Medical-Surgical Nursing in Canada 4th Edition
Lewi Test Bank Latest Update 2025/2026 With
Complete Questions and Verified Answers
Already Graded A+|Assured Success
,Which of the following factors has a major impact on the development of chronic illness?
a. Poverty
b. Social stability
c. Urban dwelling
d. High school diploma - CORRECT ANSWER-ANS: A Poverty and socioeconomic disadvantage are
recognized to have a major impact on the development of chronic illness. Social stability, urban living,
and having a high school education are not factors contributing to the development of chronic illness.
Which of the following is an example of Multimorbidity?
a. Chronic obstructive pulmonary disease and a urinary tract infection
b. Lung cancer and pneumonia
c. Chronic kidney disease and appendicitis
d. Diabetes and exacerbation of rheumatoid arthritis - CORRECT ANSWER-ANS: D Multimorbidity is
the simultaneous occurrence of several chronic medical conditions, which may or may not be related to
each other, in the same person. Pneumonia, urinary tract infection, and appendicitis are all acute
conditions.
The nurse is caring for a client with type 2 diabetes who has been hospitalized with severe
hyperglycemia. Which of the following topics will be most important to include in discharge teaching?
a. Effect of endogenous insulin on transportation of glucose into cells b. Function of the liver in
formation of glycogen and gluconeogenesis c. Impact of the client's family history on likelihood of
developing diabetes d. Symptoms indicating that the client should contact the health care provider -
CORRECT ANSWER-ANS: D
,One of the tasks for clients with chronic illnesses is to prevent and manage a crisis. The client needs
instruction on recognition of symptoms of hyperglycemia and appropriate actions to take if these
symptoms occur. The other information also may be included in client teaching, but is not as essential in
the client's self-management of the illness.
Which of the following diseases has the highest proportion of chronic illness deaths in Canada? -
CORRECT ANSWER-Cardiovascular disease( Cardiovascular diseases (37%) were responsible for the
highest proportion of global deaths in 2012, followed by cancers (27%), chronic respiratory diseases
(8%), and diabetes (4%).)
The nurse is caring for a client with type 2 diabetes who has been hospitalized with severe
hyperglycemia. Which of the following topics will be most important to include in discharge teaching?
a. Effect of endogenous insulin on transportation of glucose into cells
b. Function of the liver in formation of glycogen and gluconeogenesis
c. Impact of the client's family history on likelihood of developing diabetes
d. Symptoms indicating that the client should contact the health care provider - CORRECT ANSWER-
ANS: D One of the tasks for clients with chronic illnesses is to prevent and manage a crisis. The client
needs instruction on recognition of symptoms of hyperglycemia and appropriate actions to take if these
symptoms occur. The other information also may be included in client teaching, but is not as essential in
the client's self-management of the illness.
Which of the following statements is true related to nonmodifiable risk factors for chronic illness?
, a. Cannot be changed
b. Requires intervention in order to change
c. Can be altered to benefit health outcomes
d. Can be changed with client perseverance - CORRECT ANSWER-ANS: A Nonmodifiable risk factors
cannot be changed. Requiring intervention in order to change, altering, and changed with perseverance
all indicate that change is possible.
Average life expectancy in Canada is 65 years. True or False? - CORRECT ANSWER-False
6. What is the average life expectancy in Canada?
a. 60 years
b. 70 years
c. 80 years
d. 90 years - CORRECT ANSWER-ANS: C 80 years The life expectancy in Canada is estimated to be 80
years, specifically in 2010, it was 78.5 years for males and 82.7 years for females.
Which of the following types of cancers has a genetic predisposition to its occurrence?
a. Lung
b. Breast
c. Cervix
d. Testicles - CORRECT ANSWER-ANS: B BREAST Genetic testing can also show an inherited
predisposition to several different types of cancer, including breast and ovarian cancer, melanoma, and
colon cancer.
