Introductory
Medical-Surgical
Nursing 10e
Comprehensive
Test Bank by
Barbara K Timby,
Nancy E. Smith
,Table of Contents
Unit I Nursing Roles and Responsibilities Unit II
Psychosocial Aspects of Client Care Unit III
Concepts of Health and Illness
Unit IV Common Medical-Surgical Problems
Unit V Caring for Clients with Respiratory Disorders Unit
VI Caring for Clients with Cardiovascular Disorders
Unit VII Caring for Clients with Hematopoietic and Lymphatic Disorders
Unit VIII Caring for Clients with Immune Disorders
Unit IX Caring for Clients with Neurologic Disorders Unit
X Caring for Clients with Sensory Problems
Unit XI Caring for Clients with Gastrointestinal Problems
Unit XII Caring for Clients with Endocrine Problems
Unit XIII Disturbances of Sexual Structures or Reproductive Function
Unit XIV Caring for Clients with Urinary and Renal Problems
Unit XV Caring for Clients with Musculoskeletal Problems
Unit XVI Caring for Clients with Integumentary Problems
Appendix: Answers
,MULTIPLE CHOICE. Choose the one alternative that best completes the statement
or answers the question.
1)The nurse is assisting a postoperative client in using an incentive spirometer. Which
of the following postoperative complications is this nurse attempting to avoid with
this client? 1) _______
A)Hemorrhage B) Pulmonary embolism
C)Deep vein thrombosis D) Atelectasis
2) A client who is recovering from abdominal surgery has a penrose drain. Which
of the following should the nurse include in the care of this client? 2) _______
A)Make sure there is a safety pin on the end of the drain.
B)Clean the wound with normal saline every two hours.
C)Empty the drain every 30 minutes.
D)Remove the drain four hours postoperatively.
3) A client is in the recovery room. Which of the following members of the
healthcare team should the nurse contact regarding the client's level of pain control?
_______
A)The surgeon B) The anesthesiologist
C)The scrub nurse D) The circulating nurse
4)During the assessment of a postoperative client's bowel sounds, the nurse
auscultates high-pitched sounds over all four abdominal quadrants. The nurse realizes
this finding could indicate: 4) _______ A)Normal bowel function. B) The onset of
stool.
C)The onset of flatus. D) Paralytic ileus.
5) A client is being transferred from the operating room to the recovery room.
The nurse in the recovery room will be providing which phase of nursing care? 5)
_______
A)Intraoperative B) Preoperative
C)Restorative D) Postoperative
6) A client is being scheduled for surgery. Which of the following should be
included in the preoperative teaching provided by the nurse? 6) _______
A)The credentials of the anesthesiologist
B)Information concerning the surgical procedure which will be performed by the
surgeon
C)Cost of the procedure
D)Planned length of stay at the hospital
, 7) A client is being positioned for a hip replacement procedure. In which of the
following positions will this client most likely be placed? 7) _______
A)Dorsal recumbent B) Lateral chest
C)Semi-sitting D) Prone
8) A postoperative client tells the nurse, "A book I read said that I should not eat
after surgery for at least a week." Which of the following statements would be an
appropriate nursing response? 8) _______
A)"You don't need any food to heal anyway."
B)"That's true."
C)"That's not true. You could get an infection in your stomach."
D)"I'll be giving you intravenous feedings anyway."
9)An elderly postoperative client is given an antiemetic for nausea. Which of the
following signs would indicate this client is experiencing a possible reaction to the
medication? 9) _______
A)Dry mouth
B)Involuntary muscle movements
C)Breakthrough vomiting
D)Confusion
10) A client is signing a surgical consent. Afterwards, the nurse also signs the
form.
What is the meaning of the nursing signature? 10) ______
A)It means the client was alert and aware of what was being signed.
B)It means there is a likelihood of a successful outcome.
C)It means the client understood the procedure as described by the nurse.
D)It means the surgeon was too busy to wait for the client to sign the form.
11) A client's endotracheal tube is being removed after the surgical procedure.
