Full Test Bank for Medical-Surgical Nursing: Concepts & Practice 5th
Edition by Holly K. Stromberg | Questions and Answers | 100% Guarantee
Pass | Complete Med-Surg Nursing Exam Prep 2026
,Table of Contents
Chapter 01: Caring for Medical-Surgical Patients ....................................................................... 4
Chapter 02: Critical Thinking, Clinical Judgment, and the Nursing Process.............................. 15
Chapter 03: Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy ....................... 33
Chapter 04: Care of Preoperative and Intraoperative Surgical Patients .................................. 48
Chapter 05: Care of Postoperative Surgical Patients ................................................................ 63
Chapter 06: Infection Prevention and Control .......................................................................... 79
Chapter 07: Care of Patients With Pain .................................................................................... 93
Chapter 08: Care of Patients With Cancer .............................................................................. 108
Chapter 09: Chronic Illness and Rehabilitation ....................................................................... 124
Chapter 10: The Immune and Lymphatic Systems.................................................................. 140
Chapter 11: Care of Patients With Immune and Lymphatic Disorders ................................... 155
Chapter 12: The Respiratory System ....................................................................................... 175
Chapter 13: Care of Patients With Disorders of the Upper Respiratory System .................... 195
Chapter 14: Care of Patients With Disorders of the Lower Respiratory System .................... 213
Chapter 15: The Hematologic System ..................................................................................... 232
Chapter 16. Care of Patients With Hematologic Disorders .................................................... 247
Chapter 17: The Cardiovascular System ................................................................................. 263
Chapter 18: Care of Patients With Hypertension and Peripheral Vascular Disease ............... 276
Chapter 19: Care of Patients With Cardiac Disorders ............................................................. 294
Chapter 20: Care of Patients With Coronary Artery Disease and Cardiac Surgery ................. 310
Chapter 21: The Neurologic System ........................................................................................ 332
Chapter 22: Care of Patients With Head and Spinal Cord Injuries .......................................... 347
Chapter 23: Care of Patients With Brain Disorders ................................................................ 365
Chapter 24: Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
................................................................................................................................................. 383
Chapter 25: The Sensory System Eye ...................................................................................... 398
Chapter 26: The Sensory System Ear ...................................................................................... 416
Chapter 27: The Gastrointestinal System ............................................................................... 428
Chapter 28. Care of Patients With Disorders of the Upper Gastrointestinal System ............. 448
Chapter 29. Care of Patients With Disorders of the Lower Gastrointestinal System ............. 465
,Chapter 30. Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas .......... 485
Chapter 31. The Musculoskeletal System ............................................................................... 505
Chapter 32: Care of Patients With Musculoskeletal and Connective Tissue Disorders .......... 522
Chapter 33: The Urinary System ............................................................................................. 545
Chapter 34. Care of Patients With Disorders of the Urinary System ...................................... 565
Chapter 35: The Endocrine System ......................................................................................... 586
Chapter 36: Care of Patients With Pituitary, Thyroid, Parathyroid, and Adrenal Disorders .. 602
Chapter 37: Care of Patients With Diabetes and Hypoglycemia ............................................ 623
Chapter 38: The Reproductive System.................................................................................... 645
Chapter 39: Care of Women With Reproductive Disorders.................................................... 655
Chapter 40: Care of Men With Reproductive Disorders ......................................................... 675
Chapter 41: Care of Patients With Sexually Transmitted Infections ...................................... 696
Chapter 42: The Integumentary System ................................................................................. 713
Chapter 43: Care of Patients With Integumentary Disorders and Burns................................ 735
Chapter 44: Care of Patients in Disasters or Bioterrorism Attacks ......................................... 761
Chapter 45: Care of Patients With Emergent Conditions, Trauma, and Shock ...................... 780
Chapter 46: Care of Patients With Cognitive Function Disorders ........................................... 800
Chapter 47: Care of Patients With Anxiety, Mood, and Eating Disorders .............................. 821
Chapter 48: Care of Patients With Substance-Related and Addictive Disorders.................... 839
Chapter 49: Care of Patients With Thought and Personality Disorders ................................. 858
,Chapter 01: Caring for Medical-Surgical Patients
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th 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
ANSWER::::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.
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.
ANSWER:::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.
3. Which patient statement indicates a need for further discharge teaching that the
vocational nurse should address?
A. "I have no idea of how this drug will affect me."
,B. "Do you know if my physician is coming back today?"
