zq
,Table of Contents
zq zq
Chapter 01 Professional Nursing Practice
zq zq zq zq 2
Chapter 02 Medical-Surgical Nursing
zq zq zq 17
Chapter 03 Health Education and Health Promotion
zq zq zq zq zq zq 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment
zq zq zq zq zq zq zq zq zq 45
Chapter 05 Stress and Inflammatory Responses
zq zq zq zq zq 60
Chapter 06 Genetics and Genomics in Nursing
zq zq zq zq zq zq 76
Chapter 07 Disability and Chronic Illness
zq zq zq zq zq 92
Chapter 08 Management of the Older Adult Patient
zq zq zq zq zq zq zq 107
Chapter 09 Pain Management
zq zq zq 121
Chapter 10 Fluid and Electrolytes
zq zq zq zq 137
Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
zq zq zq zq zq zq zq zq 153
Chapter 12 Management of Patients with Oncologic Disorders
zq zq zq zq zq zq zq 169
Chapter 13 Palliative and End-of-Life Care
zq zq zq zq zq 183
Chapter 14 Preoperative Nursing Management
zq zq zq zq 199
Chapter 15 Intraoperative Nursing Management
zq zq zq zq 214
Chapter 16 Postoperative Nursing Management
zq zq zq zq 228
Chapter 17 Assessment of Respiratory Function
zq zq zq zq zq 243
Chapter 18 Management of Patients with Upper Respiratory Tract Disorders
zq zq zq zq zq zq zq zq zq 258
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders
zq zq zq zq zq zq zq zq zq zq zq 272
Chapter 20 Management of Patients with Chronic Pulmonary Disease
zq zq zq zq zq zq zq zq 288
Chapter 21 Assessment of Cardiovascular Function
zq zq zq zq zq 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
zq zq zq zq zq zq zq zq zq 318
Chapter 23 Management of Patients with Coronary Vascular Disorders
zq zq zq zq zq zq zq zq 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
zq zq zq zq zq zq zq zq zq zq
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease
zq zq zq zq zq zq zq zq zq 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
zq zq zq zq zq zq zq zq zq zq zq
of Peripheral Circulation
zq zq 375
Chapter 27 Assessment and Management of Patients with Hypertension
zq zq zq zq zq zq zq zq 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
zq zq zq zq zq zq zq zq 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
zq zq zq zq zq zq zq zq 420
Chapter 30 Management of Patients with Hematologic Neoplasms
zq zq zq zq zq zq zq 433
Chapter 31 Assessment of Immune Function
zq zq zq zq zq 448
Chapter 32 Management of Patients with Immune Deficiency Disorders
zq zq zq zq zq zq zq zq 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
zq zq zq zq zq zq zq zq zq 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
zq zq zq zq zq zq zq zq zq zq 492
,Chapter 35 Assessment of Musculoskeletal Function
zq zq zq zq zq 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
zq zq zq zq zq zq zq 520
Chapter 37 Management of Patients with Musculoskeletal Trauma
zq zq zq zq zq zq zq 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function
zq zq zq zq zq zq zq 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders
zq zq zq zq zq zq zq zq zq 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders
zq zq zq zq zq zq zq zq zq 578
Chapter 41 Management of Patients with Intestinal and Rectal Disorders
zq zq zq zq zq zq zq zq zq 591
Chapter 42 Assessment and Management of Patients with Obesity
zq zq zq zq zq zq zq zq 606
Chapter 43 Assessment and Management of Patients with Hepatic Disorders
zq zq zq zq zq zq zq zq zq 621
Chapter 44 Management of Patients with Biliary Disorders
zq zq zq zq zq zq zq 635
Chapter 45 Assessment and Management of Patients with Endocrine Disorders
zq zq zq zq zq zq zq zq zq 650
Chapter 46 Management of Patients with Diabetes
zq zq zq zq zq zq 665
Chapter 47 Assessment of Kidney and Urinary Function
zq zq zq zq zq zq zq 680
Chapter 48 Management of Patients with Kidney Disorders
zq zq zq zq zq zq zq 695
Chapter 49 Management of Patients with Urinary Disorders
zq zq zq zq zq zq zq 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes
zq zq zq zq zq zq zq zq zq zq 725
Chapter 51 Management of Patients with Female Reproductive Disorders
zq zq zq zq zq zq zq zq 741
Chapter 52 Assessment and Management of Patients with Breast Disorders
zq zq zq zq zq zq zq zq zq 757
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders
zq zq zq zq zq zq zq zq zq zq 771
Chapter 54 Assessment and Management of Patients Who Are LGBTQ
zq zq zq zq zq zq zq zq zq 786
Chapter 55 Assessment of Integumentary Function
zq zq zq zq zq 794
Chapter 56 Management of Patients with Dermatologic Disorders
zq zq zq zq zq zq zq 808
Chapter 57 Management of Patients with Burn Injury
zq zq zq zq zq zq zq 822
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders
zq zq zq zq zq zq zq zq zq zq zq 837
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders
zq zq zq zq zq zq zq zq zq zq zq 851
Chapter 60 Assessment of Neurologic Function
zq zq zq zq zq 866
Chapter 61 Management of Patients With Neurologic Dysfunction
zq zq zq zq zq zq zq 881
Chapter 62 Management of Patients With Cerebrovascular Disorders
zq zq zq zq zq zq zq 895
Chapter 63 Management of Patients with Neurologic Trauma
zq zq zq zq zq zq zq 911
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
zq zq zq zq zq zq zq zq zq zq
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
zq zq zq zq zq zq zq zq zq zq 940
Chapter 66 Management of Patients with Infectious Diseases
zq zq zq zq zq zq zq 955
Chapter 67 Emergency Nursing
zq zq zq 968
Chapter 68 Disaster Nursing
zq zq zq 977
, Chapter 1: Professional Nursing Practice
zq zq zq zq
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
zq zq zq zq zq zq zq zq zq
MULTIPLE CHOICE zq
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therape
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
utic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
obligation to these clients? zq zq zq
A. The nurse should adhere to professional standards of practice and offer service to th
zq zq zq zq zq zq zq zq zq zq zq zq zq
ese clients. zq
B. The nurse should make the choice to decline this position and pursue a different nursi
zq zq zq zq zq zq zq zq zq zq zq zq zq zq
ng role. zq
C. The nurse should decline to care for the client’s considering abortion.
zq zq zq zq zq zq zq zq zq zq
D. The nurse should express alternatives to women considering terminating their pregnancy.
zq zq zq zq zq zq zq zq zq zq
CORRECT ANS: B
zq z q
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s pers
zqzqzq zq zq zq zq zq zq zq zq zq zq zq zq zq
onal beliefs, the nurse should consider working in an area of nursing that would not pose this dilem
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
ma. The nurse should not provide care to the client because it is a conflict of personal values. The
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
nurse should not deny care to these clients as this would be a breach in the Code of Ethics for nurs
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
es. If the client is not requesting information for alternatives to abortions, then the nurse should not
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
be providing this information.
zq zq zq zq
2. An 80-year-old client is admitted with a diagnosis of community-
zq zq zq zq zq zq zq zq zq
acquired pneumonia. During admission the client states, "I have a living will." What implication of
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
this should the nurse recognize?
zq zq zq zq
A. This document is always honored, regardless of circumstances.
zq zq zq zq zq zq zq
B. This document specifies the client's wishes before hospitalization.
zq zq zq zq zq zq zq
C. This document is binding for the duration of the client's life.
zq zq zq zq zq zq zq zq zq zq
D. This document has been drawn up by the client's family to determine DNR status.
zq zq zq zq zq zq zq zq zq zq zq zq zq
CORRECT ANS: B zq z q
Rationale: A living will is one type of advance directive. In most situations, living wills are limite
zqzqzq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
d to situations in which the client's medical condition is deemed terminal. The other answers are in
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
correct because living wills are not always honored in every circumstance, they are not binding for
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq z
the duration of the client's life, and they are not drawn up by the client's family.
q zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
PTS: 1 REF: p. 29
z q z q zqzq zq
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
z q zq zq zq zq zq zq zq zq
TOP: Chapter 1: Professional Nursing Practice
zq z q zq zq zq zq
KEY: Integrated Process: Communication and Documentation
z q zq zq zq zq
BLM: Cognitive Level: Analyz zq zq zq
e NOT: Multiple Choice
zq z q zq
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the eth
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
ical principle of nonmaleficence. Which of the following actions would be considered a violation o
zq zq zq zq zq zq zq zq zq zq zq zq zq zq
f this principle?
zq zq
A. Discussing a DNR order with a terminally ill client zq zq zq zq zq zq zq zq
B. Assisting a semi-independent client with ADLs zq zq zq zq zq
C. Refusing to administer pain medication as prescribed zq zq zq zq zq zq
D. Providing more care for one client than for anoth zq zq zq zq zq zq zq zq
er CORRECT ANS: C
zq zq z q
Rationale: The duty not to inflict as well as prevent and remove harm is termed nonmaleficence.
