TEST BANK
Brunner & Suddarth's Canadian Textbook of Medical-Surgical
Nursing
Pauline Paul, Rene A. Day, and Beverly Williams
3rd Edition
,Table of Contents
Chapter 01 Health Care Delivery and Nursing Practice 1
Chapter 02 Community-Based Nursing Practice 7
Chapter 03 Critical Thinking, Ethical Decision Making, and the Nursing Process 15
Chapter 04 Health Education and Health Promotion 27
Chapter 05 Adult Health and Nutritional Assessment 36
Chapter 06 Obesity 47
Chapter 07 Homeostasis, Stress, and Adaptation 56
Chapter 08 Individual and Family Considerations Related to Illness 67
Chapter 09 Perspectives in Transcultural Nursing 78
Chapter 10 Genetics and Genomics Perspectives in Nursing 86
Chapter 11 Chronic Ilness 96
Chapter 12 Principles and Practices of Rehabilitation Including Disabilities 102
Chapter 13 Health Care of the Older Adult 113
Chapter 14 Pain Management 123
Chapter 15 Fluid and Electrolytes-Balance and Disturbance 130
Chapter 16 Shock and Multiple Organ Dysfunction Syndrome 141
Chapter 17 Oncology-Nursing Management in Cancer Care 151
Chapter 18 Hospice Palliative Care at the End-of-Life 161
Chapter 19 Preoperative Nursing Management 170
Chapter 20 Intraoperative Nursing Management 181
Chapter 21 Postoperative Nursing Management 190
Chapter 22 Assessment of Respiratory Function 201
Chapter 23 Management of Patients With Upper Respiratory Tract Disorders 211
Chapter 24 Management of Patients With Chest and Lower Respiratory Tract Disorders 221
Chapter 25 Management of Patients With Chronic Obstructive Pulmonary Disease 231
Chapter 26 Respiratory Care Modalities 240
Chapter 27 Assessment of Cardiovascular Function 250
Chapter 28 Management of Patients With Dysrhythmias and Conduction Problems 260
Chapter 29 Management of Patients With Coronary Vascular Disorders 269
Chapter 30 Management of Patients With Structural, Infectious, and Inflammatory Cardiac
Disorders 281
Chapter 31 Management of Patients With Complication from Heart Disease 291
Chapter 32 Assessment and Management of Patients With Vascular Disorders and
Problems of Peripheral Circulation 300
Chapter 33 Assessment and Management of Patients With Hypertension 310
Chapter 34 Assessment and Management of Patients With Hematologic Disorders 315
Chapter 35 Assessment of Digestive and Gastrointestinal Function 325
Chapter 36 Management of Patients With Oral and Esophageal Disorders 334
Chapter 37 Gastrointestinal Intubation and Special Nutritional Modalities 344
Chapter 38 Management of Patients With Gastric and Duodenal Disorders 351
Chapter 39 Management of Patients With Intestinal and Rectal Disorders 360
,Chapter 40 Assessment and Management of Patients With Hepatic Disorders 370
Chapter 41 Assessment and Management of Patients With Biliary Disorders 380
Chapter 42 Assessment and Management of Patients With Diabetes Mellitus 390
Chapter 43 Assessment and Management of Patients With Endocrine Disorders 400
Chapter 44 Assessment of Renal and Urinary Tract Function 409
Chapter 45 Management of Patients With Renal Disorders 418
Chapter 46 Management of Patients With Urinary Disorders 428
Chapter 47 Assessment and Management of Female Physiologic Processes 435
Chapter 48 Management of Patients With Female Reproductive Disorders 445
Chapter 49 Assessment and Management of Patients With Breast Disorders 455
Chapter 50 Assessment and Management of Concerns Related to Male Reproductive
Processes 465
Chapter 51 Assessment of Immune Function 472
Chapter 52 Management of Patients With Immunodeficiency 481
Chapter 53 Management of Patients With HIV Illness and AIDS 487
Chapter 54 Assessment and Management of Patients With Allergic Disorders 497
Chapter 55 Assessment and Management of Patients With Rheumatic Disorders 504
Chapter 56 Assessment of Integumentary Function 511
Chapter 57 Management of Patients With Dermatologic Conditions 517
Chapter 58 Management of Patients With Burn Injury 525
Chapter 59 Assessment and Management of Patients With Eye and Vision Disorders 532
Chapter 60 Assessment and Management of Patients With Hearing and Balance Disorders 540
Chapter 61 Assessment of Neurologic Function 547
Chapter 62 Management of Patients With Neurologic Dysfunction 556
Chapter 63 Management of Patients With Cerebrovascular Disorders 565
Chapter 64 Management of Patients With Neurologic Trauma 574
Chapter 65 Management of Patients With Neurologic Infections, Autoimmune Disorders,
and Neuropathies 584
Chapter 66 Management of Patients With Oncologic or Degenerative Neurologic
Disorders 593
Chapter 67 Assessment of Musculoskeletal Function 603
Chapter 68 Musculoskeletal Care Modalities 612
Chapter 69 Management of Patients With Musculoskeletal Disorders 621
Chapter 70 Management of Patients With Musculoskeletal Trauma 631
Chapter 71 Management of Patients With Infectious Diseases 641
Chapter 72 Emergency Nursing 650
Chapter 73 Emergency Preparedness and Disaster Nursing 660
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Test Bank - Brunner and Suddarth's Canadian Textbook of Medical-Surgical Nursing, 3rd Edition (Paul, 2016)
