,Table of Contents
@X @X
Chapter 01 Professional Nursing Practice
@X @X @X @X 2
Chapter 02
@X @XMedical-Surgical Nursing @X 17
Chapter@X 03 Health Education and Health Promotion
@X @X @X @X @X 30
Chapter@X 04 @XAdult Health and Physical, Nutritional, and Cultural Assessment
@X @X @X @X @X @X @X 45
Chapter@X 05 @XStress and Inflammatory Responses
@X @X @X 60
Chapter@X 06 @XGenetics and Genomics in Nursing
@X @X @X @X 76
Chapter@X 07 @XDisability and Chronic Illness
@X @X @X 92
Chapter@X 08 @XManagement of the Older Adult Patient
@X @X @X @X @X 107
Chapter@X 09 Pain Management
@X @X 121
Chapter@X 10 Fluid and Electrolytes
@X @X @X 137
Chapter@X 11 @XShock, Sepsis, and Multiple Organ Dysfunction Syndrome
@X @X @X @X @X @X 153
Chapter 12
@X @XManagement of Patients with Oncologic Disorders
@X @X @X @X @X 169
Chapter 13
@X @XPalliative and End-of-Life Care
@X @X @X 183
Chapter@X 14 @XPreoperative Nursing Management@X @X 199
Chapter 15
@X @XIntraoperative Nursing Management @X @X 214
Chapter 16
@X @XPostoperative Nursing Management @X @X 228
Chapter@X 17 @XAssessment of Respiratory Function
@X @X @X 243
Chapter 18
@X @X Management of Patients with @X @X @X @X Upper Respiratory Tract Disorders
@X @X @X 258
Chapter 19
@X @X Management of Patients with @X @X @X @X Chest and Lower Respiratory Tract Disorders
@X @X @X @X @X 272
Chapter 20
@X @X Management of Patients with @X @X @X @X Chronic Pulmonary Disease
@X @X 288
Chapter 21
@X @X Assessment of Cardiovascular
@X @X @X Function 304
Chapter 22
@X @X Management of Patients with @X @X @X @X Arrhythmias and Conduction Problems
@X @X @X 318
Chapter 23
@X @X Management of Patients with @X @X @X @X Coronary Vascular Disorders
@X @X 331
Chapter 24
@X @X Management of Patients with @X @X @X @X Structural, Infectious, and Inflammatory Cardiac
@X @X @X @X
Disorders 347
Chapter 25@X @XManagement of Patients with Complications from Heart Disease
@X @X @X @X @X @X @X 361
Chapter 26@X @XAssessment and Management of Patients with Vascular Disorders and Problems
@X @X @X @X @X @X @X @X @X
of Peripheral Circulation
@X @X 375
Chapter 27 Assessment and Management of Patients with Hypertension
@X @X @X @X @X @X @X @X 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
@X @X @X @X @X @X @X @X 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
@X @X @X @X @X @X @X @X 420
Chapter 30 Management of Patients with Hematologic Neoplasms
@X @X @X @X @X @X @X 433
Chapter 31 Assessment of Immune Function
@X @X @X @X @X 448
Chapter 32 Management of Patients with Immune Deficiency Disorders
@X @X @X @X @X @X @X @X 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
@X @X @X @X @X @X @X @X @X 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
@X @X @X @X @X @X @X @X @X @X 492
,Chapter 35 Assessment of Musculoskeletal Function
@X @X @X @X @X 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
@X @X @X @X @X @X @X 520
Chapter 37 Management of Patients with Musculoskeletal Trauma
@X @X @X @X @X @X @X 535
Chapter
@X 38 @XAssessment of Digestive and Gastrointestinal Function
@X @X @X @X @X 550
Chapter 39
@X @XManagement of Patients with Oral and Esophageal Disorders
@X @X @X @X @X @X @X 564
Chapter 40
@X @XManagement of Patients with Gastric and Duodenal Disorders
@X @X @X @X @X @X @X 578
Chapter 41
@X @XManagement of Patients with Intestinal and Rectal Disorders
@X @X @X @X @X @X @X 591
Chapter 42
@X @XAssessment and Management of Patients with Obesity
@X @X @X @X @X @X 606
Chapter 43
@X @XAssessment and Management of Patients with Hepatic Disorders
@X @X @X @X @X @X @X 621
Chapter
@X 44 Management of Patients with Biliary Disorders
@X @X @X @X @X @X 635
Chapter 45
@X @XAssessment and Management of Patients with Endocrine Disorders
@X @X @X @X @X @X @X 650
Chapter
@X 46 @XManagement of Patients with Diabetes
@X @X @X @X 665
Chapter
@X 47 Assessment of Kidney and Urinary Function
@X @X @X @X @X @X 680
Chapter
@X 48 Management of Patients with Kidney Disorders
@X @X @X @X @X @X 695
Chapter
@X 49 Management of Patients with Urinary Disorders
@X @X @X @X @X @X 710
Chapter
@X 50 @XAssessment and Management of Patients with Female Physiologic Processes
@X @X @X @X @X @X @X @X 725
Chapter
@X 51 @XManagement of Patients with Female Reproductive Disorders
@X @X @X @X @X @X 741
Chapter 52
@X @XAssessment and Management of Patients with Breast Disorders
@X @X @X @X @X @X @X 757
Chapter 53
@X @XAssessment and Management of Patients with Male Reproductive Disorders
@X @X @X @X @X @X @X @X 771
Chapter 54
@X @XAssessment and Management of Patients Who Are LGBTQ
@X @X @X @X @X @X @X 786
Chapter
@X 55 Assessment of Integumentary Function
@X @X @X @X 794
Chapter 56
@X @XManagement of Patients with Dermatologic Disorders
@X @X @X @X @X 808
Chapter
@X 57 Management of Patients with Burn Injury
@X @X @X @X @X @X 822
Chapter
@X 58 Assessment and Management of Patients with Eye and Vision Disorders
@X @X @X @X @X @X @X @X @X @X 837
Chapter
@X 59 @XAssessment and Management of Patients with Hearing and Balance Disorders
@X @X @X @X @X @X @X @X @X 851
Chapter 60
@X @XAssessment of Neurologic Function
@X @X @X 866
Chapter 61
@X @XManagement of Patients With Neurologic Dysfunction
@X @X @X @X @X 881
Chapter
@X 62 Management of Patients With Cerebrovascular Disorders
@X @X @X @X @X @X 895
Chapter 63
@X @XManagement of Patients with Neurologic Trauma
@X @X @X @X @X 911
Chapter 64
@X @XManagement of Patients with Neurologic Infections, Autoimmune Disorders, and
@X @X @X @X @X @X @X @X
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
@X @X @X @X @X @X @X @X @X @X 940
Chapter 66 Management of Patients with Infectious Diseases
@X @X @X @X @X @X @X 955
Chapter 67 Emergency Nursing
@X @X @X 968
Chapter 68 Disaster Nursing
@X @X @X 977
, Chapter 1: Professional Nursing Practice
@X @X @X @X
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
@X @X @X @X @X @X @X @X @X
MULTIPLE CHOICE @X
1. A nurse has been offered a position on an obstetric unit and has learned that the unit off
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
ers therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is
@X @X @X @X @X @X @X @X @X @X @X @X @X
the nurse's ethical obligation to these clients?
@X @X @X @X @X @X
A. The nurse should adhere to professional standards of practice and offer servic
@X @X @X @X @X @X @X @X @X @X @X
e to these clients.
@X @X @X
B. The nurse should make the choice to decline this position and pursue a differ
@X @X @X @X @X @X @X @X @X @X @X @X @X
ent nursing role.@X @X
C. The nurse should decline to care for the client’s considering abortion.
@X @X @X @X @X @X @X @X @X @X
D. The nurse should express alternatives to women considering terminating their pregnancy.
@X @X @X @X @X @X @X @X @X @X
ANS: B @ X
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’
@X @X @X @X @X @X @X @X @X @X @X @X @X
s personal beliefs, the nurse should consider working in an area of nursing that would not
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @
pose this dilemma. The nurse should not provide care to the client because it is a conflic
X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
t of personal values. The nurse should not deny care to these clients as this would be a
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
breach in the Code of Ethics for nurses. If the client is not requesting information for alte
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
rnatives to abortions, then the nurse should not be providing this information.
@X @X @X @X @X @X @X @X @X @X @X
PTS: 1 @ X @ X REF: p. 27 @X@X @X
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
@ X @X @X @X @X @X @X @X @X
TOP: Chapter 1: Professional Nursing Practice
@ X @X @X @X @X
KEY: Integrated Process: Caring BLM: Cognitive @ X @X @X @X @ X
@X Level: Apply @X NOT: Multiple Choice @ X @X
2. An 80-year-old client is admitted with a diagnosis of community-
@X @X @X @X @X @X @X @X @X
acquired pneumonia. During admission the client states, "I have a living will." What implic
@X @X @X @X @X @X @X @X @X @X @X @X @X
ation of this should the nurse recognize?
@X @X @X @X @X @X
A. This document is always honored, regardless of circumstances.
@X @X @X @X @X @X @X
B. This document specifies the client's wishes before hospitalization.
@X @X @X @X @X @X @X
C. This document is binding for the duration of the client's life.
@X @X @X @X @X @X @X @X @X @X
D. This document has been drawn up by the client's family to determine DNR status.
@X @X @X @X @X @X @X @X @X @X @X @X @X
ANS: B @ X
Rationale: A living will is one type of advance directive. In most situations, living wills ar
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
e limited to situations in which the client's medical condition is deemed terminal. The othe
@X @X @X @X @X @X @X @X @X @X @X @X @X @X
r answers are incorrect because living wills are not always honored in every circumstance,
@X @X @X @X @X @X @X @X @X @X @X @X @X @
Xthey are not binding for the duration of the client's life, and they are not drawn up by t
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
he client's family.
@X @X
PTS: 1 REF:
@ X @ X p. 29 @X@X @X
NAT: Client Needs: Safe, Effective Care Environment: Management of
@ X @X @X @X @X @X @X @X
Care TOP: Chapter 1: Professional Nursing Practice
@X @X @ X @X @X @X @X
KEY: Integrated Process: Communication and Documentation
@ X @X @X @X @X
BLM: Cognitive Level: Analy @X @X @X
ze NOT: Multiple Choice
@X @ X @X
3. A nurse has been providing ethical care for many years and is aware of the need to maint
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
ain the ethical principle of nonmaleficence. Which of the following actions would be consi
@X @X @X @X @X @X @X @X @X @X @X @X @X
dered a violation of this principle?
@X @X @X @X @X
A. Discussing a DNR order with a terminally ill client
@X @X @X @X @X @X @X @X
B. Assisting a semi-independent client with ADLs
@X @X @X @X @X
C. Refusing to administer pain medication as prescribed
@X @X @X @X @X @X
1 | P a g
@X @X @X @X @
e
X
@X @X
Chapter 01 Professional Nursing Practice
@X @X @X @X 2
Chapter 02
@X @XMedical-Surgical Nursing @X 17
Chapter@X 03 Health Education and Health Promotion
@X @X @X @X @X 30
Chapter@X 04 @XAdult Health and Physical, Nutritional, and Cultural Assessment
@X @X @X @X @X @X @X 45
Chapter@X 05 @XStress and Inflammatory Responses
@X @X @X 60
Chapter@X 06 @XGenetics and Genomics in Nursing
@X @X @X @X 76
Chapter@X 07 @XDisability and Chronic Illness
@X @X @X 92
Chapter@X 08 @XManagement of the Older Adult Patient
@X @X @X @X @X 107
Chapter@X 09 Pain Management
@X @X 121
Chapter@X 10 Fluid and Electrolytes
@X @X @X 137
Chapter@X 11 @XShock, Sepsis, and Multiple Organ Dysfunction Syndrome
@X @X @X @X @X @X 153
Chapter 12
@X @XManagement of Patients with Oncologic Disorders
@X @X @X @X @X 169
Chapter 13
@X @XPalliative and End-of-Life Care
@X @X @X 183
Chapter@X 14 @XPreoperative Nursing Management@X @X 199
Chapter 15
@X @XIntraoperative Nursing Management @X @X 214
Chapter 16
@X @XPostoperative Nursing Management @X @X 228
Chapter@X 17 @XAssessment of Respiratory Function
@X @X @X 243
Chapter 18
@X @X Management of Patients with @X @X @X @X Upper Respiratory Tract Disorders
@X @X @X 258
Chapter 19
@X @X Management of Patients with @X @X @X @X Chest and Lower Respiratory Tract Disorders
@X @X @X @X @X 272
Chapter 20
@X @X Management of Patients with @X @X @X @X Chronic Pulmonary Disease
@X @X 288
Chapter 21
@X @X Assessment of Cardiovascular
@X @X @X Function 304
Chapter 22
@X @X Management of Patients with @X @X @X @X Arrhythmias and Conduction Problems
@X @X @X 318
Chapter 23
@X @X Management of Patients with @X @X @X @X Coronary Vascular Disorders
@X @X 331
Chapter 24
@X @X Management of Patients with @X @X @X @X Structural, Infectious, and Inflammatory Cardiac
@X @X @X @X
Disorders 347
Chapter 25@X @XManagement of Patients with Complications from Heart Disease
@X @X @X @X @X @X @X 361
Chapter 26@X @XAssessment and Management of Patients with Vascular Disorders and Problems
@X @X @X @X @X @X @X @X @X
of Peripheral Circulation
@X @X 375
Chapter 27 Assessment and Management of Patients with Hypertension
