,TableofContents
Chapter01 Professional Nursing Practice
l l ll l 2
Chapter02 Medical-Surgical Nursing
l l ll 17
Chapter03 Health Education and Health Promotion
l ll ll l ll ll 30
Chapter04 Adult Health and Physical, Nutritional, and Cultural Assessment
l ll ll ll l ll ll l ll 45
Chapter05 Stress and Inflammatory Responses
l ll ll ll ll 60
Chapter06 Genetics and Genomics in Nursing
l ll ll ll ll ll 76
Chapter07 Disability and Chronic Illness
l ll ll ll ll 92
Chapter08Management oftheOlderAdultPatient
l l l l l l l 107
Chapter09Pain Management
l l l 121
Chapter10 Fluid and Electrolytes
l ll ll ll 137
Chapter11Shock,Sepsis, andMultipleOrganDysfunctionSyndrome
l l l l l l l 153
Chapter12Management ofPatientswithOncologic Disorders
l l l l l l 169
Chapter13 Palliative and End-of-Life Care
l ll ll ll ll 183
Chapter14 PreoperativeNursingManagement
l l l 199
Chapter15IntraoperativeNursingManagement
l l l 214
Chapter16Postoperative Nursing Management
l l l 228
Chapter17 Assessment of RespiratoryFunction
l l l l 243
Chapter18 Management of Patients with Upper Respiratory Tract Disorders
l ll ll l l ll ll l ll 258
Chapter19ManagementofPatientswithChest and LowerRespiratoryTract Disorders
l l l l l l l l l ll 272
Chapter20Management ofPatientswithChronicPulmonaryDisease
l l l l l l l 288
Chapter21AssessmentofCardiovascular Function
l l l l 304
Chapter22 Management of Patients with Arrhythmias and Conduction Problems
l ll ll l ll ll ll ll ll 318
Chapter23Management ofPatientswithCoronaryVascularDisorders
l l l l l l l 331
Chapter24 Management of Patients with Structural, Infectious, and InflammatoryCardiac
l ll ll l ll ll ll l ll l
Disorders 347
Chapter25 Management of Patients with Complications from Heart Disease
l ll ll l l ll ll ll ll 361
Chapter26 Assessment andManagement of Patients with Vascular Disorders and Problems
l ll ll l ll l ll ll l ll l
ofPeripheral Circulation
l ll 375
Chapter27Assessment andManagement ofPatients with Hypertension
l l l l l l l 391
Chapter28 Assessment of HematologicFunction and Treatment Modalities
l ll ll ll l ll ll ll 405
Chapter29 Management of Patients with Nonmalignant Hematologic Disorders
l ll ll l ll ll ll ll 420
Chapter30Management ofPatientswith HematologicNeoplasms
l l l l l l 433
Chapter31 Assessment of Immune Function
l ll ll ll ll 448
Chapter32ManagementofPatientswith ImmuneDeficiencyDisorders
l l l l l l l 462
Chapter33 Assessment andManagement of Patients with Allergic Disorders
l ll ll l ll l ll ll ll 477
Chapter34Assessment andManagement ofPatientswith InflammatoryRheumaticDisorders
l l l l l l l l l 492
Chapter35Assessment ofMusculoskeletal Function
l l l l 506
Chapter36Management ofPatientswithMusculoskeletal Disorders
l l l l l l 520
Chapter37Management ofPatientswithMusculoskeletal Trauma
l l l l l l 535
,Chapter38AssessmentofDigestiveandGastrointestinalFunction
l l l l l l 550
Chapter39Management ofPatientswithOral and Esophageal Disorders
l l l l l l l l 564
Chapter40 Management ofPatients with Gastric and Duodenal Disorders
l ll ll l l ll l l ll 578
Chapter41Management ofPatientswith Intestinal andRectal Disorders
l l l l l l l l 591
Chapter42Assessment andManagement ofPatients with Obesity
l l l l l l l 606
Chapter43 Assessment and Management of Patients with Hepatic Disorders
l ll ll l ll l ll ll ll 621
Chapter44 Management of Patients with Biliary Disorders
l ll ll ll ll ll ll 635
Chapter45 Assessment andManagement of Patients with Endocrine Disorders
l ll ll l ll l ll ll ll 650
Chapter 46 Management ofPatients with Diabetes
l ll ll l ll ll 665
Chapter47 Assessment of Kidneyand UrinaryFunction
l l l l l l 680
Chapter48Management ofPatientswith KidneyDisorders
l ll l l l l 695
Chapter49 Management ofPatients with Urinary Disorders
l ll ll l ll ll ll 710
Chapter50Assessment andManagement ofPatientswithFemalePhysiologic Processes
l l l l l l l l l 725
Chapter51Management ofPatientswithFemaleReproductiveDisorders
l l l l l l l 741
Chapter52 Assessment andManagement of Patients with Breast Disorders
l ll ll l ll l ll ll ll 757
Chapter53Assessment andManagement ofPatients withMaleReproductive Disorders
l l l l l l l l 771
Chapter54 Assessment andManagement ofPatients Who Are LGBTQ
l l l l l l l l 786
Chapter55Assessment of IntegumentaryFunction
