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Medical-Surgical Nursing: Concepts & Practice 5th Edition Stromberg Test Bank
1. Caring for Medical-Surgical Patients
2. Critical Thinking, Clinical Judgment, and the Nursing Process
3. Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy
4. Care of Preoperative and Intraoperative Surgical Patients
5. Care of Postoperative Surgical Patients
6. Infection Prevention and Control
7. Care of Patients With Pain
8. Care of Patients With Cancer
9. Chronic Illness and Rehabilitation
10. The Immune and Lymphatic Systems
11. Care of Patients With Immune and Lymphatic Disorders
12. The Respiratory System
13. Care of Patients With Disorders of the Upper Respiratory System
14. Care of Patients With Disorders of the Lower Respiratory System
15. The Hematologic System
16. Care of Patients With Hematologic Disorders
17. The Cardiovascular System
18. Care of Patients With Hypertension and Peripheral Vascular Disease
19. Care of Patients With Cardiac Disorders
20. Care of Patients With Coronary Artery Disease and Cardiac Surgery
21. The Neurologic System
22. Care of Patients With Head and Spinal Cord Injuries
23. Care of Patients With Brain Disorders
24. Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
25. The Sensory System: Eye
26. The Sensory System: Ear
27. The Gastrointestinal System
28. Care of Patients With Disorders of the Upper Gastrointestinal System
29. Care of Patients With Disorders of the Lower Gastrointestinal System
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30. Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas
31. The Musculoskeletal System
32. Care of Patients With Musculoskeletal and Connective Tissue Disorders
33. The Urinary System
34. Care of Patients With Disorders of the Urinary System
35. The Endocrine System
36. Care of Patients With Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
37. Care of Patients With Diabetes and Hypoglycemia
38. The Reproductive System
39. Care of Women With Reproductive Disorders
40. Care of Men With Reproductive Disorders
41. Care of Patients With Sexually Transmitted Infections
42. The Integumentary System
43. Care of Patients With Integumentary Disorders and Burns
44. Care of Patients in Disasters or Bioterrorism Attacks
45. Care of Patients With Emergent Conditions, Trauma, and Shock
46. Care of Patients With Cognitive Function Disorders
47. Care of Patients With Anxiety, Mood, and Eating Disorders
48. Care of Patients With Substance-Related and Addictive Disorders
49. Care of Patients With Thought and Personality Disorders
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Chapter 01: Caring for Medical-Surgical Patients
Stromberg: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
MULTIPLE CHOICE
1. 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.
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
primary purpose of the NPA of each state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. 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.
ANS: D
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.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which patient statement indicates a need for further discharge teaching that the vocational
nurse should address?
a. “I have no idea of 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?”
ANS: A
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 in the options are the
responsibility of other departments to which the nurse might refer the patient.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. 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 available on site or by phone
d. Working as an independent vocational nurse
ANS: C
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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. 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. Obtain insurance approval for medical services prior to treatment.
c. Provide detailed documentation of all care received for his condition.
d. Wait at least 6 months to see a specialist.
ANS: B
Most HMOs require preprocedure authorization for treatment. Patients are not required to
seek a second opinion, provide documentation of care, or wait a specific time period before
visiting a specialist.
PTS: 1 DIF: Cognitive Level: Application REF: 9
OBJ: 9 TOP: Charge Nurse/Manager
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. 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
ANS: D
The deductible is the annual amount the insured must pay out-of-pocket prior to the insurance
company assuming the cost. This practice improves the profit of the insurance company.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 7
OBJ: 9 TOP: Health Care Financing
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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Medical-Surgical Nursing: Concepts & Practice 5th Edition Stromberg Test Bank
1. Caring for Medical-Surgical Patients
2. Critical Thinking, Clinical Judgment, and the Nursing Process
3. Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy
4. Care of Preoperative and Intraoperative Surgical Patients
5. Care of Postoperative Surgical Patients
6. Infection Prevention and Control
7. Care of Patients With Pain
8. Care of Patients With Cancer
9. Chronic Illness and Rehabilitation
10. The Immune and Lymphatic Systems
11. Care of Patients With Immune and Lymphatic Disorders
12. The Respiratory System
13. Care of Patients With Disorders of the Upper Respiratory System
14. Care of Patients With Disorders of the Lower Respiratory System
15. The Hematologic System
16. Care of Patients With Hematologic Disorders
17. The Cardiovascular System
18. Care of Patients With Hypertension and Peripheral Vascular Disease
19. Care of Patients With Cardiac Disorders
20. Care of Patients With Coronary Artery Disease and Cardiac Surgery
21. The Neurologic System
22. Care of Patients With Head and Spinal Cord Injuries
23. Care of Patients With Brain Disorders
24. Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
25. The Sensory System: Eye
26. The Sensory System: Ear
27. The Gastrointestinal System
28. Care of Patients With Disorders of the Upper Gastrointestinal System
29. Care of Patients With Disorders of the Lower Gastrointestinal System
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30. Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas
31. The Musculoskeletal System
32. Care of Patients With Musculoskeletal and Connective Tissue Disorders
33. The Urinary System
34. Care of Patients With Disorders of the Urinary System
35. The Endocrine System
36. Care of Patients With Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
37. Care of Patients With Diabetes and Hypoglycemia
38. The Reproductive System
39. Care of Women With Reproductive Disorders
40. Care of Men With Reproductive Disorders
41. Care of Patients With Sexually Transmitted Infections
42. The Integumentary System
43. Care of Patients With Integumentary Disorders and Burns
44. Care of Patients in Disasters or Bioterrorism Attacks
45. Care of Patients With Emergent Conditions, Trauma, and Shock
46. Care of Patients With Cognitive Function Disorders
47. Care of Patients With Anxiety, Mood, and Eating Disorders
48. Care of Patients With Substance-Related and Addictive Disorders
49. Care of Patients With Thought and Personality Disorders
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Chapter 01: Caring for Medical-Surgical Patients
Stromberg: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
MULTIPLE CHOICE
1. 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.
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
primary purpose of the NPA of each state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. 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.
ANS: D
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.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which patient statement indicates a need for further discharge teaching that the vocational
nurse should address?
a. “I have no idea of 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?”
ANS: A
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 in the options are the
responsibility of other departments to which the nurse might refer the patient.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. 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 available on site or by phone
d. Working as an independent vocational nurse
ANS: C
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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. 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. Obtain insurance approval for medical services prior to treatment.
c. Provide detailed documentation of all care received for his condition.
d. Wait at least 6 months to see a specialist.
ANS: B
Most HMOs require preprocedure authorization for treatment. Patients are not required to
seek a second opinion, provide documentation of care, or wait a specific time period before
visiting a specialist.
PTS: 1 DIF: Cognitive Level: Application REF: 9
OBJ: 9 TOP: Charge Nurse/Manager
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. 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
ANS: D
The deductible is the annual amount the insured must pay out-of-pocket prior to the insurance
company assuming the cost. This practice improves the profit of the insurance company.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 7
OBJ: 9 TOP: Health Care Financing
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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