Test Bank - Understanding Medical Surgical Nursing (6th by Williams) 1
Table of Contents
Table of Contents 1
Chapter 01. Critical Thinking and the Nursing Process 3
Chapter 02. Evidence-Based Practice 16
Chapter 03. Issues in Nursing Practice 27
Chapter 04. Cultural Influences on Nursing Care 41
Chapter 05. Complementary and Alternative Modalities 54
Chapter 06. Nursing Care of Patients With Fluid, Electrolyte, and AcidBase Imbalances 66
Chapter 07. Nursing Care of Patients Receiving Intravenous Therapy 80
Chapter 08. Nursing Care of Patients With Infections 93
Chapter 09. Nursing Care of Patients in Shock 110
Chapter 10. Nursing Care of Patients in Pain 129
Chapter 11. Nursing Care of Patients With Cancer 148
Chapter 12. Nursing Care of Patients Having Surgery 167
Chapter 13. Nursing Care of Patients With Emergent Conditions and Disaster/Bioterrorism
Response 185
Chapter 14. Developmental Considerations in the Nursing Care of Adults 199
Chapter 15. Nursing Care of Older Adult Patients 212
Chapter 16. Patient Care Settings 227
Chapter 17. Nursing Care of Patients at the End of Life 236
Chapter 18. Immune System Function, Assessment, and Therapeutic Measures 246
Chapter 19. Nursing Care of Patients With Immune Disorders 257
Chapter 20. Nursing Care of Patients With HIV Disease and AIDS 275
Chapter 21. Cardiovascular System Function, Assessment, and Therapeutic Measures
289
Chapter 22. Nursing Care of Patients With Hypertension 305
Chapter 23. Nursing Care of Patients With Valvular, Inflammatory, and Infectious Cardiac or
Venous Disorders 322
Chapter 24. Nursing Care of Patients With Occlusive Cardiovascular Disorders 344
Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias 366
Chapter 26. Nursing Care of Patients With Heart Failure 383
Chapter 27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic
Measures 398
Chapter 28. Nursing Care of Patients With Hematologic and Lymphatic Disorders 413
Chapter 29. Respiratory System Function, Assessment, and Therapeutic Measures 438
Chapter 30. Nursing Care of Patients With Upper Respiratory Tract Disorders 444
Chapter 31. Nursing Care of Patients With Lower Respiratory Tract Disorders 468
Chapter 32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment,
and Therapeutic Measures 490
Chapter 33. Nursing Care of Patients With Upper Gastrointestinal Disorders 508
Chapter 34. Nursing Care of Patients With Lower Gastrointestinal Disorders 525
Chapter 35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
544
Chapter 36. Urinary System Function, Assessment, and Therapeutic Measures 560
Chapter 37. Nursing Care of Patients With Disorders of the Urinary System 576
Chapter 38. Endocrine System Function and Assessment 593
Chapter 39. Nursing Care of Patients With Endocrine Disorders 610
Chapter 40. Nursing Care of Patients With Disorders of the Endocrine Pancreas 628
Chapter 41. Genitourinary and Reproductive System Function and Assessment 644
Chapter 42. Nursing Care of Women With Reproductive System Disorders 662
Chapter 43. Nursing Care of Male Patients With Genitourinary Disorders 680
Chapter 44. Nursing Care of Patients With Sexually Transmitted Infections 697
,Test Bank - Understanding Medical Surgical Nursing (6th by Williams) 2
Chapter 45. Musculoskeletal Function and Assessment 712
Chapter 46. Nursing Care of Patients With Musculoskeletal and Connective Tissue
Disorders 725
Chapter 47. Neurologic System Function, Assessment, and Therapeutic Measures 742
Chapter 48. Nursing Care of Patients With Central Nervous System Disorders 760
Chapter 49. Nursing Care of Patients With Cerebrovascular Disorders 783
Chapter 50. Nursing Care of Patients With Peripheral Nervous System Disorders 794
Chapter 51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and
Hearing 805
Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing 822
Chapter 53. Integumentary System Function, Assessment, and Therapeutic Measures
836
Chapter 54. Nursing Care of Patients With Skin Disorders 847
Chapter 55. Nursing Care of Patients With Burns 860
Chapter 56. Mental Health Function, Assessment, and Therapeutic Measures 869
Chapter 57. Nursing Care of Patients With Mental Health Disorders 878
,Test Bank - Understanding Medical Surgical Nursing (6th by Williams) 3
Chapter 01. Critical Thinking and the Nursing Process
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. After receiving morning report, which patient should the licensed practical nurse/licensed vocational
nurse (LPN/LVN) assess first?
a. A patient who needs discharge teaching
b. A patient who needs assistance to ambulate
c. A patient who states, No one cares about me.
d. A patient who has a temperature of 106F (41.1C)
____ 2. During a class discussion, two nursing students demonstrated intellectual courage. What action did the
nursing students perform?
a. Considered being in the other persons situation
b. Expected proof that the use of restraints is safe
c. Conducted additional research on the use of restraints in patient care
d. Listened to each others point of view regarding the use of patient restraints
____ 3. The nursing staff is planning a celebratory dinner and cake for a newly licensed practical nurse. Which
of the new nurses human needs is supported by these actions?
a. Self-esteem
b. Physiological
c. Self-actualization
d. Safety and security
____ 4. A patient with a newly fractured femur reports a pain level of 8/10, and analgesic medication is not
due for another 50 minutes. Which actions should the nurse take?
a. Reposition the patient.
b. Give the medication in 30 minutes.
c. Notify the registered nurse (RN) or physician.
d. Tell the patient it is too early for pain medication.
