Test Bank
for Medical-Surgical
Nursing
8th Edition
By Adrianne Dill Linton, Mary Ann Matteson
,Table of Contents
UNIT I MEDICAL-SURGICAL NURSING
1 Aspects of Medical-Surgical
2 Medical-Surgical
UNIT II POPULATIONS RECEIVING MEDICAL-SURGICAL CARE
3 Medical-Surgical Patients: Individuals, Families, and Communities
UNIT III PATHOLOGY PROCESSES AND EFFECTS
4 Health, Illness, Stress, and Coping
5 Immunity, Inflammation, and Infection
6 Fluid, Electrolyte, and Acid-Base Balance
7 The Patient with Cancer
8 Pain
9 Shock
UNIT IV SPECIAL PROBLEMS OF THE OLDER ADULT PATIENT
10 The Older Adult Patient
11 Falls
12 Immobility
13 Delirium and Dementia
14 Incontinence
UNIT V THERAPEUTICS
15 Nutrition
16 Intravenous Therapy
17 Surgery
18 The Patient with an Ostomy
19 Palliative and Hospice Care
20 Complementary and Alternative Therapies and Integrative Health Care
UNIT VI NEUROLOGICAL SYSTEM
21 Neurologic System Introduction
22 Neurologic Disorders
23 Cerebrovascular Accident
24 Spinal Cord Injury
UNIT VII RESPIRATORY SYSTEM
25 Respiratory System Introduction
26 Upper Respiratory Disorders
27 Acute Lower Respiratory Tract Disorders
28 Chronic Lower Respiratory Tract Disorders
UNIT VIII HEMATOLOGIC AND IMMUNOLOGIC SYSTEMS
29 Hematologic System Introduction
30 Hematologic Disorders
31 Immunologic System Introduction
32 Immunologic Disorders
,UNIT IX CARDIOVASCULAR SYSTEM
33 Cardiovascular System Introduction
34 Hypertension
35 Cardiac Disorders
36 Vascular Disorders
UNIT X DIGESTIVE SYSTEM
37 Digestive System Introduction
38 Upper Digestive Tract Disorders
39 Lower Digestive Tract Disorders
40 Liver, Gallbladder, and Pancreatic Disorders
UNIT XI UROLOGIC SYSTEM
41 Urologic System Introduction
42 Urologic Disorders
UNIT XII MUSCULOSKELETAL SYSTEM
43 Musculoskeletal System Introduction
44 Connective Tissue Disorders
45 Fractures
46 Amputations
UNIT XIII ENDOCRINE SYSTEM
47 Endocrine System Introduction
48 Pituitary and Adrenal Disorders
49 Thyroid and Parathyroid Disorders
50 Diabetes and Hypoglycemia
UNIT XIV REPRODUCTIVE SYSTEMS
51 Female Reproductive System Introduction
52 Female Reproductive Disorders
53 Male Reproductive System Introduction
54 Male Reproductive Disorders
55 Sexually Transmitted Infections
UNIT XV INTEGUMENTARY SYSTEMS
56 Integumentary System Introduction
57 Skin Disorders
UNIT XVI SPECIAL SENSES: VISION AND HEARING
58 Special Senses: Vision and Hearing Introduction
59 Eye and Vision Disorders
60 Ear and Hearing Disorders
UNIT XVII MEDICAL-SURGICAL PATIENTS WITH PSYCHIATRIC DISORDERS
61 Psychobiologic Disorders
62 Substance-Related and Addictive Disorders
UNIT XVIII NURSING IN DISASTERS AND FIRST AID
63 First Aid, Emergency Care, and Disaster Management
, Chapter 1: Introduction to Medical-Surgical Nursing Practice
Ignatavicius: Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
preceptor advises the student that which is the priority when working as a professional
nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
2000 Institute of Medicine report. Many more clients have suffered injuries and less serious
outcomes. Every nurse has the responsibility to guard the client’s safety.
