BRUNNER & SUDDARTH'S
TEXTBOOK OF MEDICAL-
SURGICAL NURSING
COMBINED PRACTICE
QUESTIONS WITH ANSWERS
1. A 47-year-old male client presented to the medical unit and the health care
team suspects tuberculosis (TB). The nurse is admitting the client to a
reverse isolation room. QuantiFERON testing and chest x-ray are pending.
Urinalysis results are negative. No other testing was performed prior to
admission to isolation. The client denies any chest pain, shortness of breath
(SOB), or respiratory difficulty. The client presents with productive yellow
sputum.
2. Based on the provided assessment status, the nurse should utilize
__________ to prevent exposure and __________ to collect specimens for
additional testing. - correct answerBased on the provided assessment
status, the nurse should utilize airborne precautions to prevent exposure
and sputum to collect specimens for additional testing.
3. A client had a total hip replacement earlier in the day. The nurse sits with
the client to establish some goals. One goal they agree on is to ambulate 1
to 2 miles each day. This is an example of which type of goal? - correct
answerLong-term
,4. A client has been a resident of a long-term care facility for several years.
The client's condition has deteriorated to the point that the client is now
unable to eat. The physician has recommended surgical implantation of a
feeding tube. The client's family has a legal document outlining the client's
wishes in regard to measures such as this. What is this document? - correct
answeradvance directive
5. A client has been admitted to the hospital with a large sacral pressure ulcer.
The physician prescribes the wound care protocol to be performed twice a
day. What would be a statement on the plan of care that would address the
implementation phase of the nursing process for this client? - correct
answerTurn the client every 2 hours.
6. A client has been diagnosed with cardiac dysfunction and admitted to a
health care center. The nurse notices that the client's ankles and feet are
swollen. Using critical thinking skills, which nursing intervention does the
nurse know to perform next?
7. Assess oxygen saturation level
8. Weigh client daily at the same time
9. Organize activities to provide frequent rest periods
10.Assess client for dependent edema - correct answerAssess client for
dependent edema
11.A client has been diagnosed with cardiac dysfunction and admitted to a
health care center. The nurse notices that the client's ankles and feet are
swollen. Using critical thinking skills, which nursing intervention does the
nurse know to perform next? - correct answerAssess client for dependent
edema
12.A client has just been told she has cancer. The client tells the nurse that she
is not sure if she wants her family to know. The nurse encourages the client
to consider sharing this information with her family members so they can
support her through future treatment-related decisions. What ethical
principle is the nurse demonstrating?
, 13.Fidelity
14.Justice
15.Veracity
16.Confidentiality - correct answerVeracity
17.A client has just returned to the unit following abdominal surgery and is in
significant pain. According to the nursing process, how frequently will the
nurse perform assessments on this client? - correct answeras often as
needed
18.A client is experiencing anorexia related to the adverse effects of cancer
treatment. Using Maslow's hierarchy, the nurse identifies this as a
reflection of which need? - correct answerPhysiologic needs
19.A client recently diagnosed with pancreatic cancer asks the nurse not to
share the diagnosis with the client's family members. After visiting the
client, the client's daughter approaches the nurse and states, "Mom just did
not seem herself today. Are biopsy reports back and do they confirm
pancreatic cancer?" What is the best response from the nurse to the
client's daughter?
20."It is unethical and illegal for me to discuss your mother's medical
information with you."
21."It is illegal for me to discuss biopsy results with anyone but the client
involved."
22."It is unethical and illegal for me to give you the biopsy results; please ask
your mother."
23."It is unethical of me to discuss biopsy results with anyone but the client
involved." - correct answer"It is unethical and illegal for me to discuss your
mother's medical information with you."
24.A client will undergo abdominal surgery. The nurse provides preoperative
education regarding the importance of diaphragmatic breathing exercises
to prevent postoperative complications.
