Brunner & Suddarth's Textbook of
Medical-Surgical Nursing Test Bank
Complete Study Guide With Solved
Questions
\.A 47-year-old male client presented to the medical unit and the health care team suspects
tuberculosis (TB). The nurse is admitting the client to a reverse isolation room. QuantiFERON
testing and chest x-ray are pending. Urinalysis results are negative. No other testing was
performed prior to admission to isolation. The client denies any chest pain, shortness of breath
(SOB), or respiratory difficulty. The client presents with productive yellow sputum.
Based on the provided assessment status, the nurse should utilize __________ to prevent
exposure and __________ to collect specimens for additional testing. - Answer- Based on the
provided assessment status, the nurse should utilize airborne precautions to prevent exposure
and sputum to collect specimens for additional testing.
\.A client had a total hip replacement earlier in the day. The nurse sits with the client to
establish some goals. One goal they agree on is to ambulate 1 to 2 miles each day. This is an
example of which type of goal? - Answer- Long-term
\.A client has been a resident of a long-term care facility for several years. The client's condition
has deteriorated to the point that the client is now unable to eat. The physician has
recommended surgical implantation of a feeding tube. The client's family has a legal document
outlining the client's wishes in regard to measures such as this. What is this document? -
Answer- advance directive
\.A client has been admitted to the hospital with a large sacral pressure ulcer. The physician
prescribes the wound care protocol to be performed twice a day. What would be a statement
,on the plan of care that would address the implementation phase of the nursing process for this
client? - Answer- Turn the client every 2 hours.
\.A client has been diagnosed with cardiac dysfunction and admitted to a health care center.
The nurse notices that the client's ankles and feet are swollen. Using critical thinking skills,
which nursing intervention does the nurse know to perform next?
Assess oxygen saturation level
Weigh client daily at the same time
Organize activities to provide frequent rest periods
Assess client for dependent edema - Answer- Assess client for dependent edema
\.A client has been diagnosed with cardiac dysfunction and admitted to a health care center.
The nurse notices that the client's ankles and feet are swollen. Using critical thinking skills,
which nursing intervention does the nurse know to perform next? - Answer- Assess client for
dependent edema
\.A client has just been told she has cancer. The client tells the nurse that she is not sure if she
wants her family to know. The nurse encourages the client to consider sharing this information
with her family members so they can support her through future treatment-related decisions.
What ethical principle is the nurse demonstrating?
Fidelity
Justice
Veracity
Confidentiality - Answer- Veracity
, \.A client has just returned to the unit following abdominal surgery and is in significant pain.
According to the nursing process, how frequently will the nurse perform assessments on this
client? - Answer- as often as needed
\.A client is experiencing anorexia related to the adverse effects of cancer treatment. Using
Maslow's hierarchy, the nurse identifies this as a reflection of which need? - Answer-
Physiologic needs
\.A client recently diagnosed with pancreatic cancer asks the nurse not to share the diagnosis
with the client's family members. After visiting the client, the client's daughter approaches the
nurse and states, "Mom just did not seem herself today. Are biopsy reports back and do they
confirm pancreatic cancer?" What is the best response from the nurse to the client's daughter?
"It is unethical and illegal for me to discuss your mother's medical information with you."
"It is illegal for me to discuss biopsy results with anyone but the client involved."
"It is unethical and illegal for me to give you the biopsy results; please ask your mother."
"It is unethical of me to discuss biopsy results with anyone but the client involved." - Answer-
"It is unethical and illegal for me to discuss your mother's medical information with you."
\.A client will undergo abdominal surgery. The nurse provides preoperative education regarding
the importance of diaphragmatic breathing exercises to prevent postoperative complications.
The nurse will educate the client about the risk for developing _________, ____________, and
____________, if the client does not implement diaphragmatic breathing exercises in the
postoperative period of care. - Answer- The nurse will educate the client about the risk for
developing pneumonia, bronchospasm, and atelectasis, if the client does not implement
diaphragmatic breathing exercises in the postoperative period of care.
