TEST BANK
2j
,Chapter 01: Caring for Medical-Surgical Patients
Stromberg: Medical-Surgical 2jNursing: Concepts and Practice, 5th Edition
MULTIPLE CHOICE
1. Which 2jstatement 2jaccurately 2jdescribes 2jthe 2jprimary 2jpurpose 2jof
2jthe 2jstate 2jnurse 2jpractice 2jact 2j(NPA)?
a. To 2jtest 2jand 2jlicense 2jLPN/LVNs
b. To 2jdefine 2jthe 2jscope 2jof 2jLPN/LVN 2jpractice
c. To 2jimprove 2jthe 2jquality 2jof 2jcare 2jprovided 2jby 2jthe 2jLPN/LVN
d. To 2jlimit 2jthe 2jLPN/LVN 2jemployment 2jplacement
ANS: B
While 2jimproving 2jquality 2jof 2jcare 2jprovided 2jby 2jthe
2jLPN/LVN 2jmay 2jbe 2ja 2jresult 2jof 2jthe 2jNPA, 2jthe
2jprimarypurpose 2jof 2jthe 2jNPA 2jof 2jeach 2jstate 2jdefines 2jthe
2jscope 2jof 2jnursing 2jpractice 2jin 2jthat 2jstate.
DIF: Cognitive 2jLevel: 2jComprehension REF:
2 j p. 2j3 OBJ: 2j3 2jTOP: 2 j NPA KEY:
2jNursing 2jProcess 2jStep: 2jImplementation 2 j MSC: 2jNCLEX:
2jSafe, 2jEffective 2jCare 2jEnvironment: 2jCoordinated 2jCare
2. The 2jcharge 2jnurse 2jasks 2jthe 2jnew 2jvocational 2jnurse 2jto 2jstart 2jan 2jintravenous
2jinfusion, 2ja 2jskill 2jthat 2jthe 2jvocational 2jnurse 2jhas 2jnot 2jbeen 2jtaught 2jduring 2jher
2jeducational 2jprogram. 2jHow 2jshould 2jthe 2jvocational 2jnurse 2jrespond?
a. Ask 2ja 2jmore 2jexperienced 2jnurse 2jto 2jdemonstrate 2jthe 2jprocedure.
b. Look 2jup 2jthe 2jprocedure 2jin 2jthe 2jprocedure 2jmanual.
c. Attempt 2jto 2jperform 2jthe 2jprocedure 2jwith 2jsupervision.
d. Inform 2jthe 2jcharge 2jnurse 2jof 2jher 2jlack 2jof 2jtraining 2jin 2jthis 2jprocedure.
ANS: D
The 2jcharge 2jnurse 2jshould 2jbe 2jinformed 2jof 2jthe 2jlack 2jof 2jtraining 2jto 2jperform
2jthe 2jprocedure, 2jand 2jthe 2jvocational 2jnurse 2jshould 2jseek 2jfurther 2jtraining 2jto 2jgain
2jproficiency. 2jAlthough 2jthe 2jother 2joptions 2jmight 2jbe 2jhelpful, 2jthey 2jare 2jnot 2jsafe.
DIF: Cognitive 2jLevel: 2jApplication REF: 2 j p. 2j3 OBJ: 2j1
2jTOP: 2 j Providing 2jSafe 2jCare KEY: 2jNursing 2jProcess
2jStep: 2jN/A 2jMSC: 2jNCLEX: 2jSafe, 2jEffective 2jCare
2jEnvironment: 2jCoordinated 2jCare
3. Which 2jpatient 2jstatement 2jindicates 2ja 2jneed 2jfor 2jfurther 2jdischarge 2jteaching
2jthat 2jthe 2jvocational 2jnurse 2jshould 2jaddress?
a. "I 2jhave 2jno 2jidea 2jof 2jhow 2jthis 2jdrug 2jwill 2jaffect 2jme."
b. "Do 2jyou 2jknow 2jif 2jmy 2jphysician 2jis 2jcoming 2jback 2jtoday?"
c. "Will 2jmy 2jinsurance 2jpay 2jfor 2jmy 2jstay?"
d. "Am 2jI 2jgoing 2jto 2jhave 2jto 2jgo 2jto 2ja 2jnursing 2jhome?"
