MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
COMPLETE TEST BANK _
MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION, (2021)
BY HOLLY K. STROMBERG
ALL CHAPTERS 1-49| 16 UNITS| LATEST VERSION WITH DETAILED ANSWERS| GRADE A+
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
Unit 1. Medical-Surgical Nursing Settings __________________________________________ 5
Chapter 01: Caring For Medical-Surgical Patients _________________________________________ 5
Chapter 02: Critical Thinking And The Nursing Process ___________________________________ 23
Unit 2. Medical-Surgical Patient Care Problems ____________________________________ 35
Chapter 03: Fluid, Electrolytes, Acid-Base Balance, And Intravenous Therapy _________________ 35
Chapter 04: Care Of Preoperative And Intraoperative Surgical Patients ______________________ 45
Chapter 05: Care Of Postoperative Patients ____________________________________________ 57
Chapter 06: Infection Prevention And Control __________________________________________ 68
Chapter 07: Care Of Patients With Pain _______________________________________________ 78
Chapter 08: Care Of Patients With Cancer _____________________________________________ 89
Chapter 09: Chronic Illness And Rehabilitation_________________________________________ 100
Unit 3. Immune System ______________________________________________________ 112
Chapter 10: The Immune And Lymphatic System _______________________________________ 112
Chapter 11: Care Of Patients With Immune And Lymphatic Disorders ______________________ 122
Unit 4. Respiratory System____________________________________________________ 135
Chapter 12: The Respiratory System _________________________________________________ 135
Chapter 13: Care Of Patients With Disorders Of The Upper Respiratory System ______________ 147
Chapter 14: Care Of Patients With Disorders Of The Lower Respiratory System ______________ 158
Unit 5. Hematologic System___________________________________________________ 170
Chapter 15: The Hematologic System ________________________________________________ 170
Chapter 16: Care Of Patients With Hematologic Disorders _______________________________ 182
Unit 6. Cardiovascular System _________________________________________________ 193
Chapter 17: The Cardiovascular System ______________________________________________ 193
Chapter 18: Care Of Patients With Hypertension And Peripheral Vascular Disease ____________ 203
Chapter 19: Care Of Patients With Cardiac Disorders ____________________________________ 215
Chapter 20: Care Of Patients With Coronary Artery Disease And Cardiac Surgery _____________ 225
Unit 7. Neurologic System ____________________________________________________ 238
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
Chapter 21: The Neurologic System _________________________________________________ 238
Chapter 22: Care Of Patients With Head And Spinal Cord Injuries _________________________ 250
Chapter 23: Care Of Patients With Brain Disorders _____________________________________ 261
Chapter 24: Care Of Patients With Peripheral Nerve And Degenerative Neurologic Disorders ___ 271
Unit 8. Sensory System _______________________________________________________ 282
Chapter 25: The Sensory System: Eye ________________________________________________ 282
Chapter 26: The Sensory System: Ear ________________________________________________ 293
Unit 9. Gastrointestinal System ________________________________________________ 305
Chapter 27: The Gastrointestinal System _____________________________________________ 305
Chapter 28: Care Of Patients With Disorders Of The Upper Gastrointestinal System __________ 316
Chapter 29: Care Of Patients With Disorders Of The Lower Gastrointestinal System __________ 328
Chapter 30: Care Of Patients With Disorders Of The Gallbladder, Liver, And Pancreas _________ 340
Unit X. Musculoskeletal System ________________________________________________ 352
Chapter 31: The Musculoskeletal System _____________________________________________ 352
Chapter 32: Care Of Patients With Musculoskeletal And Connective Tissue Disorders _________ 363
Unit 11. Urinary System ______________________________________________________ 376
Chapter 33: The Urinary System ____________________________________________________ 376
Chapter 34: Care Of Patients With Disorders Of The Urinary System _______________________ 388
Unit 12. Endocrine System ____________________________________________________ 401
Chapter 35: The Endocrine System __________________________________________________ 401
Chapter 36: Care Of Patients With Pituitary, Thyroid, Parathyroid, And Adrenal Disorders _____ 412
