Med-Surg Success
A Q&A Review Applying Critical Thinking
to Test Taking
Third EdiTion
Promotion subject to change without notice. Offer valid for purchases from www.FADavis.com in the US only.
,Med-Surg Success
Kathryn Cadenhead Colgrove, RN, MSN, CNS
,1 Test Taking .............................................................................. 1
INTRODUCTION ......................................................................................................... 1
GUIDELINES FOR USING THIS BOOK ......................................................................... 1
PREPARING FOR LECTURE ......................................................................................... 2
Sample Study Guide............................................................................................... 2
PREPARING FOR AN EXAMINATION ............................................................................ 3
Study .................................................................................................................... 3
Understanding What the Test Taker Does Not Know ................................................... 3
The Night Before the Exam ..................................................................................... 4
The Day of the Exam .............................................................................................. 4
Test-Taking Anxiety ................................................................................................. 4
TAKING THE EXAM .................................................................................................... 4
Test-Taking Hints for the Computerized NCLEX-RN Examination ................................. 4
Understanding the Types of Nursing Questions.......................................................... 5
THE RACE MODEL: THE APPLICATION OF CRITICAL THINKING
TO MULTIPLE-CHOICE QUESTIONS ........................................................................... 6
CONCEPT-FOCUSED QUESTIONS ................................................................................ 6
2 Neurological Disorders.............................................................. 9
KEYWORDS/ABBREVIATIONS ...................................................................................... 9
PRACTICE QUESTIONS .............................................................................................. 10
Cerebrovascular Accident (Stroke) ..........................................................................10
Head Injury ..........................................................................................................11
Spinal Cord Injury (SCI).........................................................................................12
Seizures ...............................................................................................................14
Brain Tumors .......................................................................................................15
Meningitis.............................................................................................................16
Parkinson’s Disease ...............................................................................................17
Substance Abuse .................................................................................................. 19
Amyotrophic Lateral Sclerosis (ALS or Lou Gehrig’s Disease) .....................................20
Encephalitis ..........................................................................................................21
CONCEPTS ...............................................................................................................22
PRACTICE QUESTIONS ANSWERS AND RATIONALES ..................................................26
Cerebrovascular Accident (Stroke) ..........................................................................26
Head Injury ..........................................................................................................29
Spinal Cord Injury................................................................................................. 32
Seizures ...............................................................................................................34
Brain Tumors .......................................................................................................37
Meningitis.............................................................................................................40
Parkinson’s Disease ...............................................................................................43
Substance Abuse .................................................................................................. 45
Amyotrophic Lateral Sclerosis (ALS or Lou Gehrig’s Disease) .....................................48
Encephalitis ..........................................................................................................50
CONCEPTS ...............................................................................................................53
NEUROLOGICAL DISORDERS COMPREHENSIVE EXAMINATION...................................57
NEUROLOGICAL DISORDERS COMPREHENSIVE EXAMINATION
ANSWERS AND RATIONALES...................................................................................63
xi
, xii Table of ConTenTs
3 Cardiac Disorders .................................................................... 71
KEYWORDS/ABBREVIATIONS .....................................................................................71
PRACTICE QUESTIONS ..............................................................................................72
Congestive Heart Failure ........................................................................................72
Angina/Myocardial Infarction ..................................................................................73
Coronary Artery Disease .........................................................................................74
Valvular Heart Disease ...........................................................................................75
Dysrhythmias and Conduction Problems ..................................................................77
Inflammatory Cardiac Disorders ..............................................................................78
CONCEPTS ...............................................................................................................79
PRACTICE QUESTIONS ANSWERS AND RATIONALES ..................................................82
Congestive Heart Failure ........................................................................................82
Angina/Myocardial Infarction ..................................................................................84
Coronary Artery Disease .........................................................................................87
Valvular Heart Disease ...........................................................................................90
Dysrhythmias and Conduction Problems ..................................................................92
Inflammatory Cardiac Disorders ..............................................................................95
CONCEPTS ...............................................................................................................98
CARDIAC DISORDERS COMPREHENSIVE EXAMINATION ........................................... 102
CARDIAC DISORDERS COMPREHENSIVE EXAMINATION ANSWERS
AND RATIONALES ................................................................................................. 106
