Test Bank Complete_
Textbook Of Medical-Surgical Nursing -Brunner & Suddarth's 16th Edition, (2026)
By Janice L. Hinkle, Kerry H. Cheever, Kristen Overbaugh & Carolyn E Bradley
All Chapters 1-69| 16 Units| New Release| Verified With Detailed Answers| Rated A+
From: [Bestmaxsolutions.Stuvia
,UNIT 1. PRINCIPLES OF NURSING PRACTICE ----------------------------------------------------------------- 10
Chapter 1. Professional Nursing Practice ---------------------------------------------------------------------------- 10
Chapter 2. Medical-Surgical Nursing ---------------------------------------------------------------------------------- 32
Chapter 3. Health Education And Health Promotion ------------------------------------------------------------- 50
Chapter 4. Adult Health And Physical, Nutritional, And Cultural Assessment ----------------------------- 72
Chapter 5. Stress And Inflammatory Responses ------------------------------------------------------------------- 96
Chapter 6. Genetics And Genomics In Nursing ------------------------------------------------------------------- 119
Chapter 7. Disability And Chronic Illness --------------------------------------------------------------------------- 142
Chapter 8. Care Of The Older Adult --------------------------------------------------------------------------------- 163
UNIT 2. CONCEPTS AND PRINCIPLES OF PATIENT MANAGEMENT ---------------------------------- 183
Chapter 9. Pain Management ----------------------------------------------------------------------------------------- 183
Chapter 10. Principles Of Fluid And Electrolytes ----------------------------------------------------------------- 205
Chapter 11. Shock, Sepsis, And Multiple Organ Dysfunction Syndrome ----------------------------------- 227
Chapter 12. Oncologic Management -------------------------------------------------------------------------------- 249
Chapter 13. Palliative And End-Of-Life Care ----------------------------------------------------------------------- 268
UNIT 3. PERIOPERATIVE CONCEPTS AND NURSING MANAGEMENT -------------------------------- 290
Chapter 14. Preoperative Nursing Management ---------------------------------------------------------------- 290
Chapter 15. Intraoperative Nursing Management--------------------------------------------------------------- 312
Chapter 16. Postoperative Nursing Management --------------------------------------------------------------- 332
UNIT 4. GAS EXCHANGE AND RESPIRATORY FUNCTION ----------------------------------------------- 353
Chapter 17. Assessment Of Respiratory Function --------------------------------------------------------------- 353
Chapter 18. Management Of Patients With Upper Respiratory Tract Disorders ------------------------ 374
Chapter 19. Management Of Patients With Chest And Lower Res- Piratory Tract ---------------------- 393
Disorders ------------------------------------------------------------------------------------------------------------------- 393
Chapter 20. Management Of Patients With Non-Acute Disorders Of The Chest And Lower
Respiratory Tract And Disorders Of The Pulmonary Vasculature -------------------------------------------- 414
Chapter 21. Management Of Patients With Chronic Pulmonary Disease --------------------------------- 433
UNIT 5. CARDIOVASCULAR AND CIRCULATORY FUNCTION ------------------------------------------- 455
Chapter 22. Assessment of Cardiac Function --------------------------------------------------------------------- 455
Chapter 23. Management of Patients with Arrhythmias and Conduction Disorders ------------------- 475
Chapter 24. Management of Patients with Coronary Vascular Disorders --------------------------------- 493
, Chapter 25. Management of Patients with Structural, Infectious, and Inflammatory Cardiac
Disorders ------------------------------------------------------------------------------------------------------------------- 515
Chapter 26. Management of Patients with Complications of Heart Disease ----------------------------- 534
Chapter 27. Assessment and Management of Patients with Vascular Disorders and Disorders of
Peripheral Circulation --------------------------------------------------------------------------------------------------- 553
Chapter 28. Assessment and Management of Patients with Hypertension ------------------------------ 575
UNIT 6. HEMATOLOGIC FUNCTION -------------------------------------------------------------------------- 595
Chapter 29. Assessment of Hematologic Function and Treatment Modalities--------------------------- 595
Chapter 30. Management of Patients with Nonmalignant Hematologic Disorders --------------------- 615
Chapter 31. Management of Patients with Hematologic Neoplasms -------------------------------------- 633
UNIT 7. IMMUNOLOGIC FUNCTION ------------------------------------------------------------------------- 653
Chapter 32. Assessment of Immune Function -------------------------------------------------------------------- 653
Chapter 33. Management of Patients with Immune Deficiency Disorders -------------------------------- 672
Chapter 34. Assessment and Management of Patients with Allergic Disorders ------------------------- 693
