,Table of Contents
x# x#
Chapter 01 Professional Nursing Practice
x# x# x# x# 2
Chapter 02 Medical-Surgical Nursing
x# x# x# 17
Chapter 03 Health Education and Health Promotion
x# x# x# x# x# x# 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment
x# x# x# x# x# x# x# x# x# 45
Chapter 05 Stress and Inflammatory Responses
x# x# x# x# x# 60
Chapter 06 Genetics and Genomics in Nursing
x# x# x# x# x# x# 76
Chapter 07 Disability and Chronic Illness
x# x# x# x# x# 92
Chapter 08 Management of the Older Adult Patient
x# x# x# x# x# x# x# 107
Chapter 09 Pain Management
x# x# x# 121
Chapter 10 Fluid and Electrolytes
x# x# x# x# 137
Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
x# x# x# x# x# x# x# x# 153
Chapter 12 Management of Patients with Oncologic Disorders
x# x# x# x# x# x# x# 169
Chapter 13 Palliative and End-of-Life Care
x# x# x# x# x# 183
Chapter 14 Preoperative Nursing Management
x# x# x# x# 199
Chapter 15 Intraoperative Nursing Management
x# x# x# x# 214
Chapter 16 Postoperative Nursing Management
x# x# x# x# 228
Chapter 17 Assessment of Respiratory Function
x# x# x# x# x# 243
Chapter 18 Management of Patients with Upper Respiratory Tract Disorders
x# x# x# x# x# x# x# x# x# 258
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders
x# x# x# x# x# x# x# x# x# x# x# 272
Chapter 20 Management of Patients with Chronic Pulmonary Disease
x# x# x# x# x# x# x# x# 288
Chapter 21 Assessment of Cardiovascular Function
x# x# x# x# x# 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
x# x# x# x# x# x# x# x# x# 318
Chapter 23 Management of Patients with Coronary Vascular Disorders
x# x# x# x# x# x# x# x# 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
x# x# x# x# x# x# x# x# x# x#
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease
x# x# x# x# x# x# x# x# x# 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
x# x# x# x# x# x# x# x# x# x# x#
of Peripheral Circulation
x# x# 375
Chapter 27 Assessment and Management of Patients with Hypertension
x# x# x# x# x# x# x# x# 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
x# x# x# x# x# x# x# x# 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
x# x# x# x# x# x# x# x# 420
Chapter 30 Management of Patients with Hematologic Neoplasms
x# x# x# x# x# x# x# 433
Chapter 31 Assessment of Immune Function
x# x# x# x# x# 448
Chapter 32 Management of Patients with Immune Deficiency Disorders
x# x# x# x# x# x# x# x# 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
x# x# x# x# x# x# x# x# x# 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
x# x# x# x# x# x# x# x# x# x# 492
Chapter 35 Assessment of Musculoskeletal Function
x# x# x# x# x# 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
x# x# x# x# x# x# x# 520
,Chapter 37 Management of Patients with Musculoskeletal Trauma
x# x# x# x# x# x# x# 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function
x# x# x# x# x# x# x# 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders
x# x# x# x# x# x# x# x# x# 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders
x# x# x# x# x# x# x# x# x# 578
Chapter 41 Management of Patients with Intestinal and Rectal Disorders
x# x# x# x# x# x# x# x# x# 591
Chapter 42 Assessment and Management of Patients with Obesity
x# x# x# x# x# x# x# x# 606
Chapter 43 Assessment and Management of Patients with Hepatic Disorders
x# x# x# x# x# x# x# x# x# 621
Chapter 44 Management of Patients with Biliary Disorders
x# x# x# x# x# x# x# 635
Chapter 45 Assessment and Management of Patients with Endocrine Disorders
x# x# x# x# x# x# x# x# x# 650
Chapter 46 Management of Patients with Diabetes
x# x# x# x# x# x# 665
Chapter 47 Assessment of Kidney and Urinary Function
x# x# x# x# x# x# x# 680
Chapter 48 Management of Patients with Kidney Disorders
x# x# x# x# x# x# x# 695
Chapter 49 Management of Patients with Urinary Disorders
x# x# x# x# x# x# x# 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes
x# x# x# x# x# x# x# x# x# x# 725
Chapter 51 Management of Patients with Female Reproductive Disorders
x# x# x# x# x# x# x# x# 741
Chapter 52 Assessment and Management of Patients with Breast Disorders
x# x# x# x# x# x# x# x# x# 757
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders
x# x# x# x# x# x# x# x# x# x# 771
Chapter 54 Assessment and Management of Patients Who Are LGBTQ
x# x# x# x# x# x# x# x# x# 786
Chapter 55 Assessment of Integumentary Function
x# x# x# x# x# 794
Chapter 56 Management of Patients with Dermatologic Disorders
x# x# x# x# x# x# x# 808
Chapter 57 Management of Patients with Burn Injury
x# x# x# x# x# x# x# 822
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders
x# x# x# x# x# x# x# x# x# x# x# 837
