,Chapter 01: Caring for Medical-Surgical Patients
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
MULTIPLE /lCHOICE
1. Which /lstatement /laccurately /ldescribes /lthe /lprimary /lpurpose /lof /lthe /lstate
/lnurse /lpractice /lact /l(NPA)?
a. To /ltest /land /llicense /lLPN/LVNs
b. To /ldefine /lthe /lscope /lof /lLPN/LVN /lpractice
c. To /limprove /lthe /lquality /lof /lcare /lprovided /lby /lthe /lLPN/LVN
d. To/llimit /lthe /lLPN/LVN /lemployment /lplacement
ANS: /lB
While /limproving /lquality /lof /lcare /lprovided /lby /lthe /lLPN/LVN /lmay /lbe /la
/lresult /lof /lthe /lNPA, /lthe /lprimarypurpose /lof /lthe /lNPA /lof /leach /lstate /ldefines
/lthe /lscope /lof /lnursing /lpractice /lin /lthat /lstate.
DIF: Cognitive /lLevel: /lComprehension REF: / l p. /l3 OBJ: /l3
/lTOP: / l NPA KEY: /lNursing /lProcess /lStep: /lImplementation
/ l MSC: /lNCLEX: /lSafe, /lEffective /lCare /lEnvironment: /lCoordinated /lCare
2. The /lcharge /lnurse /lasks /lthe /lnew /lvocational /lnurse /lto /lstart /lan /lintravenous /linfusion, /la /lskill /lthat /lthe
/lvocational /lnurse /lhas /lnot /lbeen /ltaught /lduring /lher /leducational /lprogram. /lHow /lshould /lthe /lvocational
/lnurse /lrespond?
a. Ask /la /lmore /lexperienced /lnurse /lto /ldemonstrate /lthe /lprocedure.
b. Look/lup /lthe /lprocedure /lin /lthe /lprocedure /lmanual.
c. Attempt /lto /lperform/lthe /lprocedure /lwith /lsupervision.
d. Inform /lthe /lcharge /lnurse /lof /lher /llack /lof /ltraining /lin /lthis /lprocedure.
ANS: /lD
The /lcharge /lnurse /lshould /lbe /linformed /lof /lthe /llack /lof /ltraining /lto /lperform /lthe /lprocedure, /land /lthe
/lvocational /lnurse /lshould /lseek /lfurther /ltraining /lto /lgain /lproficiency. /lAlthough /lthe /lother /loptions /lmight
/lbe /lhelpful, /lthey /lare /lnot /lsafe.
DIF: Cognitive /lLevel: /lApplication REF: / l p. /l3 OBJ: /l1
/lTOP: / l Providing /lSafe /lCare KEY: /lNursing /lProcess /lStep:
/lN/A /lMSC: /lNCLEX: /lSafe, /lEffective /lCare /lEnvironment: /lCoordinated /lCare
3. Which /lpatient /lstatement /lindicates /la /lneed /lfor /lfurther /ldischarge /lteaching /lthat /lthe /lvocational
/lnurse /lshould /laddress?
a. "I/lhave /lno /lidea /lof /lhow /lthis /ldrug /lwill /laffect /lme."
b. "Do /lyou /lknow /lif /lmy /lphysician /lis /lcoming /lback /ltoday?"
c. "Will /lmy /linsurance /lpay /lfor /lmy /lstay?"
d. "Am /lI /lgoing /lto /lhave /lto /lgo /lto /la /lnursing /lhome?"
ANS: /lA
Lack /lof /lknowledge /lat /ldischarge /labout /lmedication /leffects /land /lside /leffects /lis /la /lconcern /lthat /lshould
/lbe /laddressed /lby /lthe /lvocational /lnurse. /lThe /lother /lconcerns /lin /lthe /loptions /lare /lthe /lresponsibility /lof
/lother /ldepartments /lto /lwhich /lthe /lnurse /lmight /lrefer /lthe /lpatient.
DIF: Cognitive /lLevel: /lApplication REF: / l p. /l2 OBJ: /l1
/lTOP: / l Teaching KEY: /lNursing /lProcess /lStep: /lImplementation
/ l MSC: /lNCLEX: /lSafe, /lEffective /lCare /lEnvironment: /lCoordinated /lCare
,4. According /lto /lmost /lstate /lNPAs, /lthe /lvocational /lnurse /lacting /las /lcharge /lnurse /lin /la /llong-term /lcare
/lfacility /lacts /lin /lwhich /lcapacity?
a. Working /lunder /ldirect /lsupervision /lof /lan /lRN /lon /lthe /lunit
b. Working /lwith /lthe /lRN /lin /lthe /lbuilding
c. Working /lunder /lgeneral /lsupervision /lby /lthe /lRN /lavailable /lon /lsite /lor /lby/lphone
d. Working /las /lan /lindependent /lvocational /lnurse
ANS: /lC
The /lvocational /lnurse /lin /lthe /lcapacity /lof /lthe /lcharge /lnurse /lin /la /llong-term /lcare /lfacility /lacts /lwith /lthe
/lgeneral /lsupervision /lof /lan /lRN /lavailable /lon /lsite /lor /lby /lphone.