____ 5. The nursing instructor is planning a teaching session on critical thinking for students. What should the
instructor say when explaining critical thinking?
a. Collect data concerning the patients problem.
b. Think of different ways to help relieve a patients problem.
c. Determine if an action worked to eliminate a patient problem.
, Test Bank - Understanding Medical Surgical Nursing (6th by Williams) 4
d. Use knowledge and skills to make the best decision for patient care.
____ 6. The nurse is planning care and setting goals for a newly admitted patient. Who should the nurse
include when conducting these nursing actions?
a. Patient
b. Nurse manager
c. Patients family members
d. Patients health care provider (HCP)
____ 7. While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes serosanguineous
drainage on the patients dressing. Which statement should the nurse use to document the finding?
a. Normal drainage noted.
b. Moderate drainage recently noted.
c. Scant serosanguineous drainage seen on dressing.
d. Pale pink drainage, 2 cm by 1 cm, noted on dressing.
____ 8. The nurse is caring for a patient who is scheduled for surgery. Which data should the nurse collect to
identify safety and security needs?
a. Meal patterns
b. Sleep patterns
c. Anxiety about surgery
d. Effectiveness of pain medication
____ 9. The nurse is reviewing data collected during patient care. Which data should the nurse document as
objective?
a. Patient is pleasant.
b. Urine output is 300 mL.
c. It has been a good day.
d. Patients appetite is poor.
____ 10. The nurse is determining diagnoses appropriate for a patient recovering from surgery. Which nursing
diagnoses should the nurse identify as the highest priority for this patient?
a. Acute pain
b. Impaired mobility
c. Deficient knowledge
d. Impaired skin integrity
Table of Contents
Table of Contents 1
Chapter 01. Critical Thinking and the Nursing Process 3
Chapter 02. Evidence-Based Practice 16
Chapter 03. Issues in Nursing Practice 27
Chapter 04. Cultural Influences on Nursing Care 41
Chapter 05. Complementary and Alternative Modalities 54
Chapter 06. Nursing Care of Patients With Fluid, Electrolyte, and AcidBase Imbalances 66
Chapter 07. Nursing Care of Patients Receiving Intravenous Therapy 80
Chapter 08. Nursing Care of Patients With Infections 93
Chapter 09. Nursing Care of Patients in Shock 110
Chapter 10. Nursing Care of Patients in Pain 129
Chapter 11. Nursing Care of Patients With Cancer 148
Chapter 12. Nursing Care of Patients Having Surgery 167
Chapter 13. Nursing Care of Patients With Emergent Conditions and Disaster/Bioterrorism
Response 185
Chapter 14. Developmental Considerations in the Nursing Care of Adults 199
Chapter 15. Nursing Care of Older Adult Patients 212
Chapter 16. Patient Care Settings 227
Chapter 17. Nursing Care of Patients at the End of Life 236
Chapter 18. Immune System Function, Assessment, and Therapeutic Measures 246
Chapter 19. Nursing Care of Patients With Immune Disorders 257
Chapter 20. Nursing Care of Patients With HIV Disease and AIDS 275
Chapter 21. Cardiovascular System Function, Assessment, and Therapeutic Measures
289
Chapter 22. Nursing Care of Patients With Hypertension 305
Chapter 23. Nursing Care of Patients With Valvular, Inflammatory, and Infectious Cardiac or
Venous Disorders 322
Chapter 24. Nursing Care of Patients With Occlusive Cardiovascular Disorders 344
Chapter 25. Nursing Care of Patients With Cardiac Dysrhythmias 366
Chapter 26. Nursing Care of Patients With Heart Failure 383
Chapter 27. Hematologic and Lymphatic System Function, Assessment, and Therapeutic
Measures 398
Chapter 28. Nursing Care of Patients With Hematologic and Lymphatic Disorders 413
Chapter 29. Respiratory System Function, Assessment, and Therapeutic Measures 438
Chapter 30. Nursing Care of Patients With Upper Respiratory Tract Disorders 444
Chapter 31. Nursing Care of Patients With Lower Respiratory Tract Disorders 468
Chapter 32. Gastrointestinal, Hepatobiliary, and Pancreatic Systems Function, Assessment,
and Therapeutic Measures 490
Chapter 33. Nursing Care of Patients With Upper Gastrointestinal Disorders 508
Chapter 34. Nursing Care of Patients With Lower Gastrointestinal Disorders 525
Chapter 35. Nursing Care of Patients With Liver, Pancreatic, and Gallbladder Disorders
544
Chapter 36. Urinary System Function, Assessment, and Therapeutic Measures 560
Chapter 37. Nursing Care of Patients With Disorders of the Urinary System 576
Chapter 38. Endocrine System Function and Assessment 593
Chapter 39. Nursing Care of Patients With Endocrine Disorders 610
Chapter 40. Nursing Care of Patients With Disorders of the Endocrine Pancreas 628
