TEST BANK FOR MEDICAL SURGICAL NURSING 7TH EDITION BY ADRIANNE DILL LINTON ALL
CHAPTERS GRADE A+
,Contents
Chapter 01: Aspects of Medical-Surgical Nursing ................................................................ 5
Chapter 02: Medical-Surgical Practice Settings.................................................................... 9
Chapter 03: Medical-Surgical Patients: Individuals, Families, and Communities ................ 21
Chapter 04: Health, Illness, Stress, and Coping .................................................................. 33
Chapter 05: Immunity, Inflammation, and Infection ......................................................... 53
Chapter 06: Fluid, Electrolyte, and Acid–Base Imbalance .................................................. 67
Chapter 07: The Patient with Cancer ................................................................................ 78
Chapter 08: Pain............................................................................................................... 93
Chapter 09: Shock .......................................................................................................... 106
Chapter 10: The Older Adult Patient ............................................................................... 114
Chapter 11: Falls ............................................................................................................ 123
Chapter 12: Immobility .................................................................................................. 136
Chapter 13: Delirium and Dementia ............................................................................... 149
Chapter 14: Incontinence ............................................................................................... 162
Chapter 15: Nutrition ..................................................................................................... 175
Chapter 16: Intravenous Therapy ................................................................................... 180
Chapter 17: Surgery ....................................................................................................... 192
Chapter 18: The Patient with an Ostomy ........................................................................ 205
Chapter 19: Palliative and Hospice Care .......................................................................... 218
Chapter 20: Complementary and Alternative Therapies .................................................. 230
Chapter 21: Neurologic System Introduction .................................................................. 233
Chapter 22: Neurologic Disorders ................................................................................... 241
Chapter 23: Cerebrovascular Accident ............................................................................ 248
Chapter 24: Spinal Cord Injury ........................................................................................ 262
Chapter 25: Respiratory System Introduction ................................................................. 273
Chapter 26: Upper Respiratory Disorders ....................................................................... 289
Chapter 27: Acute Lower Respiratory Tract Disorders ..................................................... 295
Chapter 28: Chronic Lower Respiratory Tract Disorders .................................................. 298
Chapter 29: Hematologic System Introduction ................................................................ 310
,Chapter 30: Hematologic Disorders ................................................................................ 316
Chapter 31: Immunologic System Introduction ............................................................... 323
Chapter 32: Immunologic Disorders................................................................................ 328
Chapter 33: Cardiovascular System Introduction ............................................................ 344
Chapter 34: Cardiac Disorders ........................................................................................ 365
Chapter 35: Vascular Disorders....................................................................................... 370
Chapter 36: Hypertension .............................................................................................. 375
Chapter 37: Digestive System Introduction ..................................................................... 388
Chapter 38: Upper Digestive Tract Disorders .................................................................. 395
Chapter 39: Lower Digestive Tract Disorders................................................................... 401
Chapter 40: Liver, Gallbladder, and Pancreatic Disorders ................................................ 407
Chapter 41: Urologic System Introduction ...................................................................... 418
Chapter 42: Urologic Disorders ....................................................................................... 423
Chapter 43: Musculoskeletal System Introduction .......................................................... 431
Chapter 44: Connective Tissue Disorders ........................................................................ 435
Chapter 45: Fractures ..................................................................................................... 445
Chapter 46: Amputations ............................................................................................... 458
Chapter 47: Endocrine System Introduction .................................................................... 470
Chapter 48: Pituitary and Adrenal Disorders ................................................................... 473
Chapter 49: Thyroid and Parathyroid Disorders .............................................................. 483
Chapter 50: Diabetes and Hypoglycemia......................................................................... 492
Chapter 51: Female Reproductive System Introduction................................................... 505
Chapter 52: Female Reproductive Disorders ................................................................... 509
Chapter 53: Male Reproductive System Introduction ...................................................... 516
Chapter 54: Male Reproductive Disorders ...................................................................... 521
Chapter 55: Sexually Transmitted Infections ................................................................... 528
Chapter 56: Integumentary System Introduction ............................................................ 538
Chapter 57: Skin Disorders ............................................................................................. 543
Chapter 58: Special Senses Introduction ......................................................................... 551
Chapter 59: Eye and Vision Disorders ............................................................................. 567
Chapter 60: Ear and Hearing Disorders ........................................................................... 571
,Chapter 61: Psychobiological Disorders .......................................................................... 576
Chapter 62: Substance Abuse ......................................................................................... 587
Chapter 63: First Aid, Emergency Care, and Disaster Management .................................. 599
,Chapter 01: Aspects of Medical-Surgical Nursing
MULTIPLE CHOICE
1. What provides direction for individualized care and assures the delivery of accurate, safe care
through a definitive pathway that promotes the client’s and the support persons’ progress toward
positive outcomes?
