Full Test Bank For
Medical-Surgical Nursing: Critical Thinking In Client Care 4th Edition By Priscilla
Lemone (Author), Karen M. Burke (Author)
,Chapter 1
1. The Nurse Is Caring For Four Patients On A Medical–Surgical Unit, Which Patient Should The
Nurse See First?
1. A Patient Admitted With Hepatitis A Who Has Had Severe Diarrhea For The Last24 Hours
2. A Patient Admitted With Pneumonia Who Is Has Small Amounts Of Yellow Productive
Sputum
3. A Patient Admitted With Fever Of Unknown Origin (Fuo) Who Has Been Without Fever For
The Last 48 Hours
4. A Patient Admitted With A Wound Infection Whose Wbc Is 8,500 Mm3
Answer: 1
Rationale: The Nurse Must Decide Which Patient Ought To Be Seen On The Initial Rounds Of The Day,
The Nurse Must Remember That The First Patient To Be Seen Ought To Be The Patient Who Needs The
Attention Of The Nurse Initially, A Patient With Hepatitis A Does Experience Diarrhea, But Diarrhea For
The Last 24 Hours Could Cause The Patient To Have A Problem With Dehydration And Experience A State
Of Fluid Volume Deficit,
Cognitive Level: Application Patient Needs: Safe, Effective Care
Environment Nursing Process: Planning
2. The Nurse Is Getting Ready To Administer Influenza Vaccines To A Mass Drive- Through Clinic,
Which Statement By A Patient Would Indicate Further Questioning Prior To Giving The Patient The
Influenza Vaccine?
1. “I Am Allergic To Horse Hair,”
2. “I Try To Get My Vaccine Every Year,”
3. “I Am Not Allergic To Anything Except Eggs,”
4. “My Husband Had A Severe Allergic Reaction After He Received His Influenza
,Vaccine,”
Answer: 3
Rationale: Influenza Vaccines Are Recommended For Person At High Risk For Serious Sequelae Of
Influenza, The Nurse Ought To Be Aware That Patient With A Sensitivity To Eggs Ought To Not Receive
The Vaccine, Vaccines Get Ready From Chicken Or Duck Embryos Are Contraindicated In Patients Who
Are Allergic To Eggs,
Cognitive Level: Application
Patient Needs: Safe, Effective Care Environmentnursing Process: Assessment
3. The Nurse Is Caring For Four Patients On A Medical–Surgical Unit, The Secretary Gives The
Nurse The Morning Labs, Which Of The Following Labs Would Require That The Nurse Call
Thephysician And Inform The Healthcare Provider About The Patient’s Abnormalities?
1, Wbc 14,600 Mm3
2. Serum Protein 6,9 G/Dl
3. I & D (Incision And Drainage) Showing No Growth For The Last 24 Hours
4. Albumin 4,2 G/Dl
Answer: 1
Rationale: When The Nurse Is Caring For Several Patients, All Of The Labs Ought To Be Checked
Frequently Throughout The Shift To Assess For Any Abnormalities, The Wbc In Option 1 Is Abnormal,
(Normal Wbc 4,000–10,000 Mm3,) All Of The Other Lab Results Are Within Acceptable Range; Therefore,
The Results Ought To Not Be Called In To The Physician,
Cognitive Level: Application Patient Needs: Physiologic Integritynursing Process: Assessment
, 4. The Nurse Is Orienting A New Graduate, The Nurse Is Reinforcing The Importance Of Standard
Precautions, Which Of The Following Observations By The Nurse Would Require Further Education
Regarding Standard Precautions?
1. The Graduate Nurse Understands To Wash Hands When Entering And Exiting
The Patient’s Room,
2. The Graduate Nurse Wears Gloves When Serving Breakfast Trays To Various Patients,
3. The Graduate Nurse Wears A Gown, Gloves, And Goggles When Suctioning A Patient,
4. The Graduate Nurse Leaves All Supplies In The Room Of A Patient Who Is Incontact Isolation,
Answer: 2
Rationale: The Nurse Must Have An Understanding Of Standard Precautions, Prevention Is The Most
Important Measure To Prevent Nosocomial Infections, Standard Precautions Were Published In 1996
That Provide Guidelines For The Handling Of Blood And Other Body Fluids, These Guidelines Are Used
With All Patients, Regardlessof Whether They Have A Known Infectious Disease, Standard Precautions
Are Used
By All Healthcare Workers Who Have Direct Contact With Patients Or With Their Body Fluids, It Is Not
Necessary For The Nurse To Wear Gloves While Delivering Food Traysto The Patient, Because There Is
Not Contact With The Patient,
Cognitive Level: Application Patient Needs: Safe, Effective Care Environmentnursing
Process: Evaluation
5. The Admitting Department Alerts The Nurse On A Medical–Surgical Unit That A Patient
Withactive Tuberculosis (Tb) Is Being Admitted To The Unit, Which Type Of Isolation Is Appropriate
Based On The Patient’s Diagnosis?
