Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 11th Edition (2 Volumes in 1) Test Bank

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 1-Health Care Delivery and Nursing Practice11.The school nurse teaching a health promotion class to high-school students informs thegroup that health may be defined as:A)Being disease freeB)Having fulfilling relationshipsC)Having a clean drinking source and nutritious foodD)Being connected in body, mind, and spirit2.Which of the following desirable characteristics would an effective nurse possess?A)Sensitivity to cultural differencesC)Strict adherence to routineB)Team-focused nursing approachD)One set cultural practice3.What type of health problem is the nurse most likely to see in the health care system?A)Poor prenatal careC)ImmobilityB)Lack of informationD)Chronic disease4.The nurse is assisting a patient in planning to return to work after an extensive illness.The patient's need for self-fulfillment fits in which level of Maslow's Hierarchy of basicneeds?A)PhysiologicC)Love and belongingB)Safety and securityD)Self-actualization5.Viewing health and illness on a continuum assists the nurse in understanding that:A)Care should focus on the treatment of disease.B)A person's state of health is ever-changing.C)A person does not have varying degrees of illness.D)Care should focus on the patient's response to medications.6.The nurse working in a community health clinic teaches that disease prevention is bestachieved through:A)Attending self-help groupsC)Community social eventsB)Yearly physicalsD)Behaviors that promote health7.A nurse on a medical-surgical unit has been asked to become a member of the hospital'sContinuous Quality Improvement (CQI) committee. In preparing to serve on thiscommittee, the nurse learns that CQI programs:A)Establish accountability on the part of health care professionalsB)Focus on the process used to provide careC)Identify incidents rather than processesD)Justify health care costs

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 1-Health Care Delivery and Nursing PracticePage28.Managed health care has led to significant changes in the health care delivery system.What effect has managed health care had on the hospital's patient population?A)Patients are in the hospital for a longer period of time.B)Pre-negotiated payment rates have remained unchanged.C)Patients with high home care needs are being discharged into the community.D)Use of ambulatory care has decreased.9.The Patient's Bill of Rights includes the patient's right to privacy. When might the nursebreak this right?A)When the patient has threatened to harm himself or herselfB)When the patient has been diagnosed with a terminal diseaseC)If a family member has called to inquire about the patient's conditionD)There are no circumstances when this rule may be broken.10.In order for the nurse to implement the interventions in a clinical pathway, what firstmust be done?A)Interventions must have a signed physician's order.B)The nurse manager must review the plan.C)The unit must approve the document.D)The nurse must sign the document prior to initiating.11.A nurse researcher isconducting a study about the effects of noise on hospitalizedpatients' pain levels. The primary purpose of nursing research is to:A)Involve patients in their care while hospitalizedB)Contribute to the scientific base of nursing practiceC)Draw conclusions about the quality of patient careD)Explain ongoing medical studies to patients12.Home health care is becoming one of the largest practice areas for nurses. What hascontributed to this change?A)Chronic nursing shortageB)Focus on treatment of diseaseC)Nurses prefer working during the day instead of evening or night shiftsD)More critically ill patients being discharged to home from the hospital13.A nurse is practicing in an oncology clinic and her role includes clinical practice,education, management, consultation, and research. Which of the following would mostaccurately describe this nurse's title?A)MidwifeB)Clinical nurse specialistC)Nurse managerD)Staffnurse

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 1-Health Care Delivery and Nursing PracticePage314.Nursing continues to recognize the importance of collaboration with other health caredisciplines to meet the complex needs of the patient. Which of the following would bean example of a collaborative practice model?A)The nurse and the physician discussing and jointly making clinical decisionsB)The nurse accompanying the physician on roundsC)The nurse making a referral on behalf of the patientD)The nurse attending an appointment with the patient15.According to Maslow's Hierarchy of needs, which dimension of care is consideredprimary in importance when caring for a dying patient?A)SpiritualB)SocialC)PhysiologicD)Emotional16.When prioritizing a patient's care plan based on Maslow's Hierarchy of needs, thenurse's first priority would be:A)Allowing the family to see a newly admitted patientB)Ambulating the patient in the hallwayC)Administering pain medicationD)Teaching the patient to self-administer insulin

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 1-Health Care Delivery and Nursing PracticePage4Answer Key1.D2.A3.D4.D5.B6.D7.B8.C9.A10.A11.B12.D13.B14.A15.C16.C