ANS:A
Lack 2jof 2jknowledge 2jat 2jdischarge 2jabout 2jmedication 2jeffects 2jand 2jside 2jeffects 2jis
2ja 2jconcern 2jthat 2jshould 2jbe 2jaddressed 2jby 2jthe 2jvocational 2jnurse. 2jThe 2jother
2jconcerns 2jin 2jthe 2joptions 2jare 2jthe 2jresponsibility 2jof 2jother 2jdepartments 2jto 2jwhich
2jthe 2jnurse 2jmight 2jrefer 2jthe 2jpatient.
DIF: Cognitive 2jLevel: 2jApplication REF: 2 j p. 2j2 OBJ:
2j1 2jTOP: 2 j Teaching KEY: 2jNursing 2jProcess
,2jStep: 2jImplementation 2 j MSC: 2jNCLEX: 2jSafe, 2jEffective
2jCare 2jEnvironment: 2jCoordinated 2jCare
, 4. According 2jto 2jmost 2jstate 2jNPAs, 2jthe 2jvocational 2jnurse 2jacting 2jas 2jcharge 2jnurse
2jin 2ja 2jlong-term 2jcare 2jfacility 2jacts 2jin 2jwhich 2jcapacity?
a. Working 2junder 2jdirect 2jsupervision 2jof 2jan 2jRN 2jon 2jthe 2junit
b. Working 2jwith 2jthe 2jRN 2jin 2jthe 2jbuilding
c. Working 2junder 2jgeneral 2jsupervision 2jby 2jthe 2jRN 2javailable 2jon 2jsite 2jor 2jby 2jphone
d. Working 2jas 2jan 2jindependent 2jvocational 2jnurse
ANS: C
The 2jvocational 2jnurse 2jin 2jthe 2jcapacity 2jof 2jthe 2jcharge 2jnurse 2jin 2ja 2jlong-term
2jcare 2jfacility 2jacts 2jwith 2jthe 2jgeneral 2jsupervision 2jof 2jan 2jRN 2javailable 2jon 2jsite
2jor 2jby 2jphone.
DIF: Cognitive 2jLevel: 2jComprehension REF:
2 j p. 2j3 OBJ: 2j1 2jTOP: 2 j Charge
2jNurse/Manager KEY: 2jNursing 2jProcess
2jStep: 2jN/A 2jMSC: 2jNCLEX: 2jSafe, 2jEffective 2jCare
2jEnvironment: 2jCoordinated 2jCare
5. The 2jnurse 2jis 2jeducating 2ja 2jpatient 2jthat 2jis 2ja 2jmember 2jof 2ja 2jhealth 2jmaintenance
2jorganization 2j(HMO). 2jWhich 2jinformation 2jshould 2jthe 2jnurse 2jinclude?
a. Seek 2jthe 2jopinion 2jof 2jan 2jalternate 2jhealth 2jcare 2jprovider.
b. Contact 2jthe 2jinsurance 2jcompany 2jfor 2jcoverage 2jdetails 2jas 2jservices 2jmay 2jbe 2jlimited.
c. Provide 2jdetailed 2jdocumentation 2jof 2jall 2jcare 2jreceived 2jfor 2jhis 2jcondition.
d. Wait 2jat 2jleast 2j6 2jmonths 2jto 2jsee 2ja 2jspecialist.
ANS: B
HMOs 2jare 2ja 2jkind 2jof 2jmanaged 2jcare. 2jThis 2jis 2jaccomplished 2jby 2jpaying
2jproviders 2jto 2jcare 2jfor 2jgroups 2jof 2jpatients 2jfor 2ja 2jset 2jcapitation 2jfee 2jand
2jby 2jlimiting 2jservices. 2jPatients 2jare 2jnot 2jrequired 2jto 2jseek 2ja 2jsecond 2jopinion,
2jprovide 2jdocumentation 2jof 2jcare, 2jor 2jwait 2ja 2jspecific 2jtime 2jperiod 2jbefore
2jvisiting 2ja 2jspecialist.
DIF: 2 j 2 j Cognitive 2jLevel: 2jApplication REF: 2 j 2 j p. 2j9 OBJ: 2j 9
TOP: 2 j Charge 2jNurse/Manager KEY: 2jNursing 2jProcess 2jStep:
2jImplementation 2jMSC: 2jNCLEX: 2jSafe, 2jEffective 2jCare 2jEnvironment:
2jCoordinated 2jCare
6. The 2jpatient 2jcomplains 2jto 2jthe 2jnurse 2jthat 2jhe 2jis 2jconfused 2jabout 2jhis 2j"deductible"
2jthat 2jhe 2jowes 2jthe 2jhospital. 2jWhich 2jstatement 2jaccurately 2jexplains 2ja 2jdeductible?
a. An 2jamount 2jof 2jmoney 2jput 2jaside 2jfor 2jthe 2jpayment 2jof 2jfuture 2jmedical 2jbills
b. A 2jone-time 2jfee 2jfor 2jservice
c. An 2jamount 2jof 2jmoney 2jdeducted 2jfrom 2jthe 2jbill 2jby 2jthe 2jinsurance 2jcompany
d. An 2jannual 2jamount 2jof 2jmoney 2jthe 2jpatient 2jmust 2jpay 2jout-of-pocket 2jfor 2jmedical 2jcare
ANS: D
The 2jdeductible 2jis 2jthe 2jannual 2jamount 2jthe 2jinsured 2jmust 2jpay 2jout-of-pocket 2jprior
2jto 2jthe 2jinsurance 2jcompany 2jassuming 2jthe 2jcost. 2jThis 2jpractice 2jimproves 2jthe
2jprofit 2jof 2jthe 2jinsurance 2jcompany.
DIF: 2 j 2 j Cognitive 2jLevel: 2jComprehension 2 j 2 j REF: 2 j 2 j p. 2j7 OBJ: 2j 9
TOP: 2 j Health 2jCare 2jFinancing KEY: 2jNursing 2jProcess 2jStep:
2jImplementation 2jMSC: 2jNCLEX: 2jSafe, 2jEffective 2jCare 2jEnvironment:
2jCoordinated 2jCare
7. A 2jpatient 2jasks 2jthe 2jnurse 2jwhat 2jMedicare 2jPart 2jA 2jcovers. 2jWhich 2jresponse 2jis 2jcorrect?
a. Medicare 2jPart 2jA 2jcovers 2jinpatient 2jhospital 2jcosts.
b. Medicare 2jPart 2jA 2jcovers 2jreimbursement 2jto 2jthe 2jphysician.
c. Medicare 2jPart 2jA 2jcovers 2joutpatient 2jhospital 2jservices.
d. Medicare 2jPart 2jA 2jcovers 2jambulance 2jtransportation.
2j
,Chapter 01: Caring for Medical-Surgical Patients
Stromberg: Medical-Surgical 2jNursing: Concepts and Practice, 5th Edition
MULTIPLE CHOICE
1. Which 2jstatement 2jaccurately 2jdescribes 2jthe 2jprimary 2jpurpose 2jof
2jthe 2jstate 2jnurse 2jpractice 2jact 2j(NPA)?
a. To 2jtest 2jand 2jlicense 2jLPN/LVNs
b. To 2jdefine 2jthe 2jscope 2jof 2jLPN/LVN 2jpractice
c. To 2jimprove 2jthe 2jquality 2jof 2jcare 2jprovided 2jby 2jthe 2jLPN/LVN
d. To 2jlimit 2jthe 2jLPN/LVN 2jemployment 2jplacement
ANS: B
While 2jimproving 2jquality 2jof 2jcare 2jprovided 2jby 2jthe
2jLPN/LVN 2jmay 2jbe 2ja 2jresult 2jof 2jthe 2jNPA, 2jthe
2jprimarypurpose 2jof 2jthe 2jNPA 2jof 2jeach 2jstate 2jdefines 2jthe
2jscope 2jof 2jnursing 2jpractice 2jin 2jthat 2jstate.
DIF: Cognitive 2jLevel: 2jComprehension REF:
2 j p. 2j3 OBJ: 2j3 2jTOP: 2 j NPA KEY:
2jNursing 2jProcess 2jStep: 2jImplementation 2 j MSC: 2jNCLEX:
2jSafe, 2jEffective 2jCare 2jEnvironment: 2jCoordinated 2jCare
2. The 2jcharge 2jnurse 2jasks 2jthe 2jnew 2jvocational 2jnurse 2jto 2jstart 2jan 2jintravenous
2jinfusion, 2ja 2jskill 2jthat 2jthe 2jvocational 2jnurse 2jhas 2jnot 2jbeen 2jtaught 2jduring 2jher
2jeducational 2jprogram. 2jHow 2jshould 2jthe 2jvocational 2jnurse 2jrespond?
a. Ask 2ja 2jmore 2jexperienced 2jnurse 2jto 2jdemonstrate 2jthe 2jprocedure.
b. Look 2jup 2jthe 2jprocedure 2jin 2jthe 2jprocedure 2jmanual.
c. Attempt 2jto 2jperform 2jthe 2jprocedure 2jwith 2jsupervision.
d. Inform 2jthe 2jcharge 2jnurse 2jof 2jher 2jlack 2jof 2jtraining 2jin 2jthis 2jprocedure.
