Medical-Surgical Nursing: Concepts and Practice, 6th Edition — by Holly Stromberg | Complete Test Bank (Ch. 1-49)

Test Bank For Medical Surgical Nursing 5th Edition By Holly K.
nwwq,
qx nwwq,
qx qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, nwwq,
qx nwwq,
qx




Stromberg, AllChapters 1-49 | Latest Update qx nwwq, qx nwwq, qx nwwq, nwwq,
qx qx nwwq,




Chapter 01:Caringfor Medical-Surgical Patients q x n w w q , q x nwwq , q x n w w q ,




deWit:Medical-Surgical Nursing: Concepts & Practice, 5th Edition q x n wwq , q x n w wq, q x n w w q , nwwq,
qx q x nwwq, q x n wwq ,




MULTIPLECHOICE

Whichstatement accuratelydescribes theprimarypurpose of qx nwwq, qx nwwq, qx nwwq,




thestatenursepracticeact(NPA)?
qx nwwq, q,
nw
qx




a. TotestandlicenseLPN/LVNs.
b. Todefine thescopeof qx nwwq,




LPN/LVNpractice. qx nwwq, q,
nw
qx




c. Toimprovethequality of care qx nwwq, qx nwwq,




provided bytheLPN/LVN. q,
nw
qx nwwq,
qx nw
q,
qx




d. Tolimit theLPN/LVNemployment ij q,
nw
qx




placement. qx nwwq,




ANS: B q x n w wq ,




Whileimproving qualityof care provided bythe LPN/LVN maybe aresult qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, q x n w w q , qx nwwq,




q of theNPA, the primary purpose of the NPA of each state defines the scope of
x n w w q , qx nwwq, ij nwwq,
qx nw
w
qxq, nwwq,
qx nwwq,
qx nw
w
qxq, nwwq,
qx nww
qxq, nww
qxq, nw
wq,
qx nw
w
qxq, nw
wq,
qx nw
w
qxq, nw
w
qxq,




nursing practicein that state.
nw
w
qxq, qx nwwq, q,
nw
qx nwwq,
qx nw
w
qxq,




CognitiveLevel:Comprehension PTS: 1 DIF: q,
nw
qx




REF: 2 q,
nw
qx




OBJ:3 TOP: NPA KEY:NursingProcess q x n w w q , q,
nw
qx q,
nw
qx




Step:Implementation q,
nw
qx q,
nw
qx




MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care q,qxnw q,
nw
qx q,
nw
qx q,
nw
qx q,
nw
qx nw
w
qxq,




The charge nurse asks the new vocational nurse to start an intravenous infusion, a
qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq,




skillthat the vocational nurse has notbeen taught during
qx nwwq, her q x nww q, q x n w w q , q x n ww q , q x nwwq, q x n w w q , q x nwwq , q x n w w q , q x n w w q ,




qeducational program.
x n w w q , Howshould thevocational nurse respond? q x n w w q , q x n w w q , q,
nw
qx qx nwwq, nw
q,
qx nwwq,
qx nwwq,
qx




a. Ask a more experienced nurse nwwq,
qx nwwq,
qx nwwq,
qx q x n w w q,




todemonstratethe procedure. q x nwwq, q,
nw
qx nwwq,
qx




b. Lookup the procedure in the q x nwwq, q x nwwq, q x n w w q , q x n w wq ,




proceduremanual. q x n w wq, q,
nw
qx




c. Attempt to perform theprocedure q x nwwq , q x n w wq, q x n w w q ,




withsupervision. q x nwwq, q,
nw
qx




d. Inform the charge nurse of her lack of qx nwwq, nwwq,
qx qx nwwq, nwwq,
qx qx nwwq, nwwq,
qx nwwq,
qx




traininginthis procedure. q,
nw
qx nw
q,
qx nwwq,
qx




ANS: D q x nwwq,




The charge nurse should be informed of the lack of training to perform the
qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq,




procedure, and the vocational nurse should seek further training to gain
qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq,




proficiency. Although the other options might be helpful, they are not safe.
qx nwwq, qx nwwq, nw
w
qxq, nww
qxq, nwwq,
qx qx nwwq, nwwq,
qx nwwq,
qx qx nwwq, nwwq,
qx nwwq,
qx nwwq,
qx




PTS: 1 DIF: CognitiveLevel: q,
nw
qx 3

, Application REF: q x n w w q ,




OBJ:1 TOP: ProvidingSafeCare NursingProcess q,
nw
qx q,
nw
qx q,
nw
qx




KEY: Step:N/A q,
nw
qx q,
nw
qx nw
q,
qx




MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care q,
nw
qx q,
nw
qx q,
nw
qx q,
nw
qx q,
nw
qx nw
w
qxq,




