TEST BANK For Lewis's Medical Surgical
Nursing in Canada, 4th Edition
by Jane Tyerman, Shelley Cobbett, Chapters 1 - 72
,TABLE OF CONTENTS
Section One – Concepts in Nursing Practice
1 Introduction to Medical-Surgical Nursing Practice in Canada 2
Cultural Competence and Health Equity in Care
3 Health History and Physical Examination 4
Patient and Caregiver Teaching
5 Chronic Illness
6 Community-Based Nursing and Home Care 7
Older Adults
8 Stress and Stress Management 9
Sleep and Sleep Disorders
10 Pain
11 Substance Use
12 Complementary and Alternative Therapies 13
Palliative Care at the End of Life
Section Two – Pathophysiological Mechanisms of Disease 14
Inflammation and Wound Healing
15 Genetics
16 Altered Immune Response and Transplantation
17 Infection and Human Immunodeficiency Virus Infection 18
Cancer
19 Fluid, Electrolyte, and Acid–Base Imbalances
Section Three – Perioperative Care
20 Nursing Management: Preoperative Care 21
Nursing Management: Intraoperative Care 22
Nursing Management: Post-operative Care
Section Four – Problems Related to Altered Sensory Input 23
Nursing Assessment: Visual and Auditory Systems
24 Nursing Management: Visual and Auditory Problems 25
Nursing Assessment: Integumentary System
26 Nursing Management: Integumentary Problems 27
Nursing Management: Burns
Section Five – Problems of Oxygenation: Ventilation 28
Nursing Assessment: Respiratory System
29 Nursing Management: Upper Respiratory Problems 30
Nursing Management: Lower Respiratory Problems
31 Nursing Management: Obstructive Pulmonary Diseases Section
Six – Problems of Oxygenation: Transport
32 Nursing Assessment: Hematological System 33
Nursing Management: Hematological Problems
Section Seven – Problems of Oxygenation: Perfusion 34
Nursing Assessment: Cardiovascular System
35 Nursing Management: Hypertension
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
,37 Nursing Management: Heart Failure 38
Nursing Management: Dysrhythmias
39 Nursing Management: Inflammatory and Structural Heart Diseases 40
Nursing Management: Vascular Disorders
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination 41 Nursing
Assessment: Gastrointestinal System
42 Nursing Management: Nutritional Problems 43
Nursing Management: Obesity
44 Nursing Management: Upper Gastrointestinal Problems 45
Nursing Management: Lower Gastrointestinal Problems
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems Section
Nine – Problems of Urinary Function
47 Nursing Assessment: Urinary System
48 Nursing Management: Renal and Urological Problems
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease Section Ten
– Problems Related to Regulatory and Reproductive Mechanisms 50 Nursing
Assessment: Endocrine System
51 Nursing Management: Endocrine Problems 52
Nursing Management: Diabetes Mellitus
53 Nursing Assessment: Reproductive System 54
Nursing Management: Breast Disorders
55 Nursing Management: Sexually Transmitted Infections 56
Nursing Management: Female Reproductive Problems 57
Nursing Management: Male Reproductive Problems
Section Eleven – Problems Related to Movement and Coordination 58
Nursing Assessment: Nervous System
59 Nursing Management: Acute Intracranial Problems 60
Nursing Management: Stroke
61 Nursing Management: Chronic Neurological Problems
62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
63 Nursing Management: Peripheral Nerve and Spinal Cord Problems 64
Nursing Assessment: Musculoskeletal System
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery 66
Nursing Management: Musculoskeletal Problems
67 Nursing Management: Arthritis and Connective Tissue Diseases Section
Twelve – Nursing Care in Specialized Settings
68 Nursing Management: Critical Care Environment
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
Organ Dysfunction Syndrome
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress
Syndrome
71 Nursing Management: Emergency Care Situations 72
Emergency Management and Disaster Planning
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
MULTIPLE CHOICE
1. When caring for clients using evidence-informed practice, which of the following does the
nurse use?
