MEDICAL-SURGICAL NURSING I TEST 1
When the confused resident pours his cereal in a cup and "drinks" it, how should the
nurse respond? - Answers -Do nothing to interrupt the behavior.
The nurse is planning a group TV activity in a long-term care facility. The nurse should
select a channel that offers which type of program? - Answers -Travel documentaries
During the admission assessment, the nurse assesses the patient for fall risk. Which
finding will alert the nurse to an increased risk for falls? - Answers -The patient takes a
hypnotic.
A patient asks the nurse what Medicare Part A covers. Which response is correct? -
Answers -Medicare Part A covers inpatient hospital costs
The patient complains to the nurse that he is confused about his "deductible" that he
owes the hospital. Which statement accurately explains a deductible? - Answers -An
annual amount of money the patient must pay out-of-pocket for medical care.
The nurse is caring for a resident who has a security device for safety purposes. What
intervention should the nurse include in the plan of care. - Answers -Reassess the need
for security device every 4 to 8 hours.
Which statement accurately describes the primary purpose of the state Nurse Practice
Act (NPA)? - Answers -To define the scope of LPN/LVN practice.
The nurse is caring for an unconscious patient with a risk for skin impairment. How often
will the nurse plan to change the position of this patient? - Answers -Every 120 minutes
The rehabilitation nurse describes a patient who is blind, works full time as a Spanish
interpreter, and lives with his wife in a downtown apartment. How should the nurse
classify this person? - Answers -Impaired
The nurse observed a client who is fidgeting, wringing the hands, and has body
tenseness and a wrinkled brow. What is the best response to the client by the nurse? -
Answers -"You look tense, can you tell me if something is making you afraid or
nervous?"
According to most state nurse practice acts, the LPN acting as charge nurse in a long-
term care facility acts in which capacity? - Answers -Working under general supervision
by the RN available on site or by phone.
The nurse educates the nursing assistant about the importance of locking the wheels of
a wheelchair. Which statement indicates that the nursing assistant understands the
nursing's teaching? - Answers -"The locks help to prevent falls."
, The nurse is caring for a patient who states, "you are the only nurse who understands
about my pain. Can't you give me an extra dose of pain medication?" How should the
nurse respond to the patient's request? - Answers -Explain that dosage schedules are
by physician's orders.
The charge nurse instructs the nursing assistants about the policy concerning call lights.
The nurse teaches that patients taking which type of medication require especially
prompt call light attention? - Answers -Diuretics
A cost-efficient way to provide care to people who are confined to their homes because
of illness or disability in the use of: - Answers -Home health care
The nurse is caring for an obese resident with a pressure ulcer on her coccyx. The
patient frequently lies on her back because it is difficult to turn due to her weight. Which
intervention most effectively encourages independence? - Answers -Arrange for a
trapeze so the patient can assist with positioning.
Which statement describes the chief goal of a long-term care facility? - Answers -To
promote individual independence
What action should the LPN/LVN take when delegating care to a nursing assistant?
*(Select all that apply)* - Answers --List information that needs to be reported.
-Be aware that the nurse is responsible for outcome of delegated care.
-Give specific instruction as to what is to be done.
-instruct how the task is to be done.
When can the LPN/LVN apply a physical restraint to a resident in a long-term care
facility? *(Select all that apply)* - Answers --if documentation is made on all failed
attempts.
-if the least restrictive device is chosen.
-if the family is unable to stay with the resident.
-if all other measures have been attempted and failed.
The nurse is making recommendations to the plan of care for a patient who has limited
mobility. On which skin condition should the nurse focus as the greatest risk for this
patient? - Answers -Pressure ulcer
Which area is the major focus of Healthy People 2020 and the primary mechanism
through which to improve the health of Americans in the second decade of the century?
- Answers -Healthy lifestyle encouragement
The best communication given by the nurse to the unlicensed assistive personnel (UAP)
would be: - Answers -"Please measure each urine output and report it to me."
