TEST BANK
MEDICAL-SURGICAL NURSING:
Concepts & Practice
3RD EDITION
Dewit | Stromberg | Dallred
TEST BANK
, Dewit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition Test Bank
Table of Contents:
Unit One: Medical-Surgical Nursing Settings, Roles, and Issues
Chapter 1. Caring for Medical-Surgical Patients
Chapter 2. Critical Thinking and Nursing Process
Unit Two: Medical-Surgical Patient Care Problems
Chapter 3. Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy
Chapter 4. Care of Preoperative and Intraoperative Surgical Patients
Chapter 5. Care of Postoperative Surgical Patients
Chapter 6. Infection Prevention and Control
Chapter 7. Care of Patients with Pain
Chapter 8. Care of Patients with Cancer
Chapter 9. Chronic Illness and Rehabilitation
Unit 3: Immune System
Chapter 10. The Immune and Lymphatic Systems
Chapter 11. Care of Patients with Immune and Lymphatic Disorders and HIV/AIDS
Unit 4: Respiratory System
Chapter 12. The Respiratory System
Chapter 13. Care of Patients with Disorders of the Upper Respiratory System
Chapter 14. Care of Patients with Disorders of the Lower Respiratory System
Unit 5: Hematologic System
Chapter 15. The Hematologic System
Chapter 16. Care of Patients with Hematologic Disorders
Unit 6: Cardiovascular System
Chapter 17. The Cardiovascular System
Chapter 18. Care of Patients with Hypertension and Peripheral Vascular Disease
Chapter 19. Care of Patients with Cardiac Disorders
Chapter 20. Care of Patients with Coronary Artery Disease and Cardiac Surgery
Unit 7: Neurologic System
Chapter 21. The Neurologic System
Chapter 22. Care of Patients with Head and Spinal Cord Injuries
Chapter 23. Care of Patients with Disorders of the Brain
Chapter 24. Care of Patients with Degenerative Neurologic Disorders
Unit 8: Sensory System
Chapter 25. The Sensory System: Eye and Ear
Chapter 26. Care of Patients with Disorders of the Eyes and Ears
Unit 9: Gastrointestinal System
Chapter 27. The Gastrointestinal System
Chapter 28. Care of Patients with Disorders of the Upper Gastrointestinal System
Chapter 29. Care of Patients with Disorders of the Lower Gastrointestinal System
Chapter 30. Care of Patients with Disorders of the Gallbladder, Liver, and Pancreas
Unit 10: Musculoskeletal System
Chapter 31. The Musculoskeletal System
Chapter 32. Care of Patients with Musculoskeletal and Connective Tissue Disorders
Unit 11: Urinary System
Chapter 33. The Urinary System
Chapter 34. Care of Patients with Disorders of the Urinary System
Unit 12: Endocrine System
Chapter 35. The Endocrine System
Chapter 36. Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
Chapter 37. Care of Patients with Diabetes and Hypoglycemia
Unit 13: Reproductive System
Chapter 38. Care of Women with Reproductive Disorders
Chapter 39. Care of Men with Reproductive Disorders
Chapter 40. Care of Patients with Sexually Transmitted Infections
,Unit 14: Integumentary System
Chapter 41. The Integumentary System
Chapter 42. Care of Patients with Integumentary Disorders and Burns
Unit 15: Emergency and Disaster Management
Chapter 43. Care of Patients in Disasters or Bioterrorism Attack
Chapter 44. Care of Patients with Emergencies, Trauma, and Shock
Unit 16: Mental Health Nursing of the Adult
Chapter 45. Care of Patients with Anxiety, Mood, and Eating Disorders
Chapter 46. Care of Patients with Substance Abuse Disorders
Chapter 47. Care of Patients with Cognitive Disorders
Chapter 48. Care of Patients with Thought and Personality Disorders
, Chapter 01: Caring for Medical-Surgical Patients
Dewit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition
MULTIPLE CHOICE
1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)?
a. To test and license LPN/LVNs.
b. To define the scope of LPN/LVN practice.
c. To improve the quality of care provided by the LPN/LVN.
d. To limit the LPN/LVN employment placement.
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary purpose of the NPA of each
state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocational nurse has not
been taught during her educational program. How should the vocational nurse respond?
a. Ask a more experienced nurse to demonstrate the procedure.
b. Look up the procedure in the procedure manual.
c. Attempt to perform the procedure with supervision.
d. Inform the charge nurse of her lack of training in this procedure.
ANS: D
The charge nurse should be informed of the lack of training to perform the procedure, and the vocational nurse should seek
further training to gain proficiency. Although the other options might be helpful, they are not safe.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which patient statement indicates a need for further discharge teaching that the vocational nurse should address?
a. “I have no idea of how this drug will affect me.”
b. “Do you know if my physician is coming back today?”
c. “Will my insurance pay for my stay?”
d. “Am I going to have to go to a nursing home?”
