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