Medical Surgical Nursing Chapter 1

Front 1

An example of a nursing activity that reflects the American Nurses Association’s definition of nursing is
A. establishing that the patient with jaundice has hepatitis.
B. determining the cause of hemorrhage in a postoperative patient based on vital signs.
C. identifying and treating arrhythmias that occur in a patient in the coronary care unit.
D. diagnosing that a patient with pneumonia cannot effectively cough up pulmonary secretions.

Back 1

diagnosing that a patient with pneumonia cannot effectively cough up pulmonary secretions

Front 2

When using evidence-based practice, the nurse
A. must use clinical practice guidelines developed by national health agencies.
B. should use findings from randomized clinical trials to plan care for all patient problems.
C. uses clinical decision making and judgment to determine what evidence is appropriate for a specific clinical situation.
D. statistically analyzes the relationship of nursing interventions to patient outcomes to establish evidence that interventions are appropriate for the patient

Back 2

uses clinical decision making and judgment to determine what evidence is appropriate for a specific clinical situation

Front 3

Standardized nursing languages benefit patient care in that
A. patient problems and nursing care are clearly defined.
B. nurses use the same terminology as physicians in delivery of patient care.
C. a consistent, universal format is used to assess patient responses to health problems.
D. established prescriptions for nursing care eliminate the need for time-consuming nursing care planning.

Back 3

patient problems and nursing care are clearly defined.

Front 4

When the nurse determines that the patient’s anxiety needs to be relieved before effective teaching can be implemented, the phase of the nursing process being used is
A. assessment.
B. diagnosis.
C. planning.
D. evaluation.

Back 4

planning.

Front 5

An example of an independent nursing intervention is
A. administering blood.
B. starting an intravenous fluid.
C. teaching a patient about the effects of prescribed drugs.
D. administering emergency drugs according to institutional protocols.

Back 5

teaching a patient about the effects of prescribed drugs

Front 6

The process of making a nursing diagnosis differs from a diagnostic statement in that the diagnostic process involves
A. stating what needs the patient has.
B. identifying factors related to the pathology of a disease process.
C. identifying the diagnosis, related factors, and signs and symptoms.
D. analyzing assessment data to identify responses to health problems.

Back 6

analyzing assessment data to identify responses to health problems.

Front 7

The nurse identifies the nursing diagnosis of constipation related to laxative abuse for a patient. The most appropriate expected patient outcome related to this nursing diagnosis is that
A. the patient will stop the use of laxatives.
B. the patient ingests adequate fluid and fiber.
C. the patient passes normal stools without aids.
D. the patient’s stool is free of blood and mucus.

Back 7

the patient passes normal stools without aids

Front 8

A patient has a nursing diagnosis of stress urinary incontinence related to overdistention between voidings. An appropriate nursing intervention for this patient related to this nursing diagnosis is to
A. provide privacy for toileting.
B. monitor color, odor, and clarity of urine.
C. teach the patient to void at 2-hour intervals.
D. provide the patient with perineal pads to absorb urine leakage.

Back 8

C. teach the patient to void at 2-hour intervals.

Front 9

Linkages of NANDA nursing diagnoses, NOC patient outcomes, and NIC nursing interventions can be used to
A. evaluate patient outcomes.
B. provide guides for planning care.
C. predict the results of nursing care.
D. shorten written care plans for individual patients.

Back 9

provide guides for planning care.

Front 10

The primary purpose of the evaluation phase of the nursing process is to
A. assess the patient’s strengths.
B. describe new nursing diagnoses.
C. implement new nursing strategies.
D. identify patient progress toward outcomes.

Back 10

identify patient progress toward outcomes.

Front 11

An example of a nursing activity that reflects the American Nurses Association’s definition of nursing is
A. establishing that the patient with jaundice has hepatitis.
B. determining the cause of hemorrhage in a postoperative patient based on vital signs.
C. identifying and treating arrhythmias that occur in a patient in the coronary care unit.
D. diagnosing that a patient with pneumonia cannot effectively cough up pulmonary secretions.

Back 11

diagnosing that a patient with pneumonia cannot effectively cough up pulmonary secretions

Front 12

When using evidence-based practice, the nurse
A. must use clinical practice guidelines developed by national health agencies.
B. should use findings from randomized clinical trials to plan care for all patient problems.
C. uses clinical decision making and judgment to determine what evidence is appropriate for a specific clinical situation.
D. statistically analyzes the relationship of nursing interventions to patient outcomes to establish evidence that interventions are appropriate for the patient

Back 12

uses clinical decision making and judgment to determine what evidence is appropriate for a specific clinical situation

Front 13

Standardized nursing languages benefit patient care in that
A. patient problems and nursing care are clearly defined.
B. nurses use the same terminology as physicians in delivery of patient care.
C. a consistent, universal format is used to assess patient responses to health problems.
D. established prescriptions for nursing care eliminate the need for time-consuming nursing care planning.

Back 13

patient problems and nursing care are clearly defined.

Front 14

When the nurse determines that the patient’s anxiety needs to be relieved before effective teaching can be implemented, the phase of the nursing process being used is
A. assessment.
B. diagnosis.
C. planning.
D. evaluation.

Back 14

planning.

Front 15

An example of an independent nursing intervention is
A. administering blood.
B. starting an intravenous fluid.
C. teaching a patient about the effects of prescribed drugs.
D. administering emergency drugs according to institutional protocols.

Back 15

teaching a patient about the effects of prescribed drugs

Front 16

The process of making a nursing diagnosis differs from a diagnostic statement in that the diagnostic process involves
A. stating what needs the patient has.
B. identifying factors related to the pathology of a disease process.
C. identifying the diagnosis, related factors, and signs and symptoms.
D. analyzing assessment data to identify responses to health problems.

Back 16

analyzing assessment data to identify responses to health problems.

Front 17

The nurse identifies the nursing diagnosis of constipation related to laxative abuse for a patient. The most appropriate expected patient outcome related to this nursing diagnosis is that
A. the patient will stop the use of laxatives.
B. the patient ingests adequate fluid and fiber.
C. the patient passes normal stools without aids.
D. the patient’s stool is free of blood and mucus.

Back 17

the patient passes normal stools without aids

Front 18

A patient has a nursing diagnosis of stress urinary incontinence related to overdistention between voidings. An appropriate nursing intervention for this patient related to this nursing diagnosis is to
A. provide privacy for toileting.
B. monitor color, odor, and clarity of urine.
C. teach the patient to void at 2-hour intervals.
D. provide the patient with perineal pads to absorb urine leakage.

Back 18

C. teach the patient to void at 2-hour intervals.

Front 19

Linkages of NANDA nursing diagnoses, NOC patient outcomes, and NIC nursing interventions can be used to
A. evaluate patient outcomes.
B. provide guides for planning care.
C. predict the results of nursing care.
D. shorten written care plans for individual patients.

Back 19

provide guides for planning care.

Front 20

The primary purpose of the evaluation phase of the nursing process is to
A. assess the patient’s strengths.
B. describe new nursing diagnoses.
C. implement new nursing strategies.
D. identify patient progress toward outcomes.

Back 20

identify patient progress toward outcomes.

Front 21

The use of computers to document nursing practice with nursing languages
A. protects patient anonymity and confidentiality.
B. establishes that high standards of care are met.
C. assists in the evaluation of the effectiveness of nursing interventions.
D. promotes communication of the patient’s progress to the health care team.

Back 21

assists in the evaluation of the effectiveness of nursing interventions