-
Test Bank
,TABLE OF CONTENT
Chapter 1: Professional Nursing Practice ................................................................................................................. 4
Chapter 2: Medical-Surgical Nursing ..................................................................................................................... 19
Chapter 3: Health Education and Health Promotion .............................................................................................. 32
Chapter 4: Adult Health and Physical, Nutritional, and Cultural Assessment ....................................................... 47
Chapter 5: Stress and Inflammatory Responses ..................................................................................................... 59
Chapter 6: Genetics and Genomics in Nursing....................................................................................................... 75
Chapter 7: Disability and Chronic Illness ............................................................................................................... 91
Chapter 8: Management of the Older Adult Patient ............................................................................................. 106
Chapter 9: Pain Management................................................................................................................................ 120
Chapter 10: Fluid and Electrolytes ....................................................................................................................... 136
Chapter 11: Shock, Sepsis, and Multiple Organ Dysfunction Syn- drome .......................................................... 152
Chapter 12: Management of Patients with Oncologic Disorders ......................................................................... 168
Chapter 13: Palliative and End-of-Life Care ........................................................................................................ 182
Chapter 14: Preoperative Nursing Management................................................................................................... 198
Chapter 15: Intraoperative Nursing Management ................................................................................................ 213
Chapter 16: Postoperative Nursing Management ................................................................................................. 227
Chapter 17: Assessment of Respiratory Function ................................................................................................ 242
Chapter 18: Management of Patients with Upper Respiratory Tract Disorders ................................................... 257
Chapter 19: Management of Patients with Chest and Lower Res- piratory Tract Disorders ............................... 271
Chapter 20: Management of Patients with Chronic Pulmonary Disease .............................................................. 287
Chapter 21: Assessment of Cardiovascular Function ........................................................................................... 303
Chapter 22: Management of Patients with Arrhythmias and Con- duction Problems ......................................... 317
Chapter 23: Management of Patients with Coronary Vascular Disorders ............................................................ 330
Chapter 24: Management of Patients with Structural, Infectious, and Inflammatory Cardiac Disorders ............ 346
Chapter 25: Management of Patients with Complications from Heart Disease ................................................... 360
Chapter 26: Assessment and Management of Patients with Vascu- lar Disorders and Problems of Peripheral
Circulation ............................................................................................................................................................ 374
Chapter 27: Assessment and Management of Patients with Hy- pertension ........................................................ 390
Chapter 28: Assessment of Hematologic Function and Treatment Modalities .................................................... 404
Chapter 29: Management of Patients with Nonmalignant Hema- tologic Disorders ........................................... 419
Chapter 30: Management of Patients with Hematologic Neo- plasms ................................................................. 432
Chapter 31: Assessment of Immune Function ...................................................................................................... 447
Chapter 32: Management of Patients with Immune Deficiency Disorders .......................................................... 461
Chapter 33: Assessment and Management of Patients with Aller- gic Disorders ................................................ 476
Chapter 34: Assessment and Management of Patients with In- flammatory Rheumatic Disorders ..................... 491
Chapter 35: Assessment of Musculoskeletal Function ......................................................................................... 505
Chapter 36: Management of Patients with Musculoskeletal Dis- orders ............................................................. 519
Chapter 37: Management of Patients with Musculoskeletal Trau- ma................................................................. 534
Chapter 38: Assessment of Digestive and Gastrointestinal Func- tion ................................................................ 549
Chapter 39: Management of Patients with Oral and Esophageal Disorders ......................................................... 563
Chapter 40: Management of Patients with Gastric and Duodenal Disorders ....................................................... 577
Chapter 41: Management of Patients with Intestinal and Rectal Disorders ......................................................... 590
Chapter 42: Assessment and Management of Patients with Obesi- ty ................................................................. 605
Chapter 43: Assessment and Management of Patients with Hepat- ic Disorders................................................. 620
Chapter 44: Management of Patients with Biliary Disorders ............................................................................... 634
Chapter 45: Assessment and Management of Patients with Endo- crine Disorders............................................. 649
Chapter 46: Management of Patients with Diabetes............................................................................................. 664
Chapter 47: Assessment of Kidney and Urinary Function ................................................................................... 679
Chapter 48: Management of Patients with Kidney Disorders .............................................................................. 694
Chapter 49: Management of Patients with Urinary Disorders.............................................................................. 709
,Chapter 50: Assessment and Management of Patients with Female Physiologic Processes ................................ 724
Chapter 51: Management of Patients with Female Reproductive Disorders ........................................................ 740
Chapter 52: Assessment and Management of Patients with Breast Disorders ..................................................... 756
Chapter 53: Assessment and Management of Patients with Male Reproductive Disorders ................................. 770
Chapter 54: Assessment and Management of Patients Who Are LGBTQ ........................................................... 785
Chapter 55: Assessment of Integumentary Function ............................................................................................ 793
Chapter 56: Management of Patients with Dermatologic Disorders .................................................................... 807
Chapter 57: Management of Patients with Burn Injury ........................................................................................ 821
Chapter 58: Assessment and Management of Patients with Eye and Vision Disorders ....................................... 836
Chapter 59: Assessment and Management of Patients with Hear- ing and Balance Disorders ........................... 850
Chapter 60: Assessment of Neurologic Function ................................................................................................. 865
Chapter 61: Management of Patients With Neurologic Dysfunction ................................................................... 880
Chapter 62: Management of Patients With Cerebrovascular Dis- orders ............................................................. 894
Chapter 63: Management of Patients with Neurologic Trauma ........................................................................... 910
Chapter 64: Management of Patients with Neurologic Infections, Autoimmune Disorders, and Neuropathies .. 925
Chapter 65: Management of Patients with Oncologic or Degenera- tive Neurologic Disorders ......................... 939
Chapter 66: Management of Patients with Infectious Diseases ............................................................................ 954
Chapter 67: Emergency Nursing .......................................................................................................................... 967
Chapter 68: Disaster Nursing................................................................................................................................ 976
, Chapter 1: Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
MULTIPLE CHOICE
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic
abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
obligation to these clients?