DIF: Cognitive /lLevel: /lComprehension REF: / l p. /l3 OBJ: /l1
/lTOP: / l Charge /lNurse/Manager KEY: /lNursing /lProcess /lStep:
/lN/A /lMSC: /lNCLEX: /lSafe, /lEffective /lCare /lEnvironment: /lCoordinated /lCare
5. The /lnurse /lis /leducating /la /lpatient /lthat /lis /la /lmember /lof /la /lhealth /lmaintenance /lorganization /l(HMO).
/lWhich /linformation /lshould /lthe /lnurse /linclude?
a. Seek /lthe /lopinion /lof /lan /lalternate /lhealth /lcare /lprovider.
b. Contact /lthe /linsurance /lcompany /lfor /lcoverage /ldetails /las /lservices /lmay /lbe /llimited.
c. Provide /ldetailed /ldocumentation /lof /lall /lcare /lreceived /lfor /lhis /lcondition.
d. Wait /lat /lleast /l6 /lmonths /lto /lsee /la /lspecialist.
ANS: /lB
HMOs /lare /la /lkind /lof /lmanaged /lcare. /lThis /lis /laccomplished /lby /lpaying /lproviders /lto /lcare /lfor
/lgroups /lof /lpatients /lfor /la /lset /lcapitation /lfee /land /lby /llimiting /lservices. /lPatients /lare /lnot /lrequired /lto
/lseek /la /lsecond /lopinion, /lprovide /ldocumentation /lof /lcare, /lor /lwait /la /lspecific /ltime /lperiod /lbefore
/lvisiting /la /lspecialist.
DIF: / l / l Cognitive /lLevel: /lApplication REF: / l / l p. /l9 OBJ: / l 9
TOP: / l Charge /lNurse/Manager KEY: /lNursing /lProcess /lStep:
/lImplementation /lMSC: /lNCLEX: /lSafe, /lEffective /lCare /lEnvironment: /lCoordinated /lCare
6. The /lpatient /lcomplains /lto /lthe /lnurse /lthat /lhe /lis /lconfused /labout /lhis /l"deductible" /lthat /lhe /lowes /lthe
/lhospital. /lWhich /lstatement /laccurately /lexplains /la /ldeductible?
a. An /lamount /lof /lmoney /lput /laside /lfor /lthe /lpayment /lof /lfuture /lmedical /lbills
b. A /lone-time /lfee /lfor /lservice
c. An /lamount /lof /lmoney /ldeducted /lfrom/lthe /lbill /lby /lthe /linsurance /lcompany
d. An /lannual /lamount /lof /lmoney /lthe /lpatient /lmust /lpay /lout-of-pocket /lfor /lmedical /lcare
ANS: /lD
The /ldeductible /lis /lthe /lannual /lamount /lthe /linsured /lmust /lpay /lout-of-pocket /lprior /lto /lthe /linsurance
/lcompany /lassuming /lthe /lcost. /lThis /lpractice /limproves /lthe /lprofit /lof /lthe /linsurance /lcompany.
DIF: / l / l Cognitive /lLevel: /lComprehension / l / l REF: / l / l p. /l7 OBJ: / l 9
TOP: / l Health /lCare /lFinancing KEY: /lNursing /lProcess /lStep:
/lImplementation /lMSC: /lNCLEX: /lSafe, /lEffective /lCare /lEnvironment: /lCoordinated /lCare
7. A /lpatient /lasks /lthe /lnurse /lwhat /lMedicare /lPart /lA /lcovers. /lWhich /lresponse /lis /lcorrect?
a. Medicare /lPart /lA /lcovers /linpatient /lhospital /lcosts.
b. Medicare /lPart /lA /lcovers /lreimbursement /lto /lthe /lphysician.
c. Medicare /lPart /lA /lcovers /loutpatient /lhospital /lservices.
d. Medicare /lPart /lA /lcovers /lambulance /ltransportation.
ANS: /lA
Medicare /lPart /lA /lcovers /linpatient /lhospital /lexpenses, /ldrugs, /lx-rays, /llaboratory /lwork, /land /lintensive
/lcare. /lMedicare /lPart /lB /lpays /lthe /lphysician, /lambulance /ltransport, /land /loutpatient /lservices.
