Test Bank for MED SURGE 4th
EDITION
1. A customer with newly recognized breast cancer has a nursing prognosis of poor information
related to insufficient data (about breast cancer). When the nurse is making plans teaching
for the client, that's the maximum vital initial mastering purpose?
A. The client will select the most appropriate breast most cancers remedy.
B. The client will state ways of stopping the recurrence of the tumour.
C. The purchaser will demonstrate coping abilties had to manage the disease.
D. The customer will pick out strategies to minimize unfavourable consequences of remedy. -
ANS-: A
Adults research first-class whilst given facts that may be used right now. The first motion the
patron will want to take after a cancer analysis is to pick a remedy choice. The different
desires may be suitable as remedy progresses.
DIF: Cognitive Level: Application TOP: Nursing Process: Planning
MSC:
1. The nurse is caring for a consumer with a brand new prognosis of pneumonia and explains to
the purchaser
that together they may plan the patron's care and set desires for discharge. The patron asks,
"How
is that unique from what the doctor does?" Which response through the nurse is most
suitable?
A. "The role of the nurse is to manage medicines and other treatments prescribed
through your health practitioner."
b. "The nurse's activity is to assist the physician by means of gathering information and
communicating whilst
there are troubles."
c. "Nurses carry out most of the strategies executed through physicians, however nurses are
here in
the clinic for an extended time than docs."
d. "In addition to worrying for you even as you're ill, the nurses will will let you
expand an individualized plan to hold your health." - ANS-: D
This response is regular with the Canadian Nurses Association (CNA) definition of
nursing. Registered nurses are self-regulated health care professionals who paintings
autonomously and in collaboration with others. RNs enable people, families, companies,
groups and populations to acquire their most reliable degree of fitness. RNs coordinate health
care, deliver direct offerings, and aid customers of their self-care selections and moves in
conditions of fitness, contamination, injury, and incapacity in all degrees of existence. The
different responses
,describe some of the structured and collaborative capabilities of the nursing role but do not
correctly describe the nurse's function within the health care machine.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC:
1. The nurse is being concerned for a consumer with poor fluid extent resulting from a large
burn damage.
Which of the following evaluation data could be of finest problem to the nurse?
A. The blood stress is ninety/40 mm Hg.
B. Urine output is 30 mL over the past hour.
C. Oral fluid intake is a hundred mL for the last 8 hours.
D. There is prolonged pores and skin tenting over the sternum. - ANS-: A
The blood strain suggests that the customer can be growing hypovolemic surprise as a result
of fluid loss. This would require immediate intervention to prevent the headaches associated
with systemic hypoperfusion. The terrible oral intake, decreased urine output, and pores and
skin tenting
all suggest the need for growing the client's fluid intake however not as urgently as the
hypotension.
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
MSC:
1. The nurse is being concerned for a client with type 2 diabetes who has been hospitalized with
excessive
hyperglycemia. Which of the following subjects may be maximum essential to consist of in
discharge
teaching?
A. Effect of endogenous insulin on transportation of glucose into cells
b. Function of the liver in formation of glycogen and gluconeogenesis
c. Impact of the customer's own family records on probability of growing diabetes
d. Symptoms indicating that the client have to contact the fitness care provider - ANS-: D
One of the responsibilities for clients with chronic ailments is to prevent and manipulate a crisis.
The patron
desires education on popularity of symptoms of hyperglycemia and appropriate actions to
take if these symptoms occur. The other information also can be protected in patron coaching,
however is not as essential within the patron's self-control of the illness.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC:
1. When doing a ache evaluation for a customer who has been admitted with metastatic breast
most cancers, which query requested via the nurse will give the maximum information
approximately the patron's
pain?
A. "How long have you ever had this pain?"
b. "How might you describe your pain?"
,c. "How tons medicine do you're taking for the pain?"
d. "How in many instances an afternoon do you medicate for pain?" - ANS-: B
Because ache is a multidimensional experience, asking a query that addresses the customer's
revel in with the pain is possibly to elicit greater records than the greater precise
facts requested in the other 3 responses. All of those questions are suitable, however the
response starting "How could you describe your ache?" is the fine preliminary query.
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
MSC:
28. Which assessment locating about a purchaser who has a serum calcium degree of 1.Fifty
eight mmol/L is
maximum critical for the nurse to without delay record to the fitness care issuer?
A. The customer is experiencing laryngeal stridor.
B. The client complains of generalized fatigue.
C. The patron's bowels have now not moved for 4 days.
D. The consumer has numbness and tingling of the lips. - ANS-: A
Laryngeal stridor might also cause respiratory arrest and requires rapid action to accurate the
customer's
calcium level. The other facts are also steady with hypocalcemia, but do now not imply a want
for immediate movement.
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
MSC:
Health Promotion and Maintenance
12. The client's teaching plan consists of this aim: "The purchaser will choose a 2-g sodium
eating regimen from the
sanatorium menu for the subsequent 3 days." Which assessment approach could be quality for
the nurse to apply
while determining whether or not coaching turned into effective?
