Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e 1
(Hinkle 202027202027/2027)
GEORGE FOX UNIVERSITY NURSING 14E CHAPTER 10
MEDICAL-SURGICAL NURSING QUESTIONS AND
ANSWERS | STUDY GUIDE & PRACTICE TEST 2026/2027
Chapter 10: Principles and Practices of Rehabilitation
1. The nurse is providing care for an older adult man whose diagnosis of dementia has recently led
to urinary incontinence. When planning this patients care, what intervention should the nurse
avoid?
A) Scheduled toileting
B) Indwelling catheter
C) External condom catheter
D) Incontinence pads
Ans: B
Feedback:
Indwelling catheters are avoided if at all possible because of the high incidence of urinary tract
infections with their use. Intermittent self-catheterization is an appropriate alternative for managing
reflex incontinence, urinary retention, and overflow incontinence related to an overdistended bladder.
External catheters (condom catheters) and leg bags to collect spontaneous voiding are useful for male
patients with reflex or total incontinence. Incontinence pads should be used as a last resort because they
only manage, rather than solve, the incontinence.
2. You are the nurse caring for a female patient who developed a pressure ulcer as a result of
decreased mobility. The nurse on the shift before you has provided patient teaching about pressure
ulcers and healing promotion. You assess that the patient has understood the teaching by observing
what?
A) Patient performs range-of-motion exercises.
B) Patient avoids placing her body weight on the healing site.
C) Patient elevates her body parts that are susceptible to edema.
D) Patient demonstrates the technique for massaging the wound site.
Ans: B
Feedback:
,Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e 2
(Hinkle 202027202027/2027)
The major goals of pressure ulcer treatment may include relief of pressure, improved mobility,
improved sensory perception, improved tissue perfusion, improved nutritional status, minimized
friction and shear forces, dry surfaces in contact with skin, and healing of pressure ulcer, if present. The
other options do not demonstrate the achievement of the goal of the patient teaching.
,Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e 3
(Hinkle 202027202027/2027)
3. An elderly female patient who is bedridden is admitted to the unit because of a pressure ulcer that can
no longer be treated in a community setting. During your assessment of the patient, you find that the
ulcer extends into the muscle and bone. At what stage would document this ulcer?
A) I
B) II
C) III
D) IV
Ans: D
Feedback:
Stage III and IV pressure ulcers are characterized by extensive tissue damage. In addition to the
interventions listed for stage I, these advanced draining, necrotic pressure ulcers must be cleaned
(dbrided) to create an area that will heal. Stage IV is an ulcer that extends to underlying muscle and
bone. Stage III is an ulcer that extends into the subcutaneous tissue. With this type of ulcer, necrosis of
tissue and infection may develop. Stage I is an area of erythema that does not blanch with pressure.
Stage II involves a break in the skin that may drain.
4. A 74-year-old woman experienced a cerebrovascular accident 6 weeks ago and is currently receiving
inpatient rehabilitation. You are coaching the patient to contract and relax her muscles while keeping
her extremity in a fixed position. Which type of exercise is the patient performing?
A) Passive
B) Isometric
C) Resistive
D) Abduction
Ans: B
Feedback:
Isometric exercises are those in which there is alternating contraction and relaxation of a muscle while
keeping the part in a fixed position. This exercise is performed by the patient. Passive exercises are
carried out by the therapist or the nurse without assistance from the patient. Resistive exercises are
carried out by the patient working against resistance produced by either manual or mechanical means.
Abduction is movement of a part away from the midline of the body.
5. An interdisciplinary team has been working collaboratively to improve the health outcomes of a young
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e 4
(Hinkle 202027202027/2027)
adult who suffered a spinal cord injury in a workplace accident. Which member of the rehabilitation team is the
one who determines the final outcome of the process?
A) Most-responsible nurse
B) Patient
C) Patients family
D) Primary care physician
Ans: B
Feedback:
The patient is the key member of the rehabilitation team. He or she is the focus of the team effort and the one who
determines the final outcomes of the process. The nurse, family, and doctor are part of the rehabilitation
team but do not determine the final outcome.
6. A school nurse is providing health promotion teaching to a group of high school seniors. The
nurse should highlight what salient risk factor for traumatic brain injury?
A) Substance abuse
B) Sports participation
C) Anger mismanagement
D) Lack of community resources
Ans: A
Feedback:
Of spinal cord injuries, 50% are related to substance abuse, and approximately 50% of all patients with traumatic
brain injury were intoxicated at the time of injury. This association exceeds the significance of sports
participation, anger mismanagement, or lack of community resources.
7. A nurse is giving a talk to a local community group whose members advocate for disabled members of
the community. The group is interested in emerging trends that are impacting the care of people who
are disabled in the community. The nurse should describe an increasing focus on what aspect of care?
