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Introductory Medical Surgical Nursing 10th Edition Timby Smith Test Bank

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Introductory Medical Surgical Nursing 10th Edition Timby Smith Test Bank

ISBN-13: 978-1605470634

ISBN-10: 1605470635

 

 

Description

Introductory Medical Surgical Nursing 10th Edition Timby Smith Test Bank

ISBN-13: 978-1605470634

ISBN-10: 1605470635

 

 

 

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Below you will find some free nursing test bank questions from this test bank:

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TEST BANK > CONTROL PANEL > POOL MANAGER > POOL CANVAS
Pool Canvas
Add, modify, and remove questions. Select a question type from the Add Question drop-down list and click Go to add questions. Use Creation Settings to establish
which default options, such as feedback and images, are available for question creation.
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Name
Chapter 64: Introduction to the Integumentary System
Description Diploma exported pool
Instructions
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Add Question Here
Multiple Choice
1 points
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Question A client on a prescribed medication for a skin disorder visits the clinic complaining of a skin rash. Which of the following would explain the
client’s condition?
Answer

A. Drug allergy
B. Hormone change
C. Suntan
D. Heat stroke
Correct Feedback The nurse suspects a drug allergy whenever a client has a skin rash. Hormone change, suntan, and heat stroke do not cause
skin rash.
Incorrect
Feedback
The nurse suspects a drug allergy whenever a client has a skin rash. Hormone change, suntan, and heat stroke do not cause
skin rash.
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Multiple Choice
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Question Which of the following instructions does the nurse give a client when antibiotic, antiviral, or antifungal agents are prescribed?
Answer

A. Keep medications locked in a cupboard.
B. Mix the drug in food to ensure easy administration.
C. Complete the entire course of the drug, even if the conditions clear.
D. Do not expose to sunlight until the entire course of the drug is completed.
Correct
Feedback
The nurse should instruct clients taking antibiotic, antiviral, or antifungal agents to complete the entire prescription, even if the
condition clears before the client finishes all the medication. It is not necessary to keep medications locked in a cupboard and to mix
the drug in food. It is also not necessary to avoid exposure to sunlight.
Incorrect
Feedback
The nurse should instruct clients taking antibiotic, antiviral, or antifungal agents to complete the entire prescription, even if the
condition clears before the client finishes all the medication. It is not necessary to keep medications locked in a cupboard and to mix
the drug in food. It is also not necessary to avoid exposure to sunlight.
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Multiple Choice
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Question During a routine checkup, a nurse observes the client’s skin to be tight and shiny. Which of the following is the correct indication of this
sign?
Answer

A. Sebum deficiency
B. Fluid retention
C. Dehydration
D. Protein deficiency
Correct
Feedback
Tight, shiny skin suggests fluid retention. Loose, dry skin may indicate dehydration. Tight, shiny skin does not suggest protein
deficiency or sebum deficiency.
Incorrect
Feedback
Tight, shiny skin suggests fluid retention. Loose, dry skin may indicate dehydration. Tight, shiny skin does not suggest protein
deficiency or sebum deficiency.
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Multiple Choice
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Question A client visits a clinic complaining of excessive perspiration. Which of the following actions helps to remove sebum and reduce the acid
mantle of protection?
Answer

A. Use hot soaks.
B. Use tepid bathwater.
C. Prevent exposure to sun.
D. Wash with alkaline soaps.
Correct
Feedback
The pH of perspiration is slightly acidic, which helps in providing a hostile environment for microbial colonization. Frequent washing
with alkaline soaps removes the sebum and reduces the acid mantle of protection. Using hot soaks or tepid bathwater does not help
to remove sebum. Preventing exposure to sun also will not help to remove sebum and to reduce the acid mantle of protection.
Incorrect
Feedback
The pH of perspiration is slightly acidic, which helps in providing a hostile environment for microbial colonization. Frequent washing
with alkaline soaps removes the sebum and reduces the acid mantle of protection. Using hot soaks or tepid bathwater does not help
to remove sebum. Preventing exposure to sun also will not help to remove sebum and to reduce the acid mantle of protection.
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Multiple Choice
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Question Which of the following pigments influences hair color?
Answer

A. Pheromones
B. Keratin
C. Sebum
D. Melanin
Correct
Feedback
Melanin, produced by the melanocytes in the hair roots influences hair color. Pheromones are hormonelike chemicals that
communicate reproductive and social information among the lower animal species. Sebum is a lubricant that prevents drying and
cracking of the skin and hair. Keratin is a tough protective protein.
2 of 5
Incorrect
Feedback
Melanin, produced by the melanocytes in the hair roots influences hair color. Pheromones are hormonelike chemicals that
communicate reproductive and social information among the lower animal species. Sebum is a lubricant that prevents drying and
cracking of the skin and hair. Keratin is a tough protective protein.
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Multiple Choice
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Question During the skin assessment of a client, the nurse observes a skin lesion that is elevated, round, and filled with serum. Identify the type of
lesion.
Answer
A. Macule
B. Vesicle
C. Pustule

