,Chapter b201: b2Caring b2for b2Medical-Surgical b2Patients
deWit: b2Medical-Surgical b2Nursing: b2Concepts b2& b2Practice, b23rd b2Edition
MULTIPLE b2 CHOICE
1. Which b2statement b2accurately b2describes b2the b2primary b2purpose b2of b2the b2state b2nurse b2practice b2act b2(NPA)?
a. To b2test b2and b2license b2LPN/LVNs.
b. To b2define b2the b2scope b2of b2LPN/LVN b2practice.
c. To b2improve b2the b2quality b2of b2care b2provided b2by b2the
b2 LPN/LVN.
d. To b2limit b2the b2LPN/LVN b2employment b2placement.
ANS: B
While b2improving b2quality b2of b2care b2provided b2by b2the b2LPN/LVN b2may b2be b2a b2result b2of b2the b2NPA, b2the b2primary b2purpose b2of
b2 the b2 NPA b2 of b2 each b2 state b2 defines b2the b2 scope b2 of b2 nursing b2 practice b2in b2 that b2 state.
PTS: 1 DIF: Cognitive b2Level: b2Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing b2Process b2Step:
b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
2. The b2charge b2nurse b2asks b2the b2new b2vocational b2nurse b2to b2start b2an b2intravenous b2infusion, b2a b2skill b2that b2the b2vocational
b2 nurse b2 has b2 not b2 been b2 taught b2 during b2 her b2 educational b2 program. b2 How b2 should b2 the b2 vocational b2 nurse b2respond?
a. Ask b2a b2more b2experienced b2nurse b2to b2demonstrate b2the
b2 procedure.
b. Look b2up b2the b2procedure b2in b2the b2procedure b2 manual.
c. Attempt b2to b2perform b2the b2procedure b2with b2supervision.
d. Inform b2the b2charge b2nurse b2of b2her b2lack b2of b2training b2in b2this
b2 procedure.
ANS: D
The b2charge b2nurse b2should b2be b2informed b2of b2the b2lack b2of b2training b2to b2perform b2the b2procedure, b2and b2the b2vocational b2nurse
b2 should b2 seek b2 further b2 training b2 to b2 gain b2 proficiency. b2 Although b2 the b2 other b2 options b2 might b2 be b2 helpful, b2 they b2 are b2 not b2 safe.
PTS: 1 DIF: Cognitive b2Level: b2Application b 2 3b 2 REF:
OBJ: 1 TOP: Providing b2Safe b2Care KEY:
Nursing b2Process b2Step:
b2N/A
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
3. Which b2patient b2statement b2indicates b2a b2need b2for b2further b2discharge b2teaching b2that b2the b2vocational b2nurse b2should b2address?
a. ―I b2have b2no b2idea b2of b2how b2this b2drug b2will b2affect
b2 me.‖
b. ―Do b2you b2know b2if b2my b2physician b2is b2coming b2back
b2 today?‖
c. ―Will b2my b2insurance b2pay b2for b2my b2stay?‖
d. ―Am b2I b2going b2to b2have b2to b2go b2to b2a b2nursing b2home?‖
ANS: A
Lack b2of b2knowledge b2at b2discharge b2about b2medication b2effects b2and b2side b2effects b2is b2a b2concern b2that b2should b2be b2addressed b2by
b2 the b2 vocational b2 nurse. b2 The b2 other b2 concerns b2in b2 the b2 options b2 are b2 the b2responsibility b2 of b2 other b2 departments b2 to b2 which b2 the
b2 nurse b2 might b2 refer b2 the b2 patient.
PTS: 1 DIF: Cognitive b2Level: b2Application b 2 b 2 REF: 2
OBJ: 1 TOP: Teaching b 2 KEY: Nursing b2Process b2Step:
b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
4. According b2to b2most b2state b2NPAs, b2the b2vocational b2nurse b2acting b2as b2charge b2nurse b2in b2a b2long-term b2care b2facility
b2 acts b2 in b2 which b2 capacity?
a. Working b2under b2direct b2supervision b2of b2an b2RN b2on b2the b2 unit
b. Working b2with b2the b2RN b2in b2the b2building
c. Working b2under b2general b2supervision b2by b2the b2RN b2available b2on b2site b2or
b2 by b2 phone
d. Working b2as b2an b2independent b2 vocational b2nurse
ANS: C
The b2vocational b2nurse b2in b2the b2capacity b2of b2the b2charge b2nurse b2in b2a b2long-term b2care b2facility b2acts b2with b2the b2general
b2 supervision b2 of b2 an b2 RN b2 available b2 on b2 site b2 or b2 by b2 phone.
