Med Surg Unit 1 test quiz with
correct answers
A 40-year-old female patient is being prepared for discharge home after a laparoscopic cholecystectomy.
Which team member can be assigned to complete a discharge assessment and provide patient teaching
for post-discharge care?
A. Registered nurse (RN)
B. Nursing technician (NT)
C. Unlicensed assistive personnel (UAP)
D. Licensed practical/vocational nurse (LPN/LVN) - CORRECT ANSWER-A. Registered nurse (RN)
Nursing interventions that require independent nursing knowledge, skill, or judgment such as assessment,
patient teaching, and evaluation of care cannot be delegated. These interventions are the responsibility of
the RN. The scope of practice for LPN/LVNs is determined by each state board of nursing. The RN must
know the legal scope of practical/vocational nursing practice and delegates and assigns nursing functions
appropriately. In most states LPN/LVNs may administer medications, perform sterile procedures, and
provide a wide variety of interventions planned by the RN. UAP are unlicensed individuals who serve in an
assistive role to the RN and may include nursing assistants or technicians. The RN may delegate specific
activities such as obtaining routine vital signs on stable patients, feeding/assisting patients at mealtimes,
ambulating stable patients, and helping patients with bathing and hygiene.
A 60-year-old female patient has had increased evidence of dementia and physical deterioration. What
would be the best assistance to recommend to her caregiver husband who is exhausted?
a. Long-term care
b. Adult day care
c. Home health care
d.Homemaker services - CORRECT ANSWER-b. Adult day care
Adult day care provides social, recreational, and health-related services in a safe, community-based
environment that would keep this patient safe and decrease the stress on the husband. Long-term care is
used when the patient has rapid deterioration, the caregiver is unable to continue to provide care, and there
is an alteration in or loss of the family support system. Home health care is used when there is supportive
caregiver involvement for patients with health needs. Homemaker services provide services, but do not
care for the patient.
A 60-year-old female patient has had increased evidence of dementia and physical deterioration. What
would be the best assistance to recommend to her caregiver husband who is exhausted?
a. Long term care
b. Adult day care
c. Home health care
d. Homemaker services - CORRECT ANSWER-b. Adult day care
Adult day care provides social, recreational, and health-related services in a safe, community-based
environment that would keep this patient safe and decrease the stress on the husband. Long-term care is
, used when the patient has rapid deterioration, the caregiver is unable to continue to provide care, and there
is an alteration in or loss of the family support system. Home health care is used when there is supportive
caregiver involvement for patients with health needs. Homemaker services provide services, but do not
care for the patient.
A 67-year-old woman who has a long-standing diagnosis of incontinence is in the habit of arriving 20
minutes early for church in order to ensure that she gets a seat near the end of a row and close to the exit
so that she has ready access to the restroom. Which tasks of the chronically ill is the woman demonstrating
(select all that apply)?
a. Controlling symptoms
b. Preventing social isolation
c. Preventing and managing a crisis
d. Denying the reality of the problem
e. Adjusting to changes in the course of the disease - CORRECT ANSWER-a. Controlling symptoms
c. Preventing and managing a crisis
The woman's efforts to ensure that she can continue in her lifestyle of church attendance while
accommodating the frequent elimination caused by her health problem are an example of controlling her
symptoms and preventing a personal crisis.
A 67-year-old woman who has a long-standing diagnosis of incontinence is in the habit of arriving 20
minutes early for church in order to ensure that she gets a seat near the end of a row and close to the exit
so that she has ready access to the restroom. Which tasks of the chronically is the chronically ill woman
demonstrating
a. Controlling symptoms
b. Preventing social isolation
c. Preventing and managing a crisis
d. Denying reality of the problem
e. Adjusting to changes in the course of disease. - CORRECT ANSWER-e. Adjusting to changes in the
course of disease.
The woman's efforts to ensure that she can continue in her lifestyle of church attendance while
accommodating the frequent elimination caused by her health problem are an example of controlling her
symptoms and preventing a personal crisis
A 70-year-old man has just been diagnosed with chronic obstructive pulmonary disease (COPD). At what
point should the nurse begin to include the patient's wife in the teaching around the management of the
disease?
a. As soon as possible
b. When the patient requests assistance from his spouse and family
c. When the patient becomes unable to manage his symptoms independently
d. After the patient has had the opportunity to adjust to his treatment regimen - CORRECT ANSWER-a. As
soon as possible
In the management of chronic illness, it is desirable to include family caregivers in patient education and
symptom-management efforts as early in the diagnosis as possible.
A 70-year-old man has just been diagnosed with chronic obstructive pulmonary disease (COPD). At what
point should the nurse begin to include the patient's wife in the teaching around the management of the
disease?
a. As soon as possible
b. When the patient requests assistance from his spouse and family
c. When the patient becomes unable to manage his symptoms independently
d. After the patient has had the opportunity to adjust to his treatment regimen - CORRECT ANSWER-a. As
soon as possible.