Chapter 41. Genitourinary and Reproductive System Function and Assessment 644
Chapter 42. Nursing Care of Women With Reproductive System Disorders 662
Chapter 43. Nursing Care of Male Patients With Genitourinary Disorders 680
Chapter 44. Nursing Care of Patients With Sexually Transmitted Infections 697
,Test Bank - Understanding Medical Surgical Nursing (6th by Williams) 2
Chapter 45. Musculoskeletal Function and Assessment 712
Chapter 46. Nursing Care of Patients With Musculoskeletal and Connective Tissue
Disorders 725
Chapter 47. Neurologic System Function, Assessment, and Therapeutic Measures 742
Chapter 48. Nursing Care of Patients With Central Nervous System Disorders 760
Chapter 49. Nursing Care of Patients With Cerebrovascular Disorders 783
Chapter 50. Nursing Care of Patients With Peripheral Nervous System Disorders 794
Chapter 51. Sensory System Function, Assessment, and Therapeutic Measures: Vision and
Hearing 805
Chapter 52. Nursing Care of Patients With Sensory Disorders: Vision and Hearing 822
Chapter 53. Integumentary System Function, Assessment, and Therapeutic Measures
836
Chapter 54. Nursing Care of Patients With Skin Disorders 847
Chapter 55. Nursing Care of Patients With Burns 860
Chapter 56. Mental Health Function, Assessment, and Therapeutic Measures 869
Chapter 57. Nursing Care of Patients With Mental Health Disorders 878
,Test Bank - Understanding Medical Surgical Nursing (6th by Williams) 3
Chapter 01. Critical Thinking and the Nursing Process
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. After receiving morning report, which patient should the licensed practical nurse/licensed vocational
nurse (LPN/LVN) assess first?
a. A patient who needs discharge teaching
b. A patient who needs assistance to ambulate
c. A patient who states, No one cares about me.
d. A patient who has a temperature of 106F (41.1C)
____ 2. During a class discussion, two nursing students demonstrated intellectual courage. What action did the
nursing students perform?
a. Considered being in the other persons situation
b. Expected proof that the use of restraints is safe
c. Conducted additional research on the use of restraints in patient care
d. Listened to each others point of view regarding the use of patient restraints
____ 3. The nursing staff is planning a celebratory dinner and cake for a newly licensed practical nurse. Which
of the new nurses human needs is supported by these actions?
a. Self-esteem
b. Physiological
c. Self-actualization
d. Safety and security
____ 4. A patient with a newly fractured femur reports a pain level of 8/10, and analgesic medication is not
due for another 50 minutes. Which actions should the nurse take?
a. Reposition the patient.
b. Give the medication in 30 minutes.
c. Notify the registered nurse (RN) or physician.
d. Tell the patient it is too early for pain medication.
____ 5. The nursing instructor is planning a teaching session on critical thinking for students. What should the
instructor say when explaining critical thinking?
a. Collect data concerning the patients problem.
b. Think of different ways to help relieve a patients problem.
c. Determine if an action worked to eliminate a patient problem.
, Test Bank - Understanding Medical Surgical Nursing (6th by Williams) 4
d. Use knowledge and skills to make the best decision for patient care.
____ 6. The nurse is planning care and setting goals for a newly admitted patient. Who should the nurse
include when conducting these nursing actions?
a. Patient
b. Nurse manager
c. Patients family members
d. Patients health care provider (HCP)
____ 7. While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes serosanguineous
drainage on the patients dressing. Which statement should the nurse use to document the finding?
a. Normal drainage noted.
b. Moderate drainage recently noted.
c. Scant serosanguineous drainage seen on dressing.
d. Pale pink drainage, 2 cm by 1 cm, noted on dressing.
____ 8. The nurse is caring for a patient who is scheduled for surgery. Which data should the nurse collect to
identify safety and security needs?
a. Meal patterns
b. Sleep patterns
c. Anxiety about surgery
d. Effectiveness of pain medication
____ 9. The nurse is reviewing data collected during patient care. Which data should the nurse document as
objective?
a. Patient is pleasant.
b. Urine output is 300 mL.
c. It has been a good day.
d. Patients appetite is poor.
____ 10. The nurse is determining diagnoses appropriate for a patient recovering from surgery. Which nursing
diagnoses should the nurse identify as the highest priority for this patient?
a. Acute pain
b. Impaired mobility
c. Deficient knowledge
d. Impaired skin integrity