a. Physician’s orders
b. Progress notes
c. Nursing care plan
d. Client health history
ANS:C
The nursing care plan provides direction for individualized care and assures the delivery of accurate, safe
care through a definitive pathway that promotes the client’s and the support persons’ progress toward
positive outcomes.
DIF: Cognitive Level: ComprehensionREF: p. 2 OBJ: 1
TOP: Nursing Care Plan KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity:
Reduction of Risk
2. The nurse is performing behaviors and actions that assist clients and significant others in
meeting their needs and the identified outcomes of the plan of care. What is the correct term for these
nursing behaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS:B
Caring interventions are those nursing behaviors and actions that assist clients and significant others in
meeting their needs and the identified outcomes of the plan of care.
DIF: Cognitive Level: ComprehensionREF: p. 3 OBJ: 1
TOP: Interventions KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity:
,Reduction of Risk
3. The nurse understands the importance of being answerable for all actions and the possibility of
being called on to explain or justify them. What term best describes this concept?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS:C
Accountability means that a person is answerable for his or her actions and may be called on to explain
or justify them.
DIF: Cognitive Level: ComprehensionREF: pp. 6-7 OBJ: 3 | 5 | 7
TOP: Accountability KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity: Reduction
of Risk
MULTIPLE RESPONSE
1. The nurse manager is providing an in-service about conflict resolution. What modes of conflict
resolution should be addressed? (Select all that apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS:B, C, D, E, F
The modes of conflict resolution include accommodation, collaboration, compromise, avoidance, and
competition.
DIF: Cognitive Level: Knowledge REF: p. 7|p. 8|Table 1.1
OBJ: 7 TOP: Conflict Resolution KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. What are the characteristics of an effective leader? (Select all that apply.)
,a. Effective communication
b. Rigid rules and regulations
c. Delegates appropriately
d. Acts as a role model
e. Consistently handles conflict
f. Focuses on individual development
ANS:A, C, D, E
Characteristics of an effective leader include effective communication, consistency in managing conflict,
knowledge and competency in all aspects of delivery of care, effective role model for staff, uses
participatory approach in decision making, shows appreciation for a job well done, delegates work
appropriately, sets objectives and guides staff, displays caring, understanding, and empathy for others,
motivates and empowers others, is proactive and flexible, and focuses on team development.
DIF: Cognitive Level: ComprehensionREF: p. 6 OBJ: 5
TOP: Leadership KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
COMPLETION
1. is defined as the process by which information is exchanged between individuals
verbally, nonverbally, and/or in writing or through information technology.
ANS:
Communication
Communication is defined as the process by which information is exchanged between individuals
verbally, nonverbally, and/or in writing or through information technology.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 2 TOP: Communication KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
2. is the collection and processing of relevant data for the purpose of appraising the
client’s health status.
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the client’s
health status.
, DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1 | 2
TOP: Assessment KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. is concerned with the ethical questions that arise in the context of health care.
ANS:
Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3
TOP: Bioethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
4. Place the corresponding letter to each stage of conflict in the correct order. (Place the
events in the appropriate sequence with capital letters. Do not separate answers with a space or
punctuation. Example: ABCD.)
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
The stages of conflict in order are frustration, conceptualization, action, and outcomes.
DIF: Cognitive Level: ComprehensionREF: p. 7 OBJ: 7
TOP: Conflict KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5. Place the corresponding letter to each key step in solving an ethical dilemma in the correct
order. (Place the events in the appropriate sequence. Do not separate answers with a space or
punctuation. Example: ABCD.)
a. Negotiate a plan.
b. Clarify values.
c. Ask if it is an ethical dilemma.
d. Verbalize the problem.
e. Gather information.
f. Identify possible courses of action.
