TEST BANK
Brunner & Suddarth's Textbook Of Medical-Surgical Nursing
Janice L Hinkle, Kerry H. Cheever, Kristen Overbaugh
16th Edition
,Table Of Contents
Chapter 01 Professional Nursing Practice 2
Chapter 02 Medical-Surgical Nursing 17
Chapter 03 Health Education And Health Promotion 30
Chapter 04 Adult Health And Physical, Nutritional, And Cultural Assessment 45
Chapter 05 Stress And Inflammatory Responses 60
Chapter 06 Genetics And Genomics In Nursing 76
Chapter 07 Disability And Chronic Illness 92
Chapter 08 Management Of The Older Adult Patient 107
Chapter 09 Pain Management 121
Chapter 10 Fluid And Electrolytes 137
Chapter 11 Shock, Sepsis, And Multiple Organ Dysfunction Syndrome 153
Chapter 12 Management Of Patients With Oncologic Disorders 169
Chapter 13 Palliative And End-Of-Life Care 183
Chapter 14 Preoperative Nursing Management 199
Chapter 15 Intraoperative Nursing Management 214
Chapter 16 Postoperative Nursing Management 228
Chapter 17 Assessment Of Respiratory Function 243
Chapter 18 Management Of Patients With Upper Respiratory Tract Disorders 258
Chapter 19 Management Of Patients With Chest And Lower Respiratory Tract Disorders 272
Chapter 20 Management Of Patients With Chronic Pulmonary Disease 288
Chapter 21 Assessment Of Cardiovascular Function 304
Chapter 22 Management Of Patients With Arrhythmias And Conduction Problems 318
Chapter 23 Management Of Patients With Coronary Vascular Disorders 331
Chapter 24 Management Of Patients With Structural, Infectious, And Inflammatory Cardiac
Disorders 347
Chapter 25 Management Of Patients With Complications From Heart Disease 361
Chapter 26 Assessment And Management Of Patients With Vascular Disorders And Problems
Of Peripheral Circulation 375
Chapter 27 Assessment And Management Of Patients With Hypertension 391
Chapter 28 Assessment Of Hematologic Function And Treatment Modalities 405
Chapter 29 Management Of Patients With Nonmalignant Hematologic Disorders 420
Chapter 30 Management Of Patients With Hematologic Neoplasms 433
Chapter 31 Assessment Of Immune Function 448
Chapter 32 Management Of Patients With Immune Deficiency Disorders 462
Chapter 33 Assessment And Management Of Patients With Allergic Disorders 477
Chapter 34 Assessment And Management Of Patients With Inflammatory Rheumatic Disorders 492
Chapter 35 Assessment Of Musculoskeletal Function 506
Chapter 36 Management Of Patients With Musculoskeletal Disorders 520
,Chapter 37 Management Of Patients With Musculoskeletal Trauma 535
Chapter 38 Assessment Of Digestive And Gastrointestinal Function 550
Chapter 39 Management Of Patients With Oral And Esophageal Disorders 564
Chapter 40 Management Of Patients With Gastric And Duodenal Disorders 578
Chapter 41 Management Of Patients With Intestinal And Rectal Disorders 591
Chapter 42 Assessment And Management Of Patients With Obesity 606
Chapter 43 Assessment And Management Of Patients With Hepatic Disorders 621
Chapter 44 Management Of Patients With Biliary Disorders 635
Chapter 45 Assessment And Management Of Patients With Endocrine Disorders 650
Chapter 46 Management Of Patients With Diabetes 665
Chapter 47 Assessment Of Kidney And Urinary Function 680
Chapter 48 Management Of Patients With Kidney Disorders 695
Chapter 49 Management Of Patients With Urinary Disorders 710
Chapter 50 Assessment And Management Of Patients With Female Physiologic Processes 725
Chapter 51 Management Of Patients With Female Reproductive Disorders 741
Chapter 52 Assessment And Management Of Patients With Breast Disorders 757
Chapter 53 Assessment And Management Of Patients With Male Reproductive Disorders 771
Chapter 54 Assessment And Management Of Patients Who Are LGBTQ 786
Chapter 55 Assessment Of Integumentary Function 794
Chapter 56 Management Of Patients With Dermatologic Disorders 808
Chapter 57 Management Of Patients With Burn Injury 822
Chapter 58 Assessment And Management Of Patients With Eye And Vision Disorders 837
Chapter 59 Assessment And Management Of Patients With Hearing And Balance Disorders 851
Chapter 60 Assessment Of Neurologic Function 866
Chapter 61 Management Of Patients With Neurologic Dysfunction 881
Chapter 62 Management Of Patients With Cerebrovascular Disorders 895
Chapter 63 Management Of Patients With Neurologic Trauma 911
Chapter 64 Management Of Patients With Neurologic Infections, Autoimmune Disorders, And
Neuropathies 926
Chapter 65 Management Of Patients With Oncologic Or Degenerative Neurologic Disorders 940
Chapter 66 Management Of Patients With Infectious Diseases 955
Chapter 67 Emergency Nursing 968
Chapter 68 Disaster Nursing 977
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
Chapter 1: Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook Of Medical-Surgical Nursing, 16th Edition
MULTIPLE CHOICE
1. A Nurse Has Been Offered A Position On An Obstetric Unit And Has Learned That The Unit Offers
Therapeutic Abortions, A Procedure That Contradicts The Nurse's Personal Beliefs. What Is The
Nurse's Ethical Obligation To These Clients?
A. The Nurse Should Adhere To Professional Standards Of Practice And Offer Service
To These Clients.
B. The Nurse Should Make The Choice To Decline This Position And Pursue A Different
Nursing Role.
C. The Nurse Should Decline To Care For The Client’s Considering Abortion.
D. The Nurse Should Express Alternatives To Women Considering Terminating Their Pregnancy.
ANS: B
Rationale: To Avoid Facing The Ethical Dilemma Of Providing Care That Contradicts The Nurse’s
Personal Beliefs, The Nurse Should Consider Working In An Area Of Nursing That Would Not Pose
This Dilemma. The Nurse Should Not Provide Care To The Client Because It Is A Conflict Of
Personal Values. The Nurse Should Not Deny Care To These Clients As This Would Be A Breach In
The Code Of Ethics For Nurses. If The Client Is Not Requesting Information For Alternatives To
Abortions, Then The Nurse Should Not Be Providing This Information.
PTS: 1 REF: P. 27
NAT: Client Needs: Safe, Effective Care Environment: Management Of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-Year-Old Client Is Admitted With A Diagnosis Of Community-Acquired Pneumonia. During
Admission The Client States, "I Have A Living Will." What Implication Of This Should The Nurse
Recognize?