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders
x# x# x# x# x# x# x# x# x# x# x# 851
Chapter 60 Assessment of Neurologic Function
x# x# x# x# x# 866
Chapter 61 Management of Patients With Neurologic Dysfunction
x# x# x# x# x# x# x# 881
Chapter 62 Management of Patients With Cerebrovascular Disorders
x# x# x# x# x# x# x# 895
Chapter 63 Management of Patients with Neurologic Trauma
x# x# x# x# x# x# x# 911
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
x# x# x# x# x# x# x# x# x# x#
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
x# x# x# x# x# x# x# x# x# x# 940
Chapter 66 Management of Patients with Infectious Diseases
x# x# x# x# x# x# x# 955
Chapter 67 Emergency Nursing
x# x# x# 968
Chapter 68 Disaster Nursing
x# x# x# 977
, Chapter 1: Professional Nursing Practice
x# x# x# x#
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
x# x# x# x# x# x# x# x# x#
MULTIPLE CHOICE x#
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therap
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
eutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethica
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
l obligation to these clients?
x# x# x# x#
A. The nurse should adhere to professional standards of practice and offer service to th
x# x# x# x# x# x# x# x# x# x# x# x# x#
ese clients. x#
B. The nurse should make the choice to decline this position and pursue a different nurs
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ing role. x#
C. The nurse should decline to care for the client’s considering abortion.
x# x# x# x# x# x# x# x# x# x#
D. The nurse should express alternatives to women considering terminating their pregnancy.
x# x# x# x# x# x# x# x# x# x#
ANS: B x #
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s perso
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
nal beliefs, the nurse should consider working in an area of nursing that would not pose this dilem
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ma. The nurse should not provide care to the client because it is a conflict of personal values. The
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x
#nurse should not deny care to these clients as this would be a breach in the Code of Ethics for nu
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
rses. If the client is not requesting information for alternatives to abortions, then the nurse should
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
not be providing this information.
x# x# x# x#
PTS: 1 REF: p. 27
x # x # x#x# x#
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
x # x# x# x# x# x# x# x# x#
TOP: Chapter 1: Professional Nursing Practice
x # x# x# x# x#
KEY: Integrated Process: Caring BLM: Cognitive L x # x# x# x# x # x#
evel: Apply x# NOT: Multiple Choice x # x#
2. An 80-year-old client is admitted with a diagnosis of community-
x# x# x# x# x# x# x# x# x#
acquired pneumonia. During admission the client states, "I have a living will." What implication of
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
this should the nurse recognize?
x# x# x# x# x#
A. This document is always honored, regardless of circumstances.
x# x# x# x# x# x# x#
B. This document specifies the client's wishes before hospitalization.
x# x# x# x# x# x# x#
C. This document is binding for the duration of the client's life.
x# x# x# x# x# x# x# x# x# x#
D. This document has been drawn up by the client's family to determine DNR status.
x# x# x# x# x# x# x# x# x# x# x# x# x#
ANS: B x #
Rationale: A living will is one type of advance directive. In most situations, living wills are limited
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
to situations in which the client's medical condition is deemed terminal. The other answers are inc
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
orrect because living wills are not always honored in every circumstance, they are not binding for
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
the duration of the client's life, and they are not drawn up by the client's family.
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
PTS: 1 REF: p. 29
x # x # x#x# x#
NAT: Client Needs: Safe, Effective Care Environment: Management of Car
x # x# x# x# x# x# x# x# x#
e TOP: Chapter 1: Professional Nursing Practice
x# x # x# x# x# x#
KEY: Integrated Process: Communication and Documentation
x # x# x# x# x#
BLM: Cognitive Level: Analyz x# x# x#
e NOT: Multiple Choice
x# x # x#
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the et
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
hical principle of nonmaleficence. Which of the following actions would be considered a violation
x# x# x# x# x# x# x# x# x# x# x# x# x# x
of this principle?