4 Peripheral Vascular Disorders ................................................... 111
KEYWORDS/ABBREVIATIONS ................................................................................... 111
PRACTICE QUESTIONS ............................................................................................ 112
Arterial Hypertension ........................................................................................... 112
Arterial Occlusive Disease .................................................................................... 113
Atherosclerosis.................................................................................................... 114
Abdominal Aortic Aneurysm ................................................................................. 115
Deep Vein Thrombosis ......................................................................................... 117
Peripheral Venous Disease ................................................................................... 118
CONCEPTS ............................................................................................................. 119
PRACTICE QUESTIONS ANSWERS AND RATIONALES ................................................ 122
Arterial Hypertension ........................................................................................... 122
Arterial Occlusive Disease .................................................................................... 124
Atherosclerosis.................................................................................................... 127
Abdominal Aortic Aneurysm ................................................................................. 129
Deep Vein Thrombosis ......................................................................................... 132
Peripheral Venous Disease ................................................................................... 134
CONCEPTS ............................................................................................................. 137
PERIPHERAL VASCULAR DISORDERS COMPREHENSIVE EXAMINATION .................... 141
PERIPHERAL VASCULAR DISORDERS COMPREHENSIVE EXAMINATION
ANSWERS AND RATIONALES ................................................................................ 145
5 Hematological Disorders ........................................................ 149
KEYWORDS/ABBREVIATIONS ................................................................................... 149
PRACTICE QUESTIONS ............................................................................................ 150
Leukemia ........................................................................................................... 150
Lymphoma ......................................................................................................... 151
Anemia .............................................................................................................. 152
Bleeding Disorders .............................................................................................. 153
Blood Transfusions .............................................................................................. 154
Sickle Cell Anemia .............................................................................................. 156
CONCEPTS ............................................................................................................. 157
PRACTICE QUESTIONS ANSWERS AND RATIONALES ................................................ 159
Leukemia ........................................................................................................... 159
Lymphoma ......................................................................................................... 161
A Q&A Review Applying Critical Thinking
to Test Taking
Third EdiTion
Promotion subject to change without notice. Offer valid for purchases from www.FADavis.com in the US only.
,Med-Surg Success
Kathryn Cadenhead Colgrove, RN, MSN, CNS
,1 Test Taking .............................................................................. 1
INTRODUCTION ......................................................................................................... 1
GUIDELINES FOR USING THIS BOOK ......................................................................... 1
PREPARING FOR LECTURE ......................................................................................... 2
Sample Study Guide............................................................................................... 2
PREPARING FOR AN EXAMINATION ............................................................................ 3
Study .................................................................................................................... 3
Understanding What the Test Taker Does Not Know ................................................... 3
The Night Before the Exam ..................................................................................... 4
The Day of the Exam .............................................................................................. 4
Test-Taking Anxiety ................................................................................................. 4
TAKING THE EXAM .................................................................................................... 4
Test-Taking Hints for the Computerized NCLEX-RN Examination ................................. 4
Understanding the Types of Nursing Questions.......................................................... 5
THE RACE MODEL: THE APPLICATION OF CRITICAL THINKING
TO MULTIPLE-CHOICE QUESTIONS ........................................................................... 6
CONCEPT-FOCUSED QUESTIONS ................................................................................ 6
2 Neurological Disorders.............................................................. 9
KEYWORDS/ABBREVIATIONS ...................................................................................... 9
PRACTICE QUESTIONS .............................................................................................. 10
Cerebrovascular Accident (Stroke) ..........................................................................10
Head Injury ..........................................................................................................11
Spinal Cord Injury (SCI).........................................................................................12
Seizures ...............................................................................................................14
Brain Tumors .......................................................................................................15
Meningitis.............................................................................................................16
Parkinson’s Disease ...............................................................................................17
Substance Abuse .................................................................................................. 19
Amyotrophic Lateral Sclerosis (ALS or Lou Gehrig’s Disease) .....................................20
Encephalitis ..........................................................................................................21
CONCEPTS ...............................................................................................................22
PRACTICE QUESTIONS ANSWERS AND RATIONALES ..................................................26