A. This Document Is Always Honored, Regardless Of Circumstances.
B. This Document Specifies The Client's Wishes Before Hospitalization.
C. This Document Is Binding For The Duration Of The Client's Life.
D. This Document Has Been Drawn Up By The Client's Family To Determine DNR Status.
ANS: B
Rationale: A Living Will Is One Type Of Advance Directive. In Most Situations, Living Wills Are
Limited To Situations In Which The Client's Medical Condition Is Deemed Terminal. The Other
Answers Are Incorrect Because Living Wills Are Not Always Honored In Every Circumstance, They
Are Not Binding For The Duration Of The Client's Life, And They Are Not Drawn Up By The
Client's Family.
PTS: 1 REF: P. 29
NAT: Client Needs: Safe, Effective Care Environment: Management Of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication And Documentation BLM: Cognitive Level: Analyze
NOT: Multiple Choice
3. A Nurse Has Been Providing Ethical Care For Many Years And Is Aware Of The Need To Maintain
The Ethical Principle Of Nonmaleficence. Which Of The Following Actions Would Be Considered A
Violation Of This Principle?
A. Discussing A DNR Order With A Terminally Ill Client
B. Assisting A Semi-Independent Client With Adls
C. Refusing To Administer Pain Medication As Prescribed
1|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
D. Providing More Care For One Client Than For
Another ANS: C
Rationale: The Duty Not To Inflict As Well As Prevent And Remove Harm Is Termed Nonmaleficence.
Discussing A DNR Order With A Terminally Ill Client And Assisting A Client With Adls Would Not
Be Considered Contradictions To The Nurse's Duty Of Nonmaleficence. Some Clients Justifiably
Require More Care Than Others.
PTS: 1 REF: P. 25
NAT: Client Needs: Safe, Effective Care Environment: Management Of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
NOT: Multiple Choice
4. A Nurse Has Begun Creating A Client's Plan Of Care Shortly After The Client's Admission. The
Nurse Knows That It Is Important That The Wording Of The Chosen Nursing Diagnoses Falls
Within The Taxonomy Of Nursing. Which Organization Is Responsible For Developing The
Taxonomy Of A Nursing Diagnosis?
A. American Nurses Association (ANA)
B. North American Nursing Diagnosis Association (NANDA)
C. National League For Nursing (NLN)
D. Joint Commission
ANS: B
Rationale: NANDA International Is The Official Organization Responsible For Developing The
Taxonomy Of Nursing Diagnoses And Formulating Nursing Diagnoses Acceptable For Study. The
ANA, NLN, And Joint Commission Are Not Charged With The Task Of Developing The Taxonomy
Of Nursing Diagnoses.
PTS: 1 REF: P. 15
NAT: Client Needs: Safe, Effective Care Environment: Management Of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
NOT: Multiple Choice
5. A Medical Nurse Has Obtained A New Client's Health History And Has Completed The Admission
Assessment. The Nurse Followed This By Documenting The Results And Creating A Care Plan For
The Client. Which Of The Following Is The Most Important Rationale For Documenting The
Client's Care?
A. It Provides Continuity Of Care.
B. It Creates A Teaching Log For The Family.
C. It Verifies Appropriate Staffing Levels.
D. It Keeps The Client Fully Informed.
ANS: A
Rationale: This Record Provides A Means Of Communication Among Members Of The Health Care
Team And Facilitates Coordinated Planning And Continuity Of Care. It Serves As The Legal And
Business Record For A Health Care Agency And For The Professional Staff Members Who Are
Responsible For The Client's Care. Documentation Is Not Primarily A Teaching Log; It Does Not
Verify Staffing; And It Is Not Intended To Provide The Client With Information About Treatments.
PTS: 1 REF: P. 14
NAT: Client Needs: Safe, Effective Care Environment: Management Of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication And Documentation BLM: Cognitive Level: Understand
NOT: Multiple Choice
2|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
6. The Nurse Hasfbeen Assignedfto Care Forfa Client Admittedfwithfanfopportunistic Infection Secondary To AID
S. The Nursefinforms The Clinical Nursefleader That The Nurse Refuses To Careforfafclient With AIDS.
Thefnurs Efhas An Obligationftofthis Clientfunder Whichfofftheffollowing?
A. Goodfsamaritanfact
B. Nursing Interventionsfclassificationf(NIC)
C. The Nurse Practicefact In The Nurse's Jurisdiction
D. International Councilfoffnurses(ICN)Fcodefoffethics For Nurses
ANS: D
Rationale: Thefethicalfobligation To Care Forfall Clients Is Includedfin The Codefoffethics Forfnurses.
The Goodfsamaritanfact Relates Toflayfpeoplefhelpingfothers In Need. The
Nicfisfafstandardizedfclassificatio Nfoffnursingftreatmentfthatfincludesfindependent Andfcollaborative
Interventions. Nursefpractice Acts Pri Marilyfaddress Scope Offpractice.
PTS: 1 REF: P. 27
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Understand
NOT: Multiple Choice
7. The Nurse, Infcollaboration Withfthe Client'sffamily, Is Determiningfpriorities Relatedfto The Care Offthe Client
. The Nursefexplainsfthatfitfis Importantftoconsiderfthe Urgencyfoffspecific Problems Whenfsetting Priorities.
Whatfshouldfthe Nurse Adopt Asfthe Bestfframeworkffor Prioritizing Clientfproblems?
A. Availabilityfoffhospital Resources
B. Family Memberfstatements
C. Maslowfhierarchyfoffneeds
D. The Nurse's Skill Set
ANS: C
Rationale: Thefmaslowfhierarchyfoffneedsf Provides Afuseful Frameworkffor Prioritizing Problems,
Withfthe Firstflevel Givenfto Meetingfphysical Needsfoffthefclient. Availabilityfoffhospital Resources,
Familyfmember Statements, Andfnursing Skillfdo Notfprovide Afframeworkffor Prioritization Offclient
Problems, Thoughfeac Hfmayfbe Considered.
PTS: 1 REF: P. 6
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Applyf
NOT: Multiple Choice
8. Afmedical Nursefis Caringforfa Client Who Is Receivingpalliative Carefollowingfcancerfmetastasis.
Thefnur Se Is Aware Offthe Needfto Upholdfthe Ethical Principlefoffbeneficence. Howfcanfthe Nurse
Bestfexemplifyfth Is Principle In The Care Offthisfclient?
A. The Nursetactfullyfregulatesfthefnumberfand Timing Offvisitors Asfperfthe Client's Wishes.
B. The Nurse Staysfwith The Clientfduring Theirfdeath.
C. Thenurse Ensuresfthatfall Members Offthe Carefteamfare Aware Offthe Client's DNR Order.
D. The Nurse Collaborates Withmembers Offthefcarefteamfto Ensure Continuityoffcare.
ANS: A
Rationale: Beneficence Isfthefdutyfto Do Good Andftheactive Promotionfoffbenevolent Acts. Enacting
The Client's Wishes Regarding Visitors Is An Example Offthis. Eachfoffthefother Nursingfactions Is
Consistentfwi Thfethical Practice, Butfnone Directlyfexemplifiesfthefprinciple Offbeneficence.