Chapter 35. Assessment and Management of Patients with Inflammatory Rheumatic Disorders - 714
UNIT 8. MUSCULOSKELETAL FUNCTION -------------------------------------------------------------------- 733
Chapter 36. Assessment of Musculoskeletal Function --------------------------------------------------------- 733
Chapter 37. Management of Patients with Musculoskeletal Disorders------------------------------------ 752
Chapter 38. Management of Patients with Musculoskeletal Trauma -------------------------------------- 772
UNIT 9. DIGESTIVE AND GASTROINTESTINAL FUNCTION ---------------------------------------------- 792
Chapter 39. Assessment of Digestive and Gastrointestinal Function --------------------------------------- 792
Chapter 40. Management Of Patients With Oral And Esophageal Disorders ----------------------------- 812
Chapter 41. Management Of Patients With Gastric And Duodenal Disorders --------------------------- 832
Chapter 42. Management Of Patients With Intestinal And Rectal Disorders ----------------------------- 850
UNIT 10. METABOLIC AND ENDOCRINE FUNCTION ----------------------------------------------------- 871
Chapter 43. Assessment And Management O Patients With Obesi- Ty ------------------------------------ 871
Chapter 44. Assessment and Management of Patients with Hepatic Disorders ------------------------- 893
Chapter 45. Assessment and Management of Patients with Biliary Disorders --------------------------- 913
Chapter 46. Assessment and Management of Patients with Endocrine Disorders ---------------------- 933
Chapter 47. Assessment and Management of Patients with Diabetes ------------------------------------- 954
UNIT 11. KIDNEY AND URINARY TRACT FUNCTION ----------------------------------------------------- 976
Chapter 48. Assessment of Kidney and Urinary Function ----------------------------------------------------- 976
, Chapter 49. Management of Patients with Kidney Disorders ------------------------------------------------ 996
Chapter 50. Management of Patients with Urinary Disorders ---------------------------------------------- 1017
UNIT 12. REPRODUCTIVE FUNCTION ----------------------------------------------------------------------- 1038
Chapter 51. Assessment and Management of Patients with Female Physiologic Processes -------- 1038
Chapter 52. Management of Patients with Female Physiologic Disorders ------------------------------- 1060
Chapter 53. Assessment and Management of Patients with Breast Disorders ------------------------- 1081
Chapter 54. Assessment and Management of Patients with Male Reproductive Disorders -------- 1100
Chapter 55. Assessment and Management of Patients who are LBGTQ ---------------------------------- 1120
UNIT 13. INTEGUMENTARY FUNCTION -------------------------------------------------------------------- 1132
Chapter 56. Assessment of Integumentary Function ---------------------------------------------------------- 1132
Chapter 57. Management Of Patients With Dermatologic Disorders And Wounds ------------------- 1151
Chapter 58. Management of Patients with Burn Injury ------------------------------------------------------- 1171
UNIT 14. SENSORY FUNCTION ------------------------------------------------------------------------------- 1192
Chapter 59. Assessment and Management of Patients with Eye and Vision Disorders--------------- 1192
Chapter 60. Assessment and Management of Patients with Hearing and Balance Disorders------- 1212
UNIT 15. NEUROLOGIC FUNCTION -------------------------------------------------------------------------- 1232
Chapter 61. Assessment of Neurologic Function ---------------------------------------------------------------- 1232
Chapter 62. Management of Patients with Neurologic Dysfunction --------------------------------------- 1253
Chapter 63. Management of Patients with Cerebrovascular Disorders ----------------------------------- 1272
Chapter 64. Management of Patients with Neurologic Trauma -------------------------------------------- 1294
Chapter 65. Management of Patients with Neurologic Infections, Autoimmune Disorders, and
Neuropathies ------------------------------------------------------------------------------------------------------------- 1315
Chapter 66. Management of Patients with Oncologic or Degenerative Neurologic Disorders------ 1335
UNIT 16. ACUTE COMMUNITY-BASED CHALLENGES --------------------------------------------------- 1355
Chapter 67. Management of Patients with Infectious Diseases -------------------------------------------- 1355
Chapter 68. Emergency Nursing ------------------------------------------------------------------------------------- 1372
Chapter 69. Disaster Nursing ----------------------------------------------------------------------------------------- 1384
,SAMPLE QUESTIONS FROM CHAPTER 20. (QUESTIONS 1-10)
Chapter 20. Management Of Patients With Non-Acute Disorders Of The Chest
And Lower Respiratory Tract And Disorders Of The Pulmonary Vasculature
Janice L. Hinkle: Brunner & Suddarth's Textbook Of Medical-Surgical Nursing 16th Edition, Test Bank
MULTIPLE CHOICE
1. The Nurse Is Caring For A Client With Chronic Obstructive Pulmonary Disease
(COPD). Which Assessment Finding Is Most Consistent With The Pathophysiology Of
This Disorder?
