FULL TEST BANK FOR
MEDICAL-SURGICAL NURSING, CONCEPTS AND PRACTICE, 6TH EDITION
BY HOLLY K. STROMBERG ALUMNUS
ALL CHAPTERS 1-49 | VERIFIED ANSWERS
,TABLE OF CONTENTS
CHAPTER 01: CARING FOR MEDICAL-SURGICAL PATIENTS................................................................. 4
CHAPTER 02: CRITICAL THINKING, CLINICAL JUDGMENT, AND THE NURSING PROCESS ................. 17
CHAPTER 03: FLUIDS, ELECTROLYTES, ACID-BASE BALANCE, AND INTRAVENOUS THERAPY........... 34
CHAPTER 04: CARE OF PREOPERATIVE AND INTRAOPERATIVE SURGICAL PATIENTS ...................... 47
CHAPTER 05: CARE OF POSTOPERATIVE SURGICAL PATIENTS ......................................................... 61
CHAPTER 06: INFECTION PREVENTION AND CONTROL .................................................................... 76
CHAPTER 07: CARE OF PATIENTS WITH PAIN ................................................................................... 88
CHAPTER 08: CARE OF PATIENTS WITH CANCER ............................................................................ 102
CHAPTER 09: CHRONIC ILLNESS AND REHABILITATION.................................................................. 116
CHAPTER 10: THE IMMUNE AND LYMPHATIC SYSTEMS................................................................. 130
CHAPTER 11: CARE OF PATIENTS WITH IMMUNE AND LYMPHATIC DISORDERS ........................... 144
CHAPTER 12: THE RESPIRATORY SYSTEM ....................................................................................... 162
CHAPTER 13: CARE OF PATIENTS WITH DISORDERS OF THE UPPER RESPIRATORY SYSTEM .......... 180
CHAPTER 14: CARE OF PATIENTS WITH DISORDERS OF THE LOWER RESPIRATORY SYSTEM ........ 196
CHAPTER 15: THE HEMATOLOGIC SYSTEM ..................................................................................... 214
CHAPTER 16. CARE OF PATIENTS WITH HEMATOLOGIC DISORDERS ............................................. 227
CHAPTER 17: THE CARDIOVASCULAR SYSTEM ............................................................................... 242
CHAPTER 18: CARE OF PATIENTS WITH HYPERTENSION AND PERIPHERAL VASCULAR DISEASE ... 254
CHAPTER 19: CARE OF PATIENTS WITH CARDIAC DISORDERS ....................................................... 270
CHAPTER 20: CARE OF PATIENTS WITH CORONARY ARTERY DISEASE AND CARDIAC SURGERY.... 284
CHAPTER 21: THE NEUROLOGIC SYSTEM........................................................................................ 304
CHAPTER 22: CARE OF PATIENTS WITH HEAD AND SPINAL CORD INJURIES .................................. 318
CHAPTER 23: CARE OF PATIENTS WITH BRAIN DISORDERS ............................................................ 334
CHAPTER 24: CARE OF PATIENTS WITH PERIPHERAL NERVE AND DEGENERATIVE NEUROLOGIC
DISORDERS ...................................................................................................................................... 350
CHAPTER 25: THE SENSORY SYSTEM EYE ........................................................................................ 364
CHAPTER 26: THE SENSORY SYSTEM EAR ....................................................................................... 380
CHAPTER 27: THE GASTROINTESTINAL SYSTEM ............................................................................. 390
CHAPTER 28. CARE OF PATIENTS WITH DISORDERS OF THE UPPER GASTROINTESTINAL SYSTEM 409
CHAPTER 29. CARE OF PATIENTS WITH DISORDERS OF THE LOWER GASTROINTESTINAL SYSTEM
........................................................................................................................................................ 424
CHAPTER 30. CARE OF PATIENTS WITH DISORDERS OF THE GALLBLADDER, LIVER, AND PANCREAS
........................................................................................................................................................ 441
