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