Introductory Medical-Surgical Nursing 12th Edition by Timby Smith Test Bank
table of contents
chapter 01: concepts and trends in healthcare,
chapter 02: settings and models for nursing care
chapter 03: the nursing process, nclex-style
chapter 04: interviewing and physical assessment,
chapter 05: legal and ethical issues,
chapter 06: leadership roles and management functions,
chapter 07: nurse client relationships,
chapter 08: cultural care considerations,
chapter 09: integrative medicine and alternative therapies,
chapter 10: end-of-life care,
chapter 11: pain management,
chapter 12: infection,
chapter 13: intravenous therapy,
chapter 14: perioperative care,
chapter 15: disaster situations,
chapter 16: caring for clients with fluid, electrolyte, and acid-base imbalances,
chapter 17: caring for clients in shock,
chapter 18: caring for clients with cancer,
chapter 19: introduction to the respiratory system,
chapter 20: caring for clients with upper respiratory disorders,
chapter 21: caring for clients with lower respiratory disorders,
chapter 22: introduction to the cardiovascular system,
chapter 23: caring for clients with infectious and inflammatory disorders of the heart and blood vessels,
chapter 24: caring for clients with valvular disorders of the heart,
chapter 25: caring for clients with disorders of coronary and peripheral blood vessels,
chapter 26: caring for clients with cardiac arrhythmias,
chapter 27: caring for clients with hypertension,
chapter 28: caring for clients with heart failure,
chapter 29: caring for clients undergoing cardiovascular surgery,
chapter 30: introduction to the hematopoietic and lymphatic systems,
chapter 31: caring for clients with disorders of the hematopoietic system,
chapter 32: caring for clients with disorders of the lymphatic system,
chapter 33: introduction to the immune system,
chapter 34: caring for clients with immune-mediated disorders,
chapter 35: caring for clients with hiv/ aids,
chapter 36: introduction to the nervous system,
chapter 37: caring for clients with central and peripheral nervous system disorders,
chapter 38: caring for clients with cerebrovascular disorders,
chapter 39: caring for clients with head and spinal cord trauma,
chapter 40: caring for clients with neurologic deficits,
chapter 41: introduction to the sensory system,
chapter 42: caring for clients with eye disorders,
chapter 43: caring for clients with ear disorders,
chapter 44: introduction to the gastrointestinal system and accessory structures,
chapter 45: caring for clients with disorders of the upper gastrointestinal tract,
chapter 46: caring for clients with disorders of the lower gastrointestinal tract,
chapter 47: caring for clients with disorders of the liver, gallbladder, or pancreas,
chapter 48: caring for clients with ostomies,
chapter 49: introduction to the endocrine system,
chapter 50: caring for clients with disorders of the endocrine system,
chapter 51: caring for clients with diabetes mellitus,
, Introductory Medical-Surgical Nursing 12th Edition by Timby Smith Test Bank
chapter 52: introduction to the female and male reproductive systems,
chapter 53: caring for clients with disorders of the female reproductive system,
chapter 54: caring for clients with breast disorders,
chapter 55: caring for clients with disorders of the male reproductive system,
chapter 56: caring for clients with sexually transmitted infections,
chapter 57: introduction to the urinary system,
chapter 58: caring for clients with disorders of the kidneys and ureters,
chapter 59: caring for clients with disorders of the bladder and urethra,
chapter 60: introduction to the musculoskeletal system,
chapter 61: caring for clients requiring orthopedic treatment,
chapter 62: caring for clients with traumatic musculoskeletal injuries,
chapter 63: caring for clients with orthopedic and connective tissue disorders,
chapter 64: introduction to the integumentary system,
chapter 65: caring for clients with skin, hair, and nail disorders,
chapter 66: caring for clients with burns,
chapter 67: interaction of body and mind,
chapter 68: caring for clients with anxiety disorders,
chapter 69: caring for clients with mood disorders,
chapter 70: caring for clients with eating disorders,
chapter 71: caring for clients with chemical dependence,
chapter 72: caring for clients with dementia and thought disorders
,Introductory Medical-Surgical Nursing 12th Edition by Timby Smith Test Bank
1.Managed care organizations are insurers that carefully plan and closely supervise
the distribution of healthcare services. What is one of the goals of managed care?
A) Preventing illness through screening and promotion of health activities
B) Improving training of healthcare professionals
C) Eliminating health disparities between segments of the population
D) Providing hospice or home hospice care
Ans: A
Feedback:
Preventing illness through screening and promotion of health activities is one of the
goals of managed care. Improved training of healthcare professionals is the priority for
international health and not the goal of managed care. Eliminating health disparities
between the segments of population is a goal of Healthy People 2020. Providing hospice
or home hospice care is only for terminally ill clients.
