Test jBank jFor jMedical jSurgical jNursing j5th jEdition jBy jHolly jK. jStromberg,
jAlljChapters j1-49 j| jLatest jUpdate
Chapter j01: jCaring jfor jMedical-Surgical jPatients
deWit: jMedical-Surgical jNursing: jConcepts j& jPractice, j5th jEdition
MULTIPLE jCHOICE
Which jstatement jaccurately jdescribes jthe jprimary jpurpose jof jthe jstate jnurse
jpracticejact j(NPA)?
a. To jtest jand jlicense jLPN/LVNs.
b. To jdefine jthe jscope jof jLPN/LVN
practice.
c. To jimprove jthe jquality jof jcare
provided jby jthe jLPN/LVN.
d. To jlimit jthe jLPN/LVN jemployment
placement.
ANS: j B
While jimproving jquality jof jcare jprovided jby jthe jLPN/LVN jmay jbe ja jresult jof
jthejNPA, jthe jprimary jpurpose jof jthe jNPA jof jeach jstate jdefines jthe jscope jof
jnursing jpractice jin jthat jstate.
PTS: 1 DIF: Cognitive jLevel: jComprehension
REF: j 2
OBJ:3 TOP: NPA j KEY: jNursing jProcess jStep:
Implementation
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
The jcharge jnurse jasks jthe jnew jvocational jnurse jto jstart jan jintravenous jinfusion, ja
jskilljthat jthe jvocational jnurse jhas jnotbeen jtaught jduring jher jeducational jprogram.
jHow jshould j the jvocational jnurse jrespond?
a. Ask ja jmore jexperienced jnurse jto
demonstrate jthe jprocedure.
b. Look jup jthe jprocedure jin jthe jprocedure
manual.
c. Attempt jto jperform jthe jprocedure jwith
supervision.
d. Inform jthe jcharge jnurse jof jher jlack jof
training jin jthis jprocedure.
ANS: j D
The jcharge jnurse jshould jbe jinformed jof jthe jlack jof jtraining jto jperform jthe
jprocedure, jand jthe jvocational jnurse jshould jseek jfurther jtraining jto jgain jproficiency.
jAlthough jthe jother joptions jmight jbe jhelpful, jthey jare jnot jsafe.
PTS: 1 DIF: Cognitive jLevel: 3
, Application j REF:
OBJ:1 TOP: Providing jSafe jCare Nursing jProcess
KEY: Step: jN/A
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
Which jpatient jstatement jindicates ja jneed jfor jfurther jdischarge jteaching jthat
jthejvocational jnurse jshould jaddress?
a. ―I jhave jno jidea jof jhow jthis jdrug
will jaffect jme.‖
b. ―Do jyou jknow jif jmy jphysician jis
coming jback jtoday?‖
c. ―Will jmy jinsurance jpay jfor jmy
stay?‖
d. ―Am jI jgoing jto jhave jto jgo jto ja
nursing jhome?‖
ANS: j A
Lack jof jknowledge jat jdischarge jabout jmedication jeffects jand jside jeffects jis ja
jconcern jthat jshould jbe jaddressed jby jthe jvocationalnurse. jThe jother jconcerns jin jthe
joptions jare jthe jresponsibility jof jother jdepartments jto jwhich jthe jnurse jmight jrefer jthe
jpatient.
PTS: 1 DIF: Cognitive jLevel: jApplication REF:
2
OBJ:1 TOP: Teaching j KEY: Nursing jProcess
Step: jImplementation
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
According jto jmost jstate jNPAs, jthe jvocational jnurse jacting jas jcharge jnurse jin ja
jlong-jterm jcare jfacility jacts jin jwhich jcapacity?
a. Working junder jdirect jsupervision jof jan jRN jon
the junit
b. Working jwith jthe jRN jin jthe jbuilding
c. Working junder jgeneral jsupervision jby jthe jRN
available jon jsite jor jby jphone
d. Working jas jan jindependent jvocational jnurse
ANS: j C
The jvocational jnurse jin jthe jcapacity jof jthe jcharge jnurse jin ja jlong-term jcare
jfacilityjacts jwith jthe jgeneral jsupervision jof jan jRNavailable jon j site jor jby jphone.
