,Tableofcontent rl rl
1. Introduction to Medical-Surgical Nursing Practice in Canadarl rl rl rl rl rl
2. Cultural Competence and Health Equity in Nursing Care
rl rl rl rl rl rl rl
3. Health History and Physical Examination
rl rl rl rl
4. Patient and Caregiver Teaching
rl rl rl
5. Chronic Illness rl
6. Community-Based Nursing and Home Care rl rl rl rl
7. Older Persons
rl
8. Stress and Stress Management
rl rl rl
9. Sleep and Sleep Disorders
r l r l r l
10. Pain
11. Substance Use rl
12. Complementary and Alternative Therapies rl rl rl
13. Palliative and End-of-Life Care rl rl rl
14. Inflammation and Wound Healing rl rl rl
15. Genetics
16. Altered Immune Response and Transplantation
rl rl rl rl
17. Infection and Human Immunodeficiency Virus Infection
rl rl rl rl rl
18. Cancer
19. Fluid, Electrolyte, and Acid–Base Imbalances
rl rl rl rl
20. Nursing Management: Preoperative Care
rl rl rl
21. Nursing Management: Intraoperative Care
rl rl rl
22. Nursing Management: Postoperative Care
rl rl rl
23. Nursing Assessment: Visual and Auditory Systems
rl rl rl rl rl
24. Nursing Management: Visual and Auditory Conditions
rl rl rl rl rl
25. Nursing Assessment: Integumentary System
rl rl rl
26. Nursing Management: Integumentary Conditions
rl rl rl
27. Nursing Management: Burns rl rl
28. Nursing Assessment: Respiratory System
rl rl rl
29. Nursing Management: Upper Respiratory Conditions
rl rl rl rl
30. Nursing Management: Lower Respiratory Conditions
rl rl rl rl
31. Nursing Management: Obstructive Pulmonary Diseases
rl rl rl rl
32. Nursing Assessment: Hematological System
rl rl rl
33. Nursing Management: Hematological Conditions
rl rl rl
34. Nursing Assessment: Cardiovascular System
rl rl rl
35. Nursing Management: Hypertension rl rl
36. Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
rl rl rl rl rl rl rl rl
37. Nursing Management: Heart Failurerl rl rl
38. Nursing Management: Dysrhythmias rl rl
39. Nursing Management: Inflammatory and Structural Heart Disorders
rl rl rl rl rl rl
40. Nursing Management: Vascular Disorders
rl rl rl
41. Nursing Assessment: Gastrointestinal System
rl rl rl
42. Nursing Management: Nutritional Conditions
rl rl rl
43. Nursing Management: Obesity rl rl
44. Nursing Management: Upper Gastrointestinal Conditions
rl rl rl rl
45. Nursing Management: Lower Gastrointestinal Conditions
rl rl rl rl
46. Nursing Management: Liver, Pancreas, and Biliary Tract Conditions
rl rl rl rl rl rl rl
47. Nursing Assessment: Urinary System
rl rl rl
48. Nursing Management: Renal and Urological Conditions
rl rl rl rl rl
49. Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
rl rl rl rl rl rl rl rl
50. Nursing Assessment: Endocrine System
rl rl rl
,51. Nursing Management: Endocrine Conditions
rl rl rl
52. Nursing Management: Diabetes Mellitus
rl rl rl
53. Nursing Assessment: Reproductive System
rl rl rl
54. Nursing Management: Breast Disorders
rl rl rl
55. Nursing Management: Sexually Transmitted Infections
rl rl rl rl
56. Nursing Management: Female Reproductive Conditions
rl rl rl rl
57. Nursing Management: Male Reproductive Conditions
rl rl rl rl
58. Nursing Assessment: Nervous System
rl rl rl
59. Nursing Management: Acute Intracranial Conditions
r l r l r l r l
60. Nursing Management: Stroke
r l r l
61. Nursing Management: Chronic Neurological Conditions
rl rl rl rl
62. Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
rl rl rl rl rl rl rl
63. Nursing Management: Peripheral Nerve and Spinal Cord Conditions
r l r l r l r l r l r l r l
64. Nursing Assessment: Musculoskeletal System
rl rl rl
65. Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
r l r l r l r l r l r l
66. Nursing Management: Musculoskeletal Conditions
rl rl rl
67. Nursing Management: Arthritis and Connective Tissue Diseases
rl rl rl rl rl rl
68. Nursing Management: Critical Care Environment
rl rl rl rl
69. Nursing Management: Shock, Sepsis, and Multiple-Organ Dysfunction Syndrome
rl rl rl rl rl rl rl
70. Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
r l r l r l r l r l r l r l r l
71. Nursing Management: Emergency Care Situations
rl rl rl rl
72. Emergency Management and Disaster Planning
rl rl rl rl
, Chapter 01: Introduction to Medical-
rl rl rl rl
Surgical Nursing Practice in Canada Tyerman: Lewis’s Medical-
rl rl rl rl rl rl rl
Surgical Nursing in Canada, 5th Edition
rl rl rl rl rl
MULTIPLE CHOICE rl
1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the patient th
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
at together they will plan the patient’s care and set goals for discharge. The patient asks, “How is t
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
hat different from what the doctor does?” Which response by the nurse is most appropriate?
