Test Bank for Understanding Medical- Surgical Nursing th EXAM QUESTIONS AND ANSWERS RATED A+

Test Bank for Understanding Medical-
Surgical Nursing th EXAM
QUESTIONS AND ANSWERS
Editi




on Linda S. Williams Paula D. Hopper

,TABLE OF CONTENTS
Unit 1 Understanding Health Care Issues
1. Critical Thinking andthe Nursing Process
2. Evidence-Based Practice
3. Issues in Nursing Practice
4. Cultural Influences on Nursing Care
5. Complementary and Alternative Modalities

Unit 2 Understanding Health and Illness
6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
7. Nursing Care of Patients Receiving Intravenous Therapy
8. Nursing Care of Patients withInfections
9. Nursing Care of Patients inShock
10. Nursing Care of Patients inPain
11. Nursing Care of Patients WithCancer
12. Nursing Care of Patients HavingSurgery
13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response

Unit 3 Understanding Life Span Influences on Health and Illness
14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults
15. Nursing Care of Older AdultPatients
16. Patient Care Settings
17. Nursing Care of Patients at the End of Life

Unit 4 Understanding the Immune System
18. Immune System Function, Assessment and Therapeutic Measures
19. Nursing Care of Patients With Immune Disorders
20. Nursing Care of Patients With HIV Disease and AIDS

Unit 5 Understanding the Cardiovascular System
21. Cardiovascular System Function, Assessment and Therapeutic Measures
22. Nursing Care of Patients WithHypertension
23. Nursing Care of Patients With Valvular, Inflammatory and Infectious Cardiac or Venous Disorders
24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
25. Nursing Care of Patients With Cardiac Arrhythmias
26. Nursing Care of Patients With Heart Failure

Unit 6 Understanding the Hematologic and Lymphatic Systems
27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
28. Nursing Care of Patients With Hematologic and Lymphatic Disorders

Unit 7 Understanding the Respiratory System
29. Respiratory System Function, Assessment, and Therapeutic Measures
30. Nursing Care of Patients With Upper Respiratory Tract Disorders
31. Nursing Care of Patients With Lower Respiratory Tract Disorders

,Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems
32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic Measures
33. Nursing Care of Patients With Upper Gastrointestinal Disorders
34. Nursing Care of Patients With Lower Gastrointestinal Disorders
35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders

Unit 9 Understanding the Urinary System
36. Urinary System Function, Assessment, and Therapeutic Measures
37. Nursing Care of Patients With Disorders of the Urinary System

Unit 10 Understanding the Endocrine System
38. Endocrine System Function andAssessment
39. Nursing Care of Patients With Endocrine Disorders
40. Nursing Care of Patients With Disorders of the Endocrine Pancreas

Unit 11 Understanding the Genitourinary and Reproductive System
41. Genitourinary and Reproductive System Function and Assessment
42. Nursing Care of Women With Reproductive System Disorders
43. Nursing Care of Male Patients With Genitourinary Disorders
44. Nursing Care of Patients With Sexually Transmitted Infections

Unit 12 Understanding the Musculoskeletal System
45. Musculoskeletal Function and Assessment
46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders

Unit 13 Understanding the Neurologic System
47. Neurologic System Function, Assessment, and Therapeutic Measures
48. Nursing Care of Patients With Central Nervous System Disorders
49. Nursing Care of Patients With Cerebrovascular Disorders
50. Nursing Care of Patients With Peripheral Nervous System Disorders

Unit 14 Understanding the Sensory System
51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and Hearing
52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing

Unit 15 Understanding the Integumentary System
53. Integumentary System Function, Assessment and Therapeutic Measures
54. Nursing Care of Patients With Skin Disorders
55. Nursing Care of Patients WithBurns

Unit 16 Understanding Mental Health Care
56. Mental Health Function, Assessment, and Therapeutic Measures
57. Nursing Care of Patients With Mental Health Disorders

, Chapter 1. Critical Thinking and the Nursing Process

MULTIPLE CHOICE

1. The nurse is caring for a group of patients on a medical-surgical unit. Which patient should
the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
1. A patient with a blood glucose of 42 mg/dL
2. A patient who reports a pain level of 2
3. A patient who has just received a diagnosis of cancer
4. A patient who has a respiratory rate of 22
ANS: 1
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human
needs.
Pages: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: SECE—Coordinated Care
Cognitive Level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Difficult

Feedback
1 This patient has a dangerously low blood glucose level and requires immediate
intervention.
2 This patient will need to be assessed, but is not as high a priority.
3 According to Maslow, psychosocial needs are not as high of a priority as
physiological needs.
4 A respiratory rate of 22 is within normal range.

PTS: 1 CON: Patient-Centered Care

2. The LPN/LVN enters the room of a patient who is angry and yells, ―I asked 5 minutes ago
for my pain medication. I‘m going to call the CEO of the hospital if you don‘t get it for me
now.‖ Which statement by the nurse demonstrates intellectual empathy?
1. ―We are short-staffed today, so it will take me longer to meet your needs.‖
2. ―I am sorry you had to wait, I know you must be in a lot of pain.‖
3. ―I had another patient who had severe pain, and I had to get to them first.‖
4. ―I will get you the number for the CEO, but he is aware of how busy we are.‖
ANS: 2
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 2. Describe attitudes and skills that promote good critical thinking
Page: 2
Heading: Intellectual Empathy
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity




Cognitive Level: Application [Applying]