Test Bank
MEDICAL-SURGICAL
for
NURSING IN CANADA:
ASSESSMENT AND MANAGEMENT
OF CLINICAL PROBLEMS
3rd Edition
By Margaret M. Heitkemper; Shannon Ruff Dirksen;
Maureen A. Barry; Sandra Goldswort
,Table of Contents
Section One – Concepts in Nursing Practice
1. Introduction to Medical-Surgical Nursing Practice In Canada
2. Cultural Competence and Health Equity in Nursing Care
3. Health History and Physical Examination
4. Patient and Caregiver Teaching
5. Chronic Illness
6. Community-Based Nursing and Home Care
7. Older Adults
8. Stress and Stress Management
9. Sleep and Sleep Disorders
10. Pain
11. Substance Abuse
12. Complementary and Alternative Therapies
13. Palliative Care at the End of Life
Section Two – Pathophysiologic Mechanisms of Disease
14. Inflammation and Wound Healing
15. Genetics
16. Altered Immune Responses and Transplantation
17. Infection and Human Immunodeficiency Virus Infection
18. Cancer
19. Fluid, Electrolyte, and Acid-Base Imbalances
Section Three – Perioperative Care
20. Nursing Management: Preoperative Care
21. Nursing Management: Intraoperative Care
22. Nursing Management: Postoperative Care
Section Four – Problems Related to Altered Sensory Input
23. Nursing Assessment: Visual and Auditory Systems
24. Nursing Management: Visual and Auditory Problems
25. Nursing Assessment: Integumentary System
26. Nursing Management: Integumentary Problems
27. Nursing Management: Burns
Section Five – Problems of Oxygenation: Ventilation
28. Nursing Assessment: Respiratory System
29. Nursing Management: Upper Respiratory Problems
30. Nursing Management: Lower Respiratory Problems
31. Nursing Management: Obstructive Pulmonary Diseases
Section Six – Problems of Oxygenation: Transport
32. Nursing Assessment: Hematological System
33. Nursing Management: Hematological Problems
Section Seven – Problems of Oxygenation: Perfusion
34. Nursing Assessment: Cardiovascular System
35. Nursing Management: Hypertension
36. Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
37. Nursing Management: Heart Failure
,38. Nursing Management: Dysrhythmias
39. Nursing Management: Inflammatory and Structural Heart Disorders
40. Nursing Management: Vascular Disorders
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
41. Nursing Assessment: Gastrointestinal System
42. Nursing Management: Nutritional Problems
43. Nursing Management: Obesity
44. Nursing Management: Upper Gastrointestinal Problems
45. Nursing Management: Lower Gastrointestinal Problems
46. Nursing Management: Liver, Pancreas, and Biliary Tract Problems
Section Nine – Problems of Urinary Function
47. Nursing Assessment: Urinary System
48. Nursing Management: Renal and Urologic Problems
49. Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
50.Nursing Assessment: Endocrine System
51. Nursing Management: Endocrine Problems
52. Nursing Management: Diabetes Mellitus
53. Nursing Assessment: Reproductive System
54. Nursing Management: Breast Disorders
55. Nursing Management: Sexually Transmitted Infections
56. Nursing Management: Female Reproductive Problems
57. Nursing Management: Male Reproductive Problems
Section Eleven – Problems Related to Movement and Coordination
58. Nursing Assessment: Nervous System
59. Nursing Management: Acute Intracranial Problems
60. Nursing Management: Stroke
61. Nursing Management: Chronic Neurologic Problems
62. Nursing Management: Delirium, Alzheimer’s Disease and Other Dementias
63. Nursing Management: Peripheral Nerve and Spinal Cord Problems
64. Nursing Assessment: Musculoskeletal System
65. Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
66. Nursing Management: Musculoskeletal Problems
67. Nursing Management: Arthritis and Connective Tissue Diseases
Section Twelve – Nursing Care in Specialized Settings
68. Nursing Management: Critical Care Environment
69. Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ
Dysfunction Syndrome
70. Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
71. Nursing Management: Emergency Care Situations
72. Emergency Preparedness and Disaster Management
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition
MULTIPLE CHOICE
1. The nurse explains to the patient that together they will plan the patient’s care and set goals to
achieve by discharge. The patient asks how this differs from what the physician does. Which
statement best describes the difference between the roles of nursing and medicine in planning
the patient’s care and setting goals to achieve discharge?
a. Medicine cures; nursing cares.
b. Nurses assist physicians to diagnose and treat patients with health care problems.
c. Very little role difference exists between medicine and nursing; nurses perform
many of the procedures done by physicians.
d. Medicine focuses on diagnosis and treatment of the health problem; nursing
focuses on diagnosis and treatment of the patient’s response to the health problem.