Chapter 01: Health Care Delivery and Nursing Practice
1. Health may be defined as which of the following?
A) Being disease free
B) Having fulfilling relationships
C) Having a clean drinking source and nutritious food
D) Being connected in body, mind, and spirit
2. Which of the following characteristics would an effective nurse have?
A) Sensitivity to cultural differences
B) Mainly team nursing approach
C) Strict adherence to routine
D) One set cultural practice
3. What is the most common type of health problem seen in the health care system?
A) Poor prenatal care
B) Lack of information available to clients
C) Immobility
D) Increased rate of chronic disease
4. The need for self-fulfillment fits in which level of Maslow's Hierarchy of basic needs?
A) Physiologic
B) Safety and security
C) Love and belonging
D) Self-actualization
5. What has been the main focus of health care providers in the last 50 years?
A) Treatment of disease
B) Promotion
C) Prevention
D) Treatment of childhood disease
6. Which of the following is the best type of disease prevention?
A) Immunizations
B) Yearly physicals
C) Community social events
D) Behaviour that promotes health
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Test Bank - Brunner and Suddarth's Canadian Textbook of Medical-Surgical Nursing, 3rd Edition (Paul, 2016)
7. Continuous Quality Improvement programs exist for what purpose?
A) To establish accountability on the part of health care professionals
B) To focus on the process used to provide care
C) To identify incidents rather than processes
D) To justify health care costs
8. The following principles are principles of the Canada Health Act except one. Which one
is not?
A) Universality
B) Portability
C) Appropriate technology
D) Public administration
9. Which of the following information sources is most important in the development of a
clinical pathway?
A) Current literature and professional expertise
B) Legal responsibilities of the health care institution
C) The health and wellness philosophy of the caregivers
D) Cost considerations of hospitals and health authorities
10. A nurse researcher is conducting a study about the effects of noise on client pain levels
while hospitalized. The primary purpose of nursing research is to:
A) involve clients in their care while hospitalized
B) contribute to the scientific base of nursing practice
C) draw conclusions about the quality of client care
D) explain ongoing medical studies to clients
11. Home health care is becoming one of the largest practice areas for nursing. What has
contributed to this?
A) Chronic nursing shortage
B) Focus on treatment of disease
C) Increase in hospital stays
D) More critically ill clients being released home
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Test Bank - Brunner and Suddarth's Canadian Textbook of Medical-Surgical Nursing, 3rd Edition (Paul, 2016)
12. A nurse is practicing in an oncology clinic. The role of this nurse includes clinical
practice, education, management, consultation, and research. Which of the following
would most accurately describe this nurse's title?
A) Midwife
B) Clinical nurse specialist
C) Independent practice nurse
D) General duty nurse
13. Which of the following would be an example of an interdisciplinary, advanced practice
model?
A) The nurse and the physician discussing and jointly making clinical decisions
B) The nurse accompanying the physician on rounds
C) The nurse making a referral on behalf of the client
D) The nurse attending an appointment with the client
14. The nurse is caring for a client dying of lung cancer. According to Maslow's Hierarchy
of needs, which dimension of care is considered primary in importance when caring for
a dying client?
A) Spiritual
B) Social
C) Physiologic
D) Emotional
15. When prioritizing a client's care plan based on Maslow's Hierarchy of needs, the nurse's
first priority would be:
A) allowing the family to see a newly admitted client
B) ambulating the client in the hallway
C) administering pain medication
D) using two nurses to transfer the client
16. Which of the following statements best captures the way in which responsibility for
health care is organized in Canada?
A) The federal government is responsible for health care but normally consults with
the provinces.
B) Health care is under federal jurisdiction, with daily operations delegated to the
provinces.
C) The provinces are responsible for health care, but coordination on a federal level is
necessary to ensure national policies.
D) Jurisdiction over health is shared equally between the provincial and the federal
governments.
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Test Bank - Brunner and Suddarth's Canadian Textbook of Medical-Surgical Nursing, 3rd Edition (Paul, 2016)
17. Which of the following events runs contrary to the principles of the Canada Health Act?
A) A client is billed for his physiotherapy during his recovery from an ankle injury.