PTS: 1 REF: P. 25
NAT: Client Needs: Safe,Feffectivefcare Environment: Managementfoffcare
3|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
TOP: Chapterf1: Professional Nursingfpractice
KEY: Integratedfprocess: Caringfblm: Cognitive Level
: Apply NOT: Multiple Choice
9. In The Process Offplanningfafclient's Care, Thefnursehas Identifiedfa Nursingfdiagnosis
Offineffectivefhea Lthfmaintenance Relatedftofalcohol Use. Whatfmustfprecede The Determination
Offthisfnursingfdiagnosis
?
A. Establishingoffa Planftofaddress The Underlyingfproblem
B. Assigningfafpositive Valueto Eachconsequencefoffthe Diagnosis
C. Collectingfand Analyzing Data That Corroborate Thediagnosis
D. Evaluatingfthe Client's Chances Offrecovery
ANS: C
Rationale: Infthefdiagnosticfphase Offthefnursing Process, The Client'sfnursing
Problemsfarefdefinedfthrough Analysis Offclient Data. Establishingfa Planfcomes Afterfcollectingfand
Analyzing Data; Evaluating Afplan Is T He Last Step Offthe Nursing Process; Andfassigningfa
Positivefvalue To Eachfconsequence Is Not Done.
PTS: 1 REF: P. 16
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Applyf
NOT: Multiple Choice
10. The Providerfhas Recommended Anamniocentesisffor Anf18-Year-
Old Primiparousfclient. Thefclient Isfat 34fweeks' Gestation Andfdoes Notfwantfthis Procedure, But The
Healthf Care Provider Arranges Forfthefamniocentesis Tofbefperformed. The Nurse Shouldfrecognizefthat
The Provider Isfin Violation Offwhich Ethical Principle?
A. Veracity
B. Beneficence
C. Nonmaleficence
D. Autonomy
ANS: D
Rationale: Thefprinciple Offautonomyfspecifies That Individuals Havefthe Abilityftofmakefa Choiceffree
Fro Mfexternal Constraints. The Provider's Actions In This Casefviolate This Principle. This
Actionfmayforfmay N Otfviolate The Principle Offbeneficence. Veracityfcenters Onftruth-
Telling, And Nonmaleficence Is Avoidingfthefinfliction Offharm.
PTS: 1 REF: P. 25
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Analyze
NOT: Multiple Choice
11. Duringa Discussionfwith The Client Andfthe Client's Spouse,Fthefnurse Discoversthatfthe Clientfhas
A Livi Ngfwill. Howfdoes The Presence Offafliving Will Influencefthefclient's Care?
A. The Client Isflegally Unableto Refusefbasic Life Support.
B. The Healthfcare Provider Canoverride The Client's Desires Forftreatmentfiffdesires Are
Notfevi Dencefbased.
C. The Client Maynullify The Livingwill Duringthe Hospitalization.
D. Power Offattorney Mayfchange Whilethefclientfisfhospitalized.
A NS: C
4|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
Rationale: Becauselivingfwills Are Oftenfwritten Whenfthefpersonfis Infgoodhealth, Itfis Not Unusual
Forfthefc Lientftofnullifyfthefliving Willfduring Illness. Aflivingfwillfdoes Not Make A Clientflegally
Unable To Refusefbas Icflife Support. The Health Care Provider Mayfdisagreefwith The Client's Wishes
Butfisfethicallyfboundftofcarr Yfout Those Wishes. A Power Offattorneyfisfnotfsynonymousfwith Afliving
Will.
PTS: 1 REF: P. 29
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Communicationfandfdocumentation
BLM: Cognitiveflevel: Applyf
NOT: Multiple Choice
12. The Nurse Is Providing Care Forfafclient Who Hasfafdiagnosisfoffpneumonia Dueftofstreptococcus
Pneumo Nia Infection. Whatfaspectfoffnursing Carefwouldfconstitute Part Offthe Planningfphase
Offthefnursing Pro Cess?
A. Achieve Sao2 92% Atfall Times.
B. Auscultatechest Q4h.
C. Administerforal Fluidsfq1hfand PRN.
D. Avoidfoverexertionfat All Times.
ANS: A
Rationale: Thefplanningfphase Entails Specifyingthefimmediate, Intermediate, And Long-
Term Goalsfoffnursing Action, Such As Maintaining Afcertainflevel Offoxygen Saturationfinfa Client
Withfpneu Monia. Providing Fluids Andfavoidingfoverexertion Are Parts Offthe Implementationfphase
Offthe Nursingfpr Ocess. Chest Auscultation Is An Assessment.
PTS: 1 REF: P. 12
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Analyze
NOT: Multiple Choice
13. Afrecent Nursingfgraduate Is Aware Offthefdifferences Betweennursingfactions That Are
Independentfandfnur Singactions Thatfarefinterdependent. Afnurse Performs An Interdependent
Nursingfintervention Whenfperfor Ming Which Offthe Followingfactions?
A. Auscultatingafclient's Apical Heart Rateduringan Admission Assessment
B. Providingmouthfcare Tofa Client Whois Unconscious Followingfa Cerebrovascular Accident
C. Administeringfan IV Bolusfoffnormal Salineftofa Client With Hypotension
D. Providingdischarge Teachingftofa Postsurgicalfclientfaboutfthefrationaleffor
Afcoursefoffora L Antibiotics
ANS: C
Rationale: Although Manynursingfactions Are Independent, Othersfarefinterdependent, Suchas
Carryingfou T Prescribedftreatments; Administering Medications Andftherapies; Collaboratingfwith
Other Healthfcareftea Mfmembers To Accomplishfspecific, Expectedfoutcomes; And To Monitor
Andfmanage Potentialfcomplicatio Ns. Irrigatingfa Wound, Administeringfpainfmedication, And
Administering Ivffluids Are Interdependentfnur Sing Actions Andfrequire A Healthfcare Provider's Order.
Anfindependent Nursingfaction Occurs When The Nur Se Assessesfafclient's Heartfrate,
Providesfdischargefeducation,Forfprovides Mouth Care.
PTS: 1 REF: P. 19
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Analyze
NOT: Multiple Choice
5|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
14. Afhospital Audit Revealsfthat Four Clients Infthefhospital Have Currentfordersffor Restraints. Thefnurse
Know S That Restraints Arefanfinterventionfofflast Resort, Andfthatfitfis Inappropriate To Applyfrestraints
To Which Offt He Followingfclients?
