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TEST BANK FOR INTRODUCTORY MEDICAL-SURGICAL NURSING, 10TH EDITION, BARBARA TIMBY, NANCY SMITH, ISBN-10: 1605470643, ISBN-13: 9781605470641, ISBN-10: 1605470635, ISBN-13: 9781605470634 $30.49
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TEST BANK FOR INTRODUCTORY MEDICAL-SURGICAL NURSING, 10TH EDITION, BARBARA TIMBY, NANCY SMITH, ISBN-10: 1605470643, ISBN-13: 9781605470641, ISBN-10: 1605470635, ISBN-13: 9781605470634

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TEST BANK FOR INTRODUCTORY MEDICAL-SURGICAL NURSING, 10TH EDITION, BARBARA TIMBY, NANCY SMITH, ISBN-10: 1605470643, ISBN-13: 9781605470641, ISBN-10: 1605470635, ISBN-13: 9781605470634 TEST BANK FOR INTRODUCTORY MEDICAL-SURGICAL NURSING, 10TH EDITION, BARBARA TIMBY, NANCY SMITH, ISBN-10: 1605470643,...

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  • January 29, 2025
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  • test bank for introductory medical surgical nursin
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Introductory Medical-Surgical Nursing 10e Comprehensive Test Bank
by Barbara K Timby, Nancy E. Smith
Pub. Date: September 2009
Converted From Electronic Source - 11/7/2009 12:43:33 am

Table of Contents
Unit I Nursing Roles and Responsibilities
Unit II Psychosocial Aspects of Client Care
Unit III Concepts of Health and Illness
Unit IV Common Medical-Surgical Problems
Unit V Caring for Clients with Respiratory Disorders
Unit VI Caring for Clients with Cardiovascular Disorders
Unit VII Caring for Clients with Hematopoietic and Lymphatic Disorders
Unit VIII Caring for Clients with Immune Disorders
Unit IX Caring for Clients with Neurologic Disorders
Unit X Caring for Clients with Sensory Problems
Unit XI Caring for Clients with Gastrointestinal Problems
Unit XII Caring for Clients with Endocrine Problems
Unit XIII Disturbances of Sexual Structures or Reproductive Function
Unit XIV Caring for Clients with Urinary and Renal Problems
Unit XV Caring for Clients with Musculoskeletal Problems
Unit XVI Caring for Clients with Integumentary Problems
Appendix: Answers



MULTIPLE CHOICE. Choose the one alternative that best completes the statement
or answers the question.
1)The nurse is assisting a postoperative client in using an incentive spirometer. Which
of the following postoperative complications is this nurse attempting to avoid with
this client? 1) _______
A)Hemorrhage B) Pulmonary embolism
C)Deep vein thrombosis D) Atelectasis


2)A client who is recovering from abdominal surgery has a penrose drain. Which of
the following should the nurse include in the care of this client? 2) _______
TEST BANK FOR INTRODUCTORY MEDICAL-SURGICAL NURSING, 10TH
EDITION, BARBARA TIMBY, NANCY SMITH, ISBN-10: 1605470643, ISBN-13: A)Make sure there is a safety pin on the end of the drain.
9781605470641, ISBN-10: 1605470635, ISBN-13: 9781605470634 B)Clean the wound with normal saline every two hours.
C)Empty the drain every 30 minutes.

,D)Remove the drain four hours postoperatively. D)"I'll be giving you intravenous feedings anyway."


