Test Bank For Medical Surgical Nursi
g g g g g
ng, clinical Reasoning 6TH Edition Le
g g g g g
Mone / Burke/ Bauldoff / Gubrud Co
g g g g g g
mplete All Chapters
g g
,LeMone/Burke/Bauldoff/Gubrud,gMedical-SurgicalgNursingg6thgEditiongTestg
Bankg
Questiong1gT
ype:gMCSA
Agpatientgwithgdiabetesgmellitusgandgpoorgcirculationghasgthickgandgingrowngtoenails.gWhatgshouldgthegnurseginstr
uctgthegpatientgtogdo?
1. SoakgfeetgingEpsomgsaltsgdaily.
2. Usegagcleangsharpgrazorgbladegtogtrimgnails.
3. Makegangappointmentgwithgagpodiatrist.
4. Cutgtoenailsgimmediatelygpriorgtogbathing.
CorrectgAnswer:g3
Rationaleg1:gTheregisgnogindicationgforgthisgpatientgtogsoakgfeetgdailygingEpsomgsalts.
Rationaleg2:gThegusegofgagcleangsharpgrazorgcouldgcauseganginjury.
Rationaleg3:gThegtoenailsgofgthegpatientgwithgdiabetesgrequiregclosegcare.gIfgthegnailsgaregthickgorgingrown,gtheygr
equiregthegattentiongofgagpodiatrist.
Rationaleg4:gCuttinggthegnailsgbeforegagbathgwouldgbegdifficultgbecausegthegnailsgaregthickgandgingrown.
GlobalgRationale:gThegtoenailsgofgthegpatientgwithgdiabetesgrequiregclosegcare.gIfgthegnailsgaregthickgorgingrow
n,gtheygrequiregthegattentiongofgagpodiatrist.gCuttinggthegnailsgbeforegagbathgwouldgbegdifficultgbecausegthegnail
sgaregthickgandgingrown.gTheregisgnogindicationgofgagneedgforgsoakinggfeetgdailygingEpsomgsalts.
CognitivegLevel:gApplying
ClientgNeed:gPhysiologicalgIntegrity
ClientgNeedgSub:gReductiongofgRiskgPotential
QSENgCompetencies:gI.A.g1.gIntegrategunderstandinggofgmultiplegdimensionsgofgpatientgcenteredgcare
AACNgEssentialsgCompetencies:gIX.g7.gProvidegappropriategpatientgteachinggthatgreflectsgdevelopmentalgstage,g
age,gculture,gspirituality,gpatientgpreferences,gandghealthgliteracygconsiderationsgtogfostergpatientgengagementgingt
heirgcare
NLNgCompetencies:gContextgandgEnvironment;gPractice;gconductgpopulation-
basedgtransculturalghealthgassessmentsgandginterventions
Nursing/IntegratedgConcepts:gNursinggProcess:gImplementation
LeMone/Burke/Bauldoff/Gubrud,gMedical-
SurgicalgNursingg6thgEditiongTestgBankgCopyrightg2015gbygPearsongEducation,gInc.
,LearninggOutcome:g5.gDiscussgbestgpracticesgofgself-
caregmanagementgofgDMgrelatedgtogdietgplanning,gsickgdaygmanagement,gandgexercise.
MNLgLearninggOutcome:g10.5.4.gUtilizegthegnursinggprocessgingcaregofgclient.
PagegNumber:g530
Questiong2gT
ype:gMCSA
Agpatientgwithgdiabetesgasksgwhatgcangbegdonegtogpreventgthegdevelopmentgofgcornsgongthegfeet.gHowgshouldgtheg
nursegrespondgtogthisgpatient?
1. “Makegsuregthatgyougselectgshoesgthatgaregappropriatelygfitted.”
2. “Usegcorngpadsgtoggraduallygremovegtheggrowths.”
3. “Cornsgaregbestgtreatedgbygshavinggthemgoff.”
4. “Agmildgabrasivegsoapgcangbegusedgtogscrubgthegareagtogremovegthem.”
CorrectgAnswer:g1
Rationaleg1:gCornsgcangbegpreventedgbygwearinggcorrectlygfittinggshoes.
Rationaleg2:gCorngpadsgaregnotgangoptiongforgthegdiabeticgpatient.
Rationaleg3:gShavinggtreatmentsgtogremovegthegcornsgandgaregnotgangoptiongforgthegdiabeticgpatient.
Rationaleg4:gScrubsgtogremovegthegcornsgaregnotgoptiongforgthegdiabeticgpatient.