A. Hyperresonance On Percussion Of The Chest
B. Fine Crackles That Resolve With Coughing
C. Increased Oxygen Saturation With Activity
D. Bradycardia During Exertion
ANS: A
Rationale: Clients With COPD Often Have Air Trapping And Hyperinflation, Which
Produces Hyperresonance On Chest Percussion. Crackles That Clear With Coughing Are
More Characteristic Of Fluid In The Airways. Oxygen Saturation Typically Decreases
With Activity, And Tachycardia—Not Bradycardia—Is More Common During Exertion.
PTS: 1 REF: P. 617
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 20: Management Of Patients With Non-Acute Disorders Of The Chest And
Lower Respiratory Tract
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. A Client With Emphysema Has Difficulty Maintaining Adequate Nutrition. Which
Intervention Should The Nurse Include In The Plan Of Care?
A. Encourage Three Large Meals Daily
B. Provide High-Calorie, High-Protein Meals In Small Portions
C. Restrict Fluid Intake During Meals
D. Encourage The Client To Lie Flat After Eating
ANS: B
Rationale: Clients With Emphysema Expend Significant Energy On Breathing And
Fatigue Easily. Small, Frequent, High-Calorie, High-Protein Meals Reduce Energy
Expenditure And Improve Nutritional Intake. Large Meals, Fluid Restriction, And Lying
Flat Can Worsen Dyspnea.
PTS: 1 REF: P. 620
,NAT: Client Needs: Physiological Integrity: Basic Care And Comfort
TOP: Chapter 20: Management Of Patients With Non-Acute Disorders Of The Chest And
Lower Respiratory Tract
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
3. The Nurse Is Teaching A Client With Chronic Bronchitis About Smoking Cessation.
Which Explanation Best Supports The Need To Stop Smoking?
A. Smoking Causes Acute Bronchospasm
B. Smoking Permanently Cures Chronic Bronchitis
C. Smoking Increases Mucus Production And Airway Inflammation
D. Smoking Reduces Carbon Dioxide Retention
ANS: C
Rationale: Chronic Bronchitis Is Characterized By Excessive Mucus Production And
Airway Inflammation, Both Of Which Are Exacerbated By Smoking. Smoking Does Not
Cure The Disease And Worsens Gas Exchange By Increasing Carbon Dioxide Retention.
PTS: 1 REF: P. 618
NAT: Client Needs: Health Promotion And Maintenance
TOP: Chapter 20: Management Of Patients With Non-Acute Disorders Of The Chest And
Lower Respiratory Tract
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
4. A Client With Pulmonary Embolism Reports Sudden Onset Of Dyspnea And Chest
Pain. Which Additional Finding Should The Nurse Anticipate?
A. Bradycardia
B. Decreased Respiratory Rate
C. Hemoptysis
D. Increased Urine Output
ANS: C
Rationale: Pulmonary Embolism May Cause Hemoptysis Due To Pulmonary Infarction.
Tachypnea And Tachycardia Are Common, Not Bradycardia Or Decreased Respiratory
Rate. Urine Output Is Unrelated To This Condition.
PTS: 1 REF: P. 641
NAT: Client Needs: Physiological Integrity: Reduction Of Risk Potential
TOP: Chapter 20: Management Of Patients With Disorders Of The Pulmonary
Vasculature
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
5. The Nurse Is Administering Oxygen Therapy To A Client With COPD. Which
Prescription Should The Nurse Question?
, A. Oxygen At 1–2 L/Min Via Nasal Cannula
B. Continuous Pulse Oximetry Monitoring
C. Oxygen Titrated To Maintain Spo₂ Above 90%
D. High-Flow Oxygen Via Non-Rebreather Mask
ANS: D
Rationale: High-Flow Oxygen Can Suppress The Hypoxic Drive In Clients With COPD,
Leading To Carbon Dioxide Retention. Low-Flow Oxygen With Careful Monitoring Is
Recommended.
PTS: 1 REF: P. 623
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 20: Management Of Patients With Non-Acute Disorders Of The Chest And
Lower Respiratory Tract
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
6. The Nurse Is Caring For A Client Diagnosed With Cor Pulmonale. Which Assessment
Finding Is Most Consistent With This Condition?
A. Left-Sided Heart Failure
B. Peripheral Edema And Jugular Vein Distention
C. Bounding Peripheral Pulses
D. Decreased Liver Size
ANS: B
Rationale: Cor Pulmonale Results From Right-Sided Heart Failure Due To Pulmonary
Disease, Leading To Venous Congestion, Peripheral Edema, And Jugular Vein
Distention. Liver Enlargement—Not Decreased Size—Is Common.
PTS: 1 REF: P. 630
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 20: Management Of Patients With Disorders Of The Pulmonary
Vasculature
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
7. A Client With Bronchiectasis Is Being Discharged Home. Which Teaching Point
Should The Nurse Emphasize?
A. Limit Coughing To Prevent Fatigue
B. Avoid Postural Drainage
C. Perform Airway Clearance Techniques Regularly
D. Restrict Physical Activity
ANS: C
Textbook Of Medical-Surgical Nursing -Brunner & Suddarth's 16th Edition, (2026)
By Janice L. Hinkle, Kerry H. Cheever, Kristen Overbaugh & Carolyn E Bradley
All Chapters 1-69| 16 Units| New Release| Verified With Detailed Answers| Rated A+
From: [Bestmaxsolutions.Stuvia
,UNIT 1. PRINCIPLES OF NURSING PRACTICE ----------------------------------------------------------------- 10
Chapter 1. Professional Nursing Practice ---------------------------------------------------------------------------- 10
Chapter 2. Medical-Surgical Nursing ---------------------------------------------------------------------------------- 32
Chapter 3. Health Education And Health Promotion ------------------------------------------------------------- 50
Chapter 4. Adult Health And Physical, Nutritional, And Cultural Assessment ----------------------------- 72
Chapter 5. Stress And Inflammatory Responses ------------------------------------------------------------------- 96
Chapter 6. Genetics And Genomics In Nursing ------------------------------------------------------------------- 119
Chapter 7. Disability And Chronic Illness --------------------------------------------------------------------------- 142
Chapter 8. Care Of The Older Adult --------------------------------------------------------------------------------- 163
UNIT 2. CONCEPTS AND PRINCIPLES OF PATIENT MANAGEMENT ---------------------------------- 183
Chapter 9. Pain Management ----------------------------------------------------------------------------------------- 183
Chapter 10. Principles Of Fluid And Electrolytes ----------------------------------------------------------------- 205
Chapter 11. Shock, Sepsis, And Multiple Organ Dysfunction Syndrome ----------------------------------- 227
Chapter 12. Oncologic Management -------------------------------------------------------------------------------- 249
Chapter 13. Palliative And End-Of-Life Care ----------------------------------------------------------------------- 268
UNIT 3. PERIOPERATIVE CONCEPTS AND NURSING MANAGEMENT -------------------------------- 290
Chapter 14. Preoperative Nursing Management ---------------------------------------------------------------- 290
Chapter 15. Intraoperative Nursing Management--------------------------------------------------------------- 312
Chapter 16. Postoperative Nursing Management --------------------------------------------------------------- 332
UNIT 4. GAS EXCHANGE AND RESPIRATORY FUNCTION ----------------------------------------------- 353
Chapter 17. Assessment Of Respiratory Function --------------------------------------------------------------- 353
