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Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems 11th Editi, Exams of Nursing

Lewis's Medical-Surgical Nursing Assessment and Management of Clinical Problems 11th Edition Test Bank.pdf

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2024/2025

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Lewis's Medical-Surgical Nursing Assessment and Management of Clinical
Problems 11th Edition Test Bank
1. Question: What is the primary purpose of the assessment phase of the nursing
process?
o Answer: To gather comprehensive data about the patient to identify health
problems and strengths.
2. Question: During which phase of the nursing process are nursing diagnoses
made?
o Answer: Diagnosis phase.
3. Question: Which term describes the specific, measurable outcomes expected
from nursing interventions?
o Answer: Patient goals.
4. Question: What is the primary focus of the implementation phase in the nursing
process?
o Answer: To execute the planned interventions to achieve the desired patient
outcomes.
5. Question: Why is ongoing evaluation important after implementing a nursing
care plan?
o Answer: To determine if the patient’s health outcomes are being met and to
make necessary adjustments to the plan.
6. Question: What is included in a well-written nursing diagnosis?
o Answer: The problem, its etiology, and defining characteristics.
7. Question: What is the purpose of the planning phase in the nursing process?
o Answer: To develop a comprehensive care plan that includes interventions and
expected outcomes.
8. Question: How should a nurse prioritize nursing diagnoses?
o Answer: By determining which issues are most critical to the patient’s safety and
wellbeing.
9. Question: What is the difference between short-term and long-term goals in
nursing care?
o Answer: Short-term goals are expected to be achieved in a short time, while
long-term goals take longer to accomplish.
10. Question: Which step follows the implementation phase in the nursing process?
o Answer: Evaluation phase.
Delegation and Supervision
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Problems 11th Edition Test Bank

  1. Question: What is the primary purpose of the assessment phase of the nursing process? o Answer: To gather comprehensive data about the patient to identify health problems and strengths.
  2. Question: During which phase of the nursing process are nursing diagnoses made? o Answer: Diagnosis phase.
  3. Question: Which term describes the specific, measurable outcomes expected from nursing interventions? o Answer: Patient goals.
  4. Question: What is the primary focus of the implementation phase in the nursing process? o Answer: To execute the planned interventions to achieve the desired patient outcomes.
  5. Question: Why is ongoing evaluation important after implementing a nursing care plan? o Answer: To determine if the patient’s health outcomes are being met and to make necessary adjustments to the plan.
  6. Question: What is included in a well-written nursing diagnosis? o Answer: The problem, its etiology, and defining characteristics.
  7. Question: What is the purpose of the planning phase in the nursing process? o Answer: To develop a comprehensive care plan that includes interventions and expected outcomes.
  8. Question: How should a nurse prioritize nursing diagnoses? o Answer: By determining which issues are most critical to the patient’s safety and wellbeing.
  9. Question: What is the difference between short-term and long-term goals in nursing care? o Answer: Short-term goals are expected to be achieved in a short time, while long-term goals take longer to accomplish.
  10. Question: Which step follows the implementation phase in the nursing process? o Answer: Evaluation phase. Delegation and Supervision

Problems 11th Edition Test Bank

  1. Question: What factors should a nurse consider when delegating tasks to unlicensed assistive personnel (UAP)? o Answer: The complexity of the task, the patient’s condition, and the UAP's training and experience.
  2. Question: Which task is appropriate to delegate to a licensed practical/vocational nurse (LPN/VN)? o Answer: Administering medications to stable patients.
  3. Question: Can a nurse delegate the task of performing a head-to-toe assessment? o Answer: No, that task should be performed by a registered nurse.
  4. Question: What is the primary role of a nurse supervisor? o Answer: To oversee nursing staff and ensure quality patient care delivery.
  5. Question: When should a nurse intervene during a task delegated to another nursing staff member? o Answer: If the task is not being performed according to established protocols or if patient safety is at risk. Therapeutic Communication
  6. Question: What communication technique involves summarizing what the patient has said to ensure understanding? o Answer: Reflection.
  7. Question: How can a nurse create a therapeutic relationship with a patient? o Answer: By being empathetic, respectful, and maintaining open lines of communication.
  8. Question: Why is active listening important in nursing practice? o Answer: It helps build trust and understanding between the nurse and the patient.
  9. Question: What should a nurse do if a patient is expressing anger? o Answer: Listen to the patient’s concerns without becoming defensive and validate their feelings.
  10. Question: In which situation should the nurse use silence during a conversation with a patient? o Answer: When allowing the patient time to process information or gather their thoughts. Cultural Competence

