Test Bank
Dewit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
Latest Version 2025||Verified||With Answers.
,Table Of Contents
Chapter 01: Caring For Medical-Surgical Patients ....................................................................4
Chapter 02: Critical Thinking And The Nursing Process ...................................................... 25
Chapter 03: Fluid, Electrolytes, Acid-Base Balance, And Intravenous Therapy ........... 47
Chapter 04: Care Of Preoperative And Intraoperative Surgical Patients ....................... 70
Chapter 05: Care Of Postoperative Patients ............................................................................ 93
Chapter 06: Infection Prevention And Control ......................................................................... 116
Chapter 07: Care Of Patients With Pain .................................................................................... 139
Chapter 08: Care Of Patients With Cancer .............................................................................. 162
Chapter 09: Chronic Illness And Rehabilitation ..................................................................... 185
Chapter 10: The Immune And Lymphatic System ................................................................. 207
Chapter 11: Care Of Patients With Immune And Lymphatic Disorders (With Hiv And
Aids) ................................................................................................................................................... 230
Chapter 12: The Respiratory System ........................................................................................ 255
Chapter 13: Care Of Patients With Disorders Of The Upper Respiratory System ....... 277
Chapter 14: Care Of Patients With Disorders Of The Lower Respiratory System ...... 300
Chapter 15: The Hematologic System....................................................................................... 326
Chapter 16: Care Of Patients With Hematologic Disorders................................................ 349
Chapter 17: The Cardiovascular System .................................................................................. 372
Chapter 18: Care Of Patients With Hypertension And Peripheral Vascular Disease . 394
Chapter 19: Care Of Patients With Cardiac Disorders .......................................................... 416
Chapter 20: Care Of Patients With Coronary Artery Disease And Cardiac Surgery .. 437
Chapter 21: The Neurologic System .......................................................................................... 463
Chapter 22: Care Of Patients With Head And Spinal Cord Injuries ................................. 487
Chapter 23: Care Of Patients With Disorders Of The Brain ............................................... 509
Chapter 24: Care Of Patients With Peripheral Nerve And Degenerative Diseases..... 531
Chapter 25: The Sensory System: Eye And Ear .................................................................... 554
Chapter 26: Care Of Patients With Disorders Of The Eyes And Ears .............................. 577
Chapter 27: The Gastrointestinal System ............................................................................... 600
,Chapter 28: Care Of Patients With Disorders Of The Upper Gastrointestinal System
............................................................................................................................................................. 623
Chapter 29: Care Of Patients With Disorders Of The Lower Gastrointestinal System
............................................................................................................................................................. 645
Chapter 30: Care Of Patients With Disorders Of The Liver, Gallbladder, And Pancreas
............................................................................................................................................................. 670
Chapter 31: The Musculoskeletal System ............................................................................... 694
Chapter 32: Care Of Patients With Musculoskeletal And Connective Tissue Disorders
.............................................................................................................................................................. 715
Chapter 33: The Urinary System................................................................................................ 740
Chapter 34: Care Of Patients With Disorders Of The Urinary System ........................... 765
Chapter 35: The Endocrine System .......................................................................................... 793
Chapter 36: Care Of Patients With Pituitary, Thyroid, Parathyroid, And Adrenal
Disorders ........................................................................................................................................... 814
Chapter 37: Care Of Patients With Diabetes And Hypoglycemia ...................................... 841
Chapter 38: Care Of Women With Reproductive Disorders ............................................... 867
Chapter 39: Care Of Men With Reproductive Disorders ..................................................... 894
Chapter 40: Care Of Patients With Sexually Transmitted Infections ............................... 919
Chapter 41: The Integumentary System................................................................................... 942
Chapter 42: Care Of Patents With Integumentary Disorders And Burns .......................967
Chapter 43: Care Of Patients In Disasters Or Bioterrorism Attack ................................ 996
Chapter 44: Care Of Patients With Emergencies, Trauma, And Shock .........................1020
Chapter 45: Care Of Patients With Anxiety, Mood, And Eating Disorders ................... 1047
Chapter 46: Care Of Patients With Substance Abuse Disorders .....................................1071
Chapter 47: Care Of Patients With Cognitive Disorders .................................................... 1096
Chapter 48: Care Of Patients With Thought And Personality Disorders ....................... 1117
,Chapter 01: Caring For Medical-Surgical Patients
Multiple Choice
Which Statement Accurately Describes The Primary Purpose Of The State Nurse Practice Act
(Npa)?