2.In an effort to cut costs, hospitals have instituted many changes. Which of
these cost-cutting factors is most likely to jeopardize the quality of care?
A) Using unlicensed assistive personnel
B) Increasing numbers of clients in hospitals
C) Not devoting enough time to the client
D) The rise of medical care costs in healthcare systems
Ans: A
Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical and
registered nurses once provided. Many are concerned that the use of unlicensed assistive
personnel will jeopardize the quality of care. Increasing numbers of clients in hospitals,
not devoting enough time to the client, or the rise of medical costs are less likely to
jeopardize the quality of care.
3.Since losing his right leg years ago, Mr. Smith and his wife have formed a
community walking group to raise money for the homeless in his area. Which of the
following has contributed to him being viewed as “healthy”?
A) The client is married and is moving on.
B) The client is experiencing high quality of life within the limits of the physical condition.
C) The client is facing various states of health and illness.
D) The client is physiologically and psychologically stable.
Ans: B
Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
stability, and self-expression. Clients with chronic illness can achieve a high level of
wellness and experience high quality of life. Marriage is an aspect of quality of life but
does not define the quality of the client's life. All clients experience various states of
health and illness.
Page 1
, Introductory Medical-Surgical Nursing 12th Edition by Timby Smith Test Bank
4. A 17-year-old client is having protected sex one to two times a week in a monogamous
relationship. What is the client participating in?
A) Health promotion
B) Health maintenance
C) Illness prevention
D) Wellness
Ans: B
Feedback:
Protecting one's current level of health by practicing safe sex to prevent illness is an
example of a health maintenance activity. Health promotion strategies are used to
enhance health, such as eating a diet high in fiber. Illness prevention includes
identifying risk factors such as hypertension. Wellness is the balance of total well-being.
5. A client complaining of bloody urine has scheduled an appointment with a family
practitioner. What type of care is the client receiving?
A) Tertiary
B) Secondary
C) Skilled nursing care
D) Primary
Ans: D
Feedback:
The first provider that clients contact about a health need provides primary care; this
person is typically a family practitioner or nurse practitioner. Secondary care includes
referrals to facilities for additional testing. Tertiary care focuses on more complex
medical and surgical intervention. Skilled nursing care occurs in facilities or units that
offer prolonged health maintenance or rehabilitative services.
Page 2
table of contents
chapter 01: concepts and trends in healthcare,
chapter 02: settings and models for nursing care
chapter 03: the nursing process, nclex-style
chapter 04: interviewing and physical assessment,
chapter 05: legal and ethical issues,
chapter 06: leadership roles and management functions,
chapter 07: nurse client relationships,
chapter 08: cultural care considerations,
chapter 09: integrative medicine and alternative therapies,
chapter 10: end-of-life care,
chapter 11: pain management,
chapter 12: infection,
chapter 13: intravenous therapy,
chapter 14: perioperative care,
chapter 15: disaster situations,
chapter 16: caring for clients with fluid, electrolyte, and acid-base imbalances,
chapter 17: caring for clients in shock,
chapter 18: caring for clients with cancer,
chapter 19: introduction to the respiratory system,
chapter 20: caring for clients with upper respiratory disorders,
chapter 21: caring for clients with lower respiratory disorders,
chapter 22: introduction to the cardiovascular system,
chapter 23: caring for clients with infectious and inflammatory disorders of the heart and blood vessels,
chapter 24: caring for clients with valvular disorders of the heart,
chapter 25: caring for clients with disorders of coronary and peripheral blood vessels,
chapter 26: caring for clients with cardiac arrhythmias,
chapter 27: caring for clients with hypertension,
chapter 28: caring for clients with heart failure,
chapter 29: caring for clients undergoing cardiovascular surgery,
chapter 30: introduction to the hematopoietic and lymphatic systems,
chapter 31: caring for clients with disorders of the hematopoietic system,
chapter 32: caring for clients with disorders of the lymphatic system,
chapter 33: introduction to the immune system,
chapter 34: caring for clients with immune-mediated disorders,
chapter 35: caring for clients with hiv/ aids,
chapter 36: introduction to the nervous system,
chapter 37: caring for clients with central and peripheral nervous system disorders,
chapter 38: caring for clients with cerebrovascular disorders,
chapter 39: caring for clients with head and spinal cord trauma,
chapter 40: caring for clients with neurologic deficits,
chapter 41: introduction to the sensory system,
chapter 42: caring for clients with eye disorders,
chapter 43: caring for clients with ear disorders,
chapter 44: introduction to the gastrointestinal system and accessory structures,
chapter 45: caring for clients with disorders of the upper gastrointestinal tract,
chapter 46: caring for clients with disorders of the lower gastrointestinal tract,
