Table of Contents
xx xx
,Chapter 01 Professional Nursing Practice
xx xx xx xx 2
Chapter 02 Medical-Surgical Nursing
xx xx xx 17
Chapter 03 Health Education and Health Promotion
xx xx xx xx xx xx 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment
xx xx xx xx xx xx xx xx xx 45
Chapter 05 Stress and Inflammatory Responses
xx xx xx xx xx 60
Chapter 06 Genetics and Genomics in Nursing
xx xx xx xx xx xx 76
Chapter 07 Disability and Chronic Illness
xx xx xx xx xx 92
Chapter 08 Management of the Older Adult Patient
xx xx xx xx xx xx xx 107
Chapter 09 Pain Management
xx xx xx 121
Chapter 10 Fluid and Electrolytes
xx xx xx xx 137
Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
xx xx xx xx xx xx xx xx 153
Chapter 12 Management of Patients with Oncologic Disorders
xx xx xx xx xx xx xx 169
Chapter 13 Palliative and End-of-Life Care
xx xx xx xx xx 183
Chapter 14 Preoperative Nursing Management
xx xx xx xx 199
Chapter 15 Intraoperative Nursing Management
xx xx xx xx 214
Chapter 16 Postoperative Nursing Management
xx xx xx xx 228
Chapter 17 Assessment of Respiratory Function
xx xx xx xx xx 243
Chapter 18 Management of Patients with Upper Respiratory Tract Disorders
xx xx xx xx xx xx xx xx xx 258
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders
xx xx xx xx xx xx xx xx xx xx xx 272
Chapter 20 Management of Patients with Chronic Pulmonary Disease
xx xx xx xx xx xx xx xx 288
Chapter 21 Assessment of Cardiovascular Function
xx xx xx xx xx 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
xx xx xx xx xx xx xx xx xx 318
Chapter 23 Management of Patients with Coronary Vascular Disorders
xx xx xx xx xx xx xx xx 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
xx xx xx xx xx xx xx xx xx xx
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease
xx xx xx xx xx xx xx xx xx 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
xx xx xx xx xx xx xx xx xx xx xx
of Peripheral Circulation
xx xx 375
Chapter 27 Assessment and Management of Patients with Hypertension
xx xx xx xx xx xx xx xx 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
xx xx xx xx xx xx xx xx 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
xx xx xx xx xx xx xx xx 420
Chapter 30 Management of Patients with Hematologic Neoplasms
xx xx xx xx xx xx xx 433
Chapter 31 Assessment of Immune Function
xx xx xx xx xx 448
Chapter 32 Management of Patients with Immune Deficiency Disorders
xx xx xx xx xx xx xx xx 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
xx xx xx xx xx xx xx xx xx 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
xx xx xx xx xx xx xx xx xx xx 492
Chapter 35 Assessment of Musculoskeletal Function
xx xx xx xx xx 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
xx xx xx xx xx xx xx 520
,Chapter 37 Management of Patients with Musculoskeletal Trauma
xx xx xx xx xx xx xx 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function
xx xx xx xx xx xx xx 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders
xx xx xx xx xx xx xx xx xx 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders
xx xx xx xx xx xx xx xx xx 578
Chapter 41 Management of Patients with Intestinal and Rectal Disorders
xx xx xx xx xx xx xx xx xx 591
Chapter 42 Assessment and Management of Patients with Obesity
xx xx xx xx xx xx xx xx 606
Chapter 43 Assessment and Management of Patients with Hepatic Disorders
xx xx xx xx xx xx xx xx xx 621
Chapter 44 Management of Patients with Biliary Disorders
xx xx xx xx xx xx xx 635
Chapter 45 Assessment and Management of Patients with Endocrine Disorders
xx xx xx xx xx xx xx xx xx 650
Chapter 46 Management of Patients with Diabetes
xx xx xx xx xx xx 665
Chapter 47 Assessment of Kidney and Urinary Function
xx xx xx xx xx xx xx 680
Chapter 48 Management of Patients with Kidney Disorders
xx xx xx xx xx xx xx 695
Chapter 49 Management of Patients with Urinary Disorders
xx xx xx xx xx xx xx 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes
xx xx xx xx xx xx xx xx xx xx 725
Chapter 51 Management of Patients with Female Reproductive Disorders
xx xx xx xx xx xx xx xx 741
Chapter 52 Assessment and Management of Patients with Breast Disorders
xx xx xx xx xx xx xx xx xx 757
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders
xx xx xx xx xx xx xx xx xx xx 771
Chapter 54 Assessment and Management of Patients Who Are LGBTQ
xx xx xx xx xx xx xx xx xx 786
Chapter 55 Assessment of Integumentary Function
xx xx xx xx xx 794
Chapter 56 Management of Patients with Dermatologic Disorders
xx xx xx xx xx xx xx 808
Chapter 57 Management of Patients with Burn Injury
xx xx xx xx xx xx xx 822
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders
xx xx xx xx xx xx xx xx xx xx xx 837
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders
xx xx xx xx xx xx xx xx xx xx xx 851
Chapter 60 Assessment of Neurologic Function
xx xx xx xx xx 866
Chapter 61 Management of Patients With Neurologic Dysfunction
xx xx xx xx xx xx xx 881
Chapter 62 Management of Patients With Cerebrovascular Disorders
xx xx xx xx xx xx xx 895
Chapter 63 Management of Patients with Neurologic Trauma
xx xx xx xx xx xx xx 911
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
xx xx xx xx xx xx xx xx xx xx
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
xx xx xx xx xx xx xx xx xx xx 940
Chapter 66 Management of Patients with Infectious Diseases
xx xx xx xx xx xx xx 955
Chapter 67 Emergency Nursing
xx xx xx 968
Chapter 68 Disaster Nursing
xx xx xx 977
, TestxxBankxx-xxBrunnerxx&xxSuddarth'sxxTextbookxxofxxMedical-
Surgical Nursing, 15e (Hinkle, 2022)
Chapter 1: Professional Nursing Practice
xx xx xx xx
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
xx xx xx xx xx xx xx xx xx
MULTIPLE CHOICE xx
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therap
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
eutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethica
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
l obligation to these clients?
xx xx xx xx
A. The nurse should adhere to professional standards of practice and offer service to th
xx xx xx xx xx xx xx xx xx xx xx xx xx
ese clients. xx
B. The nurse should make the choice to decline this position and pursue a different nurs
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
ing role. xx
C. The nurse should decline to care for the client’s considering abortion.
xx xx xx xx xx xx xx xx xx xx
D. The nurse should express alternatives to women considering terminating their pregnancy.
xx xx xx xx xx xx xx xx xx xx
ANS: B x x
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s perso
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
nal beliefs, the nurse should consider working in an area of nursing that would not pose this dilem
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
ma. The nurse should not provide care to the client because it is a conflict of personal values. The
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx x
xnurse should not deny care to these clients as this would be a breach in the Code of Ethics for nu
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
rses. If the client is not requesting information for alternatives to abortions, then the nurse should
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
not be providing this information.
xx xx xx xx
PTS: 1 REF: p. 27
x x x x xxxx xx
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
x x xx xx xx xx xx xx xx xx
TOP: Chapter 1: Professional Nursing Practice
x x xx xx xx xx
KEY: Integrated Process: Caring BLM: Cognitive L x x xx xx xx x x xx
evel: Apply xx NOT: Multiple Choice x x xx
2. An 80-year-old client is admitted with a diagnosis of community-
xx xx xx xx xx xx xx xx xx
acquired pneumonia. During admission the client states, "I have a living will." What implication of
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
this should the nurse recognize?