A. The nurse should adhere to professional standards of practice and offer service to these
clients.
B. The nurse should make the choice to decline this position and pursue a different nursing
role.
C. The nurse should decline to care for the client’s considering abortion.
D. The nurse should express alternatives to women considering terminating their pregnancy.
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s personal
beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma. The
nurse should not provide care to the client because it is a conflict of personal values. The nurse should
not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If the client is
not requesting information for alternatives to abortions, then the nurse should not be providing this
information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During
admission the client states, "I have a living will." What implication of this should the nurse
recognize?
A. This document is always honored, regardless of circumstances.
B. This document specifies the client's wishes before hospitalization.
C. This document is binding for the duration of the client's life.
D. This document has been drawn up by the client's family to determine DNR status.
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
because living wills are not always honored in every circumstance, they are not binding for the
duration of the client's life, and they are not drawn up by the client's family.
PTS: 1 REF: p. 29
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Analyze
NOT: Multiple Choice
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical
principle of nonmaleficence. Which of the following actions would be considered a violation of this
principle?
A. Discussing a DNR order with a terminally ill client
B. Assisting a semi-independent client with ADLs
C. Refusing to administer pain medication as prescribed
Test Bank
,TABLE OF CONTENT
Chapter 1: Professional Nursing Practice ................................................................................................................. 4
Chapter 2: Medical-Surgical Nursing ..................................................................................................................... 19
Chapter 3: Health Education and Health Promotion .............................................................................................. 32
Chapter 4: Adult Health and Physical, Nutritional, and Cultural Assessment ....................................................... 47
Chapter 5: Stress and Inflammatory Responses ..................................................................................................... 59
Chapter 6: Genetics and Genomics in Nursing....................................................................................................... 75
Chapter 7: Disability and Chronic Illness ............................................................................................................... 91
Chapter 8: Management of the Older Adult Patient ............................................................................................. 106
Chapter 9: Pain Management................................................................................................................................ 120
Chapter 10: Fluid and Electrolytes ....................................................................................................................... 136
Chapter 11: Shock, Sepsis, and Multiple Organ Dysfunction Syn- drome .......................................................... 152
Chapter 12: Management of Patients with Oncologic Disorders ......................................................................... 168
Chapter 13: Palliative and End-of-Life Care ........................................................................................................ 182
Chapter 14: Preoperative Nursing Management................................................................................................... 198
Chapter 15: Intraoperative Nursing Management ................................................................................................ 213
Chapter 16: Postoperative Nursing Management ................................................................................................. 227
Chapter 17: Assessment of Respiratory Function ................................................................................................ 242
Chapter 18: Management of Patients with Upper Respiratory Tract Disorders ................................................... 257
Chapter 19: Management of Patients with Chest and Lower Res- piratory Tract Disorders ............................... 271
Chapter 20: Management of Patients with Chronic Pulmonary Disease .............................................................. 287
Chapter 21: Assessment of Cardiovascular Function ........................................................................................... 303
Chapter 22: Management of Patients with Arrhythmias and Con- duction Problems ......................................... 317
Chapter 23: Management of Patients with Coronary Vascular Disorders ............................................................ 330
Chapter 24: Management of Patients with Structural, Infectious, and Inflammatory Cardiac Disorders ............ 346
Chapter 25: Management of Patients with Complications from Heart Disease ................................................... 360
Chapter 26: Assessment and Management of Patients with Vascu- lar Disorders and Problems of Peripheral
Circulation ............................................................................................................................................................ 374
Chapter 27: Assessment and Management of Patients with Hy- pertension ........................................................ 390
Chapter 28: Assessment of Hematologic Function and Treatment Modalities .................................................... 404
Chapter 29: Management of Patients with Nonmalignant Hema- tologic Disorders ........................................... 419
Chapter 30: Management of Patients with Hematologic Neo- plasms ................................................................. 432
Chapter 31: Assessment of Immune Function ...................................................................................................... 447
Chapter 32: Management of Patients with Immune Deficiency Disorders .......................................................... 461
Chapter 33: Assessment and Management of Patients with Aller- gic Disorders ................................................ 476
Chapter 34: Assessment and Management of Patients with In- flammatory Rheumatic Disorders ..................... 491
Chapter 35: Assessment of Musculoskeletal Function ......................................................................................... 505
