Test Bank For:
b b
Medical-Surgical Nursing: Concepts & Practice 5th Edition
b b b b b b
Stromberg Test Bank – Complete Guide with Verified Answers
b b b b b b b b b
,Chapter 01: Caring for Medical-Surgical Patients
b b b b b
Stromberg:Medical-Surgical Nursing: Concepts and Practice, 5th Edition
b b b b b b b
MULTIPLE CHOICE b
1. Which statement accuratelydescribes the primarypurpose of the state nurse
b b b b b b b b b b
practice act (NPA)?
b b b
a. To test and license LPN/LVNs
b b b b
b. To define the scope of LPN/LVN practice
b b b b b b
c. To improve the qualityof care provided by the LPN/LVN
b b b b b b b b b
d. Tolimitthe LPN/LVNemployment placement
b b b b b
ANS: B b
While improving quality of care provided by the LPN/LVN may be a result of
b b b b b b b b b b b b b
the NPA, the primarypurpose of the NPA of each state defines the scope of
b b b b b b b b b b b b b b
nursing practice in that state.
b b b b b
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 b b b b b
TOP: NPA
b KEY: Nursing Process Step: Implementation
b b b b b
bMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocational
b b b b b b b b b b b b b b b b b
nurse has not been taught during her educational program. How should the vocational nurse respond?
b b b b b b b b b b b b b b b
a. Ask a more experienced nurse to demonstrate the procedure.
b b b b b b b b
b. Lookup the procedure in the procedure manual. b b b b b b b
c. Attempt to performthe procedure with supervision. b b b b b b
d. Informthe charge nurse of her lack of trainingin thisprocedure. b b b b b b b b b b b
ANS: D b
The charge nurse should be informed of the lack of training to perform the procedure, and the vocational
b b b b b b b b b b b b b b b b b
nurse should seek further training to gain proficiency. Although the other options might be helpful, they
b b b b b b b b b b b b b b b b
are not safe.
b b b
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 b b b b b
TOP: Providing Safe Care
b b KEY: Nursing Process Step: N/A b b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b
3. Which patient statement indicates a need for further discharge teaching that the vocational nurse
b b b b b b b b b b b b b
should address?
b b
a. "Ihave no idea of how thisdrug will affect me."
b b b b b b b b b b
b. "Do you know if my physician is comingbacktoday?"
b b b b b b b b b
c. "Will my insurance pay for my stay?" b b b b b b
d. "Am I going to have to go to a nursinghome?" b b b b b b b b b b
ANS: A b
Lack of knowledge at discharge about medication effects and side effects is a concern that should be
b b b b b b b b b b b b b b b b
addressed by the vocational nurse. The other concerns in the options are the responsibility of other
b b b b b b b b b b b b b b b b
departments to which the nurse might refer the patient.
b b b b b b b b b
DIF: Cognitive Level: Application REF: p. 2 OBJ: 1 b b b b b
TOP: Teaching
b KEY: Nursing Process Step: Implementation
b b b b b
bMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b
,4. According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care facility acts
b b b b b b b b b b b b b b b b b
in which capacity?
b b b
a. Workingunder direct supervision of an RN on the unit b b b b b b b b b
b. Working with the RNin thebuilding b b b b b b
c. Workingunder general supervision bythe RNavailable on site or byphone b b b b b b b b b b b b
d. Workingas anindependent vocational nurse b b b b b
ANS: C b
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the general
b b b b b b b b b b b b b b b b b b
supervision of an RN available on site or by phone.
b b b b b b b b b b
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 1 b b b b b
TOP: Charge Nurse/Manager
b b KEY: Nursing Process Step: N/A b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b
5. The nurse is educating a patient that is a member of a health maintenance organization (HMO). Which
b b b b b b b b b b b b b b b b
information should the nurse include?
b b b b b
a. Seekthe opinion of an alternate health care provider.
b b b b b b b b
b. Contactthe insurance company for coverage details asservices maybe limited.
b b b b b b b b b b b
c. Providedetailed documentation of all care received forhis condition. b b b b b b b b b
d. Wait at least 6 months to see a specialist. b b b b b b b b
ANS: B b
HMOs are a kind of managed care. This is accomplished by paying providers to care for groups of
b b b b b b b b b b b b b b b b b
patients for a set capitation fee and by limiting services. Patients are not required to seek a second
b b b b b b b b b b b b b b b b b b
opinion, provide documentation of care, or wait a specific time period before visiting a specialist.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Application
b b REF: p. 9 OBJ: 9 b b b b b b
TOP: Charge Nurse/Manager
b KEY: Nursing Process Step: Implementation b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b
6. The patient complains to the nurse that he is confused about his "deductible" that he owes the hospital.
b b b b b b b b b b b b b b b b b
Which statement accurately explains a deductible?