l l l l 794
Chapter56Management ofPatientswithDermatologic Disorders
l l l l l l 808
Chapter57 Management of Patientswith Burn Injury
l l l l l ll 822
Chapter58 Assessment andManagement ofPatients with Eye and Vision Disorders
l l ll l ll l ll l ll ll ll 837
Chapter59 Assessment andManagement ofPatients withHearing and BalanceDisorders
l l l l l l ll l l 851
Chapter60Assessment ofNeurologic Function
l l l l 866
Chapter61Management ofPatientsWith Neurologic Dysfunction
l l l l l l 881
Chapter62ManagementofPatientsWithCerebrovascularDisorders
l l l l l l 895
Chapter63Management ofPatientswithNeurologic Trauma
l l l l l l 911
Chapter64 Management ofPatients with Neurologic Infections, Autoimmune Disorders, and
l ll ll l ll ll l ll ll ll
Neuropathies 926
Chapter65ManagementofPatientswithOncologicorDegenerativeNeurologic Disorders
l l l l l l l l l 940
Chapter66Management ofPatientswith Infectious Diseases
l l l l l l 955
Chapter67 Emergency Nursing
ll ll 968
Chapter68DisasterNursing
l l l 977
, il il il il
il il il il il il il il il
MULTIPLE CHOICE ll
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
obligation to these clients?
ll ll ll ll
A. The nurse should adhere to professional standards of practice and offer service to these
ll ll ll ll ll ll ll ll ll ll ll ll ll
clients. ll
B. The nurse should make the choice to decline this position and pursue a different nursing
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
role. ll
C. The nurse should decline to care for the client’s considering abortion.
ll ll ll ll ll ll ll ll ll ll
D. The nurse should express alternatives to women considering terminating their pregnancy.
ll ll ll ll ll ll ll ll ll ll
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s
ll ll ll ll ll ll ll ll ll ll ll ll ll
personal beliefs, the nurse should consider working in an area of nursing that would not pose this
ll ll ll ll ll ll ll ll ll ll ll ll l ll ll ll ll
dilemma. The nurse should not provide care to the client because it is a conflict of personal values.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
The nurse should not deny care to these clients as this would be a breach in the Code of Ethics for
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
nurses. If the client is not requesting information for alternatives to abortions, then the nurse should
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
not be providing this information.
ll ll ll ll ll
PTS: 1 REF: p. 27 ll
NAT: Client Needs: Safe, Effective Care Environment: Management of Care ll ll ll ll ll ll ll ll
TOP: Chapter 1: Professional Nursing Practice KEY: IntegratedProcess: ll ll ll ll l l l
Caring BLM: Cognitive Level: Apply
l ll l l ll ll
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During
ll ll ll ll ll ll ll ll ll ll ll
admission the client states, "I have a living will." What implication of this should the nurse recognize?
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
A. This document is always honored, regardless of circumstances.
l ll ll ll ll ll ll
B. This document specifies the client's wishes before hospitalization.
ll ll ll ll ll ll ll
C. This document is binding for the duration of the client's life.
ll ll ll ll ll ll ll ll ll ll
D. This document has been drawn up by the client's family to determine DNR status.
ll ll ll ll ll ll ll ll ll ll ll ll ll
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
because living wills are not always honored in every circumstance, they are not binding for the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
duration of the client's life, and they are not drawn up by the client's family.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
PTS: 1 REF: p. 29 ll
NAT: Client Needs: Safe, Effective Care Environment: Management of
l l ll ll ll l ll ll ll
Care TOP:
ll Chapter 1: Professional Nursing Practice
ll ll ll ll ll
KEY: Integrated Process: Communication and Documentation BLM:
l l ll ll ll ll
CognitiveLevel:Analyze NOT: Multiple Choice
l l l l ll l l ll
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
principle of nonmaleficence. Which of the following actions would be considered a violation of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
this principle?