GlobalgRationale:gCornsgcangbegpreventedgbygwearinggcorrectlygfittinggshoes.gCorngpads,gscrubs,gandgshavinggtreat
mentsgtogremovegthegcornsgandgaregnotgoptionsgforgthegdiabeticgpatient.
CognitivegLevel:gApplying
ClientgNeed:gSafegandgEffectivegCaregEnvironment
ClientgNeedgSub:gSafetygandgInfectiongControl
QSENgCompetencies:gI.A.g1.gIntegrategunderstandinggofgmultiplegdimensionsgofgpatientgcenteredgcare
AACNgEssentialsgCompetencies:gIX.g7.gProvidegappropriategpatientgteachinggthatgreflectsgdevelopmentalgstage,g
age,gculture,gspirituality,gpatientgpreferences,gandghealthgliteracygconsiderationsgtogfostergpatientgengagementgingt
heirgcare
NLNgCompetencies:gContextgandgEnvironment;gPractice;gconductgpopulation-
basedgtransculturalghealthgassessmentsgandginterventions
Nursing/IntegratedgConcepts:gNursinggProcess:gImplementation
LearninggOutcome:g5.gDiscussgbestgpracticesgofgself-
caregmanagementgofgDMgrelatedgtogdietgplanning,gsickgdaygmanagement,gandgexercise.
MNLgLearninggOutcome:g10.5.4.gUtilizegthegnursinggprocessgingcaregofgclient.
LeMone/Burke/Bauldoff/Gubrud,gMedical-
SurgicalgNursingg6thgEditiongTestgBankgCopyrightg2015gbygPearsongEducation,gInc.
, PagegNumber:g530
Questiong3gT
ype:gMCSA
Agpatientgatgriskgforgthegdevelopmentgofgtypeg2gdiabetesgmellitusgasksgwhygweightglossgwillgreducegriskgofgthegco
ndition.gWhichgresponsegbygthegnursegisgmostgaccurate?
1. “Thegamountgofgfoodsgtakengingrequiregmoreginsulingtogadequatelygmetabolizegthem,gresultinggingdiabetes.”
2. “Excessgbodygweightgimpairsgthegbody’sgreleasegofginsulin.”
3. “Thingpeoplegareglessglikelygtogbecomegdiabetic.”
4. “Thegphysicalginactivitygassociatedgwithgobesitygcausesgagreducedgabilitygbygthegbodygtogproduceginsulin.”
CorrectgAnswer:g2
Rationaleg1:gThisgisgnotgagtruegstatement.
Rationaleg2:gBetagcellsgofgthegbodygreleaseginsulin.gTheirgactionsgareghinderedgasgthegamountgofgadiposegtissuegin
gthegbodygincreases.
Rationaleg3:gWhilegobesitygisgagriskgfactorgforgthegdevelopmentgofgdiabetes,gthisgdoesgnotganswergthegpatient’sgqu
estion.
Rationaleg4:gInactivitygisgdirectlyglinkedgtogobesity,gbutgitgdoesgnotgpresentgagdirectgtiegtogthegproductiongofginsulin.
GlobalgRationale:gBetagcellsgofgthegbodygreleaseginsulin.gTheirgactionsgareghinderedgasgthegamountgofgadiposegti
ssuegingthegbodygincreases.gThegamountgofgfoodgingestedgdoesgnotgmeangthatgdiabetesgwillgdevelopgbecausegmore
ginsulingisgneededgtogprocessgthegfoodgeaten.gWhilegobesitygisgagriskgfactorgforgthegdevelopmentgofgdiabetes,gthisg
doesgnotganswergthegpatient’sgquestion.gInactivitygisgdirectlyglinkedgtogobesity,gbutgitgdoesgnotgpresentgagdirectgtieg
togthegproductiongofginsulin.
CognitivegLevel:gApplying
ClientgNeed:gHealthgPromotiongandgMaintenance
ClientgNeedgSub:
QSENgCompetencies:gI.A.g1.gIntegrategunderstandinggofgmultiplegdimensionsgofgpatientgcenteredgcare
AACNgEssentialsgCompetencies:gIX.g7.gProvidegappropriategpatientgteachinggthatgreflectsgdevelopmentalgstage,g
age,gculture,gspirituality,gpatientgpreferences,gandghealthgliteracygconsiderationsgtogfostergpatientgengagementgingt
heirgcare
NLNgCompetencies:gContextgandgEnvironment;gPractice;gconductgpopulation-
basedgtransculturalghealthgassessmentsgandginterventions
Nursing/IntegratedgConcepts:gNursinggProcess:gImplementation
LeMone/Burke/Bauldoff/Gubrud,gMedical-
SurgicalgNursingg6thgEditiongTestgBankgCopyrightg2015gbygPearsongEducation,gInc.
g g g g g
ng, clinical Reasoning 6TH Edition Le
g g g g g
Mone / Burke/ Bauldoff / Gubrud Co
g g g g g g
mplete All Chapters
g g
,LeMone/Burke/Bauldoff/Gubrud,gMedical-SurgicalgNursingg6thgEditiongTestg
Bankg
Questiong1gT
ype:gMCSA
Agpatientgwithgdiabetesgmellitusgandgpoorgcirculationghasgthickgandgingrowngtoenails.gWhatgshouldgthegnurseginstr
uctgthegpatientgtogdo?