CHAPTER 31. THE MUSCULOSKELETAL SYSTEM ............................................................................. 460
CHAPTER 32: CARE OF PATIENTS WITH MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS
........................................................................................................................................................ 475
,CHAPTER 33: THE URINARY SYSTEM ............................................................................................... 497
CHAPTER 34. CARE OF PATIENTS WITH DISORDERS OF THE URINARY SYSTEM ............................. 514
CHAPTER 35: THE ENDOCRINE SYSTEM .......................................................................................... 534
CHAPTER 36: CARE OF PATIENTS WITH PITUITARY, THYROID, PARATHYROID, AND ADRENAL
DISORDERS ...................................................................................................................................... 548
CHAPTER 37: CARE OF PATIENTS WITH DIABETES AND HYPOGLYCEMIA....................................... 568
CHAPTER 38: THE REPRODUCTIVE SYSTEM .................................................................................... 588
CHAPTER 39: CARE OF WOMEN WITH REPRODUCTIVE DISORDERS .............................................. 596
CHAPTER 40: CARE OF MEN WITH REPRODUCTIVE DISORDERS .................................................... 614
CHAPTER 41: CARE OF PATIENTS WITH SEXUALLY TRANSMITTED INFECTIONS............................. 633
CHAPTER 42: THE INTEGUMENTARY SYSTEM................................................................................. 649
CHAPTER 43: CARE OF PATIENTS WITH INTEGUMENTARY DISORDERS AND BURNS ..................... 669
CHAPTER 44: CARE OF PATIENTS IN DISASTERS OR BIOTERRORISM ATTACKS .............................. 692
CHAPTER 45: CARE OF PATIENTS WITH EMERGENT CONDITIONS, TRAUMA, AND SHOCK ........... 709
CHAPTER 46: CARE OF PATIENTS WITH COGNITIVE FUNCTION DISORDERS .................................. 727
CHAPTER 47: CARE OF PATIENTS WITH ANXIETY, MOOD, AND EATING DISORDERS ..................... 745
CHAPTER 48: CARE OF PATIENTS WITH SUBSTANCE-RELATED AND ADDICTIVE DISORDERS ........ 761
CHAPTER 49: CARE OF PATIENTS WITH THOUGHT AND PERSONALITY DISORDERS ...................... 779
, CHAPTER 01: CARING FOR MEDICAL-SURGICAL PATIENTS
STROMBERG: MEDICAL-SURGICAL NURSING: CONCEPTS AND PRACTICE, 6TH EDITION
MULTIPLE CHOICE
1. WHICH STATEMENT ACCURATELY DESCRIBES THE PRIMARY PURPOSE OF THE STATE NURSE
PRACTICE ACT (NPA)?
A. TO TEST AND LICENSE LPN/LVNS
B. TO DEFINE THE SCOPE OF LPN/LVN PRACTICE
C. TO IMPROVE THE QUALITY OF CARE PROVIDED BY THE LPN/LVN
D. TO LIMIT THE LPN/LVN EMPLOYMENT PLACEMENT
ANS:B
WHILE IMPROVING QUALITY OF CARE PROVIDED BY THE LPN/LVN MAY BE A RESULT OF THE NPA,
THE PRIMARY PURPOSE OF THE NPA OF EACH STATE DEFINES THE SCOPE OF NURSING PRACTICE IN
THAT STATE.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: P. 3 OBJ: 3 TOP: NPA KEY: NURSING
PROCESS STEP: IMPLEMENTATION MSC: NCLEX: SAFE, EFFECTIVE CARE ENVIRONMENT:
COORDINATED CARE
2. THE CHARGE NURSE ASKS THE NEW VOCATIONAL NURSE TO START AN INTRAVENOUS
INFUSION, A SKILL THAT THE VOCATIONAL NURSE HAS NOT BEEN TAUGHT DURING HER
EDUCATIONAL PROGRAM. HOW SHOULD THE VOCATIONAL NURSE RESPOND?
A. ASK A MORE EXPERIENCED NURSE TO DEMONSTRATE THE PROCEDURE.
B. LOOK UP THE PROCEDURE IN THE PROCEDURE MANUAL.
C. ATTEMPT TO PERFORM THE PROCEDURE WITH SUPERVISION.
D. INFORM THE CHARGE NURSE OF HER LACK OF TRAINING IN THIS PROCEDURE.
ANS:D
THE CHARGE NURSE SHOULD BE INFORMED OF THE LACK OF TRAINING TO PERFORM THE
PROCEDURE, AND THE VOCATIONAL NURSE SHOULD SEEK FURTHER TRAINING TO GAIN
PROFICIENCY. ALTHOUGH THE OTHER OPTIONS MIGHT BE HELPFUL, THEY ARE NOT SAFE.
