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Exam (elaborations)

Lewis's Medical-Surgical Nursing in Canada, 4th Edition, Complete Test Bank

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This document is the complete test bank for the Lewis's Medical-Surgical Nursing in Canada: Fourth Canadian Edition: Assessment and Management of Clinical Problems textbook. It is a comprehensive assessment resource, including multiple-choice questions and correct answers for all 72 chapters of the text. The content covers the full spectrum of medical-surgical nursing, beginning with foundational concepts such as the nursing process, evidence-informed practice, cultural competence and health equity, and care for older adults. It then progresses to detailed management of clinical problems across all body systems, organized by sections including Pathophysiological Mechanisms of Disease (e.g., Inflammation, Cancer, Fluid/Electrolytes), Perioperative Care, and problems related to Oxygenation (Ventilation, Transport, Perfusion), Ingestion/Digestion/Elimination, Urinary Function, Regulatory and Reproductive Mechanisms, and Movement and Coordination. This test bank is designed as an extensive tool for student self-study, exam preparation, and educator use for comprehensive course assessment in a Canadian context

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Number of pages
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Written in
2025/2026
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Exam (elaborations)
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TEST BANK II II




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




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




Chapters 1 - 72 Complete
II II II II II

,TABLE OF CONTENTS II II




Section One – Concepts in Nursing Practice
II II II II II II


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


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


3 Health History and Physical Examination
II II II II II


4 Patient and Caregiver Teaching
II II II II


5 Chronic Illness
II II


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


7 Older Adults
II II


8 Stress and Stress Management
II II II II


9 Sleep and Sleep Disorders
II II II II


10 Pain
II


11 Substance Use
II II


12 Complementary and Alternative Therapies
II II II II


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


Section Two – Pathophysiological Mechanisms of Disease
II II II II II II


14 Inflammation and Wound Healing
II II II II


15 Genetics
II


16 Altered Immune Response and Transplantation
II II II II II


17 Infection and Human Immunodeficiency Virus Infection
II II II II II II


18 Cancer
II


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


Section Three – Perioperative Care
II II II II


20 Nursing Management: Preoperative Care
II II II II


21 Nursing Management: Intraoperative Care
II II II II


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


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


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


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


25 Nursing Assessment: Integumentary System
II II II II


26 Nursing Management: Integumentary Problems
II II II II


27 Nursing Management: Burns
II II II


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


28 Nursing Assessment: Respiratory System
II II II II


29 Nursing Management: Upper Respiratory Problems
II II II II II


30 Nursing Management: Lower Respiratory Problems
II II II II II


31 Nursing Management: Obstructive Pulmonary Diseases
II II II II II


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


32 Nursing Assessment: Hematological System
II II II II


33 Nursing Management: Hematological Problems
II II II II


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


34 Nursing Assessment: Cardiovascular System
II II II II


35 Nursing Management: Hypertension
II II II


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

,37 Nursing Management: Heart Failure
II II II II


38 Nursing Management: Dysrhythmias
II II II


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


40 Nursing Management: Vascular Disorders
II II II II


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


41 Nursing Assessment: Gastrointestinal System
II II II II


42 Nursing Management: Nutritional Problems
II II II II


43 Nursing Management: Obesity
II II II


44 Nursing Management: Upper Gastrointestinal Problems
II II II II II


45 Nursing Management: Lower Gastrointestinal Problems
II II II II II


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


Section Nine – Problems of Urinary Function
II II II II II II


47 Nursing Assessment: Urinary System
II II II II


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


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


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


50 Nursing Assessment: Endocrine System
II II II II


51 Nursing Management: Endocrine Problems
II II II II


52 Nursing Management: Diabetes Mellitus
II II II II


53 Nursing Assessment: Reproductive System
II II II II


54 Nursing Management: Breast Disorders
II II II II


55 Nursing Management: Sexually Transmitted Infections
II II II II II


56 Nursing Management: Female Reproductive Problems
II II II II II


57 Nursing Management: Male Reproductive Problems
II II II II II


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


58 Nursing Assessment: Nervous System
II II II II


59 Nursing Management: Acute Intracranial Problems
II II II II II


60 Nursing Management: Stroke
II II II


61 Nursing Management: Chronic Neurological Problems
II II II II II


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


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


64 Nursing Assessment: Musculoskeletal System
II II II II


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


66 Nursing Management: Musculoskeletal Problems
II II II II


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


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


68 Nursing Management: Critical Care Environment
II II II II II


69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
II II II II II II II II II


