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,Table of Contents
Chapter 01 Professional Nursing Practice
Chapter 02 Medical-Surgical Nursing
Chapter 03 Health Education and Health Promotion
Chapter 04 Adult Health and Physical, Nutritional, and Cultural Assessment
Chapter 05 Stress and Inflammatory Responses
Chapter 06 Genetics and Genomics in Nursing
Chapter 07 Disability and Chronic Illness
Chapter 08 Management of the Older Adult Patient
Chapter 09 Pain Management
Chapter 10 Fluid and Electrolytes
Chapter 11 Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
Chapter 12 Management of Patients with Oncologic Disorders
Chapter 13 Palliative and End-of-Life Care
Chapter 14 Preoperative Nursing Management
Chapter 15 Intraoperative Nursing Management
Chapter 16 Postoperative Nursing Management
Chapter 17 Assessment of Respiratory Function
Chapter 18 Management of Patients with Upper Respiratory Tract Disorders
Chapter 19 Management of Patients with Chest and Lower Respiratory Tract Disorders
Chapter 20 Management of Patients with Chronic Pulmonary Disease
Chapter 21 Assessment of Cardiovascular Function
Chapter 22 Management of Patients with Arrhythmias and Conduction Problems
Chapter 23 Management of Patients with Coronary Vascular Disorders
Chapter 24 Management of Patients with Structural, Infectious, and Inflammatory Cardiac
Disorders
Chapter 25 Management of Patients with Complications from Heart Disease
Chapter 26 Assessment and Management of Patients with Vascular Disorders and Problems
of Peripheral Circulation
Chapter 27 Assessment and Management of Patients with Hypertension
Chapter 28 Assessment of Hematologic Function and Treatment Modalities
Chapter 29 Management of Patients with Nonmalignant Hematologic Disorders
Chapter 30 Management of Patients with Hematologic Neoplasms
Chapter 31 Assessment of Immune Function
Chapter 32 Management of Patients with Immune Deficiency Disorders
Chapter 33 Assessment and Management of Patients with Allergic Disorders
Chapter 34 Assessment and Management of Patients with Inflammatory Rheumatic Disorders
Chapter 35 Assessment of Musculoskeletal Function
Chapter 36 Management of Patients with Musculoskeletal Disorders
,Chapter 37 Management of Patients with Musculoskeletal Trauma
Chapter 38 Assessment of Digestive and Gastrointestinal Function
Chapter 39 Management of Patients with Oral and Esophageal Disorders
Chapter 40 Management of Patients with Gastric and Duodenal Disorders
Chapter 41 Management of Patients with Intestinal and Rectal Disorders
Chapter 42 Assessment and Management of Patients with Obesity
Chapter 43 Assessment and Management of Patients with Hepatic Disorders
Chapter 44 Management of Patients with Biliary Disorders
Chapter 45 Assessment and Management of Patients with Endocrine Disorders
Chapter 46 Management of Patients with Diabetes
Chapter 47 Assessment of Kidney and Urinary Function
Chapter 48 Management of Patients with Kidney Disorders
Chapter 49 Management of Patients with Urinary Disorders
Chapter 50 Assessment and Management of Patients with Female Physiologic Processes
Chapter 51 Management of Patients with Female Reproductive Disorders
Chapter 52 Assessment and Management of Patients with Breast Disorders
Chapter 53 Assessment and Management of Patients with Male Reproductive Disorders
Chapter 54 Assessment and Management of Patients Who Are LGBTQ
Chapter 55 Assessment of Integumentary Function
Chapter 56 Management of Patients with Dermatologic Disorders
Chapter 57 Management of Patients with Burn Injury
Chapter 58 Assessment and Management of Patients with Eye and Vision Disorders
Chapter 59 Assessment and Management of Patients with Hearing and Balance Disorders
Chapter 60 Assessment of Neurologic Function
Chapter 61 Management of Patients With Neurologic Dysfunction
Chapter 62 Management of Patients With Cerebrovascular Disorders
Chapter 63 Management of Patients with Neurologic Trauma
Chapter 64 Management of Patients with Neurologic Infections, Autoimmune Disorders, and
Neuropathies
Chapter 65 Management of Patients with Oncologic or Degenerative Neurologic Disorders
Chapter 66 Management of Patients with Infectious Diseases
Chapter 67 Emergency Nursing
Chapter 68 Disaster Nursing
,Chapter 01: Health Care Delivery And Evidence-Based Nursing Practice
1. The Public Health Nurse Is Presenting A Health Promotion Class To A Group Of New Mothers. How
Should The Nurse Best Define Health?
