Test Bank For Medical Surgical Nursing 2025 With Correct
Answers
The nurse is caring for a client who has heart failure and encourages the client to alternate rest and activity
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periods to reduce cardiac workload. Which phase of the nursing process is the nurse demonstrating?
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a. Planning
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b. Diagnosis
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c. Evaluation
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d. Implementation - d. Implementation
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The nurse is planning care for a client and uses a visual diagram of client problems and interventions to
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illustrate the relationships among pertinent clinical data. Which format is the nurse using to plan care?
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a. Concept map
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b. Critical pathway
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c. Clinical pathway
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d. Nursing care plan - a. Concept map
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Which of the following statements represents the "O" component of the SOAP process for documentation?
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a. More pain at present
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b. Temperature 39.4°C (102.9°F)
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c. Risk for infection
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d. Notify surgeon - b. Temperature 39.4°C (102.9°F)
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The nurse caring for postoperative clients developed the following clinical question: In adult postoperative
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clients, how does guided imagery compared with music therapy affect analgesia use within the first 24 hours
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,after surgery? Applying the PICOT framework, which of the following would be the "I" element in this
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question?
a. Guided imagery
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b. Music therapy
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c. Analgesia use
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d. Adult postoperative clients - a. Guided imagery
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The nurse is investigating ways in which to improve interprofessional team communication and has chosen
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the SBAR model. Which of the following reflects the meaning of the "R" in the SBAR model?
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a. Risk assessment
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b. Recommendation
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c. Responsibility of action
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d. Roles of health team members Incorrect - b. Recommendation
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A team of nurses have a vision to implement evidence-informed practice (EIP) for care of clients with pressure
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ulcers. Which of the following sources of evidence would this change in practice encompass? (Select all that
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apply.)
a. Consulting with the wound care and ostomy nurse
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b. The preferences of clients and their particular circumstances
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c. Nurses' expertise and their bodies of experience and knowledge
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d. The traditions that surround pressure ulcer practises on the unit
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e. Journal articles that address the care of clients with pressure ulcers - a. Consulting with the wound care and
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ostomy nurse q q
b. The preferences of clients and their particular circumstances
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c. Nurses' expertise and their bodies of experience and knowledge
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e. Journal articles that address the care of clients with pressure ulcers
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Which of the following clients is most likely to experience health care disparities?
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a. A 65-year-old upper class Chinese male living in the city
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b. A 78-year-old Indigenous male living on a reservation
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,c. A 50-year-old middle class white female living in a rural area
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d. A 72-year-old professional Caribbean female living in a condo - b. A 78-year-old Indigenous male living on a
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reservation
Which of the following is the first step towards cultural competence in clinical care?
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a. Acquire knowledge specific to populations and aspects of care.
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b. Develop an understanding of one's own culture through reflection and self-assessment.
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c. Establish a trusting therapeutic relationship and develop common goals.
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d. Use open-ended questions to understand clients' priorities and perceptions. - b. Develop an understanding
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of one's own culture through reflection and self-assessment.
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Which of the following demonstrates a shift in the composition of Canada's immigrant population?
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a. Increased number of three-generation families
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b. Increased proportion of European-born immigrants
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c. Over half of immigrants are from the US
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d. Decreased immigrant age when entering Canada - d. Decreased immigrant age when entering Canada
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Which of the following nursing actions is most indicative of stereotyping?
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a. The nurse advocates for bronchodilators to be prescribed for all newly admitted Black clients.
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b. The nurse helps a recent immigrant to explore ways to pay for her newly prescribed antihypertensive
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medications.
c. The nurse prioritizes the assessment of obesity when providing care for Black and Indigenous women.
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d. The nurse arranges for translation services to be provided for a client who has recently emigrated from Sri
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Lanka and does not speak English. - a. The nurse advocates for bronchodilators to be prescribed for all newly
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admitted Black clients. q q
The nurse is performing an assessment of a 78-year-old Chinese woman who wears a jade bracelet on her left
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wrist. The nurse asks the client about the significance of the bracelet and whether it can be removed prior to
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the client's scheduled diagnostic procedure. The nurse has demonstrated
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a. diversity
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b. stereotyping
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, c. ethnocentrism
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d. cultural competence - d. cultural competence
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The adult children of a male client who is Hindu have requested a vegetarian diet for their father. What is the
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nurse's most appropriate action?
