Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems. COMPLETE. A+ RATED.Table of Contents
Table of Contents
Chapter 01: ... [Show More] Professional Nursing Practice
Chapter 02: Health Disparities and Culturally Competent Care
Chapter 03: Health History and Physical Examination
Chapter 04: Patient and Caregiver Teaching
Chapter 05: Chronic Illness and Older Adults
Chapter 06: Stress and Stress Management
Chapter 07: Sleep and Sleep Disorders
Chapter 08: Pain
Chapter 09: Palliative Care at End of Life
Chapter 10: Substance Use Disorders
Chapter 11: Inflammation and Wound Healing
Chapter 12: Genetics and Genomics
Chapter 13: Altered Immune Responses and Transplantation
Chapter 14: Infection and Human Immunodeficiency Virus Infection
Chapter 15: Cancer
Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances
Chapter 17: Preoperative Care
Chapter 18: Intraoperative Care
Chapter 19: Postoperative Care
Chapter 20: Assessment of Visual and Auditory Systems
Chapter 21: Visual and Auditory Problems
Chapter 22: Assessment of Integumentary System
Chapter 23: Integumentary Problems
Chapter 24: Burns
Chapter 25: Assessment of Respiratory System
Chapter 26: Upper Respiratory Problems
Chapter 27: Lower Respiratory Problems
Chapter 28: Obstructive Pulmonary Diseases
Chapter 29: Assessment of Hematologic System
Chapter 30: Hematologic Problems
Chapter 31: Assessment of Cardiovascular System
Chapter 32: Hypertension
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome
Chapter 34: Heart Failure
Chapter 35: Dysrhythmias
Chapter 36: Inflammatory and Structural Heart Disorders
Chapter 37: Vascular Disorders
Chapter 38: Assessment of Gastrointestinal System
Chapter 39: Nutritional Problems
Chapter 40: Obesity
Chapter 41: Upper Gastrointestinal Problems
Chapter 42: Lower Gastrointestinal Problems
Chapter 43: Liver, Pancreas, and Biliary Tract Problems
Chapter 44: Urinary System
Chapter 45: Renal and Urologic Problems
Chapter 46: Acute Kidney Injury and Chronic Kidney Disease
Chapter 47: Assessment of Endocrine System
Chapter 48: Diabetes Mellitus
Chapter 49: Endocrine Problems
Chapter 50: Assessment of Reproductive System
Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 1
Chapter 51: Breast Disorders
Chapter 52: Sexually Transmitted Infections
Chapter 53: Female Reproductive and Genital Problems
Chapter 54: Male Reproductive and Genital Problems
Chapter 55: Assessment of Nervous System
Chapter 56: Acute Intracranial Problems
Chapter 57: Stroke
Chapter 58: Chronic Neurologic Problems
Chapter 59: Dementia and Delirium
Chapter 60: Spinal Cord and Peripheral Nerve Problems
Chapter 61: Assessment of Musculoskeletal System
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery
Chapter 63: Musculoskeletal Problems
Chapter 64: Arthritis and Connective Tissue Diseases
Chapter 65: Critical Care
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome
Chapter 68: Emergency and Disaster Nursing
Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 2
Chapter 01: Professional Nursing Practice
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Which statement, if made by the student nurse, indicates that teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
d. The nursing process is used primarily to explain nursing interventions to other health care
The nursing process is a problem-solving approach to the identification and treatment of patients problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in patient care, not to establish nursing theory or explain nursing interventions to other health care professionals. DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for
patients. Which statement, if made by the nurse, would be the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
d. Recommendations are based on research, clinical expertise, and patient preferences.
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of patient outcomes
is important, but interventions should be based on research from randomized control studies with a large
number of subjects. DIF: Cognitive Level: Remember (knowledge) REF: 11
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 3
3. The nurse completes an admission database and explains that the plan of care and discharge goals will be
developed with the patients input. The patient states, How is this different from what the doctor does? Which
response would be most appropriate for the nurse to make?
a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
b. The nurses job is to help the doctor by collecting information and communicating any problems
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a
longer time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist you to develop an
individualized plan to maintain your health.
This response is consistent with the American Nurses Association (ANA) definition of nursing, which
describes the role of nurses in promoting health. The other responses describe some of the dependent and
collaborative functions of the nursing role but do not accurately describe the nurses role in the health care
system. DIF: Cognitive Level: Understand (comprehension) REF: 3
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip. Which nursing diagnosis is most appropriate?
a. Impaired physical mobility related to left-sided paralysis
b. Risk for impaired tissue integrity related to left-sided weakness
c. Impaired skin integrity related to altered circulation and pressure
d. Ineffective tissue perfusion related to inability to move independently
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient. Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for
diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does have
ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health
problem is. DIF: Cognitive Level: Apply (application) REF: 7
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving
my children with my parents. Which action should the nurse take next?
Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 4
a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather more data about the patients feelings about the child-care arrangements.
d. Call the patients parents to determine whether adequate child care is being provided.
Since a complete assessment is necessary in order to identify a problem and choose an appropriate
intervention, the nurses first action should be to obtain more information. The other actions may be
appropriate, but more assessment is needed before the best intervention can be chosen. DIF: Cognitive Level: Apply (application) REF: 6
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity
6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive
diaphoresis. Which outcome would the nurse recognize as most appropriate for this patient?
a. Patient has a balanced intake and output.
b. Patients bedding is changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
d. Patients skin remains cool and dry throughout hospitalization.
This statement gives measurable data showing resolution of the problem of deficient fluid volume that was
identified in the nursing diagnosis statement. The other statements would not indicate that the problem of
deficient fluid volume was resolved. DIF: Cognitive Level: Apply (application) REF: 7
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
7. A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the
evaluation phase of the nursing process?
a. To determine if interventions have been effective in meeting patient outcomes
b. To document the nursing care plan in the progress notes of the medical record
c. To decide whether the patients health problems have been completely resolved
Test Bank - Medical-Surgical Nursing: Assessment and Management of Clinical Problems 10e 5
d. To establish if the patient agrees that the nursing care provided was satisfactory
Evaluation consists of determining whether the desired patient outcomes have been met and whether the
nursing interventions were appropriate. The other responses do not describe the evaluation phase. DIF: Cognitive Level: Understand (comprehension) REF: 7
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
8. The nurse interviews a patient while completing the health history and physical examination. What is the [Show Less]