Medical-Surgical Nursing: Critical Thinking In Client Care 4th Edition By Priscilla
Lemone (Author), Karen M. Burke (Author)
,Chapter 1
1. The Nurse Is Caring For Four Patients On A Medical–Surgical Unit, Which Patient Should The
Nurse See First?
1. A Patient Admitted With Hepatitis A Who Has Had Severe Diarrhea For The Last24 Hours
2. A Patient Admitted With Pneumonia Who Is Has Small Amounts Of Yellow Productive
Sputum
3. A Patient Admitted With Fever Of Unknown Origin (Fuo) Who Has Been Without Fever For
The Last 48 Hours
4. A Patient Admitted With A Wound Infection Whose Wbc Is 8,500 Mm3
Answer: 1
Rationale: The Nurse Must Decide Which Patient Ought To Be Seen On The Initial Rounds Of The Day,
The Nurse Must Remember That The First Patient To Be Seen Ought To Be The Patient Who Needs The
Attention Of The Nurse Initially, A Patient With Hepatitis A Does Experience Diarrhea, But Diarrhea For
The Last 24 Hours Could Cause The Patient To Have A Problem With Dehydration And Experience A State
Of Fluid Volume Deficit,
Cognitive Level: Application Patient Needs: Safe, Effective Care
Environment Nursing Process: Planning
2. The Nurse Is Getting Ready To Administer Influenza Vaccines To A Mass Drive- Through Clinic,
Which Statement By A Patient Would Indicate Further Questioning Prior To Giving The Patient The
Influenza Vaccine?
1. “I Am Allergic To Horse Hair,”
2. “I Try To Get My Vaccine Every Year,”
3. “I Am Not Allergic To Anything Except Eggs,”
4. “My Husband Had A Severe Allergic Reaction After He Received His Influenza
,Vaccine,”
Answer: 3
Rationale: Influenza Vaccines Are Recommended For Person At High Risk For Serious Sequelae Of
Influenza, The Nurse Ought To Be Aware That Patient With A Sensitivity To Eggs Ought To Not Receive
The Vaccine, Vaccines Get Ready From Chicken Or Duck Embryos Are Contraindicated In Patients Who
Are Allergic To Eggs,
Cognitive Level: Application
Patient Needs: Safe, Effective Care Environmentnursing Process: Assessment
3. The Nurse Is Caring For Four Patients On A Medical–Surgical Unit, The Secretary Gives The
Nurse The Morning Labs, Which Of The Following Labs Would Require That The Nurse Call
Thephysician And Inform The Healthcare Provider About The Patient’s Abnormalities?
1, Wbc 14,600 Mm3
2. Serum Protein 6,9 G/Dl
3. I & D (Incision And Drainage) Showing No Growth For The Last 24 Hours
4. Albumin 4,2 G/Dl
Answer: 1
Rationale: When The Nurse Is Caring For Several Patients, All Of The Labs Ought To Be Checked
Frequently Throughout The Shift To Assess For Any Abnormalities, The Wbc In Option 1 Is Abnormal,
(Normal Wbc 4,000–10,000 Mm3,) All Of The Other Lab Results Are Within Acceptable Range; Therefore,
The Results Ought To Not Be Called In To The Physician,
Cognitive Level: Application Patient Needs: Physiologic Integritynursing Process: Assessment
, 4. The Nurse Is Orienting A New Graduate, The Nurse Is Reinforcing The Importance Of Standard
Precautions, Which Of The Following Observations By The Nurse Would Require Further Education
Regarding Standard Precautions?
1. The Graduate Nurse Understands To Wash Hands When Entering And Exiting
The Patient’s Room,
2. The Graduate Nurse Wears Gloves When Serving Breakfast Trays To Various Patients,
3. The Graduate Nurse Wears A Gown, Gloves, And Goggles When Suctioning A Patient,
4. The Graduate Nurse Leaves All Supplies In The Room Of A Patient Who Is Incontact Isolation,
Answer: 2
Rationale: The Nurse Must Have An Understanding Of Standard Precautions, Prevention Is The Most
Important Measure To Prevent Nosocomial Infections, Standard Precautions Were Published In 1996
That Provide Guidelines For The Handling Of Blood And Other Body Fluids, These Guidelines Are Used
With All Patients, Regardlessof Whether They Have A Known Infectious Disease, Standard Precautions
Are Used
By All Healthcare Workers Who Have Direct Contact With Patients Or With Their Body Fluids, It Is Not
Necessary For The Nurse To Wear Gloves While Delivering Food Traysto The Patient, Because There Is
Not Contact With The Patient,
Cognitive Level: Application Patient Needs: Safe, Effective Care Environmentnursing
Process: Evaluation
5. The Admitting Department Alerts The Nurse On A Medical–Surgical Unit That A Patient
Withactive Tuberculosis (Tb) Is Being Admitted To The Unit, Which Type Of Isolation Is Appropriate
Based On The Patient’s Diagnosis?
