Brunner And Suddarth’s Textbook Of Medical Surgical Nursing 11th Edition By Suzanne – Test Bank

1. A nurse is caring for a patient following a stroke who is unwilling to attempt any self-care. The nurse should include which of the following as an initial goal?
A) The patient will demonstrate independent self-care.
B) The patient’s family will manage the patient’s care.
C) The nurse will delegate the patient’s care to a nursing assistant.
D) The patient will participate in a social program.

2. A nurse practitioner working in an outpatient rehabilitation facility realizes that an elderly disabled patient may be at an increased risk for which of the following social problems?
A) Discrimination and abuse B) Incontinence C) Contractures D) Poor mobility

3. A patient is undergoing rehabilitation following a total left knee replacement. The key member of the rehabilitation team is the:
A) Occupational health worker B) Nurse C) Physical therapist D) Patient

4. A nurse is caring for a patient during rehabilitation following a stroke. When the nurse coordinates the patient’s total rehabilitative plan of care, the nurse is functioning as a:
A) Patient educator B) Caregiver C) Case manager D) Patient advocate

5. An adult patient has just been diagnosed with paralysis due to a skiing accident that injured the spinal cord. The nurse can anticipate that, emotionally, the patient will:
A) Go through all stages of grief before adaptation takes place
B) Progress sequentially through five stages of the grief process
C) Need humor therapy
D) Respond to grief in an individual manner

6. An elderly female with osteoarthritis has difficulty ambulating because of pain. What intervention may the nurse take to help with the patient’s mobility?
A) Motivate the patient to walk in the afternoon.
B) Determine if self-care devices are needed.
C) Administer an analgesic as ordered to increase mobility.
D) Have another person with osteoarthritis visit the patient.

7. A nurse is assessing a patient with limited mobility following a stroke. To examine the patient for contractures, the nurse should assess the patient’s:
A) Orientation B) Muscle flexibility C) Muscle strength D) Range of motion

8. A patient is hospitalized following a total hip replacement. To prevent inward rotation of the patient’s hip when the patient is in a partial lateral position, the nurse should:
A) Use a triangular pillow.
B) Align the head with the spine and support it with a pillow.
C) Support the back with a small pillow.
D) Place trochanter rolls under the greater trochanter.

9. While assisting a patient with limited mobility to perform range-of-motion exercises, the nurse plans to assess the patient’s adduction of the arm, which is the patient’s ability to:
A) Move the limb toward the midline of the body.
B) Bend the joint so that the angle of the joint diminishes.
C) Turn the limb towards the center of the body.
D) Rotate the forearm so that the palm of the hand is down.

10. A nurse preparing to assist an adult patient to stand for the first time following abdominal surgery should:
A) Have the patient place his arms around the nurse’s neck.
B) Allow the patient to initially sit at the side of the bed.
C) Have the patient pull up with the nurse to assist.
D) Instruct the patient to push off the bed with the wrists.

11. Which instruction should the nurse give an adult patient in crutch walking?
A) Wear shoes.
B) Partially bear weight on the injured foot.
C) Support weight on the axilla pieces of the crutches.
D) Have the crutches at level with the axilla.

12. The nurse should teach which of the following to a patient receiving an orthosis?
A) Oil the joints of the device every other day.
B) Use a hanger to relieve pruritus under the device.
C) Wear tight-fitting stockings under the device.
D) Clean and inspect the skin daily under the device.

13. A nurse has just admitted an elderly patient who appears malnourished following a fractured tibia. She is concerned about the patient’s healing process related to insufficient protein levels. To assess the patient for protein deficiency, the nurse should review which of the following laboratory findings?
A) Hemoglobin B) White blood cells C) Albumin D) TSH

Answer Key

1. A
2. A
3. D
4. C
5. D
6. C
7. D
8. A
9. A
10. B
11. A
12. D