1. SoakgfeetgingEpsomgsaltsgdaily.
2. Usegagcleangsharpgrazorgbladegtogtrimgnails.
3. Makegangappointmentgwithgagpodiatrist.
4. Cutgtoenailsgimmediatelygpriorgtogbathing.
CorrectgAnswer:g3
Rationaleg1:gTheregisgnogindicationgforgthisgpatientgtogsoakgfeetgdailygingEpsomgsalts.
Rationaleg2:gThegusegofgagcleangsharpgrazorgcouldgcauseganginjury.
Rationaleg3:gThegtoenailsgofgthegpatientgwithgdiabetesgrequiregclosegcare.gIfgthegnailsgaregthickgorgingrown,gtheygr
equiregthegattentiongofgagpodiatrist.
Rationaleg4:gCuttinggthegnailsgbeforegagbathgwouldgbegdifficultgbecausegthegnailsgaregthickgandgingrown.
GlobalgRationale:gThegtoenailsgofgthegpatientgwithgdiabetesgrequiregclosegcare.gIfgthegnailsgaregthickgorgingrow
n,gtheygrequiregthegattentiongofgagpodiatrist.gCuttinggthegnailsgbeforegagbathgwouldgbegdifficultgbecausegthegnail
sgaregthickgandgingrown.gTheregisgnogindicationgofgagneedgforgsoakinggfeetgdailygingEpsomgsalts.
CognitivegLevel:gApplying
ClientgNeed:gPhysiologicalgIntegrity
ClientgNeedgSub:gReductiongofgRiskgPotential
QSENgCompetencies:gI.A.g1.gIntegrategunderstandinggofgmultiplegdimensionsgofgpatientgcenteredgcare
AACNgEssentialsgCompetencies:gIX.g7.gProvidegappropriategpatientgteachinggthatgreflectsgdevelopmentalgstage,g
age,gculture,gspirituality,gpatientgpreferences,gandghealthgliteracygconsiderationsgtogfostergpatientgengagementgingt
heirgcare
NLNgCompetencies:gContextgandgEnvironment;gPractice;gconductgpopulation-
basedgtransculturalghealthgassessmentsgandginterventions
Nursing/IntegratedgConcepts:gNursinggProcess:gImplementation
LeMone/Burke/Bauldoff/Gubrud,gMedical-
SurgicalgNursingg6thgEditiongTestgBankgCopyrightg2015gbygPearsongEducation,gInc.
,LearninggOutcome:g5.gDiscussgbestgpracticesgofgself-
caregmanagementgofgDMgrelatedgtogdietgplanning,gsickgdaygmanagement,gandgexercise.
MNLgLearninggOutcome:g10.5.4.gUtilizegthegnursinggprocessgingcaregofgclient.
PagegNumber:g530
Questiong2gT
ype:gMCSA
Agpatientgwithgdiabetesgasksgwhatgcangbegdonegtogpreventgthegdevelopmentgofgcornsgongthegfeet.gHowgshouldgtheg
nursegrespondgtogthisgpatient?
1. “Makegsuregthatgyougselectgshoesgthatgaregappropriatelygfitted.”
2. “Usegcorngpadsgtoggraduallygremovegtheggrowths.”
3. “Cornsgaregbestgtreatedgbygshavinggthemgoff.”
4. “Agmildgabrasivegsoapgcangbegusedgtogscrubgthegareagtogremovegthem.”
CorrectgAnswer:g1
Rationaleg1:gCornsgcangbegpreventedgbygwearinggcorrectlygfittinggshoes.
Rationaleg2:gCorngpadsgaregnotgangoptiongforgthegdiabeticgpatient.
Rationaleg3:gShavinggtreatmentsgtogremovegthegcornsgandgaregnotgangoptiongforgthegdiabeticgpatient.
Rationaleg4:gScrubsgtogremovegthegcornsgaregnotgoptiongforgthegdiabeticgpatient.
GlobalgRationale:gCornsgcangbegpreventedgbygwearinggcorrectlygfittinggshoes.gCorngpads,gscrubs,gandgshavinggtreat
mentsgtogremovegthegcornsgandgaregnotgoptionsgforgthegdiabeticgpatient.
