Medical-Surgical Nursing: Concepts and Practice
Test Bank 6th Edition Author:Holly K. Stromberg
Latest Edition 2024-2025
Chapter 01: Caring For Medical-Surgical Patients
Dewit: Medical-Surgical Nursing: Concepts & Practice, 6th Edition
MULTIPLE CHOICE
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.
ANS: B
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.
PTS: 1 DIF: Cognitive Level: Comprehension
REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The Charge Nurse Asks The New Vocational Nurse To Start An Intravenous Infusion, A Skill That
The Vocational Nurse Has Notbeen 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.
ANS: D
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.
,PTS: 1 DIF: Cognitive Level: 3
, Application REF:
OBJ: 1 TOP: Providing Safe Care Nursing Process
KEY: Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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?‖
ANS: A
Lack Of Knowledge At Discharge About Medication Effects And Side Effects Is A Concern That
Should Be Addressed By The Vocationalnurse. The Other Concerns In The Options Are The
Responsibility Of Other Departments To Which The Nurse Might Refer The Patient.
PTS: 1 DIF: Cognitive Level: Application REF:
2
OBJ: 1 TOP: Teaching KEY: Nursing Process
Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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
ANS: C
The Vocational Nurse In The Capacity Of The Charge Nurse In A Long-Term Care Facility Acts
With The General Supervision Of An Rnavailable On Site Or By Phone.
PTS: 1 DIF: Cognitive Level: REF: 2
Comprehension
OBJ: 1 TOP: Charge Nurse/Manager Nursi Process
KEY: Ng Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
, The Nurse Is Educating A Patient That Is A Member Of A Health Maintenance Organization (HMO).
Which Informationshould 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.
D. Wait At Least 6 Months To See A Specialist.
ANS: B
Most Hmos Require Preprocedure Authorization For Treatment. Patients Are Not Required To
Seek A Second Opinion, Providedocumentation Of Care, Or Wait A Specific Time Period Before
Visiting A Specialist.
PTS: 1 DIF: Cognitive Level: 9
Application REF:
OBJ: 9 TOP: Charge Nurse/Manager
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The Patient Complains To The Nurse That He Is Confused About His ―Deductible‖ That He Owes The
Hospital. Whichstatement 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
ANS: D
The Deductible Is The Annual Amount The Insured Must Pay Out-Of-Pocket Prior To The
Insurance Company Assuming The Cost. This Practice Improves The Profit Of The Insurance
Company.
PTS: 1 DIF: Cognitive Level: REF: 7
Comprehension
OBJ: 9 TOP: Health Care Financing
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The Nurse Compares The Characteristics Of A Health Maintenance Organization (HMO) And A
Preferred Providerorganization (PPO). Which Information Should The Nurse Include About Hmos?
Test Bank 6th Edition Author:Holly K. Stromberg
Latest Edition 2024-2025
Chapter 01: Caring For Medical-Surgical Patients
Dewit: Medical-Surgical Nursing: Concepts & Practice, 6th Edition
MULTIPLE CHOICE
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.
ANS: B
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.
PTS: 1 DIF: Cognitive Level: Comprehension
REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The Charge Nurse Asks The New Vocational Nurse To Start An Intravenous Infusion, A Skill That
The Vocational Nurse Has Notbeen 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.
ANS: D
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.
,PTS: 1 DIF: Cognitive Level: 3
, Application REF:
OBJ: 1 TOP: Providing Safe Care Nursing Process
KEY: Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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?‖
ANS: A
Lack Of Knowledge At Discharge About Medication Effects And Side Effects Is A Concern That
Should Be Addressed By The Vocationalnurse. The Other Concerns In The Options Are The
Responsibility Of Other Departments To Which The Nurse Might Refer The Patient.
PTS: 1 DIF: Cognitive Level: Application REF:
2
OBJ: 1 TOP: Teaching KEY: Nursing Process
Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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
ANS: C
The Vocational Nurse In The Capacity Of The Charge Nurse In A Long-Term Care Facility Acts
With The General Supervision Of An Rnavailable On Site Or By Phone.
PTS: 1 DIF: Cognitive Level: REF: 2
Comprehension
OBJ: 1 TOP: Charge Nurse/Manager Nursi Process
KEY: Ng Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
, The Nurse Is Educating A Patient That Is A Member Of A Health Maintenance Organization (HMO).
Which Informationshould 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.
D. Wait At Least 6 Months To See A Specialist.
ANS: B
Most Hmos Require Preprocedure Authorization For Treatment. Patients Are Not Required To
Seek A Second Opinion, Providedocumentation Of Care, Or Wait A Specific Time Period Before
Visiting A Specialist.
PTS: 1 DIF: Cognitive Level: 9
Application REF:
OBJ: 9 TOP: Charge Nurse/Manager
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The Patient Complains To The Nurse That He Is Confused About His ―Deductible‖ That He Owes The
Hospital. Whichstatement 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
ANS: D
The Deductible Is The Annual Amount The Insured Must Pay Out-Of-Pocket Prior To The
Insurance Company Assuming The Cost. This Practice Improves The Profit Of The Insurance
Company.
PTS: 1 DIF: Cognitive Level: REF: 7
Comprehension
OBJ: 9 TOP: Health Care Financing
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The Nurse Compares The Characteristics Of A Health Maintenance Organization (HMO) And A
Preferred Providerorganization (PPO). Which Information Should The Nurse Include About Hmos?