Problems 11th Edition Test Bank Patient-centered Care

  1. Question: What does patient-centered care emphasize? o Answer: Involving patients in their own care and respecting their preferences, needs, and values.
  2. Question: How can nurses support patient autonomy? o Answer: By providing information and allowing patients to make informed decisions about their care.
  3. Question: What is one way to evaluate patient-centered care? o Answer: Assessing patient satisfaction and outcomes post-intervention.
  4. Question: Why is it important to involve family members in the care of the patient? o Answer: Family members can provide emotional support and help reinforce the patient’s understanding of their health.
  5. Question: How can a nurse ensure that care is holistic and patient-centered? o Answer: By addressing the physical, emotional, social, and spiritual needs of the patient. Patient Education
  6. Question: What is the primary goal of patient education? o Answer: To empower patients to take an active role in their health and manage their conditions effectively.
  7. Question: Which teaching method is most effective for demonstrating a new skill to a patient? o Answer: Return demonstration.
  8. Question: How should a nurse assess a patient's understanding of discharge instructions? o Answer: By asking the patient to explain the instructions in their own words.
  9. Question: What should a nurse consider when developing educational materials for a patient? o Answer: The patient’s literacy level and preferred learning style.
  10. Question: Why is it important to document patient education? o Answer: To ensure continuity of care and verify that the patient has received necessary information. Infection Control

Problems 11th Edition Test Bank

  1. Question: What is the primary purpose of hand hygiene in a clinical setting? o Answer: To prevent the transmission of infections.
  2. Question: What is the proper order for donning personal protective equipment (PPE)? o Answer: Gown, mask, goggles, gloves.
  3. Question: What is a nurse's role in preventing healthcare-associated infections (HAIs)? o Answer: To follow infection control protocols and adhere to best practices.
  4. Question: Why is it critical to isolate patients with contagious diseases? o Answer: To prevent the spread of the infection to other patients and healthcare staff.
  5. Question: What is the significance of using aseptic technique during procedures? o Answer: To minimize the risk of infection during invasive procedures. Nutrition and Hydration
  6. Question: What role does nutrition play in patient recovery? o Answer: Proper nutrition supports healing, immune function, and overall health.
  7. Question: What is a clear liquid diet, and when is it used? o Answer: A diet consisting of clear fluids that provide hydration and electrolytes, often used post-surgery or for gastrointestinal issues.
  8. Question: How can a nurse promote adequate hydration in patients? o Answer: By encouraging fluid intake and offering a variety of beverages.
  9. Question: Why is it important to assess a patient’s dietary habits? o Answer: To identify nutritional deficiencies and address them in the care plan.
  10. Question: How can cultural considerations impact a patient’s nutrition? o Answer: Different cultures have unique dietary restrictions and preferences that should be considered in the care plan. Pain Management
  11. Question: What is the most reliable indicator of pain intensity in a patient? o Answer: The patient’s self-report.
  12. Question: What are the common routes for administering pain medication? o Answer: Oral, intravenous, intramuscular, and topical.

Problems 11th Edition Test Bank o Answer: To establish rapport and trust while helping patients express their feelings and concerns.

