Test Bank For Medical Surgical Nursing 5th Edition By Holly K.
Stromberg, All Chapters 1-49 Latest Update
Chapter 01: Caring for Medical-Surgical Patients
| | | | |
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
| | | | | | |
MULTIPLE CHOICE |
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
Cognitive Level: Comprehension DIF: | |
REF: 2 |
OBJ: 3 TOP: NPA KEY: Nursing Process Step: | | | |
Implementation
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill
| | | | | | | | | | | | | |
that the vocational nurse has notbeen 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:
| 3
, Application REF: |
OBJ: 1 TOP: Providing Safe Care Nursing Process | | |
KEY: Step: N/A |
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
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 vocationalnurse. The other concerns in the options are
| | | | | | | | | | | | | |
the responsibility of other departments to which the nurse might refer the patient.
| | | | | | | | | | | | |
PTS: 1
Cognitive Level: Application REF: DIF: | |
2
OBJ: 1 TOP: Teaching KEY: Nursing Process | |
Step: Implementation |
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
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 RNavailable on site or by phone.
| | | | | | | | | | | |
PTS: 1
Cognitive Level: REF: 2 DIF: |
Comprehension
OBJ: 1 TOP: Charge Nurse/Manager Nursi Process |
KEY: ng Step: N/A |
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
, The nurse is educating a patient that is a member of a health maintenance organization
| | | | | | | | | | | | | |
(HMO). Which informationshould 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, providedocumentation of care, or wait a specific time period
| | | | | | | | | | | | | |
before visiting a specialist.
| | | |
PTS: 1
Cognitive Level: 9 DIF: |
Application REF: |
OBJ: 9 TOP: Charge Nurse/Manager |
KEY: Nursing Process Step: Implementation
| | | |
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
The patient complains to the nurse that he is confused about his “deductible” that he owes
| | | | | | | | | | | | | | |
the hospital. Whichstatement 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. Thispractice improves the profit of the insurance
| | | | | | | | | | | | |
company.
|
PTS: 1
Cognitive Level: REF: 7 DIF: |
Comprehension
OBJ: 9 TOP: Health Care Financing | |
KEY: Nursing Process Step: Implementation
| | | |
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
The nurse compares the characteristics of a health maintenance organization (HMO) and
| | | | | | | | | | |
a preferred providerorganization (PPO). Which information should the nurse include
| | | | | | | | | |
about HMOs?
| |
Stromberg, All Chapters 1-49 Latest Update
Chapter 01: Caring for Medical-Surgical Patients
| | | | |
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
| | | | | | |
MULTIPLE CHOICE |
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
Cognitive Level: Comprehension DIF: | |
REF: 2 |
OBJ: 3 TOP: NPA KEY: Nursing Process Step: | | | |
Implementation
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill
| | | | | | | | | | | | | |
that the vocational nurse has notbeen 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:
| 3
, Application REF: |
OBJ: 1 TOP: Providing Safe Care Nursing Process | | |
KEY: Step: N/A |
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
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 vocationalnurse. The other concerns in the options are
| | | | | | | | | | | | | |
the responsibility of other departments to which the nurse might refer the patient.
| | | | | | | | | | | | |
PTS: 1
Cognitive Level: Application REF: DIF: | |
2
OBJ: 1 TOP: Teaching KEY: Nursing Process | |
Step: Implementation |
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
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 RNavailable on site or by phone.
| | | | | | | | | | | |
PTS: 1
Cognitive Level: REF: 2 DIF: |
Comprehension
OBJ: 1 TOP: Charge Nurse/Manager Nursi Process |
KEY: ng Step: N/A |
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
, The nurse is educating a patient that is a member of a health maintenance organization
| | | | | | | | | | | | | |
(HMO). Which informationshould 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, providedocumentation of care, or wait a specific time period
| | | | | | | | | | | | | |
before visiting a specialist.
| | | |
PTS: 1
Cognitive Level: 9 DIF: |
Application REF: |
OBJ: 9 TOP: Charge Nurse/Manager |
KEY: Nursing Process Step: Implementation
| | | |
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
The patient complains to the nurse that he is confused about his “deductible” that he owes
| | | | | | | | | | | | | | |
the hospital. Whichstatement 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. Thispractice improves the profit of the insurance
| | | | | | | | | | | | |
company.
|
PTS: 1
Cognitive Level: REF: 7 DIF: |
Comprehension
OBJ: 9 TOP: Health Care Financing | |
KEY: Nursing Process Step: Implementation
| | | |
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
| | | | | | |
The nurse compares the characteristics of a health maintenance organization (HMO) and
| | | | | | | | | | |
a preferred providerorganization (PPO). Which information should the nurse include
| | | | | | | | | |
about HMOs?
| |