Chapter 37: Care Of Patients With Diabetes And Hypoglycemia ___________________________ 424
Unit 13. Reproductive System _________________________________________________ 437
Chapter 38. The Reproductive System _______________________________________________ 437
Chapter 39: Care Of Women With Reproductive Disorders _______________________________ 444
Chapter 40: Care Of Men With Reproductive Disorders __________________________________ 457
Chapter 41: Care Of Patients With Sexually Transmitted Infections ________________________ 469
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
Unit 14. Integumentary System ________________________________________________ 481
Chapter 42: The Integumentary System ______________________________________________ 481
Chapter 43: Care Of Patents With Integumentary Disorders And Burns _____________________ 493
Unit 15. Emergency And Disaster Management ___________________________________ 506
Chapter 44: Care Of Patients In Disasters Or Bioterrorism Attack __________________________ 506
Chapter 45: Care Of Patients With Emergent Conditions, Trauma, And Shock ________________ 517
Unit 16. Mental Health Nursing Of The Adult _____________________________________ 529
Chapter 46: Care Of Patients With Cognitive Function Disorders __________________________ 529
Chapter 47: Care Of Patients With Anxiety, Mood, And Eating Disorders____________________ 540
Chapter 48: Care Of Patients With Substance-Related And Addictive Disorders ______________ 552
Chapter 49: Care Of Patients With Thought And Personality Disorders _____________________ 564
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
Unit 1. Medical-Surgical Nursing Settings
Chapter 01: Caring For Medical-Surgical Patients
Holly K. Stromberg: Medical-Surgical Nursing: Concepts & Practice 5th Edition, (2021)
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.
ANSWER:> 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.
A: Testing And Licensing Are Functions Of The State Board Of Nursing, Not The
Primary Purpose Of The Npa.
C: While The Npa May Indirectly Improve Care Quality, This Is Not Its Primary
Purpose.
D: The Npa Does Not Aim To Limit Employment Placement But Rather To Regulate
Practice Standards
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
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
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.
ANSWER:> 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.
A: While Learning From Experienced Nurses Is Valuable, It Is Not Appropriate For
Performing An Unfamiliar Procedure Without Prior Training.
B: Reading A Manual Is Insufficient For Performing A High-Risk Procedure Like Iv
Infusion.
C: Attempting The Procedure Without Proper Training Compromises Patient Safety.
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?”
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
ANSWER:> 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.
B: This Is A Logistical Question Unrelated To Discharge Teaching.
C: Insurance Concerns Are Typically Handled By The Billing Department.
D: Placement Decisions Are Usually Made By Social Workers Or Case Managers.
Pts: 1
Dif: Cognitive Level: Application Ref: 2
Obj: 1 Top: Teaching Key: Nursing Process Step: Implementation
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
ANSWER:> 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.
A: Direct Supervision Implies Constant Oversight, Which Is Not Required.
B: This Is Vague And Does Not Specify The Supervisory Relationship.
D: Vocational Nurses Are Not Authorized To Work Independently.
Pts: 1
Dif: Cognitive Level: Comprehension Ref: 2
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
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.
ANSWER:> 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.
A: Second Opinions Are Not Required By Hmos.
C: Documentation Is Important But Not Specific To Hmos.
D: Hmos Do Not Impose A Waiting Period For Specialist Visits.
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
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
D. An Annual Amount Of Money The Patient Must Pay Out-Of-Pocket For Medical Care
ANSWER:> 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.
A: This Describes A Health Savings Account, Not A Deductible.
B: This Describes A Copayment, Not A Deductible.
C: This Is Incorrect; The Deductible Is Paid By The Patient, Not 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
7. The Nurse Compares The Characteristics Of A Health Maintenance Organization
(Hmo) And A Preferred Provider Organization (Ppo). Which Information Should The
Nurse Include About Hmos?
