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NUR 4110 A Course Review Applying Critical Thinking To Test Taking

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Med-Surg Success A Course Review Applying Critical Thinking to Test Taking, 2 edition

Nova Southeastern University

Primary Concepts Of Adult Nursing II (NUR 4110)

F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2011 by F. A. Davis Company
Copyright © 2011 by F. A. Davis Company. All rights reserved. This book is protected by copyright.
No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any
means, electronic, mechanical, photocopying, recording, or otherwise, without written permission
from the publisher.
Printed in the United States of America
Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1
Publisher, Nursing: Robert G. Martone
Director of Content Development: Darlene D. Pedersen
Senior Project Editor: Padraic Maroney
Art and Illustration Manager: Carolyn O’Brien
As new scientific information becomes available through basic and clinical research, recommended
treatments and drug therapies undergo changes. The author(s) and publisher have done everything
possible to make this book accurate, up to date, and in accord with accepted standards at the time of
publication. The author(s), editors, and publisher are not responsible for errors or omissions or for
consequences from application of the book, and make no warranty, expressed or implied, in regard to
the contents of the book. Any practice described in this book should be applied by the reader in
accordance with professional standards of care used in regard to the unique circumstances that may
apply in each situation. The reader is advised always to check product information (package inserts)
for changes and new information regarding dose and contraindications before administering any drug.
Caution is especially urged when using new or infrequently ordered drugs.
Library of Congress Cataloging-in-Publication Data
Colgrove, Kathryn Cadenhead.
Med-surg success : a Q&A review applying critical thinking to test taking / Kathryn Cadenhead
Colgrove, Ray A. Hargrove-Huttel. — 2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-0-8036-2504-4
ISBN-10: 0-8036-2504-9
1. Surgical nursing–Examinations, questions, etc. I. Hargrove-Huttel, Ray A. II. Title.
[DNLM: 1. Nursing–Examination Questions. 2. Nursing Care–Examination Questions.
3. Problem Solving–Examination Questions. WY 18.2]
RD99.25.C65 2011
617′.0231076–dc22
2010044176
Authorization to photocopy items for internal or personal use, or the internal or personal use of specific
clients, is granted by F. A. Davis Company for users registered with the Copyright Clearance
Center (CCC) Transactional Reporting Service, provided that the fee of $.25 per copy is paid directly
to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted
a photocopy license by CCC, a separate system of payment has been arranged. The fee code for users
of the Transactional Reporting Service is: 8036-2504-4/04 0 + $.25.
The authors dedicate this book to all nursing students who provide safe, competent,
and “caring” nursing care which makes a difference in their patients’ lives.
We hope this book helps these students to be successful in their nursing program,
successful on their NCLEX-RN, and successful in the nursing profession.
Our continued thanks to Bob Martone who took a chance on us and continues to
support our endeavors in the publishing world. We would also like to thank Berta
Steiner for her editorial support during the production of the second edition.
We hope the nursing students who use this book have as long, wonderful, and
exciting a career as we have had in the nursing profession.
I would like to dedicate this book to the memory of my mother, Mary Cadenhead
and grandmother, Elsie Rogers. They always told said that I could accomplish
anything I wanted to accomplish. I would also like to dedicate this book to my
husband, Larry, children Laurie and Todd and Larry Jr. and Mai, and
grandchildren Chris, Ashley, Justin C., Justin A., Connor, Sawyer, and Carson
without their support and patience the book would not have been possible.
Kathryn Colgrove
This book is dedicated to the memory of my husband, Bill, and my parents, T/Sgt.
Leo and Nancy Hargrove who are the rocks on which my life is built. I would like
to thank my sisters, Gail and Debbie, my nephew Benjamin, and Paula for their
support and encouragement through the good times and the bad. My children,
Teresa and Aaron, are the most important people in my life and I want to thank
them for always believing in me.
Ray Hargrove-Huttel

Donna Bowles, RN, MSN, EdD, CNE
Associate Professor
Indiana University Southeast
New Albany, Indiana
Diane Lynn Cooper-McLean, RN, BSN,
MSN
Faculty – Nursing Instructor
Faulkner State Community College
Bay Minette, Alabama
Sheree Dickenson, MSN, RN, CDE
Chair, Nursing Division
Bainbridge College
Bainbridge, Georgia
Denise Pruskowski Kavanagh, MSN, RN
Assistant Professor
LaSalle University
Philadelphia, Pennsylvania
Sr. Vicky Larson, MS, RN, CNE
Nursing Instructor
Presentation College
Aberdeen, South Dakota
Constance H. Miller, MSN-Ed
Associate Professor Sr.
Miami Dade College
Miami, Florida
Reviewers
vii