C. "Will my insurance pay for my stay?"
D. "Am I going to have to go to a nursing home?"
ANSWER::A
Lack of knowledge at discharge about medication effects and side effects is a concern that
should be addressed by the vocational nurse. The other concerns in the options are the
responsibility of other departments to which the nurse might refer the patient.
4. According to most state naps, the vocational nurse acting as charge nurse in a long-term
care facility acts in which capacity?
A. Working under direct supervision of an RN on the unit
B. Working with the RN in the building
C. Working under general supervision by the RN available on site or by phone
D. Working as an independent vocational nurse
ANSWER:::C
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with
the general supervision of an RN available on site or by phone.
5. The nurse is educating a patient that is a member of a health maintenance organization
(HMO). Which information should the nurse include?
A. Seek the opinion of an alternate health care provider.
B. Contact the insurance company for coverage details as services may be limited.
C. Provide detailed documentation of all care received for his condition.
D. Wait at least 6 months to see a specialist.
ANSWER::B
Hmos are a kind of managed care. This is accomplished by paying providers to care for groups
of patients for a set capitation fee and by limiting services. Patients are not required to seek a
second opinion, provide documentation of care, or wait a specific time period before visiting a
specialist.
, 6. The patient complains to the nurse that he is confused about his "deductible" that he
owes the hospital. Which statement accurately explains a deductible?
A. An amount of money put aside for the payment of future medical bills
B. A one-time fee for service
C. An amount of money deducted from the bill by the insurance company
D. An annual amount of money the patient must pay out-of-pocket for medical care
ANSWER::D
The deductible is the annual amount the insured must pay out-of-pocket prior to the insurance
company assuming the cost. This practice improves the profit of the insurance company.
7. A patient asks the nurse what Medicare Part A covers. Which response is correct?
A. Medicare Part A covers inpatient hospital costs.
B. Medicare Part A covers reimbursement to the physician.
C. Medicare Part A covers outpatient hospital services.
3|Page
D. Medicare Part A covers ambulance transportation.
ANSWER::A
Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory work, and
intensive care. Medicare Part B pays the physician, ambulance transport, and outpatient
services.
8. Which is the main cost-containment component of diagnosis-related groups (drgs)?
A. Hospitals focus only on the specific diagnosis.
Edition by Holly K. Stromberg | Questions and Answers | 100% Guarantee
Pass | Complete Med-Surg Nursing Exam Prep 2026
,Table of Contents
Chapter 01: Caring for Medical-Surgical Patients ....................................................................... 4
Chapter 02: Critical Thinking, Clinical Judgment, and the Nursing Process.............................. 15
Chapter 03: Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy ....................... 33
Chapter 04: Care of Preoperative and Intraoperative Surgical Patients .................................. 48
Chapter 05: Care of Postoperative Surgical Patients ................................................................ 63
Chapter 06: Infection Prevention and Control .......................................................................... 79
Chapter 07: Care of Patients With Pain .................................................................................... 93
Chapter 08: Care of Patients With Cancer .............................................................................. 108
Chapter 09: Chronic Illness and Rehabilitation ....................................................................... 124
Chapter 10: The Immune and Lymphatic Systems.................................................................. 140
Chapter 11: Care of Patients With Immune and Lymphatic Disorders ................................... 155
Chapter 12: The Respiratory System ....................................................................................... 175
Chapter 13: Care of Patients With Disorders of the Upper Respiratory System .................... 195
Chapter 14: Care of Patients With Disorders of the Lower Respiratory System .................... 213
Chapter 15: The Hematologic System ..................................................................................... 232
Chapter 16. Care of Patients With Hematologic Disorders .................................................... 247
Chapter 17: The Cardiovascular System ................................................................................. 263
Chapter 18: Care of Patients With Hypertension and Peripheral Vascular Disease ............... 276
Chapter 19: Care of Patients With Cardiac Disorders ............................................................. 294
Chapter 20: Care of Patients With Coronary Artery Disease and Cardiac Surgery ................. 310
Chapter 21: The Neurologic System ........................................................................................ 332
Chapter 22: Care of Patients With Head and Spinal Cord Injuries .......................................... 347
Chapter 23: Care of Patients With Brain Disorders ................................................................ 365
Chapter 24: Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
................................................................................................................................................. 383
Chapter 25: The Sensory System Eye ...................................................................................... 398
