TEST BANK
Medical-Surgical Nursing: Concepts and Practice, 6th Edition
by Holly K. Stromberg
TE
ST
SO
LU
TI
O
N
, Table Content
UNIT I MEDICAL-SURGICAL NURSING SETTINGS
1. Caring for Medical-Surgical Patients
2. Critical Thinking, Clinical Judgment, and the Nursing Process
UNIT II MEDICAL-SURGICAL PATIENT CARE PROBLEMS
3. Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy
4. Care of Preoperative and Intraoperative Surgical Patients
5. Care of Postoperative Surgical Patients
TE
6. Infection Prevention and Control
7. Care of Patients With Pain
8. Care of Patients With Cancer
9. Chronic Illness and End-of-Life Care
ST
UNIT III IMMUNE SYSTEM
10. The Immune and Lymphatic Systems
11. Care of Patients With Immune and Lymphatic Disorders
UNIT IV RESPIRATORY SYSTEM
12. The Respiratory System
SO
13. Care of Patients With Disorders of the Upper Respiratory System
14. Care of Patients With Disorders of the Lower Respiratory System
UNIT V HEMATOLOGIC SYSTEM
15. The Hematologic System
LU
16. Care of Patients With Hematologic Disorders
UNIT VI CARDIOVASCULAR SYSTEM
17. The Cardiovascular System
18. Care of Patients With Hypertension and Peripheral Vascular Disease
TI
19. Care of Patients With Cardiac Disorders
20. Care of Patients With Coronary Artery Disease and Cardiac Surgery
UNIT VII NEUROLOGIC SYSTEM
O
21. The Neurologic System
22. Care of Patients With Head and Spinal Cord Injuries
23. Care of Patients With Brain Disorders
N
24. Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
UNIT VIII SENSORY SYSTEM
25. The Sensory System: Eye
26. The Sensory System: Ear
UNIT IX GASTROINTESTINAL SYSTEM
27. The Gastrointestinal System
28. Care of Patients With Disorders of the Upper Gastrointestinal System
,29. Care of Patients With Disorders of the Lower Gastrointestinal System
30. Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas
UNIT X MUSCULOSKELETAL SYSTEM
31. The Musculoskeletal System
32. Care of Patients With Musculoskeletal and Connective Tissue Disorders
UNIT XI URINARY SYSTEM
33. The Urinary System
34. Care of Patients With Disorders of the Urinary System
UNIT XII ENDOCRINE SYSTEM
TE
35. The Endocrine System
36. Care of Patients With Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
37. Care of Patients With Diabetes and Hypoglycemia
UNIT XIII REPRODUCTIVE SYSTEM
ST
38. The Reproductive System
39. Care of Females With Reproductive Disorders
40. Care of Males With Reproductive Disorders
41. Care of Patients With Sexually Transmitted Infections
SO
UNIT XIV INTEGUMENTARY SYSTEM
42. The Integumentary System
43. Care of Patients With Integumentary Disorders and Burns
UNIT XV EMERGENCY AND DISASTER MANAGEMENT
44. Care of Patients in Disasters or Bioterrorism Attacks
LU
45. Care of Patients With Emergent Conditions, Trauma, and Shock
UNIT XVI MENTAL HEALTH NURSING OF THE ADULT
46. Care of Patients With Cognitive Function Disorders
47. Care of Patients With Anxiety, Mood, and Eating Disorders
TI
48. Care of Patients With Substance-Related and Addictive Disorders
49. Care of Patients With Thought and Personality Disorders
O
N
, Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 6th Edition
MULTIPLE CHOICE
1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)?
a. To test and license LPN/LVNs.
b. To define the scope of LPN/LVN practice.
c. To improve the quality of care provided by the LPN/LVN.
d. To limit the LPN/LVN employment placement.
TE
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary purpose of the NPA of each
state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ST
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocational nurse has not
been taught during her educational program. How should the vocational nurse respond?
a. Ask a more experienced nurse to demonstrate the procedure.
b. Look up the procedure in the procedure manual.
c. Attempt to perform the procedure with supervision.
d. Inform the charge nurse of her lack of training in this procedure.
SO
ANS: D
The charge nurse should be informed of the lack of training to perform the procedure, and the vocational nurse should seek
further training to gain proficiency. Although the other options might be helpful, they are not safe.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which patient statement indicates a need for further discharge teaching that the vocational nurse should address?
LU
a. “I have no idea of how this drug will affect me.”
b. “Do you know if my physician is coming back today?”
c. “Will my insurance pay for my stay?”
d. “Am I going to have to go to a nursing home?”
ANS: A
Lack of knowledge at discharge about medication effects and side effects is a concern that should be addressed by the vocational
nurse. The other concerns in the options are the responsibility of other departments to which the nurse might refer the patie nt.
