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TEST BANK FOR Medical-Surgical Nursing: Concepts & Practice by Holly K. Stromberg ISBN:978-0323810210 COMPLETE GUIDE 100% VERIFIED A+ GRADE ASSURED!!!!NEW LATEST UPDATE!!!!!

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TEST BANK FOR Medical-Surgical Nursing: Concepts & Practice by Holly K. Stromberg ISBN:978-0323810210 COMPLETE GUIDE 100% VERIFIED A+ GRADE ASSURED!!!!NEW LATEST UPDATE!!!!!

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TEST BANK
ng

,Chapter 01: Caring for Medical-Surgical Patients
ng ng ng ng ng




Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
ng ng ng ng ng ng ng




MULTIPLE CHOICE ng




1. Which statement accurately describes the primary purpose of the state nurse
ng ng ng ng ng ng ng ng ng ng ng



practice act (NPA)? ng ng



a. To test and license LPN/LVNs ng ng ng ng



b. To define the scope of LPN/LVN practice
ng ng ng ng ng ng



c. To improve the quality of care provided by the LPN/LVN
ng ng ng ng ng ng ng ng ng



d. To limit the LPN/LVN employment placement
ng ng ng ng ng




ANS: B ng



While improving quality of care provided by the LPN/LVN may be a result
ng ng ng ng ng ng ng ng ng ng ng ng



of the NPA, the primarypurpose of the NPA of each state defines the scop
ng ng ng ng ng ng ng ng ng ng ng ng ng ng



e of nursing practice in that state.
ng ng ng ng ng ng




DIF: Cognitive Level: Comprehension REF: p. 3 ng ng n g ng



OBJ: 3 TOP: NPA ng ng n g



KEY: Nursing Process Step: Implementation MSC: NCLEX: Sa ng ng ng ng n g ng ng



fe, Effective Care Environment: Coordinated Care
ng ng ng ng ng




2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocati
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



onal nurse has not been taught during her educational program. How should the vocational nurse respo
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



nd?
a. Ask a more experienced nurse to demonstrate the procedure.
ng ng ng ng ng ng ng ng



b. Look up the procedure in the procedure manual. ng ng ng ng ng ng ng



c. Attempt to perform the procedure with supervision. ng ng ng ng ng ng



d. Inform the charge nurse of her lack of training in this procedure.
ng ng ng ng ng ng ng ng ng ng ng




ANS: D ng



The charge nurse should be informed of the lack of training to perform the procedure, and the vocati
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



onal nurse should seek further training to gain proficiency. Although the other options might be helpf
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



ul, they are not safe.
ng ng ng ng




DIF: Cognitive Level: Application REF: p. 3 ng ng n g ng



OBJ: 1 TOP: Providing Safe Care ng ng n g ng ng



KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care ng ng ng ng ng ng ng ng ng n



gEnvironment: Coordinated Care ng ng




3. Which patient statement indicates a need for further discharge teaching that the vocational nurse
ng ng ng ng ng ng ng ng ng ng ng ng ng



should address?
ng ng



a. "I have no idea of how this drug will affect me."
ng ng ng ng ng ng ng ng ng ng



b. "Do you know if my physician is coming back today?"
ng ng ng ng ng ng ng ng ng



c. "Will my insurance pay for my stay?" ng ng ng ng ng ng



d. "Am I going to have to go to a nursing home?" ng ng ng ng ng ng ng ng ng ng




ANS: A ng



Lack of knowledge at discharge about medication effects and side effects is a concern that should be a
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



ddressed by the vocational nurse. The other concerns in the options are the responsibility of other de
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



partments to which the nurse might refer the patient. ng ng ng ng ng ng ng ng




DIF: Cognitive Level: Application REF: p. 2 ng ng n g ng



OBJ: 1 TOP: Teaching ng ng n g



KEY: Nursing Process Step: Implementation MSC: NCLEX: Sa ng ng ng ng n g ng ng



fe, Effective Care Environment: Coordinated Care
ng ng ng ng ng

,4. According to most state NPAs, the vocational nurse acting as charge nurse in a long-
ng ng ng ng ng ng ng ng ng ng ng ng ng ng