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
2. A nurse is orienting a new client and family to the inpatient unit. What information does the
nurse provide to help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
ANS: A
Each action could be important for the client or family to perform. However, encouraging
the client to be active in his or her health care as a partner is the most critical. The other
actions are very limited in scope and do not provide the broad protection that being active
and involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is
best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
for Medical-Surgical
Nursing
8th Edition
By Adrianne Dill Linton, Mary Ann Matteson
,Table of Contents
UNIT I MEDICAL-SURGICAL NURSING
1 Aspects of Medical-Surgical
2 Medical-Surgical
UNIT II POPULATIONS RECEIVING MEDICAL-SURGICAL CARE
3 Medical-Surgical Patients: Individuals, Families, and Communities
UNIT III PATHOLOGY PROCESSES AND EFFECTS
4 Health, Illness, Stress, and Coping
5 Immunity, Inflammation, and Infection
6 Fluid, Electrolyte, and Acid-Base Balance
7 The Patient with Cancer
8 Pain
9 Shock
UNIT IV SPECIAL PROBLEMS OF THE OLDER ADULT PATIENT
10 The Older Adult Patient
11 Falls
12 Immobility
13 Delirium and Dementia
14 Incontinence
UNIT V THERAPEUTICS
15 Nutrition
16 Intravenous Therapy
17 Surgery
18 The Patient with an Ostomy
19 Palliative and Hospice Care
20 Complementary and Alternative Therapies and Integrative Health Care
UNIT VI NEUROLOGICAL SYSTEM
21 Neurologic System Introduction
22 Neurologic Disorders
23 Cerebrovascular Accident
24 Spinal Cord Injury
UNIT VII RESPIRATORY SYSTEM
25 Respiratory System Introduction
26 Upper Respiratory Disorders
27 Acute Lower Respiratory Tract Disorders
28 Chronic Lower Respiratory Tract Disorders
UNIT VIII HEMATOLOGIC AND IMMUNOLOGIC SYSTEMS
29 Hematologic System Introduction
30 Hematologic Disorders
31 Immunologic System Introduction
32 Immunologic Disorders
,UNIT IX CARDIOVASCULAR SYSTEM
33 Cardiovascular System Introduction
34 Hypertension
35 Cardiac Disorders
36 Vascular Disorders
UNIT X DIGESTIVE SYSTEM
37 Digestive System Introduction
38 Upper Digestive Tract Disorders
39 Lower Digestive Tract Disorders
40 Liver, Gallbladder, and Pancreatic Disorders
UNIT XI UROLOGIC SYSTEM
41 Urologic System Introduction
42 Urologic Disorders
UNIT XII MUSCULOSKELETAL SYSTEM
43 Musculoskeletal System Introduction
44 Connective Tissue Disorders
45 Fractures
46 Amputations
UNIT XIII ENDOCRINE SYSTEM
47 Endocrine System Introduction
48 Pituitary and Adrenal Disorders
49 Thyroid and Parathyroid Disorders
50 Diabetes and Hypoglycemia
UNIT XIV REPRODUCTIVE SYSTEMS
51 Female Reproductive System Introduction
52 Female Reproductive Disorders
53 Male Reproductive System Introduction
54 Male Reproductive Disorders
55 Sexually Transmitted Infections
UNIT XV INTEGUMENTARY SYSTEMS
56 Integumentary System Introduction
57 Skin Disorders
UNIT XVI SPECIAL SENSES: VISION AND HEARING
58 Special Senses: Vision and Hearing Introduction
59 Eye and Vision Disorders
60 Ear and Hearing Disorders
UNIT XVII MEDICAL-SURGICAL PATIENTS WITH PSYCHIATRIC DISORDERS
61 Psychobiologic Disorders
62 Substance-Related and Addictive Disorders
UNIT XVIII NURSING IN DISASTERS AND FIRST AID
63 First Aid, Emergency Care, and Disaster Management
, Chapter 1: Introduction to Medical-Surgical Nursing Practice
Ignatavicius: Medical-Surgical Nursing, 8th Edition
MULTIPLE CHOICE
1. A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
preceptor advises the student that which is the priority when working as a professional
nurse?
a. Attending to holistic client needs
b. Ensuring client safety
c. Not making medication errors
d. Providing client-focused care
ANS: B
All actions are appropriate for the professional nurse. However, ensuring client safety is the
priority. Up to 98,000 deaths result each year from errors in hospital care, according to the
2000 Institute of Medicine report. Many more clients have suffered injuries and less serious
outcomes. Every nurse has the responsibility to guard the client’s safety.
DIF: Understanding/Comprehension REF: 2 KEY: Patient safety
MSC: Integrated Process: Nursing Process: Intervention
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
2. A nurse is orienting a new client and family to the inpatient unit. What information does the
nurse provide to help the client promote his or her own safety?
a. Encourage the client and family to be active partners.
b. Have the client monitor hand hygiene in caregivers.
c. Offer the family the opportunity to stay with the client.
d. Tell the client to always wear his or her armband.
ANS: A
Each action could be important for the client or family to perform. However, encouraging
the client to be active in his or her health care as a partner is the most critical. The other
actions are very limited in scope and do not provide the broad protection that being active
and involved does.
DIF: Understanding/Comprehension REF: 3 KEY: Patient safety
MSC: Integrated Process: Teaching/Learning
NOT: Client Needs Category: Safe and Effective Care Environment: Safety and Infection
Control
3. A nurse is caring for a postoperative client on the surgical unit. The client’s blood pressure
was 142/76 mm Hg 30 minutes ago, and now is 88/50 mm Hg. What action by the nurse is
best?
a. Call the Rapid Response Team.
b. Document and continue to monitor.
c. Notify the primary care provider.
d. Repeat blood pressure measurement in 15 minutes.