A. Check the sodium content of the purchaser's menu selections over the subsequent three
days.
B. Ask the client to perceive which meals on the sanatorium menus are high in sodium.
C. Have the purchaser listing preferred ingredients which can be excessive in sodium and
meals that would be
substituted for those favourites.
D. Compare the customer's sodium intake over the following three days with the sodium intake
earlier than the teaching become implemented. - ANS-: A
All of the solutions address the customer's sodium consumption, however the favored purchaser
behaviours inside the
mastering objective are most absolutely addressed by assessment of the patron's menu
alternatives.
DIF: Cognitive Level: Application TOP: Nursing Process: Evaluation
MSC:
, Health Promotion and Maintenance
10. A consumer with poor circulate to the ft requires teaching approximately foot care. Which
getting to know
goal must the nurse consist of within the teaching plan?
A. The nurse will reveal the proper method for trimming toenails.
B. The customer will list three methods to guard the toes from damage via discharge.
C. The nurse will train the client on suitable foot care earlier than discharge.
D. The consumer will apprehend the cause for proper foot care after training. - ANS-: B
Learning dreams have to kingdom clean, measurable effects of what is to be carried out from
the learning technique. Demonstrating a proper technique or imparting coaching are moves
that the nurse will take, as opposed to behaviours that would indicate if consumer studying has
occurred. Having the client apprehend the rational for correct foot care after preparation is an
instance of a learning outcome.
DIF: Cognitive Level: Application TOP: Nursing Process: Planning
MSC:
Health Promotion and Maintenance
10. What is the maximum influential source of self-efficacy?
A. Mastery
b. Affective states
c. Verbal persuasion
d. Vicarious revel in - ANS-: A
Four number one influences shape an individual's self-efficacy ideals: mastery; vicarious
enjoy; verbal persuasion and other social influences; and physiological and affective
states that help us judge our capability and our vulnerability to dysfunction. Mastery displays a
perception approximately whether or now not "we have what it takes to prevail" and is taken into
consideration the maximum
influential supply of self-efficacy.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Assessment
MSC:
Health Promotion and Maintenance
eleven. The nurse is planning a teaching consultation for a consumer who needs to enhance
talents in being
greater assertive. Which of the subsequent is the most effective teaching approach for this
purchaser?
A. Role gambling
b. Peer teaching
c. Printed substances
d. Lecture-dialogue - ANS-: A
Role gambling allows the customer to practise assertive behaviour and obtain comments
approximately how
EDITION
1. A customer with newly recognized breast cancer has a nursing prognosis of poor information
related to insufficient data (about breast cancer). When the nurse is making plans teaching
for the client, that's the maximum vital initial mastering purpose?
A. The client will select the most appropriate breast most cancers remedy.
B. The client will state ways of stopping the recurrence of the tumour.
C. The purchaser will demonstrate coping abilties had to manage the disease.
D. The customer will pick out strategies to minimize unfavourable consequences of remedy. -
ANS-: A
Adults research first-class whilst given facts that may be used right now. The first motion the
patron will want to take after a cancer analysis is to pick a remedy choice. The different
desires may be suitable as remedy progresses.
DIF: Cognitive Level: Application TOP: Nursing Process: Planning
MSC:
1. The nurse is caring for a consumer with a brand new prognosis of pneumonia and explains to
the purchaser
that together they may plan the patron's care and set desires for discharge. The patron asks,
"How
is that unique from what the doctor does?" Which response through the nurse is most
suitable?
A. "The role of the nurse is to manage medicines and other treatments prescribed
through your health practitioner."
b. "The nurse's activity is to assist the physician by means of gathering information and
communicating whilst
there are troubles."
c. "Nurses carry out most of the strategies executed through physicians, however nurses are
here in
the clinic for an extended time than docs."
d. "In addition to worrying for you even as you're ill, the nurses will will let you
expand an individualized plan to hold your health." - ANS-: D
This response is regular with the Canadian Nurses Association (CNA) definition of
nursing. Registered nurses are self-regulated health care professionals who paintings
autonomously and in collaboration with others. RNs enable people, families, companies,
groups and populations to acquire their most reliable degree of fitness. RNs coordinate health
care, deliver direct offerings, and aid customers of their self-care selections and moves in
conditions of fitness, contamination, injury, and incapacity in all degrees of existence. The
different responses
,describe some of the structured and collaborative capabilities of the nursing role but do not
correctly describe the nurse's function within the health care machine.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
MSC:
1. The nurse is being concerned for a consumer with poor fluid extent resulting from a large
burn damage.
Which of the following evaluation data could be of finest problem to the nurse?
A. The blood stress is ninety/40 mm Hg.
B. Urine output is 30 mL over the past hour.
C. Oral fluid intake is a hundred mL for the last 8 hours.
D. There is prolonged pores and skin tenting over the sternum. - ANS-: A
The blood strain suggests that the customer can be growing hypovolemic surprise as a result
of fluid loss. This would require immediate intervention to prevent the headaches associated
with systemic hypoperfusion. The terrible oral intake, decreased urine output, and pores and
skin tenting
all suggest the need for growing the client's fluid intake however not as urgently as the
hypotension.