A. Afpostlaryngectomy Clientwho Is Attemptingftofpullfout The Tracheostomyftube
B. Afclientfinfhypovolemic Shockftryingfto Remove The Dressingover Afcentral
Venous Cat Heter
C. Afclientfwith Urosepsis Whofisfringing Thecall Bell Incessantlytouse Thebedside
Co Mmode
D. Afclientfwithdepressionfwho Hasjustftriedfto Commitfsuicideandfwhose Medications Are
Notf Achievingfadequate Symptom Control
ANS: C
Rationale: Restraints Shouldfneverfbe Appliedfforfstafffconvenience. The Clientfwithfurosepsisfwhois
Frequ Entlyfringing The Call Bell Is Requestingfassistance To Thefbedside Commode; This Isfappropriate
Behaviorftha T Willfnotfresultfinfclient Harm. Thefother Describedfsituations Couldfplausiblyfresultfin
Client Harm; Therefor E, Itfis More Appropriate To Applyfrestraintsfin These Instances.
PTS: 1 REF: P. 28
NAT: Client Needs: Safe, Effectivefcare Environment: Safetyfandfinfection Control TOP:
Chapterf1: Professionalfnursingfpractice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Analyze
NOT: Multiple Choice
15. Afclientfagreedftofbefa Part Offa Research Studyfinvolving Migraine Headache Management. Thefclient
Ask S The Nursefiffafplacebo Was Givenffor
Painfmanagementforfiffthefnewfdrugfthatfisfundergoingfclinicalftrial S Wasfgiven. Afterfdiscussingfthe
Client'sfdistress, Itfbecomes Evidentfto Thefnurse That The Client Didfnotfful Lyfunderstandfthe
Informedfconsentfdocumentfthat Wasfsigned Atfthefstartfoffthe Researchfstudy. Whatfis T He
Bestfresponse Byfthefnurse
A. "Theresearchfstudyis In Placefandfther Efisfno Wayto Know Now."
B. "Ihave Nofideafwhatfis Beingfgivenffor Yourfmigraine."
C. "What Difference Does Itfmake?Fhowfis Yourfheadache?"
D. "Youfsignedfthe Informed Consentfdocumentsfpriorftothe Treatment."
ANS: A
Rationale: Tellingftheftruth (Veracity) Is One Offthe Basic Principles Offnursingfculture. Three Ethical
Dilem Mas Infclinical Practice Thatfcanfdirectlyfconflict With Thisfprinciple Arefthefuse Offplacebos
(Nonactive Subst Ances Used Forftreatment), Not Revealingfa Diagnosis To A Client, Andfrevealing
Afdiagnosis To Persons Otherfth An The Clientfwithfthe Diagnosis. Thefnurse Is Followingfthe
Guidelines Offthe Researchfstudy, So Re- Educatingfthefclientfaboutfthefstudy Isfthefbest The
Nursefcanfdo. Sayingf"Whatfdifference Doesfitfmake?" Orf "Youfsignedfinformedfconsent Documents"
Isfnotfhelpful Becausefthese Statements Are Not Supportive. Whi Lefitfis True Thatfthefnurse Does
Notfknowfwhatftreatment The Clientfreceived, This Statementfis Alsofnotfsuppor Tive.
PTS: 1 REF: P. 28
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Communicationfandfdocumentation| Integratedfprocess: Nursingfprocess B
LM: Cognitive Level: Analyze NOT: Multiple Choice
16. Afcarefconferencefhas Beenforganizedffor Afclientfwith Complex Medical Andfpsychosocial Needs.
Whenf Applyingthe Principles Offcritical Thinkingto Thisfclient's Care Planning, Thefnurse Should
Most Exemplif Yfwhatfcharacteristic?
A. Willingness To Observe Behaviors
6|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
B. Afdesireftofutilizefthefnursing Scope Offpractice Fully
C. An Abilityfto Base Decisionsfon What Has Happened In The Past
D. Openness Tofvariousfviewpoints
ANS: D
Rationale: Willingness Andfopenness To Various Viewpoints Are Inherentfinfcritical Thinking;
Theseallow The Nurse To Reflectfon The Currentfsituation. An Emphasisfonfthe Past, Willingness To
Observe Behaviors, And Afd Esireftofutilize The Nursingfscope Offpractice Fullyfare Not
Centralfcharacteristics Offcritical Thinkers.
PTS: 1 REF: P. 11
NAT: Client Needs: Psychosocialfintegrityftop: Chapter 1: Profe Ssional
Nursingfpractice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Applyf
NOT: Multiple Choice
17. The Nurse Is Providing Care Forfafclient With Chronic Obstructive Pulmonaryfdisease (COPD). The
Nurse'sf Most Recentfassessment Reveals Anfsao2 Off89%. The Nursefis Awarethat Part
Offcriticalfthinking Is Determin Ingfthe Significancefoffdatafthatfhave Beenfgathered.
Whatfcharacteristicfoffcriticalfthinkingfisfusedfin Deter Mining The Bestfresponse To
Thisfassessmentffinding?
A. Extrapolation
B. Inference
C. Characterization
D. Interpretation
ANS: D
Rationale: Nurses Use Interpretation To Determinefthefsignificance Offdata Thatfarefgathered. This Specificfpr
Ocessfisfnotfdescribedfas Extrapolation, Inference, Orfcharacterization.
PTS: 1 REF: P. 11
NAT: Client Needs : Psychosocialfintegrityftop: Chapter 1: Profe
Ssional Nursingfpractice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Understand
NOT: Multiple Choice
18. Afnurseisadmittingfanewfclientftofthe Medical Unit. Duringthe Initial Nursingfassessment, The Nurse
Hasf Askedfmany Supplementaryfopen-
Ended Questions While Gatheringfinformation Aboutfthefnewfclient. What Is The Nurse
Achievingfthroughft Hisfapproach?
A. Interpretingfwhatfthefclientfhasfsaid
B. Evaluatingfwhatfthe Clientfhas Said
C. Assessingfwhatfthefclientfhasfsaid
D. Validatingwhat The Client Has Said
ANS: D
Rationale: Criticalfthinkersfvalidate The Informationfpresented To Make Sure That Itfis Accuratef(Not
Justfsup Positionfor Opinion), Thatfitfmakes Sense, Andfthat Itfis Based Onffact Andfevidence. The Nurse
Isfnotfinterpre Ting, Evaluating,Forfassessing The Information The Clientfhasfgiven.
