,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 therapeutic ab
x x x x x x x x x x x x x x x x x x x
ortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical obligation to
x x x x x x x x x x x x x x x x
these clients? x
A. The nurse should adhere to professional standards of practice and offer service to these cl
x x x x x x x x x x x x x x
ients.
B. The nurse should make the choice to decline this position and pursue a different nursing ro
x x x x x x x x x x x x x x x
le.
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 personal bel
x x x x x x x x x x x x x x x
iefs, the nurse should consider working in an area of nursing that would not pose this dilemma. The nurse
x x x x x x x x x x x x x x x x x x x
should not provide care to the client because it is a conflict of personal values. The nurse should not deny
x x x x x x x x x x x x x x x x x x x x
care to these clients as this would be a breach in the Code of Ethics for nurses. If the client is not requestin
x x x x x x x x x x x x x x x x x x x x x x
g information for alternatives to abortions, then the nurse should not be providing this information.
x x x x x x x x x x x x x x
PTS: 1 REF: p. 27
x x xx 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 Leve x x x x x x
l: 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 this s
x x x x x x x x x x x x x x x x
hould the nurse recognize?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 to situ
x x x x x x x x x x x x x x x x x x
ations in which the client's medical condition is deemed terminal. The other answers are incorrect becaus
x x x x x x x x x x x x x x x
e living wills are not always honored in every circumstance, they are not binding for the duration of the cl
x x x x x x x x x x x x x x x x x x x
ient's life, and they are not drawn up by the client's family.
x x x x x x x x x x x
PTS: 1 REF: p. 29
x x xx x
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TO
x x x x x x x x x x
P: Chapter 1: Professional Nursing Practice
x x x x x
KEY: Integrated Process: Communication and Documentation
x x x x x
BLM: Cognitive Level: Analyze x x x x
NOT: Multiple Choice x x
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical pri
x x x x x x x x x x x x x x x x x x x x
nciple of nonmaleficence. Which of the following actions would be considered a violation of this principl
x x x x x x x x x x x x x x x
e?
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|Page
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 therapeutic ab
x x x x x x x x x x x x x x x x x x x
ortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical obligation to
x x x x x x x x x x x x x x x x
these clients? x
A. The nurse should adhere to professional standards of practice and offer service to these cl
x x x x x x x x x x x x x x
ients.
B. The nurse should make the choice to decline this position and pursue a different nursing ro
x x x x x x x x x x x x x x x
le.
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 personal bel
x x x x x x x x x x x x x x x
iefs, the nurse should consider working in an area of nursing that would not pose this dilemma. The nurse
x x x x x x x x x x x x x x x x x x x
should not provide care to the client because it is a conflict of personal values. The nurse should not deny
x x x x x x x x x x x x x x x x x x x x
care to these clients as this would be a breach in the Code of Ethics for nurses. If the client is not requestin
x x x x x x x x x x x x x x x x x x x x x x
g information for alternatives to abortions, then the nurse should not be providing this information.
x x x x x x x x x x x x x x
PTS: 1 REF: p. 27
x x xx 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 Leve x x x x x x
l: 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 this s
x x x x x x x x x x x x x x x x
hould the nurse recognize?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 to situ
x x x x x x x x x x x x x x x x x x
ations in which the client's medical condition is deemed terminal. The other answers are incorrect becaus
x x x x x x x x x x x x x x x
e living wills are not always honored in every circumstance, they are not binding for the duration of the cl
x x x x x x x x x x x x x x x x x x x
ient's life, and they are not drawn up by the client's family.
x x x x x x x x x x x
PTS: 1 REF: p. 29
x x xx x
NAT: Client Needs: Safe, Effective Care Environment: Management of Care TO
x x x x x x x x x x
P: Chapter 1: Professional Nursing Practice
x x x x x
KEY: Integrated Process: Communication and Documentation
x x x x x
BLM: Cognitive Level: Analyze x x x x
NOT: Multiple Choice x x
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical pri
x x x x x x x x x x x x x x x x x x x x
nciple of nonmaleficence. Which of the following actions would be considered a violation of this principl
x x x x x x x x x x x x x x x
e?
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|Page
x x x x x