D. Cyst
Correct
Feedback
The skin lesion described above is a vesicle. A macule is flat, round, and colored. A pustule has an elevated border and filled with
pus. A cyst is an encapsulated, round, fluid-filled or of solid mass beneath the skin.
Incorrect
Feedback
The skin lesion described above is a vesicle. A macule is flat, round, and colored. A pustule has an elevated border and filled with
pus. A cyst is an encapsulated, round, fluid-filled or of solid mass beneath the skin.
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Multiple Choice
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Question Which of the following conditions is the cause of thickening of the nail?
Answer

A. Fungal infection
B. Long-standing pulmonary disease
C. Myocardial infarction
D. Iron deficiency anemia
Correct
Feedback
Long-standing poor circulation leads to nail thickening, especially of the lower extremities. Nails thicken when there is a fungal
infection and poor circulation. Clubbing of the nails suggests a long-standing cardiopulmonary disease. Concave-shaped nails are a
sign of iron deficiency anemia. Myocardial infarction does not cause thickening of nails.
Incorrect
Feedback
Long-standing poor circulation leads to nail thickening, especially of the lower extremities. Nails thicken when there is a fungal
infection and poor circulation. Clubbing of the nails suggests a long-standing cardiopulmonary disease. Concave-shaped nails are a
sign of iron deficiency anemia. Myocardial infarction does not cause thickening of nails.
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Multiple Choice
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Question An older adult client’s skin has become dry and flaked. Which of the following is the cause of this condition?
Answer

A. Reduction in sebum production
B. Reduction in the elasticity of the skin
C. Reduction in melanin production
D. Reduction in estrogen production
Correct
Feedback
The sebum is a lubricant that prevents the drying and the cracking of the skin and hair. Due to aging, the skin becomes dry and flaked
as sebum production is reduced. Loss of elasticity of the skin causes wrinkles among older adults. Reduction in melanin results in
gray hair. Facial hair and sometimes chest hair appear in postmenopausal women as a result of the decreased production of estrogen.
Incorrect
Feedback
The sebum is a lubricant that prevents the drying and the cracking of the skin and hair. Due to aging, the skin becomes dry and flaked
as sebum production is reduced. Loss of elasticity of the skin causes wrinkles among older adults. Reduction in melanin results in
gray hair. Facial hair and sometimes chest hair appear in postmenopausal women as a result of the decreased production of estrogen.
Add Question Here
Multiple Choice
1 points
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Question Which of the following causes odor in perspiration?
Answer

A. Sunlight
B. Bacteria on the skin
C. Air pollutants
D. Cloudy environment
Correct
Feedback
Perspiration is odorless. An odor develops when perspiration mixes with bacteria on the skin. Sunlight, air pollutants, and a cloudy
environment do not cause odor in perspiration.
Incorrect
Feedback
Perspiration is odorless. An odor develops when perspiration mixes with bacteria on the skin. Sunlight, air pollutants, and a cloudy
environment do not cause odor in perspiration.
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Multiple Choice
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Question Which of the following observations helps the nurse in determining adequate oxygenation?
Answer
A. Appearance of lunula
B. Hard keratin
C. Pink nail beds
D. Capillary refill time

Correct
Feedback
The nurse observes the color of the nail beds. Pink nail beds suggest adequate oxygenation. Lunula does not signify adequate
oxygenation. Fingernails and toenails are layers of hard keratin that have a protective function. Hence, hard keratin does not signify
adequate oxygenation. Capillary refill time is an assessment for tissue perfusion.
Incorrect
Feedback
The nurse observes the color of the nail beds. Pink nail beds suggest adequate oxygenation. Lunula does not signify adequate
oxygenation. Fingernails and toenails are layers of hard keratin that have a protective function. Hence, hard keratin does not signify
adequate oxygenation. Capillary refill time is an assessment for tissue perfusion.
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Multiple Choice
1 points
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Question A client has an elevated temperature. The nurse is applying a cool compress to his forehead. This is an example of which of the following
types of heat loss?
Answer

A. Radiation
B. Evaporation
C. Conduction
D. Convection
3 of 5
Correct
Feedback
Conduction is the transfer of heat through direct contact. Radiation is the transfer of surface heat in the environment. Evaporation is
the loss of moisture or water. Convection is the transfer of hear by means of currents of liquids or gases in which warm air molecules
move away from the body.
Incorrect
Feedback
Conduction is the transfer of heat through direct contact. Radiation is the transfer of surface heat in the environment. Evaporation is
the loss of moisture or water. Convection is the transfer of hear by means of currents of liquids or gases in which warm air molecules
move away from the body.
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Multiple Choice
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Question Which stage of pressure sore occurs when there is a superficial skin impairment that processes to a shallow crater that extends to the
subcutaneous tissue?
Answer