PTS: 1 REF: P. 15
NAT: Client Needs: Psychosocialfintegrityftop: Chapter 1: Profe Ssional
Nursingfpractice
KEY: Integratedfprocess: Communicationfandfdocumentation
BLM: Cognitive
NOT: Multiple Choice
7|Page
Brunner & Suddarth's Textbook Of Medical-Surgical Nursing
Janice L Hinkle, Kerry H. Cheever, Kristen Overbaugh
16th Edition
,Table Of Contents
Chapter 01 Professional Nursing Practice 2
Chapter 02 Medical-Surgical Nursing 17
Chapter 03 Health Education And Health Promotion 30
Chapter 04 Adult Health And Physical, Nutritional, And Cultural Assessment 45
Chapter 05 Stress And Inflammatory Responses 60
Chapter 06 Genetics And Genomics In Nursing 76
Chapter 07 Disability And Chronic Illness 92
Chapter 08 Management Of The Older Adult Patient 107
Chapter 09 Pain Management 121
Chapter 10 Fluid And Electrolytes 137
Chapter 11 Shock, Sepsis, And Multiple Organ Dysfunction Syndrome 153
Chapter 12 Management Of Patients With Oncologic Disorders 169
Chapter 13 Palliative And End-Of-Life Care 183
Chapter 14 Preoperative Nursing Management 199
Chapter 15 Intraoperative Nursing Management 214
Chapter 16 Postoperative Nursing Management 228
Chapter 17 Assessment Of Respiratory Function 243
Chapter 18 Management Of Patients With Upper Respiratory Tract Disorders 258
Chapter 19 Management Of Patients With Chest And Lower Respiratory Tract Disorders 272
Chapter 20 Management Of Patients With Chronic Pulmonary Disease 288
Chapter 21 Assessment Of Cardiovascular Function 304
Chapter 22 Management Of Patients With Arrhythmias And Conduction Problems 318
Chapter 23 Management Of Patients With Coronary Vascular Disorders 331
Chapter 24 Management Of Patients With Structural, Infectious, And Inflammatory Cardiac
Disorders 347
Chapter 25 Management Of Patients With Complications From Heart Disease 361
Chapter 26 Assessment And Management Of Patients With Vascular Disorders And Problems
Of Peripheral Circulation 375
Chapter 27 Assessment And Management Of Patients With Hypertension 391
Chapter 28 Assessment Of Hematologic Function And Treatment Modalities 405
Chapter 29 Management Of Patients With Nonmalignant Hematologic Disorders 420
Chapter 30 Management Of Patients With Hematologic Neoplasms 433
Chapter 31 Assessment Of Immune Function 448
Chapter 32 Management Of Patients With Immune Deficiency Disorders 462
Chapter 33 Assessment And Management Of Patients With Allergic Disorders 477
Chapter 34 Assessment And Management Of Patients With Inflammatory Rheumatic Disorders 492
Chapter 35 Assessment Of Musculoskeletal Function 506
Chapter 36 Management Of Patients With Musculoskeletal Disorders 520
,Chapter 37 Management Of Patients With Musculoskeletal Trauma 535
Chapter 38 Assessment Of Digestive And Gastrointestinal Function 550
Chapter 39 Management Of Patients With Oral And Esophageal Disorders 564
Chapter 40 Management Of Patients With Gastric And Duodenal Disorders 578
Chapter 41 Management Of Patients With Intestinal And Rectal Disorders 591
Chapter 42 Assessment And Management Of Patients With Obesity 606
Chapter 43 Assessment And Management Of Patients With Hepatic Disorders 621
Chapter 44 Management Of Patients With Biliary Disorders 635
Chapter 45 Assessment And Management Of Patients With Endocrine Disorders 650
Chapter 46 Management Of Patients With Diabetes 665
Chapter 47 Assessment Of Kidney And Urinary Function 680
Chapter 48 Management Of Patients With Kidney Disorders 695
Chapter 49 Management Of Patients With Urinary Disorders 710
Chapter 50 Assessment And Management Of Patients With Female Physiologic Processes 725
Chapter 51 Management Of Patients With Female Reproductive Disorders 741
Chapter 52 Assessment And Management Of Patients With Breast Disorders 757
Chapter 53 Assessment And Management Of Patients With Male Reproductive Disorders 771
Chapter 54 Assessment And Management Of Patients Who Are LGBTQ 786
Chapter 55 Assessment Of Integumentary Function 794
Chapter 56 Management Of Patients With Dermatologic Disorders 808
Chapter 57 Management Of Patients With Burn Injury 822
Chapter 58 Assessment And Management Of Patients With Eye And Vision Disorders 837
Chapter 59 Assessment And Management Of Patients With Hearing And Balance Disorders 851
Chapter 60 Assessment Of Neurologic Function 866
Chapter 61 Management Of Patients With Neurologic Dysfunction 881
Chapter 62 Management Of Patients With Cerebrovascular Disorders 895
Chapter 63 Management Of Patients With Neurologic Trauma 911
Chapter 64 Management Of Patients With Neurologic Infections, Autoimmune Disorders, And
Neuropathies 926
Chapter 65 Management Of Patients With Oncologic Or Degenerative Neurologic Disorders 940
Chapter 66 Management Of Patients With Infectious Diseases 955
Chapter 67 Emergency Nursing 968
Chapter 68 Disaster Nursing 977
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
Chapter 1: Professional Nursing Practice
Hinkle: Brunner & Suddarth's Textbook Of Medical-Surgical Nursing, 16th Edition
MULTIPLE CHOICE
1. A Nurse Has Been Offered A Position On An Obstetric Unit And Has Learned That The Unit Offers
Therapeutic Abortions, A Procedure That Contradicts The Nurse's Personal Beliefs. What Is The
Nurse's Ethical Obligation To These Clients?
A. The Nurse Should Adhere To Professional Standards Of Practice And Offer Service
To These Clients.
B. The Nurse Should Make The Choice To Decline This Position And Pursue A Different
Nursing Role.
C. The Nurse Should Decline To Care For The Client’s Considering Abortion.
D. The Nurse Should Express Alternatives To Women Considering Terminating Their Pregnancy.
ANS: B
Rationale: To Avoid Facing The Ethical Dilemma Of Providing Care That Contradicts The Nurse’s
Personal Beliefs, The Nurse Should Consider Working In An Area Of Nursing That Would Not Pose
This Dilemma. The Nurse Should Not Provide Care To The Client Because It Is A Conflict Of
Personal Values. The Nurse Should Not Deny Care To These Clients As This Would Be A Breach In
The Code Of Ethics For Nurses. If The Client Is Not Requesting Information For Alternatives To
Abortions, Then The Nurse Should Not Be Providing This Information.
PTS: 1 REF: P. 27
NAT: Client Needs: Safe, Effective Care Environment: Management Of Care
TOP: Chapter 1: Professional Nursing Practice KEY: Integrated Process: Caring
BLM: Cognitive Level: Apply NOT: Multiple Choice
2. An 80-Year-Old Client Is Admitted With A Diagnosis Of Community-Acquired Pneumonia. During
Admission The Client States, "I Have A Living Will." What Implication Of This Should The Nurse
Recognize?