@X @X @X @X @X @X @X @X 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
@X @X @X @X @X @X @X @X 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
@X @X @X @X @X @X @X @X 420
Chapter 30 Management of Patients with Hematologic Neoplasms
@X @X @X @X @X @X @X 433
Chapter 31 Assessment of Immune Function
@X @X @X @X @X 448
Chapter 32 Management of Patients with Immune Deficiency Disorders
@X @X @X @X @X @X @X @X 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
@X @X @X @X @X @X @X @X @X 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
@X @X @X @X @X @X @X @X @X @X 492
,Chapter 35 Assessment of Musculoskeletal Function
@X @X @X @X @X 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
@X @X @X @X @X @X @X 520
Chapter 37 Management of Patients with Musculoskeletal Trauma
@X @X @X @X @X @X @X 535
Chapter
@X 38 @XAssessment of Digestive and Gastrointestinal Function
@X @X @X @X @X 550
Chapter 39
@X @XManagement of Patients with Oral and Esophageal Disorders
@X @X @X @X @X @X @X 564
Chapter 40
@X @XManagement of Patients with Gastric and Duodenal Disorders
@X @X @X @X @X @X @X 578
Chapter 41
@X @XManagement of Patients with Intestinal and Rectal Disorders
@X @X @X @X @X @X @X 591
Chapter 42
@X @XAssessment and Management of Patients with Obesity
@X @X @X @X @X @X 606
Chapter 43
@X @XAssessment and Management of Patients with Hepatic Disorders
@X @X @X @X @X @X @X 621
Chapter
@X 44 Management of Patients with Biliary Disorders
@X @X @X @X @X @X 635
Chapter 45
@X @XAssessment and Management of Patients with Endocrine Disorders
@X @X @X @X @X @X @X 650
Chapter
@X 46 @XManagement of Patients with Diabetes
@X @X @X @X 665
Chapter
@X 47 Assessment of Kidney and Urinary Function
@X @X @X @X @X @X 680
Chapter
@X 48 Management of Patients with Kidney Disorders
@X @X @X @X @X @X 695
Chapter
@X 49 Management of Patients with Urinary Disorders
@X @X @X @X @X @X 710
Chapter
@X 50 @XAssessment and Management of Patients with Female Physiologic Processes
@X @X @X @X @X @X @X @X 725
Chapter
@X 51 @XManagement of Patients with Female Reproductive Disorders
@X @X @X @X @X @X 741
Chapter 52
@X @XAssessment and Management of Patients with Breast Disorders
@X @X @X @X @X @X @X 757
Chapter 53
@X @XAssessment and Management of Patients with Male Reproductive Disorders
@X @X @X @X @X @X @X @X 771
Chapter 54
@X @XAssessment and Management of Patients Who Are LGBTQ
@X @X @X @X @X @X @X 786
Chapter
@X 55 Assessment of Integumentary Function
@X @X @X @X 794
Chapter 56
@X @XManagement of Patients with Dermatologic Disorders
@X @X @X @X @X 808
Chapter
@X 57 Management of Patients with Burn Injury
@X @X @X @X @X @X 822
Chapter
@X 58 Assessment and Management of Patients with Eye and Vision Disorders
@X @X @X @X @X @X @X @X @X @X 837
Chapter
@X 59 @XAssessment and Management of Patients with Hearing and Balance Disorders
@X @X @X @X @X @X @X @X @X 851
Chapter 60
@X @XAssessment of Neurologic Function
@X @X @X 866
Chapter 61
@X @XManagement of Patients With Neurologic Dysfunction
@X @X @X @X @X 881
Chapter
@X 62 Management of Patients With Cerebrovascular Disorders
@X @X @X @X @X @X 895
Chapter 63
@X @XManagement of Patients with Neurologic Trauma
@X @X @X @X @X 911
Chapter 64
@X @XManagement of Patients with Neurologic Infections, Autoimmune Disorders, and
@X @X @X @X @X @X @X @X
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
@X @X @X @X @X @X @X @X @X @X 940
Chapter 66 Management of Patients with Infectious Diseases
@X @X @X @X @X @X @X 955
Chapter 67 Emergency Nursing
@X @X @X 968
Chapter 68 Disaster Nursing
@X @X @X 977
, Chapter 1: Professional Nursing Practice
@X @X @X @X
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
@X @X @X @X @X @X @X @X @X
MULTIPLE CHOICE @X
1. A nurse has been offered a position on an obstetric unit and has learned that the unit off
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
ers therapeutic abortions, a procedure that contradicts the nurse's personal beliefs. What is
@X @X @X @X @X @X @X @X @X @X @X @X @X
the nurse's ethical obligation to these clients?