25.The nurse will educate the client about the risk for developing _________,
____________, and ____________, if the client does not implement
TEXTBOOK OF MEDICAL-
SURGICAL NURSING
COMBINED PRACTICE
QUESTIONS WITH ANSWERS
1. A 47-year-old male client presented to the medical unit and the health care
team suspects tuberculosis (TB). The nurse is admitting the client to a
reverse isolation room. QuantiFERON testing and chest x-ray are pending.
Urinalysis results are negative. No other testing was performed prior to
admission to isolation. The client denies any chest pain, shortness of breath
(SOB), or respiratory difficulty. The client presents with productive yellow
sputum.
2. Based on the provided assessment status, the nurse should utilize
__________ to prevent exposure and __________ to collect specimens for
additional testing. - correct answerBased on the provided assessment
status, the nurse should utilize airborne precautions to prevent exposure
and sputum to collect specimens for additional testing.
3. A client had a total hip replacement earlier in the day. The nurse sits with
the client to establish some goals. One goal they agree on is to ambulate 1
to 2 miles each day. This is an example of which type of goal? - correct
answerLong-term
,4. A client has been a resident of a long-term care facility for several years.
The client's condition has deteriorated to the point that the client is now
unable to eat. The physician has recommended surgical implantation of a
feeding tube. The client's family has a legal document outlining the client's
wishes in regard to measures such as this. What is this document? - correct
answeradvance directive
5. A client has been admitted to the hospital with a large sacral pressure ulcer.
The physician prescribes the wound care protocol to be performed twice a
day. What would be a statement on the plan of care that would address the
implementation phase of the nursing process for this client? - correct
answerTurn the client every 2 hours.
6. A client has been diagnosed with cardiac dysfunction and admitted to a
health care center. The nurse notices that the client's ankles and feet are
swollen. Using critical thinking skills, which nursing intervention does the
nurse know to perform next?
7. Assess oxygen saturation level
8. Weigh client daily at the same time
9. Organize activities to provide frequent rest periods
10.Assess client for dependent edema - correct answerAssess client for
dependent edema
11.A client has been diagnosed with cardiac dysfunction and admitted to a
health care center. The nurse notices that the client's ankles and feet are
swollen. Using critical thinking skills, which nursing intervention does the
nurse know to perform next? - correct answerAssess client for dependent
edema
12.A client has just been told she has cancer. The client tells the nurse that she
is not sure if she wants her family to know. The nurse encourages the client
to consider sharing this information with her family members so they can
support her through future treatment-related decisions. What ethical
principle is the nurse demonstrating?
, 13.Fidelity
14.Justice
15.Veracity
16.Confidentiality - correct answerVeracity
17.A client has just returned to the unit following abdominal surgery and is in
significant pain. According to the nursing process, how frequently will the
nurse perform assessments on this client? - correct answeras often as
needed
18.A client is experiencing anorexia related to the adverse effects of cancer
treatment. Using Maslow's hierarchy, the nurse identifies this as a
reflection of which need? - correct answerPhysiologic needs
19.A client recently diagnosed with pancreatic cancer asks the nurse not to
share the diagnosis with the client's family members. After visiting the
client, the client's daughter approaches the nurse and states, "Mom just did
not seem herself today. Are biopsy reports back and do they confirm
pancreatic cancer?" What is the best response from the nurse to the
client's daughter?
20."It is unethical and illegal for me to discuss your mother's medical
information with you."
21."It is illegal for me to discuss biopsy results with anyone but the client
involved."
22."It is unethical and illegal for me to give you the biopsy results; please ask
your mother."
23."It is unethical of me to discuss biopsy results with anyone but the client
involved." - correct answer"It is unethical and illegal for me to discuss your
mother's medical information with you."
24.A client will undergo abdominal surgery. The nurse provides preoperative
education regarding the importance of diaphragmatic breathing exercises
to prevent postoperative complications.
25.The nurse will educate the client about the risk for developing _________,
____________, and ____________, if the client does not implement