# x# x#
A. Discussing a DNR order with a terminally ill client x# x# x# x# x# x# x# x#
B. Assisting a semi-independent client with ADLs x# x# x# x# x#
C. Refusing to administer pain medication as prescribed x# x# x# x# x# x#
1 | P a g e
x# x# x# x# x#
x# x#
Chapter 01 Professional Nursing Practice
x# x# x# x# 2
Chapter 02 Medical-Surgical Nursing
x# x# x# 17
Chapter 03 Health Education and Health Promotion
x# x# x# x# x# x# 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment
x# x# x# x# x# x# x# x# x# 45
Chapter 05 Stress and Inflammatory Responses
x# x# x# x# x# 60
Chapter 06 Genetics and Genomics in Nursing
x# x# x# x# x# x# 76
Chapter 07 Disability and Chronic Illness
x# x# x# x# x# 92
Chapter 08 Management of the Older Adult Patient
x# x# x# x# x# x# x# 107
Chapter 09 Pain Management
x# x# x# 121
Chapter 10 Fluid and Electrolytes
x# x# x# x# 137
Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
x# x# x# x# x# x# x# x# 153
Chapter 12 Management of Patients with Oncologic Disorders
x# x# x# x# x# x# x# 169
Chapter 13 Palliative and End-of-Life Care
x# x# x# x# x# 183
Chapter 14 Preoperative Nursing Management
x# x# x# x# 199
Chapter 15 Intraoperative Nursing Management
x# x# x# x# 214
Chapter 16 Postoperative Nursing Management
x# x# x# x# 228
Chapter 17 Assessment of Respiratory Function
x# x# x# x# x# 243
Chapter 18 Management of Patients with Upper Respiratory Tract Disorders
x# x# x# x# x# x# x# x# x# 258
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders
x# x# x# x# x# x# x# x# x# x# x# 272
Chapter 20 Management of Patients with Chronic Pulmonary Disease
x# x# x# x# x# x# x# x# 288
Chapter 21 Assessment of Cardiovascular Function
x# x# x# x# x# 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
x# x# x# x# x# x# x# x# x# 318
Chapter 23 Management of Patients with Coronary Vascular Disorders
x# x# x# x# x# x# x# x# 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
x# x# x# x# x# x# x# x# x# x#
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease
x# x# x# x# x# x# x# x# x# 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
x# x# x# x# x# x# x# x# x# x# x#
of Peripheral Circulation
x# x# 375
Chapter 27 Assessment and Management of Patients with Hypertension
x# x# x# x# x# x# x# x# 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
x# x# x# x# x# x# x# x# 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
x# x# x# x# x# x# x# x# 420
Chapter 30 Management of Patients with Hematologic Neoplasms
x# x# x# x# x# x# x# 433
Chapter 31 Assessment of Immune Function
x# x# x# x# x# 448
Chapter 32 Management of Patients with Immune Deficiency Disorders
x# x# x# x# x# x# x# x# 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
x# x# x# x# x# x# x# x# x# 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
x# x# x# x# x# x# x# x# x# x# 492
Chapter 35 Assessment of Musculoskeletal Function
x# x# x# x# x# 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
x# x# x# x# x# x# x# 520
,Chapter 37 Management of Patients with Musculoskeletal Trauma
x# x# x# x# x# x# x# 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function
x# x# x# x# x# x# x# 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders
x# x# x# x# x# x# x# x# x# 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders
x# x# x# x# x# x# x# x# x# 578
Chapter 41 Management of Patients with Intestinal and Rectal Disorders
x# x# x# x# x# x# x# x# x# 591
Chapter 42 Assessment and Management of Patients with Obesity
x# x# x# x# x# x# x# x# 606
Chapter 43 Assessment and Management of Patients with Hepatic Disorders
x# x# x# x# x# x# x# x# x# 621
Chapter 44 Management of Patients with Biliary Disorders
x# x# x# x# x# x# x# 635
Chapter 45 Assessment and Management of Patients with Endocrine Disorders
x# x# x# x# x# x# x# x# x# 650
Chapter 46 Management of Patients with Diabetes
x# x# x# x# x# x# 665
Chapter 47 Assessment of Kidney and Urinary Function
x# x# x# x# x# x# x# 680
Chapter 48 Management of Patients with Kidney Disorders
x# x# x# x# x# x# x# 695
Chapter 49 Management of Patients with Urinary Disorders
x# x# x# x# x# x# x# 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes
x# x# x# x# x# x# x# x# x# x# 725
Chapter 51 Management of Patients with Female Reproductive Disorders
x# x# x# x# x# x# x# x# 741
Chapter 52 Assessment and Management of Patients with Breast Disorders
x# x# x# x# x# x# x# x# x# 757
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders
x# x# x# x# x# x# x# x# x# x# 771
Chapter 54 Assessment and Management of Patients Who Are LGBTQ
x# x# x# x# x# x# x# x# x# 786
Chapter 55 Assessment of Integumentary Function
x# x# x# x# x# 794
Chapter 56 Management of Patients with Dermatologic Disorders
x# x# x# x# x# x# x# 808
Chapter 57 Management of Patients with Burn Injury
x# x# x# x# x# x# x# 822
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders
x# x# x# x# x# x# x# x# x# x# x# 837
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders
x# x# x# x# x# x# x# x# x# x# x# 851
Chapter 60 Assessment of Neurologic Function
x# x# x# x# x# 866
Chapter 61 Management of Patients With Neurologic Dysfunction
x# x# x# x# x# x# x# 881
Chapter 62 Management of Patients With Cerebrovascular Disorders
x# x# x# x# x# x# x# 895
Chapter 63 Management of Patients with Neurologic Trauma
x# x# x# x# x# x# x# 911
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
x# x# x# x# x# x# x# x# x# x#
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
x# x# x# x# x# x# x# x# x# x# 940
Chapter 66 Management of Patients with Infectious Diseases
x# x# x# x# x# x# x# 955
Chapter 67 Emergency Nursing
x# x# x# 968
Chapter 68 Disaster Nursing
x# x# x# 977
, Chapter 1: Professional Nursing Practice
x# x# x# x#
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
x# x# x# x# x# x# x# x# x#
MULTIPLE CHOICE x#
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therap
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
eutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethica
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
l obligation to these clients?
x# x# x# x#
A. The nurse should adhere to professional standards of practice and offer service to th
x# x# x# x# x# x# x# x# x# x# x# x# x#
ese clients. x#
B. The nurse should make the choice to decline this position and pursue a different nurs
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ing role. x#
C. The nurse should decline to care for the client’s considering abortion.
x# x# x# x# x# x# x# x# x# x#
D. The nurse should express alternatives to women considering terminating their pregnancy.
x# x# x# x# x# x# x# x# x# x#
ANS: B x #
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s perso
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
nal beliefs, the nurse should consider working in an area of nursing that would not pose this dilem
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
ma. The nurse should not provide care to the client because it is a conflict of personal values. The
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x
#nurse should not deny care to these clients as this would be a breach in the Code of Ethics for nu
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
rses. If the client is not requesting information for alternatives to abortions, then the nurse should
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
not be providing this information.
x# x# x# x#
PTS: 1 REF: p. 27
x # x # x#x# x#
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
x # x# x# x# x# x# x# x# x#
TOP: Chapter 1: Professional Nursing Practice
x # x# x# x# x#
KEY: Integrated Process: Caring BLM: Cognitive L x # x# x# x# x # x#
evel: Apply x# NOT: Multiple Choice x # x#
2. An 80-year-old client is admitted with a diagnosis of community-
x# x# x# x# x# x# x# x# x#
acquired pneumonia. During admission the client states, "I have a living will." What implication of
x# x# x# x# x# x# x# x# x# x# x# x# x# x#
this should the nurse recognize?
x# x# x# x# x#
A. This document is always honored, regardless of circumstances.
x# x# x# x# x# x# x#
B. This document specifies the client's wishes before hospitalization.
x# x# x# x# x# x# x#
C. This document is binding for the duration of the client's life.
x# x# x# x# x# x# x# x# x# x#
D. This document has been drawn up by the client's family to determine DNR status.
x# x# x# x# x# x# x# x# x# x# x# x# x#
ANS: B x #
Rationale: A living will is one type of advance directive. In most situations, living wills are limited
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
to situations in which the client's medical condition is deemed terminal. The other answers are inc
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
orrect because living wills are not always honored in every circumstance, they are not binding for
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
the duration of the client's life, and they are not drawn up by the client's family.
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
PTS: 1 REF: p. 29
x # x # x#x# x#
NAT: Client Needs: Safe, Effective Care Environment: Management of Car
x # x# x# x# x# x# x# x# x#
e TOP: Chapter 1: Professional Nursing Practice
x# x # x# x# x# x#
KEY: Integrated Process: Communication and Documentation
x # x# x# x# x#
BLM: Cognitive Level: Analyz x# x# x#
e NOT: Multiple Choice
x# x # x#
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the et
x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x# x#
hical principle of nonmaleficence. Which of the following actions would be considered a violation
x# x# x# x# x# x# x# x# x# x# x# x# x# x
of this principle?
# x# x#
A. Discussing a DNR order with a terminally ill client x# x# x# x# x# x# x# x#
B. Assisting a semi-independent client with ADLs x# x# x# x# x#
C. Refusing to administer pain medication as prescribed x# x# x# x# x# x#
1 | P a g e
x# x# x# x# x#