A. I
B. II
C. III
D. IV
Correct
Feedback
Stage III pressure sores are those in which the superficial impairment progresses to a shallow crater that extends to the subcutaneous
tissue. Stage I pressure sores are characterized by redness of the skin. Stage II pressure sores are red and accompanied by
blistering and a shallow break in the skin. Stage IV occurs when the tissue is deeply ulcerated, exposing muscle and bones.
Incorrect
Feedback
Stage III pressure sores are those in which the superficial impairment progresses to a shallow crater that extends to the subcutaneous
tissue. Stage I pressure sores are characterized by redness of the skin. Stage II pressure sores are red and accompanied by
blistering and a shallow break in the skin. Stage IV occurs when the tissue is deeply ulcerated, exposing muscle and bones.
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Multiple Choice
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Question Which medication classification is prescribed when allergy is a factor causing the skin disorder?
Answer

A. Corticosteroids
B. Antihistamines
C. Antibiotics
D. Local anesthetics
Correct
Feedback
Antihistamines are frequently prescribed when an allergy is a factor in causing the skin disorder. They relieve itching and shorten the
duration of allergic reaction. Corticosteroids are used to relieve inflammatory or allergic symptoms. Antibiotics are used to treat
infectious disorders. Local anesthetics are used to relieve minor skin pain and itching.
Incorrect
Feedback
Antihistamines are frequently prescribed when an allergy is a factor in causing the skin disorder. They relieve itching and shorten the
duration of allergic reaction. Corticosteroids are used to relieve inflammatory or allergic symptoms. Antibiotics are used to treat
infectious disorders. Local anesthetics are used to relieve minor skin pain and itching.
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Multiple Choice
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Question Which medications are used to soothe, protect, and soften the skin?
Answer

A. Emollients
B. Antiseptics
C. Antiseborrheic agents
D. Keratolytics
Correct
Feedback
Emollients soothe, protect, and soften the skin. Antiseptics are used to reduce bacteria on the skin. Antiseborrheic agents are used
to control dandruff. Keratolytics cause softening and swelling of an area, facilitating lesion removal.
Incorrect
Feedback
Emollients soothe, protect, and soften the skin. Antiseptics are used to reduce bacteria on the skin. Antiseborrheic agents are used
to control dandruff. Keratolytics cause softening and swelling of an area, facilitating lesion removal.
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Multiple Choice
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Question Which of the following is a true statement regarding cryosurgery?
Answer

A. Application of heat is used to destroy tissues.
B. It utilizes laser light.
C. Healing takes place in 4 to 6 weeks.
D. Oxygen is applied to the lesion.
Correct Feedback Crysosurgery is the application of extreme cold to destroy tissue. Healing takes place in 4 to 6 weeks. The other statements are
false.
Incorrect
Feedback
Crysosurgery is the application of extreme cold to destroy tissue. Healing takes place in 4 to 6 weeks. The other statements are
false.
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Multiple Choice
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Question Which of the following is a method to treat psoriasis that uses ultraviolet light?
Answer
A. Electrodesiccation
B. Radiation

C. Photochemotherapy
D. Cryosurgery
Correct
Feedback
Photochemotherapy involves a combination of psoralen methoxsalen and type A ultraviolet light. Electrodesiccation is the use of
electrical energy converted to heat which destroys the tissue. Radiation therapy is used to treat malignant skin lesions. Cryosurgery is
the application of extreme cold to destroy tissue.
Incorrect
Feedback
Photochemotherapy involves a combination of psoralen methoxsalen and type A ultraviolet light. Electrodesiccation is the use of
electrical energy converted to heat which destroys the tissue. Radiation therapy is used to treat malignant skin lesions. Cryosurgery is
the application of extreme cold to destroy tissue.
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4 of 5
Question Plantar warts may be treated with which of the following modalities?
Answer

A. Photochemotherapy
B. Radiation
C. Electrodesiccation
D. Cryosurgery
Correct
Feedback
Electrodessication is the use of electrical energy converted to heat which destroys the tissue. Photochemotherapy involves a
combination of psoralen methoxsalen and type A ultraviolet light. Radiation therapy is used to treat malignant skin lesions.
Cryosurgery is the application of extreme cold to destroy tissue.
Incorrect
Feedback
Electrodessication is the use of electrical energy converted to heat which destroys the tissue. Photochemotherapy involves a
combination of psoralen methoxsalen and type A ultraviolet light. Radiation therapy is used to treat malignant skin lesions.
Cryosurgery is the application of extreme cold to destroy tissue.
Add Question Here
Multiple Choice
1 points
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Question Which portion of the skin is primarily composed of connective tissue and fat cells?
Answer

