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, Table Of Content
UNIT I: MEDICAL-SURGICAL NURSING SETTINGS
• Ch 1: Caring for Medical-Surgical Patients
• Ch 2: Critical Thinking, Clinical Judgment, and the Nursing Process
UNIT II: MEDICAL-SURGICAL PATIENT CARE PROBLEMS
• Ch 3: Fluid, Electrolytes, Acid-Base Balance, and IV Therapy
• Ch 4: Care of Preoperative and Intraoperative Patients
• Ch 5: Care of Postoperative Patients
• Ch 6: Infection Prevention and Control
• Ch 7: Care of Patients with Pain
• Ch 8: Care of Patients with Cancer
• Ch 9: Chronic Illness and End-of-Life Care
UNIT III: IMMUNE SYSTEM
• Ch 10: The Immune and Lymphatic Systems
• Ch 11: Care of Patients with Immune and Lymphatic Disorders
UNIT IV: RESPIRATORY SYSTEM
• Ch 12: The Respiratory System
• Ch 13: Care of Patients with Disorders of the Upper Respiratory System
• Ch 14: Care of Patients with Disorders of the Lower Respiratory System
UNIT V: HEMATOLOGIC SYSTEM
• Ch 15: The Hematologic System
• Ch 16: Care of Patients with Hematologic Disorders
UNIT VI: CARDIOVASCULAR SYSTEM
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, • Ch 17: The Cardiovascular System
• Ch 18: Care of Patients with Hypertension and Peripheral Vascular Disease
• Ch 19: Care of Patients with Cardiac Disorders
• Ch 20: Care of Patients with Coronary Artery Disease and Cardiac Surgery
UNIT VII: NEUROLOGIC SYSTEM
• Ch 21: The Neurologic System
• Ch 22: Care of Patients with Head and Spinal Cord Injuries
• Ch 23: Care of Patients with Brain Disorders
• Ch 24: Care of Patients with Peripheral Nerve and Degenerative Neurologic
Disorders
UNIT VIII: SENSORY SYSTEM
• Ch 25: The Sensory System: Eye
• Ch 26: The Sensory System: Ear
UNIT IX: GASTROINTESTINAL SYSTEM
• Ch 27: The Gastrointestinal System
• Ch 28: Care of Patients with Disorders of the Upper GI System
• Ch 29: Care of Patients with Disorders of the Lower GI System
• Ch 30: Care of Patients with Disorders of the Gallbladder, Liver, and Pancreas
UNIT X: MUSCULOSKELETAL SYSTEM
• Ch 31: The Musculoskeletal System
• Ch 32: Care of Patients with Musculoskeletal and Connective Tissue Disorders
UNIT XI: URINARY SYSTEM
• Ch 33: The Urinary System
• Ch 34: Care of Patients with Disorders of the Urinary System
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,UNIT XII: ENDOCRINE SYSTEM
• Ch 35: The Endocrine System
• Ch 36: Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
• Ch 37: Care of Patients with Diabetes and Hypoglycemia
UNIT XIII: REPRODUCTIVE SYSTEM
• Ch 38: The Reproductive System
• Ch 39: Care of Females with Reproductive Disorders
• Ch 40: Care of Males with Reproductive Disorders
• Ch 41: Care of Patients with Sexually Transmitted Infections
UNIT XIV: INTEGUMENTARY SYSTEM
• Ch 42: The Integumentary System
• Ch 43: Care of Patients with Integumentary Disorders and Burns
UNIT XV: EMERGENCY AND DISASTER MANAGEMENT
• Ch 44: Care of Patients in Disasters or Bioterrorism Attacks
• Ch 45: Care of Patients with Emergent Conditions, Trauma, and Shock
UNIT XVI: MENTAL HEALTH NURSING
• Ch 46: Care of Patients with Cognitive Function Disorders
• Ch 47: Care of Patients with Anxiety, Mood, and Eating Disorders
• Ch 48: Care of Patients with Substance-Related and Addictive Disorders
• Ch 49: Care of Patients with Thought and Personality Disorders
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,Medical-Surgical Nursing: Concepts and Practice,
6th Edition — Test Bank
Holly K. Stromberg | All Chapters 1-49 Covered
UNIT I: MEDICAL-SURGICAL NURSING SETTINGS
Chapter 01: Caring for Medical-Surgical Patients
Q1. Which statement accurately describes the
primary purpose of the state nurse practice act
(NPA)?