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a. Order a vegetarian diet for the client.
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b. Assess the family's rationale for choosing this particular diet.
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c. Teach the family about the relationship between protein intake and wound healing.
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d. Explore the benefits of a low-meat, high-protein diet with the family and the dietitian. - a. Order a
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vegetarian diet for the client. q q q q
The nurse identifies a client at high risk for health care disparities. Important nursing intervention to reduce
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health care disparities include which of the following actions? (Select all that apply.)
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a. Passive listening
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b. Relationship building
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c. Taking foreign language classes
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d. Participating in cross-cultural education
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e. Using standardized evidence-informed guidelines - b. Relationship building
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d. Participating in cross-cultural education
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e. Using standardized evidence-informed guidelines
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During an admission history and physical, the client describes symptoms to the nurse. These descriptions
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would be documented as
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a. objective data.
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b. subjective data.
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c. generalized data.
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d. comprehensive data. - b. subjective data.
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Under which of the following functional health patterns would the nurse place assessment findings related to
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vision and hearing?
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Answers
The nurse is caring for a client who has heart failure and encourages the client to alternate rest and activity
q q q q q q q q q q q q q q q q q q q q
periods to reduce cardiac workload. Which phase of the nursing process is the nurse demonstrating?
q q q q q q q q q q q q q q
a. Planning
q
b. Diagnosis
q
c. Evaluation
q
d. Implementation - d. Implementation
q q q q
The nurse is planning care for a client and uses a visual diagram of client problems and interventions to
q q q q q q q q q q q q q q q q q q q
illustrate the relationships among pertinent clinical data. Which format is the nurse using to plan care?
q q q q q q q q q q q q q q q
a. Concept map
q q
b. Critical pathway
q q
c. Clinical pathway
q q
d. Nursing care plan - a. Concept map
q q q q q q q
Which of the following statements represents the "O" component of the SOAP process for documentation?
q q q q q q q q q q q q q q
a. More pain at present
q q q q
b. Temperature 39.4°C (102.9°F)
q q q q
c. Risk for infection
q q q
d. Notify surgeon - b. Temperature 39.4°C (102.9°F)
q q q q q q q
The nurse caring for postoperative clients developed the following clinical question: In adult postoperative
q q q q q q q q q q q q q q
clients, how does guided imagery compared with music therapy affect analgesia use within the first 24 hours
q q q q q q q q q q q q q q q q q
,after surgery? Applying the PICOT framework, which of the following would be the "I" element in this
q q q q q q q q q q q q q q q q q
question?
a. Guided imagery
q q q
b. Music therapy
q q
c. Analgesia use
q q
d. Adult postoperative clients - a. Guided imagery
q q q q q q q
The nurse is investigating ways in which to improve interprofessional team communication and has chosen
q q q q q q q q q q q q q q q
the SBAR model. Which of the following reflects the meaning of the "R" in the SBAR model?
q q q q q q q q q q q q q q q q
a. Risk assessment
q q
b. Recommendation
q q
c. Responsibility of action
q q q
d. Roles of health team members Incorrect - b. Recommendation
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A team of nurses have a vision to implement evidence-informed practice (EIP) for care of clients with pressure
q q q q q q q q q q q q q q q q q q
ulcers. Which of the following sources of evidence would this change in practice encompass? (Select all that
q q q q q q q q q q q q q q q q q
apply.)
a. Consulting with the wound care and ostomy nurse
q q q q q q q q q
b. The preferences of clients and their particular circumstances
q q q q q q q q q
c. Nurses' expertise and their bodies of experience and knowledge
q q q q q q q q q q
d. The traditions that surround pressure ulcer practises on the unit
q q q q q q q q q q
e. Journal articles that address the care of clients with pressure ulcers - a. Consulting with the wound care and
q q q q q q q q q q q q q q q q q q q q
ostomy nurse q q
b. The preferences of clients and their particular circumstances
q q q q q q q q q
c. Nurses' expertise and their bodies of experience and knowledge
q q q q q q q q q q
e. Journal articles that address the care of clients with pressure ulcers
q q q q q q q q q q q
Which of the following clients is most likely to experience health care disparities?