b b b b b b
a. An amount of moneyput aside for the payment of future medical bills
b b b b b b b b b b b b
b. A one-time fee for service
b b b b
c. An amount of money deducted fromthe bill by the insurance company
b b b b b b b b b b b
d. An annual amount of moneythe patient must pay out-of-pocket for medical care
b b b b b b b b b b b b
ANS: D b
The deductible is the annual amount the insured must pay out-of-pocket prior to the insurance company
b b b b b b b b b b b b b b b
assuming the cost. This practice improves the profit of the insurance company.
b b b b b b b b b b b b
DIF: Cognitive Level: Comprehension
b b REF: p. 7 OBJ: 9 b b b b b b b b
TOP: Health Care Financing
b KEY: Nursing Process Step: Implementation b b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b
7. Apatient asks the nurse what Medicare Part Acovers.Which response iscorrect?
b b b b b b b b b b b b b
a. Medicare Part Acovers inpatient hospital costs. b b b b b b
b. Medicare Part Acovers reimbursement to the physician. b b b b b b b
c. Medicare Part Acovers outpatient hospital services. b b b b b b
d. Medicare Part Acovers ambulance transportation. b b b b b
ANS: A b
Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory work, and intensive care.
b b b b b b b b b b b b b
Medicare Part B pays the physician, ambulance transport, and outpatient services.
b b b b b b b b b b b
, DIF: Cognitive Level: Comprehension REF: p. 8, Box 1-4 b b b b b b
OBJ: 9 b TOP: Government-Sponsored Health Insurance b b b
KEY: Nursing Process Step: Implementation
b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b
8. Whichisthemain cost-containment component of diagnosis-related groups(DRGs)?
b b b b b b b b b
a. Hospitalsfocus onlyon thespecificdiagnosis. b b b b b b
b. Hospitals treat and discharge patientsquickly. b b b b b
c. Reduced cost drugs are ordered for specific diagnoses. b b b b b b b
d. Diagnosticgroupclassification streamlines care. b b b b
ANS: B b
DRGs are a prospective payment plan in which hospitals receive a flat fee for each patient's diagnostic
b b b b b b b b b b b b b b b b
category regardless of the length of time in the hospital. If hospitals can treat and discharge patients before
b b b b b b b b b b b b b b b b b b
the allotted time, hospitals get to keep the excess payment; cost is contained, and the patient is discharged
b b b b b b b b b b b b b b b b b b
sooner.
b
DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: 9 b b b b b
TOP: Government-Sponsored Health Insurance
b b b b
KEY: NursingProcess Step: Implementation
b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b
9. Thenurseis assessinga group of patients. Which patient would most likelyqualifyforMedicaid?
b b b b b b b b b b b b b b b
a. A35-year-oldunemployed single mother withdiabetes
b b b b b b
b. A 70-year-old Medicare recipient with retirement income who needs to be in a long-term
b b b b b b b b b b b b b
care facility
b b
c. An 80-year-old blind woman living in her own home who has inadequate private
b b b b b b b b b b b b
insurance
b
d. A67-year-old stroke victimwith Medicare Part Aand an income frominvestments
b b b b b b b b b b b b
ANS: A b
Medicaid is a joint effort of federal and state governments geared primarily for low-income people with no
b b b b b b b b b b b b b b b b
insurance.
b
DIF: Cognitive Level: Application REF: p. 8, Box 1-5 b b b b b b
OBJ: 9 b TOP: Government-Sponsored Health Insurance—Medicaid b b b
KEY: Nursing Process Step: Assessment
b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b
10. Which area is the major focus of Healthy People 2020 and the primary mechanism through which to
b b b b b b b b b b b b b b b b
improve the health of Americans in the second decade of the century?
b b b b b b b b b b b b
a. Research funding b
b. Health information distribution b b
c. Healthylifestyle encouragement b b
d. Health improvement program designs b b b
ANS: C b
Healthy People 2020 focuses on expanding ongoing programs to include support and information to
b b b b b b b b b b b b b
reduce infant mortality, cancer, cardiovascular disease, and HIV/AIDS, and to increase effective
b b b b b b b b b b b b
immunizations, healthy eating habits, and healthy weight.
