Test bank for Introductory Medical Surgical Nursing 10th Edition (Lippincott Williams & Wilkins, 2009) by Barbara Timby and Nancy Smith
TEST BANK
1
,Test bank for Introductory Medical Surgical Nursing 10th Edition (Lippincott Williams & Wilkins, 2009) by Barbara Timby and Nancy Smith
Introductory Medical-Surgical Nursing 10e Comprehensive Test Bank by
Barbara K Timby, Nancy E. Smith
Pub. Date: September 2009
Converted From Electronic Source - 11/3/2025 12:43:33 am
Table of Contents
Unit I Nursing Roles and Responsibilities Unit II
Psychosocial Aspects of Client Care Unit III
Concepts of Health and Illness
Unit IV Common Medical-Surgical Problems
Unit V Caring for Clients with Respiratory Disorders Unit VI
Caring for Clients with Cardiovascular Disorders
Unit VII Caring for Clients with Hematopoietic and Lymphatic Disorders Unit VIII Caring for
Clients with Immune Disorders
Unit IX Caring for Clients with Neurologic Disorders Unit X
Caring for Clients with Sensory Problems
Unit XI Caring for Clients with Gastrointestinal Problems Unit XII
Caring for Clients with Endocrine Problems
Unit XIII Disturbances of Sexual Structures or Reproductive Function Unit XIV Caring for
Clients with Urinary and Renal Problems
Unit XV Caring for Clients with Musculoskeletal Problems Unit XVI Caring for
Clients with Integumentary Problems Appendix: Answers
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the
question.
1) The nurse is assisting a postoperative client in using an incentive spirometer. Which of the following
postoperative complications is this nurse attempting to avoid with this client? 1)
A) Hemorrhage B) Pulmonary embolism
C)Deep vein thrombosis D) Atelectasis
2) A client who is recovering from abdominal surgery has a penrose drain. Which of the following should
the nurse include in the care of this client? 2)
A) Make sure there is a safety pin on the end of the drain.
B) Clean the wound with normal saline every two hours.
C) Empty the drain every 30 minutes.
2
,Test bank for Introductory Medical Surgical Nursing 10th Edition (Lippincott Williams & Wilkins, 2009) by Barbara Timby and Nancy Smith
D) Remove the drain four hours postoperatively.
3) A client is in the recovery room. Which of the following members of the healthcare team should the nurse
contact regarding the client's level of pain control? 3)
A) The surgeon B) The anesthesiologist
C)The scrub nurse D) The circulating nurse
4) During the assessment of a postoperative client's bowel sounds, the nurse auscultates high-pitched sounds
over all four abdominal quadrants. The nurse realizes this finding could indicate: 4)
A) Normal bowel function. B) The onset of stool.
C)The onset of flatus. D) Paralytic ileus.
5) A client is being transferred from the operating room to the recovery room. The nurse in the recovery
room will be providing which phase of nursing care? 5)
A) Intraoperative B) Preoperative
C)Restorative D) Postoperative
6) A client is being scheduled for surgery. Which of the following should be included in the preoperative
teaching provided by the nurse? 6)
A) The credentials of the anesthesiologist
B) Information concerning the surgical procedure which will be performed by the surgeon
C) Cost of the procedure
D) Planned length of stay at the hospital
7) A client is being positioned for a hip replacement procedure. In which of the following positions
will this client most likely be placed? 7)
A) Dorsal recumbent B) Lateral chest C)Semi-
sitting D) Prone
8) A postoperative client tells the nurse, "A book I read said that I should not eat after surgery for at least a
week." Which of the following statements would be an appropriate nursing response? 8)
A) "You don't need any food to heal anyway."
B) "That's true."
C) "That's not true. You could get an infection in your stomach."
3
, Test bank for Introductory Medical Surgical Nursing 10th Edition (Lippincott Williams & Wilkins, 2009) by Barbara Timby and Nancy Smith
D) "I'll be giving you intravenous feedings anyway."
9) An elderly postoperative client is given an antiemetic for nausea. Which of the following signs would
indicate this client is experiencing a possible reaction to the medication? 9)
A) Dry mouth
B) Involuntary muscle movements
C)Breakthrough vomiting D)Confusion
10) A client is signing a surgical consent. Afterwards, the nurse also signs the form. What is the meaning of
the nursing signature? 10)
A) It means the client was alert and aware of what was being signed.
B) It means there is a likelihood of a successful outcome.
C) It means the client understood the procedure as described by the nurse.
D) It means the surgeon was too busy to wait for the client to sign the form.
11) A client's endotracheal tube is being removed after the surgical procedure. The intra-operative nurse
realizes this client is in which phase of the general anesthesia process? 11)
A) Induction B) Maintenance
C)Reduction D) Emergence
12) An elderly client is being prepared for orthopedic surgery. The nurse realizes this client is at risk for
which of the following? 12)
A) Prolonged effects of anesthesia because of herbal supplements B)Decreased
tolerance of general anesthesia
C) Increased hypotensive effects of anesthesia
D) Wound dehiscence
13) The client who is preparing for surgery asks the nurse to keep their glasses and hearing aid in-place
until they are under anesthesia. Which of the following statements by the nurse demonstrates accurate,
therapeutic communication? 13)
A) "I will contact the surgery department to discuss you requests." B)"Certainly, you
can keep them for that time."