A) Health Is Being Disease Free.
B) Health Is Having Fulfillment In All Domains Of Life.
C) Health Is Having Psychological And Physiological Harmony.
D) Health Is Being Connected In Body, Mind, And Spirit.
Answer: D
Rationale:
The World Health Organization (Who) Defines Health In The Preamble To Its Constitution As A State
Of Complete Physical, Mental, And Social Well-Being And Not Merely The Absence Of Disease And
Infirmity. The Other Answers Are Incorrect Because They Are Not Congruent With The Who
Definition Of Health.
2. A Nurse Is Speaking To A Group Of Prospective Nursing Students About What It Is Like To Be A
Nurse. What Is One Characteristic The Nurse Would Cite As Necessary To Possess To Be An Effective
Nurse?
A) Sensitivity To Cultural Differences
B) Team-Focused Approach To Problem-Solving
C) Strict Adherence To Routine
D) Ability To Face Criticism
Answer: A
Rationale:
To Promote An Effective Nurse-Patient Relationship And Positive Outcomes Of Care, Nursing Care Must
Be Culturally Competent, Appropriate, And Sensitive To Cultural Differences. Team-Focused Nursing
And Strict Adherence To Routine Are Not Characteristics Needed To Be An Effective Nurse. The
Ability To Handle Criticism Is Important, But To A Lesser Degree Than Cultural Competence.
3. With Increases In Longevity, People Have Had To Become More Knowledgeable About Their Health
And The Professional Health Care That They Receive. One Outcome Of This Phenomenon Is The
Development Of Organized Self-Care Education Programs. Which Of The Following Do These
Programs Prioritize?
,A) Adequate Prenatal Care
B) Government Advocacy And Lobbying
C) Judicious Use Of Online Communities
D) Management Of Illness
Answer: D
Rationale:
Organized Self-Care Education Programs Emphasize Health Promotion, Disease Prevention,
Management Of Illness, Self-Care, And Judicious Use Of The Professional Health Care System. Prenatal
Care, Lobbying, And Internet Activities Are Secondary.
4. The Home Health Nurse Is Assisting A Patient And His Family In Planning The Patients Return To
Work After Surgery And The Development Of Postsurgical Complications. The Nurse Is Preparing A
Plan Of Care That Addresses The Patient’s Multifaceted Needs. To Which Level Of Maslows Hierarchy
Of Basic Needs Does The Patients Need For Self-Fulfillment Relate?
A) Physiologic
B) Transcendence
C) Love And Belonging
D) Self-Actualization
Answer: D
Rationale:
Maslows Highest Level Of Human Needs Is Self-Actualization, Which Includes Self-Fulfillment, Desire
To Know And Understand, And Aesthetic Needs. The Other Answers Are Incorrect Because Self-
Fulfillment Does Not Relate Directly To Them.
5. The View That Health And Illness Are Not Static States But That They Exist On A Continuum Is Central
To Professional Health Care Systems. When Planning Care, This View Aids The Nurse In Appreciating
Which Of The Following?
A) Care Should Focus Primarily On The Treatment Of Disease.
B) A Person’s State Of Health Is Ever-Changing.
,C) A Person Can Transition From Health To Illness Rapidly.
D) Care Should Focus On The Patients Compliance With Interventions.
Answer: B
Rationale:
By Viewing Health And Illness On A Continuum, It Is Possible To Consider A Person As Being Neither
Completely Healthy Nor Completely Ill. Instead, A Persons State Of Health Is Ever-Changing And Has
The Potential To Range From High-Level Wellness To Extremely Poor Health And Imminent Death. The
Other Answers Are Incorrect Because Patient Care Should Not Focus Just On The Treatment Of Disease.
Rapid Declines In Health And Compliance With Treatment Are Not Key To This View Of Health.
6. A Group Of Nursing Students Are Participating In A Community Health Clinic. When Providing Care
In This Context, What Should The Students Teach Participants About Disease Prevention?
