Test Bank for Medical-Surgical Nursing,
7th Edition by Adrianne Dill Linton and
Mary Ann Matteson
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,Chapter 01: Aspects of Medical-Surgical Nursing
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. What provides direction for individualized care and assures the delivery of accurate, safe
care through a definitive pathway that promotes the client’s and the support persons’
progress toward positive outcomes?
a. Physician’s orders
b. Progress notes
c. Nursing care plan
d. Client health history
ANS: C
The nursing care plan provides direction for individualized care and assures the delivery of
accurate, safe care through a definitive pathway that promotes the client’s and the support
persons’ progress toward positive outcomes.
DIF: Cognitive Level: Comprehension REF: p. 2 OBJ: 1
TOP: Nursing Care Plan KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk
2. The nurse is performing behaviors and actions that assist clients and significant others in
meeting their needs and the identified outcomes of the plan of care. What is the correct
term for these nursing behaviors?
a. Assessments
b. Interventions
c. Planning
d. Evaluation
ANS: B
Caring interventions are those nursing behaviors and actions that assist clients and
significant others in meeting their needs and the identified outcomes of the plan of care.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 1
TOP: Interventions KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Reduction of Risk
3. The nurse understands the importance of being answerable for all actions and the
possibility of being called on to explain or justify them. What term best describes this
concept?
a. Reliability
b. Maturity
c. Accountability
d. Liability
ANS: C
Accountability means that a person is answerable for his or her actions and may be called
on to explain or justify them.
DIF: Cognitive Level: Comprehension REF: pp. 6-7 OBJ: 3 | 5 | 7
, TOP: Accountability KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity: Reduction of Risk
MULTIPLE RESPONSE
1. The nurse manager is providing an inservice about conflict resolution. What modes of
conflict resolution should be addressed? (Select all that apply.)
a. Suppression
b. Accommodation
c. Compromise
d. Avoidance
e. Collaboration
f. Competition
ANS: B, C, D, E, F
The modes of conflict resolution include accommodation, collaboration, compromise,
avoidance, and competition.
DIF: Cognitive Level: Knowledge REF: p. 7|p. 8|Table 1.1
OBJ: 7 TOP: Conflict Resolution KEY: Nursing Process Step:
N/A
MSC: NCLEX: N/A
2. What are the characteristics of an effective leader? (Select all that apply.)
a. Effective communication
b. Rigid rules and regulations
c. Delegates appropriately
d. Acts as a role model
e. Consistently handles conflict
f. Focuses on individual development
ANS: A, C, D, E
Characteristics of an effective leader include effective communication, consistency in
managing conflict, knowledge and competency in all aspects of delivery of care, effective
role model for staff, uses participatory approach in decision making, shows appreciation
for a job well done, delegates work appropriately, sets objectives and guides staff, displays
caring, understanding, and empathy for others, motivates and empowers others, is
proactive and flexible, and focuses on team development.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 5
TOP: Leadership KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
COMPLETION
1. is defined as the process by which information is exchanged between
individuals verbally, nonverbally, and/or in writing or through information technology.
ANS:
Communication
, Communication is defined as the process by which information is exchanged between
individuals verbally, nonverbally, and/or in writing or through information technology.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 2
TOP: Communication KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
2. is the collection and processing of relevant data for the purpose of appraising
the client’s health status.
ANS:
Assessment
Assessment is the collection and processing of relevant data for the purpose of appraising
the client’s health status.
DIF: Cognitive Level: Knowledge REF: p. 2 OBJ: 1 | 2
TOP: Assessment KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
3. is concerned with the ethical questions that arise in the context of health care.
ANS:
Bioethics
Bioethics is concerned with the ethical questions that arise in the context of health care.
DIF: Cognitive Level: Knowledge REF: p. 4 OBJ: 3
TOP: Bioethics KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
4. Place the corresponding letter to each stage of conflict in the correct order.
(Place the events in the appropriate sequence with capital letters. Do not separate
answers with a space or punctuation. Example: ABCD.)
a. Outcomes
b. Conceptualization
c. Frustration
d. Action
ANS:
CBDA
The stages of conflict in order are frustration, conceptualization, action, and outcomes.
DIF: Cognitive Level: Comprehension REF: p. 7 OBJ: 7
TOP: Conflict KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
5. Place the corresponding letter to each key step in solving an ethical dilemma in the correct
order. (Place the events in the appropriate sequence. Do not separate answers
with a space or punctuation. Example: ABCD.)
a. Negotiate a plan.
b. Clarify values.
c. Ask if it is an ethical dilemma.
,d. Verbalize the problem.
e. Gather information.
f. Identify possible courses of action.
g. Evaluate the plan over time.
ANS:
CEBDFAG
The key step of solving an ethical dilemma in order are ask the question, is it an ethical
dilemma, gather information, clarify values, verbalize the problem, identify possible
course of action, negotiate a plan, and evaluate the plan over time.
DIF: Cognitive Level: Analysis REF: p. 4 OBJ: 3
TOP: Ethical Dilemma KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
,Chapter 02: Medical-Surgical Practice Settings
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. While a home health nurse is making the entry to a service assessment on a homebound
patient, the spouse of the patient asks whether Medicare will cover the patient’s ventilator
therapy and insulin injections. What is the best response by the nurse?
a. “Yes, Medicare will cover both the ventilator therapy and the insulin injections.”
b. “No, Medicare will not cover either of these ongoing therapies.”
c. “Medicare will cover the ventilator therapy, but it does not cover the insulin
injections.”
d. “Medicare will cover the ongoing insulin therapy, but it does not cover a highly
technical skill such as ventilator therapy.”
ANS: C
Medicare will cover skilled nursing tasks such as ventilator therapy, but common tasks
that can be taught to the family or the patient are not covered.
DIF: Cognitive Level: Application REF: pp. 12-13 OBJ: 3 | 4
TOP: Medicare Coverage for Home Health
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The wife of a patient asks the nurse whether her husband would be considered for
placement in a skilled nursing care facility when he is discharged from the general
hospital. The patient is incontinent, has mild dementia but is able to ambulate with a
walker, and must have help to eat and dress himself. What is the nurse’s most appropriate
response?
a. “Yes, your husband would qualify for a skilled care facility because of his inability
to feed and dress himself.”
b. “No, your husband’s disabilities would not qualify him for a skilled facility.”
c. “Yes, your husband qualifies for placement in a skilled care facility because of his
dementia.”
d. “Yes, anyone who is willing to pay can be placed in a skilled nursing facility.”
ANS: B
Placement in a skilled nursing facility must be authorized by a physician. A clear need for
rehabilitation must be evident, or severe deficits in self-care that have a potential for
improvement and require the services of a registered nurse, a physical therapist, or a
speech therapist must exist.
DIF: Cognitive Level: Analysis REF: p. 13 OBJ: 6
TOP: Placement Qualifications for Skilled Nursing Facility
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment
3. A nurse has noted that a newly admitted resident to an extended care facility stays in her
room, does not take active part in activities, and leaves the meal table after having eaten
very little. The nurse should analyze this relocation response as
, a. regression.
b. social withdrawal.
c. depersonalization.
d. passive aggressive.
ANS: B
Social withdrawal is a frequent response to relocation.
DIF: Cognitive Level: Application REF: p. 21 OBJ: 10
TOP: Relocation Response KEY: Nursing Process Step: Assessment
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation
4. A nurse clarifies to a new patient in a rehabilitation center what rehabilitation means.
What statement made by the patient indicates a correct understanding?
a. “I will return to my previous level of functioning.”
b. “I will be counseled into a new career.”
c. “I will develop better coping skills to accept his disability.”
d. “I will attain the greatest degree of independence possible.”
ANS: D
The rehabilitation process works to promote independence at whatever level the patient is
capable of achieving.
DIF: Cognitive Level: Comprehension REF: p. 15 OBJ: 7
TOP: Rehabilitation Goals KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
5. A nurse assesses a patient who needs to be reminded to take premeasured oral
medications, wash, go to meals, and undress and come to bed at night, but coming and
going as he pleases is considered safe for him. What facility placement would be most
appropriate for this patient?
a. Skilled care
b. Intermediate care
c. Sheltered housing
d. Domiciliary care
ANS: D
Domiciliary care provides room, board, and supervision, and residents may come and go
as they please. Sheltered housing does not provide 24-hour care.