A) Extended rehabilitation care
B) Independent living
(Hinkle 202027202027/2027)
GEORGE FOX UNIVERSITY NURSING 14E CHAPTER 10
MEDICAL-SURGICAL NURSING QUESTIONS AND
ANSWERS | STUDY GUIDE & PRACTICE TEST 2026/2027
Chapter 10: Principles and Practices of Rehabilitation
1. The nurse is providing care for an older adult man whose diagnosis of dementia has recently led
to urinary incontinence. When planning this patients care, what intervention should the nurse
avoid?
A) Scheduled toileting
B) Indwelling catheter
C) External condom catheter
D) Incontinence pads
Ans: B
Feedback:
Indwelling catheters are avoided if at all possible because of the high incidence of urinary tract
infections with their use. Intermittent self-catheterization is an appropriate alternative for managing
reflex incontinence, urinary retention, and overflow incontinence related to an overdistended bladder.
External catheters (condom catheters) and leg bags to collect spontaneous voiding are useful for male
patients with reflex or total incontinence. Incontinence pads should be used as a last resort because they
only manage, rather than solve, the incontinence.
2. You are the nurse caring for a female patient who developed a pressure ulcer as a result of
decreased mobility. The nurse on the shift before you has provided patient teaching about pressure
ulcers and healing promotion. You assess that the patient has understood the teaching by observing
what?
A) Patient performs range-of-motion exercises.
B) Patient avoids placing her body weight on the healing site.
C) Patient elevates her body parts that are susceptible to edema.
D) Patient demonstrates the technique for massaging the wound site.
Ans: B
Feedback:
,Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e 2
(Hinkle 202027202027/2027)
The major goals of pressure ulcer treatment may include relief of pressure, improved mobility,
improved sensory perception, improved tissue perfusion, improved nutritional status, minimized
friction and shear forces, dry surfaces in contact with skin, and healing of pressure ulcer, if present. The
other options do not demonstrate the achievement of the goal of the patient teaching.
,Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e 3
(Hinkle 202027202027/2027)
3. An elderly female patient who is bedridden is admitted to the unit because of a pressure ulcer that can
no longer be treated in a community setting. During your assessment of the patient, you find that the
ulcer extends into the muscle and bone. At what stage would document this ulcer?
A) I
B) II
C) III
D) IV
Ans: D
Feedback:
Stage III and IV pressure ulcers are characterized by extensive tissue damage. In addition to the
interventions listed for stage I, these advanced draining, necrotic pressure ulcers must be cleaned
(dbrided) to create an area that will heal. Stage IV is an ulcer that extends to underlying muscle and
bone. Stage III is an ulcer that extends into the subcutaneous tissue. With this type of ulcer, necrosis of
tissue and infection may develop. Stage I is an area of erythema that does not blanch with pressure.
Stage II involves a break in the skin that may drain.
4. A 74-year-old woman experienced a cerebrovascular accident 6 weeks ago and is currently receiving
inpatient rehabilitation. You are coaching the patient to contract and relax her muscles while keeping
her extremity in a fixed position. Which type of exercise is the patient performing?
A) Passive
B) Isometric
C) Resistive
D) Abduction
Ans: B
Feedback:
Isometric exercises are those in which there is alternating contraction and relaxation of a muscle while
keeping the part in a fixed position. This exercise is performed by the patient. Passive exercises are
carried out by the therapist or the nurse without assistance from the patient. Resistive exercises are
carried out by the patient working against resistance produced by either manual or mechanical means.
Abduction is movement of a part away from the midline of the body.
5. An interdisciplinary team has been working collaboratively to improve the health outcomes of a young
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e 4
(Hinkle 202027202027/2027)
adult who suffered a spinal cord injury in a workplace accident. Which member of the rehabilitation team is the
one who determines the final outcome of the process?
A) Most-responsible nurse
B) Patient
C) Patients family
D) Primary care physician
Ans: B
Feedback:
The patient is the key member of the rehabilitation team. He or she is the focus of the team effort and the one who
determines the final outcomes of the process. The nurse, family, and doctor are part of the rehabilitation
team but do not determine the final outcome.
6. A school nurse is providing health promotion teaching to a group of high school seniors. The
nurse should highlight what salient risk factor for traumatic brain injury?
A) Substance abuse
B) Sports participation
C) Anger mismanagement
D) Lack of community resources
Ans: A
Feedback:
Of spinal cord injuries, 50% are related to substance abuse, and approximately 50% of all patients with traumatic
brain injury were intoxicated at the time of injury. This association exceeds the significance of sports
participation, anger mismanagement, or lack of community resources.
7. A nurse is giving a talk to a local community group whose members advocate for disabled members of
the community. The group is interested in emerging trends that are impacting the care of people who
are disabled in the community. The nurse should describe an increasing focus on what aspect of care?
A) Extended rehabilitation care
B) Independent living
