Test Bank for Medical Surgical Nursing
in Canada, 4th Edition By Sharon L.
Lewis; Margaret McLean Heitkemper;
Linda Bucher 2024
The nurse is caring for a client who has heart failure and encourages
the client rest
alternate to and activity periods to reduce cardiac workload. Which
phase ofprocess
nursing the is the nurse
demonstrating?
a.
Planning
b.
Diagnosis
c.
Evaluation
d. Implementation correct answers d.
Implementation
The nurse is planning care for a client and uses a visual diagram of client
problems and to illustrate the relationships among pertinent clinical data.
interventions
Which
the format
nurse is to plan
using
care?
a. Concept
map
b. Critical
pathway
c. Clinical
pathway
d. Nursing care plan correct answers a.
Concept map
Which of the following statements represents the "O" component of the
SOAP process
for
documentation?
a. More pain at
b. Temperature 39.4°C
present
(102.9°F)
c. Risk for
infection
d. Notify surgeon correct answers b. Temperature 39.4°C
(102.9°F)
The nurse caring for postoperative clients developed the following clinical
question:
adult In
postoperative clients, how does guided imagery compared with
music analgesia
affect therapy use within the first 24 hours after surgery? Applying
the PICOT which of the following would be the "I" element in this
framework,
question?
a. Guided
imagery
b. Music
therapy
c. Analgesia
use
d. Adult postoperative clients correct answers a. Guided
imagery
The nurse is investigating ways in which to improve
interprofessionaland
communication teamhas chosen the SBAR model. Which of the following
reflects the
meaning of the "R" in the SBAR
model?
,a. Risk
assessment
b.
Recommendation
c. Responsibility of
action
d. Roles of health team members Incorrect correct answers b.
Recommendation
A team of nurses have a vision to implement evidence-informed practice
(EIP)
of for care
clients with pressure ulcers. Which of the following sources of evidence
would this
change in practice encompass? (Select all that
apply.)
a. Consulting with the wound care and ostomy
nurse
b. The preferences of clients and their particular
circumstances
c. Nurses' expertise and their bodies of experience and
knowledge
d. The traditions that surround pressure ulcer practises on
theJournal
e. unit articles that address the care of clients with pressure ulcers
correct
a. answers
Consulting with the wound care and ostomy
nurse
b. The preferences of clients and their particular
circumstances
c. Nurses' expertise and their bodies of experience and
knowledge
e. Journal articles that address the care of clients with
pressure ulcers
Which of the following clients is most likely to experience health care
disparities?
a. A 65-year-old upper class Chinese male living in
theAcity
b. 78-year-old Indigenous male living on a
reservation
c. A 50-year-old middle class white female living in a
rural
d. area
A 72-year-old professional Caribbean female living in a condo correct
answers b. AIndigenous male living on a
78-year-old
reservation
Which of the following is the first step towards cultural competence in
clinical
a. care?
Acquire knowledge specific to populations and aspects
of care.
b. Develop an understanding of one's own culture through reflection
and self-
assessmen
t.
c. Establish a trusting therapeutic relationship and develop
common
d. Use open-ended
goals. questions to understand clients' priorities and
perceptions.
answers correctan understanding of one's own culture through
b. Develop
reflection and self-
assessmen
t.
Which of the following demonstrates a shift in the composition of Canada's
immigrant
populatio
a. Increased number of three-generation
n?
families
b. Increased proportion of European-born
immigrants
c. Over half of immigrants are from
theDecreased
d. US immigrant age when entering Canada correct answers d.
Decreased
immigrant age when entering
Canada
Which of the following nursing actions is most indicative of
stereotyping?
a. The nurse advocates for bronchodilators to be prescribed for all newly
admitted Black
client
s.
, b. The nurse helps a recent immigrant to explore ways to pay for her newly
prescribed
antihypertensive
medications.
c. The nurse prioritizes the assessment of obesity when providing care for
Black and
Indigenous
women.
d. The nurse arranges for translation services to be provided for a
client who
recently has
emigrated from Sri Lanka and does not speak English. correct
answers
nurse a. The for bronchodilators to be prescribed for all newly
advocates
admitted Black
client
s.
The nurse is performing an assessment of a 78-year-old Chinese woman
who wears
jade braceleta on her left wrist. The nurse asks the client about the
significance
bracelet andof the
whether it can be removed prior to the client's scheduled
diagnostic
procedure. The nurse has
demonstrated
a.
diversity
b.
stereotyping
c.
ethnocentrism
d. cultural competence correct answers d. cultural
competence
The adult children of a male client who is Hindu have requested a
vegetarian
their father.diet
Whatforis the nurse's most appropriate
action?
a. Order a vegetarian diet for the
client.
b. Assess the family's rationale for choosing this
particular
c. Teach thediet.
family about the relationship between protein intake and
wound
d. healing.
Explore the benefits of a low-meat, high-protein diet with the family and
the dietitian.
correct answers a. Order a vegetarian diet for
the client.
The nurse identifies a client at high risk for health care disparities.
Important
intervention nursing
to reduce health care disparities include which of the
following
(Select allactions?
that
apply.)
a. Passive
b. Relationship
listening
building
c. Taking foreign language
classes
d. Participating in cross-cultural
education
e. Using standardized evidence-informed guidelines correct answers b.
Relationship
buildin
g
d. Participating in cross-cultural
e. Using standardized evidence-informed
education
guidelines
During an admission history and physical, the client describes symptoms to
the nurse.
These descriptions would be
documented
a. objective as
data.
b. subjective
data.
c. generalized
data.
d. comprehensive data. correct answers b.
subjective data.
in Canada, 4th Edition By Sharon L.