A. To Test And License Lpn/Lvns.
B. To Define The Scope Of Lpn/Lvn
Practice.
C. To Improve The Quality Of Care
Provided By The Lpn/Lvn.
D. To Limit The Lpn/Lvn Employment
Placement.
Answer: B
While Improving Quality Of Care Provided By The Lpn/Lvn May Be A Result Of The Npa, The
Primary Purpose Of The Npa Of Each State Defines The Scope Of Nursing Practice In That State.
Pts: 1 Dif: Cognitive Level: Comprehension
Ref: 2
Obj: 3 Top: Npa Key: Nursing Process Step:
Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
The Charge Nurse Asks The New Vocational Nurse To Start An Intravenous Infusion, A Skill That
The Vocational Nurse Has Notbeen Taught During Her Educational Program. How Should The
Vocational Nurse Respond?
A. Inquire A More Experienced Nurse To
Demonstrate The Procedure.
B. Look Up The Technique In The Procedure
Manual.
,C. Attempt To Perform The Procedure With
Supervision.
D. Inform The Charge Nurse Of Her Lack Of
Training In This Procedure.
Answer: D
The Charge Nurse Should Be Informed Of The Lack Of Training To Perform The Procedure, And
The Vocational Nurse Should Seek Further Training To Gain Proficiency. Although The Other
Options Might Be Helpful, They Are Not Safe.
Pts: 1 Dif: Cognitive Level: 3
Application Ref:
Obj: 1 Top: Providing Safe Care
Key: Nursing Process
Step: N/A
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
Which Patient Statement Indicates A Need For Further Discharge Teaching That The Vocational
Nurse Should Address?
A. “I Have No Idea Of How This Drug
Will Affect Me.”
B. “Do You Know If My Physician Is
Coming Back Today?”
C. “Will My Insurance Pay For My
Stay?”
D. “Am I Going To Have To Go To A
,Nursing Home?”
Answer: A
Lack Of Knowledge At Discharge About Medication Effects And Side Effects Is A Concern That
Should Be Addressed By The Vocational Nurse. The Other Concerns In The Options Are The
Responsibility Of Other Departments To Which The Nurse Might Refer The Patient.
Pts: 1 Dif: Cognitive Level: Application Ref:
2
Obj: 1 Top: Teaching Key: Nursing Process
Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
According To Most State Npas, The Vocational Nurse Acting As Charge Nurse In A Long- Term
Care Facility Acts In Which Capacity?
A. Working Under Direct Supervision Of An Rn On
The Unit
B. Working With The Rn In The Building
C. Working Under General Supervision By The Rn
Available On Site Or By Phone
D. Working As An Independent Vocational Nurse
Answer: C
The Vocational Nurse In The Capacity Of The Charge Nurse In A Long-Term Care Facility Acts
With The General Supervision Of An Rnavailable On Site Or By Phone.
Pts: 1 Dif: Cognitive Level:
Comprehension Ref: 2
Obj: 1 Top: Charge Nurse/Manager
, Key: Nursi
Ng Process
Step: N/A
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
The Nurse Is Educating A Patient That Is A Member Of A Health Maintenance Organization
(Hmo). Which Information Should The Nurse Include?
A. Seek The Opinion Of An Alternate Health Care
Provider.
B. Obtain Insurance Approval For Medical
Services Prior To Treatment.
C. Provide Detailed Documentation Of All Care
Received For His Condition.
D. Wait At Least 6 Months To See A Specialist.
Answer: B
Most Hmos Require Pre-Procedure Authorization For Treatment. Patients Are Not Required To
Seek A Second Opinion, Provided Documentation Of Care, Or Wait A Specific Time Period Before
Visiting A Specialist.
Pts: 1 Dif: Cognitive Level:
Application Ref: 9
Obj: 9 Top: Charge Nurse/Manager
Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
The Patient Complains To The Nurse That He Is Confused About His “Deductible” That He Owes
The Hospital. Which Statement Accurately Explains A Deductible?
