Medical Surgical Nursing Single Volume Assessment and Management of Clinical Problems 7th Edition by Sharon L. Lewis -Test Bank

Medical Surgical Nursing Single Volume Assessment and Management of Clinical Problems 7th Edition by Sharon L. Lewis -Test Bank

Lewis: Medical-Surgical Nursing, 7^th Edition

Test Bank

Chapter 1: Nursing Practice Today

MULTIPLE CHOICE

1.When the nurse explains to the patient that together they will plan the patient’s care and set goals to achieve by discharge, the patient says, “How is that different from what the doctor does?” Which response by the nurse is most appropriate?

Correct Answer: D

Rationale: This response is consistent with the American Nursing Association (ANA) definition of nursing, which states that nursing is focused on the human response to health problems. The other responses describe some of the dependent and collaborative functions of the nursing role but do not accurately describe the nurse’s role in the health care system.

Cognitive Level: Comprehension Text Reference: p. 3

Nursing Process: Implementation

NCLEX: Safe and Effective Care Environment

2.When providing patient care using evidence-based practice, the nurse uses

Correct Answer: C

Rationale: Evidence-based practice (EBP) is use of the best research-based evidence combined with clinician expertise. 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. Evidence from one clinical research study does not provide an adequate substantiation for interventions. Evaluation of patient outcomes is important, but interventions should be based on research from randomized control studies with a large number of subjects.

Cognitive Level: Comprehension Text Reference: p. 5

Nursing Process: Planning

NCLEX: Safe and Effective Care Environment

3.The nurse uses the nursing process in the care of patients primarily

Correct Answer: D

Rationale: The nursing process is a problem-solving approach to the identification and treatment of patients’ problems. Diagnosis is only one phase of the nursing process. 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.

Cognitive Level: Comprehension Text Reference: p. 9

Nursing Process: Implementation

NCLEX: Safe and Effective Care Environment

4.An elderly, emaciated patient is admitted to the intensive care unit (ICU). The nurse plans an every-2-hours turning schedule to prevent skin breakdown. In this case, the nursing action is considered to be

Correct Answer: D

Rationale: When implementing collaborative nursing actions, the nurse is responsible primarily for monitoring for complications or providing care to prevent or treat complications. Independent nursing actions are focused on health promotion, illness prevention, and patient advocacy. A dependent action would require a physician order to implement. Cooperative nursing functions are not described as one of the formal nursing functions.

Cognitive Level: Application Text Reference: p. 10

Nursing Process: Implementation

NCLEX: Safe and Effective Care Environment

5.A patient who has been admitted to the hospital for gallbladder surgery tells the nurse on admission, “I do not feel right about leaving my children with my neighbor.” During assessment of the patient, an appropriate nursing action by the nurse is to

Correct Answer: D

Rationale: The assessment phase includes gathering multidimensional data about the patient. The other nursing actions may be appropriate during the implementation phase (after further assessment of the patient’s concerns is accomplished by the nurse), but they are not part of the assessment phase.

Cognitive Level: Application Text Reference: p. 10

Nursing Process: Assessment NCLEX: Psychosocial Integrity

6.A patient with a stroke is paralyzed on the left side of the body and is not responsive enough to turn or move independently in bed. A pressure ulcer has developed on the patient’s left hip. The best nursing diagnosis for this patient is

Correct Answer: B

Rationale: The patient’s major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient. Although impaired physical mobility is a problem for the patient, the nurse cannot treat the paralysis. The “risk for” diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does have ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health problem is.

Cognitive Level: Application Text Reference: p. 11

Nursing Process: Diagnosis NCLEX: Physiological Integrity

7.A patient with an infection has a nursing diagnosis of fluid volume deficit related to excessive diaphoresis. An appropriate patient outcome identified by the nurse is that the

Correct Answer: A

Rationale: This statement gives measurable data showing resolution of the problem of fluid volume deficit that was identified in the nursing diagnosis statement. The other statements would not indicate that the problem of fluid-volume deficit was resolved.