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 2-Community-Based Nursing Practice11.A nurse has scheduled a hypertension clinic. This service would be an example of whichtype of health care?A)Tertiary preventionC)Primary preventionB)Secondary preventionD)Disease prevention2.The nursing instructor preparing to take her students into the community to providenursing care discusses the patients that they are likely to care for in the home. Which ofthe following are the most frequent users of home care services?A)Postpartum patientsC)Terminally ill patientsB)Postoperative patientsD)Elderly patients3.Patients' lifestyles in the home may vary greatly from the nurse's own beliefs. To worksuccessfully with the patient, the nurse must:A)Ask for another assignment if there is a conflict of interest.B)Ask the patient to come to the agency to receive treatment.C)Convey respect for the patient's beliefs.D)Adapt the patient's home to a hospital-like environment.4.When providing care in a home, how will the nurse best implement infection control?A)Cleanse the hands before and after giving direct patient careB)Remove the patient's wound dressings from the homeC)Dispose of patient's syringes in the patient's garbageD)Disinfect all work areas in the patient's home5.The patient is ready to be discharged from the hospital. When should discharge planningbegin?A)The day prior to dischargeC)The day the patient is admittedB)The day of estimated dischargeD)Once the nurse determines care needs6.During the home care nurse's initial visit to a patient's home, it is important to providethe patient and family with which of the following information?A)Other available community resources to meet their needsB)Information on other patients in the area with similar health care needsC)The nurse's home address and phone numberD)Dates and times of all scheduled home care visits

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 2-Community-Based Nursing PracticePage27.After the home health nurse has read a referral from the hospital for a patient who needsa home visit, she should:A)Identify community services to initiate for the patient.B)Obtain a physician's order for the visit.C)Call the patient to obtain permission to visit.D)Schedule a home health aide to visit the patient.8.The nurse should inform the health care agency of the daily routines and phone numbersof the patients that are scheduled. The purpose of this is to:A)Allow the agency to keep track of payment due to the nurseB)Protect the nurse making a home care visitC)Allow the nurse to be easy accessibility for changes in assignmentsD)Allow the patient to cancel appointments with minimal inconvenience9.Documentation related to home care has specific guidelines and regulations that thenurse must consider and follow. What is most important for the nurse to document toensure reimbursement for services while taking care of a patient who has Medicaid?A)The supplies the nurse will needB)Directions to the patient's homeC)Quality of nursing care neededD)The patient's homebound status and the need for skilled professional nursing care10.The patient whois being discharged following a total knee replacement will need towalk with crutches for 6 weeks. What assessment does the home care nurse need tomake prior to the patient being discharged home?A)Assistance of significant othersC)Costs of the visitsB)Previous health statusD)Home environment11.A nurse who has achieved advanced education in primary care for a pediatric populationand who is employed in a health clinic is functioning in the role of a:A)Nurse practitionerC)Clinical nurse specialistB)Case co-coordinatorD)Clinic supervisor12.A nurse working in a large meat packaging plant sees patients for work-related issues.The nurse would be functioning in which of the following roles?A)Occupational health nurseC)Nurse clinicianB)Staff nurseD)Nurse educator

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 2-Community-Based Nursing PracticePage313.Aschool nurse is concerned about a 4th-grade student with cystic fibrosis because she isaware that children with health problems are at risk for:A)Sports injuriesB)Attention disordersC)Experiencing school-related stress due to a desire to overachieveD)Underachieving or failing in school14.Which type of patient seeks health care late in the course of illness and deterioratesmore quickly than other patients?A)The homelessB)ImmigrantsC)The elderlyD)Adolescents

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 2-Community-Based Nursing PracticePage4Answer Key1.B2.D3.C4.A5.C6.A7.C8.B9.D10.D11.A12.A13.D14.A

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 3-Critical Thinking, Ethical Decision Making & The NursingProcessPage11.A nurse is applying for work at a clinic that offers therapeutic abortions, whichcontradicts the nurse's personal beliefs. The nurse feels unable to care for these patientsobjectively. What is the nurse's ethical obligation to these patients?A)The nurse is required by law to continue service to these patients.B)The nurse should make the choice to decline this position.C)The nurse may discriminate between patients and refuse to care for the patient.D)The nurse may express his or her opinion and provide another option to terminatingthe pregnancy.2.The physician has ordered a large dose of narcotic via intravenous infusion for aterminally ill patient whose respiratory rate has decreased from 16 breaths/min to 10breaths/min. What action should the nurse take?A)Decrease the IV infusionB)Stimulate the patientC)Report the decreased respiratory rate to the physicianD)Allow the patient to rest comfortably3.A terminally ill patient has requested a “do not resuscitate”(DNR) order. The family ofthe patient is strongly opposed to the patient's request. What is the responsibility of thenurse?A)Perform a “slow code” until a decision is made.B)Honor the request of the patient.C)Contact a lawyer to intervene.D)Terminate nursing care until the physician talks to the family.4.Upon admission the nurse asks the patient, “Do you have a living will?” Which of thefollowing would correctly define a living will?A)A legal document that is always honored.B)A legal document that specifies the patient's wishes before hospitalization.C)A legal document that is binding for the duration of the patient's life.D)A legal document drawn by the patient's family to determine DNR status.5.Which of the following would be considered a nursing implementation?A)The patient will ambulate twice a day.B)The patient appears diaphoretic.C)The patient is at risk for aspiration.D)The patient is monitored for peripheral edema twice a day.

