Table.of.content
1. Introduction.to.Medical-Surgical.Nursing.Practice.in.Canada
2. Cultural.Competence.and.Health.Equity.in.Nursing.Care
3. Health.History.and.Physical.Examination
4. Patient.and.Caregiver.Teaching
5. Chronic.Illness
6. Community-Based.Nursing.and.Home.Care
7. Older.Persons
8. Stress.and.Stress.Management
9. Sleep. and. Sleep. Disorders
10. Pain
11. Substance.Use
12. Complementary.and.Alternative.Therapies
13. Palliative.and.End-of-Life.Care
14. Inflammation.and.Wound.Healing
15. Genetics
16. Altered.Immune.Response.and.Transplantation
17. Infection.and.Human.Immunodeficiency.Virus.Infection
18. Cancer
19. Fluid,.Electrolyte,.and.Acid–Base.Imbalances
20. Nursing.Management:.Preoperative.Care
21. Nursing.Management:.Intraoperative.Care
22. Nursing.Management:.Postoperative.Care
23. Nursing.Assessment:.Visual.and.Auditory.Systems
24. Nursing.Management:.Visual.and.Auditory.Conditions
25. Nursing.Assessment:.Integumentary.System
26. Nursing.Management:.Integumentary.Conditions
27. Nursing.Management:.Burns
28. Nursing.Assessment:.Respiratory.System
29. Nursing.Management:.Upper.Respiratory.Conditions
30. Nursing.Management:.Lower.Respiratory.Conditions
31. Nursing.Management:.Obstructive.Pulmonary.Diseases
32. Nursing.Assessment:.Hematological.System
33. Nursing.Management:.Hematological.Conditions
34. Nursing.Assessment:.Cardiovascular.System
35. Nursing.Management:.Hypertension
36. Nursing.Management:.Coronary.Artery.Disease.and.Acute.Coronary.Syndrome
37. Nursing.Management:.Heart.Failure
38. Nursing.Management:.Dysrhythmias
39. Nursing.Management:.Inflammatory.and.Structural.Heart.Disorders
40. Nursing.Management:.Vascular.Disorders
41. Nursing.Assessment:.Gastrointestinal.System
42. Nursing.Management:.Nutritional.Conditions
43. Nursing.Management:.Obesity
44. Nursing.Management:.Upper.Gastrointestinal.Conditions
45. Nursing.Management:.Lower.Gastrointestinal.Conditions
46. Nursing.Management:.Liver,.Pancreas,.and.Biliary.Tract.Conditions
47. Nursing.Assessment:.Urinary.System
,48. Nursing.Management:.Renal.and.Urological.Conditions
49. Nursing.Management:.Acute.Kidney.Injury.and.Chronic.Kidney.Disease
50. Nursing.Assessment:.Endocrine.System
,51. Nursing.Management:.Endocrine.Conditions
52. Nursing.Management:.Diabetes.Mellitus
53. Nursing.Assessment:.Reproductive.System
54. Nursing.Management:.Breast.Disorders
55. Nursing.Management:.Sexually.Transmitted.Infections
56. Nursing.Management:.Female.Reproductive.Conditions
57. Nursing.Management:.Male.Reproductive.Conditions
58. Nursing.Assessment:.Nervous.System
59. Nursing. Management:. Acute. Intracranial. Conditions
60. Nursing. Management:. Stroke
61. Nursing.Management:.Chronic.Neurological.Conditions
62. Nursing.Management:.Delirium,.Alzheimer’s.Disease,.and.Other.Dementias
63. Nursing. Management:. Peripheral. Nerve. and. Spinal. Cord. Conditions
64. Nursing.Assessment:.Musculoskeletal.System
65. Nursing. Management:. Musculoskeletal. Trauma. and. Orthopedic. Surgery
66. Nursing.Management:.Musculoskeletal.Conditions
67. Nursing.Management:.Arthritis.and.Connective.Tissue.Diseases
68. Nursing.Management:.Critical.Care.Environment
69. Nursing.Management:.Shock,.Sepsis,.and.Multiple-Organ.Dysfunction.Syndrome
70. Nursing. Management:. Respiratory. Failure. and. Acute. Respiratory. Distress. Syndrome
71. Nursing.Management:.Emergency.Care.Situations
72. Emergency.Management.and.Disaster.Planning
, 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.patie
nt.that.together.they.will.plan.the.patient’s.care.and.set.goals.for.discharge..The.patient.asks,.
“How.is.that.different.from.what.the.doctor.does?”.Which.response.by.the.nurse.is.most.appr
opriate?
a. “The.role.of.the.nurse.is.to.administer.medications.and.other.treatments.prescribed
.by.your.doctor.”
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.”
ANS:. D
This.response.is.consistent.with.the.Canadian.Nurses.Association.(CNA).definition.of.nursin
g..Registered.nurses.are.self-
regulated.health.care.professionals.who.work.autonomously.and.in.collaboration.with.others..
RNs.enable.individuals,.families,.groups,.communities.and.populations.to.achieve.their.optim
al.level.of.health..RNs.coordinate.health.care,.deliver.direct.services,.and.support.patients.in.t
heir.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.n
ursing.role.but.do.not.accurately.describe.the.nurse’s.role.in.the.health.care.system.
