,Monahan: Phipps' Medical-Surgical Nursing: Health and Illness
Perspectives, 8th Edition
Test Bank
Chapter 1: Scope of Medical-Surgical Nursing
MULTIPLE CHOICE
1. A current trend in American society that will impact future nursing practice is:
1. More physicians graduating from medical schools
2. Increased need for child day care
3. Growth of the elderly population
4. Increased inpatient services
ANS: 3 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. A major factor in rising health care costs is:
1. High-technology health care
2. Workplace violence
3. Prevention care
4. Nursing salaries
ANS: 1 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Analysis/Nursing Diagnosis
MSC: Client Needs: Health Promotion and Maintenance
3. Health care in industrialized countries other than the United States differs from U.S. health
care in that other industrialized countries:
1. Provide health insurance for everyone with a full-time job
2. Have more highly qualified physicians
3. Have healthier citizens
4. Guarantee basic health care to all
ANS: 4 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
4. One major factor in the current nursing shortage is:
1. A growing pool of inactive nurses
2. Ineffective international recruitment
3. Elevated entrance standards in nursing programs
4. More women pursuing medical rather than nursing degrees
Mosby items and derived items © 2007, 2003 by Mosby, Inc.
,Test Bank 2
ANS: 2 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Analysis/Nursing Diagnosis
MSC: Client Needs: Health Promotion and Maintenance
5. In an effort to reduce cost, health care delivery has shifted to which type of care?
1. Emergent
2. Episodic–acute
3. Hospital-based
4. Community-based
ANS: 4 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
6. The aspect of current hospital nursing practice that nurses most frequently express
dissatisfaction with is:
1. Decline in the caring aspect of nursing
2. Lack of autonomy in delivering nursing care
3. Increasing complexity of patient care
4. Rapid advances in technology
ANS: 1 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
Mosby items and derived items © 2007, 2003 by Mosby, Inc.
, Monahan: Phipps' Medical-Surgical Nursing: Health and Illness
Perspectives, 8th Edition
Test Bank
Chapter 2: The Aging Population
MULTIPLE CHOICE
1. Which is the primary goal of gerontologic care today?
1. Enhancing functional ability
2. Controlling chronic illness
3. Preventing depression
4. Reducing stress
ANS: 1 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
2. The nurse recognizes which finding as a secondary change of aging?
1. Vertebral disk shrinkage
2. Calcium loss from bones
3. Weakened hip and knee joints
4. Decreased pulmonary capacity
ANS: 3 PTS: 1 DIF: Category: Neuromuscular
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
3. The nurse suspects the presence of infection when which finding is noted in an older adult
patient?
1. Change in appetite
2. Constipation
3. Bradycardia
4. Dyspnea
ANS: 1 PTS: 1 DIF: Category: Blood and immunity
TOP: Nursing Process: Analysis/Nursing Diagnosis
MSC: Client Needs: Safe Effective Care Environment
4. Sexual interest:
1. Diminishes after menopause for women
2. Ends by age 60 or 70 for most men
3. May continue into late adulthood
Mosby items and derived items © 2007, 2003 by Mosby, Inc.
Perspectives, 8th Edition
Test Bank
Chapter 1: Scope of Medical-Surgical Nursing
MULTIPLE CHOICE
1. A current trend in American society that will impact future nursing practice is:
1. More physicians graduating from medical schools
2. Increased need for child day care
3. Growth of the elderly population
4. Increased inpatient services
ANS: 3 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. A major factor in rising health care costs is:
1. High-technology health care
2. Workplace violence
3. Prevention care
4. Nursing salaries
ANS: 1 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Analysis/Nursing Diagnosis
MSC: Client Needs: Health Promotion and Maintenance
3. Health care in industrialized countries other than the United States differs from U.S. health
care in that other industrialized countries:
1. Provide health insurance for everyone with a full-time job
2. Have more highly qualified physicians
3. Have healthier citizens
4. Guarantee basic health care to all
ANS: 4 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Evaluation MSC: Client Needs: Health Promotion and Maintenance
4. One major factor in the current nursing shortage is:
1. A growing pool of inactive nurses
2. Ineffective international recruitment
3. Elevated entrance standards in nursing programs
4. More women pursuing medical rather than nursing degrees
Mosby items and derived items © 2007, 2003 by Mosby, Inc.
,Test Bank 2
ANS: 2 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Analysis/Nursing Diagnosis
MSC: Client Needs: Health Promotion and Maintenance
5. In an effort to reduce cost, health care delivery has shifted to which type of care?
1. Emergent
2. Episodic–acute
3. Hospital-based
4. Community-based
ANS: 4 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
6. The aspect of current hospital nursing practice that nurses most frequently express
dissatisfaction with is:
1. Decline in the caring aspect of nursing
2. Lack of autonomy in delivering nursing care
3. Increasing complexity of patient care
4. Rapid advances in technology
ANS: 1 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity
Mosby items and derived items © 2007, 2003 by Mosby, Inc.
, Monahan: Phipps' Medical-Surgical Nursing: Health and Illness
Perspectives, 8th Edition
Test Bank
Chapter 2: The Aging Population
MULTIPLE CHOICE
1. Which is the primary goal of gerontologic care today?
1. Enhancing functional ability
2. Controlling chronic illness
3. Preventing depression
4. Reducing stress
ANS: 1 PTS: 1 DIF: Category: No applicable category
TOP: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
2. The nurse recognizes which finding as a secondary change of aging?
1. Vertebral disk shrinkage
2. Calcium loss from bones
3. Weakened hip and knee joints
4. Decreased pulmonary capacity
ANS: 3 PTS: 1 DIF: Category: Neuromuscular
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
3. The nurse suspects the presence of infection when which finding is noted in an older adult
patient?
1. Change in appetite
2. Constipation
3. Bradycardia
4. Dyspnea
ANS: 1 PTS: 1 DIF: Category: Blood and immunity
TOP: Nursing Process: Analysis/Nursing Diagnosis
MSC: Client Needs: Safe Effective Care Environment
4. Sexual interest:
1. Diminishes after menopause for women
2. Ends by age 60 or 70 for most men
3. May continue into late adulthood
Mosby items and derived items © 2007, 2003 by Mosby, Inc.