Chapter 18. Management Of Patients With Upper Respiratory Tract Disorders ------------------------ 374
Chapter 19. Management Of Patients With Chest And Lower Res- Piratory Tract ---------------------- 393
Disorders ------------------------------------------------------------------------------------------------------------------- 393
Chapter 20. Management Of Patients With Non-Acute Disorders Of The Chest And Lower
Respiratory Tract And Disorders Of The Pulmonary Vasculature -------------------------------------------- 414
Chapter 21. Management Of Patients With Chronic Pulmonary Disease --------------------------------- 433
UNIT 5. CARDIOVASCULAR AND CIRCULATORY FUNCTION ------------------------------------------- 455
Chapter 22. Assessment of Cardiac Function --------------------------------------------------------------------- 455
Chapter 23. Management of Patients with Arrhythmias and Conduction Disorders ------------------- 475
Chapter 24. Management of Patients with Coronary Vascular Disorders --------------------------------- 493
, Chapter 25. Management of Patients with Structural, Infectious, and Inflammatory Cardiac
Disorders ------------------------------------------------------------------------------------------------------------------- 515
Chapter 26. Management of Patients with Complications of Heart Disease ----------------------------- 534
Chapter 27. Assessment and Management of Patients with Vascular Disorders and Disorders of
Peripheral Circulation --------------------------------------------------------------------------------------------------- 553
Chapter 28. Assessment and Management of Patients with Hypertension ------------------------------ 575
UNIT 6. HEMATOLOGIC FUNCTION -------------------------------------------------------------------------- 595
Chapter 29. Assessment of Hematologic Function and Treatment Modalities--------------------------- 595
Chapter 30. Management of Patients with Nonmalignant Hematologic Disorders --------------------- 615
Chapter 31. Management of Patients with Hematologic Neoplasms -------------------------------------- 633
UNIT 7. IMMUNOLOGIC FUNCTION ------------------------------------------------------------------------- 653
Chapter 32. Assessment of Immune Function -------------------------------------------------------------------- 653
Chapter 33. Management of Patients with Immune Deficiency Disorders -------------------------------- 672
Chapter 34. Assessment and Management of Patients with Allergic Disorders ------------------------- 693
Chapter 35. Assessment and Management of Patients with Inflammatory Rheumatic Disorders - 714
UNIT 8. MUSCULOSKELETAL FUNCTION -------------------------------------------------------------------- 733
Chapter 36. Assessment of Musculoskeletal Function --------------------------------------------------------- 733
Chapter 37. Management of Patients with Musculoskeletal Disorders------------------------------------ 752
Chapter 38. Management of Patients with Musculoskeletal Trauma -------------------------------------- 772
UNIT 9. DIGESTIVE AND GASTROINTESTINAL FUNCTION ---------------------------------------------- 792
Chapter 39. Assessment of Digestive and Gastrointestinal Function --------------------------------------- 792
Chapter 40. Management Of Patients With Oral And Esophageal Disorders ----------------------------- 812
Chapter 41. Management Of Patients With Gastric And Duodenal Disorders --------------------------- 832
Chapter 42. Management Of Patients With Intestinal And Rectal Disorders ----------------------------- 850
UNIT 10. METABOLIC AND ENDOCRINE FUNCTION ----------------------------------------------------- 871
Chapter 43. Assessment And Management O Patients With Obesi- Ty ------------------------------------ 871
Chapter 44. Assessment and Management of Patients with Hepatic Disorders ------------------------- 893
Chapter 45. Assessment and Management of Patients with Biliary Disorders --------------------------- 913
Chapter 46. Assessment and Management of Patients with Endocrine Disorders ---------------------- 933
Chapter 47. Assessment and Management of Patients with Diabetes ------------------------------------- 954
UNIT 11. KIDNEY AND URINARY TRACT FUNCTION ----------------------------------------------------- 976
Chapter 48. Assessment of Kidney and Urinary Function ----------------------------------------------------- 976
, Chapter 49. Management of Patients with Kidney Disorders ------------------------------------------------ 996