A. This Document Is Always Honored, Regardless Of Circumstances.
B. This Document Specifies The Client's Wishes Before Hospitalization.
C. This Document Is Binding For The Duration Of The Client's Life.
D. This Document Has Been Drawn Up By The Client's Family To Determine DNR Status.
ANS: B
Rationale: A Living Will Is One Type Of Advance Directive. In Most Situations, Living Wills Are
Limited To Situations In Which The Client's Medical Condition Is Deemed Terminal. The Other
Answers Are Incorrect Because Living Wills Are Not Always Honored In Every Circumstance, They
Are Not Binding For The Duration Of The Client's Life, And They Are Not Drawn Up By The
Client's Family.
PTS: 1 REF: P. 29
NAT: Client Needs: Safe, Effective Care Environment: Management Of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication And Documentation BLM: Cognitive Level: Analyze
NOT: Multiple Choice
3. A Nurse Has Been Providing Ethical Care For Many Years And Is Aware Of The Need To Maintain
The Ethical Principle Of Nonmaleficence. Which Of The Following Actions Would Be Considered A
Violation Of This Principle?
A. Discussing A DNR Order With A Terminally Ill Client
B. Assisting A Semi-Independent Client With Adls
C. Refusing To Administer Pain Medication As Prescribed
1|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
D. Providing More Care For One Client Than For
Another ANS: C
Rationale: The Duty Not To Inflict As Well As Prevent And Remove Harm Is Termed Nonmaleficence.
Discussing A DNR Order With A Terminally Ill Client And Assisting A Client With Adls Would Not
Be Considered Contradictions To The Nurse's Duty Of Nonmaleficence. Some Clients Justifiably
Require More Care Than Others.
PTS: 1 REF: P. 25
NAT: Client Needs: Safe, Effective Care Environment: Management Of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Analyze
NOT: Multiple Choice
4. A Nurse Has Begun Creating A Client's Plan Of Care Shortly After The Client's Admission. The
Nurse Knows That It Is Important That The Wording Of The Chosen Nursing Diagnoses Falls
Within The Taxonomy Of Nursing. Which Organization Is Responsible For Developing The
Taxonomy Of A Nursing Diagnosis?
A. American Nurses Association (ANA)
B. North American Nursing Diagnosis Association (NANDA)
C. National League For Nursing (NLN)
D. Joint Commission
ANS: B
Rationale: NANDA International Is The Official Organization Responsible For Developing The
Taxonomy Of Nursing Diagnoses And Formulating Nursing Diagnoses Acceptable For Study. The
ANA, NLN, And Joint Commission Are Not Charged With The Task Of Developing The Taxonomy
Of Nursing Diagnoses.
PTS: 1 REF: P. 15
NAT: Client Needs: Safe, Effective Care Environment: Management Of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Nursing Process BLM: Cognitive Level: Understand
NOT: Multiple Choice
5. A Medical Nurse Has Obtained A New Client's Health History And Has Completed The Admission
Assessment. The Nurse Followed This By Documenting The Results And Creating A Care Plan For
The Client. Which Of The Following Is The Most Important Rationale For Documenting The
Client's Care?
A. It Provides Continuity Of Care.
B. It Creates A Teaching Log For The Family.
C. It Verifies Appropriate Staffing Levels.
D. It Keeps The Client Fully Informed.
ANS: A
Rationale: This Record Provides A Means Of Communication Among Members Of The Health Care
Team And Facilitates Coordinated Planning And Continuity Of Care. It Serves As The Legal And
Business Record For A Health Care Agency And For The Professional Staff Members Who Are
Responsible For The Client's Care. Documentation Is Not Primarily A Teaching Log; It Does Not
Verify Staffing; And It Is Not Intended To Provide The Client With Information About Treatments.
PTS: 1 REF: P. 14
NAT: Client Needs: Safe, Effective Care Environment: Management Of Care
TOP: Chapter 1: Professional Nursing Practice
KEY: Integrated Process: Communication And Documentation BLM: Cognitive Level: Understand
NOT: Multiple Choice
2|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
6. The Nurse Hasfbeen Assignedfto Care Forfa Client Admittedfwithfanfopportunistic Infection Secondary To AID
S. The Nursefinforms The Clinical Nursefleader That The Nurse Refuses To Careforfafclient With AIDS.
Thefnurs Efhas An Obligationftofthis Clientfunder Whichfofftheffollowing?
A. Goodfsamaritanfact
B. Nursing Interventionsfclassificationf(NIC)
C. The Nurse Practicefact In The Nurse's Jurisdiction
D. International Councilfoffnurses(ICN)Fcodefoffethics For Nurses
ANS: D
Rationale: Thefethicalfobligation To Care Forfall Clients Is Includedfin The Codefoffethics Forfnurses.
The Goodfsamaritanfact Relates Toflayfpeoplefhelpingfothers In Need. The
Nicfisfafstandardizedfclassificatio Nfoffnursingftreatmentfthatfincludesfindependent Andfcollaborative
Interventions. Nursefpractice Acts Pri Marilyfaddress Scope Offpractice.
PTS: 1 REF: P. 27
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Understand
NOT: Multiple Choice
7. The Nurse, Infcollaboration Withfthe Client'sffamily, Is Determiningfpriorities Relatedfto The Care Offthe Client
. The Nursefexplainsfthatfitfis Importantftoconsiderfthe Urgencyfoffspecific Problems Whenfsetting Priorities.
Whatfshouldfthe Nurse Adopt Asfthe Bestfframeworkffor Prioritizing Clientfproblems?
A. Availabilityfoffhospital Resources
B. Family Memberfstatements
C. Maslowfhierarchyfoffneeds
D. The Nurse's Skill Set
ANS: C
Rationale: Thefmaslowfhierarchyfoffneedsf Provides Afuseful Frameworkffor Prioritizing Problems,
Withfthe Firstflevel Givenfto Meetingfphysical Needsfoffthefclient. Availabilityfoffhospital Resources,
Familyfmember Statements, Andfnursing Skillfdo Notfprovide Afframeworkffor Prioritization Offclient
Problems, Thoughfeac Hfmayfbe Considered.
PTS: 1 REF: P. 6
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Applyf
NOT: Multiple Choice
8. Afmedical Nursefis Caringforfa Client Who Is Receivingpalliative Carefollowingfcancerfmetastasis.
Thefnur Se Is Aware Offthe Needfto Upholdfthe Ethical Principlefoffbeneficence. Howfcanfthe Nurse
Bestfexemplifyfth Is Principle In The Care Offthisfclient?
A. The Nursetactfullyfregulatesfthefnumberfand Timing Offvisitors Asfperfthe Client's Wishes.
B. The Nurse Staysfwith The Clientfduring Theirfdeath.
C. Thenurse Ensuresfthatfall Members Offthe Carefteamfare Aware Offthe Client's DNR Order.
D. The Nurse Collaborates Withmembers Offthefcarefteamfto Ensure Continuityoffcare.
ANS: A
Rationale: Beneficence Isfthefdutyfto Do Good Andftheactive Promotionfoffbenevolent Acts. Enacting
The Client's Wishes Regarding Visitors Is An Example Offthis. Eachfoffthefother Nursingfactions Is
Consistentfwi Thfethical Practice, Butfnone Directlyfexemplifiesfthefprinciple Offbeneficence.