ll ll
A. Discussing a DNR order with a terminally ill client ll ll ll ll ll ll ll ll
B. Assisting a semi-independent client with ADLs ll ll ll ll ll
C. Refusing to administer pain medication as prescribed ll ll ll ll ll ll
1 | Pa g e
l l l l l
Chapter01 Professional Nursing Practice
l l ll l 2
Chapter02 Medical-Surgical Nursing
l l ll 17
Chapter03 Health Education and Health Promotion
l ll ll l ll ll 30
Chapter04 Adult Health and Physical, Nutritional, and Cultural Assessment
l ll ll ll l ll ll l ll 45
Chapter05 Stress and Inflammatory Responses
l ll ll ll ll 60
Chapter06 Genetics and Genomics in Nursing
l ll ll ll ll ll 76
Chapter07 Disability and Chronic Illness
l ll ll ll ll 92
Chapter08Management oftheOlderAdultPatient
l l l l l l l 107
Chapter09Pain Management
l l l 121
Chapter10 Fluid and Electrolytes
l ll ll ll 137
Chapter11Shock,Sepsis, andMultipleOrganDysfunctionSyndrome
l l l l l l l 153
Chapter12Management ofPatientswithOncologic Disorders
l l l l l l 169
Chapter13 Palliative and End-of-Life Care
l ll ll ll ll 183
Chapter14 PreoperativeNursingManagement
l l l 199
Chapter15IntraoperativeNursingManagement
l l l 214
Chapter16Postoperative Nursing Management
l l l 228
Chapter17 Assessment of RespiratoryFunction
l l l l 243
Chapter18 Management of Patients with Upper Respiratory Tract Disorders
l ll ll l l ll ll l ll 258
Chapter19ManagementofPatientswithChest and LowerRespiratoryTract Disorders
l l l l l l l l l ll 272
Chapter20Management ofPatientswithChronicPulmonaryDisease
l l l l l l l 288
Chapter21AssessmentofCardiovascular Function
l l l l 304
Chapter22 Management of Patients with Arrhythmias and Conduction Problems
l ll ll l ll ll ll ll ll 318
Chapter23Management ofPatientswithCoronaryVascularDisorders
l l l l l l l 331
Chapter24 Management of Patients with Structural, Infectious, and InflammatoryCardiac
l ll ll l ll ll ll l ll l
Disorders 347
Chapter25 Management of Patients with Complications from Heart Disease
l ll ll l l ll ll ll ll 361
Chapter26 Assessment andManagement of Patients with Vascular Disorders and Problems
l ll ll l ll l ll ll l ll l
ofPeripheral Circulation
l ll 375
Chapter27Assessment andManagement ofPatients with Hypertension
l l l l l l l 391
Chapter28 Assessment of HematologicFunction and Treatment Modalities
l ll ll ll l ll ll ll 405
Chapter29 Management of Patients with Nonmalignant Hematologic Disorders
l ll ll l ll ll ll ll 420
Chapter30Management ofPatientswith HematologicNeoplasms
l l l l l l 433
Chapter31 Assessment of Immune Function
l ll ll ll ll 448
Chapter32ManagementofPatientswith ImmuneDeficiencyDisorders
l l l l l l l 462
Chapter33 Assessment andManagement of Patients with Allergic Disorders
l ll ll l ll l ll ll ll 477
Chapter34Assessment andManagement ofPatientswith InflammatoryRheumaticDisorders
l l l l l l l l l 492
Chapter35Assessment ofMusculoskeletal Function
l l l l 506
Chapter36Management ofPatientswithMusculoskeletal Disorders
l l l l l l 520
Chapter37Management ofPatientswithMusculoskeletal Trauma
l l l l l l 535
,Chapter38AssessmentofDigestiveandGastrointestinalFunction
l l l l l l 550
Chapter39Management ofPatientswithOral and Esophageal Disorders
l l l l l l l l 564
Chapter40 Management ofPatients with Gastric and Duodenal Disorders
l ll ll l l ll l l ll 578
Chapter41Management ofPatientswith Intestinal andRectal Disorders
l l l l l l l l 591
Chapter42Assessment andManagement ofPatients with Obesity
l l l l l l l 606
Chapter43 Assessment and Management of Patients with Hepatic Disorders
l ll ll l ll l ll ll ll 621
Chapter44 Management of Patients with Biliary Disorders
l ll ll ll ll ll ll 635
Chapter45 Assessment andManagement of Patients with Endocrine Disorders
l ll ll l ll l ll ll ll 650
Chapter 46 Management ofPatients with Diabetes
l ll ll l ll ll 665
Chapter47 Assessment of Kidneyand UrinaryFunction
l l l l l l 680
Chapter48Management ofPatientswith KidneyDisorders
l ll l l l l 695
Chapter49 Management ofPatients with Urinary Disorders
l ll ll l ll ll ll 710
Chapter50Assessment andManagement ofPatientswithFemalePhysiologic Processes
l l l l l l l l l 725
Chapter51Management ofPatientswithFemaleReproductiveDisorders
l l l l l l l 741
Chapter52 Assessment andManagement of Patients with Breast Disorders
l ll ll l ll l ll ll ll 757
Chapter53Assessment andManagement ofPatients withMaleReproductive Disorders
l l l l l l l l 771
Chapter54 Assessment andManagement ofPatients Who Are LGBTQ
l l l l l l l l 786
Chapter55Assessment of IntegumentaryFunction