B) A woman from British Columbia is denied coverage in Alberta after she has moved
there owing to a job transfer.
C) Health services are less accessible to a remote village in northern Saskatchewan
than to residents living in Saskatoon.
D) Administrative responsibility for a province's health care system lies with a public
body.
18. How are patterns of disease currently changing in Canada?
A) Chronic diseases are declining as a result of primary health and health promotion.
B) Infectious diseases are more common than in the past owing to economic
disparities.
C) Most noncommunicable diseases are being eradicated.
D) Some previously treatable conditions now have fewer treatment options.
19. For which of the following clients would a clinical pathway be most appropriate?
A) A newly admitted client whose medical diagnosis is not yet confirmed
B) An elderly client who has just had open heart surgery
C) A client who is receiving treatment for a rare hematologic disorder
D) A group of junior high school students who will be receiving sexual health
education
20. Which of the following principles underlies case management?
A) Cost containment supersedes individual client preferences.
B) Responsibility for meeting client needs rests with one person or team.
C) Case management is available only for certain common diagnoses and procedures.
D) A physician, designated as case manager, has ultimate responsibility for a client's
care over time.
21. Which of the following factors has most contributed to the public's increasing demand
for quality care?
A) Many individuals' knowledge of health problems and health care has increased.
B) Health outcomes and overall life expectancy continue to decline in Canada.
C) Infectious diseases are more common than they were one to two generations
earlier.
D) Cultural differences in Canadian society have heightened awareness of differing
health practices.
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Test Bank - Brunner and Suddarth's Canadian Textbook of Medical-Surgical Nursing, 3rd Edition (Paul, 2016)
22. The nurse has assumed 24-hour responsibility for the planning and implementation of
the nursing care of a newly admitted client. She liaises with the family and the team of
caregivers to ensure that communication and quality of care are optimized. What
nursing care delivery model is most likely in place at Carla's workplace?
A) Community-based nursing
B) Primary nursing
C) Advanced nursing practice
D) Team nursing
23. A nurse practitioner provides care in an isolated community in the Northwest Territories
and rarely has additional professionals to consult with or refer to. Which of the
following actions is most likely beyond the nurse's scope of practice?
A) Adjusting the dosage of a client's antihypertensives
B) Interpreting the results of a client's abdominal radiograph
C) Diagnosing a child with otitis media
D) Performing a lumbar puncture on a client to reduce cerebrospinal fluid pressure
24. Which of the following groups played a salient role in the early provision of nursing
care in Canada?
A) Roman Catholic nuns
B) British military medics
C) Aboriginals
D) Laypeople
25. Which of the following is an integral component of evidence-based practice?
A) Safe and appropriate client-nurse ratios
B) Commitment to quality care by health institutions and government
C) Valid and current research
D) Adequate health promotion and primary health initiatives
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Test Bank - Brunner and Suddarth's Canadian Textbook of Medical-Surgical Nursing, 3rd Edition (Paul, 2016)
Answer Key
1. D
2. A
3. D
4. D
5. A
6. D
7. B
8. C
9. A
10. B
11. D
12. B
13. A
14. C
15. C
16. C
17. B
18. D
19. B
20. B
21. A
22. B
23. D
24. A
25. C
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Test Bank - Brunner and Suddarth's Canadian Textbook of Medical-Surgical Nursing, 3rd Edition (Paul, 2016)
Chapter 02: Community-Based Nursing Practice
1. A community health nurse has scheduled a hypertension clinic. This service would be
an example of which type of health care?
A) Tertiary prevention
B) Secondary prevention
C) Primary prevention
D) Disease prevention
2. The nursing instructor is preparing her students for their home-care rotation. She
discusses the patients that they are likely to care for in the home. Which of the following
are the most frequent users of home care services?
A) Disabled patients
B) Chronically ill patients
C) Terminally ill patients
D) Elderly patients
3. Patients' lifestyles in the home may vary greatly from the nurse's own beliefs. To work
successfully with the patient, what must the nurse do?
A) Ask for another assignment if there is a conflict of interest
B) Ask the patient to come to the agency to receive treatment
C) Convey respect for the patient's beliefs
D) Adapt the patient's home to a hospital-like environment
4. Infection control is important in every setting where nursing care is provided. In the
home setting, how will the nurse best implement infection control?
A) Cleanse the hands before and after giving direct patient care
B) Remove the patient's wound dressings from the home
C) Dispose of patient's syringes in the patient's garbage
D) Disinfect all work areas in the patient's home
5. Your patient is ready to be discharged from the hospital. When should your patient's
discharge planning begin?
A) The day prior to discharge
B) The day of estimated discharge
C) The day the patient is admitted
D) Once the nurse determines care needs
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