Test Bank For Medical Surgical Nursing 5th Edition By Holly K. Stromberg, All Chapters 1-49

CHAPTER 01: CARING FOR MEDICAL-SURGICAL
PATIENTS
STROMBERG: MEDICAL-SURGICAL NURSING:
CONCEPTS AND PRACTICE, 5TH EDITION EXAM TEST
WITH COMPLETE SOLUTIONS AND 100% NEWLY
UPDATED




MULTIPLEbCHOICE

1. Whichbstatementbaccuratelybdescribesbthebprimarybpurposebofbthebstatebnursebpracticeb
actb(NPA)?
a. TobtestbandblicensebLPN/LVNs
b. TobdefinebthebscopebofbLPN/LVNbpractice
c. TobimprovebthebqualitybofbcarebprovidedbbybthebLPN/LVN
d. ToblimitbthebLPN/LVNbemploymentbplacement
ANS:b B
WhilebimprovingbqualitybofbcarebprovidedbbybthebLPN/LVNbmaybbebabresultbofbthebNPA,btheb
primarybpurposebofbthebNPAbofbeachbstatebdefinesbthebscopebofbnursingbpracticebinbthatbstate.

DIF: CognitivebLevel:bComprehension REF:bbbp.b3
OBJ:b3bTOP:b NPA
KEY:b NursingbProcessbStep:bImplementation
MSC:b NCLEX:bSafe,bEffectivebCarebEnvironment:bCoordinatedbCare

2. Thebchargebnursebasksbthebnewbvocationalbnursebtobstartbanbintravenousbinfusion,babskillbthat
bthebvocationalbnursebhasbnotbbeenbtaughtbduringbherbeducationalbprogram.bHowbshouldbthebv
ocationalbnursebrespond?
a. Askbabmorebexperiencedbnursebtobdemonstratebthebprocedure.
b. Lookbupbthebprocedurebinbthebprocedurebmanual.
c. Attemptbtobperformbthebprocedurebwithbsupervision.
d. Informbthebchargebnursebofbherblackbofbtrainingbinbthisbprocedure
.

, ANS:b D
Thebchargebnursebshouldbbebinformedbofbtheblackbofbtrainingbtobperformbthebprocedure,bandbt
hebvocationalbnursebshouldbseekbfurtherbtrainingbtobgainbproficiency.bAlthoughbthebotherbopti
onsbmightb bebhelpful,btheybareb notb safe.

DIF: CognitivebLevel:bApplication REF:bbbp.b3
OBJ:b1bTOP:b ProvidingbSafebCare
KEY:bNursingbProcessbStep:bN/AbMSC:b NCLEX:bSafe,bEffectivebCa
rebEnvironment:bCoordinatedbCare

3. Whichbpatientbstatementbindicatesbabneedbforbfurtherbdischargebteachingbthatbthebvocatio
nalbnursebshouldbaddress?
a. ―Ibhavebnob ideabofbhowbthisbdrugbwillbaffectb me.‖
b. ―Dob youbknowbifbmybphysicianbisbcomingb backbtoday?‖
c. ―Willbmybinsurancebpaybforbmybstay?‖
d. ―AmbIbgoingbtob havebtobgobtob abnursingb home?‖
ANS:b A
Lackbofbknowledgebatbdischargebaboutbmedicationbeffectsbandbsidebeffectsbisbabconcernbthatbsh
ouldbbebaddressedbbybthebvocationalbnurse.bThebotherbconcernsbinbtheboptionsbarebthebresponsi
bilitybofbotherbdepartmentsbtobwhichbthebnursebmightbreferbthebpatient.

DIF: CognitivebLevel:bApplication REF:bbbp.b2
OBJ:b1bTOP:b Teaching
KEY:b NursingbProcessbStep:bImplementation

, MSC:b NCLEX:bSafe,bEffectivebCarebEnvironment:bCoordinatedbCare

4. AccordingbtobmostbstatebNPAs,bthebvocationalbnursebactingbasbchargebnursebinbablong-
termbcarebfacilitybactsbinbwhichbcapacity?
a. WorkingbunderbdirectbsupervisionbofbanbRNbonbthebunit
b. WorkingbwithbthebRNbinbthebbuilding
c. WorkingbunderbgeneralbsupervisionbbybthebRNbavailablebonbsiteborbbybphon
e
d. Workingbasbanbindependentbvocationalbnurse
ANS:b C
Thebvocationalbnursebinbthebcapacitybofbthebchargebnursebinbablong-
termbcarebfacilitybactsbwithbthebgeneralbsupervisionbofbanbRNbavailablebonbsiteborbbybphone.

DIF: CognitivebLevel:bComprehension REF:bbbp.b3
OBJ:b1bTOP:b ChargebNurse/Manager
KEY:bNursingbProcessbStep:bN/AbMSC:b NCLEX:bSafe,bEffectivebCa
rebEnvironment:bCoordinatedbCare

5. Thebnursebisbeducatingbabpatientbthatbisbabmemberbofbabhealthbmaintenanceborganizat
ionb(HMO).bWhichbinformationbshouldbthebnursebinclude?
a. Seekbthebopinionbofbanbalternatebhealthbcarebprovider.
b. Contactbthebinsurancebcompanybforbcoveragebdetailsbasbservicesbmaybbeblimited
.
c. Providebdetailedbdocumentationbofballbcarebreceivedbforbhisbcondition.
d. Waitbatbleastb6bmonthsbtobseebabspecialist.
ANS:b B
HMOsbarebabkindbofbmanagedbcare.bThisbisbaccomplishedbbybpayingbprovidersbtobcarebforbg
roupsbofbpatientsbforbabsetbcapitationbfeebandbbyblimitingbservices.bPatientsbarebnotbrequiredb
tobseekbabsecondbopinion,bprovidebdocumentationbofbcare,borbwaitbabspecificbtimebperiodbbef
orebvisitingbabspecialist.

DIF: CognitivebLevel:bApplication REF:bbbp.b9 OBJ:b 9
TOP:b ChargebNurse/Manager
KEY:bNursingbProcessbStep:bImplementatio
nbMSC:b NCLEX:bSafe,bEffectivebCarebEnvironment:bCoordinatedbCare

6. Thebpatientb complainsbtobthebnursebthatb heb isbconfusedbaboutb hisb―deductible‖bthatbhebowesb
thebhospital.bWhichbstatementb accuratelybexplainsbabdeductible?
a. Anbamountbofbmoneybputbasidebforbthebpaymentbofbfuturebmedicalbbills
b. Abone-timebfeebforbservice
c. Anbamountbofbmoneybdeductedbfrombthebbillbbybthebinsurancebcompany
d. Anbannualbamountbofbmoneybthebpatientbmustbpaybout-of-
pocketbforbmedicalbcare
ANS:b D
Thebdeductiblebisbthebannualbamountbthebinsuredbmustbpaybout-of-
pocketbpriorbtobthebinsurancebcompanybassumingbthebcost.bThisbpracticebimprovesbthebprofitbof
bthebinsurancebcompany.


DIF: CognitivebLevel:bComprehension REF:bbbp.b7 OBJ:b 9
TOP:b HealthbCarebFinancing
KEY:bNursingbProcessbStep:bImplementatio
nbMSC:b NCLEX:bSafe,bEffectivebCarebEnvironment:bCoordinatedbCare

7. AbpatientbasksbthebnursebwhatbMedicarebPartbAbcovers.bWhichbresponsebisbcorrect?

, a. MedicarebPartbAbcoversbinpatientbhospitalbcosts.
b. MedicarebPartbAbcoversbreimbursementbtobthebphysician.