l l l l 794
Chapter56Management ofPatientswithDermatologic Disorders
l l l l l l 808
Chapter57 Management of Patientswith Burn Injury
l l l l l ll 822
Chapter58 Assessment andManagement ofPatients with Eye and Vision Disorders
l l ll l ll l ll l ll ll ll 837
Chapter59 Assessment andManagement ofPatients withHearing and BalanceDisorders
l l l l l l ll l l 851
Chapter60Assessment ofNeurologic Function
l l l l 866
Chapter61Management ofPatientsWith Neurologic Dysfunction
l l l l l l 881
Chapter62ManagementofPatientsWithCerebrovascularDisorders
l l l l l l 895
Chapter63Management ofPatientswithNeurologic Trauma
l l l l l l 911
Chapter64 Management ofPatients with Neurologic Infections, Autoimmune Disorders, and
l ll ll l ll ll l ll ll ll
Neuropathies 926
Chapter65ManagementofPatientswithOncologicorDegenerativeNeurologic Disorders
l l l l l l l l l 940
Chapter66Management ofPatientswith Infectious Diseases
l l l l l l 955
Chapter67 Emergency Nursing
ll ll 968
Chapter68DisasterNursing
l l l 977
, il il il il
il il il il il il il il il
MULTIPLE CHOICE ll
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
obligation to these clients?
ll ll ll ll
A. The nurse should adhere to professional standards of practice and offer service to these
ll ll ll ll ll ll ll ll ll ll ll ll ll
clients. ll
B. The nurse should make the choice to decline this position and pursue a different nursing
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
role. ll
C. The nurse should decline to care for the client’s considering abortion.
ll ll ll ll ll ll ll ll ll ll
D. The nurse should express alternatives to women considering terminating their pregnancy.
ll ll ll ll ll ll ll ll ll ll
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s
ll ll ll ll ll ll ll ll ll ll ll ll ll
personal beliefs, the nurse should consider working in an area of nursing that would not pose this
ll ll ll ll ll ll ll ll ll ll ll ll l ll ll ll ll
dilemma. The nurse should not provide care to the client because it is a conflict of personal values.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
The nurse should not deny care to these clients as this would be a breach in the Code of Ethics for
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
nurses. If the client is not requesting information for alternatives to abortions, then the nurse should
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
not be providing this information.
ll ll ll ll ll
PTS: 1 REF: p. 27 ll
NAT: Client Needs: Safe, Effective Care Environment: Management of Care ll ll ll ll ll ll ll ll
TOP: Chapter 1: Professional Nursing Practice KEY: IntegratedProcess: ll ll ll ll l l l
Caring BLM: Cognitive Level: Apply
l ll l l ll ll
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During
ll ll ll ll ll ll ll ll ll ll ll
admission the client states, "I have a living will." What implication of this should the nurse recognize?
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
A. This document is always honored, regardless of circumstances.
l ll ll ll ll ll ll
B. This document specifies the client's wishes before hospitalization.
ll ll ll ll ll ll ll
C. This document is binding for the duration of the client's life.
ll ll ll ll ll ll ll ll ll ll
D. This document has been drawn up by the client's family to determine DNR status.
ll ll ll ll ll ll ll ll ll ll ll ll ll
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
because living wills are not always honored in every circumstance, they are not binding for the
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
duration of the client's life, and they are not drawn up by the client's family.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
PTS: 1 REF: p. 29 ll
NAT: Client Needs: Safe, Effective Care Environment: Management of
l l ll ll ll l ll ll ll
Care TOP:
ll Chapter 1: Professional Nursing Practice
ll ll ll ll ll
KEY: Integrated Process: Communication and Documentation BLM:
l l ll ll ll ll
CognitiveLevel:Analyze NOT: Multiple Choice
l l l l ll l l ll
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
principle of nonmaleficence. Which of the following actions would be considered a violation of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
this principle?
ll ll
A. Discussing a DNR order with a terminally ill client ll ll ll ll ll ll ll ll
B. Assisting a semi-independent client with ADLs ll ll ll ll ll
C. Refusing to administer pain medication as prescribed ll ll ll ll ll ll
1 | Pa g e
l l l l l