term care facility acts in which capacity?
ng ng ng ng ng ng



a. Working under direct supervision of an RN on the unit ng ng ng ng ng ng ng ng ng



b. Working with the RN in the building ng ng ng ng ng ng



c. Working under general supervision by the RN available on site or by phone
ng ng ng ng ng ng ng ng ng ng ng ng



d. Working as an independent vocational nurse ng ng ng ng ng




ANS: C ng



The vocational nurse in the capacity of the charge nurse in a long-
ng ng ng ng ng ng ng ng ng ng ng ng



term care facility acts with the general supervision of an RN available on site or by phone.
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng




DIF: Cognitive Level: Comprehension REF: p. 3 ng ng n g ng



OBJ: 1 TOP: Charge Nurse/Manager ng ng n g ng



KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Careng ng ng ng ng ng ng ng ng n



gEnvironment: Coordinated Care ng ng




5. The nurse is educating a patient that is a member of a health maintenance organization (HMO). Which
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



information should the nurse include?
ng ng ng ng ng



a. Seek the opinion of an alternate health care provider.
ng ng ng ng ng ng ng ng



b. Contact the insurance company for coverage details as services may be limited.
ng ng ng ng ng ng ng ng ng ng ng



c. Provide detailed documentation of all care received for his condition.
ng ng ng ng ng ng ng ng ng



d. Wait at least 6 months to see a specialist. ng ng ng ng ng ng ng ng




ANS: B ng



HMOs are a kind of managed care. This is accomplished by paying providers to care for groups o
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



f patients for a set capitation fee and by limiting services. Patients are not required to seek a seco
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



nd opinion, provide documentation of care, or wait a specific time period before visiting a speciali
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



st.

DIF: Cognitive Level: Application
n g n g ng ng REF: n g n g p. 9 ng OBJ: 9 ng



TOP: Charge Nurse/Manager n g ng



KEY: Nursing Process Step: Implementation ng ng ng ng n



gMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ng ng ng ng ng ng ng




6. The patient complains to the nurse that he is confused about his "deductible" that he owes the hospital.
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



Which statement accurately explains a deductible?
ng ng ng ng ng ng



a. An amount of money put aside for the payment of future medical bills
ng ng ng ng ng ng ng ng ng ng ng ng



b. A one-time fee for service ng ng ng ng



c. An amount of money deducted from the bill by the insurance company
ng ng ng ng ng ng ng ng ng ng ng



d. An annual amount of money the patient must pay out-of-pocket for medical care
ng ng ng ng ng ng ng ng ng ng ng ng




ANS: D ng



The deductible is the annual amount the insured must pay out-of-
ng ng ng ng ng ng ng ng ng ng



pocket prior to the insurance company assuming the cost. This practice improves the profit of the ins
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



urance company. ng




DIF: Cognitive Level: Comprehension
n g n g ng ng n g n g REF: n g n g p. 7 ng OBJ: 9 ng



TOP: Health Care Financing n g ng ng



KEY: Nursing Process Step: Implementation ng ng ng ng n



gMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ng ng ng ng ng ng ng




7. A patient asks the nurse what Medicare Part A covers. Which response is correct?
ng ng ng ng ng ng ng ng ng ng ng ng ng



a. Medicare Part A covers inpatient hospital costs. ng ng ng ng ng ng



b. Medicare Part A covers reimbursement to the physician. ng ng ng ng ng ng ng



c. Medicare Part A covers outpatient hospital services. ng ng ng ng ng ng



d. Medicare Part A covers ambulance transportation. ng ng ng ng ng




ANS: A ng



Medicare Part A covers inpatient hospital expenses, drugs, x-
ng ng ng ng ng ng ng ng