chapter 47: caring for clients with disorders of the liver, gallbladder, or pancreas,
chapter 48: caring for clients with ostomies,
chapter 49: introduction to the endocrine system,
chapter 50: caring for clients with disorders of the endocrine system,
chapter 51: caring for clients with diabetes mellitus,
, Introductory Medical-Surgical Nursing 12th Edition by Timby Smith Test Bank
chapter 52: introduction to the female and male reproductive systems,
chapter 53: caring for clients with disorders of the female reproductive system,
chapter 54: caring for clients with breast disorders,
chapter 55: caring for clients with disorders of the male reproductive system,
chapter 56: caring for clients with sexually transmitted infections,
chapter 57: introduction to the urinary system,
chapter 58: caring for clients with disorders of the kidneys and ureters,
chapter 59: caring for clients with disorders of the bladder and urethra,
chapter 60: introduction to the musculoskeletal system,
chapter 61: caring for clients requiring orthopedic treatment,
chapter 62: caring for clients with traumatic musculoskeletal injuries,
chapter 63: caring for clients with orthopedic and connective tissue disorders,
chapter 64: introduction to the integumentary system,
chapter 65: caring for clients with skin, hair, and nail disorders,
chapter 66: caring for clients with burns,
chapter 67: interaction of body and mind,
chapter 68: caring for clients with anxiety disorders,
chapter 69: caring for clients with mood disorders,
chapter 70: caring for clients with eating disorders,
chapter 71: caring for clients with chemical dependence,
chapter 72: caring for clients with dementia and thought disorders
,Introductory Medical-Surgical Nursing 12th Edition by Timby Smith Test Bank
1.Managed care organizations are insurers that carefully plan and closely supervise
the distribution of healthcare services. What is one of the goals of managed care?
A) Preventing illness through screening and promotion of health activities
B) Improving training of healthcare professionals
C) Eliminating health disparities between segments of the population
D) Providing hospice or home hospice care
Ans: A
Feedback:
Preventing illness through screening and promotion of health activities is one of the
goals of managed care. Improved training of healthcare professionals is the priority for
international health and not the goal of managed care. Eliminating health disparities
between the segments of population is a goal of Healthy People 2020. Providing hospice
or home hospice care is only for terminally ill clients.
2.In an effort to cut costs, hospitals have instituted many changes. Which of
these cost-cutting factors is most likely to jeopardize the quality of care?
A) Using unlicensed assistive personnel
B) Increasing numbers of clients in hospitals
C) Not devoting enough time to the client
D) The rise of medical care costs in healthcare systems
Ans: A
Feedback:
Hospitals are using unlicensed assistive personnel to perform some duties practical and
registered nurses once provided. Many are concerned that the use of unlicensed assistive
personnel will jeopardize the quality of care. Increasing numbers of clients in hospitals,
not devoting enough time to the client, or the rise of medical costs are less likely to
jeopardize the quality of care.
3.Since losing his right leg years ago, Mr. Smith and his wife have formed a
community walking group to raise money for the homeless in his area. Which of the
following has contributed to him being viewed as “healthy”?
A) The client is married and is moving on.
B) The client is experiencing high quality of life within the limits of the physical condition.
C) The client is facing various states of health and illness.
D) The client is physiologically and psychologically stable.
Ans: B
Feedback:
Clients adapt physically, emotionally, and socially, enabling them to maintain comfort,
stability, and self-expression. Clients with chronic illness can achieve a high level of
wellness and experience high quality of life. Marriage is an aspect of quality of life but
does not define the quality of the client's life. All clients experience various states of
health and illness.
Page 1
, Introductory Medical-Surgical Nursing 12th Edition by Timby Smith Test Bank
4. A 17-year-old client is having protected sex one to two times a week in a monogamous
relationship. What is the client participating in?
A) Health promotion
B) Health maintenance
C) Illness prevention
D) Wellness
Ans: B
Feedback:
Protecting one's current level of health by practicing safe sex to prevent illness is an
example of a health maintenance activity. Health promotion strategies are used to
enhance health, such as eating a diet high in fiber. Illness prevention includes
identifying risk factors such as hypertension. Wellness is the balance of total well-being.
5. A client complaining of bloody urine has scheduled an appointment with a family
practitioner. What type of care is the client receiving?
A) Tertiary
B) Secondary
C) Skilled nursing care
D) Primary
Ans: D
Feedback:
The first provider that clients contact about a health need provides primary care; this
person is typically a family practitioner or nurse practitioner. Secondary care includes
referrals to facilities for additional testing. Tertiary care focuses on more complex
medical and surgical intervention. Skilled nursing care occurs in facilities or units that
offer prolonged health maintenance or rehabilitative services.
Page 2
