Lewis’s Medical Surgical Nursing in
Canada Assessment and Management of
ST
Clinical Problems 5th Edition
TEST BANK
UV
IA
_A
Jane Tyerman
Shelley Cobbett
Mariann M. Harding
PP
Jeffrey Kwong
Dottie Roberts
Debra Hagler
Courtney Reinisch
RO
────────────────────────────────────────────────────
Comprehensive Test Bank for Instructors
VE
and Students
D?
© Jane Tyerman, Shelley Cobbett, Mariann M. Harding, Jeffrey Kwong, Dottie Roberts,
Debra Hagler & Courtney Reinisch. All rights reserved. Reproduction or distribution without
permission is prohibited.
?
© Successhands
, Test Bank for Lewis’s Medical-Surgical Nursing in Canada (5th Edition)
SECTION ONE: CONCEPTS IN NURSING PRACTICE
1. Introduction to Medical-Surgical Nursing Practice in Canada
ST
2. Cultural Competence and Health Equity in Care
3. Health History and Physical Examination
4. Patient and Caregiver Teaching
5. Chronic Illness
6. Community-Based Nursing and Home Care
UV
7. Older Adults
8. Stress and Stress Management
9. Sleep and Sleep Disorders
10. Pain
11. Substance Use
12. Complementary and Alternative Therapies
IA
13. Palliative Care at the End of Life
SECTION TWO: PATHOPHYSIOLOGICAL MECHANISMS OF DISEASE
14. Inflammation and Wound Healing
15. Genetics
_A
16. Altered Immune Response and Transplantation
17. Infection and HIV Infection
18. Cancer
19. Fluid, Electrolyte, and Acid–Base Imbalances
PP
SECTION THREE: PERIOPERATIVE CARE
20. Nursing Management: Preoperative Care
21. Intraoperative Care
22. Postoperative Care
RO
SECTION FOUR: PROBLEMS RELATED TO ALTERED SENSORY INPUT
23. Assessment: Visual and Auditory Systems
24. Management: Visual and Auditory Problems
25. Assessment: Integumentary System
26. Management: Integumentary Problems
27. Management: Burns
VE
SECTION FIVE: PROBLEMS OF OXYGENATION: VENTILATION
28. Assessment: Respiratory System
29. Management: Upper Respiratory Problems
30. Lower Respiratory Problems
31. Obstructive Pulmonary Diseases
D?
SECTION SIX: PROBLEMS OF OXYGENATION: TRANSPORT
32. Assessment: Hematological System
33. Management: Hematological Problems
?
SECTION SEVEN: PROBLEMS OF OXYGENATION: PERFUSION
34. Assessment: Cardiovascular System
35. Hypertension
36. Coronary Artery Disease and Acute Coronary Syndrome
© Successhands
, 37. Heart Failure
38. Dysrhythmias
39. Inflammatory and Structural Heart Diseases
40. Vascular Disorders
SECTION EIGHT: PROBLEMS OF INGESTION, DIGESTION, ABSORPTION, AND
ELIMINATION
ST
41. Assessment: Gastrointestinal System
42. Nutritional Problems
43. Obesity
44. Upper Gastrointestinal Problems
45. Lower Gastrointestinal Problems
UV
46. Liver, Pancreas, and Biliary Tract Problems
SECTION NINE: PROBLEMS OF URINARY FUNCTION
47. Assessment: Urinary System
48. Renal and Urological Problems
49. Acute Kidney Injury and Chronic Kidney Disease
IA
SECTION TEN: PROBLEMS RELATED TO REGULATORY AND REPRODUCTIVE
MECHANISMS
50. Assessment: Endocrine System
_A
51. Endocrine Problems
52. Diabetes Mellitus
53. Assessment: Reproductive System
54. Breast Disorders
55. Sexually Transmitted Infections
56. Female Reproductive Problems
PP
57. Male Reproductive Problems
SECTION ELEVEN: PROBLEMS RELATED TO MOVEMENT AND COORDINATION
58. Assessment: Nervous System
59. Acute Intracranial Problems
RO
60. Stroke
61. Chronic Neurological Problems
62. Delirium, Alzheimer’s Disease, and Other Dementias
63. Peripheral Nerve and Spinal Cord Problems
64. Assessment: Musculoskeletal System
65. Musculoskeletal Trauma and Orthopedic Surgery
VE
66. Musculoskeletal Problems
67. Arthritis and Connective Tissue Diseases
SECTION TWELVE: NURSING CARE IN SPECIALIZED SETTINGS
68. Critical Care Environment
D?
