TESTBANK MEDICAL SURGICAL NURSING IN
CANADA 5TH EDITION 2025
,TABLE OF CONTENTS
1 Introduction to Medical-Surgical Nursing Practice in Canada 2
Cultural Competence and Health Equity in Care
3 Health History and Physical Examination 4
Patient and Caregiver Teaching
5 Chronic Illness
6 Community-Based Nursing and Home Care 7
Older Adults
8 Stress and Stress Management 9
Sleep and Sleep Disorders
10 Pain
11 Substance Use
12 Complementary and Alternative Therapies
13 Palliative Care at the End of Life
Section Two – Pathophysiological Mechanisms of Disease 14
Inflammation and Wound Healing
15 Genetics
16 Altered Immune Response and Transplantation
17 Infection and Human Immunodeficiency Virus Infection
18 Cancer
19 Fluid, Electrolyte, and Acid–Base Imbalances
Section Three – Perioperative Care
20 Nursing Management: Preoperative Care 21
Nursing Management: Intraoperative Care 22
Nursing Management: Post-operative Care
Section Four – Problems Related to Altered Sensory Input 23
Nursing Assessment: Visual and Auditory Systems
24 Nursing Management: Visual and Auditory Problems 25
Nursing Assessment: Integumentary System
26 Nursing Management: Integumentary Problems
27 Nursing Management: Burns
Section Five – Problems of Oxygenation: Ventilation 28
Nursing Assessment: Respiratory System
29 Nursing Management: Upper Respiratory Problems 30
,Nursing Management: Lower Respiratory Problems
31 Nursing Management: Obstructive Pulmonary Diseases
Section Six – Problems of Oxygenation: Transport
32 Nursing Assessment: Hematological System 33
Nursing Management: Hematological Problems
Section Seven – Problems of Oxygenation: Perfusion 34
Nursing Assessment: Cardiovascular System
35 Nursing Management: Hypertension
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome 37
Nursing Management: Heart Failure
38 Nursing Management: Dysrhythmias
39 Nursing Management: Inflammatory and Structural Heart Diseases 40
Nursing Management: Vascular Disorders
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination 41
Nursing Assessment: Gastrointestinal System
42 Nursing Management: Nutritional Problems 43
Nursing Management: Obesity
44 Nursing Management: Upper Gastrointestinal Problems 45
Nursing Management: Lower Gastrointestinal Problems
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
Section Nine – Problems of Urinary Function
47 Nursing Assessment: Urinary System
48 Nursing Management: Renal and Urological Problems
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease Section
Ten – Problems Related to Regulatory and Reproductive Mechanisms 50 Nursing
Assessment: Endocrine System
51 Nursing Management: Endocrine Problems 52
Nursing Management: Diabetes Mellitus
53 Nursing Assessment: Reproductive System 54
Nursing Management: Breast Disorders
55 Nursing Management: Sexually Transmitted Infections 56
Nursing Management: Female Reproductive Problems 57
Nursing Management: Male Reproductive Problems
Section Eleven – Problems Related to Movement and Coordination 58
Nursing Assessment: Nervous System
59 Nursing Management: Acute Intracranial Problems
60 Nursing Management: Stroke
, 61 Nursing Management: Chronic Neurological Problems
62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias 63
Nursing Management: Peripheral Nerve and Spinal Cord Problems 64
Nursing Assessment: Musculoskeletal System
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery 66
Nursing Management: Musculoskeletal Problems
67 Nursing Management: Arthritis and Connective Tissue Diseases
Section Twelve – Nursing Care in Specialized Settings
68 Nursing Management: Critical Care Environment
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and
Multiple-Organ Dysfunction Syndrome
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress
Syndrome
71 Nursing Management: Emergency Care Situations 72 Emergency Management and
Disaster Planning
Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis: Medical-
Surgical Nursing in Canada, 5th Canadian Edition
MULTIPLE CHOICE
1. When caring for clients using evidence-informed practice, which of the following does
the nurse use?
a. Clinical judgement based on experience
b. Evidence from a clinical research study
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the client outcomes are met
CORRECT ANSWER: C
Evidence-informed nursing practice is a continuous interactive process involving the
explicit, conscientious, and judicious consideration of the best available evidence to
provide care. Four primary elements are: (a) clinical state, setting, and circumstances; (b)
client preferences and actions; (c) best research evidence; and (d) health care resources.
Clinical judgement based on the nurse’s clinical experience is part of EIP, but clinical
decision making also should incorporate current research and research-based guidelines.