rays, laboratory work, and intensive care. Medicare Part B pays the physician, ambulance transport, a
ng ng ng ng ng ng ng ng ng ng ng ng ng ng



nd outpatient services.
ng ng

, DIF: Cognitive Level: Comprehension REF: p. 8, Box 1-4 ng ng ng ng ng ng



OBJ: 9 n TOP: Government-
g ng



Sponsored Health Insurance KEY: Nursing Process Step: Implementa
ng ng ng ng ng ng ng



tion
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ng ng ng ng ng ng ng




8. Which is the main cost-containment component of diagnosis-related groups (DRGs)?
ng ng ng ng ng ng ng ng ng



a. Hospitals focus only on the specific diagnosis. ng ng ng ng ng ng



b. Hospitals treat and discharge patients quickly. ng ng ng ng ng



c. Reduced cost drugs are ordered for specific diagnoses. ng ng ng ng ng ng ng



d. Diagnostic group classification streamlines care. ng ng ng ng




ANS: B ng



DRGs are a prospective payment plan in which hospitals receive a flat fee for each patient's diagnostic
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



category regardless of the length of time in the hospital. If hospitals can treat and discharge patients
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



before the allotted time, hospitals get to keep the excess payment; cost is contained, and the patient is
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



discharged sooner. ng




DIF: Cognitive Level: Comprehension REF: p. 8 ng ng n g ng



OBJ: 9 TOP: Government-Sponsored Health Insurance ng ng ng ng ng



KEY: Nursing Process Step: Implementation
ng ng ng ng



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ng ng ng ng ng ng ng




9. The nurse is assessing a group of patients. Which patient would most likely qualify for Medicaid?
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



a. A 35-year-old unemployed single mother with diabetes
ng ng ng ng ng ng



b. A 70-year-old Medicare recipient with retirement income who needs to be in a long-
ng ng ng ng ng ng ng ng ng ng ng ng ng



term care facility ng ng



c. An 80-year- ng



old blind woman living in her own home who has inadequate private insurance
ng ng ng ng ng ng ng ng ng ng ng ng



d. A 67-year-old stroke victim with Medicare Part A and an income frominvestments
ng ng ng ng ng ng ng ng ng ng ng ng




ANS: A ng



Medicaid is a joint effort of federal and state governments geared primarily for low-
ng ng ng ng ng ng ng ng ng ng ng ng ng



income people with no insurance.
ng ng ng ng




DIF: Cognitive Level: Application REF: p. 8, Box 1-5 ng ng ng ng ng ng



OBJ: 9 n TOP: Government-Sponsored Health Insurance—
g ng ng ng



Medicaid KEY: Nursing Process Step: Assessment
ng ng ng ng ng



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ng ng ng ng ng ng ng




10. Which area is the major focus of Healthy People 2020 and the primary mechanism through which t
ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng ng



o improve the health of Americans in the second decade of the century?
ng ng ng ng ng ng ng ng ng ng ng ng



a. Research funding ng



b. Health information distribution ng ng



c. Healthy lifestyle encouragement ng ng



d. Health improvement program designs ng ng ng




ANS: C ng



Healthy People 2020 focuses on expanding ongoing programs to include support and information to r
ng ng ng ng ng ng ng ng ng ng ng ng ng ng



educe infant mortality, cancer, cardiovascular disease, and HIV/AIDS, and to increase effective imm
ng ng ng ng ng ng ng ng ng ng ng ng



unizations, healthy eating habits, and healthy weight.ng ng ng ng ng ng




DIF: Cognitive Level: Comprehension ng ng REF: n g n g p. 6 ng OBJ: 7 ng



TOP: Healthy People 2020
n g ng ng



KEY: Nursing Process Step: Implementation ng ng ng ng n



gMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ng ng ng ng ng ng ng

Connected book
 image
Holly Stromberg Medical-Surgical Nursing
Publisher: Unknown ISBN: 9780323810210 Edition: Unknown

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September 5, 2026
Number of pages
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