An overweight male patient rips off his hospital gown, throws it out the door, and shouts,
"I'm not wearing this stupid gown! It is too small, too short and exposes my backside to
When the confused resident pours his cereal in a cup and "drinks" it, how should the
nurse respond? - Answers -Do nothing to interrupt the behavior.
The nurse is planning a group TV activity in a long-term care facility. The nurse should
select a channel that offers which type of program? - Answers -Travel documentaries
During the admission assessment, the nurse assesses the patient for fall risk. Which
finding will alert the nurse to an increased risk for falls? - Answers -The patient takes a
hypnotic.
A patient asks the nurse what Medicare Part A covers. Which response is correct? -
Answers -Medicare Part A covers inpatient hospital costs
The patient complains to the nurse that he is confused about his "deductible" that he
owes the hospital. Which statement accurately explains a deductible? - Answers -An
annual amount of money the patient must pay out-of-pocket for medical care.
The nurse is caring for a resident who has a security device for safety purposes. What
intervention should the nurse include in the plan of care. - Answers -Reassess the need
for security device every 4 to 8 hours.
Which statement accurately describes the primary purpose of the state Nurse Practice
Act (NPA)? - Answers -To define the scope of LPN/LVN practice.
The nurse is caring for an unconscious patient with a risk for skin impairment. How often
will the nurse plan to change the position of this patient? - Answers -Every 120 minutes
The rehabilitation nurse describes a patient who is blind, works full time as a Spanish
interpreter, and lives with his wife in a downtown apartment. How should the nurse
classify this person? - Answers -Impaired
The nurse observed a client who is fidgeting, wringing the hands, and has body
tenseness and a wrinkled brow. What is the best response to the client by the nurse? -
Answers -"You look tense, can you tell me if something is making you afraid or
nervous?"
According to most state nurse practice acts, the LPN acting as charge nurse in a long-
term care facility acts in which capacity? - Answers -Working under general supervision
by the RN available on site or by phone.
The nurse educates the nursing assistant about the importance of locking the wheels of
a wheelchair. Which statement indicates that the nursing assistant understands the
nursing's teaching? - Answers -"The locks help to prevent falls."
, The nurse is caring for a patient who states, "you are the only nurse who understands
about my pain. Can't you give me an extra dose of pain medication?" How should the
nurse respond to the patient's request? - Answers -Explain that dosage schedules are
by physician's orders.
The charge nurse instructs the nursing assistants about the policy concerning call lights.
The nurse teaches that patients taking which type of medication require especially
prompt call light attention? - Answers -Diuretics
A cost-efficient way to provide care to people who are confined to their homes because
of illness or disability in the use of: - Answers -Home health care
The nurse is caring for an obese resident with a pressure ulcer on her coccyx. The
patient frequently lies on her back because it is difficult to turn due to her weight. Which
intervention most effectively encourages independence? - Answers -Arrange for a
trapeze so the patient can assist with positioning.
Which statement describes the chief goal of a long-term care facility? - Answers -To
promote individual independence
What action should the LPN/LVN take when delegating care to a nursing assistant?
*(Select all that apply)* - Answers --List information that needs to be reported.
-Be aware that the nurse is responsible for outcome of delegated care.
-Give specific instruction as to what is to be done.
-instruct how the task is to be done.
When can the LPN/LVN apply a physical restraint to a resident in a long-term care
facility? *(Select all that apply)* - Answers --if documentation is made on all failed
attempts.
-if the least restrictive device is chosen.
-if the family is unable to stay with the resident.
-if all other measures have been attempted and failed.
The nurse is making recommendations to the plan of care for a patient who has limited
mobility. On which skin condition should the nurse focus as the greatest risk for this
patient? - Answers -Pressure ulcer
Which area is the major focus of Healthy People 2020 and the primary mechanism
through which to improve the health of Americans in the second decade of the century?
- Answers -Healthy lifestyle encouragement
The best communication given by the nurse to the unlicensed assistive personnel (UAP)
would be: - Answers -"Please measure each urine output and report it to me."
An overweight male patient rips off his hospital gown, throws it out the door, and shouts,
"I'm not wearing this stupid gown! It is too small, too short and exposes my backside to