CognitivegLevel:gApplying
ClientgNeed:gSafegandgEffectivegCaregEnvironment
ClientgNeedgSub:gSafetygandgInfectiongControl
QSENgCompetencies:gI.A.g1.gIntegrategunderstandinggofgmultiplegdimensionsgofgpatientgcenteredgcare
AACNgEssentialsgCompetencies:gIX.g7.gProvidegappropriategpatientgteachinggthatgreflectsgdevelopmentalgstage,g
age,gculture,gspirituality,gpatientgpreferences,gandghealthgliteracygconsiderationsgtogfostergpatientgengagementgingt
heirgcare
NLNgCompetencies:gContextgandgEnvironment;gPractice;gconductgpopulation-
basedgtransculturalghealthgassessmentsgandginterventions
Nursing/IntegratedgConcepts:gNursinggProcess:gImplementation
LearninggOutcome:g5.gDiscussgbestgpracticesgofgself-
caregmanagementgofgDMgrelatedgtogdietgplanning,gsickgdaygmanagement,gandgexercise.
MNLgLearninggOutcome:g10.5.4.gUtilizegthegnursinggprocessgingcaregofgclient.
LeMone/Burke/Bauldoff/Gubrud,gMedical-
SurgicalgNursingg6thgEditiongTestgBankgCopyrightg2015gbygPearsongEducation,gInc.
, PagegNumber:g530
Questiong3gT
ype:gMCSA
Agpatientgatgriskgforgthegdevelopmentgofgtypeg2gdiabetesgmellitusgasksgwhygweightglossgwillgreducegriskgofgthegco
ndition.gWhichgresponsegbygthegnursegisgmostgaccurate?
1. “Thegamountgofgfoodsgtakengingrequiregmoreginsulingtogadequatelygmetabolizegthem,gresultinggingdiabetes.”
2. “Excessgbodygweightgimpairsgthegbody’sgreleasegofginsulin.”
3. “Thingpeoplegareglessglikelygtogbecomegdiabetic.”
4. “Thegphysicalginactivitygassociatedgwithgobesitygcausesgagreducedgabilitygbygthegbodygtogproduceginsulin.”
CorrectgAnswer:g2
Rationaleg1:gThisgisgnotgagtruegstatement.
Rationaleg2:gBetagcellsgofgthegbodygreleaseginsulin.gTheirgactionsgareghinderedgasgthegamountgofgadiposegtissuegin
gthegbodygincreases.
Rationaleg3:gWhilegobesitygisgagriskgfactorgforgthegdevelopmentgofgdiabetes,gthisgdoesgnotganswergthegpatient’sgqu
estion.
Rationaleg4:gInactivitygisgdirectlyglinkedgtogobesity,gbutgitgdoesgnotgpresentgagdirectgtiegtogthegproductiongofginsulin.
GlobalgRationale:gBetagcellsgofgthegbodygreleaseginsulin.gTheirgactionsgareghinderedgasgthegamountgofgadiposegti
ssuegingthegbodygincreases.gThegamountgofgfoodgingestedgdoesgnotgmeangthatgdiabetesgwillgdevelopgbecausegmore
ginsulingisgneededgtogprocessgthegfoodgeaten.gWhilegobesitygisgagriskgfactorgforgthegdevelopmentgofgdiabetes,gthisg
doesgnotganswergthegpatient’sgquestion.gInactivitygisgdirectlyglinkedgtogobesity,gbutgitgdoesgnotgpresentgagdirectgtieg
togthegproductiongofginsulin.
CognitivegLevel:gApplying
ClientgNeed:gHealthgPromotiongandgMaintenance
ClientgNeedgSub:
QSENgCompetencies:gI.A.g1.gIntegrategunderstandinggofgmultiplegdimensionsgofgpatientgcenteredgcare
AACNgEssentialsgCompetencies:gIX.g7.gProvidegappropriategpatientgteachinggthatgreflectsgdevelopmentalgstage,g
age,gculture,gspirituality,gpatientgpreferences,gandghealthgliteracygconsiderationsgtogfostergpatientgengagementgingt
heirgcare
NLNgCompetencies:gContextgandgEnvironment;gPractice;gconductgpopulation-
basedgtransculturalghealthgassessmentsgandginterventions
Nursing/IntegratedgConcepts:gNursinggProcess:gImplementation
LeMone/Burke/Bauldoff/Gubrud,gMedical-
SurgicalgNursingg6thgEditiongTestgBankgCopyrightg2015gbygPearsongEducation,gInc.
