Table of Contents
Chapter 01: Professional Nursing .......................................................................................................................... 6
MULTIPLE CHOICE ....................................................................................................................................... 6
MULTIPLE RESPONSE ............................................................................................................................... 13
OTHER ........................................................................................................................................................... 14
Chapter 02: Health Equity and Culturally Competent Care ................................................................................ 16
Test Bank MULTIPLE CHOICE ................................................................................................................... 16
MULTIPLE RESPONSE ............................................................................................................................... 23
Chapter 03: Health History and Physical Examination ....................................................................................... 24
Test Bank MULTIPLE CHOICE ................................................................................................................... 24
first? ................................................................................................................................................................. 29
first? ................................................................................................................................................................. 29
OTHER ........................................................................................................................................................... 30
Chapter 04: Patient and Caregiver Teaching ....................................................................................................... 31
Test Bank MULTIPLE CHOICE ................................................................................................................... 31
MULTIPLE RESPONSE ............................................................................................................................... 39
Chapter 05: Chronic Illness and Older Adults ..................................................................................................... 41
Test Bank MULTIPLE CHOICE ................................................................................................................... 41
MULTIPLE RESPONSE ............................................................................................................................... 50
Chapter 06: Stress Management .......................................................................................................................... 51
Test Bank MULTIPLE CHOICE ................................................................................................................... 51
MULTIPLE RESPONSE ............................................................................................................................... 56
Chapter 07: Sleep and Sleep Disorders ................................................................................................................ 57
Test Bank MULTIPLE CHOICE ................................................................................................................... 57
MULTIPLE RESPONSE ............................................................................................................................... 61
Chapter 08: Pain................................................................................................................................................... 62
Test Bank MULTIPLE CHOICE ................................................................................................................... 62
MULTIPLE RESPONSE ............................................................................................................................... 72
OTHER ........................................................................................................................................................... 73
Chapter 09: Palliative and End of Life Care ........................................................................................................ 74
Test Bank MULTIPLE CHOICE ................................................................................................................... 74
MULTIPLE RESPONSE ............................................................................................................................... 80
Chapter 10: Substance Use Disorders .................................................................................................................. 82
Test Bank MULTIPLE CHOICE ................................................................................................................... 82
OTHER ........................................................................................................................................................... 92
Chapter 11: Inflammation and Healing................................................................................................................ 94
Test Bank MULTIPLE CHOICE ................................................................................................................... 94
SHORT ANSWER ....................................................................................................................................... 102
OTHER ......................................................................................................................................................... 103
Chapter 12: Genetics.......................................................................................................................................... 104
Test Bank MULTIPLE CHOICE ................................................................................................................. 104
Chapter 13: Immune Responses and Transplantation ........................................................................................ 108
Test Bank MULTIPLE CHOICE ................................................................................................................. 108
OTHER ......................................................................................................................................................... 118
,Chapter 14: Infection ......................................................................................................................................... 120
Test Bank MULTIPLE CHOICE ................................................................................................................. 120
MULTIPLE RESPONSE ............................................................................................................................. 130
Chapter 15: Cancer ............................................................................................................................................ 132
Test Bank MULTIPLE CHOICE ................................................................................................................. 132
MULTIPLE RESPONSE ............................................................................................................................. 149
Chapter 16: Fluid, Electrolyte, and Acid-Base Imbalances ............................................................................... 151
Test Bank MULTIPLE CHOICE ................................................................................................................. 151
Chapter 17: Preoperative Care ........................................................................................................................... 168
Test Bank MULTIPLE CHOICE ................................................................................................................. 168
best? ............................................................................................................................................................... 174
MULTIPLE RESPONSE ............................................................................................................................. 176
Chapter 18: Intraoperative Care ......................................................................................................................... 178
Test Bank MULTIPLE CHOICE ................................................................................................................. 178
MULTIPLE RESPONSE ............................................................................................................................. 185
Chapter 19: Postoperative Care ......................................................................................................................... 187
Test Bank MULTIPLE CHOICE ................................................................................................................. 187
OTHER ......................................................................................................................................................... 197
Chapter 20: Assessment and Management: Visual Problems ............................................................................ 199
Test Bank MULTIPLE CHOICE ................................................................................................................. 199
Chapter 21: Assessment and Management: Auditory Problems ........................................................................ 219
Test Bank MULTIPLE CHOICE ................................................................................................................. 219
Chapter 22: Assessment: Integumentary System ............................................................................................... 230
Test Bank MULTIPLE CHOICE ................................................................................................................. 230
MULTIPLE RESPONSE ............................................................................................................................. 234
Chapter 23: Integumentary Problems ................................................................................................................ 236
Test Bank MULTIPLE CHOICE ................................................................................................................. 236
MULTIPLE RESPONSE ............................................................................................................................. 246
Chapter 24: Burns .............................................................................................................................................. 248
Test Bank MULTIPLE CHOICE ................................................................................................................. 248
