Title: Test Bank — Medical‑Surgical Nursing: Concepts and Practice, 6th Edition — Holly K. Stromberg — ISBN 9780443121029

Medical-Surgical Nursing: Concepts

and Practice – 6th Edition
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TEST BANK
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Holly K. Stromberg
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Comprehensive Test Bank for Instructors

and Educators
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© Holly K. Stromberg
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All rights reserved. Reproduction or distribution without permission is prohibited.




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, TABLE OF CONTENTS
Medical-Surgical Nursing: Concepts & Practice – 6th Edition
Holly K. Stromberg


UNIT I: Medical-Surgical Nursing Settings

1. Caring for Medical-Surgical Patients
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2. Critical Thinking, Clinical Judgment, and the Nursing Process

UNIT II: Medical-Surgical Patient Care Problems
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3. Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy
4. Care of Preoperative and Intraoperative Surgical Patients
5. Care of Postoperative Surgical Patients
6. Infection Prevention and Control
7. Care of Patients With Pain
8. Care of Patients With Cancer
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9. Chronic Illness and End-of-Life Care

UNIT III: Immune System
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10. The Immune and Lymphatic Systems
11. Care of Patients With Immune and Lymphatic Disorders

UNIT IV: Respiratory System
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12. The Respiratory System
13. Care of Patients With Disorders of the Upper Respiratory System
14. Care of Patients With Disorders of the Lower Respiratory System

UNIT V: Hematologic System
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15. The Hematologic System
16. Care of Patients With Hematologic Disorders

UNIT VI: Cardiovascular System
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17. The Cardiovascular System
18. Care of Patients With Hypertension and Peripheral Vascular Disease
19. Care of Patients With Cardiac Disorders
20. Care of Patients With Coronary Artery Disease and Cardiac Surgery
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UNIT VII: Neurologic System

21. The Neurologic System
22. Care of Patients With Head and Spinal Cord Injuries
23. Care of Patients With Brain Disorders
24. Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders




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, UNIT VIII: Sensory System

25. The Sensory System: Eye
26. The Sensory System: Ear

UNIT IX: Gastrointestinal System

27. The Gastrointestinal System
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28. Care of Patients With Disorders of the Upper Gastrointestinal System
29. Care of Patients With Disorders of the Lower Gastrointestinal System
30. Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas
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UNIT X: Musculoskeletal System

31. The Musculoskeletal System
32. Care of Patients With Musculoskeletal and Connective Tissue Disorders

UNIT XI: Urinary System
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33. The Urinary System
34. Care of Patients With Disorders of the Urinary System
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UNIT XII: Endocrine System

35. The Endocrine System
36. Care of Patients With Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
37. Care of Patients With Diabetes and Hypoglycemia
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UNIT XIII: Reproductive System

38. The Reproductive System
39. Care of Females With Reproductive Disorders
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40. Care of Males With Reproductive Disorders
41. Care of Patients With Sexually Transmitted Infections

UNIT XIV: Integumentary System

42. The Integumentary System
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43. Care of Patients With Integumentary Disorders and Burns

UNIT XV: Emergency and Disaster Management

44. Care of Patients in Disasters or Bioterrorism Attacks
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45. Care of Patients With Emergent Conditions, Trauma, and Shock

UNIT XVI: Mental Health Nursing of the Adult

46. Care of Patients With Cognitive Function Disorders
47. Care of Patients With Anxiety, Mood, and Eating Disorders
48. Care of Patients With Substance-Related and Addictive Disorders
49. Care of Patients With Thought and Personality Disorders

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, Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 6th Edition


MULTIPLE CHOICE
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1. Which statement accurately describes the primary purpose of the state nurse practice act
(NPA)?
a.To test and license LPN/LVNs.
b.To define the scope of LPN/LVN practice.
c.To improve the quality of care provided by the LPN/LVN.
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d.To limit the LPN/LVN employment placement.
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
primary purpose of the NPA of each state defines the scope of nursing practice in that state.
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PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the
vocational nurse has not been taught during her educational program. How should the
vocational nurse respond?
a. Ask a more experienced nurse to demonstrate the procedure.
b. Look up the procedure in the procedure manual.
c. Attempt to perform the procedure with supervision.
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d. Inform the charge nurse of her lack of training in this procedure.
ANS: D
The charge nurse should be informed of the lack of training to perform the procedure, and the
vocational nurse should seek further training to gain proficiency. Although the other options
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might be helpful, they are not safe.

PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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3. Which patient statement indicates a need for further discharge teaching that the vocational
nurse should address?
a. ―I have no idea of how this drug will affect me.‖
b. ―Do you know if my physician is coming back today?‖
c. ―Will my insurance pay for my stay?‖
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d. ―Am I going to have to go to a nursing home?‖
ANS: A
Lack of knowledge at discharge about medication effects and side effects is a concern that
should be addressed by the vocational nurse. The other concerns in the options are the
responsibility of other departments to which the nurse might refer the patient.

PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation