Test Bank for Understanding Medical Surgical Nursing 5th Edition by Williams, Linda; Hopper, Paula
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Nursing course
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Nursing Course
Test Bank for Understanding Medical Surgical Nursing 5e by Williams, Linda; Hopper, Paula.
9780803640689, 0803640684, 9780803640689, 0803640684
9780803642263, .
chapters 1 to 57 test bank
Chapter 1. Critical Thinking and the Nursing Process
MULTIPLE CHOICE
1. After receiving morning report, which patient should the licensed practical nurse/licensed vocational
nurse (LPN/LVN) assess first?
A. A patient who needs discharge teaching
B. A patient who needs assistance to ambulate
C. A patient who states, “No one cares about me.”
D. A patient who has a temperature of 106°F (41.1°C)
ANS: D
D. According to Maslow, humans’ basic physiological needs have the highest priority, and these
patients’ health problems should be addressed first. Life-threatening needs are ranked first; health-
threatening needs are second; and health-promoting needs are last. The elevated temperature has the
greatest urgency. A, B, and C are not as high priority.
PTS: 1 DIF: Moderate REF: Page 8
KEY: Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level:
Application
2. During a class discussion, two nursing students demonstrated intellectual courage. What action did the
nursing students perform?
A. Considered being in the other person’s situation
B. Expected proof that the use of restraints is safe
C. Conducted additional research on the use of restraints in patient care
D. Listened to each other’s point of view regarding the use of patient restraints
ANS: D
D. Intellectual courage is looking at other points of view. A. Intellectual empathy allows a person to
consider another’s situation. B. Intellectual integrity is seeking the same level of proof for comparable
items. C. Intellectual perseverance is continuing to search for evidence about a concern.
PTS: 1 DIF: Moderate REF: Page 3
KEY: Client Need: Safe and Effective Care Environment—Management of Care| Cognitive Level:
Application
3. The nursing staff is planning a celebratory dinner and cake for a newly licensed practical nurse. Which
of the new nurse’s human needs is supported by these actions?
A. Self-esteem
B. Physiological
C. Self-actualization
D. Safety and security
ANS: A
A. Recognizing a person’s accomplishments enhances self-esteem. B. C. D. The staff’s actions are not
meeting physiological, self-actualization, or safety and security needs of the new nurse.
4. A patient with a newly fractured femur reports a pain level of 8/10, and analgesic medication is not due
for another 50 minutes. Which actions should the nurse take?
, A. Reposition the patient.
B. Give the medication in 30 minutes.
C. Notify the registered nurse (RN) or physician.
D. Tell the patient it is too early for pain medication.
ANS: C
C. The patient should not have to wait for pain relief. The LPN should inform the RN or physician, so
new pain relief orders can be obtained. A. The patient who has a fractured femur is experiencing acute
pain. Repositioning a patient with a new fracture is not likely to relieve pain. B. Giving the medication
before the prescribed time is beyond the nurse’s scope of practice. D. The nurse needs to do more than
expect the patient to wait for pain relief.
PTS: 1 DIF: Moderate REF: Page 4
KEY: Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level:
Application
5. The nursing instructor is planning a teaching session on critical thinking for students. What should the
instructor say when explaining critical thinking?
A. “Collect data concerning the patient’s problem.”
B. “Think of different ways to help relieve a patient’s problem.”
C. “Determine if an action worked to eliminate a patient problem.”
D. “Use knowledge and skills to make the best decision for patient care.”
ANS: D
D. Critical thinking is using knowledge and skills to make the best decisions possible in patient care
situations. A. Collecting data describes assessment. B. Thinking of different ways to help a patient
with a problem is planning. C. Determining if an action worked to eliminate a patient problem is
evaluation.
PTS: 1 DIF: Moderate REF: Page 3
KEY: Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level:
Application
6. The nurse is planning care and setting goals for a newly admitted patient. Who should the nurse
include when conducting these nursing actions?
A. Patient
B. Nurse manager
C. Patient’s family members
D. Patient’s health care provider (HCP)
ANS: A
A. Planning care and setting goals are actions performed with the patient. The patient must be in
agreement with the plan for it to be successful in meeting the desired outcomes. B. The nurse manager
may or may not be aware of the patient’s care needs. C. The patient’s family may or may not be aware
of the patient’s care needs. D. The focus of nursing care is different from that of the HCP.
PTS: 1 DIF: Moderate REF: Page 8
KEY: Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level:
Application
7. While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes serosanguineous
drainage on the patient’s dressing. Which statement should the nurse use to document the finding?