SHORT ANSWER ....................................................................................................................................... 260
OTHER ......................................................................................................................................................... 261
Chapter 25: Assessment: Respiratory System ................................................................................................... 262
Test Bank MULTIPLE CHOICE ................................................................................................................. 262
MULTIPLE RESPONSE ............................................................................................................................. 271
OTHER ......................................................................................................................................................... 272
Chapter 26: Upper Respiratory Problems .......................................................................................................... 273
Test Bank MULTIPLE CHOICE ................................................................................................................. 273
MULTIPLE RESPONSE ............................................................................................................................. 282
OTHER ......................................................................................................................................................... 284
Chapter 27: Lower Respiratory Problems.......................................................................................................... 285
Test Bank MULTIPLE CHOICE ................................................................................................................. 285
MULTIPLE RESPONSE ............................................................................................................................. 306
OTHER ......................................................................................................................................................... 307
Chapter 28: Obstructive Pulmonary Diseases.................................................................................................... 308
, Test Bank MULTIPLE CHOICE ................................................................................................................. 308
COMPLETION ............................................................................................................................................ 326
Chapter 29: Assessment: Hematologic System ................................................................................................. 328
Test Bank MULTIPLE CHOICE ................................................................................................................. 328
Chapter 30: Hematologic Problems ................................................................................................................... 335
Test Bank MULTIPLE CHOICE ................................................................................................................. 335
SHORT ANSWER ....................................................................................................................................... 354
Chapter 31: Assessment: Cardiovascular System .............................................................................................. 356
Test Bank MULTIPLE CHOICE ................................................................................................................. 356
OTHER ......................................................................................................................................................... 365
Chapter 32: Hypertension .................................................................................................................................. 367
Test Bank MULTIPLE CHOICE ................................................................................................................. 367
SHORT ANSWER ....................................................................................................................................... 377
Chapter 33: Coronary Artery Disease and Acute Coronary Syndrome ............................................................. 378
Test Bank MULTIPLE CHOICE ................................................................................................................. 378
Chapter 34: Heart Failure .................................................................................................................................. 397
Test Bank MULTIPLE CHOICE ................................................................................................................. 397
MULTIPLE RESPONSE ............................................................................................................................. 408
Chapter 35: Dysrhythmias ................................................................................................................................. 409
Test Bank MULTIPLE CHOICE ................................................................................................................. 409
COMPLETION ............................................................................................................................................ 422
OTHER ......................................................................................................................................................... 422
Chapter 36: Inflammatory and Structural Heart Disorders ................................................................................ 423
Test Bank MULTIPLE CHOICE ................................................................................................................. 423
Chapter 37: Vascular Disorders ......................................................................................................................... 438
Test Bank MULTIPLE CHOICE ................................................................................................................. 438
COMPLETION ............................................................................................................................................ 452
Chapter 38: Assessment: Gastrointestinal System............................................................................................. 453
Test Bank MULTIPLE CHOICE ................................................................................................................. 453
OTHER ......................................................................................................................................................... 459
Chapter 39: Nutritional Problems ...................................................................................................................... 461
Test Bank MULTIPLE CHOICE ................................................................................................................. 461
MULTIPLE RESPONSE ............................................................................................................................. 470
OTHER ......................................................................................................................................................... 471
Chapter 40: Obesity ........................................................................................................................................... 472
Test Bank MULTIPLE CHOICE ................................................................................................................. 472
first? ............................................................................................................................................................... 478
Chapter 41: Upper Gastrointestinal Problems ................................................................................................... 481
Test Bank MULTIPLE CHOICE ................................................................................................................. 481
SHORT ANSWER ....................................................................................................................................... 500
OTHER ......................................................................................................................................................... 500
Chapter 42: Lower Gastrointestinal Problems ................................................................................................... 502
Test Bank MULTIPLE CHOICE ................................................................................................................. 502
MULTIPLE RESPONSE ............................................................................................................................. 525
Chapter 43: Liver, Biliary Tract, and Pancreas Problems.................................................................................. 526
, Test Bank MULTIPLE CHOICE ................................................................................................................. 526
MULTIPLE RESPONSE ............................................................................................................................. 544
Chapter 44: Assessment: Urinary System.......................................................................................................... 546
Test Bank MULTIPLE CHOICE ................................................................................................................. 546
Chapter 45: Renal and Urologic Problems ........................................................................................................ 556
Test Bank MULTIPLE CHOICE ................................................................................................................. 556
MULTIPLE RESPONSE ............................................................................................................................. 574
Chapter 46: Acute Kidney Injury and Chronic Kidney Disease ....................................................................... 576
Test Bank MULTIPLE CHOICE ................................................................................................................. 576
MULTIPLE RESPONSE ............................................................................................................................. 591
SHORT ANSWER ....................................................................................................................................... 592
Chapter 47: Assessment: Endocrine System...................................................................................................... 593
Test Bank MULTIPLE CHOICE ................................................................................................................. 593
MULTIPLE RESPONSE ............................................................................................................................. 601