3)A client is in the recovery room. Which of the following members of the healthcare 9)An elderly postoperative client is given an antiemetic for nausea. Which of the
team should the nurse contact regarding the client's level of pain control? 3) _______ following signs would indicate this client is experiencing a possible reaction to the
A)The surgeon B) The anesthesiologist medication? 9) _______
C)The scrub nurse D) The circulating nurse A)Dry mouth
B)Involuntary muscle movements
4)During the assessment of a postoperative client's bowel sounds, the nurse C)Breakthrough vomiting
auscultates high-pitched sounds over all four abdominal quadrants. The nurse realizes D)Confusion
this finding could indicate: 4) _______
A)Normal bowel function. B) The onset of stool. 10)A client is signing a surgical consent. Afterwards, the nurse also signs the form.
C)The onset of flatus. D) Paralytic ileus. What is the meaning of the nursing signature? 10) ______
A)It means the client was alert and aware of what was being signed.
5)A client is being transferred from the operating room to the recovery room. The B)It means there is a likelihood of a successful outcome.
nurse in the recovery room will be providing which phase of nursing care? 5) C)It means the client understood the procedure as described by the nurse.
_______ D)It means the surgeon was too busy to wait for the client to sign the form.
A)Intraoperative B) Preoperative
C)Restorative D) Postoperative 11)A client's endotracheal tube is being removed after the surgical procedure. The
intra-operative nurse realizes this client is in which phase of the general anesthesia
6)A client is being scheduled for surgery. Which of the following should be included process? 11) ______
in the preoperative teaching provided by the nurse? 6) _______ A)Induction B) Maintenance
A)The credentials of the anesthesiologist C)Reduction D) Emergence
B)Information concerning the surgical procedure which will be performed by the
surgeon 12)An elderly client is being prepared for orthopedic surgery. The nurse realizes this
C)Cost of the procedure client is at risk for which of the following? 12) ______
D)Planned length of stay at the hospital A)Prolonged effects of anesthesia because of herbal supplements
B)Decreased tolerance of general anesthesia
7)A client is being positioned for a hip replacement procedure. In which of the C)Increased hypotensive effects of anesthesia
following positions will this client most likely be placed? 7) _______ D)Wound dehiscence
A)Dorsal recumbent B) Lateral chest
C)Semi-sitting D) Prone 13)The client who is preparing for surgery asks the nurse to keep their glasses and
hearing aid in-place until they are under anesthesia. Which of the following
8)A postoperative client tells the nurse, "A book I read said that I should not eat after statements by the nurse demonstrates accurate, therapeutic communication? 13)
surgery for at least a week." Which of the following statements would be an ______
appropriate nursing response? 8) _______ A)"I will contact the surgery department to discuss you requests."
A)"You don't need any food to heal anyway." B)"Certainly, you can keep them for that time."
B)"That's true." C)"You cannot keep those in."
C)"That's not true. You could get an infection in your stomach." D)"The policies in the surgery unit will not allow it."

, 19)A client is in his fifth postoperative day and has sanguineous drainage with a thick,
14)A client has just arrived in the recovery room. How often should the nurse assess reddish appearance. The nurse realizes this client's wound is in which stage of healing?
the client? 14) ______ 19) ______
A)Every 15 minutes for 30 minutes and then every one hour afterwards. A)Stage III B) Stage IV C) Stage I D) Stage II
B)Every 15 minutes for the first hour.
C)Every hour. 20)A recovery room nurse is consulting with a circulating nurse about a client who is
D)Every two hours. having a surgical procedure. These nurses are most likely in which zone of the
surgical department? 20) ______
15)A client who is being admitted for surgery asks the nurse why information is being A)Banned B) Semi-restricted
collected about the client's use of herbal and natural supplements. Which of the C)Restricted D) Unrestricted
following statements is an appropriate nursing response? 15) ______
A)"The physician is in charge of medications." 21)A nurse has delegated the collection of vital signs, including blood pressure
B)"Herbal supplements may interact with anesthesia agents." readings, to two unlicensed assistive personnel. The of this work means the nurse is:
C)"Herbal remedies may cause pain relievers to be ineffective." 21) ______
D)"There is no need to take these preparations." A)Not accountable for these vital signs.
B)Responsible to re-measure all of the vital signs.
16)An elderly client is completing preoperative diagnostic testing. The nurse notes C)Not responsible for these vital signs.
that the client's carbon dioxide level is elevated. Which of the following nursing D)Accountable for the care that was delegated.
interventions would be indicated for this client? 16) ______
A)Monitor serum sodium level. 22)The nurse working on a quality improvement study wants to evaluate a client care
B)Monitor serum potassium level. process. Which of the following can the nurse use to evaluate this process? 22)
C)Monitor respiratory status and arterial blood gases. ______
D)Monitor intake and output. A)Variance analysis B) Critical pathway
C)Evidence-based practice D) Nursing process
17)A client is prescribed patient-controlled analgesia for postoperative pain. Which of
the following should the nurse instruct the client about this analgesia? 17) ______ 23)The new nurse is studying the five core competencies for healthcare providers.
A)"Use this analgesia every hour on the hour." Which of the following are a part of these core competencies? (Select all that apply.)
B)"Use this analgesia only when the pain is extremely severe." 23) ______
C)"Avoid the use of this because of the risk of addiction." A)Work in interdisciplinary teams.
D)"Use this analgesia regularly." B)Use informatics to deliver care.
C)Use evidence-based practice.
18)A client has received conscious sedation for a surgical procedure. The nurse D)Replace quality improvement initiatives with work redesign methods.
realizes this client will most likely: 18) ______ E)Use primary nursing to deliver care.
A)Respond to physical and verbal stimuli.
B)Not respond to any stimuli. 24)A client tells the nurse, "I have an advance directive that I want you to follow."
C)Need an endotracheal tube inserted. Which of the following will this document provide for the nurse? 24) ______
D)Need blood product replacements. A)A complete plan of care for the client
B)The answers to any care dilemmas for the client