Evidence from one clinical research study does not provide an adequate substantiation
for interventions. Evaluation of client outcomes is important, but interventions should
be based on research from randomized control studies with a large number of subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
CANADA 5TH EDITION 2025
,TABLE OF CONTENTS
1 Introduction to Medical-Surgical Nursing Practice in Canada 2
Cultural Competence and Health Equity in Care
3 Health History and Physical Examination 4
Patient and Caregiver Teaching
5 Chronic Illness
6 Community-Based Nursing and Home Care 7
Older Adults
8 Stress and Stress Management 9
Sleep and Sleep Disorders
10 Pain
11 Substance Use
12 Complementary and Alternative Therapies
13 Palliative Care at the End of Life
Section Two – Pathophysiological Mechanisms of Disease 14
Inflammation and Wound Healing
15 Genetics
16 Altered Immune Response and Transplantation
17 Infection and Human Immunodeficiency Virus Infection
18 Cancer
19 Fluid, Electrolyte, and Acid–Base Imbalances
Section Three – Perioperative Care
20 Nursing Management: Preoperative Care 21
Nursing Management: Intraoperative Care 22
Nursing Management: Post-operative Care
Section Four – Problems Related to Altered Sensory Input 23
Nursing Assessment: Visual and Auditory Systems
24 Nursing Management: Visual and Auditory Problems 25
Nursing Assessment: Integumentary System
26 Nursing Management: Integumentary Problems
27 Nursing Management: Burns
Section Five – Problems of Oxygenation: Ventilation 28
Nursing Assessment: Respiratory System
29 Nursing Management: Upper Respiratory Problems 30
,Nursing Management: Lower Respiratory Problems
31 Nursing Management: Obstructive Pulmonary Diseases
Section Six – Problems of Oxygenation: Transport
32 Nursing Assessment: Hematological System 33
Nursing Management: Hematological Problems
Section Seven – Problems of Oxygenation: Perfusion 34
Nursing Assessment: Cardiovascular System
35 Nursing Management: Hypertension
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome 37
Nursing Management: Heart Failure
38 Nursing Management: Dysrhythmias
39 Nursing Management: Inflammatory and Structural Heart Diseases 40
Nursing Management: Vascular Disorders
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination 41
Nursing Assessment: Gastrointestinal System
42 Nursing Management: Nutritional Problems 43
Nursing Management: Obesity
44 Nursing Management: Upper Gastrointestinal Problems 45
Nursing Management: Lower Gastrointestinal Problems
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
Section Nine – Problems of Urinary Function
47 Nursing Assessment: Urinary System
48 Nursing Management: Renal and Urological Problems
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease Section
Ten – Problems Related to Regulatory and Reproductive Mechanisms 50 Nursing
Assessment: Endocrine System
51 Nursing Management: Endocrine Problems 52
Nursing Management: Diabetes Mellitus
53 Nursing Assessment: Reproductive System 54
Nursing Management: Breast Disorders
55 Nursing Management: Sexually Transmitted Infections 56
Nursing Management: Female Reproductive Problems 57
Nursing Management: Male Reproductive Problems
Section Eleven – Problems Related to Movement and Coordination 58
Nursing Assessment: Nervous System
59 Nursing Management: Acute Intracranial Problems
60 Nursing Management: Stroke
, 61 Nursing Management: Chronic Neurological Problems
62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias 63
Nursing Management: Peripheral Nerve and Spinal Cord Problems 64
Nursing Assessment: Musculoskeletal System
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery 66
Nursing Management: Musculoskeletal Problems
67 Nursing Management: Arthritis and Connective Tissue Diseases
Section Twelve – Nursing Care in Specialized Settings
68 Nursing Management: Critical Care Environment
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and
Multiple-Organ Dysfunction Syndrome
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress
Syndrome
71 Nursing Management: Emergency Care Situations 72 Emergency Management and
Disaster Planning
Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada Lewis: Medical-
Surgical Nursing in Canada, 5th Canadian Edition
MULTIPLE CHOICE
1. When caring for clients using evidence-informed practice, which of the following does
the nurse use?
a. Clinical judgement based on experience
b. Evidence from a clinical research study
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the client outcomes are met
CORRECT ANSWER: C
Evidence-informed nursing practice is a continuous interactive process involving the
explicit, conscientious, and judicious consideration of the best available evidence to
provide care. Four primary elements are: (a) clinical state, setting, and circumstances; (b)
client preferences and actions; (c) best research evidence; and (d) health care resources.
Clinical judgement based on the nurse’s clinical experience is part of EIP, but clinical
decision making also should incorporate current research and research-based guidelines.
Evidence from one clinical research study does not provide an adequate substantiation
for interventions. Evaluation of client outcomes is important, but interventions should
be based on research from randomized control studies with a large number of subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