Judy Callicoatt, RN, MS, CNS
Associate Degree Nursing Instructor
Trinity Valley Community College
Kaufman, Texas
Joan L. Consullo, RN, MS, CNRN
Advanced Clinical Nurse, Neuroscience
St. Luke’s Episcopal Hospital
Houston, Texas
Michelle L. Edwards, RN, MSN, ACNP,
FNP
Advanced Practice Nurse, Cardiology
Acute Care Nurse Practitioner/Family
Nurse Practitioner
St. Luke’s Episcopal Hospital
Houston, Texas
Gail F. Graham, APRN, MS, NP-C
Advanced Practice Nurse, Internal Medicine
Adult Nurse Practitioner
St. Luke’s Episcopal Hospital
Houston, Texas
Leslie Prater, RN, MS, CNS, CDE
Clinical Diabetes Educator
Associate Degree Nursing Instructor
Trinity Valley Community College
Kaufman, Texas
Helen Reid, RN, PhD
Dean, Health Occupations
Trinity Valley Community College
Kaufman, Texas
Elester E. Stewart, RRT, RN, MSN,
FNP
Advanced Practice Nurse, Pulmonary
Family Nurse Practitioner
St. Luke’s Episcopal Hospital
Houston, Texas
Editors and Contributors
ix

1 Test Taking ………………………………………………………………………………………………………………….1
INTRODUCTION………………………………………………………………………………………………………………..1
GUIDELINES FOR USING THIS BOOK……………………………………………………………………………1
PREPARING FOR LECTURE …………………………………………………………………………………………….2
PREPARING FOR AN EXAMINATION ………………………………………………………………………………3
TAKING THE EXAM…………………………………………………………………………………………………………..4
THE RACE MODEL: THE APPLICATION OF CRITICAL THINKING
TO MULTIPLE- CHOICE QUESTIONS……………………………………………………………………………6
2 Neurological Disorders………………………………………………………………………………………….7
KEYWORDS/ABBREVIATIONS ………………………………………………………………………………………….7
PRACTICE QUESTIONS ……………………………………………………………………………………………………8
Cerebrovascular Accident (Stroke)………………………………………………………………………………8
Head Injury…………………………………………………………………………………………………………………..9
Spinal Cord Injury (SCI)…………………………………………………………………………………………….11
Seizures………………………………………………………………………………………………………………………13
Brain Tumors………………………………………………………………………………………………………………15
Meningitis…………………………………………………………………………………………………………………..16
Parkinson’s Disease……………………………………………………………………………………………………18
Substance Abuse ……………………………………………………………………………………………………….19
Amyotrophic Lateral Sclerosis (ALS or Lou Gehrig’s Disease)…………………………………21
Encephalitis ……………………………………………………………………………………………………………….23
PRACTICE QUESTIONS ANSWERS AND RATIONALES……………………………………………….25
NEUROLOGICAL DISORDERS COMPREHENSIVE EXAMINATION………………………………55
NEUROLOGICAL DISORDERS COMPREHENSIVE EXAMINATION
ANSWERS AND RATIONALES……………………………………………………………………………………..63
3 Cardiac Disorders ………………………………………………………………………………………………….73
KEYWORDS/ABBREVIATIONS………………………………………………………………………………………..73
PRACTICE QUESTIONS………………………………………………………………………………………………….74
Congestive Heart Failure……………………………………………………………………………………………74
Angina/Myocardial Infarction …………………………………………………………………………………….75
Coronary Artery Disease …………………………………………………………………………………………….77
Valvular Heart Disease……………………………………………………………………………………………….79
Dysrhythmias and Conduction Problems ………………………………………………………………….80
Inflammatory Cardiac Disorders ………………………………………………………………………………..82
PRACTICE QUESTIONS ANSWERS AND RATIONALES……………………………………………….84
CARDIAC DISORDERS COMPREHENSIVE EXAMINATION ………………………………………..102
CARDIAC DISORDERS COMPREHENSIVE EXAMINATION
ANSWERS AND RATIONALES …………………………………………………………………………………..107

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NUR 4110 A Course Review Applying Critical Thinking To Test Taking

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