Organ Dysfunction Syndrome
II II


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


71 Nursing Management: Emergency Care Situations
II II II II II


72 Emergency Management and Disaster Planning
II II II II II

, Chapter 01: Introduction to Medical-
II II II II

Surgical Nursing Practice in Canada Lewis: Medical-
II II II II II II

Surgical Nursing in Canada, 4th Canadian Edition
II II II II II II




MULTIPLEIICHOICE

1. WhenIIcaringIIforIIclientsIIusingIIevidence-
informedIIpractice,IIwhichIIofIItheIIfollowingIIdoesIItheIInurseIIuse?
a. ClinicalIIjudgementIIbasedIIonIIexperience
b. EvidenceIIfromIIaIIclinicalIIresearchIIstudy
c. TheIIbestIIavailableIIevidenceIItoIIguideIIclinicalIIexpertise
d. EvaluationIIofIIdataIIshowingIIthatIItheIIclientIIoutcomesIIareIImet
CORRECTANSWER:I C
Evidence-
informedIInursingIIpracticeIIisIIaIIcontinuousIIinteractiveIIprocessIIinvolvingIItheIIexplicit,IIconscientio
us,IIandIIjudiciousIIconsiderationIIofIItheIIbestIIavailableIIevidenceIItoIIprovideIIcare.IIFourIIprimaryIIele
mentsIIare:II(a)IIclinicalIIstate,IIsetting,IIandIIcircumstances;II(b)IIclientIIpreferencesIIandIIactions;II(c)IIb
estIIresearchIIevidence;IIandII(d)IIhealthIIcareIIresources.IIClinicalIIjudgementIIbasedIIonIItheIInurse’sIIcl
inicalIIexperienceIIisIIpartIIofIIEIP,IIbutIIclinicalIIdecisionIImakingIIalsoIIshouldIIincorporateIIcurrentIIr
esearchIIandIIresearch-
basedIIguidelines.IIEvidenceIIfromIIoneIIclinicalIIresearchIIstudyIIdoesIInotIIprovideIIanIIadequateIIsub
stantiationIIforIIinterventions.IIEvaluationIIofIIclientIIoutcomesIIisIIimportant,IIbutIIinterventionsIIshou
ldIIbeIIbasedIIonIIresearchIIfromIIrandomizedIIcontrolIIstudiesIIwithIIaIIlargeIInumberIIofIIsubjects.

DIF: CognitiveIILevel:IIComprehension TOP:I I NursingIIProcess:IIPlanning

2. WhichII ofII theII followingI I bestII e x p l a i n s t h e n u r s e s ’ I I pr imaryI I useII ofI I theII nursingI I processI I when
N R I G B. C M
providingIIcareIItoIIclients? UIISIINIIT O
a. ToIIexplainIInursingIIinterventionsIItoIIotherIIhealthIIcareIIprofessionals
b. AsIIaIIproblem-solvingIItoolIItoIIidentifyIIandIItreatIIclients’IIhealthIIcareIIneeds
c. AsIIaIIscientific-basedIIprocessIIofIIdiagnosingIItheIIclient’sIIhealthIIcareIIproblems
d. ToIIestablishIInursingIItheoryIIthatIIincorporatesIItheIIbiopsychosocialIInatureIIofIIhumans
CORRECTIIANSWER:I I B
TheIInursingIIprocessIIisIIanIIassertiveIIproblem-
solvingIIapproachIItoIItheIIidentificationIIandIItreatmentIIofIIclients’IIproblems.IIDiagnosisIIisIIonlyIIoneI
IphaseIIofIItheIInursingIIprocess.IIThe

primaryIIuseIIofIItheIInursingIIprocessIIisIIinIIclientIIcare,IInotIItoIIestablishIInursingIItheoryIIorIIexplainIIn
ursingIIinterventionsIItoIIotherIIhealthIIcareIIprofessionals.

DIF: CognitiveIILevel:IIComprehension TOP:I I NursingIIProcess:IIImplementation

3. TheIInurseIIisIIcaringIIforIIaIIcriticallyIIillIIclientIIinIItheIIintensiveIIcareIIunitIIandIIplansIIanIIeveryII2-
hourIIturningIIscheduleIItoIIpreventIIskinIIbreakdown.IIWhichIItypeIIofIInursingIIfunctionIIisIIdemonst
ratedIIwithIIthisIIturningIIschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECTIIANSWER:I I D

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