Test Bank - Medical-Surgical Nursing: Assessment 1
and Management of Clinical 10th edition
Table of Contents
Table of 1
Contents
Chapter 01: Professional Nursing Practice 3
Chapter 02: Health Disparities and Culturally Competent 13
Care Chapter 03: Health History and Physical 21
Examination Chapter 04: Patient and Caregiver Teaching 28
Chapter 05: Chronic Illness and Older 38
Adults Chapter 07: Stress and Stress 48
Management Chapter 07: Sleep and Sleep 54
Disorders Chapter 08: Pain 59
Chapter 09: Palliative Care at End of Life 71
Chapter 10: Substance Use Disorders 79
Chapter 11: Inflammation and Wound 91
Healing Chapter 12: Genetics and 101
Genomics 105
Chapter 13: Altered Immune Responses and Transplantation 117
Chapter 14: Infection and Human Immunodeficiency Virus 129
Infection Chapter 15: Cancer 148
Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances 165
Chapter 17: Preoperative Care 175
Chapter 18: Intraoperative Care 184
Chapter 19: Postoperative Care 196
Chapter 20: Assessment of Visual and Auditory Systems 208
Chapter 21: Visual and Auditory Problems 229
Chapter 22: Assessment of Integumentary System 235
Chapter 23: Integumentary Problems 247
Chapter 24: Burns 261
Chapter 25: Assessment of Respiratory 272
System Chapter 26: Upper Respiratory 284
Problems Chapter 27: Lower Respiratory 307
Problems Chapter 28: Obstructive 327
Pulmonary Diseases Chapter 29: 334
Assessment of Hematologic System Chapter 355
30: Hematologic Problems 366
Chapter 31: Assessment of Cardiovascular System 377
Chapter 32: Hypertension 397
Chapter 33: Coronary Artery Disease and Acute Coronary 409
Syndrome Chapter 34: Heart Failure 423
Chapter 35: Dysrhythmias 439
Chapter 36: Inflammatory and Structural Heart Disorders 455
Chapter 37: Vascular Disorders 463
Chapter 38: Assessment of Gastrointestinal System 474
Chapter 39: Nutritional Problems 483
Chapter 40: Obesity 504
Chapter 41: Upper Gastrointestinal Problems 529
Chapter 42: Lower Gastrointestinal Problems 549
Chapter 43: Liver, Pancreas, and Biliary Tract Problems 560
Chapter 44: Urinary System 580
Chapter 45: Renal and Urologic Problems 597
Chapter 46: Acute Kidney Injury and Chronic Kidney 607
Disease Chapter 47: Assessment of Endocrine System 629
Chapter 48: Diabetes Mellitus 649
Chapter 49: Endocrine Problems
Chapter 50: Assessment of Reproductive System
,Test Bank - Medical-Surgical Nursing: Assessment 2
and Management of Clinical 10th edition
Chapter 51: Breast Disorders 657
Chapter 52: Sexually Transmitted Infections 669
Chapter 53: Female Reproductive and Genital Problems 678
Chapter 54: Male Reproductive and Genital Problems 700
Chapter 55: Assessment of Nervous System 716
Chapter 56: Acute Intracranial Problems 725
Chapter 57: Stroke 743
Chapter 58: Chronic Neurologic Problems 757
Chapter 59: Dementia and Delirium 773
Chapter 60: Spinal Cord and Peripheral Nerve Problems 783
Chapter 61: Assessment of Musculoskeletal System 798
Chapter 62: Musculoskeletal Trauma and Orthopedic 805
Surgery Chapter 63: Musculoskeletal Problems 826
Chapter 64: Arthritis and Connective Tissue Diseases 837
Chapter 65: Critical Care 858
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 877
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress 890
Syndrome Chapter 68: Emergency and Disaster Nursing 903
,Test Bank - Medical-Surgical Nursing: Assessment 3
and Management of Clinical 10th edition
Chapter 01: Professional Nursing Practice
Test Bank
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge goals will
be developed with the patients input. The patient states, How is this different from what the doctor does?