CHAPTERS GRADE A+
,Contents
Chapter 01: Aspects of Medical-Surgical Nursing ................................................................ 5
Chapter 02: Medical-Surgical Practice Settings.................................................................... 9
Chapter 03: Medical-Surgical Patients: Individuals, Families, and Communities ................ 21
Chapter 04: Health, Illness, Stress, and Coping .................................................................. 33
Chapter 05: Immunity, Inflammation, and Infection ......................................................... 53
Chapter 06: Fluid, Electrolyte, and Acid–Base Imbalance .................................................. 67
Chapter 07: The Patient with Cancer ................................................................................ 78
Chapter 08: Pain............................................................................................................... 93
Chapter 09: Shock .......................................................................................................... 106
Chapter 10: The Older Adult Patient ............................................................................... 114
Chapter 11: Falls ............................................................................................................ 123
Chapter 12: Immobility .................................................................................................. 136
Chapter 13: Delirium and Dementia ............................................................................... 149
Chapter 14: Incontinence ............................................................................................... 162
Chapter 15: Nutrition ..................................................................................................... 175
Chapter 16: Intravenous Therapy ................................................................................... 180
Chapter 17: Surgery ....................................................................................................... 192
Chapter 18: The Patient with an Ostomy ........................................................................ 205
Chapter 19: Palliative and Hospice Care .......................................................................... 218
Chapter 20: Complementary and Alternative Therapies .................................................. 230
Chapter 21: Neurologic System Introduction .................................................................. 233
Chapter 22: Neurologic Disorders ................................................................................... 241
Chapter 23: Cerebrovascular Accident ............................................................................ 248
Chapter 24: Spinal Cord Injury ........................................................................................ 262
Chapter 25: Respiratory System Introduction ................................................................. 273
Chapter 26: Upper Respiratory Disorders ....................................................................... 289
Chapter 27: Acute Lower Respiratory Tract Disorders ..................................................... 295
Chapter 28: Chronic Lower Respiratory Tract Disorders .................................................. 298
Chapter 29: Hematologic System Introduction ................................................................ 310
,Chapter 30: Hematologic Disorders ................................................................................ 316
Chapter 31: Immunologic System Introduction ............................................................... 323
Chapter 32: Immunologic Disorders................................................................................ 328
Chapter 33: Cardiovascular System Introduction ............................................................ 344
Chapter 34: Cardiac Disorders ........................................................................................ 365
Chapter 35: Vascular Disorders....................................................................................... 370
Chapter 36: Hypertension .............................................................................................. 375
Chapter 37: Digestive System Introduction ..................................................................... 388
Chapter 38: Upper Digestive Tract Disorders .................................................................. 395
Chapter 39: Lower Digestive Tract Disorders................................................................... 401
Chapter 40: Liver, Gallbladder, and Pancreatic Disorders ................................................ 407
Chapter 41: Urologic System Introduction ...................................................................... 418
Chapter 42: Urologic Disorders ....................................................................................... 423
Chapter 43: Musculoskeletal System Introduction .......................................................... 431
Chapter 44: Connective Tissue Disorders ........................................................................ 435
Chapter 45: Fractures ..................................................................................................... 445
Chapter 46: Amputations ............................................................................................... 458
Chapter 47: Endocrine System Introduction .................................................................... 470
Chapter 48: Pituitary and Adrenal Disorders ................................................................... 473
Chapter 49: Thyroid and Parathyroid Disorders .............................................................. 483
Chapter 50: Diabetes and Hypoglycemia......................................................................... 492
Chapter 51: Female Reproductive System Introduction................................................... 505
Chapter 52: Female Reproductive Disorders ................................................................... 509
Chapter 53: Male Reproductive System Introduction ...................................................... 516
Chapter 54: Male Reproductive Disorders ...................................................................... 521
Chapter 55: Sexually Transmitted Infections ................................................................... 528
Chapter 56: Integumentary System Introduction ............................................................ 538
Chapter 57: Skin Disorders ............................................................................................. 543
Chapter 58: Special Senses Introduction ......................................................................... 551
Chapter 59: Eye and Vision Disorders ............................................................................. 567
Chapter 60: Ear and Hearing Disorders ........................................................................... 571
,Chapter 61: Psychobiological Disorders .......................................................................... 576
Chapter 62: Substance Abuse ......................................................................................... 587
Chapter 63: First Aid, Emergency Care, and Disaster Management .................................. 599
,Chapter 01: Aspects of Medical-Surgical Nursing
MULTIPLE CHOICE
1. What provides direction for individualized care and assures the delivery of accurate, safe care
through a definitive pathway that promotes the client’s and the support persons’ progress toward
positive outcomes?