Cerebrovascular Accident (Stroke) ..........................................................................26
Head Injury ..........................................................................................................29
Spinal Cord Injury................................................................................................. 32
Seizures ...............................................................................................................34
Brain Tumors .......................................................................................................37
Meningitis.............................................................................................................40
Parkinson’s Disease ...............................................................................................43
Substance Abuse .................................................................................................. 45
Amyotrophic Lateral Sclerosis (ALS or Lou Gehrig’s Disease) .....................................48
Encephalitis ..........................................................................................................50
CONCEPTS ...............................................................................................................53
NEUROLOGICAL DISORDERS COMPREHENSIVE EXAMINATION...................................57
NEUROLOGICAL DISORDERS COMPREHENSIVE EXAMINATION
ANSWERS AND RATIONALES...................................................................................63
xi
, xii Table of ConTenTs
3 Cardiac Disorders .................................................................... 71
KEYWORDS/ABBREVIATIONS .....................................................................................71
PRACTICE QUESTIONS ..............................................................................................72
Congestive Heart Failure ........................................................................................72
Angina/Myocardial Infarction ..................................................................................73
Coronary Artery Disease .........................................................................................74
Valvular Heart Disease ...........................................................................................75
Dysrhythmias and Conduction Problems ..................................................................77
Inflammatory Cardiac Disorders ..............................................................................78
CONCEPTS ...............................................................................................................79
PRACTICE QUESTIONS ANSWERS AND RATIONALES ..................................................82
Congestive Heart Failure ........................................................................................82
Angina/Myocardial Infarction ..................................................................................84
Coronary Artery Disease .........................................................................................87
Valvular Heart Disease ...........................................................................................90
Dysrhythmias and Conduction Problems ..................................................................92
Inflammatory Cardiac Disorders ..............................................................................95
CONCEPTS ...............................................................................................................98
CARDIAC DISORDERS COMPREHENSIVE EXAMINATION ........................................... 102
CARDIAC DISORDERS COMPREHENSIVE EXAMINATION ANSWERS
AND RATIONALES ................................................................................................. 106
4 Peripheral Vascular Disorders ................................................... 111
KEYWORDS/ABBREVIATIONS ................................................................................... 111
PRACTICE QUESTIONS ............................................................................................ 112
Arterial Hypertension ........................................................................................... 112
Arterial Occlusive Disease .................................................................................... 113
Atherosclerosis.................................................................................................... 114
Abdominal Aortic Aneurysm ................................................................................. 115
Deep Vein Thrombosis ......................................................................................... 117
Peripheral Venous Disease ................................................................................... 118
CONCEPTS ............................................................................................................. 119
PRACTICE QUESTIONS ANSWERS AND RATIONALES ................................................ 122
Arterial Hypertension ........................................................................................... 122
Arterial Occlusive Disease .................................................................................... 124
Atherosclerosis.................................................................................................... 127
Abdominal Aortic Aneurysm ................................................................................. 129
Deep Vein Thrombosis ......................................................................................... 132
Peripheral Venous Disease ................................................................................... 134
CONCEPTS ............................................................................................................. 137
PERIPHERAL VASCULAR DISORDERS COMPREHENSIVE EXAMINATION .................... 141
PERIPHERAL VASCULAR DISORDERS COMPREHENSIVE EXAMINATION
ANSWERS AND RATIONALES ................................................................................ 145
5 Hematological Disorders ........................................................ 149
KEYWORDS/ABBREVIATIONS ................................................................................... 149
PRACTICE QUESTIONS ............................................................................................ 150
Leukemia ........................................................................................................... 150
Lymphoma ......................................................................................................... 151
Anemia .............................................................................................................. 152
Bleeding Disorders .............................................................................................. 153
Blood Transfusions .............................................................................................. 154
Sickle Cell Anemia .............................................................................................. 156
CONCEPTS ............................................................................................................. 157
PRACTICE QUESTIONS ANSWERS AND RATIONALES ................................................ 159
Leukemia ........................................................................................................... 159
Lymphoma ......................................................................................................... 161