The Test Bank for Adult Health Care, 7th Edition by Cooper presents you with adult health nursing topics with relevance and depth for adults. This tool of study has great consistency with the theories of adult health nursing that touch on critical areas covered by Kim Cooper in the textbook, enabling one to articulate the ideas. The use of practice questions and review exercises emphasizes the main points and tactics used in readiness for examinations for LPN/LVN programs and even going further.
What You Will Find
The sample questions in this test bank have the required examination integrity thus preparing you for the actual examination and making the transition to these NCLEX-PN-style questions easy. It incorporates not only questions on clinical reasoning and nursing interventions but also extracts that deal with health, disease, and caring for patients.
Key Topics in This Test Bank
This test bank is restricted to adult healthcare topics which include:
- Health and Wellness: Appreciate the basic concepts of health maintenance and disease prevention.
- Critical Thinking in Nursing: Enhance the critical thought process for the making of appropriate decisions in practice situations.
- Adult Patient Care: Focus on the principles that underlie effective and safe provision of Nursing care to adults.
- Disease Management: Explain the nursing management of chronic illnesses, acute diseases, and some infectious diseases.
- Safety and Infection Control: Describe and explain the determinants of infection control and safety measures.
All the modules have queries and case studies that are intended to promote your practical understanding and preparedness for assuming nursing duties in real-life settings.
Why Choose This Test Bank?
In the 7th Edition Adult Health Nursing Test Banco Kim Cooper, among other materials, you will also come across multiple choice questions, short answer questions, and scenario-based questions that require active participation. Among other things, it is aimed at enhancing:
- Confidence Building: Answering a good number of questions similar to what will be asked in the exam boosts confidence.
- Self Assessment: Determine topics which one has a sound understanding and those which one may require more effort.
- NCLEX Preparation: Focused materials that are very helpful for one to sit for licensing examinations.
How to Use It Effectively
Combine reading Test Bank for Adult Health Care, 7th Edition with the reading of the textbook. Plan on reviewing your notes concerning that topic before using the questions in this test bank as a self-test. Gaining insight into the rationale of the questions under the NCLEX-PN format questions will greatly assist in grasping the complexity of nursing ideas and concepts.
Summary
THE ADULT HEALTH CARE 7TH EDITION TEST BANK by Kim Cooper is an essential one for those people who are going to take adult health nursing exams. It will assist you in systematically practicing the exam questions and building confidence to sit for your examinations. With this, you will be equipped to deal with the challenges that come with adult patient care, and successfully take the steps necessary to develop into a proficient healthcare professional.
Test Bank For Adult Health Care 7th edition By Cooper
Chapter 2: Care of the Surgical Patient
MULTIPLE CHOICE
1. The patient who had a nephrectomy yesterday has not used the patient-controlled analgesia (PCA) delivery system but admits to being in pain but fearful of addiction. What is the nurse’s best response?
a. |
“Modern analgesic drugs do not cause addiction.” |
b. |
“Pain relief is worth a short period of addiction.” |
c. |
“Addiction rarely occurs in the brief time postsurgical analgesia is required.” |
d. |
“Addiction could be a real concern.” |
ANS: C
Addiction rarely occurs in the short time that it is required after surgery. Postsurgical analgesia, because of its brief application, does not usually produce physical or psychological dependence.
DIF: Cognitive Level: Application REF: Page 34 OBJ: 13
TOP: Fear of addiction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. A 73-year-old patient with diabetes was admitted for below-the-knee amputation of his right leg. Removal of his right leg is an example of which type of surgery?
a. |
Palliative |
b. |
Diagnostic |
c. |
Reconstructive |
d. |
Ablative |
ANS: D
Ablative is a type of surgery where an amputation, excision of any part of the body, or removal of a growth and harmful substance is performed.
DIF: Cognitive Level: ComprehensionREF: Page 16, Table 2-1
OBJ:2TOP: Types of surgeries
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
3. In which situation might surgery be delayed?
a. |
The patient has taken Dilantin today. |
b. |
An illegible signature is on the consent form. |
c. |
The patient is still taking anticoagulants. |
d. |
The admission office is unable to confirm insurance coverage. |
ANS: C
All medications should be canceled before surgery, except for drugs such as phenytoin (Dilantin). Anticoagulant therapy increases the threat of hemorrhage and may be a cause for delay.