DIF: COGNITIVE LEVEL: APPLICATION REF: P. 3 OBJ: 1 TOP: PROVIDING SAFE CARE
KEY: NURSING PROCESS STEP: N/A MSC: NCLEX: SAFE, EFFECTIVE CARE ENVIRONMENT:
COORDINATED CARE
MEDICAL-SURGICAL NURSING, CONCEPTS AND PRACTICE, 6TH EDITION
BY HOLLY K. STROMBERG ALUMNUS
ALL CHAPTERS 1-49 | VERIFIED ANSWERS
,TABLE OF CONTENTS
CHAPTER 01: CARING FOR MEDICAL-SURGICAL PATIENTS................................................................. 4
CHAPTER 02: CRITICAL THINKING, CLINICAL JUDGMENT, AND THE NURSING PROCESS ................. 17
CHAPTER 03: FLUIDS, ELECTROLYTES, ACID-BASE BALANCE, AND INTRAVENOUS THERAPY........... 34
CHAPTER 04: CARE OF PREOPERATIVE AND INTRAOPERATIVE SURGICAL PATIENTS ...................... 47
CHAPTER 05: CARE OF POSTOPERATIVE SURGICAL PATIENTS ......................................................... 61
CHAPTER 06: INFECTION PREVENTION AND CONTROL .................................................................... 76
CHAPTER 07: CARE OF PATIENTS WITH PAIN ................................................................................... 88
CHAPTER 08: CARE OF PATIENTS WITH CANCER ............................................................................ 102
CHAPTER 09: CHRONIC ILLNESS AND REHABILITATION.................................................................. 116
CHAPTER 10: THE IMMUNE AND LYMPHATIC SYSTEMS................................................................. 130
CHAPTER 11: CARE OF PATIENTS WITH IMMUNE AND LYMPHATIC DISORDERS ........................... 144
CHAPTER 12: THE RESPIRATORY SYSTEM ....................................................................................... 162
CHAPTER 13: CARE OF PATIENTS WITH DISORDERS OF THE UPPER RESPIRATORY SYSTEM .......... 180
CHAPTER 14: CARE OF PATIENTS WITH DISORDERS OF THE LOWER RESPIRATORY SYSTEM ........ 196
CHAPTER 15: THE HEMATOLOGIC SYSTEM ..................................................................................... 214
CHAPTER 16. CARE OF PATIENTS WITH HEMATOLOGIC DISORDERS ............................................. 227
CHAPTER 17: THE CARDIOVASCULAR SYSTEM ............................................................................... 242
CHAPTER 18: CARE OF PATIENTS WITH HYPERTENSION AND PERIPHERAL VASCULAR DISEASE ... 254
CHAPTER 19: CARE OF PATIENTS WITH CARDIAC DISORDERS ....................................................... 270
CHAPTER 20: CARE OF PATIENTS WITH CORONARY ARTERY DISEASE AND CARDIAC SURGERY.... 284
CHAPTER 21: THE NEUROLOGIC SYSTEM........................................................................................ 304
CHAPTER 22: CARE OF PATIENTS WITH HEAD AND SPINAL CORD INJURIES .................................. 318
CHAPTER 23: CARE OF PATIENTS WITH BRAIN DISORDERS ............................................................ 334
CHAPTER 24: CARE OF PATIENTS WITH PERIPHERAL NERVE AND DEGENERATIVE NEUROLOGIC
DISORDERS ...................................................................................................................................... 350
CHAPTER 25: THE SENSORY SYSTEM EYE ........................................................................................ 364
CHAPTER 26: THE SENSORY SYSTEM EAR ....................................................................................... 380
CHAPTER 27: THE GASTROINTESTINAL SYSTEM ............................................................................. 390
CHAPTER 28. CARE OF PATIENTS WITH DISORDERS OF THE UPPER GASTROINTESTINAL SYSTEM 409
CHAPTER 29. CARE OF PATIENTS WITH DISORDERS OF THE LOWER GASTROINTESTINAL SYSTEM
........................................................................................................................................................ 424
CHAPTER 30. CARE OF PATIENTS WITH DISORDERS OF THE GALLBLADDER, LIVER, AND PANCREAS
........................................................................................................................................................ 441