  1. Question: Why is it essential to consider cultural factors when assessing mental health? o Answer: Cultural beliefs influence the perception and expression of mental health issues.
  2. Question: What approach facilitates improved communication with a patient experiencing anxiety? o Answer: Using a calm and reassuring tone, maintaining a non-threatening posture, and creating a quiet environment. Emergency and Disaster Preparedness
  3. Question: What is the nurse's primary responsibility in an emergency situation? o Answer: To ensure patient safety and provide appropriate care.
  4. Question: What does the acronym RACE stand for in fire safety? o Answer: Rescue, Alarm, Contain, Extinguish.
  5. Question: How should a nurse prepare for a mass casualty incident? o Answer: By participating in training and drills, knowing the emergency response plan, and maintaining an updated triage protocol.
  6. Question: What is the priority action for a nurse during a disaster situation? o Answer: Triage victims to assess their needs and prioritize care based on severity.
  7. Question: What legal considerations must nurses keep in mind during emergency care? o Answer: Consent, scope of practice, and potential liability. Leadership and Management
  8. Question: What is a primary responsibility of a nurse manager? o Answer: Overseeing staff performance and ensuring quality patient care.
  9. Question: How can nurse leaders promote a positive work environment? o Answer: By encouraging team collaboration, providing constructive feedback, and recognizing staff achievements.
  10. Question: What is the significance of conflict resolution skills in nursing leadership?

Problems 11th Edition Test Bank o Answer: Effective conflict resolution fosters a supportive work environment and improves team dynamics.

  1. Question: How should a nurse manager handle a performance issue with a staff member? o Answer: By conducting a private conversation to provide feedback and develop an improvement plan.
  2. Question: What is the importance of continuous professional development in nursing? o Answer: It helps nurses stay updated with the latest practices, enhances patient care, and promotes career advancement. Ethical and Legal Issues
  3. Question: What is the primary principle of medical ethics? o Answer: To ensure patient autonomy, beneficence, non-maleficence, and justice.
  4. Question: How should a nurse respond to an ethical dilemma? o Answer: By consulting with an ethics committee and considering the patient’s values and preferences.
  5. Question: What is meant by informed consent? o Answer: A process by which a patient voluntarily agrees to a medical procedure after being fully informed of the risks and benefits.
  6. Question: Why is confidentiality crucial in nursing practice? o Answer: To protect patient privacy and maintain trust in the nurse-patient relationship.
  7. Question: What are the legal implications of refusing to provide care? o Answer: Nurses may face legal consequences for abandoning a patient or failing to follow established protocols. Technology in Nursing
  8. Question: What is the role of electronic health records (EHR) in patient care? o Answer: EHRs improve communication, enhance patient safety, and streamline documentation processes.
  9. Question: How can technology support patient education? o Answer: By using online resources and educational apps to provide patients with information about their health.
  10. Question: What are the benefits of using telehealth services?

Problems 11th Edition Test Bank

  1. Question: What is the significance of checking a patient’s allergies before administering medications? o Answer: To prevent adverse reactions and ensure patient safety.
  2. Question: What is the correct order for assessing a patient’s abdomen? o Answer: Inspection, auscultation, percussion, palpation. Infusion Therapy
  3. Question: What should a nurse monitor in patients receiving IV therapy? o Answer: Signs of infiltration, phlebitis, and fluid overload.
  4. Question: What is the purpose of using an infusion pump? o Answer: To deliver medications and fluids at precise rates and minimize the risk of complications.
  5. Question: How often should IV sites be assessed for patency and complications? o Answer: At least once per shift or as per facility protocol.
  6. Question: What is a key consideration when preparing to administer blood products? o Answer: Confirming patient identity and blood product compatibility.
  7. Question: What are the symptoms of fluid overload that a nurse should monitor for? - Answer: Hypertension, edema, dyspnea, and crackles in lung auscultation. Geriatric Care
  8. Question: What is one common physiological change in older adults that affects drug metabolism? - Answer: Reduced liver function and decreased hepatic blood flow.
  9. Question: Why is it important to assess functional ability in older patients? - Answer: To tailor the care plan according to their capabilities and promote independence.
  10. Question: What are signs of elder abuse that a nurse should be aware of? - Answer: Unexplained injuries, malnutrition, poor hygiene, and withdrawal from social interactions.
  11. Question: How can nurses promote healthy aging in older adults? - Answer: By encouraging physical activity, nutritious diets, and regular health screenings.