Medical-Surgical Nursing Test Bank
Complete Study Guide With Solved
Questions
\.A 47-year-old male client presented to the medical unit and the health care team suspects
tuberculosis (TB). The nurse is admitting the client to a reverse isolation room. QuantiFERON
testing and chest x-ray are pending. Urinalysis results are negative. No other testing was
performed prior to admission to isolation. The client denies any chest pain, shortness of breath
(SOB), or respiratory difficulty. The client presents with productive yellow sputum.
Based on the provided assessment status, the nurse should utilize __________ to prevent
exposure and __________ to collect specimens for additional testing. - Answer- Based on the
provided assessment status, the nurse should utilize airborne precautions to prevent exposure
and sputum to collect specimens for additional testing.
\.A client had a total hip replacement earlier in the day. The nurse sits with the client to
establish some goals. One goal they agree on is to ambulate 1 to 2 miles each day. This is an
example of which type of goal? - Answer- Long-term
\.A client has been a resident of a long-term care facility for several years. The client's condition
has deteriorated to the point that the client is now unable to eat. The physician has
recommended surgical implantation of a feeding tube. The client's family has a legal document
outlining the client's wishes in regard to measures such as this. What is this document? -
Answer- advance directive
\.A client has been admitted to the hospital with a large sacral pressure ulcer. The physician
prescribes the wound care protocol to be performed twice a day. What would be a statement
,on the plan of care that would address the implementation phase of the nursing process for this
client? - Answer- Turn the client every 2 hours.
\.A client has been diagnosed with cardiac dysfunction and admitted to a health care center.
The nurse notices that the client's ankles and feet are swollen. Using critical thinking skills,
which nursing intervention does the nurse know to perform next?
Assess oxygen saturation level
Weigh client daily at the same time
Organize activities to provide frequent rest periods
Assess client for dependent edema - Answer- Assess client for dependent edema
\.A client has been diagnosed with cardiac dysfunction and admitted to a health care center.
The nurse notices that the client's ankles and feet are swollen. Using critical thinking skills,
which nursing intervention does the nurse know to perform next? - Answer- Assess client for
dependent edema
\.A client has just been told she has cancer. The client tells the nurse that she is not sure if she
wants her family to know. The nurse encourages the client to consider sharing this information
with her family members so they can support her through future treatment-related decisions.
What ethical principle is the nurse demonstrating?
Fidelity
Justice
Veracity
Confidentiality - Answer- Veracity
, \.A client has just returned to the unit following abdominal surgery and is in significant pain.
According to the nursing process, how frequently will the nurse perform assessments on this
client? - Answer- as often as needed
\.A client is experiencing anorexia related to the adverse effects of cancer treatment. Using
Maslow's hierarchy, the nurse identifies this as a reflection of which need? - Answer-
Physiologic needs
\.A client recently diagnosed with pancreatic cancer asks the nurse not to share the diagnosis
with the client's family members. After visiting the client, the client's daughter approaches the
nurse and states, "Mom just did not seem herself today. Are biopsy reports back and do they
confirm pancreatic cancer?" What is the best response from the nurse to the client's daughter?
"It is unethical and illegal for me to discuss your mother's medical information with you."
"It is illegal for me to discuss biopsy results with anyone but the client involved."
"It is unethical and illegal for me to give you the biopsy results; please ask your mother."
"It is unethical of me to discuss biopsy results with anyone but the client involved." - Answer-
"It is unethical and illegal for me to discuss your mother's medical information with you."
\.A client will undergo abdominal surgery. The nurse provides preoperative education regarding
the importance of diaphragmatic breathing exercises to prevent postoperative complications.
The nurse will educate the client about the risk for developing _________, ____________, and
____________, if the client does not implement diaphragmatic breathing exercises in the
postoperative period of care. - Answer- The nurse will educate the client about the risk for
developing pneumonia, bronchospasm, and atelectasis, if the client does not implement
diaphragmatic breathing exercises in the postoperative period of care.