PTS: 1 DIF: Cognitive jLevel: REF: 2
Comprehension
OBJ:1 TOP: Charge jNurse/Manager Nursi Process
KEY: ng Step: jN/A
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
,The jnurse jis jeducating ja jpatient jthat jis ja jmember jof ja jhealth jmaintenance
jorganizationj(HMO). jWhich jinformationshould jthe jnurse jinclude?
a. Seek jthe jopinion jof jan jalternate jhealth
jcare
provider.
b. Obtain jinsurance japproval jfor jmedical
services jprior jto jtreatment.
c. Provide jdetailed jdocumentation jof jall jcare
received jfor jhis jcondition.
d. Wait jat jleast j6 jmonths jto jsee ja jspecialist.
ANS: j B
Most jHMOs jrequire jpreprocedure jauthorization jfor jtreatment. jPatients jare jnot
jrequired jto jseek ja jsecond jopinion, jprovidedocumentation j of jcare, jor jwait ja
jspecificjtime jperiod jbefore j visiting j a jspecialist.
PTS: 1 DIF: Cognitive jLevel: 9
Application j REF:
OBJ:9 TOP: Charge jNurse/Manager
KEY: jNursing jProcess jStep: jImplementation
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
The jpatient jcomplains jto jthe jnurse jthat jhe jis jconfused jabout jhis j―deductible‖ jthat
jhejowes jthe jhospital. jWhichstatement jaccurately j explains ja jdeductible?
a. An jamount jof jmoney jput jaside jfor jthe jpayment
jof
future jmedical jbills
b. A jone-time jfee jfor jservice
c. An jamount jof jmoney jdeducted jfrom jthe jbill jby
the jinsurance jcompany
d. An jannual jamount jof jmoney jthe jpatient jmust jpay
out-of-pocket jfor jmedical jcare
ANS: j D
The jdeductible jis jthe jannual jamount jthe jinsured jmust jpay jout-of-pocket jprior jto
jthejinsurance jcompany jassuming jthe jcost. jThis jpractice jimproves jthe jprofit jof jthe
jinsurance jcompany.
PTS: 1 DIF: Cognitive jLevel: REF: 7
Comprehension
OBJ:9 TOP: Health jCare jFinancing
KEY: jNursing jProcess jStep: jImplementation
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
The jnurse jcompares jthe jcharacteristics jof ja jhealth jmaintenance jorganization
, j(HMO)jand ja jpreferred jproviderorganization j(PPO). j Which jinformation jshould jthe
jnurse jinclude jabout jHMOs?
jAlljChapters j1-49 j| jLatest jUpdate
Chapter j01: jCaring jfor jMedical-Surgical jPatients
deWit: jMedical-Surgical jNursing: jConcepts j& jPractice, j5th jEdition
MULTIPLE jCHOICE
Which jstatement jaccurately jdescribes jthe jprimary jpurpose jof jthe jstate jnurse
jpracticejact j(NPA)?
a. To jtest jand jlicense jLPN/LVNs.
b. To jdefine jthe jscope jof jLPN/LVN
practice.
c. To jimprove jthe jquality jof jcare
provided jby jthe jLPN/LVN.
d. To jlimit jthe jLPN/LVN jemployment
placement.
ANS: j B
While jimproving jquality jof jcare jprovided jby jthe jLPN/LVN jmay jbe ja jresult jof
jthejNPA, jthe jprimary jpurpose jof jthe jNPA jof jeach jstate jdefines jthe jscope jof
jnursing jpractice jin jthat jstate.
PTS: 1 DIF: Cognitive jLevel: jComprehension
REF: j 2
OBJ:3 TOP: NPA j KEY: jNursing jProcess jStep:
Implementation
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
The jcharge jnurse jasks jthe jnew jvocational jnurse jto jstart jan jintravenous jinfusion, ja
jskilljthat jthe jvocational jnurse jhas jnotbeen jtaught jduring jher jeducational jprogram.
jHow jshould j the jvocational jnurse jrespond?
a. Ask ja jmore jexperienced jnurse jto
demonstrate jthe jprocedure.
b. Look jup jthe jprocedure jin jthe jprocedure
manual.
c. Attempt jto jperform jthe jprocedure jwith
supervision.
d. Inform jthe jcharge jnurse jof jher jlack jof
training jin jthis jprocedure.
ANS: j D
The jcharge jnurse jshould jbe jinformed jof jthe jlack jof jtraining jto jperform jthe
jprocedure, jand jthe jvocational jnurse jshould jseek jfurther jtraining jto jgain jproficiency.
jAlthough jthe jother joptions jmight jbe jhelpful, jthey jare jnot jsafe.