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
a. “The role of the nurse is to administer medications and other treatments prescribed by
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
your doctor.” rl
b. “The nurse’s job is to help the doctor by collecting data and communicating when the
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
re are problems.” rl rl
c. “Nurses perform many of the procedures done by physicians, but nurses are here in the rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
hospital for a longer time than doctors.” rl rl rl rl rl rl
d. “In addition to caring for you while you are sick, the nurses will assist you to dev
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
elop an individualized plan to maintain your health.” rl rl rl rl rl rl rl
ANS: D r l
This response is consistent with the Canadian Nurses Association (CNA) definition of nursing.
rl rl rl rl rl rl rl rl rl rl rl rl rl
Registered nurses are self- rl rl rl
regulated health care professionals who work autonomously and in collaboration with others. R
rl rl rl rl rl rl rl rl rl rl rl rl
Ns enable individuals, families, groups, communities and populations to achieve their optimal le
rl rl rl rl rl rl rl rl rl rl rl rl
vel of health. RNs coordinate health care, deliver direct services, and support patients in their self
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
-
care decisions and actions in situations of health, illness, injury, and disability in all stages of life.
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
The other responses describe some of the dependent and collaborative functions of the nursing r
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ole but do not accurately describe the nurse’s role in the health care system.
rl rl rl rl rl rl rl rl rl rl rl rl rl
DIF: Cognitive Level: Comprehension rl rl
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective C r l rl rl rl r l rl rl rl rl
are Environment rl
2. When caring for patients using evidence- rl rl rl rl rl
informed practice, which of the following does the nurse use? rl rl rl rl rl rl rl rl rl
a. Clinical judgement based on experience rl rl rl rl
b. Evidence from a clinical research study rl rl rl rl rl
c. The best available evidence to guide clinical expertise
rl rl rl rl rl rl rl
d. Evaluation of data showing that the patient outcomes are met rl rl rl rl rl rl rl rl rl
ANS: C r l
Evidence-
informed nursing practice is a continuous interactive process involving the explicit, conscientiou
rl rl rl rl rl rl rl rl rl rl rl
s, and judicious consideration of the best available evidence to provide care. Four primary element
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
s are: (a) clinical state, setting, and circumstances; (b) patient preferences and actions; (c) best rese
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
arch evidence, and (d) health care resources. Clinical judgement based on the nurse’s clinical exp
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
erience is part of EIP, but clinical decision making also should incorporate current research and re
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
search-
based guidelines. Evidence from one clinical research study does not provide an adequate substa
rl rl rl rl rl rl rl rl rl rl rl rl rl
ntiation for interventions. Evaluation of patient outcomes is important, but interventions should b
rl rl rl rl rl rl rl rl rl rl rl rl
e based on research from randomized control studies with a large number of subjects.