A. Subcutaneous tissue
B. Epidermis
C. Dermis
D. Keratin
Correct
Feedback
The subcutaneous tissue is the layer of skin attached to muscle and bone and is composed primarily of connective tissue and fat
cells. The epidermis is the outermost layer of skin. The dermis lies below the epidermis. Keratin is a protective protein on the skin.
Incorrect
Feedback
The subcutaneous tissue is the layer of skin attached to muscle and bone and is composed primarily of connective tissue and fat
cells. The epidermis is the outermost layer of skin. The dermis lies below the epidermis. Keratin is a protective protein on the skin.
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Multiple Choice
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Question The production of melanin is under the control of which gland?
Answer

A. Adrenal
B. Pituitary
C. Thyroid
D. Sebaceous
Correct Feedback The production of melanin is under the control of the middle lobe of the pituitary gland.
Incorrect Feedback The production of melanin is under the control of the middle lobe of the pituitary gland.
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Multiple Choice
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Question Which of the following could be a possible cause of cyanosis?
Answer

A. Carbon monoxide poisoning
B. Fever
C. Anemia
D. Low tissue oxygenation
Correct
Feedback
A possible cause of cyanosis includes a low tissue oxygenation. A red appearance to the skin may be indicative of carbon monoxide
poisoning. A pink color to the skin may be indicative of a fever or hypertension. Pallor occurs in anemia.
Incorrect
Feedback
A possible cause of cyanosis includes a low tissue oxygenation. A red appearance to the skin may be indicative of carbon monoxide
poisoning. A pink color to the skin may be indicative of a fever or hypertension. Pallor occurs in anemia.
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Multiple Choice
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Question A client has been diagnosed with liver disease. The nurse would expect which skin variation?
Answer

A. Jaundice
B. Cyanosis
C. Ecchymosis
D. Pallor
Correct
Feedback
Jaundice occurs in liver or kidney disease. Cyanosis may occur with low oxygenation of the tissues. Ecchymosis occurs when
there is trauma to the tissues. Pallor occur with anemia.
Incorrect
Feedback
Jaundice occurs in liver or kidney disease. Cyanosis may occur with low oxygenation of the tissues. Ecchymosis occurs when
there is trauma to the tissues. Pallor occur with anemia.
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Multiple Choice
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Question The diagnosis of a skin disorder is made chiefly by which of the following?
Answer
A. Palpation
B. Visual inspection

C. Biopsy
D. Culture
Correct
Feedback
The diagnosis of a skin disorder is made chiefly by visual inspection. Some disorders may involve additional inspection with
other diagnostic procedures.
Incorrect
Feedback
The diagnosis of a skin disorder is made chiefly by visual inspection. Some disorders may involve additional inspection with
other diagnostic procedures.
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Multiple Choice
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Question Which stage of a pressure sore is exhibited by deeply ulcerated tissue, exposing muscle and bone?
Answer
A. I
B. II

C. III
D. IV
5 of 5
Correct
Feedback
Stage IV occurs when the tissue is deeply ulcerated, exposing muscle and bones. Stage II pressure sores are those in which the
superficial impairment progresses to a shallow crater that extends to the subcutaneous tissue. Stage I pressure sores are
characterized by redness of the skin. Stage II pressure sores are red and accompanied by blistering and a shallow break in the skin.
Incorrect
Feedback
Stage IV occurs when the tissue is deeply ulcerated, exposing muscle and bones. Stage II pressure sores are those in which the
superficial impairment progresses to a shallow crater that extends to the subcutaneous tissue. Stage I pressure sores are
characterized by redness of the skin. Stage II pressure sores are red and accompanied by blistering and a shallow break in the skin.
Add Question Here
Multiple Choice
1 points
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Question Thickened nails maybe indicative of which type of infection?
Answer
A. Bacterial

B. Viral
C. Fungal
D. Yeast
Correct Feedback Nails thicken when there is a fungal infection and poor circulation.
Incorrect Feedback Nails thicken when there is a fungal infection and poor circulation.
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Multiple Choice
1 points
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Question Which type of heat loss is caused by a cool breeze that blows across the body surface?
Answer

A. Radiation
B. Convection
C. Evaporation
D. Conduction
Correct
Feedback
Convection is the transfer of heat by means of currents of liquids or gases in which warm air molecules move away from the body.
Conduction is the transfer of heat through direct contact. Radiation is the transfer of surface heat in the environment. Evaporation is
the loss of moisture or water.
Incorrect
Feedback
Convection is the transfer of heat by means of currents of liquids or gases in which warm air molecules move away from the body.
Conduction is the transfer of heat through direct contact. Radiation is the transfer of surface heat in the environment. Evaporation is
the loss of moisture or water.
Add Question Here