A) To test and license LPN/LVNs
B) To define the scope of LPN/LVN practice
C) To improve the quality of care provided by the
LPN/LVN
D) To limit the LPN/LVN employment placement
Answer: B
Rationale: The primary purpose of the NPA of each
state is to define the scope of nursing practice in
that state. While improving quality of care may be a
result, it is not the primary purpose .
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,Q2. The charge nurse asks the new vocational
nurse to start an intravenous infusion, a skill that
the vocational nurse has not been taught during
her educational program. How should the
vocational nurse respond?
A) Ask a more experienced nurse to demonstrate the
procedure
B) Look up the procedure in the procedure manual
C) Attempt to perform the procedure with
supervision
D) Inform the charge nurse of her lack of training in
this procedure
Answer: D
Rationale: The charge nurse should be informed of
the lack of training to perform the procedure, and
the vocational nurse should seek further training to
gain proficiency. Although the other options might
be helpful, they are not safe .
Q3. Which patient statement indicates a need for
further discharge teaching that the vocational
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,nurse should address?
A) "I have no idea how this drug will affect me."
B) "Do you know if my physician is coming back
today?"
C) "Will my insurance pay for my stay?"
D) "Am I going to have to go to a nursing home?"
Answer: A
Rationale: Lack of knowledge at discharge about
medication effects and side effects is a concern that
should be addressed by the vocational nurse. The
other concerns are the responsibility of other
departments .
Q4. According to most state NPAs, the vocational
nurse acting as charge nurse in a long-term care
facility acts in which capacity?
A) Working under direct supervision of an RN on the
unit
B) Working with the RN in the building
C) Working under general supervision by the RN
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,available on site or by phone
D) Working as an independent vocational nurse
Answer: C
Rationale: The vocational nurse in the capacity of
the charge nurse in a long-term care facility acts with
the general supervision of an RN available on site or
by phone .
Q5. The nurse is educating a patient that is a
member of a health maintenance organization
(HMO). Which information should the nurse
include?
A) Seek the opinion of an alternate health care
provider
B) Contact the insurance company for coverage
details as services may be limited
C) Provide detailed documentation of all care
received for his condition
D) Wait at least 6 months to see a specialist
Answer: B
Rationale: HMOs are a kind of managed care
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,accomplished by paying providers to care for groups
of patients for a set capitation fee and by limiting
services. Patients are not required to seek a second
opinion, provide documentation of care, or wait a
specific time period before visiting a specialist .
Q6. The patient complains to the nurse that he is
confused about his "deductible" that he owes the
hospital. Which statement accurately explains a
deductible?
A) An amount of money put aside for the payment
of future medical bills
B) A one-time fee for service
C) An amount of money deducted from the bill by
the insurance company
D) An annual amount of money the patient must pay
out-of-pocket for medical care
Answer: D
Rationale: The deductible is the annual amount the
insured must pay out-of-pocket prior to the
insurance company assuming the cost. This practice
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, helps control healthcare costs by sharing financial
responsibility .
Q7. A patient asks the nurse what Medicare Part
A covers. Which response is correct?
A) Medicare Part A covers inpatient hospital costs
B) Medicare Part A covers reimbursement to the
physician
C) Medicare Part A covers outpatient hospital
services
D) Medicare Part A covers ambulance transportation
Answer: A
Rationale: Medicare Part A covers inpatient hospital
expenses, drugs, x-rays, laboratory work, and
intensive care. Medicare Part B pays the physician,
ambulance transport, and outpatient services .
Q8. Which is the main cost-containment
component of diagnosis-related groups (DRGs)?