Chapter 48: Diabetes Mellitus ........................................................................................................................... 603
Test Bank MULTIPLE CHOICE ................................................................................................................. 603
MULTIPLE RESPONSE ............................................................................................................................. 623
OTHER ......................................................................................................................................................... 623
Chapter 49: Endocrine Problems ....................................................................................................................... 625
Test Bank MULTIPLE CHOICE ................................................................................................................. 625
SHORT ANSWER ....................................................................................................................................... 644
Chapter 50: Assessment: Reproductive System ................................................................................................ 645
Test Bank MULTIPLE CHOICE ................................................................................................................. 645
Chapter 51: Breast Disorders ............................................................................................................................. 653
Test Bank MULTIPLE CHOICE ................................................................................................................. 653
first? ............................................................................................................................................................... 664
Chapter 52: Sexually Transmitted Infections .................................................................................................... 665
Test Bank MULTIPLE CHOICE ................................................................................................................. 665
MULTIPLE RESPONSE ............................................................................................................................. 672
Chapter 53: Female Reproductive Problems ..................................................................................................... 674
Test Bank MULTIPLE CHOICE ................................................................................................................. 674
MULTIPLE RESPONSE ............................................................................................................................. 694
Chapter 54: Male Reproductive Problems ......................................................................................................... 696
Test Bank MULTIPLE CHOICE ................................................................................................................. 696
Chapter 55: Assessment: Nervous System ........................................................................................................ 711
Test Bank MULTIPLE CHOICE ................................................................................................................. 711
MULTIPLE RESPONSE ............................................................................................................................. 719
Chapter 56: Acute Intracranial Problems ........................................................................................................... 720
Test Bank MULTIPLE CHOICE ................................................................................................................. 720
COMPLETION ............................................................................................................................................ 736
Chapter 57: Stroke ............................................................................................................................................. 737
Test Bank MULTIPLE CHOICE ................................................................................................................. 737
first? ............................................................................................................................................................... 748
OTHER ......................................................................................................................................................... 749
Chapter 58: Chronic Neurologic Problems ........................................................................................................ 750
, Test Bank MULTIPLE CHOICE ................................................................................................................. 750
MULTIPLE RESPONSE ............................................................................................................................. 764
SHORT ANSWER ....................................................................................................................................... 765
Chapter 59: Dementia and Delirium .................................................................................................................. 766
Test Bank MULTIPLE CHOICE ................................................................................................................. 766
first? ............................................................................................................................................................... 773
MULTIPLE RESPONSE ............................................................................................................................. 773
Chapter 60: Spinal Cord and Peripheral Nerve Problems.................................................................................. 775
Test Bank MULTIPLE CHOICE ................................................................................................................. 775
MULTIPLE RESPONSE ............................................................................................................................. 788
SHORT ANSWER ....................................................................................................................................... 788
OTHER ......................................................................................................................................................... 788
Chapter 61: Assessment: Musculoskeletal System ............................................................................................ 790
Test Bank MULTIPLE CHOICE ................................................................................................................. 790
OTHER ......................................................................................................................................................... 796
Chapter 62: Musculoskeletal Trauma and Orthopedic Surgery ......................................................................... 797
Test Bank MULTIPLE CHOICE ................................................................................................................. 797
first? ............................................................................................................................................................... 815
OTHER ......................................................................................................................................................... 816
Chapter 63: Musculoskeletal Problems ............................................................................................................. 817
Test Bank MULTIPLE CHOICE ................................................................................................................. 817
MULTIPLE RESPONSE ............................................................................................................................. 825
SHORT ANSWER ....................................................................................................................................... 826
OTHER ......................................................................................................................................................... 827
Chapter 64: Arthritis and Connective Tissue Diseases ...................................................................................... 828
Test Bank MULTIPLE CHOICE ................................................................................................................. 828
Chapter 65: Critical Care ................................................................................................................................... 848
Test Bank MULTIPLE CHOICE ................................................................................................................. 848
COMPLETION ............................................................................................................................................ 864
OTHER ......................................................................................................................................................... 865
Chapter 66: Shock, Sepsis, and Multiple Organ Dysfunction Syndrome .......................................................... 867
Test Bank MULTIPLE CHOICE ................................................................................................................. 867
MULTIPLE RESPONSE ............................................................................................................................. 877
SHORT ANSWER ....................................................................................................................................... 878
OTHER ......................................................................................................................................................... 878
Chapter 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome .......................................... 880
Test Bank MULTIPLE CHOICE ................................................................................................................. 880
MULTIPLE RESPONSE ............................................................................................................................. 891
Chapter 68: Emergency and Disaster Nursing ................................................................................................... 892
Test Bank MULTIPLE CHOICE ................................................................................................................. 892
MULTIPLE RESPONSE ............................................................................................................................. 902
OTHER ......................................................................................................................................................... 903