Cognitive Level: Application Text Reference: p. 13

Nursing Process: Planning NCLEX: Physiological Integrity

8.A patient has a nursing diagnosis of activity intolerance related to prolonged bed rest as manifested by the patient’s report of weakness and fatigue. An appropriate NOC outcome and NIC intervention for this nursing diagnosis would be

Correct Answer: A

Rationale: The outcome and intervention in this response correspond closely to the nursing diagnosis of activity intolerance related to prolonged bed rest. The other outcomes and interventions do not directly address this nursing diagnosis.

Cognitive Level: Analysis Text Reference: pp. 12-14

Nursing Process: Planning

NCLEX: Safe and Effective Care Environment

9.The nurse reads on the care plan that a patient is at risk for developing an infection. The nurse recognizes that this patient problem

Correct Answer: C

Rationale: If the source of the risk for infection is something that can be treated by nursing, then the problem is a nursing diagnosis. If it is one that requires treatment by other health care providers, the problem is collaborative. In either case, the risk for infection should be included in the care plan.

Cognitive Level: Comprehension Text Reference: pp. 10, 12

Nursing Process: Diagnosis NCLEX: Physiological Integrity

10.A nursing activity that is carried out during the evaluation phase of the nursing process is

Correct Answer: C

Rationale: 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.

Cognitive Level: Comprehension Text Reference: p. 15

Nursing Process: Evaluation

NCLEX: Safe and Effective Care Environment

Test Bank for Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume, 7th Edition by Sharon L. Lewis

The “Test Bank for Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume, 7th Edition” by Sharon L. Lewis is an indispensable educational resource designed to support both educators and students in mastering the principles and practices of medical-surgical nursing. This comprehensive test bank complements the textbook by providing a variety of questions that assess and reinforce understanding of key medical-surgical nursing concepts and practical skills, making it an essential tool for both teaching and learning. Below is a detailed overview of the components and benefits of this test bank:

Overview of Test Bank Content

1. Chapter-by-Chapter Organization
   • The test bank is meticulously organized to align with each chapter of the textbook. This ensures comprehensive coverage of all critical topics and provides a structured approach to assessment, facilitating easy integration into the curriculum and enabling targeted learning.
2. Types of Questions
   • Multiple-Choice Questions (MCQs): These questions cover a broad spectrum of knowledge, from basic recall to complex application and critical thinking. Each question includes well-crafted distractors to challenge students’ understanding.
   • True/False Questions: These questions assess students’ ability to distinguish between correct and incorrect statements, reinforcing factual knowledge and addressing common misconceptions.
   • Fill-in-the-Blank Questions: These questions focus on recalling specific details such as key terms, processes, and important concepts, testing students’ memory and understanding.
   • Short Answer Questions: These questions require detailed yet concise responses, evaluating students’ ability to explain medical-surgical nursing concepts clearly and accurately.
   • Essay Questions: These questions assess students’ ability to synthesize and articulate complex ideas, demonstrating a deep understanding of medical-surgical nursing principles and their applications.
   • Case Studies and Scenarios: Real-world scenarios and case studies help students apply theoretical knowledge to practical situations, enhancing their critical thinking and problem-solving skills.
   • Clinical Skills and Procedures: These questions involve practical nursing skills and procedures that require students to apply theoretical knowledge to real-world clinical scenarios, enhancing their hands-on and problem-solving abilities.
   • Diagram-Based Questions: These questions involve interpreting, analyzing, or creating diagrams related to medical-surgical nursing concepts, reinforcing visual and analytical skills.
3. Difficulty Levels
   • Questions are categorized by difficulty to provide a range of challenges and assess students’ proficiency at different levels, including:
     • Basic: Testing foundational knowledge and comprehension.
     • Intermediate: Requiring application of knowledge to practical medical-surgical nursing scenarios.
     • Advanced: Involving critical thinking, analysis, and synthesis of complex medical-surgical nursing information.
4. Core Focus Areas
   • Introduction to Medical-Surgical Nursing: Questions covering the basic principles and scope of medical-surgical nursing, including the role of the nurse and the nursing process.
   • Health Assessment and Physical Examination: Detailed coverage of techniques and procedures for comprehensive health assessments and physical examinations.
   • Common Clinical Problems: Assessing knowledge of common clinical problems and conditions, including their pathophysiology, clinical manifestations, diagnostic tests, and nursing management.
   • Perioperative Nursing Care: Questions on preoperative, intraoperative, and postoperative care, including patient preparation, surgical procedures, and postoperative recovery.
   • Fluid, Electrolyte, and Acid-Base Imbalances: Focus on the principles of maintaining fluid and electrolyte balance, identifying imbalances, and implementing appropriate interventions.
   • Cardiovascular and Respiratory Care: Examining the care of patients with cardiovascular and respiratory disorders, including assessment, treatment, and nursing management.
   • Gastrointestinal and Hepatic Care: Coverage of the care of patients with gastrointestinal and hepatic disorders, including common conditions, diagnostic procedures, and therapeutic interventions.
   • Renal and Urinary Care: Questions on the care of patients with renal and urinary disorders, including assessment, management, and treatment options.
   • Neurological and Sensory Care: Detailed explanations for the care of patients with neurological and sensory disorders, including common conditions, diagnostic tests, and nursing interventions.
   • Musculoskeletal and Integumentary Care: Assessing understanding of the care of patients with musculoskeletal and integumentary disorders, including assessment, management, and treatment.
   • Endocrine and Metabolic Care: Questions on the care of patients with endocrine and metabolic disorders, including diabetes, thyroid disorders, and adrenal insufficiency.
   • Infectious Diseases and Immune Disorders: Focus on the care of patients with infectious diseases and immune disorders, including prevention, treatment, and nursing interventions.
   • Oncology Care: Examining the care of patients with cancer, including diagnostic tests, treatment options, and nursing management.
   • Palliative and End-of-Life Care: Coverage of the principles of palliative and end-of-life care, including pain management, symptom control, and support for patients and families.
5. Alignment with Learning Objectives
   • Each question in the test bank is aligned with the learning objectives outlined in the textbook, ensuring that assessments are relevant and targeted toward achieving the intended educational outcomes. This alignment helps in accurately measuring students’ progress and comprehension.
6. Educational Support and Utility
   • For Educators: The test bank provides a comprehensive resource for creating quizzes, exams, and other assessments. It simplifies the process of test creation and ensures consistency and alignment with the curriculum.
   • For Students: The test bank serves as a valuable tool for self-assessment and study. It helps students verify their answers, understand their mistakes, and learn the correct approach to solving medical-surgical nursing problems.

Benefits of Using the Test Bank

1. Enhanced Learning and Retention
   • The diverse range of question types and difficulty levels helps reinforce learning through varied and repeated exposure to key concepts, enhancing retention and understanding.
2. Preparation for Real-World Applications
   • By focusing on real-world scenarios and practical applications, the test bank prepares students for the practical aspects of medical-surgical nursing, ensuring they are ready to apply their knowledge in professional settings.
3. Comprehensive Assessment
   • The test bank allows for thorough and multi-faceted evaluation of students’ knowledge and skills, from basic understanding to advanced application, ensuring a well-rounded educational experience.
4. Efficient Teaching Resource
   • For educators, the test bank simplifies the process of creating assessments, providing a consistent and reliable tool for evaluating students’ progress and readiness for advanced studies in medical-surgical nursing.

Conclusion

The “Test Bank for Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume, 7th Edition” by Sharon L. Lewis is an essential resource for medical-surgical nursing education. It provides structured, comprehensive, and versatile tools for assessing and enhancing students’ knowledge and skills in medical-surgical nursing. By aligning closely with the textbook and emphasizing real-world application, the test bank supports the development of competent, confident professionals ready to excel in their understanding and application of medical-surgical nursing principles in various healthcare settings.