Chapter 36: Management of Patients with Musculoskeletal Dis- orders ............................................................. 519
Chapter 37: Management of Patients with Musculoskeletal Trau- ma................................................................. 534
Chapter 38: Assessment of Digestive and Gastrointestinal Func- tion ................................................................ 549
Chapter 39: Management of Patients with Oral and Esophageal Disorders ......................................................... 563
Chapter 40: Management of Patients with Gastric and Duodenal Disorders ....................................................... 577
Chapter 41: Management of Patients with Intestinal and Rectal Disorders ......................................................... 590
Chapter 42: Assessment and Management of Patients with Obesi- ty ................................................................. 605
Chapter 43: Assessment and Management of Patients with Hepat- ic Disorders................................................. 620
Chapter 44: Management of Patients with Biliary Disorders ............................................................................... 634
Chapter 45: Assessment and Management of Patients with Endo- crine Disorders............................................. 649
Chapter 46: Management of Patients with Diabetes............................................................................................. 664
Chapter 47: Assessment of Kidney and Urinary Function ................................................................................... 679
Chapter 48: Management of Patients with Kidney Disorders .............................................................................. 694
Chapter 49: Management of Patients with Urinary Disorders.............................................................................. 709
,Chapter 50: Assessment and Management of Patients with Female Physiologic Processes ................................ 724
Chapter 51: Management of Patients with Female Reproductive Disorders ........................................................ 740
Chapter 52: Assessment and Management of Patients with Breast Disorders ..................................................... 756
Chapter 53: Assessment and Management of Patients with Male Reproductive Disorders ................................. 770
Chapter 54: Assessment and Management of Patients Who Are LGBTQ ........................................................... 785
Chapter 55: Assessment of Integumentary Function ............................................................................................ 793
Chapter 56: Management of Patients with Dermatologic Disorders .................................................................... 807
Chapter 57: Management of Patients with Burn Injury ........................................................................................ 821
Chapter 58: Assessment and Management of Patients with Eye and Vision Disorders ....................................... 836
Chapter 59: Assessment and Management of Patients with Hear- ing and Balance Disorders ........................... 850
Chapter 60: Assessment of Neurologic Function ................................................................................................. 865
Chapter 61: Management of Patients With Neurologic Dysfunction ................................................................... 880
Chapter 62: Management of Patients With Cerebrovascular Dis- orders ............................................................. 894
Chapter 63: Management of Patients with Neurologic Trauma ........................................................................... 910
Chapter 64: Management of Patients with Neurologic Infections, Autoimmune Disorders, and Neuropathies .. 925
Chapter 65: Management of Patients with Oncologic or Degenera- tive Neurologic Disorders ......................... 939
Chapter 66: Management of Patients with Infectious Diseases ............................................................................ 954
Chapter 67: Emergency Nursing .......................................................................................................................... 967
Chapter 68: Disaster Nursing................................................................................................................................ 976
, Chapter 1: Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15th Edition
MULTIPLE CHOICE
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therapeutic
abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
obligation to these clients?
A. The nurse should adhere to professional standards of practice and offer service to these
clients.
B. The nurse should make the choice to decline this position and pursue a different nursing
role.
C. The nurse should decline to care for the client’s considering abortion.
D. The nurse should express alternatives to women considering terminating their pregnancy.
ANS: B
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s personal
beliefs, the nurse should consider working in an area of nursing that would not pose this dilemma. The
nurse should not provide care to the client because it is a conflict of personal values. The nurse should
not deny care to these clients as this would be a breach in the Code of Ethics for nurses. If the client is
not requesting information for alternatives to abortions, then the nurse should not be providing this
information.
PTS: 1 REF: p. 27
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-year-old client is admitted with a diagnosis of community-acquired pneumonia. During
admission the client states, "I have a living will." What implication of this should the nurse
recognize?
A. This document is always honored, regardless of circumstances.
B. This document specifies the client's wishes before hospitalization.
C. This document is binding for the duration of the client's life.
D. This document has been drawn up by the client's family to determine DNR status.
ANS: B
Rationale: A living will is one type of advance directive. In most situations, living wills are limited to
situations in which the client's medical condition is deemed terminal. The other answers are incorrect
because living wills are not always honored in every circumstance, they are not binding for the
duration of the client's life, and they are not drawn up by the client's family.
PTS: 1 REF: p. 29
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication and Documentation BLM: Cognitive Level: Analyze
NOT: Multiple Choice
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the ethical
principle of nonmaleficence. Which of the following actions would be considered a violation of this
principle?
A. Discussing a DNR order with a terminally ill client
B. Assisting a semi-independent client with ADLs
C. Refusing to administer pain medication as prescribed