ANS: A
Lack of knowledge at discharge about medication effects and side effects is a concern that should be addressed by the vocatio nal
nurse. The other concerns in the options are the responsibility of other departments to which the nurse might refer the patient.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care facility acts in which
capacity?
a. Working under direct supervision of an RN on the unit
b. Working with the RN in the building
c. Working under general supervision by the RN available on site or by phone
d. Working as an independent vocational nurse
ANS: C
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the general supervision of an RN
available on site or by phone.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
MEDICAL-SURGICAL NURSING:
Concepts & Practice
3RD EDITION
Dewit | Stromberg | Dallred
TEST BANK
, Dewit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition Test Bank
Table of Contents:
Unit One: Medical-Surgical Nursing Settings, Roles, and Issues
Chapter 1. Caring for Medical-Surgical Patients
Chapter 2. Critical Thinking and Nursing Process
Unit Two: Medical-Surgical Patient Care Problems
Chapter 3. Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy
Chapter 4. Care of Preoperative and Intraoperative Surgical Patients
Chapter 5. Care of Postoperative Surgical Patients
Chapter 6. Infection Prevention and Control
Chapter 7. Care of Patients with Pain
Chapter 8. Care of Patients with Cancer
Chapter 9. Chronic Illness and Rehabilitation
Unit 3: Immune System
Chapter 10. The Immune and Lymphatic Systems
Chapter 11. Care of Patients with Immune and Lymphatic Disorders and HIV/AIDS
Unit 4: Respiratory System
Chapter 12. The Respiratory System
Chapter 13. Care of Patients with Disorders of the Upper Respiratory System
Chapter 14. Care of Patients with Disorders of the Lower Respiratory System
Unit 5: Hematologic System
Chapter 15. The Hematologic System
Chapter 16. Care of Patients with Hematologic Disorders
Unit 6: Cardiovascular System
Chapter 17. The Cardiovascular System
Chapter 18. Care of Patients with Hypertension and Peripheral Vascular Disease
Chapter 19. Care of Patients with Cardiac Disorders
Chapter 20. Care of Patients with Coronary Artery Disease and Cardiac Surgery
Unit 7: Neurologic System
Chapter 21. The Neurologic System
Chapter 22. Care of Patients with Head and Spinal Cord Injuries
Chapter 23. Care of Patients with Disorders of the Brain
Chapter 24. Care of Patients with Degenerative Neurologic Disorders
Unit 8: Sensory System
Chapter 25. The Sensory System: Eye and Ear
Chapter 26. Care of Patients with Disorders of the Eyes and Ears
Unit 9: Gastrointestinal System
Chapter 27. The Gastrointestinal System
Chapter 28. Care of Patients with Disorders of the Upper Gastrointestinal System
Chapter 29. Care of Patients with Disorders of the Lower Gastrointestinal System
Chapter 30. Care of Patients with Disorders of the Gallbladder, Liver, and Pancreas
Unit 10: Musculoskeletal System
Chapter 31. The Musculoskeletal System
Chapter 32. Care of Patients with Musculoskeletal and Connective Tissue Disorders
Unit 11: Urinary System
Chapter 33. The Urinary System
Chapter 34. Care of Patients with Disorders of the Urinary System
Unit 12: Endocrine System
Chapter 35. The Endocrine System
Chapter 36. Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
Chapter 37. Care of Patients with Diabetes and Hypoglycemia
Unit 13: Reproductive System
Chapter 38. Care of Women with Reproductive Disorders
Chapter 39. Care of Men with Reproductive Disorders
Chapter 40. Care of Patients with Sexually Transmitted Infections
,Unit 14: Integumentary System
Chapter 41. The Integumentary System
Chapter 42. Care of Patients with Integumentary Disorders and Burns
Unit 15: Emergency and Disaster Management
Chapter 43. Care of Patients in Disasters or Bioterrorism Attack
Chapter 44. Care of Patients with Emergencies, Trauma, and Shock
Unit 16: Mental Health Nursing of the Adult
Chapter 45. Care of Patients with Anxiety, Mood, and Eating Disorders
Chapter 46. Care of Patients with Substance Abuse Disorders
Chapter 47. Care of Patients with Cognitive Disorders
Chapter 48. Care of Patients with Thought and Personality Disorders
, Chapter 01: Caring for Medical-Surgical Patients
Dewit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition
MULTIPLE CHOICE
1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)?
a. To test and license LPN/LVNs.
b. To define the scope of LPN/LVN practice.
c. To improve the quality of care provided by the LPN/LVN.
d. To limit the LPN/LVN employment placement.
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary purpose of the NPA of each
state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocational nurse has not
been taught during her educational program. How should the vocational nurse respond?
a. Ask a more experienced nurse to demonstrate the procedure.
b. Look up the procedure in the procedure manual.
c. Attempt to perform the procedure with supervision.
d. Inform the charge nurse of her lack of training in this procedure.
ANS: D
The charge nurse should be informed of the lack of training to perform the procedure, and the vocational nurse should seek
further training to gain proficiency. Although the other options might be helpful, they are not safe.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which patient statement indicates a need for further discharge teaching that the vocational nurse should address?
a. “I have no idea of how this drug will affect me.”
b. “Do you know if my physician is coming back today?”
c. “Will my insurance pay for my stay?”
d. “Am I going to have to go to a nursing home?”
ANS: A
Lack of knowledge at discharge about medication effects and side effects is a concern that should be addressed by the vocatio nal
nurse. The other concerns in the options are the responsibility of other departments to which the nurse might refer the patient.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care facility acts in which
capacity?
a. Working under direct supervision of an RN on the unit
b. Working with the RN in the building
c. Working under general supervision by the RN available on site or by phone
d. Working as an independent vocational nurse
ANS: C
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the general supervision of an RN
available on site or by phone.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