Which patient statement indicates aneed for further dischargeteaching
q x n w w q , q x n w w q , q x n wwq, q x n w w q , q x n ww q, q x n w wq , q x n w w q ,




thatthevocational nurseshould address?
q x n w wq, q,
nw
qx nw
q,
qx nw
q,
qx nw
w
qxq,




a. ―I haveno idea of how this nwwq,
qx qx n w wq , q x nwwq, q x n w w q , qx nwwq,




drugwillaffect me.‖ q x nw wq, q,
nw
qx q,
nw
qx nw
w
q,
qx




b. ―Doyouknow if myphysicianis q,
nw
qx q,
nw
qx nw
q,
qx nww
qxq, q,
nw
qx q,
nw
qx




coming back today?‖ q,
nw
qx nwwq,
qx nwwq,
qx




c. ―Will my insurance pay for my nwwq,
qx q x n w wq , q x n w wq , qx nwwq, nwwq,
qx




stay?‖ q,
nw
qx




d. ―Am I going to have to go to a qx nwwq, nwwq,
qx qx nwwq, qx n wwq , nwwq,
qx nwwq,
qx qx nwwq, q x n w wq ,




nursing home?‖ q,
nw
qx nw
q,
qx




ANS: A q x n w wq ,




Lack of knowledge at discharge about medication effects and side effects is
qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, q x nwwq, qx nwwq, q x nwwq, qx nwwq,




a concern that should be addressed by the vocationalnurse. The other concerns in
qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq,




the options arethe responsibility of other departments to which the nurse might
qx nwwq, q,
nw
qx qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq,




refer the patient.
qx nwwq, qx nwwq, qx nwwq,




CognitiveLevel:Application REF: PTS: 1 DIF: q,
nw
qx q,
nw
qx




2 q,
nw
qx




OBJ:1 TOP: Teaching KEY: Nursing q x n w w q ,




ProcessStep:Implementation q,
nw
qx q,
nw
qx




MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care q,
nw
qx q,
nw
qx q,
nw
qx q,
nw
qx q,
nw
qx nw
w
qxq,




According tomost state NPAs, thevocational nurse acting as charge q x nw wq, qx nww q, q x n w w q , qx nwwq, qx nwwq, q x n wwq, q x n w wq , q x n w w q ,




nurse in along-termcarefacility acts in which capacity?
q x nwwq, q x nwwq, q x nwwq, q,
nw
qx nw
q,
qx nw
q,
qx nwwq,
qx nw
w
qxq, nw
w
qxq, nwwq,
qx




a. Working under direct supervision of an qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq,




RN ontheunit qx nwwq, qx nwwq, q,
nw
qx q,
nw
qx




b. Working withthe RNin thebuilding q x n w w q , qx nwwq, q x n w w q ,




c. Working under general supervision by the q x n w wq, q x nwwq, q x nwwq, q x n w w q , qx nwwq,




RNavailableonsite orbyphone qx nwwq, q,
nw
qx q,
nw
qx q,
nw
qx nw
w
q,
qx q,
nw
qx




d. Workingasanindependentvocationalnurse q,
nw
qx q,
nw
qx q,
nw
qx q,
nw
qx




ANS: C q x nwwq,




The vocational nurse in the capacity of the charge nurse in a long-term care
qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq, qx nwwq,




facilityacts with the general supervision of an RNavailable on
qx nwwq, site q x n wwq, q x n w wq , q x n w w q , q x n w w q , q x nw wq , q x nwwq, q x nwwq, qx nw w q, q x n w w q ,




or by phone.
q x n w w q , q x nwwq, q x n w w q,




PTS: 1 DIF: CognitiveLevel: q,
nw
qx REF: 2
Comprehension q,
nw
qx




OBJ:1 TOP: ChargeNurse/Manager q,
nw
qx Nursi Process
KEY: q,
nw
qx ng
q,
nw
qx Step:N/A qx nwwq, q,
nw
qx

,MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care
q,
nw
qx q,
nw
qx q,
nw
qx q,
nw
qx q,qxnw nw
w
qxq,