A) It Is Best Achieved Through Attending Self-Help Groups.
B) It Is Best Achieved By Reducing Psychological Stress.
C) It Is Best Achieved By Being An Active Participant In The Community.
D) It Is Best Achieved By Exhibiting Behaviors That Promote Health.
Answer: D
Rationale:
Today, Increasing Emphasis Is Placed On Health, Health Promotion, Wellness, And Self-Care. Health Is
Seen As Resulting From A Lifestyle Oriented Toward Wellness. Nurses In Community Health
Clinics Do Not Teach That Disease Prevention Is Best Achieved Through Attending Self-Help Groups,
By Reducing Stress, Or By Being An Active Participant In The Community, Though Each Of These
Activities Is Consistent With A Healthy Lifestyle.
7. A Nurse On A Medical-Surgical Unit Has Asked To Represent The Unit On The Hospitals Quality
Committee. When Describing Quality Improvement Programs To Nursing Colleagues And Members
Of Other Health Disciplines, What Characteristic Should The Nurse Cite?
A) These Programs Establish Consequences For Health Care Professionals Actions.
B) These Programs Focus On The Processes Used To Provide Care.
C) These Programs Identify Specific Incidents Related To Quality.
D) These Programs Seek To Justify Health Care Costs And Systems.
,Answer: B
Rationale:
Numerous Models Seek To Improve The Quality Of Health Care Delivery. A Commonality Among
Them Is A Focus On The Processes That Are Used To Provide Care. Consequences, A Focus On
Incidents, And Justification For Health Care Costs Are Not Universal Characteristics Of Quality
Improvement Efforts.
8. Nurses In Acute Care Settings Must Work With Other Health Care Team Members To Maintain Quality
Care While Facing Pressures To Care For Patients Who Are Hospitalized For Shorter Periods Of Time
Than In The Past. To Ensure Positive Health Outcomes When Patients Return To Their Homes, What
Action Should The Nurse Prioritize?
A) Promotion Of Health Literacy During Hospitalization
B) Close Communication With Insurers
C) Thorough And Evidence-Based Discharge Planning
D) Participation In Continuing Education Initiatives
Answer: C
Rationale:
Following Discharges That Occur After Increasingly Short Hospital Stays, Nurses In The Community Care
For Patients Who Need High-Technology Acute Care Services As Well As Long-Term Care In The Home.
This Is Dependent On Effective Discharge Planning To A Greater Degree Than Continuing Education,
Communication With Insurers, Or Promotion Of Health Literacy.
9. You Are Admitting A Patient To Your Medical Unit After The Patient Has Been
Transferred From The Emergency Department. What Is Your Priority Nursing Action At
This Time?
A) Identifying The Immediate Needs Of The Patient
B) Checking The Admitting Physicians Orders
C) Obtaining A Baseline Set Of Vital Signs
D) Allowing The Family To Be With The
Patient Answer: A
Rationale:
, Among The Nurses Important Functions In Health Care Delivery, Identifying The Patients Immediate
Needs And Working In Concert With The Patient To Address Them Is Most Important. The Other
Nursing Functions Are Important, But They Are Not The Most Important Functions.
10. A Nurse On A Postsurgical Unit Is Providing Care Based On A Clinical Pathway. When
Performing Assessments And Interventions With The Aid Of A Pathway, The Nurse Should
Prioritize What Goal?
A) Helping The Patient To Achieve Specific Outcomes
B) Balancing Risks And Benefits Of Interventions
C) Documenting The Patients Response To Therapy
D) Staying Accountable To The Interdisciplinary Team
Answer: A
Rationale:
Pathways Are An Ebp Tool That Is Used Primarily To Move Patients Toward Predetermined Outcomes.
Documentation, Accountability, And Balancing Risks And Benefits Are Appropriate, But Helping The Patient
Achieve Outcomes Is Paramount.
11. Staff Nurses In An Icu Setting Have Noticed That Their Patients Required Lower And Fewer Doses Of
Analgesia When Noise Levels On The Unit Were Consciously Reduced. They Informed An Advanced
Practice Rn Of This And Asked The Aprn To Quantify The Effects Of Noise On The Pain Levels Of
Hospitalized Patients. How Does This Demonstrate A Role Of The Aprn?
