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Table of Contents

Table of Contents

Chapter 01: Professional Nursing Practice

Chapter 02: Health Disparities and Culturally Competent Care

Chapter 03: Health History and Physical Examination

Chapter 04: Patient and Caregiver Teaching

Chapter 05: Chronic Illness and Older Adults

Chapter 06: Stress and Stress Management

Chapter 07: Sleep and Sleep Disorders

Chapter 08: Pain

Chapter 09: Palliative Care at End of Life

Chapter 10: Substance Use Disorders

Chapter 11: Inflammation and Wound Healing

Chapter 12: Genetics and Genomics

Chapter 13: Altered Immune Responses and Transplantation

Chapter 14: Infection and Human Immunodeficiency Virus Infection

Chapter 15: Cancer

Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances

Chapter 17: Preoperative Care

Chapter 18: Intraoperative Care

Chapter 19: Postoperative Care

Chapter 20: Assessment of Visual and Auditory Systems

Chapter 21: Visual and Auditory Problems

Chapter 22: Assessment of Integumentary System

Chapter 23: Integumentary Problems

Chapter 24: Burns

Chapter 25: Assessment of Respiratory System

Chapter 26: Upper Respiratory Problems

Chapter 27: Lower Respiratory Problems

Chapter 28: Obstructive Pulmonary Diseases

Chapter 29: Assessment of Hematologic System

Chapter 30: Hematologic Problems

Chapter 31: Assessment of Cardiovascular System

Chapter 32: Hypertension

Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome

Chapter 34: Heart Failure

Chapter 35: Dysrhythmias

Chapter 36: Inflammatory and Structural Heart Disorders

Chapter 37: Vascular Disorders

Chapter 38: Assessment of Gastrointestinal System

Chapter 39: Nutritional Problems

Chapter 40: Obesity

Chapter 41: Upper Gastrointestinal Problems

Chapter 42: Lower Gastrointestinal Problems

Chapter 43: Liver, Pancreas, and Biliary Tract Problems

Chapter 44: Urinary System

Chapter 45: Renal and Urologic Problems

Chapter 46: Acute Kidney Injury and Chronic Kidney Disease

Chapter 47: Assessment of Endocrine System

Chapter 48: Diabetes Mellitus

Chapter 49: Endocrine Problems

Chapter 50: Assessment of Reproductive System

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798

805

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837

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877

890

903

Chapter 51: Breast Disorders

Chapter 52: Sexually Transmitted Infections

Chapter 53: Female Reproductive and Genital Problems

Chapter 54: Male Reproductive and Genital Problems

Chapter 55: Assessment of Nervous System

Chapter 56: Acute Intracranial Problems

Chapter 57: Stroke

Chapter 58: Chronic Neurologic Problems

Chapter 59: Dementia and Delirium

Chapter 60: Spinal Cord and Peripheral Nerve Problems

Chapter 61: Assessment of Musculoskeletal System

Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery

Chapter 63: Musculoskeletal Problems

Chapter 64: Arthritis and Connective Tissue Diseases

Chapter 65: Critical Care

Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome

Chapter 68: Emergency and Disaster Nursing

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Chapter 01: Professional Nursing Practice

Test Bank

MULTIPLE CHOICE

1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care. Which statement, if made by the student nurse, indicates that teaching was successful?

a. The nursing process is a scientific-based method of diagnosing the patients health care problems.

b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.

c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of

humans.

d. The nursing process is used primarily to explain nursing interventions to other health care

professionals.

ANS: B

The nursing process is a problem-solving approach to the identification and treatment of patients problems. Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in patient care, not to establish nursing theory or explain nursing interventions to other health care professionals. DIF: Cognitive Level: Understand (comprehension) REF: 7

TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment

2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for

patients. Which statement, if made by the nurse, would be the most accurate?

a. Inferences from clinical research studies are used as a guide.

b. Patient care is based on clinical judgment, experience, and traditions.

c. Data are evaluated to show that the patient outcomes are consistently met.

d. Recommendations are based on research, clinical expertise, and patient preferences.

ANS: D

Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician

expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision

making should also incorporate current research and research-based guidelines. Evaluation of patient outcomes

is important, but interventions should be based on research from randomized control studies with a large

number of subjects. DIF: Cognitive Level: Remember (knowledge) REF: 11

TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment

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3. The nurse completes an admission database and explains that the plan of care and discharge goals will be

developed with the patients input. The patient states, How is this different from what the doctor does? Which

response would be most appropriate for the nurse to make?

a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.

b. The nurses job is to help the doctor by collecting information and communicating any problems

that occur.

c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a

longer time than the doctor.

d. In addition to caring for you while you are sick, the nurses will assist you to develop an

individualized plan to maintain your health.

ANS: D

This response is consistent with the American Nurses Association (ANA) definition of nursing, which

describes the role of nurses in promoting health. The other responses describe some of the dependent and

collaborative functions of the nursing role but do not accurately describe the nurses role in the health care

system. DIF: Cognitive Level: Understand (comprehension) REF: 3

TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment

4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip. Which nursing diagnosis is most appropriate?

a. Impaired physical mobility related to left-sided paralysis

b. Risk for impaired tissue integrity related to left-sided weakness

c. Impaired skin integrity related to altered circulation and pressure

d. Ineffective tissue perfusion related to inability to move independently

ANS: C

The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer. The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient. Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for

diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does have

ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health

problem is. DIF: Cognitive Level: Apply (application) REF: 7

TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity

5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving

my children with my parents. Which action should the nurse take next?

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