Medical-Surgical Nursing Exam Preparation – Comprehensive Study Questions and Answers

,TABLE OF CONTENTS
Unit 1 Understanding Health Care Issues
1. Critical Thinking andthe Nursing Process
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2. Evidence-Based Practice
3. Issues in NursingPractice
4. Cultural Influences on Nursing Care ji


5. Complementaryand AlternativeModalities

Unit 2 Understanding Health and Illness
6. Nursing Care of Patients with Fluid, Electrolyte, and Acid-Base Imbalances
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7. Nursing Care of Patients Receiving Intravenous Therapy
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8. Nursing Care of Patients withInfections
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9. Nursing Care of Patients inShock
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10. Nursing Care of Patients inPain
11. Nursing Care of Patients WithCancer
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12. Nursing Care of Patients HavingSurgery
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13. Nursing Care of Patients with Emergent Conditions and Disaster/Bioterrorism Response
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Unit 3 Understanding Life Span Influences on Health and Illness
14. Developmental Considerations and Chronic Illness in the Nursing Care of Adults ji ji ji ji


15. Nursing Care of Older AdultPatients
16. Patient Care Settings
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17. Nursing CareofPatients atthe End of Life ji




Unit 4 Understanding the Immune System
18. Immune System Function, Assessment and Therapeutic Measures
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19. NursingCareofPatients With Immune Disorders
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20. NursingCareofPatients With HIV DiseaseandAIDS
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Unit 5 Understanding the Cardiovascular System
21. Cardiovascular System Function, Assessment and Therapeutic Measures
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22. Nursing Care of Patients WithHypertension
23. Nursing Care ofPatientsWithValvular,Inflammatoryand InfectiousCardiacorVenous Disorders
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24. Nursing Care of Patients With Occlusive Cardiovascular Disorders
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25. Nursing Care of Patients With Cardiac Arrhythmias
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26. NursingCareof Patients With Heart Failure ji




Unit 6 Understanding the Hematologic and Lymphatic Systems
27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic Measures
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28. Nursing Care of Patients With Hematologic and Lymphatic Disorders
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Unit 7 Understanding the Respiratory System
29. Respiratory System Function, Assessment, and Therapeutic Measures ji


30. Nursing Care of Patients With Upper Respiratory Tract Disorders
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31. Nursing Care of Patients With Lower Respiratory Tract Disorders

,Unit 8 Understanding the Gastrointestinal, Hepatic, and Pancreatic Systems ji


32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment and Therapeutic Measures
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33. Nursing Care of Patients With Upper Gastrointestinal Disorders
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34. Nursing Care of Patients With Lower Gastrointestinal Disorders
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35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
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Unit 9 Understanding the Urinary System
36. Urinary System Function, Assessment, and Therapeutic Measures ji ji ji


37. Nursing Care of Patients With Disorders of the Urinary System
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Unit 10 Understanding the Endocrine System ji


38. Endocrine System Function andAssessment
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39. NursingCareofPatients With EndocrineDisorders ji ji


40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
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Unit 11 Understanding the Genitourinary and Reproductive System
41. Genitourinary and Reproductive System Function and Assessment ji


42. Nursing Care of Women With Reproductive System Disorders
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43. Nursing Care of Male Patients With Genitourinary Disorders
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44. Nursing Care of Patients With Sexually Transmitted Infections
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Unit 12 Understanding the Musculoskeletal System
45. Musculoskeletal Function andAssessment
46. Nursing Care of Patients With Musculoskeletal and Connective Tissue Disorders
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Unit 13 Understanding the Neurologic System ji


47. Neurologic System Function, Assessment, and Therapeutic Measures
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48. Nursing Care of Patients With Central Nervous System Disorders
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49. Nursing Care of Patients With Cerebrovascular Disorders
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50. Nursing Care of Patients With Peripheral Nervous System Disorders
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Unit 14 Understanding the Sensory System ji


51. SensorySystem Function, Assessment, and Therapeutic Measures:Vision and Hearing
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52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing
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Unit 15 Understanding the Integumentary System
53. Integumentary System Function, Assessment and Therapeutic Measures
54. NursingCareofPatientsWith Skin Disorders ji


55. Nursing Care of Patients WithBurns
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Unit 16 Understanding Mental Health Care
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56. Mental Health Function, Assessment, and Therapeutic Measures ji


57. Nursing Care of Patients With Mental Health Disorders
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, Chapter 1. Critical Thinking and the Nursing Process

MULTIPLE CHOICE

1. The nurse is caring for a group of patients on a medical-
surgical unit. Which patient should the licensed practical nurse/licensed vocational nurse (LP
N/LVN) assess first?
1. A patient with a blood glucose of 42 mg/dL
2. A patient who reports a pain level of 2
3. A patient who has just received a diagnosis of cancer ji


4. A patient who has a respiratory rate of 22
ANS: 1
Chapter: Chapter 1 Critical Thinking and the Nursing Process
Objective: 7. Prioritize patient care activities based on the Maslow hierarchy of human ne
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eds.
Pages: 6–7
Heading: Prioritize Care
Integrated Process: Clinical Problem-
Solving Process (Nursing Process) Client Need: SECE—Coordinated Care
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Cognitive Level: Application [Applying]
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Concept: Patient-
Centered Care Difficulty: Difficult

Feedback
1 This patient has a dangerouslylow blood glucose level and requires immediate inter
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vention.
2 This patient will need to be assessed, but is not as high a priority.
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3 According to Maslow, psychosocial needs are not as high of a priority as physiologi
cal needs.
4 A respiratory rate of 22 is within normal range.

PTS: 1 CON: Patient-CenteredCare

2. The LPN/LVN entersthe room ofa patient whois angryand yells, ―I asked 5 minutes ago for
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mypain medication. I‘m going to call the CEO of the hospital if you don‘t get it for me now.ǁ
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Which statement by the nurse demonstrates intellectual empathy?
1. ―Weare short-staffedtoday,soit willtakeme longerto meet yourneeds.ǁ
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2. ―I amsorry youhadtowait, Iknow youmustbe in alotofpain.ǁ
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3. ―I had another patientwho had severepain, and Ihadto get to themfirst.ǁ
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4. ―I will get youthenumberforthe CEO, buthe is awareofhowbusyweare.ǁ
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ANS: 2
Chapter: Chapter 1 Critical Thinking and the Nursing Process ji


Objective: 2. Describe attitudes and skills that promote good critical thinking P
age: 2
Heading: Intellectual Empathy
Integrated Process: Communication and Documentation
Client Need: Psychosocial Integrity