Problems 11th Edition Test Bank

  1. Question: What should be considered when communicating with older adults? - Answer: Making sure to speak clearly, allowing extra time for responses, and considering sensory impairments. Pediatric Care
  2. Question: What is the key consideration when assessing pediatric patients? - Answer: Developmental stage and age-specific milestones.
  3. Question: How can a nurse effectively communicate with a young child? - Answer: By using simple language and engaging in play to build trust.
  4. Question: What is the primary concern when administering medications to children? - Answer: Calculating dosages accurately based on weight and age.
  5. Question: Why is it important to involve parents in the care of their children? - Answer: Parents are critical in supporting the child’s comfort and adherence to treatment.
  6. Question: What approach can help alleviate a child’s fear of medical procedures? - Answer: Providing age-appropriate education and explanations about what to expect. Midwifery and Maternal Care
  7. Question: What is the primary responsibility of a nurse during labor and delivery? - Answer: To monitor the mother and fetus, providing support and care throughout the delivery process.
  8. Question: What is assessed during routine prenatal visits? - Answer: Maternal health, fetal growth, and signs of complications.
  9. Question: How can nurses promote breastfeeding among new mothers? - Answer: By providing education, support, and resources on proper techniques and benefits.
  10. Question: What should a nurse include in discharge teaching for a postpartum mother? - Answer: Signs of complications, newborn care, and mental health support.
  11. Question: What are common physical changes experienced during pregnancy that should be monitored? - Answer: Weight gain, edema, and changes in hormonal levels. Pharmacology
  12. Question: What is the significance of the therapeutic index of a drug? - Answer: It indicates the safety margin between its therapeutic and toxic doses.

Problems 11th Edition Test Bank

  1. Question: How should a nurse assess a dying patient’s comfort level? - Answer: By evaluating pain, emotional status, and preferences for care.
  2. Question: What is the role of a hospice nurse? - Answer: To provide holistic care to terminally ill patients and support their families. Cardiac Care
  3. Question: What is the purpose of performing an EKG? - Answer: To assess the electrical activity of the heart and identify abnormalities.
  4. Question: What are common risk factors for cardiovascular disease? - Answer: Hypertension, high cholesterol, smoking, obesity, and sedentary lifestyle.
  5. Question: What does a nurse monitor for a patient with a new diagnosis of heart failure? - Answer: Signs of fluid overload, such as dyspnea and edema.
  6. Question: How can lifestyle modifications help manage hypertension? - Answer: By implementing a low-sodium diet, regular exercise, and weight loss.
  7. Question: What is a priority assessment for a patient experiencing chest pain? - Answer: Immediate evaluation of vital signs and an EKG. Respiratory Care
  8. Question: What is a common symptom of a respiratory infection? - Answer: Cough, fever, and difficulty breathing.
  9. Question: How can a nurse encourage deep breathing in a postoperative patient? - Answer: By using incentive spirometry and providing education on its importance.
  10. Question: What should a nurse monitor in a patient with chronic obstructive pulmonary disease (COPD)? - Answer: Respiratory rate, oxygen saturation, and signs of exacerbation.
  11. Question: What is the purpose of administering bronchodilators to a patient? - Answer: To open the airways and improve airflow in conditions like asthma and COPD.
  12. Question: What is an appropriate nursing intervention for a patient with pneumonia? - Answer: Encourage frequent coughing and deep breathing exercises. Gastroenterology
  13. Question: What dietary changes can help manage gastroesophageal reflux disease (GERD)? - Answer: Avoiding spicy foods, caffeine, and eating smaller, more frequent meals.