69. Shock, SIRS, and Multiple-Organ Dysfunction Syndrome
70. Respiratory Failure and ARDS
71. Emergency Care Situations
72. Emergency Management and Disaster Planning
?
© Successhands
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
Tyerman: Lewis’s Medical-Surgical Nursing in Canada, 5th Edition
MULTIPLE CHOICE
1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the
patient that together they will plan the patient’s care and set goals for discharge. The patient
ST
asks, “How is that different from what the doctor does?” Which response by the nurse is most
appropriate?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your doctor.”
UV
b. “The nurse’s job is to help the doctor by collecting data and communicating when
there are problems.”
c. “Nurses perform many of the procedures done by physicians, but nurses are here in
the hospital for a longer time than doctors.”
d. “In addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health.”
IA
ANS: D
This response is consistent with the Canadian Nurses Association (CNA) definition of
nursing. Registered nurses are self-regulated health care professionals who work
_A
autonomously and in collaboration with others. RNs enable individuals, families, groups,
communities and populations to achieve their optimal level of health. RNs coordinate health
care, deliver direct services, and support patients in their self-care decisions and actions in
situations of health, illness, injury, and disability in all stages of life. The other responses
describe some of the dependent and collaborative functions of the nursing role but do not
accurately describe the nurse’s role in the health care system.
PP
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
2. When caring for patients using evidence-informed practice, which of the following does the
RO
nurse use?
a. Clinical judgement based on experience
b. Evidence from a clinical research study
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the patient outcomes are met
VE
ANS: C
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
conscientious, and judicious consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances; (b) patient preferences and
actions; (c) best research evidence, and (d) health care resources. Clinical judgement based on
D?
the nurse’s clinical experience is part of EIP, but clinical decision making also should
incorporate current research and research-based guidelines. Evidence from one clinical
research study does not provide an adequate substantiation for interventions. Evaluation of
patient outcomes is important, but interventions should be based on research from randomized
control studies with a large number of subjects.
?
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
Canada Assessment and Management of
ST
Clinical Problems 5th Edition
TEST BANK
UV
IA
_A
Jane Tyerman
Shelley Cobbett
Mariann M. Harding
PP
Jeffrey Kwong
Dottie Roberts
Debra Hagler
Courtney Reinisch
RO
────────────────────────────────────────────────────
Comprehensive Test Bank for Instructors
VE
and Students
D?
© Jane Tyerman, Shelley Cobbett, Mariann M. Harding, Jeffrey Kwong, Dottie Roberts,
Debra Hagler & Courtney Reinisch. All rights reserved. Reproduction or distribution without
permission is prohibited.
?
© Successhands
, Test Bank for Lewis’s Medical-Surgical Nursing in Canada (5th Edition)
SECTION ONE: CONCEPTS IN NURSING PRACTICE
1. Introduction to Medical-Surgical Nursing Practice in Canada
ST
2. Cultural Competence and Health Equity in Care
3. Health History and Physical Examination
4. Patient and Caregiver Teaching
5. Chronic Illness
6. Community-Based Nursing and Home Care
UV
7. Older Adults
8. Stress and Stress Management
9. Sleep and Sleep Disorders
10. Pain
11. Substance Use
12. Complementary and Alternative Therapies
IA
13. Palliative Care at the End of Life
SECTION TWO: PATHOPHYSIOLOGICAL MECHANISMS OF DISEASE
14. Inflammation and Wound Healing
15. Genetics
_A
16. Altered Immune Response and Transplantation
17. Infection and HIV Infection
18. Cancer
19. Fluid, Electrolyte, and Acid–Base Imbalances
PP
SECTION THREE: PERIOPERATIVE CARE
20. Nursing Management: Preoperative Care
21. Intraoperative Care
22. Postoperative Care
RO
SECTION FOUR: PROBLEMS RELATED TO ALTERED SENSORY INPUT
23. Assessment: Visual and Auditory Systems
24. Management: Visual and Auditory Problems
25. Assessment: Integumentary System
26. Management: Integumentary Problems
27. Management: Burns
VE
SECTION FIVE: PROBLEMS OF OXYGENATION: VENTILATION
28. Assessment: Respiratory System
29. Management: Upper Respiratory Problems
30. Lower Respiratory Problems
31. Obstructive Pulmonary Diseases
D?