A) Involving Patients In Their Care While Hospitalized
B) Contributing To The Scientific Basis Of Nursing Practice
C) Critiquing The Quality Of Patient Care
D) Explaining Medical Studies To Patients And
Rns Answer: B
Rationale:
Research Is Within The Purview Of The Aprn. The Activity Described Does Not Exemplify Explaining
Studies To Rns, Critiquing Care, Or Involving Patients In Their Care.
12. Nurses Now Have The Option To Practice In A Variety Of Settings And One Of The Fastest Growing
Venues Of Practice For The Nurse In Todays Health Care Environment Is Home Health Care. What Is
The Main Basis For
, The Growth In This Health Care Setting?
A) Chronic Nursing Shortage
B) Western Focus On Treatment Of Disease
C) Nurses Preferences For Day Shifts Instead Of Evening Or Night Shifts
D) Discharge Of Patients Who Are More Critically
Ill Answer: D
Rationale:
With Shorter Hospital Stays And Increased Use Of Outpatient Health Care Services, More Nursing
Care Is Provided In The Home And Community Setting. The Other Answers Are Incorrect Because
They Are Not The Basis For The Growth In Nursing Care Delivered In The Home Setting.
13. Nurses Have Different Educational Backgrounds And Function Under Many Titles In Their Practice
Setting. If A Nurse Practicing In An Oncology Clinic Had The Goal Of Improving Patient Outcomes And
Nursing Care By Influencing The Patient, The Nurse, And The Health Care System, What Would Most
Accurately Describe This Nurses Title?
A) Nursing Care Expert
B) Clinical Nurse Specialist
C) Nurse Manager
D) Staff Nurse
Answer: B
Rationale:
Clinical Nurse Specialists Are Prepared As Specialists Who Practice Within A Circumscribed Area Of
Care (E.G., Cardiovascular, Oncology). They Define Their Roles As Having Five Major Components:
Clinical Practice, Education, Management, Consultation, And Research. The Other Answers Are
Incorrect Because They Are Not The Most Accurate Titles For This Nurse.
14. Nursing Continues To Recognize And Participate In Collaboration With Other Health Care Disciplines
To Meet The Complex Needs Of The Patient. Which Of The Following Is The Best Example Of A
Collaborative Practice Model?
A) The Nurse And The Physician Jointly Making Clinical Decisions.
, B) The Nurse Accompanying The Physician On Rounds.
C) The Nurse Making A Referral On Behalf Of The Patient.
D) The Nurse Attending An Appointment With The Patient.
Answer: A
Rationale:
The Collaborative Model, Or A Variation Of It, Promotes Shared Participation, Responsibility, And
Accountability In A Health Care Environment That Is Striving To Meet The Complex Health Care Needs
Of The Public. The Other Answers Are Incorrect Because They Are Not Examples Of A Collaborative
Practice Model.
15. A Hospice Nurse Is Caring For A Patient Who Is Dying Of Lymphoma. According To Maslows
Hierarchy Of Needs, What Dimension Of Care Should The Nurse Consider Primary In Importance When
Caring For A Dying Patient?
A) Spiritual
B) Social
C) Physiologic
D) Emotional
Answer: C
Rationale:
Maslow Ranked Human Needs As Follows: Physiologic Needs; Safety And Security; Sense Of
Belonging And Affection; Esteem And Self-Respect; And Self-Actualization, Which Includes Self-
Fulfillment, Desire To Know And Understand, And Aesthetic Needs. Such A Hierarchy Of Needs Is A
Useful Framework That Can Be Applied To The Various Nursing Models For Assessment Of A Patients
Strengths, Limitations, And Need For Nursing Interventions. The Other Answers Are Incorrect Because
They Are Not Of Primary Importance When Caring For A Dying Patient, Though Each Should
Certainly Be Addressed.
16. A Nurse Is Planning A Medical Patients Care With Consideration Of Maslows Hierarchy Of Needs.
Within This Framework Of Understanding, What Would Be The Nurses First Priority?
A) Allowing The Family To See A Newly Admitted Patient
B) Ambulating The Patient In The Hallway
C) Administering Pain Medication