b b b b b b b
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 7 b b b b b b
TOP: Healthy People 2020
b KEY: Nursing Process Step: Implementation b b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b
b b
Medical-Surgical Nursing: Concepts & Practice 5th Edition
b b b b b b
Stromberg Test Bank – Complete Guide with Verified Answers
b b b b b b b b b
,Chapter 01: Caring for Medical-Surgical Patients
b b b b b
Stromberg:Medical-Surgical Nursing: Concepts and Practice, 5th Edition
b b b b b b b
MULTIPLE CHOICE b
1. Which statement accuratelydescribes the primarypurpose of the state nurse
b b b b b b b b b b
practice act (NPA)?
b b b
a. To test and license LPN/LVNs
b b b b
b. To define the scope of LPN/LVN practice
b b b b b b
c. To improve the qualityof care provided by the LPN/LVN
b b b b b b b b b
d. Tolimitthe LPN/LVNemployment placement
b b b b b
ANS: B b
While improving quality of care provided by the LPN/LVN may be a result of
b b b b b b b b b b b b b
the NPA, the primarypurpose of the NPA of each state defines the scope of
b b b b b b b b b b b b b b
nursing practice in that state.
b b b b b
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 b b b b b
TOP: NPA
b KEY: Nursing Process Step: Implementation
b b b b b
bMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocational
b b b b b b b b b b b b b b b b b
nurse has not been taught during her educational program. How should the vocational nurse respond?
b b b b b b b b b b b b b b b
a. Ask a more experienced nurse to demonstrate the procedure.
b b b b b b b b
b. Lookup the procedure in the procedure manual. b b b b b b b
c. Attempt to performthe procedure with supervision. b b b b b b
d. Informthe charge nurse of her lack of trainingin thisprocedure. b b b b b b b b b b b
ANS: D b
The charge nurse should be informed of the lack of training to perform the procedure, and the vocational
b b b b b b b b b b b b b b b b b
nurse should seek further training to gain proficiency. Although the other options might be helpful, they
b b b b b b b b b b b b b b b b
are not safe.
b b b
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 b b b b b
TOP: Providing Safe Care
b b KEY: Nursing Process Step: N/A b b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b
3. Which patient statement indicates a need for further discharge teaching that the vocational nurse
b b b b b b b b b b b b b
should address?
b b
a. "Ihave no idea of how thisdrug will affect me."
b b b b b b b b b b
b. "Do you know if my physician is comingbacktoday?"
b b b b b b b b b
c. "Will my insurance pay for my stay?" b b b b b b
d. "Am I going to have to go to a nursinghome?" b b b b b b b b b b
ANS: A b
Lack of knowledge at discharge about medication effects and side effects is a concern that should be
b b b b b b b b b b b b b b b b
addressed by the vocational nurse. The other concerns in the options are the responsibility of other
b b b b b b b b b b b b b b b b
departments to which the nurse might refer the patient.
b b b b b b b b b
DIF: Cognitive Level: Application REF: p. 2 OBJ: 1 b b b b b
TOP: Teaching
b KEY: Nursing Process Step: Implementation
b b b b b
bMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b
,4. According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care facility acts
b b b b b b b b b b b b b b b b b
in which capacity?
b b b
a. Workingunder direct supervision of an RN on the unit b b b b b b b b b
b. Working with the RNin thebuilding b b b b b b
c. Workingunder general supervision bythe RNavailable on site or byphone b b b b b b b b b b b b
d. Workingas anindependent vocational nurse b b b b b
ANS: C b
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the general
b b b b b b b b b b b b b b b b b b
supervision of an RN available on site or by phone.
b b b b b b b b b b
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 1 b b b b b
TOP: Charge Nurse/Manager
b b KEY: Nursing Process Step: N/A b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b
5. The nurse is educating a patient that is a member of a health maintenance organization (HMO). Which
b b b b b b b b b b b b b b b b
information should the nurse include?
b b b b b
a. Seekthe opinion of an alternate health care provider.
b b b b b b b b
b. Contactthe insurance company for coverage details asservices maybe limited.
b b b b b b b b b b b
c. Providedetailed documentation of all care received forhis condition. b b b b b b b b b
d. Wait at least 6 months to see a specialist. b b b b b b b b
ANS: B b
HMOs are a kind of managed care. This is accomplished by paying providers to care for groups of
b b b b b b b b b b b b b b b b b
patients for a set capitation fee and by limiting services. Patients are not required to seek a second
b b b b b b b b b b b b b b b b b b
opinion, provide documentation of care, or wait a specific time period before visiting a specialist.