,Chapter 01: Professional Nursing
MULTIPLE CHOICE
1. The nurse teaches a student nurse about how to apply the nursing process when providing patient care.
Which statement, if made by the student nurse, indicates that teaching was successful?
a. The nursing process is a scientific-based method of diagnosing the patients health care problems.
b. The nursing process is a problem-solving tool used to identify and treat patients health care needs.
c. The nursing process is based on nursing theory that incorporates the biopsychosocial nature of
humans.
d. The nursing process is used primarily to explain nursing interventions to other health care
professionals.
ANS: B
The nursing process is a problem-solving approach to the identification and treatment of patients problems.
Diagnosis is only one phase of the nursing process. The primary use of the nursing process is in patient care,
not to establish nursing theory or explain nursing interventions to other health care professionals.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
2. The nurse describes to a student nurse how to use evidence-based practice guidelines when caring for
patients. Which statement, if made by the nurse, would be the most accurate?
a. Inferences from clinical research studies are used as a guide.
b. Patient care is based on clinical judgment, experience, and traditions.
c. Data are evaluated to show that the patient outcomes are consistently met.
d. Recommendations are based on research, clinical expertise, and patient preferences.
ANS: D
Evidence-based practice (EBP) is the use of the best research-based evidence combined with clinician
expertise. Clinical judgment based on the nurses clinical experience is part of EBP, but clinical decision
making should also incorporate current research and research-based guidelines. Evaluation of patient outcomes
is important, but interventions should be based on research from randomized control studies with a large
number of subjects.
DIF: Cognitive Level: Remember (knowledge)
TOP: Nursing Process: Planning MSC: NCLEX: Safe and Effective Care Environment
,3. The nurse completes an admission database and explains that the plan of care and discharge goals will be
developed with the patients input. The patient states, How is this different from what the doctor does? Which
response would be most appropriate for the nurse to make?
a. The role of the nurse is to administer medications and other treatments prescribed by your doctor.
b. The nurses job is to help the doctor by collecting information and communicating any problems
that occur.
c. Nurses perform many of the same procedures as the doctor, but nurses are with the patients for a
longer time than the doctor.
d. In addition to caring for you while you are sick, the nurses will assist you to develop an
individualized plan to maintain your health.
ANS: D
This response is consistent with the American Nurses Association (ANA) definition of nursing, which
describes the role of nurses in promoting health. The other responses describe some of the dependent and
collaborative functions of the nursing role but do not accurately describe the nurses role in the health care
system.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Safe and Effective Care Environment
4. A patient who is paralyzed on the left side of the body after a stroke develops a pressure ulcer on the left hip
Which nursing diagnosis is most appropriate?
a. Impaired physical mobility related to left-sided paralysis
b. Risk for impaired tissue integrity related to left-sided weakness
c. Impaired skin integrity related to altered circulation and pressure
d. Ineffective tissue perfusion related to inability to move independently
ANS: C
The patients major problem is the impaired skin integrity as demonstrated by the presence of a pressure ulcer.
The nurse is able to treat the cause of altered circulation and pressure by frequently repositioning the patient.
Although left-sided weakness is a problem for the patient, the nurse cannot treat the weakness. The risk for
diagnosis is not appropriate for this patient, who already has impaired tissue integrity. The patient does have
ineffective tissue perfusion, but the impaired skin integrity diagnosis indicates more clearly what the health
problem is.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Physiological Integrity
5. A patient has been admitted to the hospital for surgery and tells the nurse, I do not feel comfortable leaving
my children with my parents. Which action should the nurse take next?