Dewit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
Latest Version 2025||Verified||With Answers.
,Table Of Contents
Chapter 01: Caring For Medical-Surgical Patients ....................................................................4
Chapter 02: Critical Thinking And The Nursing Process ...................................................... 25
Chapter 03: Fluid, Electrolytes, Acid-Base Balance, And Intravenous Therapy ........... 47
Chapter 04: Care Of Preoperative And Intraoperative Surgical Patients ....................... 70
Chapter 05: Care Of Postoperative Patients ............................................................................ 93
Chapter 06: Infection Prevention And Control ......................................................................... 116
Chapter 07: Care Of Patients With Pain .................................................................................... 139
Chapter 08: Care Of Patients With Cancer .............................................................................. 162
Chapter 09: Chronic Illness And Rehabilitation ..................................................................... 185
Chapter 10: The Immune And Lymphatic System ................................................................. 207
Chapter 11: Care Of Patients With Immune And Lymphatic Disorders (With Hiv And
Aids) ................................................................................................................................................... 230
Chapter 12: The Respiratory System ........................................................................................ 255
Chapter 13: Care Of Patients With Disorders Of The Upper Respiratory System ....... 277
Chapter 14: Care Of Patients With Disorders Of The Lower Respiratory System ...... 300
Chapter 15: The Hematologic System....................................................................................... 326
Chapter 16: Care Of Patients With Hematologic Disorders................................................ 349
Chapter 17: The Cardiovascular System .................................................................................. 372
Chapter 18: Care Of Patients With Hypertension And Peripheral Vascular Disease . 394
Chapter 19: Care Of Patients With Cardiac Disorders .......................................................... 416
Chapter 20: Care Of Patients With Coronary Artery Disease And Cardiac Surgery .. 437
Chapter 21: The Neurologic System .......................................................................................... 463
Chapter 22: Care Of Patients With Head And Spinal Cord Injuries ................................. 487
Chapter 23: Care Of Patients With Disorders Of The Brain ............................................... 509
Chapter 24: Care Of Patients With Peripheral Nerve And Degenerative Diseases..... 531
Chapter 25: The Sensory System: Eye And Ear .................................................................... 554
Chapter 26: Care Of Patients With Disorders Of The Eyes And Ears .............................. 577
Chapter 27: The Gastrointestinal System ............................................................................... 600
,Chapter 28: Care Of Patients With Disorders Of The Upper Gastrointestinal System
............................................................................................................................................................. 623
Chapter 29: Care Of Patients With Disorders Of The Lower Gastrointestinal System
............................................................................................................................................................. 645
Chapter 30: Care Of Patients With Disorders Of The Liver, Gallbladder, And Pancreas
............................................................................................................................................................. 670
Chapter 31: The Musculoskeletal System ............................................................................... 694
Chapter 32: Care Of Patients With Musculoskeletal And Connective Tissue Disorders
.............................................................................................................................................................. 715
Chapter 33: The Urinary System................................................................................................ 740
Chapter 34: Care Of Patients With Disorders Of The Urinary System ........................... 765
Chapter 35: The Endocrine System .......................................................................................... 793
Chapter 36: Care Of Patients With Pituitary, Thyroid, Parathyroid, And Adrenal
Disorders ........................................................................................................................................... 814
Chapter 37: Care Of Patients With Diabetes And Hypoglycemia ...................................... 841
Chapter 38: Care Of Women With Reproductive Disorders ............................................... 867
Chapter 39: Care Of Men With Reproductive Disorders ..................................................... 894
Chapter 40: Care Of Patients With Sexually Transmitted Infections ............................... 919
Chapter 41: The Integumentary System................................................................................... 942
Chapter 42: Care Of Patents With Integumentary Disorders And Burns .......................967
Chapter 43: Care Of Patients In Disasters Or Bioterrorism Attack ................................ 996
Chapter 44: Care Of Patients With Emergencies, Trauma, And Shock .........................1020
Chapter 45: Care Of Patients With Anxiety, Mood, And Eating Disorders ................... 1047
Chapter 46: Care Of Patients With Substance Abuse Disorders .....................................1071
Chapter 47: Care Of Patients With Cognitive Disorders .................................................... 1096
Chapter 48: Care Of Patients With Thought And Personality Disorders ....................... 1117
,Chapter 01: Caring For Medical-Surgical Patients
Multiple Choice
Which Statement Accurately Describes The Primary Purpose Of The State Nurse Practice Act
(Npa)?