A. Hmos Require A Set Fee Of Each Member Monthly.
B. Hmos Allow The Member To Select His Health Care Provider.
C. Hmos Permit Admission To Any Facility The Member Prefers.
D. Hmos Offer Unlimited Diagnostic Tests And Treatments.
ANSWER:> A
Hmos Require A Set Fee From Each Member Monthly (Capitation). The Patient Will Be
Treated By The Hmo Staff In Hmo-Approved Facilities. Excessive Use Of Diagnostic
Tests And Treatments Is Discouraged By The Hmo.
B: Hmos Typically Restrict Provider Choice To In-Network Professionals.
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
C: Hmos Require Treatment At Approved Facilities.
D: Hmos Discourage Excessive Use Of Diagnostic Tests To Control Costs.
Pts: 1
Dif: Cognitive Level: Application Ref: 9
Obj: 9 Top: Managed Care
Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
8. A Patient Asks The Nurse What Medicare Part A Covers. Which Response Is Correct?
A. Medicare Part A Covers Inpatient Hospital Costs.
B. Medicare Part A Covers Reimbursement To The Physician.
C. Medicare Part A Covers Outpatient Hospital Services.
D. Medicare Part A Covers Ambulance Transportation.
ANSWER:> A
Medicare Part A Covers Inpatient Hospital Expenses, Drugs, X-Rays, Laboratory Work,
And Intensive Care. Medicare Part B Pays The Physician, Ambulance Transport, And
Outpatient Services.
B: Physician Reimbursement Is Covered Under Medicare Part B.
C: Outpatient Services Are Covered Under Medicare Part B.
D: Ambulance Transportation Is Covered Under Medicare Part B.
Pts: 1
Dif: Cognitive Level: Comprehension Ref: 7, Box 1-4
Obj: 9 Top: Government-Sponsored Health Insurance
Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
COMPLETE TEST BANK _
MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION, (2021)
BY HOLLY K. STROMBERG
ALL CHAPTERS 1-49| 16 UNITS| LATEST VERSION WITH DETAILED ANSWERS| GRADE A+
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
Unit 1. Medical-Surgical Nursing Settings __________________________________________ 5
Chapter 01: Caring For Medical-Surgical Patients _________________________________________ 5
Chapter 02: Critical Thinking And The Nursing Process ___________________________________ 23
Unit 2. Medical-Surgical Patient Care Problems ____________________________________ 35
Chapter 03: Fluid, Electrolytes, Acid-Base Balance, And Intravenous Therapy _________________ 35
Chapter 04: Care Of Preoperative And Intraoperative Surgical Patients ______________________ 45
Chapter 05: Care Of Postoperative Patients ____________________________________________ 57
Chapter 06: Infection Prevention And Control __________________________________________ 68
Chapter 07: Care Of Patients With Pain _______________________________________________ 78
Chapter 08: Care Of Patients With Cancer _____________________________________________ 89
Chapter 09: Chronic Illness And Rehabilitation_________________________________________ 100
Unit 3. Immune System ______________________________________________________ 112
Chapter 10: The Immune And Lymphatic System _______________________________________ 112
Chapter 11: Care Of Patients With Immune And Lymphatic Disorders ______________________ 122
Unit 4. Respiratory System____________________________________________________ 135
Chapter 12: The Respiratory System _________________________________________________ 135
Chapter 13: Care Of Patients With Disorders Of The Upper Respiratory System ______________ 147
Chapter 14: Care Of Patients With Disorders Of The Lower Respiratory System ______________ 158
Unit 5. Hematologic System___________________________________________________ 170
Chapter 15: The Hematologic System ________________________________________________ 170
Chapter 16: Care Of Patients With Hematologic Disorders _______________________________ 182
Unit 6. Cardiovascular System _________________________________________________ 193
Chapter 17: The Cardiovascular System ______________________________________________ 193
Chapter 18: Care Of Patients With Hypertension And Peripheral Vascular Disease ____________ 203
Chapter 19: Care Of Patients With Cardiac Disorders ____________________________________ 215
Chapter 20: Care Of Patients With Coronary Artery Disease And Cardiac Surgery _____________ 225
Unit 7. Neurologic System ____________________________________________________ 238