Problems 11th Edition Test Bank

  1. Question: What is the purpose of a colonoscopy? - Answer: To visualize the interior of the colon and detect abnormalities and cancers.
  2. Question: How can constipation be managed in patients? - Answer: By increasing dietary fiber, hydration, and regular exercise.
  3. Question: What should a nurse assess in a patient presenting with abdominal pain? - Answer: The location, duration, and characteristics of the pain, as well as associated symptoms.
  4. Question: What is the importance of understanding a patient’s bowel habits in gastrointestinal assessments? - Answer: To identify abnormalities and tailor interventions accordingly. Neurological Care
  5. Question: What is the most common cause of a stroke? - Answer: Ischemia due to a clot obstructing blood flow to the brain.
  6. Question: What assessment should be performed on a patient suspected of having a stroke? - Answer: The FAST assessment (Face drooping, Arm weakness, Speech difficulty, Time to call emergency services).
  7. Question: How can a nurse promote safety for patients with seizures? - Answer: By ensuring a safe environment, removing hazards, and keeping the patient’s airway clear.
  8. Question: What is the significance of a Glasgow Coma Scale (GCS) score? - Answer: It assesses a patient’s level of consciousness and neurological status.
  9. Question: Which symptom is associated with increased intracranial pressure? - Answer: Altered level of consciousness, headache, and vomiting. Musculoskeletal Care
  10. Question: What is the primary goal for a patient recovering from orthopedic surgery? - Answer: To restore function and minimize pain.
  11. Question: What should a nurse monitor in a patient with a cast? - Answer: Signs of circulation impairment, such as color, temperature, and pain.
  12. Question: What is a common complication associated with immobility? - Answer: Deep vein thrombosis (DVT).
  13. Question: How can a nurse assist a patient with arthritis? - Answer: By suggesting exercise modifications and pain management techniques.
  14. Question: What is the purpose of physical therapy in orthopedic rehabilitation? - Answer: To improve strength, mobility, and overall function after an injury or surgery.

Problems 11th Edition Test Bank

  1. Question: How does the nurse assess for signs of dehydration? - Answer: By checking skin turgor, mucous membranes, vital signs, and urine output.
  2. Question: What is the first-line treatment for hypertension? - Answer: Lifestyle modifications, including diet and exercise, followed by antihypertensive medications if necessary.
  3. Question: What should a nurse monitor in a patient with chronic kidney disease? - Answer: Electrolyte levels, fluid balances, and signs of uremia. Special Situations in Nursing
  4. Question: How should a nurse respond when a patient is exhibiting violent behavior? - Answer: De-escalate the situation, ensuring safety for the patient and others, and seek assistance if necessary.
  5. Question: What are the key components of a disaster response plan in healthcare? - Answer: Efficient triage, resource allocation, and communication with local emergency services.
  6. Question: How can nurses support patients experiencing loss and grief? - Answer: By providing a listening ear, emotional support, and resources for coping.
  7. Question: What considerations should be made for providing care in a culturally diverse setting? - Answer: Recognizing cultural beliefs, practices, and preferences that may affect patient care.
  8. Question: What should a nurse do if they suspect a patient is in an abusive relationship? - Answer: Provide support, allow the patient to speak openly, and offer resources for help. Health Promotion and Disease Prevention
  9. Question: What is the significance of routine health screenings? - Answer: They help detect health issues early and promote preventive measures.
  10. Question: How can nurses promote smoking cessation among patients? - Answer: By providing education on the benefits of quitting and offering resources for support.
  11. Question: What is the role of vaccination in public health? - Answer: Vaccines prevent the spread of infectious diseases and promote herd immunity.
  12. Question: How can a nurse encourage healthy lifestyle choices in patients?
- **Answer:** By providing education on nutrition, physical activity, and stress management techniques. 

Problems 11th Edition Test Bank

  1. Question: Why is patient education essential in chronic disease management? - Answer: Educating patients helps them understand their condition and adhere to treatment plans. Specific Interventions
  2. Question: What is the recommended position for a patient experiencing dyspnea? - Answer: Sitting upright or in a semi-Fowler's position to facilitate breathing.
  3. Question: How should a nurse prepare for a venipuncture? - Answer: By collecting necessary supplies and ensuring proper patient identification and positioning.
  4. Question: What intervention can a nurse implement to prevent thrombus formation in bedridden patients? - Answer: Encourage passive and active leg exercises and implement compression stockings as appropriate.
  5. Question: What should a nurse assess before administering a blood transfusion? - Answer: Verify blood type and compatibility, and monitor vital signs before, during, and after the transfusion.
  6. Question: How can a nurse promote skin integrity in patients with incontinence? - Answer: By implementing a scheduled toileting routine and using absorbent products to keep the skin dry. Advanced Practice and Special Areas
  7. Question: What skills are essential for a nurse practitioner in primary care? - Answer: Assessment, diagnosis, treatment planning, and patient education.
  8. Question: How can nurses contribute to research in nursing practice? - Answer: By participating in studies, collecting data, and applying evidence-based findings to improve care.
  9. Question: What role do clinical nurse specialists play in healthcare? - Answer: They provide expert consultation in their specialty area and help improve nursing practices.
  10. Question: How can nurses advocate for patients? - Answer: By representing their needs, rights, and preferences within the healthcare system.
  11. Question: What is the focus of nurse anesthesia practice? - Answer: To provide anesthesia care and pain management before, during, and after surgical procedures. Public Health and Community Nursing

