BRUNNER AND SUDDARTHS CANADIAN
TEXTBOOK OF MEDICAL SURGICAL NURSING
4 FINAL PAPER 2026 COMPLETE QUESTIONS
AND ANSWERS
◉ The nurse monitors a client for side effects associated with
furosemide, which is newly prescribed for the treatment of heart
failure.
Due to the client's high risk for developing _________ as a result of the
prescribed medication, the nurse focuses on monitoring the client
for __________.
Answer: Due to the client's high risk for developing hypokalemia as
a result of the prescribed medication, the nurse focuses on
monitoring the client for ventricular arrhythmia.
◉ A client has been admitted to the hospital with a large sacral
pressure ulcer. The physician prescribes the wound care protocol to
be performed twice a day. What would be a statement on the plan of
care that would address the implementation phase of the nursing
process for this client?
Answer: Turn the client every 2 hours.
,◉ The basic difference between nursing diagnoses and collaborative
problems
Answer: Nurses manage collaborative problems using physician-
prescribed interventions.
Nursing diagnoses can be managed by independent nursing
interventions.
◉ A nurse saw a coworker steal drugs from a locked cabinet. The
supervisor notices the missing drugs and has a good idea who is
responsible for the theft. The supervisor asks if the nurse saw
anything out of the ordinary. Which professional value reflects a
nurse's duty to tell the truth?
Answer: Veracity
Veracity is the nurse's duty to tell the truth in all professional
situations.
◉ A nurse is working in a rural nurse-managed agency that provides
immunizations, health assessments, and screening services. The
nurse is most likely working in which of the following?
Answer: Community nursing center
◉ Which is a primary task of nursing research?
Answer: Contributing to the scientific base of nursing practice
,◉ A student nurse has been assigned to provide basic care for a 58-
year-old man with a diagnosis of AIDS-related pneumonia. The
student tells the instructor that she is unwilling to care for this
client. What key component of critical thinking is most likely missing
from this student's practice?
Answer: Withholding judgment
◉ A nurse in a hospice facility cares for clients with terminal
illnesses and witnesses a great deal of pain and emotional distress.
Which factor that affects healthcare ethics determines how the
nurse must respond when a client asks for help in ending his or her
suffering?
Answer: Legislative and judicial decisions
◉ The nurse is caring for a client who is withdrawing from heavy
alcohol use and who is consequently combative and confused,
despite the administration of benzodiazepines. The client has a
fractured hip that he suffered in a traumatic accident and is trying to
get out of bed. What is the most appropriate action for the nurse to
take?
Answer: Obtain a physician's order to restrain the client.
◉ Who should be involved in establishing specific and realistic
outcomes, so the client does not become frustrated in trying to
achieve them?
, Answer: The client and family
◉ Which of the following patient age groups is currently one of the
fastest growing age groups in the population?
Answer: Adults 65 years of age and over
◉ The nurse monitors a male client for symptoms of urethral
strictures following a transurethral resection of the prostate (TURP)
for the treatment of prostate cancer.
Client symptoms indicative of this complication that the nurse
monitors for following a TURP include _________, __________, and
_______________.
Answer: Client symptoms indicative of this complication that the
nurse monitors for following a TURP include straining, dysuria, and
a weak urinary stream.
◉ The nurse on a telemetry unit is caring for a 54-year-old male
client, admitted with chest pain, who has an arteriovenous (AV)
fistula in the left arm for hemodialysis secondary to chronic kidney
disease.
Specify if the intervention is indicated or contraindicated for this
client.
TEXTBOOK OF MEDICAL SURGICAL NURSING
4 FINAL PAPER 2026 COMPLETE QUESTIONS
AND ANSWERS
◉ The nurse monitors a client for side effects associated with
furosemide, which is newly prescribed for the treatment of heart
failure.
Due to the client's high risk for developing _________ as a result of the
prescribed medication, the nurse focuses on monitoring the client
for __________.
Answer: Due to the client's high risk for developing hypokalemia as
a result of the prescribed medication, the nurse focuses on
monitoring the client for ventricular arrhythmia.
◉ A client has been admitted to the hospital with a large sacral
pressure ulcer. The physician prescribes the wound care protocol to
be performed twice a day. What would be a statement on the plan of
care that would address the implementation phase of the nursing
process for this client?
Answer: Turn the client every 2 hours.
,◉ The basic difference between nursing diagnoses and collaborative
problems
Answer: Nurses manage collaborative problems using physician-
prescribed interventions.
Nursing diagnoses can be managed by independent nursing
interventions.
◉ A nurse saw a coworker steal drugs from a locked cabinet. The
supervisor notices the missing drugs and has a good idea who is
responsible for the theft. The supervisor asks if the nurse saw
anything out of the ordinary. Which professional value reflects a
nurse's duty to tell the truth?
Answer: Veracity
Veracity is the nurse's duty to tell the truth in all professional
situations.
◉ A nurse is working in a rural nurse-managed agency that provides
immunizations, health assessments, and screening services. The
nurse is most likely working in which of the following?
Answer: Community nursing center
◉ Which is a primary task of nursing research?
Answer: Contributing to the scientific base of nursing practice
,◉ A student nurse has been assigned to provide basic care for a 58-
year-old man with a diagnosis of AIDS-related pneumonia. The
student tells the instructor that she is unwilling to care for this
client. What key component of critical thinking is most likely missing
from this student's practice?
Answer: Withholding judgment
◉ A nurse in a hospice facility cares for clients with terminal
illnesses and witnesses a great deal of pain and emotional distress.
Which factor that affects healthcare ethics determines how the
nurse must respond when a client asks for help in ending his or her
suffering?
Answer: Legislative and judicial decisions
◉ The nurse is caring for a client who is withdrawing from heavy
alcohol use and who is consequently combative and confused,
despite the administration of benzodiazepines. The client has a
fractured hip that he suffered in a traumatic accident and is trying to
get out of bed. What is the most appropriate action for the nurse to
take?
Answer: Obtain a physician's order to restrain the client.
◉ Who should be involved in establishing specific and realistic
outcomes, so the client does not become frustrated in trying to
achieve them?
, Answer: The client and family
◉ Which of the following patient age groups is currently one of the
fastest growing age groups in the population?
Answer: Adults 65 years of age and over
◉ The nurse monitors a male client for symptoms of urethral
strictures following a transurethral resection of the prostate (TURP)
for the treatment of prostate cancer.
Client symptoms indicative of this complication that the nurse
monitors for following a TURP include _________, __________, and
_______________.
Answer: Client symptoms indicative of this complication that the
nurse monitors for following a TURP include straining, dysuria, and
a weak urinary stream.
◉ The nurse on a telemetry unit is caring for a 54-year-old male
client, admitted with chest pain, who has an arteriovenous (AV)
fistula in the left arm for hemodialysis secondary to chronic kidney
disease.
Specify if the intervention is indicated or contraindicated for this
client.