Chapter 50. Management of Patients with Urinary Disorders ---------------------------------------------- 1017
UNIT 12. REPRODUCTIVE FUNCTION ----------------------------------------------------------------------- 1038
Chapter 51. Assessment and Management of Patients with Female Physiologic Processes -------- 1038
Chapter 52. Management of Patients with Female Physiologic Disorders ------------------------------- 1060
Chapter 53. Assessment and Management of Patients with Breast Disorders ------------------------- 1081
Chapter 54. Assessment and Management of Patients with Male Reproductive Disorders -------- 1100
Chapter 55. Assessment and Management of Patients who are LBGTQ ---------------------------------- 1120
UNIT 13. INTEGUMENTARY FUNCTION -------------------------------------------------------------------- 1132
Chapter 56. Assessment of Integumentary Function ---------------------------------------------------------- 1132
Chapter 57. Management Of Patients With Dermatologic Disorders And Wounds ------------------- 1151
Chapter 58. Management of Patients with Burn Injury ------------------------------------------------------- 1171
UNIT 14. SENSORY FUNCTION ------------------------------------------------------------------------------- 1192
Chapter 59. Assessment and Management of Patients with Eye and Vision Disorders--------------- 1192
Chapter 60. Assessment and Management of Patients with Hearing and Balance Disorders------- 1212
UNIT 15. NEUROLOGIC FUNCTION -------------------------------------------------------------------------- 1232
Chapter 61. Assessment of Neurologic Function ---------------------------------------------------------------- 1232
Chapter 62. Management of Patients with Neurologic Dysfunction --------------------------------------- 1253
Chapter 63. Management of Patients with Cerebrovascular Disorders ----------------------------------- 1272
Chapter 64. Management of Patients with Neurologic Trauma -------------------------------------------- 1294
Chapter 65. Management of Patients with Neurologic Infections, Autoimmune Disorders, and
Neuropathies ------------------------------------------------------------------------------------------------------------- 1315
Chapter 66. Management of Patients with Oncologic or Degenerative Neurologic Disorders------ 1335
UNIT 16. ACUTE COMMUNITY-BASED CHALLENGES --------------------------------------------------- 1355
Chapter 67. Management of Patients with Infectious Diseases -------------------------------------------- 1355
Chapter 68. Emergency Nursing ------------------------------------------------------------------------------------- 1372
Chapter 69. Disaster Nursing ----------------------------------------------------------------------------------------- 1384
,SAMPLE QUESTIONS FROM CHAPTER 20. (QUESTIONS 1-10)
Chapter 20. Management Of Patients With Non-Acute Disorders Of The Chest
And Lower Respiratory Tract And Disorders Of The Pulmonary Vasculature
Janice L. Hinkle: Brunner & Suddarth's Textbook Of Medical-Surgical Nursing 16th Edition, Test Bank
MULTIPLE CHOICE
1. The Nurse Is Caring For A Client With Chronic Obstructive Pulmonary Disease
(COPD). Which Assessment Finding Is Most Consistent With The Pathophysiology Of
This Disorder?
A. Hyperresonance On Percussion Of The Chest
B. Fine Crackles That Resolve With Coughing
C. Increased Oxygen Saturation With Activity
D. Bradycardia During Exertion
ANS: A
Rationale: Clients With COPD Often Have Air Trapping And Hyperinflation, Which
Produces Hyperresonance On Chest Percussion. Crackles That Clear With Coughing Are
More Characteristic Of Fluid In The Airways. Oxygen Saturation Typically Decreases
With Activity, And Tachycardia—Not Bradycardia—Is More Common During Exertion.
PTS: 1 REF: P. 617
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 20: Management Of Patients With Non-Acute Disorders Of The Chest And
Lower Respiratory Tract
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. A Client With Emphysema Has Difficulty Maintaining Adequate Nutrition. Which
Intervention Should The Nurse Include In The Plan Of Care?
A. Encourage Three Large Meals Daily
B. Provide High-Calorie, High-Protein Meals In Small Portions
C. Restrict Fluid Intake During Meals
D. Encourage The Client To Lie Flat After Eating
ANS: B
Rationale: Clients With Emphysema Expend Significant Energy On Breathing And
Fatigue Easily. Small, Frequent, High-Calorie, High-Protein Meals Reduce Energy
Expenditure And Improve Nutritional Intake. Large Meals, Fluid Restriction, And Lying
Flat Can Worsen Dyspnea.
