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