PTS: 1 REF: P. 25
NAT: Client Needs: Safe,Feffectivefcare Environment: Managementfoffcare
3|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
TOP: Chapterf1: Professional Nursingfpractice
KEY: Integratedfprocess: Caringfblm: Cognitive Level
: Apply NOT: Multiple Choice
9. In The Process Offplanningfafclient's Care, Thefnursehas Identifiedfa Nursingfdiagnosis
Offineffectivefhea Lthfmaintenance Relatedftofalcohol Use. Whatfmustfprecede The Determination
Offthisfnursingfdiagnosis
?
A. Establishingoffa Planftofaddress The Underlyingfproblem
B. Assigningfafpositive Valueto Eachconsequencefoffthe Diagnosis
C. Collectingfand Analyzing Data That Corroborate Thediagnosis
D. Evaluatingfthe Client's Chances Offrecovery
ANS: C
Rationale: Infthefdiagnosticfphase Offthefnursing Process, The Client'sfnursing
Problemsfarefdefinedfthrough Analysis Offclient Data. Establishingfa Planfcomes Afterfcollectingfand
Analyzing Data; Evaluating Afplan Is T He Last Step Offthe Nursing Process; Andfassigningfa
Positivefvalue To Eachfconsequence Is Not Done.
PTS: 1 REF: P. 16
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Applyf
NOT: Multiple Choice
10. The Providerfhas Recommended Anamniocentesisffor Anf18-Year-
Old Primiparousfclient. Thefclient Isfat 34fweeks' Gestation Andfdoes Notfwantfthis Procedure, But The
Healthf Care Provider Arranges Forfthefamniocentesis Tofbefperformed. The Nurse Shouldfrecognizefthat
The Provider Isfin Violation Offwhich Ethical Principle?
A. Veracity
B. Beneficence
C. Nonmaleficence
D. Autonomy
ANS: D
Rationale: Thefprinciple Offautonomyfspecifies That Individuals Havefthe Abilityftofmakefa Choiceffree
Fro Mfexternal Constraints. The Provider's Actions In This Casefviolate This Principle. This
Actionfmayforfmay N Otfviolate The Principle Offbeneficence. Veracityfcenters Onftruth-
Telling, And Nonmaleficence Is Avoidingfthefinfliction Offharm.
PTS: 1 REF: P. 25
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Analyze
NOT: Multiple Choice
11. Duringa Discussionfwith The Client Andfthe Client's Spouse,Fthefnurse Discoversthatfthe Clientfhas
A Livi Ngfwill. Howfdoes The Presence Offafliving Will Influencefthefclient's Care?
A. The Client Isflegally Unableto Refusefbasic Life Support.
B. The Healthfcare Provider Canoverride The Client's Desires Forftreatmentfiffdesires Are
Notfevi Dencefbased.
C. The Client Maynullify The Livingwill Duringthe Hospitalization.
D. Power Offattorney Mayfchange Whilethefclientfisfhospitalized.
A NS: C
4|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
Rationale: Becauselivingfwills Are Oftenfwritten Whenfthefpersonfis Infgoodhealth, Itfis Not Unusual
Forfthefc Lientftofnullifyfthefliving Willfduring Illness. Aflivingfwillfdoes Not Make A Clientflegally
Unable To Refusefbas Icflife Support. The Health Care Provider Mayfdisagreefwith The Client's Wishes
Butfisfethicallyfboundftofcarr Yfout Those Wishes. A Power Offattorneyfisfnotfsynonymousfwith Afliving
Will.
PTS: 1 REF: P. 29
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Communicationfandfdocumentation
BLM: Cognitiveflevel: Applyf
NOT: Multiple Choice
12. The Nurse Is Providing Care Forfafclient Who Hasfafdiagnosisfoffpneumonia Dueftofstreptococcus
Pneumo Nia Infection. Whatfaspectfoffnursing Carefwouldfconstitute Part Offthe Planningfphase
Offthefnursing Pro Cess?
A. Achieve Sao2 92% Atfall Times.
B. Auscultatechest Q4h.
C. Administerforal Fluidsfq1hfand PRN.
D. Avoidfoverexertionfat All Times.
ANS: A
Rationale: Thefplanningfphase Entails Specifyingthefimmediate, Intermediate, And Long-
Term Goalsfoffnursing Action, Such As Maintaining Afcertainflevel Offoxygen Saturationfinfa Client
Withfpneu Monia. Providing Fluids Andfavoidingfoverexertion Are Parts Offthe Implementationfphase
Offthe Nursingfpr Ocess. Chest Auscultation Is An Assessment.
PTS: 1 REF: P. 12
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Analyze
NOT: Multiple Choice
13. Afrecent Nursingfgraduate Is Aware Offthefdifferences Betweennursingfactions That Are
Independentfandfnur Singactions Thatfarefinterdependent. Afnurse Performs An Interdependent
Nursingfintervention Whenfperfor Ming Which Offthe Followingfactions?
A. Auscultatingafclient's Apical Heart Rateduringan Admission Assessment
B. Providingmouthfcare Tofa Client Whois Unconscious Followingfa Cerebrovascular Accident
C. Administeringfan IV Bolusfoffnormal Salineftofa Client With Hypotension
D. Providingdischarge Teachingftofa Postsurgicalfclientfaboutfthefrationaleffor
Afcoursefoffora L Antibiotics
ANS: C
Rationale: Although Manynursingfactions Are Independent, Othersfarefinterdependent, Suchas
Carryingfou T Prescribedftreatments; Administering Medications Andftherapies; Collaboratingfwith
Other Healthfcareftea Mfmembers To Accomplishfspecific, Expectedfoutcomes; And To Monitor
Andfmanage Potentialfcomplicatio Ns. Irrigatingfa Wound, Administeringfpainfmedication, And
Administering Ivffluids Are Interdependentfnur Sing Actions Andfrequire A Healthfcare Provider's Order.
Anfindependent Nursingfaction Occurs When The Nur Se Assessesfafclient's Heartfrate,
Providesfdischargefeducation,Forfprovides Mouth Care.
PTS: 1 REF: P. 19
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Analyze
NOT: Multiple Choice
5|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
14. Afhospital Audit Revealsfthat Four Clients Infthefhospital Have Currentfordersffor Restraints. Thefnurse
Know S That Restraints Arefanfinterventionfofflast Resort, Andfthatfitfis Inappropriate To Applyfrestraints
To Which Offt He Followingfclients?