,a. Reassure the patient that these feelings are common for parents.
b. Have the patient call the children to ensure that they are doing well.
c. Gather more data about the patients feelings about the child-care arrangements.
d. Call the patients parents to determine whether adequate child care is being provided.
ANS: C
Since a complete assessment is necessary in order to identify a problem and choose an appropriate
intervention, the nurses first action should be to obtain more information. The other actions may be
appropriate, but more assessment is needed before the best intervention can be chosen.
DIF: Cognitive Level: Apply (application)
OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment
MSC: NCLEX: Psychosocial Integrity
6. A patient with a bacterial infection has a nursing diagnosis of deficient fluid volume related to excessive
diaphoresis. Which outcome would the nurse recognize as most appropriate for this patient?
a. Patient has a balanced intake and output.
b. Patients bedding is changed when it becomes damp.
c. Patient understands the need for increased fluid intake.
d. Patients skin remains cool and dry throughout hospitalization.
ANS: A
This statement gives measurable data showing resolution of the problem of deficient fluid volume that was
identified in the nursing diagnosis statement. The other statements would not indicate that the problem of
deficient fluid volume was resolved.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
7. A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the
evaluation phase of the nursing process?
a. To determine if interventions have been effective in meeting patient outcomes
b. To document the nursing care plan in the progress notes of the medical record
c. To decide whether the patients health problems have been completely resolved
,d. To establish if the patient agrees that the nursing care provided was satisfactory
ANS: A
Evaluation consists of determining whether the desired patient outcomes have been met and whether the
nursing interventions were appropriate. The other responses do not describe the evaluation phase.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Evaluation MSC: NCLEX: Safe and Effective Care Environment
8. The nurse interviews a patient while completing the health history and physical examination. What is the
purpose of the assessment phase of the nursing process?
a. To teach interventions that relieve health problems
b. To use patient data to evaluate patient care outcomes
c. To obtain data with which to diagnose patient problems
d. To help the patient identify realistic outcomes for health problems
ANS: C
During the assessment phase, the nurse gathers information about the patient to diagnose patient problems. The
other responses are examples of the planning, intervention, and evaluation phases of the nursing process.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Safe and Effective Care Environment
9. Which nursing diagnosis statement is written correctly?
a. Altered tissue perfusion related to heart failure
b. Risk for impaired tissue integrity related to sacral redness
c. Ineffective coping related to response to biopsy test results
d. Altered urinary elimination related to urinary tract infection
ANS: C
This diagnosis statement includes a NANDA nursing diagnosis and an etiology that describes a patients
response to a health problem that can be treated by nursing. The use of a medical diagnosis as an etiology (as
in the responses beginning Altered tissue perfusion and Altered urinary elimination) is not appropriate. The
response beginning Risk for impaired tissue integrity uses the defining characteristic as the etiology.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
, 10. The nurse admits a patient to the hospital and develops a plan of care. What components should the nurse
include in the nursing diagnosis statement?
a. The problem and the suggested patient goals or outcomes
b. The problem with possible causes and the planned interventions
c. The problem, its cause, and objective data that support the problem
d. The problem with an etiology and the signs and symptoms of the problem
ANS: D
When writing nursing diagnoses, this format should be used: problem, etiology, and signs and symptoms. The
subjective, as well as objective, data should be included in the defining characteristics. Interventions and
outcomes are not included in the nursing diagnosis statement.
DIF: Cognitive Level: Remember (knowledge)
TOP: Nursing Process: Diagnosis MSC: NCLEX: Safe and Effective Care Environment
11. A nurse is caring for a patient with heart failure. Which task is appropriate for the nurse to delegate to
experienced unlicensed assistive personnel (UAP)?
a. Monitor for shortness of breath or fatigue after ambulation.
b. Instruct the patient about the need to alternate activity and rest.
c. Obtain the patients blood pressure and pulse rate after ambulation.
d. Determine whether the patient is ready to increase the activity level.
ANS: C
UAP education includes accurate vital sign measurement. Assessment and patient teaching require registered
nurse education and scope of practice and cannot be delegated.
DIF: Cognitive Level: Apply (application)
OBJ: Special Questions: Delegation TOP: Nursing Process: Planning
MSC: NCLEX: Safe and Effective Care Environment
12. A nurse is caring for a group of patients on the medical-surgical unit with the help of one float registered
nurse (RN), one unlicensed assistive personnel (UAP), and one licensed practical/vocational nurse
(LPN/LVN). Which assignment, if delegated by the nurse, would be inappropriate?
a. Measurement of a patients urine output by UAP
b. Administration of oral medications by LPN/LVN