ANS: D
The 2jcharge 2jnurse 2jshould 2jbe 2jinformed 2jof 2jthe 2jlack 2jof 2jtraining 2jto 2jperform
2jthe 2jprocedure, 2jand 2jthe 2jvocational 2jnurse 2jshould 2jseek 2jfurther 2jtraining 2jto 2jgain
2jproficiency. 2jAlthough 2jthe 2jother 2joptions 2jmight 2jbe 2jhelpful, 2jthey 2jare 2jnot 2jsafe.
DIF: Cognitive 2jLevel: 2jApplication REF: 2 j p. 2j3 OBJ: 2j1
2jTOP: 2 j Providing 2jSafe 2jCare KEY: 2jNursing 2jProcess
2jStep: 2jN/A 2jMSC: 2jNCLEX: 2jSafe, 2jEffective 2jCare
2jEnvironment: 2jCoordinated 2jCare
3. Which 2jpatient 2jstatement 2jindicates 2ja 2jneed 2jfor 2jfurther 2jdischarge 2jteaching
2jthat 2jthe 2jvocational 2jnurse 2jshould 2jaddress?
a. "I 2jhave 2jno 2jidea 2jof 2jhow 2jthis 2jdrug 2jwill 2jaffect 2jme."
b. "Do 2jyou 2jknow 2jif 2jmy 2jphysician 2jis 2jcoming 2jback 2jtoday?"
c. "Will 2jmy 2jinsurance 2jpay 2jfor 2jmy 2jstay?"
d. "Am 2jI 2jgoing 2jto 2jhave 2jto 2jgo 2jto 2ja 2jnursing 2jhome?"
ANS:A
Lack 2jof 2jknowledge 2jat 2jdischarge 2jabout 2jmedication 2jeffects 2jand 2jside 2jeffects 2jis
2ja 2jconcern 2jthat 2jshould 2jbe 2jaddressed 2jby 2jthe 2jvocational 2jnurse. 2jThe 2jother
2jconcerns 2jin 2jthe 2joptions 2jare 2jthe 2jresponsibility 2jof 2jother 2jdepartments 2jto 2jwhich
2jthe 2jnurse 2jmight 2jrefer 2jthe 2jpatient.
DIF: Cognitive 2jLevel: 2jApplication REF: 2 j p. 2j2 OBJ:
2j1 2jTOP: 2 j Teaching KEY: 2jNursing 2jProcess
,2jStep: 2jImplementation 2 j MSC: 2jNCLEX: 2jSafe, 2jEffective
2jCare 2jEnvironment: 2jCoordinated 2jCare
, 4. According 2jto 2jmost 2jstate 2jNPAs, 2jthe 2jvocational 2jnurse 2jacting 2jas 2jcharge 2jnurse
2jin 2ja 2jlong-term 2jcare 2jfacility 2jacts 2jin 2jwhich 2jcapacity?
a. Working 2junder 2jdirect 2jsupervision 2jof 2jan 2jRN 2jon 2jthe 2junit
b. Working 2jwith 2jthe 2jRN 2jin 2jthe 2jbuilding
c. Working 2junder 2jgeneral 2jsupervision 2jby 2jthe 2jRN 2javailable 2jon 2jsite 2jor 2jby 2jphone
d. Working 2jas 2jan 2jindependent 2jvocational 2jnurse
ANS: C
The 2jvocational 2jnurse 2jin 2jthe 2jcapacity 2jof 2jthe 2jcharge 2jnurse 2jin 2ja 2jlong-term
2jcare 2jfacility 2jacts 2jwith 2jthe 2jgeneral 2jsupervision 2jof 2jan 2jRN 2javailable 2jon 2jsite
2jor 2jby 2jphone.