q q q q q q q q q q q q
a. A 65-year-old upper class Chinese male living in the city
q q q q q q q q q q
b. A 78-year-old Indigenous male living on a reservation
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,c. A 50-year-old middle class white female living in a rural area
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d. A 72-year-old professional Caribbean female living in a condo - b. A 78-year-old Indigenous male living on a
q q q q q q q q q q q q q q q q q q q
reservation
Which of the following is the first step towards cultural competence in clinical care?
q q q q q q q q q q q q q
a. Acquire knowledge specific to populations and aspects of care.
q q q q q q q q q
b. Develop an understanding of one's own culture through reflection and self-assessment.
q q q q q q q q q q q q
c. Establish a trusting therapeutic relationship and develop common goals.
q q q q q q q q q
d. Use open-ended questions to understand clients' priorities and perceptions. - b. Develop an understanding
q q q q q q q q q q q q q q q
of one's own culture through reflection and self-assessment.
q q q q q q q
Which of the following demonstrates a shift in the composition of Canada's immigrant population?
q q q q q q q q q q q q q
a. Increased number of three-generation families
q q q q q
b. Increased proportion of European-born immigrants
q q q q q
c. Over half of immigrants are from the US
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d. Decreased immigrant age when entering Canada - d. Decreased immigrant age when entering Canada
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Which of the following nursing actions is most indicative of stereotyping?
q q q q q q q q q q
a. The nurse advocates for bronchodilators to be prescribed for all newly admitted Black clients.
q q q q q q q q q q q q q q q
b. The nurse helps a recent immigrant to explore ways to pay for her newly prescribed antihypertensive
q q q q q q q q q q q q q q q q q
medications.
c. The nurse prioritizes the assessment of obesity when providing care for Black and Indigenous women.
q q q q q q q q q q q q q q q
d. The nurse arranges for translation services to be provided for a client who has recently emigrated from Sri
q q q q q q q q q q q q q q q q q q q
Lanka and does not speak English. - a. The nurse advocates for bronchodilators to be prescribed for all newly
q q q q q q q q q q q q q q q q q q q
admitted Black clients. q q
The nurse is performing an assessment of a 78-year-old Chinese woman who wears a jade bracelet on her left
q q q q q q q q q q q q q q q q q q q
wrist. The nurse asks the client about the significance of the bracelet and whether it can be removed prior to
q q q q q q q q q q q q q q q q q q q q
the client's scheduled diagnostic procedure. The nurse has demonstrated
q q q q q q q q
a. diversity
q
b. stereotyping
q
, c. ethnocentrism
q
d. cultural competence - d. cultural competence
q q q q q q
The adult children of a male client who is Hindu have requested a vegetarian diet for their father. What is the
q q q q q q q q q q q q q q q q q q q q q
nurse's most appropriate action?
q q q
a. Order a vegetarian diet for the client.
q q q q q q q q
b. Assess the family's rationale for choosing this particular diet.
q q q q q q q q q
c. Teach the family about the relationship between protein intake and wound healing.
q q q q q q q q q q q q
d. Explore the benefits of a low-meat, high-protein diet with the family and the dietitian. - a. Order a
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vegetarian diet for the client. q q q q
The nurse identifies a client at high risk for health care disparities. Important nursing intervention to reduce
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health care disparities include which of the following actions? (Select all that apply.)
q q q q q q q q q q q q
a. Passive listening
q q
b. Relationship building
q q q
c. Taking foreign language classes
q q q q
d. Participating in cross-cultural education
q q q q q
e. Using standardized evidence-informed guidelines - b. Relationship building
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d. Participating in cross-cultural education
q q q q q
e. Using standardized evidence-informed guidelines
q q q q
During an admission history and physical, the client describes symptoms to the nurse. These descriptions
q q q q q q q q q q q q q q q
would be documented as
q q q
a. objective data.
q q
b. subjective data.
q q q
c. generalized data.
q q
d. comprehensive data. - b. subjective data.
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Under which of the following functional health patterns would the nurse place assessment findings related to
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vision and hearing?
q q