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.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
ANS:. C
Evidence-
informed.nursing.practice.is.a.continuous.interactive.process.involving.the.explicit,.conscienti
ous,.and.judicious.consideration.of.the.best.available.evidence.to.provide.care..Four.primary.e
lements.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.the.nurse
’s.clinical.experience.is.part.of.EIP,.but.clinical.decision.making.also.should.incorporate.curre
nt.research.and.research-
based.guidelines..Evidence.from.one.clinical.research.study.does.not.provide.an.adequate.sub
1. Introduction.to.Medical-Surgical.Nursing.Practice.in.Canada
2. Cultural.Competence.and.Health.Equity.in.Nursing.Care
3. Health.History.and.Physical.Examination
4. Patient.and.Caregiver.Teaching
5. Chronic.Illness
6. Community-Based.Nursing.and.Home.Care
7. Older.Persons
8. Stress.and.Stress.Management
9. Sleep. and. Sleep. Disorders
10. Pain
11. Substance.Use
12. Complementary.and.Alternative.Therapies
13. Palliative.and.End-of-Life.Care
14. Inflammation.and.Wound.Healing
15. Genetics
16. Altered.Immune.Response.and.Transplantation
17. Infection.and.Human.Immunodeficiency.Virus.Infection
18. Cancer
19. Fluid,.Electrolyte,.and.Acid–Base.Imbalances
20. Nursing.Management:.Preoperative.Care
21. Nursing.Management:.Intraoperative.Care
22. Nursing.Management:.Postoperative.Care
23. Nursing.Assessment:.Visual.and.Auditory.Systems
24. Nursing.Management:.Visual.and.Auditory.Conditions
25. Nursing.Assessment:.Integumentary.System
26. Nursing.Management:.Integumentary.Conditions
27. Nursing.Management:.Burns
28. Nursing.Assessment:.Respiratory.System
29. Nursing.Management:.Upper.Respiratory.Conditions
30. Nursing.Management:.Lower.Respiratory.Conditions
31. Nursing.Management:.Obstructive.Pulmonary.Diseases
32. Nursing.Assessment:.Hematological.System
33. Nursing.Management:.Hematological.Conditions
34. Nursing.Assessment:.Cardiovascular.System
35. Nursing.Management:.Hypertension
36. Nursing.Management:.Coronary.Artery.Disease.and.Acute.Coronary.Syndrome
37. Nursing.Management:.Heart.Failure
38. Nursing.Management:.Dysrhythmias
39. Nursing.Management:.Inflammatory.and.Structural.Heart.Disorders
40. Nursing.Management:.Vascular.Disorders
41. Nursing.Assessment:.Gastrointestinal.System
42. Nursing.Management:.Nutritional.Conditions
43. Nursing.Management:.Obesity
44. Nursing.Management:.Upper.Gastrointestinal.Conditions
45. Nursing.Management:.Lower.Gastrointestinal.Conditions
46. Nursing.Management:.Liver,.Pancreas,.and.Biliary.Tract.Conditions
47. Nursing.Assessment:.Urinary.System
,48. Nursing.Management:.Renal.and.Urological.Conditions
49. Nursing.Management:.Acute.Kidney.Injury.and.Chronic.Kidney.Disease
50. Nursing.Assessment:.Endocrine.System
,51. Nursing.Management:.Endocrine.Conditions
52. Nursing.Management:.Diabetes.Mellitus
53. Nursing.Assessment:.Reproductive.System
54. Nursing.Management:.Breast.Disorders
55. Nursing.Management:.Sexually.Transmitted.Infections
56. Nursing.Management:.Female.Reproductive.Conditions
57. Nursing.Management:.Male.Reproductive.Conditions
58. Nursing.Assessment:.Nervous.System
59. Nursing. Management:. Acute. Intracranial. Conditions
60. Nursing. Management:. Stroke
61. Nursing.Management:.Chronic.Neurological.Conditions
62. Nursing.Management:.Delirium,.Alzheimer’s.Disease,.and.Other.Dementias
63. Nursing. Management:. Peripheral. Nerve. and. Spinal. Cord. Conditions
64. Nursing.Assessment:.Musculoskeletal.System
65. Nursing. Management:. Musculoskeletal. Trauma. and. Orthopedic. Surgery
66. Nursing.Management:.Musculoskeletal.Conditions
67. Nursing.Management:.Arthritis.and.Connective.Tissue.Diseases
68. Nursing.Management:.Critical.Care.Environment
69. Nursing.Management:.Shock,.Sepsis,.and.Multiple-Organ.Dysfunction.Syndrome
70. Nursing. Management:. Respiratory. Failure. and. Acute. Respiratory. Distress. Syndrome
71. Nursing.Management:.Emergency.Care.Situations
72. Emergency.Management.and.Disaster.Planning
, 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.patie
nt.that.together.they.will.plan.the.patient’s.care.and.set.goals.for.discharge..The.patient.asks,.
“How.is.that.different.from.what.the.doctor.does?”.Which.response.by.the.nurse.is.most.appr
opriate?
a. “The.role.of.the.nurse.is.to.administer.medications.and.other.treatments.prescribed
.by.your.doctor.”
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.”
ANS:. D
This.response.is.consistent.with.the.Canadian.Nurses.Association.(CNA).definition.of.nursin
g..Registered.nurses.are.self-
regulated.health.care.professionals.who.work.autonomously.and.in.collaboration.with.others..
RNs.enable.individuals,.families,.groups,.communities.and.populations.to.achieve.their.optim
al.level.of.health..RNs.coordinate.health.care,.deliver.direct.services,.and.support.patients.in.t
heir.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.n
ursing.role.but.do.not.accurately.describe.the.nurse’s.role.in.the.health.care.system.
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.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
ANS:. C
Evidence-
informed.nursing.practice.is.a.continuous.interactive.process.involving.the.explicit,.conscienti
ous,.and.judicious.consideration.of.the.best.available.evidence.to.provide.care..Four.primary.e
lements.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.the.nurse
’s.clinical.experience.is.part.of.EIP,.but.clinical.decision.making.also.should.incorporate.curre
nt.research.and.research-
based.guidelines..Evidence.from.one.clinical.research.study.does.not.provide.an.adequate.sub