A) Hospitals focus only on the specific diagnosis
B) Hospitals treat and discharge patients quickly
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, Table Of Content
UNIT I: MEDICAL-SURGICAL NURSING SETTINGS
• Ch 1: Caring for Medical-Surgical Patients
• Ch 2: Critical Thinking, Clinical Judgment, and the Nursing Process
UNIT II: MEDICAL-SURGICAL PATIENT CARE PROBLEMS
• Ch 3: Fluid, Electrolytes, Acid-Base Balance, and IV Therapy
• Ch 4: Care of Preoperative and Intraoperative Patients
• Ch 5: Care of Postoperative Patients
• Ch 6: Infection Prevention and Control
• Ch 7: Care of Patients with Pain
• Ch 8: Care of Patients with Cancer
• Ch 9: Chronic Illness and End-of-Life Care
UNIT III: IMMUNE SYSTEM
• Ch 10: The Immune and Lymphatic Systems
• Ch 11: Care of Patients with Immune and Lymphatic Disorders
UNIT IV: RESPIRATORY SYSTEM
• Ch 12: The Respiratory System
• Ch 13: Care of Patients with Disorders of the Upper Respiratory System
• Ch 14: Care of Patients with Disorders of the Lower Respiratory System
UNIT V: HEMATOLOGIC SYSTEM
• Ch 15: The Hematologic System
• Ch 16: Care of Patients with Hematologic Disorders
UNIT VI: CARDIOVASCULAR SYSTEM
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, • Ch 17: The Cardiovascular System
• Ch 18: Care of Patients with Hypertension and Peripheral Vascular Disease
• Ch 19: Care of Patients with Cardiac Disorders
• Ch 20: Care of Patients with Coronary Artery Disease and Cardiac Surgery
UNIT VII: NEUROLOGIC SYSTEM
• Ch 21: The Neurologic System
• Ch 22: Care of Patients with Head and Spinal Cord Injuries
• Ch 23: Care of Patients with Brain Disorders
• Ch 24: Care of Patients with Peripheral Nerve and Degenerative Neurologic
Disorders
UNIT VIII: SENSORY SYSTEM
• Ch 25: The Sensory System: Eye
• Ch 26: The Sensory System: Ear
UNIT IX: GASTROINTESTINAL SYSTEM
• Ch 27: The Gastrointestinal System
• Ch 28: Care of Patients with Disorders of the Upper GI System
• Ch 29: Care of Patients with Disorders of the Lower GI System
• Ch 30: Care of Patients with Disorders of the Gallbladder, Liver, and Pancreas
UNIT X: MUSCULOSKELETAL SYSTEM
• Ch 31: The Musculoskeletal System
• Ch 32: Care of Patients with Musculoskeletal and Connective Tissue Disorders
UNIT XI: URINARY SYSTEM
• Ch 33: The Urinary System
• Ch 34: Care of Patients with Disorders of the Urinary System
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,UNIT XII: ENDOCRINE SYSTEM
• Ch 35: The Endocrine System
• Ch 36: Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
• Ch 37: Care of Patients with Diabetes and Hypoglycemia
UNIT XIII: REPRODUCTIVE SYSTEM
• Ch 38: The Reproductive System
• Ch 39: Care of Females with Reproductive Disorders
• Ch 40: Care of Males with Reproductive Disorders
• Ch 41: Care of Patients with Sexually Transmitted Infections
UNIT XIV: INTEGUMENTARY SYSTEM
• Ch 42: The Integumentary System
• Ch 43: Care of Patients with Integumentary Disorders and Burns
UNIT XV: EMERGENCY AND DISASTER MANAGEMENT
• Ch 44: Care of Patients in Disasters or Bioterrorism Attacks
• Ch 45: Care of Patients with Emergent Conditions, Trauma, and Shock
UNIT XVI: MENTAL HEALTH NURSING
• Ch 46: Care of Patients with Cognitive Function Disorders
• Ch 47: Care of Patients with Anxiety, Mood, and Eating Disorders
• Ch 48: Care of Patients with Substance-Related and Addictive Disorders
• Ch 49: Care of Patients with Thought and Personality Disorders
www.stuvia.com/user/AcademicACHIEVER
,Medical-Surgical Nursing: Concepts and Practice,
6th Edition — Test Bank
Holly K. Stromberg | All Chapters 1-49 Covered
UNIT I: MEDICAL-SURGICAL NURSING SETTINGS
Chapter 01: Caring for Medical-Surgical Patients
Q1. Which statement accurately describes the
primary purpose of the state nurse practice act
(NPA)?