xx xx xx xx xx
A. This document is always honored, regardless of circumstances.
xx xx xx xx xx xx xx
B. This document specifies the client's wishes before hospitalization.
xx xx xx xx xx xx xx
C. This document is binding for the duration of the client's life.
xx xx xx xx xx xx xx xx xx xx
D. This document has been drawn up by the client's family to determine DNR status.
xx xx xx xx xx xx xx xx xx xx xx xx xx
ANS: B x x
Rationale: A living will is one type of advance directive. In most situations, living wills are limited
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
to situations in which the client's medical condition is deemed terminal. The other answers are inc
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
orrect because living wills are not always honored in every circumstance, they are not binding for
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
the duration of the client's life, and they are not drawn up by the client's family.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
PTS: 1 REF: p. 29
x x x x xxxx xx
NAT: Client Needs: Safe, Effective Care Environment: Management of Car
x x xx xx xx xx xx xx xx xx
e TOP: Chapter 1: Professional Nursing Practice
xx x x xx xx xx xx
KEY: Integrated Process: Communication and Documentation
x x xx xx xx xx
BLM: Cognitive Level: Analyz xx xx xx
e NOT: Multiple Choice
xx x x xx
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the et
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
hical principle of nonmaleficence. Which of the following actions would be considered a violation
xx xx xx xx xx xx xx xx xx xx xx xx xx x
of this principle?
x xx xx
A. Discussing a DNR order with a terminally ill client xx xx xx xx xx xx xx xx
B. Assisting a semi-independent client with ADLs xx xx xx xx xx
C. Refusing to administer pain medication as prescribed xx xx xx xx xx xx
1| P ag e
xx xx xx xx xx
xx xx
,Chapter 01 Professional Nursing Practice
xx xx xx xx 2
Chapter 02 Medical-Surgical Nursing
xx xx xx 17
Chapter 03 Health Education and Health Promotion
xx xx xx xx xx xx 30
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment
xx xx xx xx xx xx xx xx xx 45
Chapter 05 Stress and Inflammatory Responses
xx xx xx xx xx 60
Chapter 06 Genetics and Genomics in Nursing
xx xx xx xx xx xx 76
Chapter 07 Disability and Chronic Illness
xx xx xx xx xx 92
Chapter 08 Management of the Older Adult Patient
xx xx xx xx xx xx xx 107
Chapter 09 Pain Management
xx xx xx 121
Chapter 10 Fluid and Electrolytes
xx xx xx xx 137
Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
xx xx xx xx xx xx xx xx 153
Chapter 12 Management of Patients with Oncologic Disorders
xx xx xx xx xx xx xx 169
Chapter 13 Palliative and End-of-Life Care
xx xx xx xx xx 183
Chapter 14 Preoperative Nursing Management
xx xx xx xx 199
Chapter 15 Intraoperative Nursing Management
xx xx xx xx 214
Chapter 16 Postoperative Nursing Management
xx xx xx xx 228
Chapter 17 Assessment of Respiratory Function
xx xx xx xx xx 243
Chapter 18 Management of Patients with Upper Respiratory Tract Disorders
xx xx xx xx xx xx xx xx xx 258
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders
xx xx xx xx xx xx xx xx xx xx xx 272
Chapter 20 Management of Patients with Chronic Pulmonary Disease
xx xx xx xx xx xx xx xx 288
Chapter 21 Assessment of Cardiovascular Function
xx xx xx xx xx 304
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
xx xx xx xx xx xx xx xx xx 318
Chapter 23 Management of Patients with Coronary Vascular Disorders
xx xx xx xx xx xx xx xx 331
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
xx xx xx xx xx xx xx xx xx xx
Disorders 347
Chapter 25 Management of Patients with Complications from Heart Disease
xx xx xx xx xx xx xx xx xx 361
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
xx xx xx xx xx xx xx xx xx xx xx
of Peripheral Circulation
xx xx 375
Chapter 27 Assessment and Management of Patients with Hypertension
xx xx xx xx xx xx xx xx 391
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
xx xx xx xx xx xx xx xx 405