PTS: 1 DIF: Cognitive jLevel: 3
, Application j REF:
OBJ:1 TOP: Providing jSafe jCare Nursing jProcess
KEY: Step: jN/A
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
Which jpatient jstatement jindicates ja jneed jfor jfurther jdischarge jteaching jthat
jthejvocational jnurse jshould jaddress?
a. ―I jhave jno jidea jof jhow jthis jdrug
will jaffect jme.‖
b. ―Do jyou jknow jif jmy jphysician jis
coming jback jtoday?‖
c. ―Will jmy jinsurance jpay jfor jmy
stay?‖
d. ―Am jI jgoing jto jhave jto jgo jto ja
nursing jhome?‖
ANS: j A
Lack jof jknowledge jat jdischarge jabout jmedication jeffects jand jside jeffects jis ja
jconcern jthat jshould jbe jaddressed jby jthe jvocationalnurse. jThe jother jconcerns jin jthe
joptions jare jthe jresponsibility jof jother jdepartments jto jwhich jthe jnurse jmight jrefer jthe
jpatient.
PTS: 1 DIF: Cognitive jLevel: jApplication REF:
2
OBJ:1 TOP: Teaching j KEY: Nursing jProcess
Step: jImplementation
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
According jto jmost jstate jNPAs, jthe jvocational jnurse jacting jas jcharge jnurse jin ja
jlong-jterm jcare jfacility jacts jin jwhich jcapacity?
a. Working junder jdirect jsupervision jof jan jRN jon
the junit
b. Working jwith jthe jRN jin jthe jbuilding
c. Working junder jgeneral jsupervision jby jthe jRN
available jon jsite jor jby jphone
d. Working jas jan jindependent jvocational jnurse
ANS: j C
The jvocational jnurse jin jthe jcapacity jof jthe jcharge jnurse jin ja jlong-term jcare
jfacilityjacts jwith jthe jgeneral jsupervision jof jan jRNavailable jon j site jor jby jphone.
PTS: 1 DIF: Cognitive jLevel: REF: 2
Comprehension
OBJ:1 TOP: Charge jNurse/Manager Nursi Process
KEY: ng Step: jN/A
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
,The jnurse jis jeducating ja jpatient jthat jis ja jmember jof ja jhealth jmaintenance
jorganizationj(HMO). jWhich jinformationshould jthe jnurse jinclude?
a. Seek jthe jopinion jof jan jalternate jhealth
jcare
provider.
b. Obtain jinsurance japproval jfor jmedical
services jprior jto jtreatment.
c. Provide jdetailed jdocumentation jof jall jcare
received jfor jhis jcondition.
d. Wait jat jleast j6 jmonths jto jsee ja jspecialist.
ANS: j B
Most jHMOs jrequire jpreprocedure jauthorization jfor jtreatment. jPatients jare jnot
jrequired jto jseek ja jsecond jopinion, jprovidedocumentation j of jcare, jor jwait ja
jspecificjtime jperiod jbefore j visiting j a jspecialist.
PTS: 1 DIF: Cognitive jLevel: 9
Application j REF:
OBJ:9 TOP: Charge jNurse/Manager
KEY: jNursing jProcess jStep: jImplementation
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
The jpatient jcomplains jto jthe jnurse jthat jhe jis jconfused jabout jhis j―deductible‖ jthat
jhejowes jthe jhospital. jWhichstatement jaccurately j explains ja jdeductible?
a. An jamount jof jmoney jput jaside jfor jthe jpayment
jof
future jmedical jbills
b. A jone-time jfee jfor jservice
c. An jamount jof jmoney jdeducted jfrom jthe jbill jby
the jinsurance jcompany
d. An jannual jamount jof jmoney jthe jpatient jmust jpay
out-of-pocket jfor jmedical jcare
ANS: j D
The jdeductible jis jthe jannual jamount jthe jinsured jmust jpay jout-of-pocket jprior jto
jthejinsurance jcompany jassuming jthe jcost. jThis jpractice jimproves jthe jprofit jof jthe
jinsurance jcompany.
PTS: 1 DIF: Cognitive jLevel: REF: 7
Comprehension
OBJ:9 TOP: Health jCare jFinancing
KEY: jNursing jProcess jStep: jImplementation
MSC: jNCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
The jnurse jcompares jthe jcharacteristics jof ja jhealth jmaintenance jorganization
, j(HMO)jand ja jpreferred jproviderorganization j(PPO). j Which jinformation jshould jthe
jnurse jinclude jabout jHMOs?