TI
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care facility acts in which
O
capacity?
a. Working under direct supervision of an RN on the unit
b. Working with the RN in the building
c. Working under general supervision by the RN available on site or by phone
N
d. Working as an independent vocational nurse
ANS: C
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the general supervision of an RN
available on site or by phone.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
Medical-Surgical Nursing: Concepts and Practice, 6th Edition
by Holly K. Stromberg
TE
ST
SO
LU
TI
O
N
, Table Content
UNIT I MEDICAL-SURGICAL NURSING SETTINGS
1. Caring for Medical-Surgical Patients
2. Critical Thinking, Clinical Judgment, and the Nursing Process
UNIT II MEDICAL-SURGICAL PATIENT CARE PROBLEMS
3. Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy
4. Care of Preoperative and Intraoperative Surgical Patients
5. Care of Postoperative Surgical Patients
TE
6. Infection Prevention and Control
7. Care of Patients With Pain
8. Care of Patients With Cancer
9. Chronic Illness and End-of-Life Care
ST
UNIT III IMMUNE SYSTEM
10. The Immune and Lymphatic Systems
11. Care of Patients With Immune and Lymphatic Disorders
UNIT IV RESPIRATORY SYSTEM
12. The Respiratory System
SO
13. Care of Patients With Disorders of the Upper Respiratory System
14. Care of Patients With Disorders of the Lower Respiratory System
UNIT V HEMATOLOGIC SYSTEM
15. The Hematologic System
LU
16. Care of Patients With Hematologic Disorders
UNIT VI CARDIOVASCULAR SYSTEM
17. The Cardiovascular System
18. Care of Patients With Hypertension and Peripheral Vascular Disease
TI
19. Care of Patients With Cardiac Disorders
20. Care of Patients With Coronary Artery Disease and Cardiac Surgery
UNIT VII NEUROLOGIC SYSTEM
O
21. The Neurologic System
22. Care of Patients With Head and Spinal Cord Injuries
23. Care of Patients With Brain Disorders
N
24. Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
UNIT VIII SENSORY SYSTEM
25. The Sensory System: Eye
26. The Sensory System: Ear
UNIT IX GASTROINTESTINAL SYSTEM
27. The Gastrointestinal System
28. Care of Patients With Disorders of the Upper Gastrointestinal System
,29. Care of Patients With Disorders of the Lower Gastrointestinal System
30. Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas
UNIT X MUSCULOSKELETAL SYSTEM
31. The Musculoskeletal System
32. Care of Patients With Musculoskeletal and Connective Tissue Disorders
UNIT XI URINARY SYSTEM
33. The Urinary System
34. Care of Patients With Disorders of the Urinary System
UNIT XII ENDOCRINE SYSTEM
TE
35. The Endocrine System
36. Care of Patients With Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
37. Care of Patients With Diabetes and Hypoglycemia
UNIT XIII REPRODUCTIVE SYSTEM
ST
38. The Reproductive System
39. Care of Females With Reproductive Disorders
40. Care of Males With Reproductive Disorders
41. Care of Patients With Sexually Transmitted Infections
SO
UNIT XIV INTEGUMENTARY SYSTEM
42. The Integumentary System
43. Care of Patients With Integumentary Disorders and Burns
UNIT XV EMERGENCY AND DISASTER MANAGEMENT
44. Care of Patients in Disasters or Bioterrorism Attacks
LU
45. Care of Patients With Emergent Conditions, Trauma, and Shock
UNIT XVI MENTAL HEALTH NURSING OF THE ADULT
46. Care of Patients With Cognitive Function Disorders
47. Care of Patients With Anxiety, Mood, and Eating Disorders
TI
48. Care of Patients With Substance-Related and Addictive Disorders
49. Care of Patients With Thought and Personality Disorders
O
N
, Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 6th Edition
MULTIPLE CHOICE
1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)?
a. To test and license LPN/LVNs.
b. To define the scope of LPN/LVN practice.
c. To improve the quality of care provided by the LPN/LVN.
d. To limit the LPN/LVN employment placement.
TE
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary purpose of the NPA of each
state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ST
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocational nurse has not
been taught during her educational program. How should the vocational nurse respond?
a. Ask a more experienced nurse to demonstrate the procedure.
b. Look up the procedure in the procedure manual.
c. Attempt to perform the procedure with supervision.
d. Inform the charge nurse of her lack of training in this procedure.
SO
ANS: D
The charge nurse should be informed of the lack of training to perform the procedure, and the vocational nurse should seek
further training to gain proficiency. Although the other options might be helpful, they are not safe.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which patient statement indicates a need for further discharge teaching that the vocational nurse should address?
LU
a. “I have no idea of how this drug will affect me.”
b. “Do you know if my physician is coming back today?”
c. “Will my insurance pay for my stay?”
d. “Am I going to have to go to a nursing home?”
ANS: A
Lack of knowledge at discharge about medication effects and side effects is a concern that should be addressed by the vocational
nurse. The other concerns in the options are the responsibility of other departments to which the nurse might refer the patie nt.
TI
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care facility acts in which
O
capacity?
a. Working under direct supervision of an RN on the unit
b. Working with the RN in the building
c. Working under general supervision by the RN available on site or by phone
N
d. Working as an independent vocational nurse
ANS: C
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the general supervision of an RN
available on site or by phone.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