Which response would be most appropriate for the nurse to make?
a. The role of the nurse is to administer medications and other treatments prescribed by your
doctor.
b. The nurses job is to help the doctor by collecting information and communicating any
problems that occur.
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients
for a longer time than the doctor.
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 American Nurses Association (ANA) definition of nursing, which
describes the role of nurses in promoting health. The other responses describe some of the dependent
and collaborative functions of the nursing role but do not accurately describe the nurses role in the
health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring
for patients. Which statement, if made by the nurse, would be the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
d. Recommendations are based on research, clinical expertise, and patient preferences.
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of patient
outcomes is important, but interventions should be based on research from randomized control studies
with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) REF: 11
, Test Bank - Medical-Surgical Nursing: Assessment 4
and Management of Clinical 10th edition
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The nurse teaches a student nurse about how to apply the nursing process when providing patient
care. Which statement, if made by the student nurse, indicates that teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
problems.
b. The nursing process is a problem-solving tool used to identify and treat patients health care
needs.
c. The nursing process is based on nursing theory that incorporates the biopsychosocial
nature of humans.
d. The nursing process is used primarily to explain nursing interventions to other health
care professionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is
in patient care, not to establish nursing theory or explain nursing interventions to other health care
professionals.
DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable
leaving my children with my parents. Which action should the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather more data about the patients feelings about the child-care arrangements.
d. Call the patients parents to determine whether adequate child care is being provided.
ANS: C
Since a complete assessment is necessary in order to identify a problem and choose an appropriate
intervention, the nurses first action should be to obtain more information. The other actions may be
appropriate, but more assessment is needed before the best intervention can be chosen.
DIF: Cognitive Level: Apply (application) REF: 6-7
OBJ: Special Questions: Prioritization TOP: Nursing Process:
Assessment MSC: NCLEX: Psychosocial Integrity
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left
hip Which nursing diagnosis is most appropriate?
a. Impaired physical mobility related to left-sided paralysis
and Management of Clinical 10th edition
Table of Contents
Table of 1
Contents
Chapter 01: Professional Nursing Practice 3
Chapter 02: Health Disparities and Culturally Competent 13
Care Chapter 03: Health History and Physical 21
Examination Chapter 04: Patient and Caregiver Teaching 28
Chapter 05: Chronic Illness and Older 38
Adults Chapter 07: Stress and Stress 48
Management Chapter 07: Sleep and Sleep 54
Disorders Chapter 08: Pain 59
Chapter 09: Palliative Care at End of Life 71
Chapter 10: Substance Use Disorders 79
Chapter 11: Inflammation and Wound 91
Healing Chapter 12: Genetics and 101
Genomics 105
Chapter 13: Altered Immune Responses and Transplantation 117
Chapter 14: Infection and Human Immunodeficiency Virus 129
Infection Chapter 15: Cancer 148
Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances 165
Chapter 17: Preoperative Care 175
Chapter 18: Intraoperative Care 184
Chapter 19: Postoperative Care 196
Chapter 20: Assessment of Visual and Auditory Systems 208
Chapter 21: Visual and Auditory Problems 229
Chapter 22: Assessment of Integumentary System 235
Chapter 23: Integumentary Problems 247
Chapter 24: Burns 261
Chapter 25: Assessment of Respiratory 272
System Chapter 26: Upper Respiratory 284
Problems Chapter 27: Lower Respiratory 307
Problems Chapter 28: Obstructive 327
Pulmonary Diseases Chapter 29: 334
Assessment of Hematologic System Chapter 355
30: Hematologic Problems 366
Chapter 31: Assessment of Cardiovascular System 377
Chapter 32: Hypertension 397
Chapter 33: Coronary Artery Disease and Acute Coronary 409
Syndrome Chapter 34: Heart Failure 423
Chapter 35: Dysrhythmias 439
Chapter 36: Inflammatory and Structural Heart Disorders 455
Chapter 37: Vascular Disorders 463
Chapter 38: Assessment of Gastrointestinal System 474
Chapter 39: Nutritional Problems 483
Chapter 40: Obesity 504
Chapter 41: Upper Gastrointestinal Problems 529