DIF: Cognitive 2jLevel: 2jComprehension REF:
2 j p. 2j3 OBJ: 2j1 2jTOP: 2 j Charge
2jNurse/Manager KEY: 2jNursing 2jProcess
2jStep: 2jN/A 2jMSC: 2jNCLEX: 2jSafe, 2jEffective 2jCare
2jEnvironment: 2jCoordinated 2jCare
5. The 2jnurse 2jis 2jeducating 2ja 2jpatient 2jthat 2jis 2ja 2jmember 2jof 2ja 2jhealth 2jmaintenance
2jorganization 2j(HMO). 2jWhich 2jinformation 2jshould 2jthe 2jnurse 2jinclude?
a. Seek 2jthe 2jopinion 2jof 2jan 2jalternate 2jhealth 2jcare 2jprovider.
b. Contact 2jthe 2jinsurance 2jcompany 2jfor 2jcoverage 2jdetails 2jas 2jservices 2jmay 2jbe 2jlimited.
c. Provide 2jdetailed 2jdocumentation 2jof 2jall 2jcare 2jreceived 2jfor 2jhis 2jcondition.
d. Wait 2jat 2jleast 2j6 2jmonths 2jto 2jsee 2ja 2jspecialist.
ANS: B
HMOs 2jare 2ja 2jkind 2jof 2jmanaged 2jcare. 2jThis 2jis 2jaccomplished 2jby 2jpaying
2jproviders 2jto 2jcare 2jfor 2jgroups 2jof 2jpatients 2jfor 2ja 2jset 2jcapitation 2jfee 2jand
2jby 2jlimiting 2jservices. 2jPatients 2jare 2jnot 2jrequired 2jto 2jseek 2ja 2jsecond 2jopinion,
2jprovide 2jdocumentation 2jof 2jcare, 2jor 2jwait 2ja 2jspecific 2jtime 2jperiod 2jbefore
2jvisiting 2ja 2jspecialist.
DIF: 2 j 2 j Cognitive 2jLevel: 2jApplication REF: 2 j 2 j p. 2j9 OBJ: 2j 9
TOP: 2 j Charge 2jNurse/Manager KEY: 2jNursing 2jProcess 2jStep:
2jImplementation 2jMSC: 2jNCLEX: 2jSafe, 2jEffective 2jCare 2jEnvironment:
2jCoordinated 2jCare
6. The 2jpatient 2jcomplains 2jto 2jthe 2jnurse 2jthat 2jhe 2jis 2jconfused 2jabout 2jhis 2j"deductible"
2jthat 2jhe 2jowes 2jthe 2jhospital. 2jWhich 2jstatement 2jaccurately 2jexplains 2ja 2jdeductible?
a. An 2jamount 2jof 2jmoney 2jput 2jaside 2jfor 2jthe 2jpayment 2jof 2jfuture 2jmedical 2jbills
b. A 2jone-time 2jfee 2jfor 2jservice
c. An 2jamount 2jof 2jmoney 2jdeducted 2jfrom 2jthe 2jbill 2jby 2jthe 2jinsurance 2jcompany
d. An 2jannual 2jamount 2jof 2jmoney 2jthe 2jpatient 2jmust 2jpay 2jout-of-pocket 2jfor 2jmedical 2jcare
ANS: D
The 2jdeductible 2jis 2jthe 2jannual 2jamount 2jthe 2jinsured 2jmust 2jpay 2jout-of-pocket 2jprior
2jto 2jthe 2jinsurance 2jcompany 2jassuming 2jthe 2jcost. 2jThis 2jpractice 2jimproves 2jthe
2jprofit 2jof 2jthe 2jinsurance 2jcompany.
DIF: 2 j 2 j Cognitive 2jLevel: 2jComprehension 2 j 2 j REF: 2 j 2 j p. 2j7 OBJ: 2j 9
TOP: 2 j Health 2jCare 2jFinancing KEY: 2jNursing 2jProcess 2jStep:
2jImplementation 2jMSC: 2jNCLEX: 2jSafe, 2jEffective 2jCare 2jEnvironment:
2jCoordinated 2jCare
7. A 2jpatient 2jasks 2jthe 2jnurse 2jwhat 2jMedicare 2jPart 2jA 2jcovers. 2jWhich 2jresponse 2jis 2jcorrect?
a. Medicare 2jPart 2jA 2jcovers 2jinpatient 2jhospital 2jcosts.
b. Medicare 2jPart 2jA 2jcovers 2jreimbursement 2jto 2jthe 2jphysician.
c. Medicare 2jPart 2jA 2jcovers 2joutpatient 2jhospital 2jservices.
d. Medicare 2jPart 2jA 2jcovers 2jambulance 2jtransportation.