CHAPTER 31. THE MUSCULOSKELETAL SYSTEM ............................................................................. 460
CHAPTER 32: CARE OF PATIENTS WITH MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS
........................................................................................................................................................ 475
,CHAPTER 33: THE URINARY SYSTEM ............................................................................................... 497
CHAPTER 34. CARE OF PATIENTS WITH DISORDERS OF THE URINARY SYSTEM ............................. 514
CHAPTER 35: THE ENDOCRINE SYSTEM .......................................................................................... 534
CHAPTER 36: CARE OF PATIENTS WITH PITUITARY, THYROID, PARATHYROID, AND ADRENAL
DISORDERS ...................................................................................................................................... 548
CHAPTER 37: CARE OF PATIENTS WITH DIABETES AND HYPOGLYCEMIA....................................... 568
CHAPTER 38: THE REPRODUCTIVE SYSTEM .................................................................................... 588
CHAPTER 39: CARE OF WOMEN WITH REPRODUCTIVE DISORDERS .............................................. 596
CHAPTER 40: CARE OF MEN WITH REPRODUCTIVE DISORDERS .................................................... 614
CHAPTER 41: CARE OF PATIENTS WITH SEXUALLY TRANSMITTED INFECTIONS............................. 633
CHAPTER 42: THE INTEGUMENTARY SYSTEM................................................................................. 649
CHAPTER 43: CARE OF PATIENTS WITH INTEGUMENTARY DISORDERS AND BURNS ..................... 669
CHAPTER 44: CARE OF PATIENTS IN DISASTERS OR BIOTERRORISM ATTACKS .............................. 692
CHAPTER 45: CARE OF PATIENTS WITH EMERGENT CONDITIONS, TRAUMA, AND SHOCK ........... 709
CHAPTER 46: CARE OF PATIENTS WITH COGNITIVE FUNCTION DISORDERS .................................. 727
CHAPTER 47: CARE OF PATIENTS WITH ANXIETY, MOOD, AND EATING DISORDERS ..................... 745
CHAPTER 48: CARE OF PATIENTS WITH SUBSTANCE-RELATED AND ADDICTIVE DISORDERS ........ 761
CHAPTER 49: CARE OF PATIENTS WITH THOUGHT AND PERSONALITY DISORDERS ...................... 779
, CHAPTER 01: CARING FOR MEDICAL-SURGICAL PATIENTS
STROMBERG: MEDICAL-SURGICAL NURSING: CONCEPTS AND PRACTICE, 6TH EDITION
MULTIPLE CHOICE
1. WHICH STATEMENT ACCURATELY DESCRIBES THE PRIMARY PURPOSE OF THE STATE NURSE
PRACTICE ACT (NPA)?
A. TO TEST AND LICENSE LPN/LVNS
B. TO DEFINE THE SCOPE OF LPN/LVN PRACTICE
C. TO IMPROVE THE QUALITY OF CARE PROVIDED BY THE LPN/LVN
D. TO LIMIT THE LPN/LVN EMPLOYMENT PLACEMENT
ANS:B
WHILE IMPROVING QUALITY OF CARE PROVIDED BY THE LPN/LVN MAY BE A RESULT OF THE NPA,
THE PRIMARY PURPOSE OF THE NPA OF EACH STATE DEFINES THE SCOPE OF NURSING PRACTICE IN
THAT STATE.
DIF: COGNITIVE LEVEL: COMPREHENSION REF: P. 3 OBJ: 3 TOP: NPA KEY: NURSING
PROCESS STEP: IMPLEMENTATION MSC: NCLEX: SAFE, EFFECTIVE CARE ENVIRONMENT:
COORDINATED CARE
2. THE CHARGE NURSE ASKS THE NEW VOCATIONAL NURSE TO START AN INTRAVENOUS
INFUSION, A SKILL THAT THE VOCATIONAL NURSE HAS NOT BEEN TAUGHT DURING HER
EDUCATIONAL PROGRAM. HOW SHOULD THE VOCATIONAL NURSE RESPOND?
A. ASK A MORE EXPERIENCED NURSE TO DEMONSTRATE THE PROCEDURE.
B. LOOK UP THE PROCEDURE IN THE PROCEDURE MANUAL.
C. ATTEMPT TO PERFORM THE PROCEDURE WITH SUPERVISION.
D. INFORM THE CHARGE NURSE OF HER LACK OF TRAINING IN THIS PROCEDURE.
ANS:D
THE CHARGE NURSE SHOULD BE INFORMED OF THE LACK OF TRAINING TO PERFORM THE
PROCEDURE, AND THE VOCATIONAL NURSE SHOULD SEEK FURTHER TRAINING TO GAIN
PROFICIENCY. ALTHOUGH THE OTHER OPTIONS MIGHT BE HELPFUL, THEY ARE NOT SAFE.
DIF: COGNITIVE LEVEL: APPLICATION REF: P. 3 OBJ: 1 TOP: PROVIDING SAFE CARE
KEY: NURSING PROCESS STEP: N/A MSC: NCLEX: SAFE, EFFECTIVE CARE ENVIRONMENT:
COORDINATED CARE