, DIF: Cognitive /lLevel: /lComprehension REF: /lp. /l8, /lBox /l1-4
OBJ: / l 9 TOP: /lGovernment-Sponsored /lHealth /lInsurance
/lKEY: /lNursing /lProcess /lStep: /lImplementation
MSC: /lNCLEX: /lSafe, /lEffective /lCare /lEnvironment: /lCoordinated /lCare
8. Which /lis /lthe /lmain /lcost-containment /lcomponent /lof /ldiagnosis-related /lgroups /l(DRGs)?
a. Hospitals /lfocus /lonly /lon /lthe /lspecific /ldiagnosis.
b. Hospitals /ltreat /land /ldischarge /lpatients /lquickly.
c. Reduced /lcost /ldrugs /lare /lordered /lfor /lspecific /ldiagnoses.
d. Diagnostic /lgroup /lclassification /lstreamlines /lcare.
ANS: /lB
DRGs /lare /la /lprospective /lpayment /lplan /lin /lwhich /lhospitals /lreceive /la /lflat /lfee /lfor /leach /lpatient's
/ldiagnostic /lcategory /lregardless /lof /lthe /llength /lof /ltime /lin /lthe /lhospital. /lIf /lhospitals /lcan /ltreat /land
/ldischarge /lpatients /lbefore /lthe /lallotted /ltime, /lhospitals /lget /lto /lkeep /lthe /lexcess /lpayment; /lcost /lis
/lcontained, /land /lthe /lpatient /lis /ldischarged /lsooner.
DIF: Cognitive /lLevel: /lComprehension REF: / l p. /l8 OBJ: /l9
/lTOP: /lGovernment-Sponsored /lHealth /lInsurance
KEY: /lNursing /lProcess /lStep: /lImplementation
MSC: /lNCLEX: /lSafe, /lEffective /lCare /lEnvironment: /lCoordinated /lCare
9. The /lnurse /lis /lassessing /la /lgroup /lof /lpatients. /lWhich /lpatient /lwould /lmost /llikely /lqualify /lfor/lMedicaid?
a. A /l35-year-old /lunemployed /lsingle /lmother /lwith /ldiabetes
b. A /l70-year-old /lMedicare /lrecipient /lwith /lretirement /lincome /lwho /lneeds /lto /lbe /lin /la /llong-
term /lcare /lfacility
c. An /l80-year-old /lblind /lwoman /lliving /lin /lher /lown /lhome /lwho /lhas /linadequate
/lprivate /linsurance
d. A /l67-year-old /lstroke /lvictim /lwith /lMedicare /lPart /lA /land /lan /lincome /lfrom/il nvestments
ANS: /lA
Medicaid /lis /la /ljoint /leffort /lof /lfederal /land /lstate /lgovernments /lgeared /lprimarily /lfor /llow-income /lpeople
/lwith /lno /linsurance.
DIF: Cognitive /lLevel: /lApplication REF: /lp. /l8, /lBox /l1-5
OBJ: / l 9 TOP: /lGovernment-Sponsored /lHealth /lInsurance—Medicaid
/lKEY: /lNursing /lProcess /lStep: /lAssessment
MSC: /lNCLEX: /lSafe, /lEffective /lCare /lEnvironment: /lCoordinated /lCare
10. Which /larea /lis /lthe /lmajor /lfocus /lof /lHealthy /lPeople /l2020 /land /lthe /lprimary /lmechanism /lthrough
/lwhich /lto /limprove /lthe /lhealth /lof /lAmericans /lin /lthe /lsecond /ldecade /lof /lthe /lcentury?
a. Research /lfunding
b. Health /linformation /l distribution
c. Healthy /llifestyle /lencouragement
d. Health /limprovement / l program /ldesigns
ANS: /lC
Healthy /lPeople /l2020 /lfocuses /lon /lexpanding /longoing /lprograms /lto /linclude /lsupport /land /linformation
/lto /lreduce /linfant /lmortality, /lcancer, /lcardiovascular /ldisease, /land /lHIV/AIDS, /land /lto /lincrease
/leffective /limmunizations, /lhealthy /leating /lhabits, /land /lhealthy /lweight.
DIF: Cognitive /lLevel: /lComprehension REF: / l / l p. /l6 OBJ: / l 7
TOP: / l Healthy /lPeople /l2020 KEY: /lNursing /lProcess /lStep:
/lImplementation /lMSC: /lNCLEX: /lSafe, /lEffective /lCare /lEnvironment: /lCoordinated /lCare