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
xx xx xx xx xx xx xx xx 420
Chapter 30 Management of Patients with Hematologic Neoplasms
xx xx xx xx xx xx xx 433
Chapter 31 Assessment of Immune Function
xx xx xx xx xx 448
Chapter 32 Management of Patients with Immune Deficiency Disorders
xx xx xx xx xx xx xx xx 462
Chapter 33 Assessment and Management of Patients with Allergic Disorders
xx xx xx xx xx xx xx xx xx 477
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
xx xx xx xx xx xx xx xx xx xx 492
Chapter 35 Assessment of Musculoskeletal Function
xx xx xx xx xx 506
Chapter 36 Management of Patients with Musculoskeletal Disorders
xx xx xx xx xx xx xx 520
,Chapter 37 Management of Patients with Musculoskeletal Trauma
xx xx xx xx xx xx xx 535
Chapter 38 Assessment of Digestive and Gastrointestinal Function
xx xx xx xx xx xx xx 550
Chapter 39 Management of Patients with Oral and Esophageal Disorders
xx xx xx xx xx xx xx xx xx 564
Chapter 40 Management of Patients with Gastric and Duodenal Disorders
xx xx xx xx xx xx xx xx xx 578
Chapter 41 Management of Patients with Intestinal and Rectal Disorders
xx xx xx xx xx xx xx xx xx 591
Chapter 42 Assessment and Management of Patients with Obesity
xx xx xx xx xx xx xx xx 606
Chapter 43 Assessment and Management of Patients with Hepatic Disorders
xx xx xx xx xx xx xx xx xx 621
Chapter 44 Management of Patients with Biliary Disorders
xx xx xx xx xx xx xx 635
Chapter 45 Assessment and Management of Patients with Endocrine Disorders
xx xx xx xx xx xx xx xx xx 650
Chapter 46 Management of Patients with Diabetes
xx xx xx xx xx xx 665
Chapter 47 Assessment of Kidney and Urinary Function
xx xx xx xx xx xx xx 680
Chapter 48 Management of Patients with Kidney Disorders
xx xx xx xx xx xx xx 695
Chapter 49 Management of Patients with Urinary Disorders
xx xx xx xx xx xx xx 710
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes
xx xx xx xx xx xx xx xx xx xx 725
Chapter 51 Management of Patients with Female Reproductive Disorders
xx xx xx xx xx xx xx xx 741
Chapter 52 Assessment and Management of Patients with Breast Disorders
xx xx xx xx xx xx xx xx xx 757
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders
xx xx xx xx xx xx xx xx xx xx 771
Chapter 54 Assessment and Management of Patients Who Are LGBTQ
xx xx xx xx xx xx xx xx xx 786
Chapter 55 Assessment of Integumentary Function
xx xx xx xx xx 794
Chapter 56 Management of Patients with Dermatologic Disorders
xx xx xx xx xx xx xx 808
Chapter 57 Management of Patients with Burn Injury
xx xx xx xx xx xx xx 822
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders
xx xx xx xx xx xx xx xx xx xx xx 837
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders
xx xx xx xx xx xx xx xx xx xx xx 851
Chapter 60 Assessment of Neurologic Function
xx xx xx xx xx 866
Chapter 61 Management of Patients With Neurologic Dysfunction
xx xx xx xx xx xx xx 881
Chapter 62 Management of Patients With Cerebrovascular Disorders
xx xx xx xx xx xx xx 895
Chapter 63 Management of Patients with Neurologic Trauma
xx xx xx xx xx xx xx 911
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
xx xx xx xx xx xx xx xx xx xx
Neuropathies 926
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
xx xx xx xx xx xx xx xx xx xx 940
Chapter 66 Management of Patients with Infectious Diseases
xx xx xx xx xx xx xx 955
Chapter 67 Emergency Nursing
xx xx xx 968
Chapter 68 Disaster Nursing
xx xx xx 977
, TestxxBankxx-xxBrunnerxx&xxSuddarth'sxxTextbookxxofxxMedical-
Surgical Nursing, 15e (Hinkle, 2022)
Chapter 1: Professional Nursing Practice
xx xx xx xx
Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 16th Edition
xx xx xx xx xx xx xx xx xx
MULTIPLE CHOICE xx
1. A nurse has been offered a position on an obstetric unit and has learned that the unit offers therap
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
eutic abortions, a procedure that contradicts the nurse's personal beliefs. What is the nurse's ethica
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
l obligation to these clients?