Problems 11th Edition Test Bank

  1. Question: What is the significance of continuing education for nurses? - Answer: It ensures that nurses maintain competence and stay updated with current standards and practices.
  2. Question: How can a nurse manage stress and prevent burnout? - Answer: By establishing a healthy work-life balance and utilizing coping mechanisms such as mindfulness and relaxation techniques.
  3. Question: What are the essential qualities of effective nursing leaders? - Answer: Communication skills, emotional intelligence, and the ability to inspire and motivate others.
  4. Question: What is the role of professional nursing organizations? - Answer: To promote the interests of nurses, provide networking opportunities, and advance the nursing profession through advocacy and education. Ethical and Legal Considerations
  5. Question: What is the significance of ethical principles in nursing practice?
- **Answer:** They guide nurses in making decisions that respect patient rights and promote quality care. 
  1. Question: What are the legal responsibilities of nurses in documentation?
- **Answer:** To accurately record patient care and ensure that documentation complies with legal and ethical standards. 
  1. Question: What should a nurse do if they witness a breach of patient confidentiality? - Answer: Report the incident to a supervisor according to facility policy.
  2. Question: Why is understanding scope of practice crucial for nurses? - Answer: It defines the limit of responsibilities and services that nurses can legally provide.
  3. Question: How can nurses promote ethical decision-making within their teams? - Answer: By fostering open discussions about ethics and providing resources for ethical dilemmas. Health Maintenance and Promotion
  4. Question: What is the purpose of immunizations in public health? - Answer: To protect individuals and communities from preventable diseases by achieving herd immunity.
  5. Question: How can a nurse assess a patient’s readiness for behavior change? - Answer: By evaluating their motivation, understanding of the behavior, and perceived barriers to change.

Problems 11th Edition Test Bank

  1. Question: What is one key approach to promoting health in adolescents? - Answer: Providing education about high-risk behaviors and ways to make informed decisions.
  2. Question: How can nurses encourage healthy behaviors in children? - Answer: By engaging them in fun physical activities and educating families about balanced nutrition.
  3. Question: What is the significance of health literacy in patient education? - Answer: It empowers patients to understand and effectively manage their health. Environmental Health
  4. Question: How can nurses contribute to environmental health? - Answer: By advocating for policies that reduce exposure to harmful substances and promoting sustainable practices.
  5. Question: What are some common environmental hazards that nurses should be aware of? - Answer: Air pollution, toxic chemicals, and inadequate access to clean water.
  6. Question: How can community nursing address environmental health issues? - Answer: Through education, advocacy, and collaboration with public health agencies.
  7. Question: What does the term "biological hazard" refer to in healthcare? - Answer: Any biological substance that poses a threat to human health, such as bacteria or viruses.
  8. Question: What is the nurse’s role in disaster preparedness? - Answer: To develop and implement response plans, educate the community, and participate in drills. Advanced Clinical Skills
  9. Question: What is an essential skill for nurses performing wound care? - Answer: Knowledge of different wound types and appropriate dressings.
  10. Question: How can a nurse determine if a patient is experiencing excessive blood loss? - Answer: By monitoring vital signs, assessing for changes in mental status, and checking hemoglobin levels.
  11. Question: What are the steps in performing a physical assessment? - Answer: Inspection, palpation, percussion, and auscultation.
  12. Question: What special considerations should be made when caring for patients with sensory impairments? - Answer: Providing clear communication, utilizing assistive devices, and ensuring a safe environment.