ANS: D
This response is consistent with the Canadian Nurses Association’s (CNA’s) definition of
registered nursing, which states that registered nurses enable individuals, families, groups,
communities, and populations to achieve their optimal level of health. The other responses
describe some of the dependent and collaborative functions of the nursing role but do not
accurately describe the nurse’s role in the health care system.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 4
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: PP-9
2. A woman with hypertension is concerned that if she sees the nurse practitioner (an advanced
practice nurse), only her hypertension will be assessed, and she is worried that another health
problem may not be diagnosed. What should the nurse tell the patient regarding nurse
practitioners’ scope of practice as it relates to diagnosis?
a. They diagnose and treat all major health problems.
b. They have the same role and scope of practice as physicians.
c. They write prescriptions for all classifications of medications.
d. They focus on primary care and health promotion, including diagnosis.
ANS: D
Advanced practice nurses (for example, nurse practitioners) focus on the management of
primary care and health promotion for a wide variety of health problems in various
specialties; roles include physical examination, diagnosis, treatment of health problems,
patient and family education, and counselling.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 9
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: PP-9
3. When asking a clinical question using the PICO format, which of the following would
represent the “C”?
a. Controlled diabetes in a woman aged 50 to 65 years
b. Conditioning and exercise program for one hour, three times weekly
c. Weekly blood glucose levels within normal range
d. Standard care for women with diabetes
MEDICAL-SURGICAL
for
NURSING IN CANADA:
ASSESSMENT AND MANAGEMENT
OF CLINICAL PROBLEMS
3rd Edition
By Margaret M. Heitkemper; Shannon Ruff Dirksen;
Maureen A. Barry; Sandra Goldswort
,Table of Contents
Section One – Concepts in Nursing Practice
1. Introduction to Medical-Surgical Nursing Practice In Canada
2. Cultural Competence and Health Equity in Nursing Care
3. Health History and Physical Examination
4. Patient and Caregiver Teaching
5. Chronic Illness
6. Community-Based Nursing and Home Care
7. Older Adults
8. Stress and Stress Management
9. Sleep and Sleep Disorders
10. Pain
11. Substance Abuse
12. Complementary and Alternative Therapies
13. Palliative Care at the End of Life
Section Two – Pathophysiologic Mechanisms of Disease
14. Inflammation and Wound Healing
15. Genetics
16. Altered Immune Responses and Transplantation
17. Infection and Human Immunodeficiency Virus Infection
18. Cancer
19. Fluid, Electrolyte, and Acid-Base Imbalances
Section Three – Perioperative Care
20. Nursing Management: Preoperative Care
21. Nursing Management: Intraoperative Care
22. Nursing Management: Postoperative Care
Section Four – Problems Related to Altered Sensory Input
23. Nursing Assessment: Visual and Auditory Systems
24. Nursing Management: Visual and Auditory Problems
25. Nursing Assessment: Integumentary System
26. Nursing Management: Integumentary Problems
27. Nursing Management: Burns
Section Five – Problems of Oxygenation: Ventilation
28. Nursing Assessment: Respiratory System
29. Nursing Management: Upper Respiratory Problems
30. Nursing Management: Lower Respiratory Problems
31. Nursing Management: Obstructive Pulmonary Diseases
Section Six – Problems of Oxygenation: Transport
32. Nursing Assessment: Hematological System
33. Nursing Management: Hematological Problems
Section Seven – Problems of Oxygenation: Perfusion
34. Nursing Assessment: Cardiovascular System
35. Nursing Management: Hypertension
36. Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
37. Nursing Management: Heart Failure
,38. Nursing Management: Dysrhythmias
39. Nursing Management: Inflammatory and Structural Heart Disorders
40. Nursing Management: Vascular Disorders
Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination
41. Nursing Assessment: Gastrointestinal System
42. Nursing Management: Nutritional Problems
43. Nursing Management: Obesity
44. Nursing Management: Upper Gastrointestinal Problems
45. Nursing Management: Lower Gastrointestinal Problems
46. Nursing Management: Liver, Pancreas, and Biliary Tract Problems