Chapter 42: Lower Gastrointestinal Problems 549
Chapter 43: Liver, Pancreas, and Biliary Tract Problems 560
Chapter 44: Urinary System 580
Chapter 45: Renal and Urologic Problems 597
Chapter 46: Acute Kidney Injury and Chronic Kidney 607
Disease Chapter 47: Assessment of Endocrine System 629
Chapter 48: Diabetes Mellitus 649
Chapter 49: Endocrine Problems
Chapter 50: Assessment of Reproductive System
,Test Bank - Medical-Surgical Nursing: Assessment 2
and Management of Clinical 10th edition
Chapter 51: Breast Disorders 657
Chapter 52: Sexually Transmitted Infections 669
Chapter 53: Female Reproductive and Genital Problems 678
Chapter 54: Male Reproductive and Genital Problems 700
Chapter 55: Assessment of Nervous System 716
Chapter 56: Acute Intracranial Problems 725
Chapter 57: Stroke 743
Chapter 58: Chronic Neurologic Problems 757
Chapter 59: Dementia and Delirium 773
Chapter 60: Spinal Cord and Peripheral Nerve Problems 783
Chapter 61: Assessment of Musculoskeletal System 798
Chapter 62: Musculoskeletal Trauma and Orthopedic 805
Surgery Chapter 63: Musculoskeletal Problems 826
Chapter 64: Arthritis and Connective Tissue Diseases 837
Chapter 65: Critical Care 858
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome 877
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress 890
Syndrome Chapter 68: Emergency and Disaster Nursing 903
,Test Bank - Medical-Surgical Nursing: Assessment 3
and Management of Clinical 10th edition
Chapter 01: Professional Nursing Practice
Test Bank
MULTIPLE CHOICE
1. The nurse completes an admission database and explains that the plan of care and discharge goals will
be developed with the patients input. The patient states, How is this different from what the doctor does?
Which response would be most appropriate for the nurse to make?
a. The role of the nurse is to administer medications and other treatments prescribed by your
doctor.
b. The nurses job is to help the doctor by collecting information and communicating any
problems that occur.
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients
for a longer time than the doctor.
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 American Nurses Association (ANA) definition of nursing, which
describes the role of nurses in promoting health. The other responses describe some of the dependent
and collaborative functions of the nursing role but do not accurately describe the nurses role in the
health care system.
DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring
for patients. Which statement, if made by the nurse, would be the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
d. Recommendations are based on research, clinical expertise, and patient preferences.
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of patient
outcomes is important, but interventions should be based on research from randomized control studies
with a large number of subjects.
DIF: Cognitive Level: Remember (knowledge) REF: 11
, Test Bank - Medical-Surgical Nursing: Assessment 4
and Management of Clinical 10th edition
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
3. The nurse teaches a student nurse about how to apply the nursing process when providing patient
care. Which statement, if made by the student nurse, indicates that teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care
problems.
b. The nursing process is a problem-solving tool used to identify and treat patients health care
needs.
c. The nursing process is based on nursing theory that incorporates the biopsychosocial
nature of humans.
d. The nursing process is used primarily to explain nursing interventions to other health
care professionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients
problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is
in patient care, not to establish nursing theory or explain nursing interventions to other health care
professionals.
DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable
leaving my children with my parents. Which action should the nurse take next?
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather more data about the patients feelings about the child-care arrangements.
d. Call the patients parents to determine whether adequate child care is being provided.
ANS: C
Since a complete assessment is necessary in order to identify a problem and choose an appropriate
intervention, the nurses first action should be to obtain more information. The other actions may be
appropriate, but more assessment is needed before the best intervention can be chosen.
DIF: Cognitive Level: Apply (application) REF: 6-7
OBJ: Special Questions: Prioritization TOP: Nursing Process:
Assessment MSC: NCLEX: Psychosocial Integrity
5. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left
hip Which nursing diagnosis is most appropriate?
a. Impaired physical mobility related to left-sided paralysis