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
MSC:
1. The nurse is being concerned for a client with type 2 diabetes who has been hospitalized with
excessive
hyperglycemia. Which of the following subjects may be maximum essential to consist of in
discharge
teaching?
A. Effect of endogenous insulin on transportation of glucose into cells
b. Function of the liver in formation of glycogen and gluconeogenesis
c. Impact of the customer's own family records on probability of growing diabetes
d. Symptoms indicating that the client have to contact the fitness care provider - ANS-: D
One of the responsibilities for clients with chronic ailments is to prevent and manipulate a crisis.
The patron
desires education on popularity of symptoms of hyperglycemia and appropriate actions to
take if these symptoms occur. The other information also can be protected in patron coaching,
however is not as essential within the patron's self-control of the illness.
DIF: Cognitive Level: Application TOP: Nursing Process: Implementation
MSC:
1. When doing a ache evaluation for a customer who has been admitted with metastatic breast
most cancers, which query requested via the nurse will give the maximum information
approximately the patron's
pain?
A. "How long have you ever had this pain?"
b. "How might you describe your pain?"
,c. "How tons medicine do you're taking for the pain?"
d. "How in many instances an afternoon do you medicate for pain?" - ANS-: B
Because ache is a multidimensional experience, asking a query that addresses the customer's
revel in with the pain is possibly to elicit greater records than the greater precise
facts requested in the other 3 responses. All of those questions are suitable, however the
response starting "How could you describe your ache?" is the fine preliminary query.
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
MSC:
28. Which assessment locating about a purchaser who has a serum calcium degree of 1.Fifty
eight mmol/L is
maximum critical for the nurse to without delay record to the fitness care issuer?
A. The customer is experiencing laryngeal stridor.
B. The client complains of generalized fatigue.
C. The patron's bowels have now not moved for 4 days.
D. The consumer has numbness and tingling of the lips. - ANS-: A
Laryngeal stridor might also cause respiratory arrest and requires rapid action to accurate the
customer's
calcium level. The other facts are also steady with hypocalcemia, but do now not imply a want
for immediate movement.
DIF: Cognitive Level: Application TOP: Nursing Process: Assessment
MSC:
Health Promotion and Maintenance
12. The client's teaching plan consists of this aim: "The purchaser will choose a 2-g sodium
eating regimen from the
sanatorium menu for the subsequent 3 days." Which assessment approach could be quality for
the nurse to apply
while determining whether or not coaching turned into effective?
A. Check the sodium content of the purchaser's menu selections over the subsequent three
days.
B. Ask the client to perceive which meals on the sanatorium menus are high in sodium.
C. Have the purchaser listing preferred ingredients which can be excessive in sodium and
meals that would be
substituted for those favourites.
D. Compare the customer's sodium intake over the following three days with the sodium intake
earlier than the teaching become implemented. - ANS-: A
All of the solutions address the customer's sodium consumption, however the favored purchaser
behaviours inside the
mastering objective are most absolutely addressed by assessment of the patron's menu
alternatives.
DIF: Cognitive Level: Application TOP: Nursing Process: Evaluation
MSC:
, Health Promotion and Maintenance
10. A consumer with poor circulate to the ft requires teaching approximately foot care. Which
getting to know
goal must the nurse consist of within the teaching plan?
A. The nurse will reveal the proper method for trimming toenails.
B. The customer will list three methods to guard the toes from damage via discharge.
C. The nurse will train the client on suitable foot care earlier than discharge.
D. The consumer will apprehend the cause for proper foot care after training. - ANS-: B
Learning dreams have to kingdom clean, measurable effects of what is to be carried out from
the learning technique. Demonstrating a proper technique or imparting coaching are moves
that the nurse will take, as opposed to behaviours that would indicate if consumer studying has
occurred. Having the client apprehend the rational for correct foot care after preparation is an
instance of a learning outcome.
DIF: Cognitive Level: Application TOP: Nursing Process: Planning
MSC:
Health Promotion and Maintenance
10. What is the maximum influential source of self-efficacy?
A. Mastery
b. Affective states
c. Verbal persuasion
d. Vicarious revel in - ANS-: A
Four number one influences shape an individual's self-efficacy ideals: mastery; vicarious
enjoy; verbal persuasion and other social influences; and physiological and affective
states that help us judge our capability and our vulnerability to dysfunction. Mastery displays a
perception approximately whether or now not "we have what it takes to prevail" and is taken into
consideration the maximum
influential supply of self-efficacy.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Assessment
MSC:
Health Promotion and Maintenance
eleven. The nurse is planning a teaching consultation for a consumer who needs to enhance
talents in being
greater assertive. Which of the subsequent is the most effective teaching approach for this
purchaser?
A. Role gambling
b. Peer teaching
c. Printed substances
d. Lecture-dialogue - ANS-: A
Role gambling allows the customer to practise assertive behaviour and obtain comments
approximately how