A. To Test And License Lpn/Lvns.
B. To Define The Scope Of Lpn/Lvn
Practice.
C. To Improve The Quality Of Care
Provided By The Lpn/Lvn.
D. To Limit The Lpn/Lvn Employment
Placement.
Answer: B
While Improving Quality Of Care Provided By The Lpn/Lvn May Be A Result Of The Npa, The
Primary Purpose Of The Npa Of Each State Defines The Scope Of Nursing Practice In That State.
Pts: 1 Dif: Cognitive Level: Comprehension
Ref: 2
Obj: 3 Top: Npa Key: Nursing Process Step:
Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
The Charge Nurse Asks The New Vocational Nurse To Start An Intravenous Infusion, A Skill That
The Vocational Nurse Has Notbeen Taught During Her Educational Program. How Should The
Vocational Nurse Respond?
A. Inquire A More Experienced Nurse To
Demonstrate The Procedure.
B. Look Up The Technique In The Procedure
Manual.
,C. Attempt To Perform The Procedure With
Supervision.
D. Inform The Charge Nurse Of Her Lack Of
Training In This Procedure.
Answer: D
The Charge Nurse Should Be Informed Of The Lack Of Training To Perform The Procedure, And
The Vocational Nurse Should Seek Further Training To Gain Proficiency. Although The Other
Options Might Be Helpful, They Are Not Safe.
Pts: 1 Dif: Cognitive Level: 3
Application Ref:
Obj: 1 Top: Providing Safe Care
Key: Nursing Process
Step: N/A
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
Which Patient Statement Indicates A Need For Further Discharge Teaching That The Vocational
Nurse Should Address?
A. “I Have No Idea Of How This Drug
Will Affect Me.”
B. “Do You Know If My Physician Is
Coming Back Today?”
C. “Will My Insurance Pay For My
Stay?”
D. “Am I Going To Have To Go To A
,Nursing Home?”
Answer: A
Lack Of Knowledge At Discharge About Medication Effects And Side Effects Is A Concern That
Should Be Addressed By The Vocational Nurse. The Other Concerns In The Options Are The
Responsibility Of Other Departments To Which The Nurse Might Refer The Patient.
Pts: 1 Dif: Cognitive Level: Application Ref:
2
Obj: 1 Top: Teaching Key: Nursing Process
Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
According To Most State Npas, The Vocational Nurse Acting As Charge Nurse In A Long- Term
Care Facility Acts In Which Capacity?
A. Working Under Direct Supervision Of An Rn On
The Unit
B. Working With The Rn In The Building
C. Working Under General Supervision By The Rn
Available On Site Or By Phone
D. Working As An Independent Vocational Nurse
Answer: C
The Vocational Nurse In The Capacity Of The Charge Nurse In A Long-Term Care Facility Acts
With The General Supervision Of An Rnavailable On Site Or By Phone.
Pts: 1 Dif: Cognitive Level:
Comprehension Ref: 2
Obj: 1 Top: Charge Nurse/Manager
, Key: Nursi
Ng Process
Step: N/A
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
The Nurse Is Educating A Patient That Is A Member Of A Health Maintenance Organization
(Hmo). Which Information Should The Nurse Include?
A. Seek The Opinion Of An Alternate Health Care
Provider.
B. Obtain Insurance Approval For Medical
Services Prior To Treatment.
C. Provide Detailed Documentation Of All Care
Received For His Condition.
D. Wait At Least 6 Months To See A Specialist.
Answer: B
Most Hmos Require Pre-Procedure Authorization For Treatment. Patients Are Not Required To
Seek A Second Opinion, Provided Documentation Of Care, Or Wait A Specific Time Period Before
Visiting A Specialist.
Pts: 1 Dif: Cognitive Level:
Application Ref: 9
Obj: 9 Top: Charge Nurse/Manager
Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
The Patient Complains To The Nurse That He Is Confused About His “Deductible” That He Owes
The Hospital. Which Statement Accurately Explains A Deductible?