rl rl rl rl rl rl rl rl rl rl rl rl rl
DIF: Cognitive Level: Comprehension rl rl TOP: Nursing Process: Planning r l rl rl
1. Introduction to Medical-Surgical Nursing Practice in Canadarl rl rl rl rl rl
2. Cultural Competence and Health Equity in Nursing Care
rl rl rl rl rl rl rl
3. Health History and Physical Examination
rl rl rl rl
4. Patient and Caregiver Teaching
rl rl rl
5. Chronic Illness rl
6. Community-Based Nursing and Home Care rl rl rl rl
7. Older Persons
rl
8. Stress and Stress Management
rl rl rl
9. Sleep and Sleep Disorders
r l r l r l
10. Pain
11. Substance Use rl
12. Complementary and Alternative Therapies rl rl rl
13. Palliative and End-of-Life Care rl rl rl
14. Inflammation and Wound Healing rl rl rl
15. Genetics
16. Altered Immune Response and Transplantation
rl rl rl rl
17. Infection and Human Immunodeficiency Virus Infection
rl rl rl rl rl
18. Cancer
19. Fluid, Electrolyte, and Acid–Base Imbalances
rl rl rl rl
20. Nursing Management: Preoperative Care
rl rl rl
21. Nursing Management: Intraoperative Care
rl rl rl
22. Nursing Management: Postoperative Care
rl rl rl
23. Nursing Assessment: Visual and Auditory Systems
rl rl rl rl rl
24. Nursing Management: Visual and Auditory Conditions
rl rl rl rl rl
25. Nursing Assessment: Integumentary System
rl rl rl
26. Nursing Management: Integumentary Conditions
rl rl rl
27. Nursing Management: Burns rl rl
28. Nursing Assessment: Respiratory System
rl rl rl
29. Nursing Management: Upper Respiratory Conditions
rl rl rl rl
30. Nursing Management: Lower Respiratory Conditions
rl rl rl rl
31. Nursing Management: Obstructive Pulmonary Diseases
rl rl rl rl
32. Nursing Assessment: Hematological System
rl rl rl
33. Nursing Management: Hematological Conditions
rl rl rl
34. Nursing Assessment: Cardiovascular System
rl rl rl
35. Nursing Management: Hypertension rl rl
36. Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
rl rl rl rl rl rl rl rl
37. Nursing Management: Heart Failurerl rl rl
38. Nursing Management: Dysrhythmias rl rl
39. Nursing Management: Inflammatory and Structural Heart Disorders
rl rl rl rl rl rl
40. Nursing Management: Vascular Disorders
rl rl rl
41. Nursing Assessment: Gastrointestinal System
rl rl rl
42. Nursing Management: Nutritional Conditions
rl rl rl
43. Nursing Management: Obesity rl rl
44. Nursing Management: Upper Gastrointestinal Conditions
rl rl rl rl
45. Nursing Management: Lower Gastrointestinal Conditions
rl rl rl rl
46. Nursing Management: Liver, Pancreas, and Biliary Tract Conditions
rl rl rl rl rl rl rl
47. Nursing Assessment: Urinary System
rl rl rl
48. Nursing Management: Renal and Urological Conditions
rl rl rl rl rl
49. Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
rl rl rl rl rl rl rl rl
50. Nursing Assessment: Endocrine System
rl rl rl
,51. Nursing Management: Endocrine Conditions
rl rl rl
52. Nursing Management: Diabetes Mellitus
rl rl rl
53. Nursing Assessment: Reproductive System
rl rl rl
54. Nursing Management: Breast Disorders
rl rl rl
55. Nursing Management: Sexually Transmitted Infections
rl rl rl rl
56. Nursing Management: Female Reproductive Conditions
rl rl rl rl
57. Nursing Management: Male Reproductive Conditions
rl rl rl rl
58. Nursing Assessment: Nervous System
rl rl rl
59. Nursing Management: Acute Intracranial Conditions
r l r l r l r l
60. Nursing Management: Stroke
r l r l
61. Nursing Management: Chronic Neurological Conditions
rl rl rl rl
62. Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
rl rl rl rl rl rl rl
63. Nursing Management: Peripheral Nerve and Spinal Cord Conditions
r l r l r l r l r l r l r l
64. Nursing Assessment: Musculoskeletal System
rl rl rl
65. Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
r l r l r l r l r l r l
66. Nursing Management: Musculoskeletal Conditions
rl rl rl
67. Nursing Management: Arthritis and Connective Tissue Diseases
rl rl rl rl rl rl
68. Nursing Management: Critical Care Environment
rl rl rl rl
69. Nursing Management: Shock, Sepsis, and Multiple-Organ Dysfunction Syndrome
rl rl rl rl rl rl rl
70. Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
r l r l r l r l r l r l r l r l
71. Nursing Management: Emergency Care Situations
rl rl rl rl
72. Emergency Management and Disaster Planning
rl rl rl rl
, Chapter 01: Introduction to Medical-
rl rl rl rl
Surgical Nursing Practice in Canada Tyerman: Lewis’s Medical-
rl rl rl rl rl rl rl
Surgical Nursing in Canada, 5th Edition
rl rl rl rl rl
MULTIPLE CHOICE rl
1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the patient th
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
at together they will plan the patient’s care and set goals for discharge. The patient asks, “How is t
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
hat different from what the doctor does?” Which response by the nurse is most appropriate?