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 3-Critical Thinking, Ethical Decision Making & The NursingProcessPage26.Which of the following would be considered a contradiction to the nurse's duty ofnonmaleficence?A)Provide comfort measures for a terminally ill patient.B)Assist the patient with ADLs.C)Refuse to administer pain medication as ordered.D)Provide all information related to procedures.7.The physician has arranged an amniocentesis for an 18-year-old woman who is 34weeks' gestation and does not want this procedure. The physician insisting that thepatient have the procedure would be an example of which of the following?A)VeracityB)BeneficenceC)PaternalismD)Autonomy8.Which of the following would be an example of the nurse practicing fidelity?A)Regulating visitorsB)Staying with the patient during his or her death as promisedC)Withholding information as requestedD)Providing continuity of care9.The patient has been given the wrong medication and asks the nurse if an error has beenmade. Which of the following principles would apply if the nurse gives an accurateresponse?A)VeracityB)ConfidentialityC)RespectD)Justice10.When using restraints in a long-term-care setting, what ethical dilemma does this pose?A)Limits personal safetyC)Threatens autonomyB)Increases confusionD)Prevents self-directed care11.The nurse is receiving report on her patients and learns that a patient with terminalcancer has granted power of attorney to her brother. Which of the following applies tothe power of attorney?A)Another individual has been identified to make decisions on behalf of the patient.B)It is binding even if the patient changes his or her mind.C)The named individual is in charge of the patient's finances.D)It is a legal document delegating custody of children.

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 3-Critical Thinking, Ethical Decision Making & The NursingProcessPage312.After a discussion with the patient's husband, the nurse discovers that the patient has aliving will. Which of the following applies to a living will?A)The patient is legally unable to refuse basic life support.B)The physician may disagree with the patient's desires for treatment.C)The patient may nullify the living will during the illness.D)Power of attorney may change while the patient is hospitalized.13.Which of the following organizations is responsible for developing the taxonomy of anursing diagnosis?A)American Nurses Association (ANA)B)North American Nursing Diagnosis Association (NANDA)C)National League for Nursing (NLN)D)Joint Commission on Accreditation of Healthcare Organizations (JCAHO)14.Which of the following must be done prior to making a nursing diagnosis?A)Establish a plan.B)Assign a positive value to each consequence.C)Collect and analyze data.D)Evaluate the plan of care.15.The phase of the nursing process accomplished by a nurse who administers anantiemetic medication to a patient who is suffering from postoperative vomiting is the:A)Assessment phaseC)Implementation phaseB)Planning phaseD)Evaluation phase16.One hour after the administration of Zofran to a patient with nausea and vomiting, thenurse determines that the medication has been effective and documents this in thepatient's record. This phase of the nursing process is termed:A)AnalysisB)EvaluationC)AssessmentD)Data collection17.Which of the following nursing diagnoses would be applicable to a patient who hasrheumatoid arthritis?A)Self-care deficit related to fatigue and joint stiffnessB)Ineffective airway clearance related to body image disturbanceC)Risk for violence related to anxietyD)Urinary retention related to chronic pain

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 3-Critical Thinking, Ethical Decision Making & The NursingProcessPage418.The rationale for documenting and planning the patient's care upon admission is to:A)Provide continuity of careB)Create a teaching log for familyC)Verify staffingD)Provide the patient with information about treatments19.Nursing diagnoses can be best defined as:A)Health problems that are amenable to resolution by nursing actionsB)Medical treatments prescribed by the physicianC)Problems that the nurse experiences while caring for the patientD)The equipment used to implement medical therapy20.How might the nurse establish a good rapport with the patient during the initialassessment interview?A)Ask open-ended questions.B)Physically distance himself or herself from the patient during the interview.C)Keep questions short and focused.D)Perform invasive procedures at the beginning of the assessment.21.A 65-year-old patient admitted to the hospital with pneumonia has decreased air entry tobilateral lung bases. An appropriate nursing diagnosis for the patient is:A)Ineffective airway clearance related to copious tracheobronchial secretionsB)Pneumonia related to disease processC)Poor ventilation related to infectionD)Immobility related to fatigue22.Which of the following would be classified as the planning phase of the nursing processfor a patient diagnosed with pneumonia?A)Improved airway patencyC)Administer fluidsB)Promote fluid intakeD)Avoid overexertion