PTS: 1 REF: P. 620
,NAT: Client Needs: Physiological Integrity: Basic Care And Comfort
TOP: Chapter 20: Management Of Patients With Non-Acute Disorders Of The Chest And
Lower Respiratory Tract
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
3. The Nurse Is Teaching A Client With Chronic Bronchitis About Smoking Cessation.
Which Explanation Best Supports The Need To Stop Smoking?
A. Smoking Causes Acute Bronchospasm
B. Smoking Permanently Cures Chronic Bronchitis
C. Smoking Increases Mucus Production And Airway Inflammation
D. Smoking Reduces Carbon Dioxide Retention
ANS: C
Rationale: Chronic Bronchitis Is Characterized By Excessive Mucus Production And
Airway Inflammation, Both Of Which Are Exacerbated By Smoking. Smoking Does Not
Cure The Disease And Worsens Gas Exchange By Increasing Carbon Dioxide Retention.
PTS: 1 REF: P. 618
NAT: Client Needs: Health Promotion And Maintenance
TOP: Chapter 20: Management Of Patients With Non-Acute Disorders Of The Chest And
Lower Respiratory Tract
KEY: Integrated Process: Teaching/Learning
BLM: Cognitive Level: Apply NOT: Multiple Choice
4. A Client With Pulmonary Embolism Reports Sudden Onset Of Dyspnea And Chest
Pain. Which Additional Finding Should The Nurse Anticipate?
A. Bradycardia
B. Decreased Respiratory Rate
C. Hemoptysis
D. Increased Urine Output
ANS: C
Rationale: Pulmonary Embolism May Cause Hemoptysis Due To Pulmonary Infarction.
Tachypnea And Tachycardia Are Common, Not Bradycardia Or Decreased Respiratory
Rate. Urine Output Is Unrelated To This Condition.
PTS: 1 REF: P. 641
NAT: Client Needs: Physiological Integrity: Reduction Of Risk Potential
TOP: Chapter 20: Management Of Patients With Disorders Of The Pulmonary
Vasculature
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
5. The Nurse Is Administering Oxygen Therapy To A Client With COPD. Which
Prescription Should The Nurse Question?
, A. Oxygen At 1–2 L/Min Via Nasal Cannula
B. Continuous Pulse Oximetry Monitoring
C. Oxygen Titrated To Maintain Spo₂ Above 90%
D. High-Flow Oxygen Via Non-Rebreather Mask
ANS: D
Rationale: High-Flow Oxygen Can Suppress The Hypoxic Drive In Clients With COPD,
Leading To Carbon Dioxide Retention. Low-Flow Oxygen With Careful Monitoring Is
Recommended.
PTS: 1 REF: P. 623
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 20: Management Of Patients With Non-Acute Disorders Of The Chest And
Lower Respiratory Tract
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
6. The Nurse Is Caring For A Client Diagnosed With Cor Pulmonale. Which Assessment
Finding Is Most Consistent With This Condition?
A. Left-Sided Heart Failure
B. Peripheral Edema And Jugular Vein Distention
C. Bounding Peripheral Pulses
D. Decreased Liver Size
ANS: B
Rationale: Cor Pulmonale Results From Right-Sided Heart Failure Due To Pulmonary
Disease, Leading To Venous Congestion, Peripheral Edema, And Jugular Vein
Distention. Liver Enlargement—Not Decreased Size—Is Common.
PTS: 1 REF: P. 630
NAT: Client Needs: Physiological Integrity: Physiological Adaptation
TOP: Chapter 20: Management Of Patients With Disorders Of The Pulmonary
Vasculature
KEY: Integrated Process: Nursing Process
BLM: Cognitive Level: Apply NOT: Multiple Choice
7. A Client With Bronchiectasis Is Being Discharged Home. Which Teaching Point
Should The Nurse Emphasize?
A. Limit Coughing To Prevent Fatigue
B. Avoid Postural Drainage
C. Perform Airway Clearance Techniques Regularly
D. Restrict Physical Activity
ANS: C