Section Nine – Problems of Urinary Function
47. Nursing Assessment: Urinary System
48. Nursing Management: Renal and Urologic Problems
49. Nursing Management: Acute Kidney Injury and Chronic Kidney Disease
Section Ten – Problems Related to Regulatory and Reproductive Mechanisms
50.Nursing Assessment: Endocrine System
51. Nursing Management: Endocrine Problems
52. Nursing Management: Diabetes Mellitus
53. Nursing Assessment: Reproductive System
54. Nursing Management: Breast Disorders
55. Nursing Management: Sexually Transmitted Infections
56. Nursing Management: Female Reproductive Problems
57. Nursing Management: Male Reproductive Problems
Section Eleven – Problems Related to Movement and Coordination
58. Nursing Assessment: Nervous System
59. Nursing Management: Acute Intracranial Problems
60. Nursing Management: Stroke
61. Nursing Management: Chronic Neurologic Problems
62. Nursing Management: Delirium, Alzheimer’s Disease and Other Dementias
63. Nursing Management: Peripheral Nerve and Spinal Cord Problems
64. Nursing Assessment: Musculoskeletal System
65. Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
66. Nursing Management: Musculoskeletal Problems
67. Nursing Management: Arthritis and Connective Tissue Diseases
Section Twelve – Nursing Care in Specialized Settings
68. Nursing Management: Critical Care Environment
69. Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple Organ
Dysfunction Syndrome
70. Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
71. Nursing Management: Emergency Care Situations
72. Emergency Preparedness and Disaster Management
, Chapter 01: Introduction to Medical-Surgical Nursing Practice in Canada
Lewis et al.: Medical-Surgical Nursing in Canada, 3rd Edition
MULTIPLE CHOICE
1. The nurse explains to the patient that together they will plan the patient’s care and set goals to
achieve by discharge. The patient asks how this differs from what the physician does. Which
statement best describes the difference between the roles of nursing and medicine in planning
the patient’s care and setting goals to achieve discharge?
a. Medicine cures; nursing cares.
b. Nurses assist physicians to diagnose and treat patients with health care problems.
c. Very little role difference exists between medicine and nursing; nurses perform
many of the procedures done by physicians.
d. Medicine focuses on diagnosis and treatment of the health problem; nursing
focuses on diagnosis and treatment of the patient’s response to the health problem.
ANS: D
This response is consistent with the Canadian Nurses Association’s (CNA’s) definition of
registered nursing, which states that registered nurses enable individuals, families, groups,
communities, and populations to achieve their optimal level of health. The other responses
describe some of the dependent and collaborative functions of the nursing role but do not
accurately describe the nurse’s role in the health care system.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 4
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: PP-9
2. A woman with hypertension is concerned that if she sees the nurse practitioner (an advanced
practice nurse), only her hypertension will be assessed, and she is worried that another health
problem may not be diagnosed. What should the nurse tell the patient regarding nurse
practitioners’ scope of practice as it relates to diagnosis?
a. They diagnose and treat all major health problems.
b. They have the same role and scope of practice as physicians.
c. They write prescriptions for all classifications of medications.
d. They focus on primary care and health promotion, including diagnosis.
ANS: D
Advanced practice nurses (for example, nurse practitioners) focus on the management of
primary care and health promotion for a wide variety of health problems in various
specialties; roles include physical examination, diagnosis, treatment of health problems,
patient and family education, and counselling.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 9
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: PP-9
3. When asking a clinical question using the PICO format, which of the following would
represent the “C”?
a. Controlled diabetes in a woman aged 50 to 65 years
b. Conditioning and exercise program for one hour, three times weekly
c. Weekly blood glucose levels within normal range
d. Standard care for women with diabetes
