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