PTS: 1 DIF: Cognitive b2Level: b2Comprehension REF: 2
OBJ: 1 TOP: Charge b2Nurse/Manager KEY: Nursing Process b2Step:
, N/A
b2
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
, 5. The b2nurse b2is b2educating b2a b2patient b2that b2is b2a b2member b2of b2a b2health b2maintenance b2organization b2(HMO).
b2 Which b2 information b2 should b2 the b2 nurse b2include?
a. Seek b2the b2opinion b2of b2an b2alternate b2health b2care b2provider.
b. Obtain b2insurance b2approval b2for b2medical b2services b2prior b2to
b2 treatment.
c. Provide b2detailed b2documentation b2of b2all b2care b2received b2for b2his
b2 condition.
d. Wait b2at b2least b26 b2months b2to b2see b2a b2specialist.
ANS: B
Most b2HMOs b2require b2preprocedure b2authorization b2for b2treatment. b2Patients b2are b2not b2required b2to b2seek b2a b2second b2opinion,
b2 provide b2 documentation b2 of b2 care, b2 or b2 wait b2 a b2 specific b2time b2 period b2 before b2 visiting b2 a b2 specialist.
PTS: 1 DIF: Cognitive b2Level: b2Application b 2 9
b 2 REF:
OBJ: 9 TOP: Charge b2Nurse/Manager
KEY: Nursing b2Process b2Step: b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
6. The b2patient b2complains b2to b2the b2nurse b2that b2he b2is b2confused b2about b2his b2―deductible‖ b2that b2he b2owes b2the
b2 hospital. b2 Which b2 statement b2 accurately b2 explains b2 a b2 deductible?
a. An b2amount b2of b2money b2put b2aside b2for b2the b2payment b2of b2future b2medical b2bills
b. A b2one-time b2fee b2for b2service
c. An b2amount b2of b2money b2deducted b2from b2the b2bill b2by b2the b2insurance b2company
d. An b2annual b2amount b2of b2money b2the b2patient b2must b2pay b2out-of-pocket b2for
b2 medical b2 care
ANS: D
The b2deductible b2is b2the b2annual b2amount b2the b2insured b2must b2pay b2out-of-pocket b2prior b2to b2the b2insurance b2company b2assuming
b2 the b2 cost. b2 This b2 practice b2improves b2the b2 profit b2 of b2 the b2insurance b2 company.
PTS: 1 DIF: Cognitive b2Level: b2Comprehension REF: 7
OBJ: 9 TOP: Health b2Care b2Financing
KEY: Nursing b2Process b2Step: b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
7. The b2nurse b2compares b2the b2characteristics b2of b2a b2health b2maintenance b2organization b2(HMO) b2and b2a
b2 preferred b2 provider b2 organization b2 (PPO). b2 Which b2 information b2 should b2 the b2 nurse b2 include b2 about b2 HMOs?
a. HMOs b2require b2a b2set b2fee b2of b2each b2member b2monthly.
b. HMOs b2allow b2the b2 member b2to b2select b2his b2health b2care
b2 provider.
c. HMOs b2permit b2admission b2to b2any b2facility b2the b2member
b2 prefers.
d. HMOs b2offer b2unlimited b2diagnostic b2tests b2and b2treatments.
ANS: A
HMOs b2require b2a b2set b2fee b2from b2each b2member b2 monthly b2(capitation). b2The b2patient b2will b2be b2treated b2by b2the b2HMO b2staff b2in
b2 HMO-approved b2 facilities. b2 Excessive b2 use b2 of b2 diagnostic b2 tests b2 and b2 treatments b2 is b2 discouraged b2 by b2 the b2 HMO.
PTS: 1 DIF: Cognitive b2Level: b2Application b 2 9
b 2 REF:
OBJ: 9 TOP: Managed b2Care
KEY: Nursing b2Process b2Step: b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
8. A b2patient b2asks b2the b2nurse b2what b2Medicare b2Part b2A b2covers. b2Which b2response b2is b2correct?
a. Medicare b2Part b2A b2covers b2inpatient b2hospital b2costs.
b. Medicare b2Part b2A b2covers b2reimbursement b2to b2the
b2 physician.
c. Medicare b2Part b2A b2covers b2outpatient b2hospital b2services.
d. Medicare b2Part b2A b2covers b2ambulance b2transportation.
ANS: A
Medicare b2Part b2A b2covers b2inpatient b2hospital b2expenses, b2drugs, b2x-rays, b2laboratory b2work, b2and b2intensive b2care. b2Medicare b2Part b2B
b2 pays b2 the b2 physician, b2 ambulance b2transport, b2 and b2 outpatient b2 services.