A. Afpostlaryngectomy Clientwho Is Attemptingftofpullfout The Tracheostomyftube
B. Afclientfinfhypovolemic Shockftryingfto Remove The Dressingover Afcentral
Venous Cat Heter
C. Afclientfwith Urosepsis Whofisfringing Thecall Bell Incessantlytouse Thebedside
Co Mmode
D. Afclientfwithdepressionfwho Hasjustftriedfto Commitfsuicideandfwhose Medications Are
Notf Achievingfadequate Symptom Control
ANS: C
Rationale: Restraints Shouldfneverfbe Appliedfforfstafffconvenience. The Clientfwithfurosepsisfwhois
Frequ Entlyfringing The Call Bell Is Requestingfassistance To Thefbedside Commode; This Isfappropriate
Behaviorftha T Willfnotfresultfinfclient Harm. Thefother Describedfsituations Couldfplausiblyfresultfin
Client Harm; Therefor E, Itfis More Appropriate To Applyfrestraintsfin These Instances.
PTS: 1 REF: P. 28
NAT: Client Needs: Safe, Effectivefcare Environment: Safetyfandfinfection Control TOP:
Chapterf1: Professionalfnursingfpractice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Analyze
NOT: Multiple Choice
15. Afclientfagreedftofbefa Part Offa Research Studyfinvolving Migraine Headache Management. Thefclient
Ask S The Nursefiffafplacebo Was Givenffor
Painfmanagementforfiffthefnewfdrugfthatfisfundergoingfclinicalftrial S Wasfgiven. Afterfdiscussingfthe
Client'sfdistress, Itfbecomes Evidentfto Thefnurse That The Client Didfnotfful Lyfunderstandfthe
Informedfconsentfdocumentfthat Wasfsigned Atfthefstartfoffthe Researchfstudy. Whatfis T He
Bestfresponse Byfthefnurse
A. "Theresearchfstudyis In Placefandfther Efisfno Wayto Know Now."
B. "Ihave Nofideafwhatfis Beingfgivenffor Yourfmigraine."
C. "What Difference Does Itfmake?Fhowfis Yourfheadache?"
D. "Youfsignedfthe Informed Consentfdocumentsfpriorftothe Treatment."
ANS: A
Rationale: Tellingftheftruth (Veracity) Is One Offthe Basic Principles Offnursingfculture. Three Ethical
Dilem Mas Infclinical Practice Thatfcanfdirectlyfconflict With Thisfprinciple Arefthefuse Offplacebos
(Nonactive Subst Ances Used Forftreatment), Not Revealingfa Diagnosis To A Client, Andfrevealing
Afdiagnosis To Persons Otherfth An The Clientfwithfthe Diagnosis. Thefnurse Is Followingfthe
Guidelines Offthe Researchfstudy, So Re- Educatingfthefclientfaboutfthefstudy Isfthefbest The
Nursefcanfdo. Sayingf"Whatfdifference Doesfitfmake?" Orf "Youfsignedfinformedfconsent Documents"
Isfnotfhelpful Becausefthese Statements Are Not Supportive. Whi Lefitfis True Thatfthefnurse Does
Notfknowfwhatftreatment The Clientfreceived, This Statementfis Alsofnotfsuppor Tive.
PTS: 1 REF: P. 28
NAT: Client Needs: Safe, Effectivefcare Environment: Managementfoffcarefto P:
Chapterf1: Professionalfnursing Practice
KEY: Integratedfprocess: Communicationfandfdocumentation| Integratedfprocess: Nursingfprocess B
LM: Cognitive Level: Analyze NOT: Multiple Choice
16. Afcarefconferencefhas Beenforganizedffor Afclientfwith Complex Medical Andfpsychosocial Needs.
Whenf Applyingthe Principles Offcritical Thinkingto Thisfclient's Care Planning, Thefnurse Should
Most Exemplif Yfwhatfcharacteristic?
A. Willingness To Observe Behaviors
6|Page
, Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 15e (Hinkle, 2022)
B. Afdesireftofutilizefthefnursing Scope Offpractice Fully
C. An Abilityfto Base Decisionsfon What Has Happened In The Past
D. Openness Tofvariousfviewpoints
ANS: D
Rationale: Willingness Andfopenness To Various Viewpoints Are Inherentfinfcritical Thinking;
Theseallow The Nurse To Reflectfon The Currentfsituation. An Emphasisfonfthe Past, Willingness To
Observe Behaviors, And Afd Esireftofutilize The Nursingfscope Offpractice Fullyfare Not
Centralfcharacteristics Offcritical Thinkers.
PTS: 1 REF: P. 11
NAT: Client Needs: Psychosocialfintegrityftop: Chapter 1: Profe Ssional
Nursingfpractice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Applyf
NOT: Multiple Choice
17. The Nurse Is Providing Care Forfafclient With Chronic Obstructive Pulmonaryfdisease (COPD). The
Nurse'sf Most Recentfassessment Reveals Anfsao2 Off89%. The Nursefis Awarethat Part
Offcriticalfthinking Is Determin Ingfthe Significancefoffdatafthatfhave Beenfgathered.
Whatfcharacteristicfoffcriticalfthinkingfisfusedfin Deter Mining The Bestfresponse To
Thisfassessmentffinding?
A. Extrapolation
B. Inference
C. Characterization
D. Interpretation
ANS: D
Rationale: Nurses Use Interpretation To Determinefthefsignificance Offdata Thatfarefgathered. This Specificfpr
Ocessfisfnotfdescribedfas Extrapolation, Inference, Orfcharacterization.
PTS: 1 REF: P. 11
NAT: Client Needs : Psychosocialfintegrityftop: Chapter 1: Profe
Ssional Nursingfpractice
KEY: Integratedfprocess: Nursing Process
BLM: Cognitiveflevel: Understand
NOT: Multiple Choice
18. Afnurseisadmittingfanewfclientftofthe Medical Unit. Duringthe Initial Nursingfassessment, The Nurse
Hasf Askedfmany Supplementaryfopen-
Ended Questions While Gatheringfinformation Aboutfthefnewfclient. What Is The Nurse
Achievingfthroughft Hisfapproach?
A. Interpretingfwhatfthefclientfhasfsaid
B. Evaluatingfwhatfthe Clientfhas Said
C. Assessingfwhatfthefclientfhasfsaid
D. Validatingwhat The Client Has Said
ANS: D
Rationale: Criticalfthinkersfvalidate The Informationfpresented To Make Sure That Itfis Accuratef(Not
Justfsup Positionfor Opinion), Thatfitfmakes Sense, Andfthat Itfis Based Onffact Andfevidence. The Nurse
Isfnotfinterpre Ting, Evaluating,Forfassessing The Information The Clientfhasfgiven.
PTS: 1 REF: P. 15
NAT: Client Needs: Psychosocialfintegrityftop: Chapter 1: Profe Ssional
Nursingfpractice
KEY: Integratedfprocess: Communicationfandfdocumentation
BLM: Cognitive
NOT: Multiple Choice
7|Page