, C)The client's preferences for healthcare should the client become mentally care? 30) ______
incapacitated A)Team nursing B) Primary nursing
D)Directions regarding when to use universal precautions for the client C)Functional nursing D) Case management


25)Client chart audits provide the nurses with information that impacts the future 31)While providing care to a client, the nurse stops to assess a new client problem.
outcomes of client care. What should the nurses do with this information? 25) ______ The assessment in this situation would be: 31) ______
A)Use the information to create an action plan to address any negative findings. A)An objective assessment B) An initial assessment
B)Nothing C)A focused assessment D) A subjective assessment
C)Submit it to the agency's accrediting body.
D)Place it in a file to compare with the next set of audits. 32)A graduate nurse is attending a seminar regarding the role of the nurse as a client
advocate. After the session, the students engage in a discussion. Which of the
26)The nurse is preparing a client to go home. Which of the following skills are the following statements by the graduate nurse indicates the need for further education?
most important for the nurse to adequately prepare this client? 26) ______ 32) ______
A)Familiarity with adult learning principles A)"Being a client advocate entails making efforts to improve client outcomes."
B)The ability to support client decision making B)"Client advocates have the authority to make decisions for the client."
C)The ability to use critical thinking C)"Communicating client needs to the members of the healthcare team is a role of the
D)The ability to follow written orders client advocate."
D)"Providing education to the client and family is a key way to be a positive client
27)The nurse is implementing a plan of care for a client. After providing care, what advocate."
should the nurse do as the final step in the process? 27) ______
A)Reassess the client. 33)The nurse is using a specific process to plan smoking cessation activities for a
B)Give the charge nurse a report. client. Which of the following is this nurse most likely using to plan the care for this
C)Document client? 33) ______
D)Nothing A)Evidence-based practice B) Nursing process
C)Variance analysis D) Critical pathways
28)At the completion of an assessment, the nurse chooses a nursing diagnosis that
best defines the client's health problems. Which type of clinical judgment will this 34)The nurse is creating outcome criteria for the nursing diagnoses for a client. Which
nurse use? 28) ______ of the following should the nurse include when creating the criteria? 34) ______
A)Diagnostic reasoning B) Evidence-based practice A)They should be written as psychomotor only.
C)Nursing process D) Critical pathway B)They should be written to address the client, and be time-specific and measurable.
C)They should be written as statements.
29)A client tells the nurse, "I have pain in my leg when I stand too long." This D)They should be written as nursing goals.
information would be considered: 29) ______
A)Subjective data B) Objective data 35)The nurse stops to think about a previous client care situation before providing
C)Evaluative data D) Qualitative data care to a current client. This nurse is using what critical thinking skill? 35) ______
A)Divergent thinking B) Reflection
30)The nurse is consulting a critical pathway to help make client care decisions. C)Reasoning D) Clarifying
Which type of care delivery model is this nurse most likely using to provide client

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