SECTION SIX: PROBLEMS OF OXYGENATION: TRANSPORT
32. Assessment: Hematological System
33. Management: Hematological Problems
?
SECTION SEVEN: PROBLEMS OF OXYGENATION: PERFUSION
34. Assessment: Cardiovascular System
35. Hypertension
36. Coronary Artery Disease and Acute Coronary Syndrome
© Successhands
, 37. Heart Failure
38. Dysrhythmias
39. Inflammatory and Structural Heart Diseases
40. Vascular Disorders
SECTION EIGHT: PROBLEMS OF INGESTION, DIGESTION, ABSORPTION, AND
ELIMINATION
ST
41. Assessment: Gastrointestinal System
42. Nutritional Problems
43. Obesity
44. Upper Gastrointestinal Problems
45. Lower Gastrointestinal Problems
UV
46. Liver, Pancreas, and Biliary Tract Problems
SECTION NINE: PROBLEMS OF URINARY FUNCTION
47. Assessment: Urinary System
48. Renal and Urological Problems
49. Acute Kidney Injury and Chronic Kidney Disease
IA
SECTION TEN: PROBLEMS RELATED TO REGULATORY AND REPRODUCTIVE
MECHANISMS
50. Assessment: Endocrine System
_A
51. Endocrine Problems
52. Diabetes Mellitus
53. Assessment: Reproductive System
54. Breast Disorders
55. Sexually Transmitted Infections
56. Female Reproductive Problems
PP
57. Male Reproductive Problems
SECTION ELEVEN: PROBLEMS RELATED TO MOVEMENT AND COORDINATION
58. Assessment: Nervous System
59. Acute Intracranial Problems
RO
60. Stroke
61. Chronic Neurological Problems
62. Delirium, Alzheimer’s Disease, and Other Dementias
63. Peripheral Nerve and Spinal Cord Problems
64. Assessment: Musculoskeletal System
65. Musculoskeletal Trauma and Orthopedic Surgery
VE
66. Musculoskeletal Problems
67. Arthritis and Connective Tissue Diseases
SECTION TWELVE: NURSING CARE IN SPECIALIZED SETTINGS
68. Critical Care Environment
D?
69. Shock, SIRS, and Multiple-Organ Dysfunction Syndrome
70. Respiratory Failure and ARDS
71. Emergency Care Situations
72. Emergency Management and Disaster Planning
?
© Successhands
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
Tyerman: Lewis’s Medical-Surgical Nursing in Canada, 5th Edition
MULTIPLE CHOICE
1. The nurse is caring for a patient with a new diagnosis of pneumonia and explains to the
patient that together they will plan the patient’s care and set goals for discharge. The patient
ST
asks, “How is that different from what the doctor does?” Which response by the nurse is most
appropriate?
a. “The role of the nurse is to administer medications and other treatments prescribed
by your doctor.”
UV
b. “The nurse’s job is to help the doctor by collecting data and communicating when
there are problems.”
c. “Nurses perform many of the procedures done by physicians, but nurses are here in
the hospital for a longer time than doctors.”
d. “In addition to caring for you while you are sick, the nurses will assist you to
develop an individualized plan to maintain your health.”
IA
ANS: D
This response is consistent with the Canadian Nurses Association (CNA) definition of
nursing. Registered nurses are self-regulated health care professionals who work
_A
autonomously and in collaboration with others. RNs enable individuals, families, groups,
communities and populations to achieve their optimal level of health. RNs coordinate health
care, deliver direct services, and support patients in their self-care decisions and actions in
situations of health, illness, injury, and disability in all stages of life. The other responses
describe some of the dependent and collaborative functions of the nursing role but do not
accurately describe the nurse’s role in the health care system.
PP
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC: NCLEX: Safe and Effective Care Environment
2. When caring for patients using evidence-informed practice, which of the following does the
RO
nurse use?
a. Clinical judgement based on experience
b. Evidence from a clinical research study
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the patient outcomes are met
VE
ANS: C
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
conscientious, and judicious consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances; (b) patient preferences and
actions; (c) best research evidence, and (d) health care resources. Clinical judgement based on
D?
the nurse’s clinical experience is part of EIP, but clinical decision making also should
incorporate current research and research-based guidelines. Evidence from one clinical
research study does not provide an adequate substantiation for interventions. Evaluation of
patient outcomes is important, but interventions should be based on research from randomized
control studies with a large number of subjects.
?
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