The intra-operative nurse realizes this client is in which phase of the general
anesthesia process? 11) ______ A)Induction B) Maintenance
C)Reduction D) Emergence
12)An elderly client is being prepared for orthopedic surgery. The nurse realizes this
client is at risk for which of the following? 12) ______
A)Prolonged effects of anesthesia because of herbal supplements
B)Decreased tolerance of general anesthesia
Medical-Surgical
Nursing 10e
Comprehensive
Test Bank by
Barbara K Timby,
Nancy E. Smith
,Table of Contents
Unit I Nursing Roles and Responsibilities Unit II
Psychosocial Aspects of Client Care Unit III
Concepts of Health and Illness
Unit IV Common Medical-Surgical Problems
Unit V Caring for Clients with Respiratory Disorders Unit
VI Caring for Clients with Cardiovascular Disorders
Unit VII Caring for Clients with Hematopoietic and Lymphatic Disorders
Unit VIII Caring for Clients with Immune Disorders
Unit IX Caring for Clients with Neurologic Disorders Unit
X Caring for Clients with Sensory Problems
Unit XI Caring for Clients with Gastrointestinal Problems
Unit XII Caring for Clients with Endocrine Problems
Unit XIII Disturbances of Sexual Structures or Reproductive Function
Unit XIV Caring for Clients with Urinary and Renal Problems
Unit XV Caring for Clients with Musculoskeletal Problems
Unit XVI Caring for Clients with Integumentary Problems
Appendix: Answers
,MULTIPLE CHOICE. Choose the one alternative that best completes the statement
or answers the question.
1)The nurse is assisting a postoperative client in using an incentive spirometer. Which
of the following postoperative complications is this nurse attempting to avoid with
this client? 1) _______
A)Hemorrhage B) Pulmonary embolism
C)Deep vein thrombosis D) Atelectasis
2) A client who is recovering from abdominal surgery has a penrose drain. Which
of the following should the nurse include in the care of this client? 2) _______
A)Make sure there is a safety pin on the end of the drain.
B)Clean the wound with normal saline every two hours.
C)Empty the drain every 30 minutes.
D)Remove the drain four hours postoperatively.
3) A client is in the recovery room. Which of the following members of the
healthcare team should the nurse contact regarding the client's level of pain control?
_______
A)The surgeon B) The anesthesiologist
C)The scrub nurse D) The circulating nurse
4)During the assessment of a postoperative client's bowel sounds, the nurse
auscultates high-pitched sounds over all four abdominal quadrants. The nurse realizes
this finding could indicate: 4) _______ A)Normal bowel function. B) The onset of
stool.
C)The onset of flatus. D) Paralytic ileus.
5) A client is being transferred from the operating room to the recovery room.
The nurse in the recovery room will be providing which phase of nursing care? 5)
_______
A)Intraoperative B) Preoperative
C)Restorative D) Postoperative
6) A client is being scheduled for surgery. Which of the following should be
included in the preoperative teaching provided by the nurse? 6) _______
A)The credentials of the anesthesiologist
B)Information concerning the surgical procedure which will be performed by the
surgeon
C)Cost of the procedure
D)Planned length of stay at the hospital
, 7) A client is being positioned for a hip replacement procedure. In which of the
following positions will this client most likely be placed? 7) _______
A)Dorsal recumbent B) Lateral chest
C)Semi-sitting D) Prone
8) A postoperative client tells the nurse, "A book I read said that I should not eat
after surgery for at least a week." Which of the following statements would be an
appropriate nursing response? 8) _______
A)"You don't need any food to heal anyway."
B)"That's true."
C)"That's not true. You could get an infection in your stomach."
D)"I'll be giving you intravenous feedings anyway."
9)An elderly postoperative client is given an antiemetic for nausea. Which of the
following signs would indicate this client is experiencing a possible reaction to the
medication? 9) _______
A)Dry mouth
B)Involuntary muscle movements
C)Breakthrough vomiting
D)Confusion
10) A client is signing a surgical consent. Afterwards, the nurse also signs the
form.
What is the meaning of the nursing signature? 10) ______
A)It means the client was alert and aware of what was being signed.
B)It means there is a likelihood of a successful outcome.
C)It means the client understood the procedure as described by the nurse.
D)It means the surgeon was too busy to wait for the client to sign the form.
11) A client's endotracheal tube is being removed after the surgical procedure.
The intra-operative nurse realizes this client is in which phase of the general
anesthesia process? 11) ______ A)Induction B) Maintenance
C)Reduction D) Emergence
12)An elderly client is being prepared for orthopedic surgery. The nurse realizes this
client is at risk for which of the following? 12) ______
A)Prolonged effects of anesthesia because of herbal supplements
B)Decreased tolerance of general anesthesia