A. “Normal drainage noted.”
B. “Moderate drainage recently noted.”
C. “Scant serosanguineous drainage seen on dressing.”
, D. “Pale pink drainage, 2 cm by 1 cm, noted on dressing.”
ANS: D
D. Objective data are pieces of factual information obtained through physical assessment and
diagnostic tests observable or knowable through the five senses. The nurse should document exactly
what is seen. A. B. C. These statements are interpretations of the data and use words that have vague
meanings, which should be avoided when documenting.
8. The nurse is caring for a patient who is scheduled for surgery. Which data should the nurse collect to
identify safety and security needs?
A. Meal patterns
B. Sleep patterns
C. Anxiety about surgery
D. Effectiveness of pain medication
ANS: C
C. A threat to a person’s safety and security, such as surgery, creates anxiety. The patient’s anxiety
level will help the nurse plan care to meet safety and security needs. A, B, and D describe data used to
support the patient’s physiological needs.
9. The nurse is reviewing data collected during patient care. Which data should the nurse document as
objective?
A. Patient is pleasant.
B. Urine output is 300 mL.
C. “It has been a good day.”
D. Patient’s appetite is poor.
ANS: B
B. Objective data are factual information such as the volume of urine output. A. This is an opinion that
the nurse has about the patient’s behavior and is too vague to document as objective data. C. This
statement is in quotations, so it is something that the patient subjectively stated. D. This is an opinion
the nurse has about the patient’s appetite and is too vague to document as objective data.
PTS: 1 DIF: Moderate REF: Page 6
KEY: Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level:
Application
10. The nurse is determining diagnoses appropriate for a patient recovering from surgery. Which nursing
diagnoses should the nurse identify as the highest priority for this patient?
A. Acute pain
B. Impaired mobility
C. Deficient knowledge
D. Impaired skin integrity
ANS: A
A. Using Maslow’s hierarchy, pain is the highest priority nursing diagnosis for a postoperative patient.
B. D. These diagnoses would be equally important after the patient’s pain is addressed, because they
focus on physiological needs. C. This diagnosis can be addressed at a later time once physiological
needs have been met.
, PTS: 1 DIF: Moderate REF: Page 7
KEY: Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level:
Application
11. The nurse suspects a patient is experiencing adverse effects to a newly prescribed antihypertensive
medication. After being informed that the effects are expected, the nurse remains concerned and
conducts an Internet search on the patient’s manifestations. Which critical thinking behavior did the
nurse implement?
A. Sense of justice
B. Intellectual courage
C. Intellectual empathy
D. Intellectual perseverance
ANS: D
D. Intellectual perseverance is not giving up. A. A sense of justice examines motives when making
decisions. B. Intellectual courage looks at other points of view, even when the nurse does not agree
with them. C. Intellectual empathy understands how another person feels when making decisions.
PTS: 1 DIF: Moderate REF: Page 3
KEY: Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level:
Analysis
12. The nurse is identifying outcomes for a patient with a Fluid Volume Deficit. Which outcome should
the nurse use to guide the patient’s care?
A. Patient’s fluid intake will be measured daily.
B. Patient’s intake will be 3000 mL daily.
C. Fluids will be at the bedside for the patient.
D. Fluids the patient likes will be at the bedside.
ANS: B
B. This outcome provides objective measurable data. A. C. D. These statements are nursing actions.
13. The nurse is caring for a patient with the diagnosis of Fluid Volume Excess. Which information should
the LPN/LVN use to determine if care was effective?
A. Restrict the patient’s fluid intake.
B. Measure the patient’s daily weight.
C. Teach the patient to monitor fluid balance.
D. Discuss the patient’s care plan with the RN.
ANS: B
B. To evaluate the effectiveness of the plan of care and the actions implemented, the nurse must assess
the outcome for the patient’s nursing diagnosis and determine if the outcome has been achieved or if
revisions are needed. For this patient, a change in weight is an objective measurement for determining
if interventions to address Fluid Volume Excess have been effective. A. Restricting fluid intake is an
action. Evaluation is required to determine patient outcome and effective care. C. Teaching the patient
to monitor fluid balance is an intervention and will not help determine the effectiveness of care. D.
Although discussing the plan of care with the RN is relevant to the patient’s care, it will not help
determine effectiveness of care provided.
PTS: 1 DIF: Difficult REF: Page 9
KEY: Client Need: Safe and Effective Care Environment—Management of Care | Cognitive Level:
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