In the management of chronic illness, it is desirable to include family caregivers in patient education and
symptom-management efforts as early in the diagnosis as possible.
correct answers
A 40-year-old female patient is being prepared for discharge home after a laparoscopic cholecystectomy.
Which team member can be assigned to complete a discharge assessment and provide patient teaching
for post-discharge care?
A. Registered nurse (RN)
B. Nursing technician (NT)
C. Unlicensed assistive personnel (UAP)
D. Licensed practical/vocational nurse (LPN/LVN) - CORRECT ANSWER-A. Registered nurse (RN)
Nursing interventions that require independent nursing knowledge, skill, or judgment such as assessment,
patient teaching, and evaluation of care cannot be delegated. These interventions are the responsibility of
the RN. The scope of practice for LPN/LVNs is determined by each state board of nursing. The RN must
know the legal scope of practical/vocational nursing practice and delegates and assigns nursing functions
appropriately. In most states LPN/LVNs may administer medications, perform sterile procedures, and
provide a wide variety of interventions planned by the RN. UAP are unlicensed individuals who serve in an
assistive role to the RN and may include nursing assistants or technicians. The RN may delegate specific
activities such as obtaining routine vital signs on stable patients, feeding/assisting patients at mealtimes,
ambulating stable patients, and helping patients with bathing and hygiene.
A 60-year-old female patient has had increased evidence of dementia and physical deterioration. What
would be the best assistance to recommend to her caregiver husband who is exhausted?
a. Long-term care
b. Adult day care
c. Home health care
d.Homemaker services - CORRECT ANSWER-b. Adult day care
Adult day care provides social, recreational, and health-related services in a safe, community-based
environment that would keep this patient safe and decrease the stress on the husband. Long-term care is
used when the patient has rapid deterioration, the caregiver is unable to continue to provide care, and there
is an alteration in or loss of the family support system. Home health care is used when there is supportive
caregiver involvement for patients with health needs. Homemaker services provide services, but do not
care for the patient.
A 60-year-old female patient has had increased evidence of dementia and physical deterioration. What
would be the best assistance to recommend to her caregiver husband who is exhausted?
a. Long term care
b. Adult day care
c. Home health care
d. Homemaker services - CORRECT ANSWER-b. Adult day care
Adult day care provides social, recreational, and health-related services in a safe, community-based
environment that would keep this patient safe and decrease the stress on the husband. Long-term care is
, used when the patient has rapid deterioration, the caregiver is unable to continue to provide care, and there
is an alteration in or loss of the family support system. Home health care is used when there is supportive
caregiver involvement for patients with health needs. Homemaker services provide services, but do not
care for the patient.
A 67-year-old woman who has a long-standing diagnosis of incontinence is in the habit of arriving 20
minutes early for church in order to ensure that she gets a seat near the end of a row and close to the exit
so that she has ready access to the restroom. Which tasks of the chronically ill is the woman demonstrating
(select all that apply)?
a. Controlling symptoms
b. Preventing social isolation
c. Preventing and managing a crisis
d. Denying the reality of the problem
e. Adjusting to changes in the course of the disease - CORRECT ANSWER-a. Controlling symptoms
c. Preventing and managing a crisis
The woman's efforts to ensure that she can continue in her lifestyle of church attendance while
accommodating the frequent elimination caused by her health problem are an example of controlling her
symptoms and preventing a personal crisis.
A 67-year-old woman who has a long-standing diagnosis of incontinence is in the habit of arriving 20
minutes early for church in order to ensure that she gets a seat near the end of a row and close to the exit
so that she has ready access to the restroom. Which tasks of the chronically is the chronically ill woman
demonstrating
a. Controlling symptoms
b. Preventing social isolation
c. Preventing and managing a crisis
d. Denying reality of the problem
e. Adjusting to changes in the course of disease. - CORRECT ANSWER-e. Adjusting to changes in the
course of disease.
The woman's efforts to ensure that she can continue in her lifestyle of church attendance while
accommodating the frequent elimination caused by her health problem are an example of controlling her
symptoms and preventing a personal crisis
A 70-year-old man has just been diagnosed with chronic obstructive pulmonary disease (COPD). At what
point should the nurse begin to include the patient's wife in the teaching around the management of the
disease?
a. As soon as possible
b. When the patient requests assistance from his spouse and family
c. When the patient becomes unable to manage his symptoms independently
d. After the patient has had the opportunity to adjust to his treatment regimen - CORRECT ANSWER-a. As
soon as possible
In the management of chronic illness, it is desirable to include family caregivers in patient education and
symptom-management efforts as early in the diagnosis as possible.
A 70-year-old man has just been diagnosed with chronic obstructive pulmonary disease (COPD). At what
point should the nurse begin to include the patient's wife in the teaching around the management of the
disease?
a. As soon as possible
b. When the patient requests assistance from his spouse and family
c. When the patient becomes unable to manage his symptoms independently
d. After the patient has had the opportunity to adjust to his treatment regimen - CORRECT ANSWER-a. As
soon as possible.
In the management of chronic illness, it is desirable to include family caregivers in patient education and
symptom-management efforts as early in the diagnosis as possible.