a. Physician’s orders
b. Progress notes
c. Nursing care plan
d. Client health history
ANS:C
The nursing care plan provides direction for individualized care and assures the delivery of accurate, safe
care through a definitive pathway that promotes the client’s and the support persons’ progress toward
positive outcomes.
DIF: Cognitive Level: ComprehensionREF: p. 2 OBJ: 1
TOP: Nursing Care Plan KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity:
Reduction of Risk
2. The nurse is performing behaviors and actions that assist clients and significant others in
meeting their needs and the identified outcomes of the plan of care. What is the correct term for these
nursing behaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS:B
Caring interventions are those nursing behaviors and actions that assist clients and significant others in
meeting their needs and the identified outcomes of the plan of care.
DIF: Cognitive Level: ComprehensionREF: p. 3 OBJ: 1
TOP: Interventions KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity:
,Reduction of Risk
3. The nurse understands the importance of being answerable for all actions and the possibility of
being called on to explain or justify them. What term best describes this concept?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS:C
Accountability means that a person is answerable for his or her actions and may be called on to explain
or justify them.
DIF: Cognitive Level: ComprehensionREF: pp. 6-7 OBJ: 3 | 5 | 7
TOP: Accountability KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity: Reduction
of Risk
MULTIPLE RESPONSE
1. The nurse manager is providing an in-service about conflict resolution. What modes of conflict
resolution should be addressed? (Select all that apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS:B, C, D, E, F
The modes of conflict resolution include accommodation, collaboration, compromise, avoidance, and
competition.
DIF: Cognitive Level: Knowledge REF: p. 7|p. 8|Table 1.1
OBJ: 7 TOP: Conflict Resolution KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. What are the characteristics of an effective leader? (Select all that apply.)
,a. Effective communication
b. Rigid rules and regulations
c. Delegates appropriately
d. Acts as a role model
e. Consistently handles conflict
f. Focuses on individual development
ANS:A, C, D, E
Characteristics of an effective leader include effective communication, consistency in managing conflict,
knowledge and competency in all aspects of delivery of care, effective role model for staff, uses
participatory approach in decision making, shows appreciation for a job well done, delegates work
appropriately, sets objectives and guides staff, displays caring, understanding, and empathy for others,
motivates and empowers others, is proactive and flexible, and focuses on team development.
DIF: Cognitive Level: ComprehensionREF: p. 6 OBJ: 5
TOP: Leadership KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
COMPLETION
1. is defined as the process by which information is exchanged between individuals
verbally, nonverbally, and/or in writing or through information technology.
ANS:
Communication
Communication is defined as the process by which information is exchanged between individuals
verbally, nonverbally, and/or in writing or through information technology.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 2 TOP: Communication KEY: Nursing
Process Step: N/A MSC: NCLEX: N/A
2. is the collection and processing of relevant data for the purpose of appraising the
client’s health status.
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising the client’s
health status.
, DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1 | 2
TOP: Assessment KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. is concerned with the ethical questions that arise in the context of health care.
ANS:
Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3
TOP: Bioethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
4. Place the corresponding letter to each stage of conflict in the correct order. (Place the
events in the appropriate sequence with capital letters. Do not separate answers with a space or
punctuation. Example: ABCD.)
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
The stages of conflict in order are frustration, conceptualization, action, and outcomes.
DIF: Cognitive Level: ComprehensionREF: p. 7 OBJ: 7
TOP: Conflict KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5. Place the corresponding letter to each key step in solving an ethical dilemma in the correct
order. (Place the events in the appropriate sequence. Do not separate answers with a space or
punctuation. Example: ABCD.)
a. Negotiate a plan.
b. Clarify values.
c. Ask if it is an ethical dilemma.
d. Verbalize the problem.
e. Gather information.
f. Identify possible courses of action.