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
a. “The role of the nurse is to administer medications and other treatments prescribed by
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
your doctor.” rl
b. “The nurse’s job is to help the doctor by collecting data and communicating when the
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
re are problems.” rl rl
c. “Nurses perform many of the procedures done by physicians, but nurses are here in the rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
hospital for a longer time than doctors.” rl rl rl rl rl rl
d. “In addition to caring for you while you are sick, the nurses will assist you to dev
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
elop an individualized plan to maintain your health.” rl rl rl rl rl rl rl
ANS: D r l
This response is consistent with the Canadian Nurses Association (CNA) definition of nursing.
rl rl rl rl rl rl rl rl rl rl rl rl rl
Registered nurses are self- rl rl rl
regulated health care professionals who work autonomously and in collaboration with others. R
rl rl rl rl rl rl rl rl rl rl rl rl
Ns enable individuals, families, groups, communities and populations to achieve their optimal le
rl rl rl rl rl rl rl rl rl rl rl rl
vel of health. RNs coordinate health care, deliver direct services, and support patients in their self
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
-
care decisions and actions in situations of health, illness, injury, and disability in all stages of life.
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
The other responses describe some of the dependent and collaborative functions of the nursing r
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
ole but do not accurately describe the nurse’s role in the health care system.
rl rl rl rl rl rl rl rl rl rl rl rl rl
DIF: Cognitive Level: Comprehension rl rl
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective C r l rl rl rl r l rl rl rl rl
are Environment rl
2. When caring for patients using evidence- rl rl rl rl rl
informed practice, which of the following does the nurse use? rl rl rl rl rl rl rl rl rl
a. Clinical judgement based on experience rl rl rl rl
b. Evidence from a clinical research study rl rl rl rl rl
c. The best available evidence to guide clinical expertise
rl rl rl rl rl rl rl
d. Evaluation of data showing that the patient outcomes are met rl rl rl rl rl rl rl rl rl
ANS: C r l
Evidence-
informed nursing practice is a continuous interactive process involving the explicit, conscientiou
rl rl rl rl rl rl rl rl rl rl rl
s, and judicious consideration of the best available evidence to provide care. Four primary element
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
s are: (a) clinical state, setting, and circumstances; (b) patient preferences and actions; (c) best rese
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
arch evidence, and (d) health care resources. Clinical judgement based on the nurse’s clinical exp
rl rl rl rl rl rl rl rl rl rl rl rl rl rl
erience is part of EIP, but clinical decision making also should incorporate current research and re
rl rl rl rl rl rl rl rl rl rl rl rl rl rl rl
search-
based guidelines. Evidence from one clinical research study does not provide an adequate substa
rl rl rl rl rl rl rl rl rl rl rl rl rl
ntiation for interventions. Evaluation of patient outcomes is important, but interventions should b
rl rl rl rl rl rl rl rl rl rl rl rl
e based on research from randomized control studies with a large number of subjects.
rl rl rl rl rl rl rl rl rl rl rl rl rl
DIF: Cognitive Level: Comprehension rl rl TOP: Nursing Process: Planning r l rl rl