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TEST BANK FOR DEWIT'S MEDICAL SURGICAL
NURSING CONCEPTS AND PRACTICE 5TH
EDITION| QUESTION PRACTICE EXAM WITH
VERIFIED ANSWERS AND RATIONALES
GRADED A+ | 100% PASS GUARANTEED | JUST
RELEASED
CHAPTER 1: CARING FOR MEDICAL-SURGICAL PATIENTS
Question 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
Verified Answer: B
Rationale: 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 .
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Question 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
Verified Answer: D
Rationale: 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 .
Question 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?"
Verified Answer: A
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Rationale: 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 are the responsibility of other departments .
Question 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
Verified Answer: C
Rationale: 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 .
Question 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
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D) Wait at least 6 months to see a specialist
Verified Answer: B
Rationale: 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 .
Question 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
D) An annual amount of money the patient must pay out-of-pocket for
medical care
Verified Answer: D
Rationale: The deductible is the annual amount the insured must pay
out-of-pocket prior to the insurance company assuming the cost .
Question 7
TEST BANK FOR DEWIT'S MEDICAL SURGICAL
NURSING CONCEPTS AND PRACTICE 5TH
EDITION| QUESTION PRACTICE EXAM WITH
VERIFIED ANSWERS AND RATIONALES
GRADED A+ | 100% PASS GUARANTEED | JUST
RELEASED
CHAPTER 1: CARING FOR MEDICAL-SURGICAL PATIENTS
Question 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
Verified Answer: B
Rationale: 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 .
,2 | Page
Question 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
Verified Answer: D
Rationale: 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 .
Question 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?"
Verified Answer: A
,3 | Page
Rationale: 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 are the responsibility of other departments .
Question 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
Verified Answer: C
Rationale: 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 .
Question 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
, 4 | Page
D) Wait at least 6 months to see a specialist
Verified Answer: B
Rationale: 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 .
Question 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
D) An annual amount of money the patient must pay out-of-pocket for
medical care
Verified Answer: D
Rationale: The deductible is the annual amount the insured must pay
out-of-pocket prior to the insurance company assuming the cost .
Question 7