, The nurse is educating a patient that is a member of a health maintenance
nwwq,
qx qx nwwq, q x nw wq , qx nwwq, qx nwwq, qx nwwq, qx n wwq, q x n wwq, nwwq,
qx qx nw wq, qx nwwq, qx nwwq, q x n w w q ,




organization(HMO). Which informationshould the nurse include?
q,
nw
qx qx nw wq, qx nwwq, q x nwwq, q x n w w q, q x nwwq ,




a. Seekthe opinion of analternate health q x nw wq , q x nw wq , q x n w w q , q x nwwq ,




careprovider. q x n w w q , q,
nw
qx




b. Obtaininsurance approval for q x n w w q , q x n w w q ,




medicalservices prior totreatment. q x n w w q , q,
nw
qx nwwq,
qx nw
w
q,
qx q,
nw
qx




c. Provide detailed documentation of qx nwwq, q x nw wq , q x n w w q ,




allcare q x nwwq,




received for his condition. nwwq,
qx qx nwwq, qx nwwq,




d. Wait at least 6 months to see aspecialist. nw
w
q,
qx nw
w
qxq, nwwq,
qx nwwq,
qx q x nwwq, qx nwwq, nwwq,
qx




ANS: B q x nwwq,




Most HMOs require preprocedure authorization for treatment.
q x n wwq, q x n w w q , q x n w w q , q x n w w q , q x n w w q , q x n w w q ,




q Patients are notrequired to seek a second opinion,
x n w w q , q x n w w q , q x n w w q , q,
nw
qx q x n w wq, q x nwwq, qx nwwq, qx nwwq, nwwq,
qx




providedocumentation of care, or wait a specifictime period before
q x nwwq, q x n w w q , q x n w w q, qx n w w q, q x n w w q, q x nwwq, qx nwwq, nwwq,
qx nwwq,
qx




visiting a specialist.
qx nwwq, nwwq,
qx qx nwwq,




Cognitive Level: 9 PTS: 1 DIF: qx nwwq,




Application qx nwwq,




REF: q x n w w q ,




OBJ:9 TOP: ChargeNurse/Manager
KEY:NursingProcessStep:Implementation q,
nw
qx q,
nw
qx




MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care q,
nw
qx q,
nw
qx q,
nw
qx q,
nw
qx q,
nw
qx nw
q,
qx




The patient complains to the nurse that he is confused about his ―deductible‖
nwwq,
qx nwwq,
qx qx nwwq, qx nwwq, nwwq,
qx qx nwwq, nwwq,
qx nwwq,
qx nwwq,
qx nwwq,
qx q x n w wq, qx nww q,




thatheowes the hospital. Whichstatement accurately explains a deductible?
nwwq,
qx q,
nw
qx nwwq,
qx nwwq,
qx q x nw w q, qx nwwq, q x n w wq , q x n ww q , qx nwwq,




a. An amount of money put aside for the nwwq,
qx qx n wwq, qx nw wq, q x nwwq, qx n wwq, qx nwwq, q x n wwq,




payment offuturemedicalbills nwwq,
qx nwwq,
qx q,
nw
qx nw
q,
qx q,
nw
qx




b. Aone-time feefor service q x n w w q , q x n w w q ,




c. An amount of money deducted from the bill nwwq,
qx q x n w w q, qx nwwq, nwwq,
qx qx nwwq, q x n w wq , q x n w w q,




bytheinsurance company q x n w w q, q,
nw
qx nw
q,
qx




d. An annual amount of money the patient nwwq,
qx q x nwwq, q x n ww q, qx nwwq, qx nwwq, qx nwwq,




must payout-of-pocketfor medicalcare q x n w w q, qx nwwq, q,
nw
qx nw
w
qxq, q,
nw
qx




ANS: D q x nwwq,




The deductible is the annual amount the insured must pay out-of-pocket
qx nwwq, q x n ww q, q x n w wq , q x n w w q, qx nwwq, q x n ww q, qx nwwq, qx nwwq, qx nwwq, qx nwwq,




qxprior totheinsurance company assuming the cost. This practice improves the profit of
nwwq , q x nw wq, q,
nw
qx nw
w
q,
qx nw
wq,
qx nw
w
qxq, nw
w
qxq, nw
w
qxq, nw
w
qxq, nw
w
qxq, nw
w
qxq, nw
w
q,
qx nw
w
qxq,




the insurance company.
nw
w
qxq, qx nwwq, nwwq,
qx




CognitiveLevel: REF: 7 PTS: 1 DIF: q,
nw
qx




Comprehension q,
nw
qx




OBJ:9 TOP: HealthCareFinancing q,
nw
qx q,
nw
qx




KEY:NursingProcessStep:Implementation q,
nw
qx q,
nw
qx




MSC:NCLEX:Safe,EffectiveCareEnvironment:Coordinated Care q,
nw
qx q,
nw
qx q,
nw
qx q,
nw
qx q,
nw
qx nw
w
qxq,