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Exam (elaborations)

TEST BANK Lewis's Medical Surgical Nursing in Canada, 4th Edition by Jane Tyerman, Shelley Cobbett Chapters 1 - 72 Complete

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The test bank is a comprehensive resource aligned with the Lewis's Medical-Surgical Nursing in Canada, 4th Edition textbook. It includes: Coverage of Chapters 1–72, encompassing all major systems and nursing care topics. Multiple-choice questions (MCQs) with correct answers and detailed rationales. Case-based questions that reflect real-world clinical scenarios. Updated content consistent with Canadian nursing standards and practices. Topics include: Fundamentals of medical-surgical nursing Cardiovascular, respiratory, neurological, and gastrointestinal systems Endocrine, renal, musculoskeletal, and integumentary systems Oncology, perioperative care, emergency and critical care Mental health, gerontology, and community nursing Ethical and legal considerations in Canadian healthcare This test bank is ideal for: Nursing students preparing for exams Instructors creating assessments Tutors supporting learners in clinical reasoning and test-taking strategies

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Lewis\\\'s Medical Surgical Nursing In Can
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Lewis\\\'s Medical Surgical Nursing in Can











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Lewis\\\'s Medical Surgical Nursing in Can
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Lewis\\\'s Medical Surgical Nursing in Can

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Uploaded on
October 19, 2025
Number of pages
1336
Written in
2025/2026
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Exam (elaborations)
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TEST BANKss ss




Lewis's Medical Surgical Nursing in Canada,
ss ss ss ss ss ss




4th Edition by Jane Tyerman, Shelley Cobbett
ss ss ss ss ss ss ss




Chapters 1 - 72 Complete
ss ss ss ss ss

,TABLE OF CONTENTS ss ss




Section One – Concepts in Nursing Practice
ss ss ss ss ss ss


1 Introduction to Medical-Surgical Nursing Practice in Canada
ss ss ss ss ss ss ss


2 Cultural Competence and Health Equity in Care
ss ss ss ss ss ss ss


3 Health History and Physical Examination
ss ss ss ss ss


4 Patient and Caregiver Teaching
ss ss ss ss


5 Chronic Illness
ss ss


6 Community-Based Nursing and Home Care
ss ss ss ss ss


7 Older Adults
ss ss


8 Stress and Stress Management
ss ss ss ss


9 Sleep and Sleep Disorders
ss ss ss ss


10 Pain
ss


11 Substance Use
ss ss


12 Complementary and Alternative Therapies
ss ss ss ss


13 Palliative Care at the End of Life
ss ss ss ss ss ss ss


Section Two – Pathophysiological Mechanisms of Disease
ss ss ss ss ss ss


14 Inflammation and Wound Healing
ss ss ss ss


15 Genetics
ss


16 Altered Immune Response and Transplantation
ss ss ss ss ss


17 Infection and Human Immunodeficiency Virus Infection
ss ss ss ss ss ss


18 Cancer
ss


19 Fluid, Electrolyte, and Acid–Base Imbalances
ss ss ss ss ss


Section Three – Perioperative Care
ss ss ss ss


20 Nursing Management: Preoperative Care
ss ss ss ss


21 Nursing Management: Intraoperative Care
ss ss ss ss


22 Nursing Management: Post-operative Care
ss ss ss ss


Section Four – Problems Related to Altered Sensory Input
ss ss ss ss ss ss ss ss


23 Nursing Assessment: Visual and Auditory Systems
ss ss ss ss ss ss


24 Nursing Management: Visual and Auditory Problems
ss ss ss ss ss ss


25 Nursing Assessment: Integumentary System
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26 Nursing Management: Integumentary Problems
ss ss ss ss


27 Nursing Management: Burns
ss ss ss


Section Five – Problems of Oxygenation: Ventilation
ss ss ss ss ss ss


28 Nursing Assessment: Respiratory System
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29 Nursing Management: Upper Respiratory Problems
ss ss ss ss ss


30 Nursing Management: Lower Respiratory Problems
ss ss ss ss ss


31 Nursing Management: Obstructive Pulmonary Diseases
ss ss ss ss ss


Section Six – Problems of Oxygenation: Transport
ss ss ss ss ss ss


32 Nursing Assessment: Hematological System
ss ss ss ss


33 Nursing Management: Hematological Problems
ss ss ss ss


Section Seven – Problems of Oxygenation: Perfusion
ss ss ss ss ss ss


34 Nursing Assessment: Cardiovascular System
ss ss ss ss


35 Nursing Management: Hypertension
ss ss ss


36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
ss ss ss ss ss ss ss ss ss

,37 Nursing Management: Heart Failure
ss ss ss ss


38 Nursing Management: Dysrhythmias
ss ss ss


39 Nursing Management: Inflammatory and Structural Heart Diseases
ss ss ss ss ss ss ss


40 Nursing Management: Vascular Disorders
ss ss ss ss


Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
ss ss ss ss ss ss ss ss ss


41 Nursing Assessment: Gastrointestinal System
ss ss ss ss


42 Nursing Management: Nutritional Problems
ss ss ss ss


43 Nursing Management: Obesity
ss ss ss


44 Nursing Management: Upper Gastrointestinal Problems
ss ss ss ss ss


45 Nursing Management: Lower Gastrointestinal Problems
ss ss ss ss ss


46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems
ss ss ss ss ss ss ss ss


Section Nine – Problems of Urinary Function
ss ss ss ss ss ss


47 Nursing Assessment: Urinary System
ss ss ss ss


48 Nursing Management: Renal and Urological Problems
ss ss ss ss ss ss


49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
ss ss ss ss ss ss ss ss ss


Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
ss ss ss ss ss ss ss ss ss


50 Nursing Assessment: Endocrine System
ss ss ss ss


51 Nursing Management: Endocrine Problems
ss ss ss ss


52 Nursing Management: Diabetes Mellitus
ss ss ss ss


53 Nursing Assessment: Reproductive System
ss ss ss ss


54 Nursing Management: Breast Disorders
ss ss ss ss


55 Nursing Management: Sexually Transmitted Infections
ss ss ss ss ss


56 Nursing Management: Female Reproductive Problems
ss ss ss ss ss


57 Nursing Management: Male Reproductive Problems
ss ss ss ss ss


Section Eleven – Problems Related to Movement and Coordination
ss ss ss ss ss ss ss ss


58 Nursing Assessment: Nervous System
ss ss ss ss


59 Nursing Management: Acute Intracranial Problems
ss ss ss ss ss


60 Nursing Management: Stroke
ss ss ss


61 Nursing Management: Chronic Neurological Problems
ss ss ss ss ss


62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
ss ss ss ss ss ss ss ss


63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
ss ss ss ss ss ss ss ss


64 Nursing Assessment: Musculoskeletal System
ss ss ss ss


65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
ss ss ss ss ss ss ss


66 Nursing Management: Musculoskeletal Problems
ss ss ss ss


67 Nursing Management: Arthritis and Connective Tissue Diseases
ss ss ss ss ss ss ss


Section Twelve – Nursing Care in Specialized Settings
ss ss ss ss ss ss ss


68 Nursing Management: Critical Care Environment
ss ss ss ss ss


69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and
ss ss ss ss ss ss ss ss


Multiple-Organ Dysfunction Syndrome
ss ss ss


70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
ss ss ss ss ss ss ss ss ss


71 Nursing Management: Emergency Care Situations
ss ss ss ss ss


72 Emergency Management and Disaster Planning
ss ss ss ss ss

, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
ss ss ss ss ss ss ss ss

Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
ss ss ss ss ss ss ss ss




MULTIPLE ssCHOICE

1. When sscaring ssfor ssclients ssusing ssevidence-informed sspractice, sswhich ssof ssthe ssfollowing ssdoes
the ssnurse ssuse?
ss

a. Clinical ssjudgement ssbased sson ssexperience
b. Evidence ssfrom ssa ssclinical ssresearch ssstudy
c. The ssbest ssavailable ssevidence ssto ssguide ssclinical ssexpertise
d. Evaluation ssof ssdata ssshowing ssthat ssthe ssclient ssoutcomes ssare ssmet
CORRECT ssANSWER:
s s C

Evidence-informed ssnursing sspractice ssis ssa sscontinuous ssinteractive ssprocess ssinvolving ssthe
ssexplicit, ssconscientious, ssand ssjudicious ssconsideration ssof ssthe ssbest ssavailable ssevidence ssto

ssprovide sscare. ssFour ssprimary sselements ssare: ss(a) ssclinical ssstate, sssetting, ssand sscircumstances;

ss(b) ssclient sspreferences ssand ssactions; ss(c) ssbest ssresearch ssevidence; ssand ss(d) sshealth sscare

ssresources. ssClinical ssjudgement ssbased sson ssthe ssnurse’s ssclinical ssexperience ssis sspart ssof ssEIP,

ssbut ssclinical ssdecision ssmaking ssalso ssshould ssincorporate sscurrent ssresearch ssand ssresearch-based

ssguidelines. ssEvidence ssfrom ssone ssclinical ssresearch ssstudy ssdoes ssnot ssprovide ssan ssadequate

sssubstantiation ssfor ssinterventions. ssEvaluation ssof ssclient ssoutcomes ssis ssimportant, ssbut

ssinterventions ssshould ssbe ssbased sson ssresearch ssfrom ss randomized sscontrol ssstudies sswith ssa sslarge

ssnumber ssof sssubjects.




DIF: Cognitive ssLevel: ssComprehension TOP: s s Nursing ssProcess: ssPlanning

2. Which ss of ss the s s following s s best ssN
e x p lRa i n sIt heGn u B
r s e. sC
’ s s prM
imary ss use ss of s s the ss nursing s s process
sswhen
providing sscare ssto UsSsNsT O
ssclients?

a. To ssexplain ssnursing ssinterventions ssto ssother sshealth sscare ssprofessionals
b. As ssa ssproblem-solving sstool ssto ssidentify ssand sstreat ssclients’ sshealth sscare ssneeds
c. As ssa ssscientific-based ssprocess ssof ssdiagnosing ssthe ssclient’s sshealth sscare ssproblems
d. To ssestablish ssnursing sstheory ssthat ssincorporates ssthe ssbiopsychosocial ssnature ssof sshumans
CORRECT ssANSWER: s s B
The ssnursing ssprocess ssis ssan ssassertive ssproblem-solving ssapproach ssto ssthe ssidentification ssand
sstreatment ssof ssclients’ ssproblems. ssDiagnosis ssis ssonly ssone ssphase ssof ssthe ssnursing ssprocess. ssThe

primary ssuse ssof ssthe ssnursing ssprocess ssis ssin ssclient sscare, ssnot ssto ssestablish ssnursing sstheory ssor
ssexplain ssnursing ssinterventions ssto ssother sshealth sscare ssprofessionals.




DIF: Cognitive ssLevel: ssComprehension TOP: s s Nursing ssProcess: ssImplementation

3. The ssnurse ssis sscaring ssfor ssa sscritically ssill ssclient ssin ssthe ssintensive sscare ssunit ssand ssplans ssan ssevery
2-hour ssturning ssschedule ssto ssprevent ssskin ssbreakdown. ssWhich sstype ssof ssnursing ssfunction ssis
ss

demonstrated sswith ssthis ssturning ssschedule?
ss

a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT ssANSWER: s s D
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