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TEST BANK FOR MEDICAL SURGICAL NURSING EXAM
2025|QUESTIONS WITH DETAILED ANSWERS|A+
GRADED
The nurse is caring for a client who has heart failure and encourages the client to alternate rest and activity periods to reduce cardiac workload. Which phase of the nursing process is the nurse demonstrating? a. Planning b. Diagnosis c. Evaluation d. Implementation d. Implementation The nurse is planning care for a client and uses a visual diagram of client problems and interventions to illustrate the relationships among pertinent clinical data. Which format is the nurse using to plan care? a. Concept map b. Critical pathway c. Clinical pathway d. Nursing care plan a. Concept map
Which of the following statements represents the "O" component of the SOAP process for documentation? a. More pain at present b. Temperature 39.4°C (102.9°F) c. Risk for infection d. Notify surgeon b. Temperature 39.4°C (102.9°F) The nurse caring for postoperative clients developed the following clinical question: In adult postoperative clients, how does guided imagery compared with music therapy affect analgesia use within the first 24 hours after surgery? Applying the PICOT framework, which of the following would be the "I" element in this question? a. Guided imagery b. Music therapy c. Analgesia use d. Adult postoperative clients a. Guided imagery
e. Journal articles that address the care of clients with pressure ulcers Which of the following clients is most likely to experience health care disparities? a. A 65-year-old upper class Chinese male living in the city b. A 78-year-old Indigenous male living on a reservation c. A 50-year-old middle class white female living in a rural area d. A 72-year-old professional Caribbean female living in a condo b. A 78-year-old Indigenous male living on a reservation Which of the following is the first step towards cultural competence in clinical care? a. Acquire knowledge specific to populations and aspects of care. b. Develop an understanding of one's own culture through reflection and self-assessment. c. Establish a trusting therapeutic relationship and develop common goals. d. Use open-ended questions to understand clients' priorities and perceptions.
b. Develop an understanding of one's own culture through reflection and self-assessment. Which of the following demonstrates a shift in the composition of Canada's immigrant population? a. Increased number of three-generation families b. Increased proportion of European-born immigrants c. Over half of immigrants are from the US d. Decreased immigrant age when entering Canada d. Decreased immigrant age when entering Canada Which of the following nursing actions is most indicative of stereotyping? a. The nurse advocates for bronchodilators to be prescribed for all newly admitted Black clients. b. The nurse helps a recent immigrant to explore ways to pay for her newly prescribed antihypertensive medications. c. The nurse prioritizes the assessment of obesity when providing care for Black and Indigenous women. d. The nurse arranges for translation services to be provided for a client who has recently emigrated from Sri Lanka and does not speak English.
d. Explore the benefits of a low-meat, high-protein diet with the family and the dietitian. a. Order a vegetarian diet for the client. The nurse identifies a client at high risk for health care disparities. Important nursing intervention to reduce health care disparities include which of the following actions? (Select all that apply.) a. Passive listening b. Relationship building c. Taking foreign language classes d. Participating in cross-cultural education e. Using standardized evidence-informed guidelines b. Relationship building d. Participating in cross-cultural education e. Using standardized evidence-informed guidelines During an admission history and physical, the client describes symptoms to the nurse. These descriptions would be documented as a. objective data. b. subjective data. c. generalized data.
d. comprehensive data. b. subjective data. Under which of the following functional health patterns would the nurse place assessment findings related to vision and hearing? a. Activity-rest pattern b. Cognitive-perceptual pattern c. Self-perception/self-concept pattern d. Health-perception/health-management pattern b. Cognitive-perceptual pattern We have an expert-written solution to this problem! Which of the following actions most clearly demonstrates a nursing focus rather than a medical focus? a. The nurse assesses the effect that a recent diagnosis of diabetes has had on the client's lifestyle and routines. b. The nurse assesses the merits of changing the client to a new oral antihyperglycemic. c. The nurse interprets the results of the client's most recent glucose tolerance test. d. The nurse recommends a change to the client's insulin sliding scale.
d. When assessing the cognition of a client who is receiving rehabilitation following a stroke a. When admitting a client to a medical unit from the emergency department Which of the following actions demonstrates a method of individualizing learning needs for a particular client? a. Use prepackaged learning materials. b. Teach the client only "need-to-know" information. c. Have the client arrange topic cards in order of priority. d. Have the client watch a video and then read a pamphlet. c. Have the client arrange topic cards in order of priority. The nurse notes that a male client regularly asks about the purpose and potential adverse effects of each oral medication he has received during his time in the hospital. How should the nurse best interpret the client's questions? a. The client has an auditory learning style. b. The client is identifying his learning needs. c. The client is exhibiting a high level of health literacy.