DIF: Cognitive Level: Knowledge REF: Page 34, Page 36 Table 2-6
OBJ:7TOP: Anticoagulant therapy
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
4. Which circumstance could prevent the patient from signing his informed consent for a cholecystectomy?
a. |
The patient complains of pain radiating to the scapula. |
b. |
The patient received an injection of Demerol, 75 mg IM, 1 hour ago. |
c. |
The patient is 85 years of age. |
d. |
The patient is concerned about his lack of insurance coverage. |
ANS: B
Informed consent should not be obtained if the patient is disoriented and under the influence of sedatives. Age, illegibility, and lack of insurance coverage do not prevent signing the consent. Pain in the scapula is a symptom of colitis.
DIF: Cognitive Level: Application REF: Page 23 OBJ: 7
TOP: Informed consent KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
5. The nurse anticipates that the patient will be given ______________anesthesia because of the extensive tissue manipulation involved in a hysterectomy.
a. |
general |
b. |
regional |
c. |
specific |
d. |
preoperative |
ANS: A
An anesthesiologist gives general anesthetics by IV and inhalation routes through four stages of anesthesia when the procedure requires extensive tissue manipulation.
DIF: Cognitive Level: Knowledge REF: Page 34 OBJ: 9
TOP:AnesthesiaKEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
6. The nurse caring for a patient who had an epidural block for a vaginal repair should be alert for:
a. |
a flushing of the face and torso. |
b. |
numbness of the perineum. |
c. |
complaint of thirst. |
d. |
a sudden drop in blood pressure. |
ANS: D
Epidural anesthesia may cause a sudden drop in blood pressure or respiratory difficulty as the anesthetic agent moves up in the spinal cord. Elevating the patient’s torso may prevent respiratory paralysis.
DIF: Cognitive Level: Comprehension REF: Page 37 OBJ: 9
TOP: Epidural block KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
7. Why might the older adult patient not respond to surgical treatment as well as a younger adult patient?
a. |
Poor skin turgor |
b. |
Fear of the unknown |
c. |
Response to physiological changes |
d. |
Decreased peristalsis related to anesthesia |
ANS: C
Of specific concern in older adults is the body’s response to temperature changes, cardiovascular shifts, respiratory needs, and renal function. Fear of the unknown and decreased peristalsis are common to all ages.
DIF: Cognitive Level: Application REF: Page 17 OBJ: 5
TOP: Older adult patients KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity
8. The postoperative nursing intervention that would be contraindicated for a 45-year-old patient who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP) would be:
a. |
coughing every 2 hours. |
b. |
turning every 2 hours. |
c. |
monitoring intravenous therapy at 50 ml/hr. |
d. |
assessing vital signs every 2 hours. |
ANS: A
Coughing increases ICP.
DIF: Cognitive Level: AnalysisREF: Page 28, Box 2-6
OBJ:12TOP: Postoperative complications
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
9. The nurse acting as a circulating nurse has responsibility for:
a. |
observing for breaks in sterile technique. |
b. |
identifying and handling surgical specimens correctly. |
c. |
assisting with surgical draping of the patient. |
d. |
maintaining a count of sponges, needles, and instruments during surgery. |
ANS: A
The circulating nurse is responsible for observing breaks in the sterile technique. The scrub nurse handles the surgical specimens, drapes the patient, and maintains needle and sponge count during surgery, then does a final sponge and needle check with the circulating nurse before closing.
DIF: Cognitive Level: AnalysisREF: Page 43, Box 2-7
OBJ:11TOP: Duties of circulating nurse
KEY: Nursing Process Step: Assessment MSC: NCLEX: Safe, Effective Care Environment
10. Which statement made by a patient during a preoperative assessment would be significant to report to the charge nurse and surgeon?
a. |
“I have been taking an herbal product of feverfew for my migraines.” |
b. |
“I exercise for 3 hours a day.” |
c. |
“I drink 2 glasses of wine a day.” |
d. |
“I use atropine eyedrops every day.” |
ANS: A
The herbal remedy of feverfew acts as an anticoagulant and increases the possibility of hemorrhage. The drug should be stopped before surgery, and bleeding and clotting times should be evaluated.
DIF: Cognitive Level: ApplicationREF: Page 21, Table 2-3
OBJ:14TOP: Preoperative assessment
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
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