8. Which of the following models view disability as directly caused by disease or trauma?
a. Social
b. Nursing
c. Medical
d. Collaborative - CORRECT ANSWER-ANS: C Medical The medical model views disability as directly
caused by disease, trauma, or another health condition. Disability, from the medical model perspective,
necessitates medical care provided in the form of individual treatment by providers to "correct" the
Lewi Test Bank Latest Update 2025/2026 With
Complete Questions and Verified Answers
Already Graded A+|Assured Success
,Which of the following factors has a major impact on the development of chronic illness?
a. Poverty
b. Social stability
c. Urban dwelling
d. High school diploma - CORRECT ANSWER-ANS: A Poverty and socioeconomic disadvantage are
recognized to have a major impact on the development of chronic illness. Social stability, urban living,
and having a high school education are not factors contributing to the development of chronic illness.
Which of the following is an example of Multimorbidity?
a. Chronic obstructive pulmonary disease and a urinary tract infection
b. Lung cancer and pneumonia
c. Chronic kidney disease and appendicitis
d. Diabetes and exacerbation of rheumatoid arthritis - CORRECT ANSWER-ANS: D Multimorbidity is
the simultaneous occurrence of several chronic medical conditions, which may or may not be related to
each other, in the same person. Pneumonia, urinary tract infection, and appendicitis are all acute
conditions.
The nurse is caring for a client with type 2 diabetes who has been hospitalized with severe
hyperglycemia. Which of the following topics will be most important to include in discharge teaching?
a. Effect of endogenous insulin on transportation of glucose into cells b. Function of the liver in
formation of glycogen and gluconeogenesis c. Impact of the client's family history on likelihood of
developing diabetes d. Symptoms indicating that the client should contact the health care provider -
CORRECT ANSWER-ANS: D
,One of the tasks for clients with chronic illnesses is to prevent and manage a crisis. The client needs
instruction on recognition of symptoms of hyperglycemia and appropriate actions to take if these
symptoms occur. The other information also may be included in client teaching, but is not as essential in
the client's self-management of the illness.
Which of the following diseases has the highest proportion of chronic illness deaths in Canada? -
CORRECT ANSWER-Cardiovascular disease( Cardiovascular diseases (37%) were responsible for the
highest proportion of global deaths in 2012, followed by cancers (27%), chronic respiratory diseases
(8%), and diabetes (4%).)
The nurse is caring for a client with type 2 diabetes who has been hospitalized with severe
hyperglycemia. Which of the following topics will be most important to include in discharge teaching?
a. Effect of endogenous insulin on transportation of glucose into cells
b. Function of the liver in formation of glycogen and gluconeogenesis
c. Impact of the client's family history on likelihood of developing diabetes
d. Symptoms indicating that the client should contact the health care provider - CORRECT ANSWER-
ANS: D One of the tasks for clients with chronic illnesses is to prevent and manage a crisis. The client
needs instruction on recognition of symptoms of hyperglycemia and appropriate actions to take if these
symptoms occur. The other information also may be included in client teaching, but is not as essential in
the client's self-management of the illness.
Which of the following statements is true related to nonmodifiable risk factors for chronic illness?
, a. Cannot be changed
b. Requires intervention in order to change
c. Can be altered to benefit health outcomes
d. Can be changed with client perseverance - CORRECT ANSWER-ANS: A Nonmodifiable risk factors
cannot be changed. Requiring intervention in order to change, altering, and changed with perseverance
all indicate that change is possible.
Average life expectancy in Canada is 65 years. True or False? - CORRECT ANSWER-False
6. What is the average life expectancy in Canada?
a. 60 years
b. 70 years
c. 80 years
d. 90 years - CORRECT ANSWER-ANS: C 80 years The life expectancy in Canada is estimated to be 80
years, specifically in 2010, it was 78.5 years for males and 82.7 years for females.
Which of the following types of cancers has a genetic predisposition to its occurrence?
a. Lung
b. Breast
c. Cervix
d. Testicles - CORRECT ANSWER-ANS: B BREAST Genetic testing can also show an inherited
predisposition to several different types of cancer, including breast and ovarian cancer, melanoma, and
colon cancer.
8. Which of the following models view disability as directly caused by disease or trauma?
a. Social
b. Nursing
c. Medical
d. Collaborative - CORRECT ANSWER-ANS: C Medical The medical model views disability as directly
caused by disease, trauma, or another health condition. Disability, from the medical model perspective,
necessitates medical care provided in the form of individual treatment by providers to "correct" the