d. The client is experiencing anxiety related to his diagnosis and treatment. b. The client is identifying his learning needs. A 44-year-old female client with a longstanding history of type 1 diabetes has brought a number of printouts from Websites to her most recent visit with her primary care provider. Which response is most appropriate for the nurse to make to the client regarding health information on the Internet? a. "It is best to make sure that you avoid Websites that are not associated with a government agency." b. "You may have some good information there, but it is best to focus only on the information the doctor provides to you." c. "There is a great deal of misinformation on the Internet, so it is best to focus on printed material rather than electronic sources." d. "I would encourage you to find Websites that are credible and reliable, and I can give you some information on making those decisions if you like." d. "I would encourage you to find Websites that are credible and reliable, and I can give you some information on making those decisions if you like."
d. Provide written instructions to younger clients while using visual and audio aids when teaching older clients. e. Provide visual and audio aids to younger clients while using written instructions when teaching older clients. a. Assess clients' learning styles prior to teaching. b. Use materials that appeal to a variety of learning styles. The nurse is caring for a client with longstanding, well-controlled diabetes that has acquired an acute infection. Which of the following is true about the impact of an acute infection in relation to diabetes? a. Mask all other symptoms. b. Influence changes to blood glucose and insulin requirements. c. Reduce the amount of insulin required. d. Increase the amount of insulin required. b. Influence changes to blood glucose and insulin requirements. A nurse who is providing care for an 81-year-old female client recognizes the need to maximize the client's mobility during her recovery from surgery. Which of the following statements provides the best rationale for the nurse's actions? a. Continued activity prevents deconditioning.
b. Pharmacokinetics are improved by client mobility. c. Lack of stimulation contributes to the development of cognitive deficits in older adults. d. Regularly scheduled physical rehabilitation provides an important sense of purpose for older clients. a. Continued activity prevents deconditioning. We have an expert-written solution to this problem! Why is chronic illness on the rise in Canada? a. The age of the population is decreasing and risk factor rates are rising. b. The episodic model of care is unable to address chronic health problems. c. The age of the population is increasing and risk factor rates are falling. d. Conditions are underdiagnosed and monitoring of chronic conditions is inconsistent. b. The episodic model of care is unable to address chronic health problems. Which of the following assessment findings would alert the nurse to possible caregiver distress? (Select all that apply.)
We have an expert-written solution to this problem! A nurse employed in a community-oriented, population-focused nursing setting recognizes that his or her practice will a. focus on illness-oriented care of families. b. be aimed at improving the health of a group or aggregate. c. manage individuals with acute or chronic health conditions. d. assist individuals to recover at home rather than in the hospital. b. be aimed at improving the health of a group or aggregate. A nurse is caring for a young adult who sustained a severe traumatic brain injury following a motor vehicle accident. Once the client recovers from the acute aspects of this injury and is no longer ventilator dependent, discharge planning would anticipate that this client will be transferred to which of the following practice settings? a. Subacute care b. Rehabilitation c. Long-term acute care d. Skilled nursing facility b. Rehabilitation
Which of the following phenomena has contributed most significantly to recent changes in the Canadian health care system? a. Increased incidence and prevalence of chronic conditions b. Increased percentage of Canadians who are under the age of 12 c. Increased number of interventions and treatments that are covered by provincial health insurance d. Increased incidence and prevalence of infections and microorganisms that are antibiotic resistant a. Increased incidence and prevalence of chronic conditions Community clinics staffed by home health nurses have become much more common in recent years, largely motivated by a. potential cost savings. b. improved outcomes compared with hospital care. c. preferences among older adults for home care rather than alternative settings. d. shortened recovery times from acute illness due to improvements to care and treatment. a. potential cost savings.
The nurse is preparing to interview an older-adult client. Which of the following actions is most appropriate? a. Ensure all assistive devices are in place. b. Interview the client and caregiver together. c. Perform the interview before administering analgesics. d. Move on to the next question if the client does not respond quickly. a. Ensure all assistive devices are in place. A 70-year-old man has just been diagnosed with chronic obstructive pulmonary disease (COPD). At what point should the nurse begin to include the client's wife in the teaching around the management of the disease? a. As soon as possible b. When the client requests assistance from his spouse and family c. When the client becomes unable to manage his symptoms independently d. After the client has had the opportunity to adjust to his treatment regimen a. As soon as possible
We have an expert-written solution to this problem! A nurse who is providing care for an 81-year-old female client recognizes the need to maximize the client's mobility during her recovery from surgery. Which of the following statements provides the best rationale for the nurse's actions? a. Lack of stimulation contributes to the development of cognitive deficits in older adults. b. Pharmacokinetics are improved by client mobility. c. Continued activity prevents deconditioning. d. Regularly scheduled physical rehabilitation provides an important sense of purpose for older clients. c. Continued activity prevents deconditioning. We have an expert-written solution to this problem! The nurse is assessing an elderly client who has arrived to the emergency department via ambulance from home where she lives with her adult daughter. The client has a large pressure ulcer on the sacrum, three large bruises on the upper back, appears depressed and withdrawn. Which of the following would the nurse suscept related to this client? a. Elder mistreatment b. Social isolation c. A stroke