zqzqzq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
Discussing a DNR order with a terminally ill client and assisting a client with ADLs would not be
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
considered contradictions to the nurse's duty of nonmaleficence. Some clients justifiably require mor
zq zq zq zq zq zq zq zq zq zq zq zq
1 | P a g e
zq zq zq zq zq
,Table of Contents
zq zq
Chapter 01 Professional Nursing Practice
zq zq zq zq 2
Chapter 02 Medical-Surgical Nursing
zq zq zq 17
Chapter 03 Health Education and Health Promotion
zq zq zq zq zq zq 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment
zq zq zq zq zq zq zq zq zq 45
Chapter 05 Stress and Inflammatory Responses
zq zq zq zq zq 60
Chapter 06 Genetics and Genomics in Nursing
zq zq zq zq zq zq 76
Chapter 07 Disability and Chronic Illness
zq zq zq zq zq 92
Chapter 08 Management of the Older Adult Patient
zq zq zq zq zq zq zq 107
Chapter 09 Pain Management
zq zq zq 121
Chapter 10 Fluid and Electrolytes
zq zq zq zq 137
Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
zq zq zq zq zq zq zq zq 153
Chapter 12 Management of Patients with Oncologic Disorders
zq zq zq zq zq zq zq 169
Chapter 13 Palliative and End-of-Life Care
zq zq zq zq zq 183
Chapter 14 Preoperative Nursing Management
zq zq zq zq 199
Chapter 15 Intraoperative Nursing Management
zq zq zq zq 214
Chapter 16 Postoperative Nursing Management
zq zq zq zq 228
Chapter 17 Assessment of Respiratory Function
zq zq zq zq zq 243
Chapter 18 Management of Patients with Upper Respiratory Tract Disorders
zq zq zq zq zq zq zq zq zq 258
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders
zq zq zq zq zq zq zq zq zq zq zq 272
Chapter 20 Management of Patients with Chronic Pulmonary Disease
zq zq zq zq zq zq zq zq 288
Chapter 21 Assessment of Cardiovascular Function
zq zq zq zq zq 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
zq zq zq zq zq zq zq zq zq 318
Chapter 23 Management of Patients with Coronary Vascular Disorders
zq zq zq zq zq zq zq zq 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
zq zq zq zq zq zq zq zq zq zq
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease
zq zq zq zq zq zq zq zq zq 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
zq zq zq zq zq zq zq zq zq zq zq
of Peripheral Circulation
zq zq 375
Chapter 27 Assessment and Management of Patients with Hypertension
zq zq zq zq zq zq zq zq 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
zq zq zq zq zq zq zq zq 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
zq zq zq zq zq zq zq zq 420
Chapter 30 Management of Patients with Hematologic Neoplasms
zq zq zq zq zq zq zq 433
Chapter 31 Assessment of Immune Function
zq zq zq zq zq 448
Chapter 32 Management of Patients with Immune Deficiency Disorders
zq zq zq zq zq zq zq zq 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
zq zq zq zq zq zq zq zq zq 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
zq zq zq zq zq zq zq zq zq zq 492
,Chapter 35 Assessment of Musculoskeletal Function
zq zq zq zq zq 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
zq zq zq zq zq zq zq 520
Chapter 37 Management of Patients with Musculoskeletal Trauma
zq zq zq zq zq zq zq 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function
zq zq zq zq zq zq zq 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders
zq zq zq zq zq zq zq zq zq 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders
zq zq zq zq zq zq zq zq zq 578
Chapter 41 Management of Patients with Intestinal and Rectal Disorders
zq zq zq zq zq zq zq zq zq 591
Chapter 42 Assessment and Management of Patients with Obesity
zq zq zq zq zq zq zq zq 606
Chapter 43 Assessment and Management of Patients with Hepatic Disorders
zq zq zq zq zq zq zq zq zq 621
Chapter 44 Management of Patients with Biliary Disorders
zq zq zq zq zq zq zq 635
Chapter 45 Assessment and Management of Patients with Endocrine Disorders
zq zq zq zq zq zq zq zq zq 650
Chapter 46 Management of Patients with Diabetes
zq zq zq zq zq zq 665
Chapter 47 Assessment of Kidney and Urinary Function
zq zq zq zq zq zq zq 680
Chapter 48 Management of Patients with Kidney Disorders
zq zq zq zq zq zq zq 695
Chapter 49 Management of Patients with Urinary Disorders
zq zq zq zq zq zq zq 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes
zq zq zq zq zq zq zq zq zq zq 725
Chapter 51 Management of Patients with Female Reproductive Disorders
zq zq zq zq zq zq zq zq 741
Chapter 52 Assessment and Management of Patients with Breast Disorders
zq zq zq zq zq zq zq zq zq 757
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders
zq zq zq zq zq zq zq zq zq zq 771
Chapter 54 Assessment and Management of Patients Who Are LGBTQ
zq zq zq zq zq zq zq zq zq 786
Chapter 55 Assessment of Integumentary Function
zq zq zq zq zq 794
Chapter 56 Management of Patients with Dermatologic Disorders
zq zq zq zq zq zq zq 808
Chapter 57 Management of Patients with Burn Injury
zq zq zq zq zq zq zq 822
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders
zq zq zq zq zq zq zq zq zq zq zq 837
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders
zq zq zq zq zq zq zq zq zq zq zq 851