A) To test and license LPN/LVNs
B) To define the scope of LPN/LVN practice
C) To improve the quality of care provided by the
LPN/LVN
D) To limit the LPN/LVN employment placement
Answer: B
Rationale: The primary purpose of the NPA of each
state is to define the scope of nursing practice in
that state. While improving quality of care may be a
result, it is not the primary purpose .
www.stuvia.com/user/AcademicACHIEVER
,Q2. The charge nurse asks the new vocational
nurse to start an intravenous infusion, a skill that
the vocational nurse has not been taught during
her educational program. How should the
vocational nurse respond?
A) Ask a more experienced nurse to demonstrate the
procedure
B) Look up the procedure in the procedure manual
C) Attempt to perform the procedure with
supervision
D) Inform the charge nurse of her lack of training in
this procedure
Answer: D
Rationale: The charge nurse should be informed of
the lack of training to perform the procedure, and
the vocational nurse should seek further training to
gain proficiency. Although the other options might
be helpful, they are not safe .
Q3. Which patient statement indicates a need for
further discharge teaching that the vocational
www.stuvia.com/user/AcademicACHIEVER
,nurse should address?
A) "I have no idea how this drug will affect me."
B) "Do you know if my physician is coming back
today?"
C) "Will my insurance pay for my stay?"
D) "Am I going to have to go to a nursing home?"
Answer: A
Rationale: Lack of knowledge at discharge about
medication effects and side effects is a concern that
should be addressed by the vocational nurse. The
other concerns are the responsibility of other
departments .
Q4. According to most state NPAs, the vocational
nurse acting as charge nurse in a long-term care
facility acts in which capacity?
A) Working under direct supervision of an RN on the
unit
B) Working with the RN in the building
C) Working under general supervision by the RN
www.stuvia.com/user/AcademicACHIEVER
,available on site or by phone
D) Working as an independent vocational nurse
Answer: C
Rationale: The vocational nurse in the capacity of
the charge nurse in a long-term care facility acts with
the general supervision of an RN available on site or
by phone .
Q5. The nurse is educating a patient that is a
member of a health maintenance organization
(HMO). Which information should the nurse
include?
A) Seek the opinion of an alternate health care
provider
B) Contact the insurance company for coverage
details as services may be limited
C) Provide detailed documentation of all care
received for his condition
D) Wait at least 6 months to see a specialist
Answer: B
Rationale: HMOs are a kind of managed care
www.stuvia.com/user/AcademicACHIEVER
,accomplished by paying providers to care for groups
of patients for a set capitation fee and by limiting
services. Patients are not required to seek a second
opinion, provide documentation of care, or wait a
specific time period before visiting a specialist .
Q6. The patient complains to the nurse that he is
confused about his "deductible" that he owes the
hospital. Which statement accurately explains a
deductible?
A) An amount of money put aside for the payment
of future medical bills
B) A one-time fee for service
C) An amount of money deducted from the bill by
the insurance company
D) An annual amount of money the patient must pay
out-of-pocket for medical care
Answer: D
Rationale: The deductible is the annual amount the
insured must pay out-of-pocket prior to the
insurance company assuming the cost. This practice
www.stuvia.com/user/AcademicACHIEVER
, helps control healthcare costs by sharing financial
responsibility .
Q7. A patient asks the nurse what Medicare Part
A covers. Which response is correct?
A) Medicare Part A covers inpatient hospital costs
B) Medicare Part A covers reimbursement to the
physician
C) Medicare Part A covers outpatient hospital
services
D) Medicare Part A covers ambulance transportation
Answer: A
Rationale: Medicare Part A covers inpatient hospital
expenses, drugs, x-rays, laboratory work, and
intensive care. Medicare Part B pays the physician,
ambulance transport, and outpatient services .
Q8. Which is the main cost-containment
component of diagnosis-related groups (DRGs)?
A) Hospitals focus only on the specific diagnosis
B) Hospitals treat and discharge patients quickly
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