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
Chapter 21: The Neurologic System _________________________________________________ 238
Chapter 22: Care Of Patients With Head And Spinal Cord Injuries _________________________ 250
Chapter 23: Care Of Patients With Brain Disorders _____________________________________ 261
Chapter 24: Care Of Patients With Peripheral Nerve And Degenerative Neurologic Disorders ___ 271
Unit 8. Sensory System _______________________________________________________ 282
Chapter 25: The Sensory System: Eye ________________________________________________ 282
Chapter 26: The Sensory System: Ear ________________________________________________ 293
Unit 9. Gastrointestinal System ________________________________________________ 305
Chapter 27: The Gastrointestinal System _____________________________________________ 305
Chapter 28: Care Of Patients With Disorders Of The Upper Gastrointestinal System __________ 316
Chapter 29: Care Of Patients With Disorders Of The Lower Gastrointestinal System __________ 328
Chapter 30: Care Of Patients With Disorders Of The Gallbladder, Liver, And Pancreas _________ 340
Unit X. Musculoskeletal System ________________________________________________ 352
Chapter 31: The Musculoskeletal System _____________________________________________ 352
Chapter 32: Care Of Patients With Musculoskeletal And Connective Tissue Disorders _________ 363
Unit 11. Urinary System ______________________________________________________ 376
Chapter 33: The Urinary System ____________________________________________________ 376
Chapter 34: Care Of Patients With Disorders Of The Urinary System _______________________ 388
Unit 12. Endocrine System ____________________________________________________ 401
Chapter 35: The Endocrine System __________________________________________________ 401
Chapter 36: Care Of Patients With Pituitary, Thyroid, Parathyroid, And Adrenal Disorders _____ 412
Chapter 37: Care Of Patients With Diabetes And Hypoglycemia ___________________________ 424
Unit 13. Reproductive System _________________________________________________ 437
Chapter 38. The Reproductive System _______________________________________________ 437
Chapter 39: Care Of Women With Reproductive Disorders _______________________________ 444
Chapter 40: Care Of Men With Reproductive Disorders __________________________________ 457
Chapter 41: Care Of Patients With Sexually Transmitted Infections ________________________ 469
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
Unit 14. Integumentary System ________________________________________________ 481
Chapter 42: The Integumentary System ______________________________________________ 481
Chapter 43: Care Of Patents With Integumentary Disorders And Burns _____________________ 493
Unit 15. Emergency And Disaster Management ___________________________________ 506
Chapter 44: Care Of Patients In Disasters Or Bioterrorism Attack __________________________ 506
Chapter 45: Care Of Patients With Emergent Conditions, Trauma, And Shock ________________ 517
Unit 16. Mental Health Nursing Of The Adult _____________________________________ 529
Chapter 46: Care Of Patients With Cognitive Function Disorders __________________________ 529
Chapter 47: Care Of Patients With Anxiety, Mood, And Eating Disorders____________________ 540
Chapter 48: Care Of Patients With Substance-Related And Addictive Disorders ______________ 552
Chapter 49: Care Of Patients With Thought And Personality Disorders _____________________ 564
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
Unit 1. Medical-Surgical Nursing Settings
Chapter 01: Caring For Medical-Surgical Patients
Holly K. Stromberg: Medical-Surgical Nursing: Concepts & Practice 5th Edition, (2021)
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.
ANSWER:> 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.
A: Testing And Licensing Are Functions Of The State Board Of Nursing, Not The
Primary Purpose Of The Npa.
C: While The Npa May Indirectly Improve Care Quality, This Is Not Its Primary
Purpose.
D: The Npa Does Not Aim To Limit Employment Placement But Rather To Regulate
Practice Standards
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
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
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.
