patient strengths and problems
        ANS: D
        During the assessment phase, the nurse gathers information about the patient to diagnose
        patient strengths and problems. The other responses are examples of the planning,
        intervention, and evaluation phases of the nursing process.
        DIF: Cognitive Level: Understand (comprehension)
        TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
      2. The nurse admits a patient to the hospital and develops a plan of care. What components
        should the nurse include in thNe pRatienIt pGroblBem.CstateMment?
        a. The problem and the suggested patient goals or outcomes
        b. The problem, its causes, and the signs and symptoms of the problem
        c. The problem with the possible etiology and the planned interventions
        d. The problem, the pathophysiology of the problem, and the expected outcome
        ANS: B
        When writing patient problems or nursing diagnoses, this format should be used: problem,
        etiology, and signs and symptoms. The subjective as well as objective data should be
        included. Goals, outcomes, and interventions are not included in the problem statement.
        DIF: Cognitive Level: Understand (comprehension) TOP: Nursing Process: Diagnosis
        MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
      3. Which patient care task is appropriate for the nurse to delegate to experienced unlicensed
        assistive personnel (UAP)?
        a. Instruct the patient about the need to alternate activity and rest.
        b. Monitor level of shortness of breath or fatigue after ambulation.
        c. Obtain the patient\u2019s blood pressure and pulse rate after ambulation.
        d. Determine whether the patient is ready to increase the activity level.
        ANS: C
        UAP education includes accurate vital sign measurement. Assessment and patient teaching
        require registered nurse education and scope of practice and cannot be delegated.<\/li>\n<\/ol>\n\n\n\n

        Lewis’s Medical Surgical Nursing 11th Edition Harding Test Bank
        NURSING TEST BANK
        DIF: Cognitive Level: Apply (application)
        OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
        MSC: NCLEX: Safe and Effective Care Environment<\/p>\n\n\n\n

          \n
        1. A nurse is caring for a group of patients on the medical-surgical unit with the help of one float
          registered nurse (RN), one unlicensed assistive personnel (UAP), and one licensed
          practical\/vocational nurse (LPN\/VN). Which assignment, if delegated by the nurse, would be
          inappropriate?
          a. Check for the presence of bowel sounds by UAP
          b. Administration of oral medications by LPN\/VN
          c. Insulin administration by float RN from the pediatric unit
          d. Measurement of a patient\u2019s urinary catheter output by UAP
          ANS: A
          Assessment requires RN education and scope of practice so it cannot be delegated to an
          LPN\/VN or UAP. The other assignments made by the RN are appropriate for the role of the
          team member.
          DIF: Cognitive Level: Apply (application)
          OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
          MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
        2. Which task is appropriate for the nurse to delegate to a licensed practical\/vocational nurse
          (LPN\/VN)?
          a. Complete the initial admission assessment and plan of care.
          b. Measure bedside blood glucose before administering insulin.
          c. Document teaching completed before a diagnostic procedure.
          d. Instruct a patient about loNwU-fRatS, rIedNuGceTdBso.dCiuOmMdietary restrictions.
          ANS: B
          The education and scope of practice of the LPN\/LVN include activities such as obtaining
          glucose testing using a finger stick and administering insulin. Patient teaching and the initial
          assessment and development of the plan of care are nursing actions that require registered
          nurse education and scope of practice.
          DIF: Cognitive Level: Apply (application)
          OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
          MSC: NCLEX: Safe and Effective Care Environment<\/li>\n\n\n\n
        3. A nurse is assigned as a case manager for a hospitalized patient with a spinal cord injury.
          Which activity can the patient expect the nurse in this role to perform?
          a. Care for the patient during hospitalization for the injuries.
          b. Assist the patient with home care activities during recovery.
          c. Coordinate the services the patient receives in the hospital and at home.
          d. Determine what medical care the patient needs for optimal rehabilitation.
          ANS: C
          The role of the case manager is to coordinate the patient\u2019s care through multiple settings and
          levels of care to allow the maximal patient benefit at the least cost. The case manager does not
          provide direct care in the acute or home setting. The case manager coordinates and advocates
          for care the HCP determines what medical care is needed.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          Lewis’s Medical Surgical Nursing 11th Edition Harding Test BankNURSING TEST BANKN R I G B.C MLewis\u2019s Medical Surgical Nursing 11th Edition HardingTest BankChapter 01: Professional NursingHarding: Lewis\u2019s Medical-Surgical Nursing, 11th EditionMULTIPLE CHOICE Lewis’s Medical Surgical Nursing 11th Edition Harding Test BankNURSING TEST BANKa. \u201cThe nursing process is a research method of diagnosing the patient\u2019s health […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115653","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115653","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115653"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115653\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115653"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115653"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115653"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}