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 3-Critical Thinking, Ethical Decision Making & The NursingProcessPage523.A nurse is caring for a patient with an allergy to peanuts. Which of the following wouldbe an immediate goal with a nursing diagnosis of knowledge deficit related to thepatient's administration of an EpiPen?A)The patient will demonstrate correct injection technique with today's teachingsession.B)The patient will observe the nurse demonstrating the injection.C)The nurse will teach the patient's family member to administer the injection.D)The patient will return to the clinic in 2 weeks to demonstrate the injection.24.A nurse is performing an interdependent nursing intervention when he or she:A)Provides a back rub to a restless patient to help her sleepB)Provides mouth careC)Administers IV fluidD)Elevates the head of the bed25.During the evaluation phase of the nursing process, the nurse should:A)Have the patient provide input on quality of careB)Discontinue surgical suturesC)Provide a follow-up appointment for the postoperative patientD)Document improved gas exchange with incentive spirometry use26.The nurse is caring for a patient with a fractured hip who is combative and confused,and he's trying to get out of bed. The nurse should:A)Leave the patient and get help.B)Obtain a physician's order to restrain the patient.C)Read the facility's policy on restraints.D)Order soft restraints from the storeroom.27.A patient is to be discharged from an acute-care facility following treatment for right legthrombophlebitis. The nurse notes that the patient's leg is pain-free, without redness oredema. The nurse's actions reflect which step of the nursing process?A)AssessmentB)AnalysisC)ImplementationD)Evaluation

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 3-Critical Thinking, Ethical Decision Making & The NursingProcessPage628.To maintain a therapeutic environment with a patient and his family, the nurse can usesuch communication techniques as the clarification technique. An example of theclarification technique is:A)"How is it going?"B)"You say you aren't concerned, but you've asked me many questions on this samesubject."C)"What do you mean when you say...?"D)"For now, I would like to concentrate on..."29.After completing rounds, the physician prescribes restraints for four patients on thefloor. Upon reviewing the orders, the nurse knows that it's inappropriate to applyrestraints to which of the following patients?A)A postlaryngectomy patient attempting to pull out his tracheostomy tubeB)A patient in hypovolemic shock trying to pull out his IV catheterC)A patient with urosepsis who rings the call bell often to use the bedside commodeD)A paranoid patient who has just tried to commit suicide and is refusing restraints30.What phase of the nursing process is the nurse performing after admitting a new patientand focusing on risk factors that could affect the health of this patient?A)EvaluationB)DiagnosisC)AnalysisD)Implementation31.A 76-year-old patient who has been diagnosed with cancer is weighing his options toundergo chemotherapy or radiation as his treatment. This patient is utilizing whichethical principle in making his decision?A)BeneficenceB)ConfidentialityC)AutonomyD)Justice32.A staff nurse discussing the treatment plan of a patient with others members of thehealth care team is exhibiting which ethical principle?A)ConfidentialityB)AutonomyC)JusticeD)Beneficence33.Restraints are utilized in certain circumstances to prevent the patient from harminghimself or others. When a nurse uses a restraint on a patient, the nurse is infringing onwhich ethical principle?A)VeracityB)AutonomyC)Double effectD)Fidelity

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Brunner& Suddarth11thEdition Medical SurgicalNursing Test BankChapter 3-Critical Thinking, Ethical Decision Making & The NursingProcessPage734.A 45-year-old patient who is in a research study dealing with management of migraineheadaches does not know that she is receiving a placebo for pain management. Whichethical principle is involved in this situation?A)Sanctity of lifeB)ConfidentialityC)VeracityD)Fidelity35.A nurse who has been assigned to care for a patient with AIDS refuses to assist in hiscare. The nurse has an obligation to this patient under which legal premise?A)Good Samaritan ActB)Nursing Interventions Classification (NIC)C)Patient Self-Determination ActD)ANA Code of Ethics36.A terminally ill patient with liver cancer is moaning and very agitated. He is going inand out of consciousness. The nurse has an order to given morphine sulfate IV for paincontrol. His respiratory rate is 10. Which ethical principle would the nurse use to decidewhether or not to administer the medication?A)VeracityB)Double effectC)ConfidentialityD)Autonomy37.A patient who sustained a T3 spinal cord injury one month ago is now entering therehabilitation phase of his treatment. The nurse developing goals and measurableoutcomes for his treatment is working in which step of the nursing process?A)AssessmentB)PlanningC)DiagnosisD)Evaluation38.A 7-year-old child suspected of having meningitis is to undergo a lumbar puncture. Thenurse discussing postprocedure teaching with the child and the mother is demonstratingwhich therapeutic communication technique?A)InformingB)SuggestingC)HumorD)Broad openings39.The nurse who is preparing to discharge a patient who has undergone a left kneereplacement examines whether or not patient goals have been met. What stage of thenursing process is being explored?A)AssessmentB)PlanningC)InterventionD)Evaluation

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