ANSWER:> 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.
A: While Learning From Experienced Nurses Is Valuable, It Is Not Appropriate For
Performing An Unfamiliar Procedure Without Prior Training.
B: Reading A Manual Is Insufficient For Performing A High-Risk Procedure Like Iv
Infusion.
C: Attempting The Procedure Without Proper Training Compromises Patient Safety.
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?”
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
ANSWER:> 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.
B: This Is A Logistical Question Unrelated To Discharge Teaching.
C: Insurance Concerns Are Typically Handled By The Billing Department.
D: Placement Decisions Are Usually Made By Social Workers Or Case Managers.
Pts: 1
Dif: Cognitive Level: Application Ref: 2
Obj: 1 Top: Teaching Key: Nursing Process Step: Implementation
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
ANSWER:> 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.
A: Direct Supervision Implies Constant Oversight, Which Is Not Required.
B: This Is Vague And Does Not Specify The Supervisory Relationship.
D: Vocational Nurses Are Not Authorized To Work Independently.
Pts: 1
Dif: Cognitive Level: Comprehension Ref: 2
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
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.
ANSWER:> 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.
A: Second Opinions Are Not Required By Hmos.
C: Documentation Is Important But Not Specific To Hmos.
D: Hmos Do Not Impose A Waiting Period For Specialist Visits.
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
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
D. An Annual Amount Of Money The Patient Must Pay Out-Of-Pocket For Medical Care
ANSWER:> 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.
A: This Describes A Health Savings Account, Not A Deductible.
B: This Describes A Copayment, Not A Deductible.
C: This Is Incorrect; The Deductible Is Paid By The Patient, Not 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
7. The Nurse Compares The Characteristics Of A Health Maintenance Organization
(Hmo) And A Preferred Provider Organization (Ppo). Which Information Should The
Nurse Include About Hmos?
A. Hmos Require A Set Fee Of Each Member Monthly.
B. Hmos Allow The Member To Select His Health Care Provider.
C. Hmos Permit Admission To Any Facility The Member Prefers.
D. Hmos Offer Unlimited Diagnostic Tests And Treatments.
ANSWER:> A
Hmos Require A Set Fee From Each Member Monthly (Capitation). The Patient Will Be
Treated By The Hmo Staff In Hmo-Approved Facilities. Excessive Use Of Diagnostic
Tests And Treatments Is Discouraged By The Hmo.
B: Hmos Typically Restrict Provider Choice To In-Network Professionals.
, MEDICAL-SURGICAL NURSING: CONCEPTS & PRACTICE 5TH EDITION
C: Hmos Require Treatment At Approved Facilities.
D: Hmos Discourage Excessive Use Of Diagnostic Tests To Control Costs.
Pts: 1
Dif: Cognitive Level: Application Ref: 9
Obj: 9 Top: Managed Care
Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
8. A Patient Asks The Nurse What Medicare Part A Covers. Which Response Is Correct?
A. Medicare Part A Covers Inpatient Hospital Costs.
B. Medicare Part A Covers Reimbursement To The Physician.
C. Medicare Part A Covers Outpatient Hospital Services.
D. Medicare Part A Covers Ambulance Transportation.
ANSWER:> A
Medicare Part A Covers Inpatient Hospital Expenses, Drugs, X-Rays, Laboratory Work,
And Intensive Care. Medicare Part B Pays The Physician, Ambulance Transport, And
Outpatient Services.
B: Physician Reimbursement Is Covered Under Medicare Part B.
C: Outpatient Services Are Covered Under Medicare Part B.
D: Ambulance Transportation Is Covered Under Medicare Part B.
Pts: 1
Dif: Cognitive Level: Comprehension Ref: 7, Box 1-4
Obj: 9 Top: Government-Sponsored Health Insurance
Key: Nursing Process Step: Implementation
Msc: Nclex: Safe, Effective Care Environment: Coordinated Care