Lewis; Margaret McLean Heitkemper;
Linda Bucher 2024
The nurse is caring for a client who has heart failure and encourages
the client rest
alternate to and activity periods to reduce cardiac workload. Which
phase ofprocess
nursing the is the nurse
demonstrating?
a.
Planning
b.
Diagnosis
c.
Evaluation
d. Implementation correct answers d.
Implementation
The nurse is planning care for a client and uses a visual diagram of client
problems and to illustrate the relationships among pertinent clinical data.
interventions
Which
the format
nurse is to plan
using
care?
a. Concept
map
b. Critical
pathway
c. Clinical
pathway
d. Nursing care plan correct answers a.
Concept map
Which of the following statements represents the "O" component of the
SOAP process
for
documentation?
a. More pain at
b. Temperature 39.4°C
present
(102.9°F)
c. Risk for
infection
d. Notify surgeon correct answers b. Temperature 39.4°C
(102.9°F)
The nurse caring for postoperative clients developed the following clinical
question:
adult In
postoperative clients, how does guided imagery compared with
music analgesia
affect therapy use within the first 24 hours after surgery? Applying
the PICOT which of the following would be the "I" element in this
framework,
question?
a. Guided
imagery
b. Music
therapy
c. Analgesia
use
d. Adult postoperative clients correct answers a. Guided
imagery
The nurse is investigating ways in which to improve
interprofessionaland
communication teamhas chosen the SBAR model. Which of the following
reflects the
meaning of the "R" in the SBAR
model?
,a. Risk
assessment
b.
Recommendation
c. Responsibility of
action
d. Roles of health team members Incorrect correct answers b.
Recommendation
A team of nurses have a vision to implement evidence-informed practice
(EIP)
of for care
clients with pressure ulcers. Which of the following sources of evidence
would this
change in practice encompass? (Select all that
apply.)
a. Consulting with the wound care and ostomy
nurse
b. The preferences of clients and their particular
circumstances
c. Nurses' expertise and their bodies of experience and
knowledge
d. The traditions that surround pressure ulcer practises on
theJournal
e. unit articles that address the care of clients with pressure ulcers
correct
a. answers
Consulting with the wound care and ostomy
nurse
b. The preferences of clients and their particular
circumstances
c. Nurses' expertise and their bodies of experience and
knowledge
e. Journal articles that address the care of clients with
pressure ulcers
Which of the following clients is most likely to experience health care
disparities?
a. A 65-year-old upper class Chinese male living in
theAcity
b. 78-year-old Indigenous male living on a
reservation
c. A 50-year-old middle class white female living in a
rural
d. area
A 72-year-old professional Caribbean female living in a condo correct
answers b. AIndigenous male living on a
78-year-old
reservation
Which of the following is the first step towards cultural competence in
clinical
a. care?
Acquire knowledge specific to populations and aspects
of care.
b. Develop an understanding of one's own culture through reflection
and self-
assessmen
t.
c. Establish a trusting therapeutic relationship and develop
common
d. Use open-ended
goals. questions to understand clients' priorities and
perceptions.
answers correctan understanding of one's own culture through
b. Develop
reflection and self-
assessmen
t.
Which of the following demonstrates a shift in the composition of Canada's
immigrant
populatio
a. Increased number of three-generation
n?
families
b. Increased proportion of European-born
immigrants
c. Over half of immigrants are from
theDecreased
d. US immigrant age when entering Canada correct answers d.
Decreased
immigrant age when entering
Canada
Which of the following nursing actions is most indicative of
stereotyping?
a. The nurse advocates for bronchodilators to be prescribed for all newly
admitted Black
client
s.
, b. The nurse helps a recent immigrant to explore ways to pay for her newly
prescribed
antihypertensive
medications.
c. The nurse prioritizes the assessment of obesity when providing care for
Black and
Indigenous
women.
d. The nurse arranges for translation services to be provided for a
client who
recently has
emigrated from Sri Lanka and does not speak English. correct
answers
nurse a. The for bronchodilators to be prescribed for all newly
advocates
admitted Black
client
s.
The nurse is performing an assessment of a 78-year-old Chinese woman
who wears
jade braceleta on her left wrist. The nurse asks the client about the
significance
bracelet andof the
whether it can be removed prior to the client's scheduled
diagnostic
procedure. The nurse has
demonstrated
a.
diversity
b.
stereotyping
c.
ethnocentrism
d. cultural competence correct answers d. cultural
competence
The adult children of a male client who is Hindu have requested a
vegetarian
their father.diet
Whatforis the nurse's most appropriate
action?
a. Order a vegetarian diet for the
client.
b. Assess the family's rationale for choosing this
particular
c. Teach thediet.
family about the relationship between protein intake and
wound
d. healing.
Explore the benefits of a low-meat, high-protein diet with the family and
the dietitian.
correct answers a. Order a vegetarian diet for
the client.
The nurse identifies a client at high risk for health care disparities.
Important
intervention nursing
to reduce health care disparities include which of the
following
(Select allactions?
that
apply.)
a. Passive
b. Relationship
listening
building
c. Taking foreign language
classes
d. Participating in cross-cultural
education
e. Using standardized evidence-informed guidelines correct answers b.
Relationship
buildin
g
d. Participating in cross-cultural
e. Using standardized evidence-informed
education
guidelines
During an admission history and physical, the client describes symptoms to
the nurse.
These descriptions would be
documented
a. objective as
data.
b. subjective
data.
c. generalized
data.
d. comprehensive data. correct answers b.
subjective data.