Chapter 26: The Sensory System Ear ...................................................................................... 416
Chapter 27: The Gastrointestinal System ............................................................................... 428
Chapter 28. Care of Patients With Disorders of the Upper Gastrointestinal System ............. 448
Chapter 29. Care of Patients With Disorders of the Lower Gastrointestinal System ............. 465
,Chapter 30. Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas .......... 485
Chapter 31. The Musculoskeletal System ............................................................................... 505
Chapter 32: Care of Patients With Musculoskeletal and Connective Tissue Disorders .......... 522
Chapter 33: The Urinary System ............................................................................................. 545
Chapter 34. Care of Patients With Disorders of the Urinary System ...................................... 565
Chapter 35: The Endocrine System ......................................................................................... 586
Chapter 36: Care of Patients With Pituitary, Thyroid, Parathyroid, and Adrenal Disorders .. 602
Chapter 37: Care of Patients With Diabetes and Hypoglycemia ............................................ 623
Chapter 38: The Reproductive System.................................................................................... 645
Chapter 39: Care of Women With Reproductive Disorders.................................................... 655
Chapter 40: Care of Men With Reproductive Disorders ......................................................... 675
Chapter 41: Care of Patients With Sexually Transmitted Infections ...................................... 696
Chapter 42: The Integumentary System ................................................................................. 713
Chapter 43: Care of Patients With Integumentary Disorders and Burns................................ 735
Chapter 44: Care of Patients in Disasters or Bioterrorism Attacks ......................................... 761
Chapter 45: Care of Patients With Emergent Conditions, Trauma, and Shock ...................... 780
Chapter 46: Care of Patients With Cognitive Function Disorders ........................................... 800
Chapter 47: Care of Patients With Anxiety, Mood, and Eating Disorders .............................. 821
Chapter 48: Care of Patients With Substance-Related and Addictive Disorders.................... 839
Chapter 49: Care of Patients With Thought and Personality Disorders ................................. 858
,Chapter 01: Caring for Medical-Surgical Patients
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th 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
ANSWER::::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.
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.
ANSWER:::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.
3. Which patient statement indicates a need for further discharge teaching that the
vocational nurse should address?
A. "I have no idea of how this drug will affect me."
,B. "Do you know if my physician is coming back today?"
C. "Will my insurance pay for my stay?"
D. "Am I going to have to go to a nursing home?"
ANSWER::A
Lack of knowledge at discharge about medication effects and side effects is a concern that
should be addressed by the vocational nurse. The other concerns in the options are the
responsibility of other departments to which the nurse might refer the patient.
4. According to most state naps, the vocational nurse acting as charge nurse in a long-term
care facility acts in which capacity?
A. Working under direct supervision of an RN on the unit
B. Working with the RN in the building
C. Working under general supervision by the RN available on site or by phone
D. Working as an independent vocational nurse
ANSWER:::C
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with
the general supervision of an RN available on site or by phone.
5. The nurse is educating a patient that is a member of a health maintenance organization
(HMO). Which information should the nurse include?
A. Seek the opinion of an alternate health care provider.
B. Contact the insurance company for coverage details as services may be limited.
C. Provide detailed documentation of all care received for his condition.
D. Wait at least 6 months to see a specialist.
ANSWER::B
Hmos are a kind of managed care. This is accomplished by paying providers to care for groups
of patients for a set capitation fee and by limiting services. Patients are not required to seek a
second opinion, provide documentation of care, or wait a specific time period before visiting a
specialist.
, 6. The patient complains to the nurse that he is confused about his "deductible" that he
owes the hospital. Which statement accurately explains a deductible?
A. An amount of money put aside for the payment of future medical bills
B. A one-time fee for service
C. An amount of money deducted from the bill by the insurance company
D. An annual amount of money the patient must pay out-of-pocket for medical care
ANSWER::D
The deductible is the annual amount the insured must pay out-of-pocket prior to the insurance
company assuming the cost. This practice improves the profit of the insurance company.
7. A patient asks the nurse what Medicare Part A covers. Which response is correct?
A. Medicare Part A covers inpatient hospital costs.
B. Medicare Part A covers reimbursement to the physician.
C. Medicare Part A covers outpatient hospital services.
3|Page
D. Medicare Part A covers ambulance transportation.
ANSWER::A
Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory work, and
intensive care. Medicare Part B pays the physician, ambulance transport, and outpatient
services.
8. Which is the main cost-containment component of diagnosis-related groups (drgs)?
A. Hospitals focus only on the specific diagnosis.