PTS: 1 DIF: Cognitive b2Level: b2Comprehension REF: 7, b2Box b21-
4
OBJ: 9 TOP: Government-Sponsored b2 Health
b2 Insurance
KEY: Nursing b2Process b2Step: b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
deWit: b2Medical-Surgical b2Nursing: b2Concepts b2& b2Practice, b23rd b2Edition
MULTIPLE b2 CHOICE
1. Which b2statement b2accurately b2describes b2the b2primary b2purpose b2of b2the b2state b2nurse b2practice b2act b2(NPA)?
a. To b2test b2and b2license b2LPN/LVNs.
b. To b2define b2the b2scope b2of b2LPN/LVN b2practice.
c. To b2improve b2the b2quality b2of b2care b2provided b2by b2the
b2 LPN/LVN.
d. To b2limit b2the b2LPN/LVN b2employment b2placement.
ANS: B
While b2improving b2quality b2of b2care b2provided b2by b2the b2LPN/LVN b2may b2be b2a b2result b2of b2the b2NPA, b2the b2primary b2purpose b2of
b2 the b2 NPA b2 of b2 each b2 state b2 defines b2the b2 scope b2 of b2 nursing b2 practice b2in b2 that b2 state.
PTS: 1 DIF: Cognitive b2Level: b2Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing b2Process b2Step:
b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
2. The b2charge b2nurse b2asks b2the b2new b2vocational b2nurse b2to b2start b2an b2intravenous b2infusion, b2a b2skill b2that b2the b2vocational
b2 nurse b2 has b2 not b2 been b2 taught b2 during b2 her b2 educational b2 program. b2 How b2 should b2 the b2 vocational b2 nurse b2respond?
a. Ask b2a b2more b2experienced b2nurse b2to b2demonstrate b2the
b2 procedure.
b. Look b2up b2the b2procedure b2in b2the b2procedure b2 manual.
c. Attempt b2to b2perform b2the b2procedure b2with b2supervision.
d. Inform b2the b2charge b2nurse b2of b2her b2lack b2of b2training b2in b2this
b2 procedure.
ANS: D
The b2charge b2nurse b2should b2be b2informed b2of b2the b2lack b2of b2training b2to b2perform b2the b2procedure, b2and b2the b2vocational b2nurse
b2 should b2 seek b2 further b2 training b2 to b2 gain b2 proficiency. b2 Although b2 the b2 other b2 options b2 might b2 be b2 helpful, b2 they b2 are b2 not b2 safe.
PTS: 1 DIF: Cognitive b2Level: b2Application b 2 3b 2 REF:
OBJ: 1 TOP: Providing b2Safe b2Care KEY:
Nursing b2Process b2Step:
b2N/A
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
3. Which b2patient b2statement b2indicates b2a b2need b2for b2further b2discharge b2teaching b2that b2the b2vocational b2nurse b2should b2address?
a. ―I b2have b2no b2idea b2of b2how b2this b2drug b2will b2affect
b2 me.‖
b. ―Do b2you b2know b2if b2my b2physician b2is b2coming b2back
b2 today?‖
c. ―Will b2my b2insurance b2pay b2for b2my b2stay?‖
d. ―Am b2I b2going b2to b2have b2to b2go b2to b2a b2nursing b2home?‖
ANS: A
Lack b2of b2knowledge b2at b2discharge b2about b2medication b2effects b2and b2side b2effects b2is b2a b2concern b2that b2should b2be b2addressed b2by
b2 the b2 vocational b2 nurse. b2 The b2 other b2 concerns b2in b2 the b2 options b2 are b2 the b2responsibility b2 of b2 other b2 departments b2 to b2 which b2 the
b2 nurse b2 might b2 refer b2 the b2 patient.
PTS: 1 DIF: Cognitive b2Level: b2Application b 2 b 2 REF: 2
OBJ: 1 TOP: Teaching b 2 KEY: Nursing b2Process b2Step:
b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
4. According b2to b2most b2state b2NPAs, b2the b2vocational b2nurse b2acting b2as b2charge b2nurse b2in b2a b2long-term b2care b2facility
b2 acts b2 in b2 which b2 capacity?
a. Working b2under b2direct b2supervision b2of b2an b2RN b2on b2the b2 unit
b. Working b2with b2the b2RN b2in b2the b2building
c. Working b2under b2general b2supervision b2by b2the b2RN b2available b2on b2site b2or
b2 by b2 phone
d. Working b2as b2an b2independent b2 vocational b2nurse
ANS: C
The b2vocational b2nurse b2in b2the b2capacity b2of b2the b2charge b2nurse b2in b2a b2long-term b2care b2facility b2acts b2with b2the b2general
b2 supervision b2 of b2 an b2 RN b2 available b2 on b2 site b2 or b2 by b2 phone.
