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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 zl
6. Community-Based Nursing and Home Care zl zl zl zl
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 zl
12. Complementary and Alternative Therapies zl zl zl
13. Palliative and End-of-Life Care zl zl zl
14. Inflammation and Wound Healing zl zl zl
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: Burns zl zl
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 zl zl
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 zl
1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the patient t
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hat together they will plan the patient’s care and set goals for discharge. The patient asks, “How
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is that different from what the doctor does?” Which response by the nurse is most appropriate?
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a. “The role of the nurse is to administer medications and other treatments prescribed by
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your doctor.” zl zl
b. “The nurse’s job is to help the doctor by collecting data and communicating when th
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ere are problems.” zl zl
c. “Nurses perform many of the procedures done by physicians, but nurses are here in th
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e 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 de
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velop an individualized plan to maintain your health.” zl zl zl zl zl zl zl
ANS: D z l
This response is consistent with the Canadian Nurses Association (CNA) definition of nursing.
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Registered nurses are self- zl zl zl
regulated health care professionals who work autonomously and in collaboration with others. R
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Ns enable individuals, families, groups, communities and populations to achieve their optimal le
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vel of health. RNs coordinate health care, deliver direct services, and support patients in their sel
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f-
care decisions and actions in situations of health, illness, injury, and disability in all stages of lif
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e. The other responses describe some of the dependent and collaborative functions of the nursin
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g role but do not accurately describe the nurse’s role in the health care system.
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DIF: Cognitive Level: Comprehension zl zl
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective z l zl zl zl z l zl zl zl zl
Care Environment zl
2. When caring for patients using evidence- zl zl zl zl zl
informed practice, which of the following does the nurse use? zl zl zl zl zl zl zl zl zl
a. Clinical judgement based on experience zl zl zl zl
b. Evidence from a clinical research study zl zl zl zl zl
c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the patient outcomes are met zl zl zl zl zl zl zl zl zl
ANS: C z l
Evidence-
informed nursing practice is a continuous interactive process involving the explicit, conscientio
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us, and judicious consideration of the best available evidence to provide care. Four primary elem
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ents are: (a) clinical state, setting, and circumstances; (b) patient preferences and actions; (c) best
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research evidence, and (d) health care resources. Clinical judgement based on the nurse’s clinical
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experience is part of EIP, but clinical decision making also should incorporate current research
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and research- zl
based guidelines. Evidence from one clinical research study does not provide an adequate substa
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ntiation for interventions. Evaluation of patient outcomes is important, but interventions should b
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e based on research from randomized control studies with a large number of subjects.
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DIF: Cognitive Level: Comprehension zl zl TOP: Nursing Process: Planning z l zl zl
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 zl
6. Community-Based Nursing and Home Care zl zl zl zl
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 zl
12. Complementary and Alternative Therapies zl zl zl
13. Palliative and End-of-Life Care zl zl zl
14. Inflammation and Wound Healing zl zl zl
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: Burns zl zl
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 zl zl
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 zl
1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the patient t
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hat together they will plan the patient’s care and set goals for discharge. The patient asks, “How
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is that different from what the doctor does?” Which response by the nurse is most appropriate?
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a. “The role of the nurse is to administer medications and other treatments prescribed by
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your doctor.” zl zl
b. “The nurse’s job is to help the doctor by collecting data and communicating when th
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ere are problems.” zl zl
c. “Nurses perform many of the procedures done by physicians, but nurses are here in th
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e 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 de
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velop an individualized plan to maintain your health.” zl zl zl zl zl zl zl
ANS: D z l
This response is consistent with the Canadian Nurses Association (CNA) definition of nursing.
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Registered nurses are self- zl zl zl
regulated health care professionals who work autonomously and in collaboration with others. R
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Ns enable individuals, families, groups, communities and populations to achieve their optimal le
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vel of health. RNs coordinate health care, deliver direct services, and support patients in their sel
zl zl zl zl zl zl zl zl zl zl zl zl zl zl zl
f-
care decisions and actions in situations of health, illness, injury, and disability in all stages of lif
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e. The other responses describe some of the dependent and collaborative functions of the nursin
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g role but do not accurately describe the nurse’s role in the health care system.
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DIF: Cognitive Level: Comprehension zl zl
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective z l zl zl zl z l zl zl zl zl
Care Environment zl
2. When caring for patients using evidence- zl zl zl zl zl
informed practice, which of the following does the nurse use? zl zl zl zl zl zl zl zl zl
a. Clinical judgement based on experience zl zl zl zl
b. Evidence from a clinical research study zl zl zl zl zl
c. The best available evidence to guide clinical expertise
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d. Evaluation of data showing that the patient outcomes are met zl zl zl zl zl zl zl zl zl
ANS: C z l
Evidence-
informed nursing practice is a continuous interactive process involving the explicit, conscientio
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us, and judicious consideration of the best available evidence to provide care. Four primary elem
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ents are: (a) clinical state, setting, and circumstances; (b) patient preferences and actions; (c) best
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research evidence, and (d) health care resources. Clinical judgement based on the nurse’s clinical
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experience is part of EIP, but clinical decision making also should incorporate current research
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and research- zl
based guidelines. Evidence from one clinical research study does not provide an adequate substa
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ntiation for interventions. Evaluation of patient outcomes is important, but interventions should b
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e based on research from randomized control studies with a large number of subjects.
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DIF: Cognitive Level: Comprehension zl zl TOP: Nursing Process: Planning z l zl zl