Chapter 60 Assessment of Neurologic Function
zq zq zq zq zq 866
Chapter 61 Management of Patients With Neurologic Dysfunction
zq zq zq zq zq zq zq 881
Chapter 62 Management of Patients With Cerebrovascular Disorders
zq zq zq zq zq zq zq 895
Chapter 63 Management of Patients with Neurologic Trauma
zq zq zq zq zq zq zq 911
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
zq zq zq zq zq zq zq zq zq zq
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
zq zq zq zq zq zq zq zq zq zq 940
Chapter 66 Management of Patients with Infectious Diseases
zq zq zq zq zq zq zq 955
Chapter 67 Emergency Nursing
zq zq zq 968
Chapter 68 Disaster Nursing
zq zq zq 977
, Chapter 1: Professional Nursing Practice
zq zq zq zq
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
zq zq zq zq zq zq zq zq zq
MULTIPLE CHOICE zq
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therape
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
utic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethical
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
obligation to these clients? zq zq zq
A. The nurse should adhere to professional standards of practice and offer service to th
zq zq zq zq zq zq zq zq zq zq zq zq zq
ese clients. zq
B. The nurse should make the choice to decline this position and pursue a different nursi
zq zq zq zq zq zq zq zq zq zq zq zq zq zq
ng role. zq
C. The nurse should decline to care for the client’s considering abortion.
zq zq zq zq zq zq zq zq zq zq
D. The nurse should express alternatives to women considering terminating their pregnancy.
zq zq zq zq zq zq zq zq zq zq
CORRECT ANS: B
zq z q
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s pers
zqzqzq zq zq zq zq zq zq zq zq zq zq zq zq zq
onal beliefs, the nurse should consider working in an area of nursing that would not pose this dilem
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
ma. The nurse should not provide care to the client because it is a conflict of personal values. The
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
nurse should not deny care to these clients as this would be a breach in the Code of Ethics for nurs
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
es. If the client is not requesting information for alternatives to abortions, then the nurse should not
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
be providing this information.
zq zq zq zq
2. An 80-year-old client is admitted with a diagnosis of community-
zq zq zq zq zq zq zq zq zq
acquired pneumonia. During admission the client states, "I have a living will." What implication of
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
this should the nurse recognize?
zq zq zq zq
A. This document is always honored, regardless of circumstances.
zq zq zq zq zq zq zq
B. This document specifies the client's wishes before hospitalization.
zq zq zq zq zq zq zq
C. This document is binding for the duration of the client's life.
zq zq zq zq zq zq zq zq zq zq
D. This document has been drawn up by the client's family to determine DNR status.
zq zq zq zq zq zq zq zq zq zq zq zq zq
CORRECT ANS: B zq z q
Rationale: A living will is one type of advance directive. In most situations, living wills are limite
zqzqzq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
d to situations in which the client's medical condition is deemed terminal. The other answers are in
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
correct because living wills are not always honored in every circumstance, they are not binding for
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq z
the duration of the client's life, and they are not drawn up by the client's family.
q zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
PTS: 1 REF: p. 29
z q z q zqzq zq
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
z q zq zq zq zq zq zq zq zq
TOP: Chapter 1: Professional Nursing Practice
zq z q zq zq zq zq
KEY: Integrated Process: Communication and Documentation
z q zq zq zq zq
BLM: Cognitive Level: Analyz zq zq zq
e NOT: Multiple Choice
zq z q zq
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the eth
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
ical principle of nonmaleficence. Which of the following actions would be considered a violation o
zq zq zq zq zq zq zq zq zq zq zq zq zq zq
f this principle?
zq zq
A. Discussing a DNR order with a terminally ill client zq zq zq zq zq zq zq zq
B. Assisting a semi-independent client with ADLs zq zq zq zq zq
C. Refusing to administer pain medication as prescribed zq zq zq zq zq zq
D. Providing more care for one client than for anoth zq zq zq zq zq zq zq zq
er CORRECT ANS: C
zq zq z q
Rationale: The duty not to inflict as well as prevent and remove harm is termed nonmaleficence.
zqzqzq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
Discussing a DNR order with a terminally ill client and assisting a client with ADLs would not be
zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq zq
considered contradictions to the nurse's duty of nonmaleficence. Some clients justifiably require mor
zq zq zq zq zq zq zq zq zq zq zq zq
1 | P a g e
zq zq zq zq zq