b b b b b b b b b b b b b b b
DIF: Cognitive Level: Application
b b REF: p. 9 OBJ: 9 b b b b b b
TOP: Charge Nurse/Manager
b KEY: Nursing Process Step: Implementation b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b
6. The patient complains to the nurse that he is confused about his "deductible" that he owes the hospital.
b b b b b b b b b b b b b b b b b
Which statement accurately explains a deductible?
b b b b b b
a. An amount of moneyput aside for the payment of future medical bills
b b b b b b b b b b b b
b. A one-time fee for service
b b b b
c. An amount of money deducted fromthe bill by the insurance company
b b b b b b b b b b b
d. An annual amount of moneythe patient must pay out-of-pocket for medical care
b b b b b b b b b b b b
ANS: D b
The deductible is the annual amount the insured must pay out-of-pocket prior to the insurance company
b b b b b b b b b b b b b b b
assuming the cost. This practice improves the profit of the insurance company.
b b b b b b b b b b b b
DIF: Cognitive Level: Comprehension
b b REF: p. 7 OBJ: 9 b b b b b b b b
TOP: Health Care Financing
b KEY: Nursing Process Step: Implementation b b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b
7. Apatient asks the nurse what Medicare Part Acovers.Which response iscorrect?
b b b b b b b b b b b b b
a. Medicare Part Acovers inpatient hospital costs. b b b b b b
b. Medicare Part Acovers reimbursement to the physician. b b b b b b b
c. Medicare Part Acovers outpatient hospital services. b b b b b b
d. Medicare Part Acovers ambulance transportation. b b b b b
ANS: A b
Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory work, and intensive care.
b b b b b b b b b b b b b
Medicare Part B pays the physician, ambulance transport, and outpatient services.
b b b b b b b b b b b
, DIF: Cognitive Level: Comprehension REF: p. 8, Box 1-4 b b b b b b
OBJ: 9 b TOP: Government-Sponsored Health Insurance b b b
KEY: Nursing Process Step: Implementation
b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b
8. Whichisthemain cost-containment component of diagnosis-related groups(DRGs)?
b b b b b b b b b
a. Hospitalsfocus onlyon thespecificdiagnosis. b b b b b b
b. Hospitals treat and discharge patientsquickly. b b b b b
c. Reduced cost drugs are ordered for specific diagnoses. b b b b b b b
d. Diagnosticgroupclassification streamlines care. b b b b
ANS: B b
DRGs are a prospective payment plan in which hospitals receive a flat fee for each patient's diagnostic
b b b b b b b b b b b b b b b b
category regardless of the length of time in the hospital. If hospitals can treat and discharge patients before
b b b b b b b b b b b b b b b b b b
the allotted time, hospitals get to keep the excess payment; cost is contained, and the patient is discharged
b b b b b b b b b b b b b b b b b b
sooner.
b
DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: 9 b b b b b
TOP: Government-Sponsored Health Insurance
b b b b
KEY: NursingProcess Step: Implementation
b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b
9. Thenurseis assessinga group of patients. Which patient would most likelyqualifyforMedicaid?
b b b b b b b b b b b b b b b
a. A35-year-oldunemployed single mother withdiabetes
b b b b b b
b. A 70-year-old Medicare recipient with retirement income who needs to be in a long-term
b b b b b b b b b b b b b
care facility
b b
c. An 80-year-old blind woman living in her own home who has inadequate private
b b b b b b b b b b b b
insurance
b
d. A67-year-old stroke victimwith Medicare Part Aand an income frominvestments
b b b b b b b b b b b b
ANS: A b
Medicaid is a joint effort of federal and state governments geared primarily for low-income people with no
b b b b b b b b b b b b b b b b
insurance.
b
DIF: Cognitive Level: Application REF: p. 8, Box 1-5 b b b b b b
OBJ: 9 b TOP: Government-Sponsored Health Insurance—Medicaid b b b
KEY: Nursing Process Step: Assessment
b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b
10. Which area is the major focus of Healthy People 2020 and the primary mechanism through which to
b b b b b b b b b b b b b b b b
improve the health of Americans in the second decade of the century?
b b b b b b b b b b b b
a. Research funding b
b. Health information distribution b b
c. Healthylifestyle encouragement b b
d. Health improvement program designs b b b
ANS: C b
Healthy People 2020 focuses on expanding ongoing programs to include support and information to
b b b b b b b b b b b b b
reduce infant mortality, cancer, cardiovascular disease, and HIV/AIDS, and to increase effective
b b b b b b b b b b b b
immunizations, healthy eating habits, and healthy weight.
b b b b b b b
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 7 b b b b b b
TOP: Healthy People 2020
b KEY: Nursing Process Step: Implementation b b b b b b
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b