xx xx xx xx
A. The nurse should adhere to professional standards of practice and offer service to th
xx xx xx xx xx xx xx xx xx xx xx xx xx
ese clients. xx
B. The nurse should make the choice to decline this position and pursue a different nurs
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
ing role. xx
C. The nurse should decline to care for the client’s considering abortion.
xx xx xx xx xx xx xx xx xx xx
D. The nurse should express alternatives to women considering terminating their pregnancy.
xx xx xx xx xx xx xx xx xx xx
ANS: B x x
Rationale: To avoid facing the ethical dilemma of providing care that contradicts the nurse’s perso
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
nal beliefs, the nurse should consider working in an area of nursing that would not pose this dilem
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
ma. The nurse should not provide care to the client because it is a conflict of personal values. The
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx x
xnurse should not deny care to these clients as this would be a breach in the Code of Ethics for nu
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
rses. If the client is not requesting information for alternatives to abortions, then the nurse should
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
not be providing this information.
xx xx xx xx
PTS: 1 REF: p. 27
x x x x xxxx xx
NAT: Client Needs: Safe, Effective Care Environment: Management of Care
x x xx xx xx xx xx xx xx xx
TOP: Chapter 1: Professional Nursing Practice
x x xx xx xx xx
KEY: Integrated Process: Caring BLM: Cognitive L x x xx xx xx x x xx
evel: Apply xx NOT: Multiple Choice x x xx
2. An 80-year-old client is admitted with a diagnosis of community-
xx xx xx xx xx xx xx xx xx
acquired pneumonia. During admission the client states, "I have a living will." What implication of
xx xx xx xx xx xx xx xx xx xx xx xx xx xx
this should the nurse recognize?
xx xx xx xx xx
A. This document is always honored, regardless of circumstances.
xx xx xx xx xx xx xx
B. This document specifies the client's wishes before hospitalization.
xx xx xx xx xx xx xx
C. This document is binding for the duration of the client's life.
xx xx xx xx xx xx xx xx xx xx
D. This document has been drawn up by the client's family to determine DNR status.
xx xx xx xx xx xx xx xx xx xx xx xx xx
ANS: B x x
Rationale: A living will is one type of advance directive. In most situations, living wills are limited
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
to situations in which the client's medical condition is deemed terminal. The other answers are inc
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
orrect because living wills are not always honored in every circumstance, they are not binding for
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
the duration of the client's life, and they are not drawn up by the client's family.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
PTS: 1 REF: p. 29
x x x x xxxx xx
NAT: Client Needs: Safe, Effective Care Environment: Management of Car
x x xx xx xx xx xx xx xx xx
e TOP: Chapter 1: Professional Nursing Practice
xx x x xx xx xx xx
KEY: Integrated Process: Communication and Documentation
x x xx xx xx xx
BLM: Cognitive Level: Analyz xx xx xx
e NOT: Multiple Choice
xx x x xx
3. A nurse has been providing ethical care for many years and is aware of the need to maintain the et
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
hical principle of nonmaleficence. Which of the following actions would be considered a violation
xx xx xx xx xx xx xx xx xx xx xx xx xx x
of this principle?
x xx xx
A. Discussing a DNR order with a terminally ill client xx xx xx xx xx xx xx xx
B. Assisting a semi-independent client with ADLs xx xx xx xx xx
C. Refusing to administer pain medication as prescribed xx xx xx xx xx xx
1| P ag e
xx xx xx xx xx