@X @X @X @X @X @X
A. The nurse should adhere to professional standards of practice and offer servic
@X @X @X @X @X @X @X @X @X @X @X
e to these clients.
@X @X @X
B. The nurse should make the choice to decline this position and pursue a differ
@X @X @X @X @X @X @X @X @X @X @X @X @X
ent nursing role.@X @X
C. The nurse should decline to care for the client’s considering abortion.
@X @X @X @X @X @X @X @X @X @X
D. The nurse should express alternatives to women considering terminating their pregnancy.
@X @X @X @X @X @X @X @X @X @X
ANS: B @ X
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’
@X @X @X @X @X @X @X @X @X @X @X @X @X
s personal beliefs, the nurse should consider working in an area of nursing that would not
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @
pose this dilemma. The nurse should not provide care to the client because it is a conflic
X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
t of personal values. The nurse should not deny care to these clients as this would be a
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
breach in the Code of Ethics for nurses. If the client is not requesting information for alte
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
rnatives to abortions, then the nurse should not be providing this information.
@X @X @X @X @X @X @X @X @X @X @X
PTS: 1 @ X @ X REF: p. 27 @X@X @X
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
@ X @X @X @X @X @X @X @X @X
TOP: Chapter 1: Professional Nursing Practice
@ X @X @X @X @X
KEY: Integrated Process: Caring BLM: Cognitive @ X @X @X @X @ X
@X Level: Apply @X NOT: Multiple Choice @ X @X
2. An 80-year-old client is admitted with a diagnosis of community-
@X @X @X @X @X @X @X @X @X
acquired pneumonia. During admission the client states, "I have a living will." What implic
@X @X @X @X @X @X @X @X @X @X @X @X @X
ation of this should the nurse recognize?
@X @X @X @X @X @X
A. This document is always honored, regardless of circumstances.
@X @X @X @X @X @X @X
B. This document specifies the client's wishes before hospitalization.
@X @X @X @X @X @X @X
C. This document is binding for the duration of the client's life.
@X @X @X @X @X @X @X @X @X @X
D. This document has been drawn up by the client's family to determine DNR status.
@X @X @X @X @X @X @X @X @X @X @X @X @X
ANS: B @ X
Rationale: A living will is one type of advance directive. In most situations, living wills ar
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
e limited to situations in which the client's medical condition is deemed terminal. The othe
@X @X @X @X @X @X @X @X @X @X @X @X @X @X
r answers are incorrect because living wills are not always honored in every circumstance,
@X @X @X @X @X @X @X @X @X @X @X @X @X @
Xthey are not binding for the duration of the client's life, and they are not drawn up by t
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
he client's family.
@X @X
PTS: 1 REF:
@ X @ X p. 29 @X@X @X
NAT: Client Needs: Safe, Effective Care Environment: Management of
@ X @X @X @X @X @X @X @X
Care TOP: Chapter 1: Professional Nursing Practice
@X @X @ X @X @X @X @X
KEY: Integrated Process: Communication and Documentation
@ X @X @X @X @X
BLM: Cognitive Level: Analy @X @X @X
ze NOT: Multiple Choice
@X @ X @X
3. A nurse has been providing ethical care for many years and is aware of the need to maint
@X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X @X
ain the ethical principle of nonmaleficence. Which of the following actions would be consi
@X @X @X @X @X @X @X @X @X @X @X @X @X
dered a violation of this principle?
@X @X @X @X @X
A. Discussing a DNR order with a terminally ill client
@X @X @X @X @X @X @X @X
B. Assisting a semi-independent client with ADLs
@X @X @X @X @X
C. Refusing to administer pain medication as prescribed
@X @X @X @X @X @X
1 | P a g
@X @X @X @X @
e
X