Deck 1: Introduction to Medical-Surgical Nursing Practice in Canada

Question 1

The nurse explains to the patient that together they will plan the patient's care and set goals to achieve by discharge.The patient asks how this differs from what the physician does.Which statement best describes the difference between the roles of nursing and medicine in planning the patient's care and setting goals to achieve discharge?

A) Medicine cures;nursing cares.
B) Nurses assist physicians to diagnose and treat patients with health care problems.
C) Very little role difference exists between medicine and nursing;nurses perform many of the procedures done by physicians.
D) Medicine focuses on diagnosis and treatment of the health problem;nursing focuses on diagnosis and treatment of the patient's response to the health problem.

Answer 1

Medicine focuses on diagnosis and treatment of the health problem;nursing focuses on diagnosis and treatment of the patient's response to the health problem.

Question 2

A patient with an infection has a nursing diagnosis of fluid volume deficit related to excessive diaphoresis.What is an appropriate patient outcome?

A) Balanced intake and output are achieved.
B) Patient verbalizes a need for increased fluid intake.
C) Bedding is changed when it becomes damp.
D) Skin remains cool and dry throughout hospitalization.

Answer 2

Balanced intake and output are achieved.

Question 3

Which of the following refers to the use of communication and information technologies in order to support the delivery and integration of clinical care?

A) e-Health
B) Nursing informatics
C) Electronic health record
D) ICT (information and communication technology)

Answer 3

e-Health

Question 4

The nurse reads on the care plan that a patient is at risk for developing an infection.What does the nurse recognize about this patient's problem?

A) It is always a nursing diagnosis.
B) It is always a collaborative problem.
C) It may be either a nursing diagnosis or a collaborative problem,depending on the etiology.
D) It should not be addressed as a special problem because all nursing measures should protect patients from infection.

Question 5

When asking a clinical question using the PICO format,which of the following would represent the "C"?

A) Controlled diabetes in a woman aged 50 to 65 years
B) Conditioning and exercise program for one hour,three times weekly
C) Weekly blood glucose levels within normal range
D) Standard care for women with diabetes

Question 6

Which of the following is an example of the "P" in a SOAP progress note?

A) The patient stating that her right arm is numb
B) Encouragement of alternating rest and activity periods
C) Activity intolerance related to fatigue
D) Blood pressure 140/85 mm Hg

Question 7

A patient with a stroke is paralyzed on the left side of the body and is not responsive enough to turn or move independently in bed.A pressure ulcer has developed on the patient's left hip.What is the most appropriate nursing diagnosis?

A) Impaired physical mobility related to paralysis
B) Impaired skin integrity related to altered circulation and pressure
C) Risk for impaired tissue integrity related to impaired physical mobility
D) Ineffective tissue perfusion related to inability to turn and move self in bed

Question 8

A woman with hypertension is concerned that if she sees the nurse practitioner (an advanced practice nurse),only her hypertension will be assessed,and she is worried that another health problem may not be diagnosed.What should the nurse tell the patient regarding nurse practitioners' scope of practice as it relates to diagnosis?

A) They diagnose and treat all major health problems.
B) They have the same role and scope of practice as physicians.
C) They write prescriptions for all classifications of medications.
D) They focus on primary care and health promotion,including diagnosis.

Question 9

How does the nurse primarily use the nursing process in the care of patients?

A) As a science-based process of diagnosing the patient's health care problems
B) To establish nursing theory that incorporates the bio-psycho-social nature of humans
C) To promote the management of patient care in collaboration with other health care providers
D) As a tool to organize the nurse's thinking and clinical decision making about the patient's health care needs

Question 10

An emaciated older adult patient is admitted to the critical care unit.The nurse plans a schedule of turning the patient every two hours to prevent skin breakdown.This is considered to be what type of nursing action?

A) Dependent
B) Cooperative
C) Independent
D) Collaborative

Question 11

Which phase of the nursing process is too often not addressed sufficiently?

A) Planning
B) Diagnosis
C) Implementation
D) Evaluation

Question 12

Which of the following refers to a situation that results in unintended harm to the patient and is related to the care or services provided rather than the patient's medical condition?

A) Negligence
B) Adverse event
C) Incident report
D) Nonmaleficence

Question 13

Which characteristic is consistent with critical thinking?

A) Do not use abstract ideas.
B) Think within alternative systems of thought.
C) Encourage cooperative relationships from positions of power and authority.
D) Use the trial-and-error method for effective problem-solving options.

Question 14

A woman who is a lone parent is about to undergo gallbladder surgery.She tells the nurse on admission that she is uneasy about being in the hospital and leaving her two preschool children with a neighbour.During the assessment phase,what is an appropriate nursing action?

A) Reassure the patient that her children are fine.
B) Call the neighbour to determine whether she is an adequate care provider.
C) Have the patient call the children to reassure herself that they are doing well.
D) Gather more data about the patient's feelings about the child care arrangements.