C) "You cannot keep those in."
D) "The policies in the surgery unit will not allow it."
4
TEST BANK
1
,Test bank for Introductory Medical Surgical Nursing 10th Edition (Lippincott Williams & Wilkins, 2009) by Barbara Timby and Nancy Smith
Introductory Medical-Surgical Nursing 10e Comprehensive Test Bank by
Barbara K Timby, Nancy E. Smith
Pub. Date: September 2009
Converted From Electronic Source - 11/3/2025 12:43:33 am
Table of Contents
Unit I Nursing Roles and Responsibilities Unit II
Psychosocial Aspects of Client Care Unit III
Concepts of Health and Illness
Unit IV Common Medical-Surgical Problems
Unit V Caring for Clients with Respiratory Disorders Unit VI
Caring for Clients with Cardiovascular Disorders
Unit VII Caring for Clients with Hematopoietic and Lymphatic Disorders Unit VIII Caring for
Clients with Immune Disorders
Unit IX Caring for Clients with Neurologic Disorders Unit X
Caring for Clients with Sensory Problems
Unit XI Caring for Clients with Gastrointestinal Problems Unit XII
Caring for Clients with Endocrine Problems
Unit XIII Disturbances of Sexual Structures or Reproductive Function Unit XIV Caring for
Clients with Urinary and Renal Problems
Unit XV Caring for Clients with Musculoskeletal Problems Unit XVI Caring for
Clients with Integumentary Problems Appendix: Answers
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the
question.
1) The nurse is assisting a postoperative client in using an incentive spirometer. Which of the following
postoperative complications is this nurse attempting to avoid with this client? 1)
A) Hemorrhage B) Pulmonary embolism
C)Deep vein thrombosis D) Atelectasis
2) A client who is recovering from abdominal surgery has a penrose drain. Which of the following should
the nurse include in the care of this client? 2)
A) Make sure there is a safety pin on the end of the drain.
B) Clean the wound with normal saline every two hours.
C) Empty the drain every 30 minutes.
2
,Test bank for Introductory Medical Surgical Nursing 10th Edition (Lippincott Williams & Wilkins, 2009) by Barbara Timby and Nancy Smith
D) Remove the drain four hours postoperatively.
3) A client is in the recovery room. Which of the following members of the healthcare team should the nurse
contact regarding the client's level of pain control? 3)
A) The surgeon B) The anesthesiologist
C)The scrub nurse D) The circulating nurse
4) During the assessment of a postoperative client's bowel sounds, the nurse auscultates high-pitched sounds
over all four abdominal quadrants. The nurse realizes this finding could indicate: 4)
A) Normal bowel function. B) The onset of stool.
C)The onset of flatus. D) Paralytic ileus.
5) A client is being transferred from the operating room to the recovery room. The nurse in the recovery
room will be providing which phase of nursing care? 5)
A) Intraoperative B) Preoperative
C)Restorative D) Postoperative
6) A client is being scheduled for surgery. Which of the following should be included in the preoperative
teaching provided by the nurse? 6)
A) The credentials of the anesthesiologist
B) Information concerning the surgical procedure which will be performed by the surgeon
C) Cost of the procedure
D) Planned length of stay at the hospital
7) A client is being positioned for a hip replacement procedure. In which of the following positions
will this client most likely be placed? 7)
A) Dorsal recumbent B) Lateral chest C)Semi-
sitting D) Prone
8) A postoperative client tells the nurse, "A book I read said that I should not eat after surgery for at least a
week." Which of the following statements would be an appropriate nursing response? 8)
A) "You don't need any food to heal anyway."
B) "That's true."
C) "That's not true. You could get an infection in your stomach."
3
, Test bank for Introductory Medical Surgical Nursing 10th Edition (Lippincott Williams & Wilkins, 2009) by Barbara Timby and Nancy Smith
D) "I'll be giving you intravenous feedings anyway."
9) An elderly postoperative client is given an antiemetic for nausea. Which of the following signs would
indicate this client is experiencing a possible reaction to the medication? 9)
A) Dry mouth
B) Involuntary muscle movements
C)Breakthrough vomiting D)Confusion
10) A client is signing a surgical consent. Afterwards, the nurse also signs the form. What is the meaning of
the nursing signature? 10)
A) It means the client was alert and aware of what was being signed.
B) It means there is a likelihood of a successful outcome.
C) It means the client understood the procedure as described by the nurse.
D) It means the surgeon was too busy to wait for the client to sign the form.
11) A client's endotracheal tube is being removed after the surgical procedure. The intra-operative nurse
realizes this client is in which phase of the general anesthesia process? 11)
A) Induction B) Maintenance
C)Reduction D) Emergence
12) An elderly client is being prepared for orthopedic surgery. The nurse realizes this client is at risk for
which of the following? 12)
A) Prolonged effects of anesthesia because of herbal supplements B)Decreased
tolerance of general anesthesia
C) Increased hypotensive effects of anesthesia
D) Wound dehiscence
13) The client who is preparing for surgery asks the nurse to keep their glasses and hearing aid in-place
until they are under anesthesia. Which of the following statements by the nurse demonstrates accurate,
therapeutic communication? 13)
A) "I will contact the surgery department to discuss you requests." B)"Certainly, you
can keep them for that time."
C) "You cannot keep those in."
D) "The policies in the surgery unit will not allow it."
4