PTS: 1 DIF: Cognitive b2Level: b2Comprehension REF: 2
OBJ: 1 TOP: Charge b2Nurse/Manager KEY: Nursing Process b2Step:
, N/A
b2
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
, 5. The b2nurse b2is b2educating b2a b2patient b2that b2is b2a b2member b2of b2a b2health b2maintenance b2organization b2(HMO).
b2 Which b2 information b2 should b2 the b2 nurse b2include?
a. Seek b2the b2opinion b2of b2an b2alternate b2health b2care b2provider.
b. Obtain b2insurance b2approval b2for b2medical b2services b2prior b2to
b2 treatment.
c. Provide b2detailed b2documentation b2of b2all b2care b2received b2for b2his
b2 condition.
d. Wait b2at b2least b26 b2months b2to b2see b2a b2specialist.
ANS: B
Most b2HMOs b2require b2preprocedure b2authorization b2for b2treatment. b2Patients b2are b2not b2required b2to b2seek b2a b2second b2opinion,
b2 provide b2 documentation b2 of b2 care, b2 or b2 wait b2 a b2 specific b2time b2 period b2 before b2 visiting b2 a b2 specialist.
PTS: 1 DIF: Cognitive b2Level: b2Application b 2 9
b 2 REF:
OBJ: 9 TOP: Charge b2Nurse/Manager
KEY: Nursing b2Process b2Step: b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
6. The b2patient b2complains b2to b2the b2nurse b2that b2he b2is b2confused b2about b2his b2―deductible‖ b2that b2he b2owes b2the
b2 hospital. b2 Which b2 statement b2 accurately b2 explains b2 a b2 deductible?
a. An b2amount b2of b2money b2put b2aside b2for b2the b2payment b2of b2future b2medical b2bills
b. A b2one-time b2fee b2for b2service
c. An b2amount b2of b2money b2deducted b2from b2the b2bill b2by b2the b2insurance b2company
d. An b2annual b2amount b2of b2money b2the b2patient b2must b2pay b2out-of-pocket b2for
b2 medical b2 care
ANS: D
The b2deductible b2is b2the b2annual b2amount b2the b2insured b2must b2pay b2out-of-pocket b2prior b2to b2the b2insurance b2company b2assuming
b2 the b2 cost. b2 This b2 practice b2improves b2the b2 profit b2 of b2 the b2insurance b2 company.
PTS: 1 DIF: Cognitive b2Level: b2Comprehension REF: 7
OBJ: 9 TOP: Health b2Care b2Financing
KEY: Nursing b2Process b2Step: b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
7. The b2nurse b2compares b2the b2characteristics b2of b2a b2health b2maintenance b2organization b2(HMO) b2and b2a
b2 preferred b2 provider b2 organization b2 (PPO). b2 Which b2 information b2 should b2 the b2 nurse b2 include b2 about b2 HMOs?
a. HMOs b2require b2a b2set b2fee b2of b2each b2member b2monthly.
b. HMOs b2allow b2the b2 member b2to b2select b2his b2health b2care
b2 provider.
c. HMOs b2permit b2admission b2to b2any b2facility b2the b2member
b2 prefers.
d. HMOs b2offer b2unlimited b2diagnostic b2tests b2and b2treatments.
ANS: A
HMOs b2require b2a b2set b2fee b2from b2each b2member b2 monthly b2(capitation). b2The b2patient b2will b2be b2treated b2by b2the b2HMO b2staff b2in
b2 HMO-approved b2 facilities. b2 Excessive b2 use b2 of b2 diagnostic b2 tests b2 and b2 treatments b2 is b2 discouraged b2 by b2 the b2 HMO.
PTS: 1 DIF: Cognitive b2Level: b2Application b 2 9
b 2 REF:
OBJ: 9 TOP: Managed b2Care
KEY: Nursing b2Process b2Step: b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
8. A b2patient b2asks b2the b2nurse b2what b2Medicare b2Part b2A b2covers. b2Which b2response b2is b2correct?
a. Medicare b2Part b2A b2covers b2inpatient b2hospital b2costs.
b. Medicare b2Part b2A b2covers b2reimbursement b2to b2the
b2 physician.
c. Medicare b2Part b2A b2covers b2outpatient b2hospital b2services.
d. Medicare b2Part b2A b2covers b2ambulance b2transportation.
ANS: A
Medicare b2Part b2A b2covers b2inpatient b2hospital b2expenses, b2drugs, b2x-rays, b2laboratory b2work, b2and b2intensive b2care. b2Medicare b2Part b2B
b2 pays b2 the b2 physician, b2 ambulance b2transport, b2 and b2 outpatient b2 services.
PTS: 1 DIF: Cognitive b2Level: b2Comprehension REF: 7, b2Box b21-
4
OBJ: 9 TOP: Government-Sponsored b2 Health
b2 Insurance
KEY: Nursing b2Process b2Step: b2Implementation
MSC: NCLEX: b2Safe, b2Effective b2Care b2Environment: b2Coordinated b2Care