DIF: Cognitive Level: Comprehension REF: p. 19 OBJ: 3 | 9
TOP: “Levels of Care, Criteria for Domiciliary Residence”
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. A nurse is making a list of the members of the rehabilitation team, so the different types of
services available to patients may be taught to a group of families. Which lists should be
used?
a. Physical therapist, nurse, family members, and personal physician
b. Occupational therapist, dietitian, nurse, and patient
c. Rehabilitation physician, laboratory technician, patient, and family
d. Vocational rehabilitation specialist, patient, and psychiatrist
, ANS: A
The rehabilitation team usually consists of all of the choices except the laboratory
technician, dietitian, and psychiatrist. (The mental health role is represented by the
psychologist.)
DIF: Cognitive Level: Comprehension REF: p. 17 OBJ: 7
TOP: Rehabilitation Team Members KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
7. A nurse explains the level of disability to a patient who was injured in a construction
accident that resulted in the loss of both his right arm and right leg. This loss has affected
his quality of life and ability to return to previous employment. At what level should the
client be classified as being disabled?
a. I
b. II
c. III
d. IV
ANS: B
The patient is limited in the use of his right arm for feeding himself, dressing himself, and
driving his car, which are three main activities of daily living. He may be able to work if
workplace modifications are made.
DIF: Cognitive Level: Application REF: p. 15 OBJ: 8
TOP: Levels of Disability KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. A nurse explains that in 1990, the Americans with Disabilities Act (ADA) was passed. For
which extended services for the disabled persons did this act provide?
a. Covering the costs for the rehabilitation of disabled World War I servicemen by
providing job training
b. Extending protection to the disabled in the military sector, such as wheelchair
ramps on military bases
c. Extending protection to the disabled in private areas, such as accessibility to public
restaurant bathrooms and telephones
d. Affording disabled persons full access to all health care services
ANS: C
The ADA of 1990 extended the previous legislative Acts of 1920, 1935, and 1973. The
ADA now covers private sector individuals and public businesses in particular.
DIF: Cognitive Level: Comprehension REF: p. 16 OBJ: 8
TOP: Americans with Disabilities Act (ADA) of 1990
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
9. A frail patient in a long-term care facility asks the nurse if a bath is to be given this
morning. What is the best reply by the nurse to encourage independence and give the
patient the most flexibility?
a. “Based on your room number, you get bathed on Monday, Wednesday, and Friday.
Today is Tuesday.”
, b. “If you want to eat breakfast in the dining room with the others, you may sponge
yourself off in your bathroom.”
c. “When your daughter comes this evening, ask her if she can give you a bath.”
d. “I will bring a basin of water for a sponge off for right now. After breakfast, we
will talk about a bath schedule.”
ANS: D
The resident should be provided as much flexibility as possible and support for
independence.
DIF: Cognitive Level: Application REF: p. 22 OBJ: 11
TOP: Maintenance of Autonomy in Extended Care Facility
KEY: Nursing Process Step: Implementation
MSC: NCLEX Physiological Integrity: Basic Care and Comfort
10. A computer programmer who lost both legs is being retained by his employer, who has
made arrangements for a ramp and a special desk to accommodate the patient’s
wheelchair. What is the disability level of the computer programmer?
a. I
b. II
c. III
d. IV
ANS: B
Level II allows for workplace accommodation, which is the desk modification in this case.
DIF: Cognitive Level: Analysis REF: p. 15 OBJ: N/A
TOP: Reasonable Accommodation KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
11. A partially paralyzed forklift operator is to be retrained by vocational rehabilitation
services for less demanding office work. What law provides for this rehabilitation?
a. Vocational Rehabilitation Act of 1920
b. Social Security Act of 1935
c. Rehabilitation Act of 1973
d. Americans with Disabilities Act of 1990
ANS: C
The Rehabilitation Act of 1973 provided a comprehensive approach and expanded
resources for public vocational training.
DIF: Cognitive Level: Comprehension REF: p. 16 OBJ: 7
TOP: Rehabilitation Legislation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
12. The home health care nurse performs all the following actions. Which is the only action
that is reimbursable under Medicare payment rules?
a. Observing a spouse cleaning and changing a dressing
b. Taking a frail couple for a walk to provide exercise
c. Watching a patient measure out all medications
d. Teaching a patient to self-administer insulin