a. Clinical judgement based on experience
b. Evidence from a clinical research study
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the client outcomes are met
CORRECT ANSWER: C
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
conscientious, and judicious consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
the nurse’s clinical experience is part of EIP, but clinical decision making also should
incorporate current research and research-based guidelines. Evidence from one clinical
research study does not provide an adequate substantiation for interventions. Evaluation of
client outcomes is important, but interventions should be based on research from randomized
control studies with a large number of subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
2. Which of the following best N
e xp lRa i n sIt h eGn u B
r s e. sC
’ prM
imary use of the nursing process when
providing care to clients? USNT O
a. To explain nursing interventions to other health care professionals
b. As a problem-solving tool to identify and treat clients’ health care needs
c. As a scientific-based process of diagnosing the client’s health care problems
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
CORRECT ANSWER: B
The nursing process is an assertive problem-solving approach to the identification and
treatment of clients’ problems. Diagnosis is only one phase of the nursing process. The primary
use of the nursing process is in client care, not to establish nursing theory or explain nursing
interventions to other health care professionals.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
3. The fnurse fis fcaring ffor fa fcritically fill fclient fin fthe fintensive fcare funit fand fplans fan fevery f2-
hour f turning fschedule fto fprevent f skin fbreakdown. fWhich ftype fof fnursing ffunction fis
fdemonstrated f with fthis fturning fschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT fANSWER: f f D
Nursing in Canada, 4th Edition
by Jane Tyerman, Shelley Cobbett, Chapters 1 - 72
,TABLE OF CONTENTS
Section One – Concepts in Nursing Practice
1 Introduction to Medical-Surgical Nursing Practice in Canada 2
Cultural Competence and Health Equity in Care
3 Health History and Physical Examination 4
Patient and Caregiver Teaching
5 Chronic Illness
6 Community-Based Nursing and Home Care 7
Older Adults
8 Stress and Stress Management 9
Sleep and Sleep Disorders
10 Pain
11 Substance Use
12 Complementary and Alternative Therapies 13
Palliative Care at the End of Life
Section Two – Pathophysiological Mechanisms of Disease 14
Inflammation and Wound Healing
15 Genetics
16 Altered Immune Response and Transplantation
17 Infection and Human Immunodeficiency Virus Infection 18
Cancer
19 Fluid, Electrolyte, and Acid–Base Imbalances
Section Three – Perioperative Care
20 Nursing Management: Preoperative Care 21
Nursing Management: Intraoperative Care 22
Nursing Management: Post-operative Care
Section Four – Problems Related to Altered Sensory Input 23
Nursing Assessment: Visual and Auditory Systems
24 Nursing Management: Visual and Auditory Problems 25
Nursing Assessment: Integumentary System
26 Nursing Management: Integumentary Problems 27
Nursing Management: Burns
Section Five – Problems of Oxygenation: Ventilation 28
Nursing Assessment: Respiratory System
29 Nursing Management: Upper Respiratory Problems 30
Nursing Management: Lower Respiratory Problems
31 Nursing Management: Obstructive Pulmonary Diseases Section
Six – Problems of Oxygenation: Transport
32 Nursing Assessment: Hematological System 33
Nursing Management: Hematological Problems
Section Seven – Problems of Oxygenation: Perfusion 34
Nursing Assessment: Cardiovascular System
35 Nursing Management: Hypertension
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
,37 Nursing Management: Heart Failure 38
Nursing Management: Dysrhythmias
39 Nursing Management: Inflammatory and Structural Heart Diseases 40
Nursing Management: Vascular Disorders
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination 41 Nursing
Assessment: Gastrointestinal System
42 Nursing Management: Nutritional Problems 43
Nursing Management: Obesity
44 Nursing Management: Upper Gastrointestinal Problems 45
Nursing Management: Lower Gastrointestinal Problems
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems Section
Nine – Problems of Urinary Function
47 Nursing Assessment: Urinary System
48 Nursing Management: Renal and Urological Problems
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease Section Ten
– Problems Related to Regulatory and Reproductive Mechanisms 50 Nursing
Assessment: Endocrine System
51 Nursing Management: Endocrine Problems 52
Nursing Management: Diabetes Mellitus
53 Nursing Assessment: Reproductive System 54
Nursing Management: Breast Disorders
55 Nursing Management: Sexually Transmitted Infections 56
Nursing Management: Female Reproductive Problems 57
Nursing Management: Male Reproductive Problems
Section Eleven – Problems Related to Movement and Coordination 58
Nursing Assessment: Nervous System
59 Nursing Management: Acute Intracranial Problems 60
Nursing Management: Stroke
61 Nursing Management: Chronic Neurological Problems
62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
63 Nursing Management: Peripheral Nerve and Spinal Cord Problems 64
Nursing Assessment: Musculoskeletal System
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery 66
Nursing Management: Musculoskeletal Problems
67 Nursing Management: Arthritis and Connective Tissue Diseases Section
Twelve – Nursing Care in Specialized Settings
68 Nursing Management: Critical Care Environment
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-
Organ Dysfunction Syndrome
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress
Syndrome
71 Nursing Management: Emergency Care Situations 72
Emergency Management and Disaster Planning
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
Lewis: Medical-Surgical Nursing in Canada, 4th Canadian Edition
MULTIPLE CHOICE
1. When caring for clients using evidence-informed practice, which of the following does the
nurse use?
a. Clinical judgement based on experience
b. Evidence from a clinical research study
c. The best available evidence to guide clinical expertise
d. Evaluation of data showing that the client outcomes are met
CORRECT ANSWER: C
Evidence-informed nursing practice is a continuous interactive process involving the explicit,
conscientious, and judicious consideration of the best available evidence to provide care. Four
primary elements are: (a) clinical state, setting, and circumstances; (b) client preferences and
actions; (c) best research evidence; and (d) health care resources. Clinical judgement based on
the nurse’s clinical experience is part of EIP, but clinical decision making also should
incorporate current research and research-based guidelines. Evidence from one clinical
research study does not provide an adequate substantiation for interventions. Evaluation of
client outcomes is important, but interventions should be based on research from randomized
control studies with a large number of subjects.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Planning
2. Which of the following best N
e xp lRa i n sIt h eGn u B
r s e. sC
’ prM
imary use of the nursing process when
providing care to clients? USNT O
a. To explain nursing interventions to other health care professionals
b. As a problem-solving tool to identify and treat clients’ health care needs
c. As a scientific-based process of diagnosing the client’s health care problems
d. To establish nursing theory that incorporates the biopsychosocial nature of humans
CORRECT ANSWER: B
The nursing process is an assertive problem-solving approach to the identification and
treatment of clients’ problems. Diagnosis is only one phase of the nursing process. The primary
use of the nursing process is in client care, not to establish nursing theory or explain nursing
interventions to other health care professionals.
DIF: Cognitive Level: Comprehension TOP: Nursing Process: Implementation
3. The fnurse fis fcaring ffor fa fcritically fill fclient fin fthe fintensive fcare funit fand fplans fan fevery f2-
hour f turning fschedule fto fprevent f skin fbreakdown. fWhich ftype fof fnursing ffunction fis
fdemonstrated f with fthis fturning fschedule?
a. Dependent
b. Cooperative
c. Independent
d. Collaborative
CORRECT fANSWER: f f D
