Test Bank For Brunner & Suddarth's Textbook of Medical- Surgical Nursing 15th Edition By Janice L Hinkle, Kerry H. Cheever, Et al. | Complete |Chapters 1-68

Stromberg: Medical-
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Surgical Nursing: Concepts and Practice, 5th Edition exam test questions and answers ver
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Chapter 01: Caring for Medical-Surgical Patients
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MULTIPLEutCHOICE

1. Whichutstatementutaccuratelyutdescribesuttheutprimaryutpurposeutofuttheutstateutnurseutpracticeuta
ctut(NPA)?
a. TouttestutandutlicenseutLPN/LVNs
b. ToutdefineuttheutscopeutofutLPN/LVNutpractice
c. ToutimproveuttheutqualityutofutcareutprovidedutbyuttheutLPN/LV
N
d. ToutlimituttheutLPN/LVNutemploymentutplacement

ANS:u t B
WhileutimprovingutqualityutofutcareutprovidedutbyuttheutLPN/LVNutmayutbeutautresultutofuttheutNPA,uttheutpri
maryutpurposeutofuttheutNPAutofuteachutstateutdefinesuttheutscopeutofutnursingutpracticeut inutthatut state.

DIF: CognitiveutLevel:utComprehension REF:u t p.ut3
OBJ:u t 3utTOP:u t NPA
KEY:u t NursingutProcessutStep:utImplementation
MSC:u t NCLEX:utSafe,utEffectiveutCareutEnvironment:utCoordinatedutCare

2. Theutchargeutnurseutasksuttheutnewutvocationalutnurseuttoutstartutanutintravenousutinfusion,utautskillutthatutt
heutvocationalutnurseuthasutnotutbeenuttaughtutduringutheruteducationalutprogram.utHowutshoulduttheutvo
cationalutnurseutrespond?
a. Askutautmoreutexperiencedutnurseuttoutdemonstrateuttheutprocedure.
b. Lookutuputtheutprocedureutinuttheutprocedureutmanual.
c. Attemptuttout performuttheutprocedureutwithutsupervision.
d. Informuttheutchargeutnurseutofutherutlackutofuttrainingutinutthisutprocedur
e.
ANS:u t D
Theutchargeutnurseutshouldutbeutinformedutofuttheutlackutofuttraininguttoutperformuttheutprocedure,utandutt
heutvocationalutnurseutshouldutseekutfurtheruttraininguttoutgainutproficiency.utAlthoughuttheutotherutopt
ionsutmightutbeuthelpful,uttheyutareutnotutsafe.

DIF: CognitiveutLevel:utApplication REF:u t p.ut3
OBJ:u t 1utTOP:u t ProvidingutSafeutCare
KEY:u t NursingutProcessutStep:utN/AutMSC:u t NCLEX:utSafe,utEffectiveutC
areutEnvironment:utCoordinatedutCare

3. Whichutpatientutstatementutindicatesutautneedutforutfurtherutdischargeutteachingutthatuttheutvocation
alutnurseutshouldutaddress?
a. ―Iuthaveutnoutideautofuthowutthisutdrugutwillutaffectutme.‖
b. ―Doutyouutknowutifutmyutphysicianutisutcomingutbackuttoday?‖
c. ―Willutmyutinsuranceutpayutforutmyutstay?‖
d. ―AmutIutgoinguttouthaveuttoutgouttoutautnursinguthome?‖
ANS:u t A
Lackutofutknowledgeutatutdischargeutaboututmedicationuteffectsutandutsideuteffectsutisutautconcernutthatuts
houldutbeutaddressedutbyuttheutvocationalutnurse.utTheutotherutconcernsutinuttheutoptionsutareuttheutresp
onsibilityutofutotherutdepartmentsuttoutwhichuttheutnurseutmightutreferuttheutpatient.

,DIF: CognitiveutLevel:utApplication REF:u t p.ut2
OBJ:u t 1utTOP:u t Teaching
KEY:u t NursingutProcessutStep:utImplementation

, MSC:u t NCLEX:utSafe,utEffectiveutCareutEnvironment:utCoordinatedutCare

4. AccordinguttoutmostutstateutNPAs,uttheutvocationalutnurseutactingutasutchargeutnurseutinutautlong-
termutcareutfacilityutactsutinutwhichutcapacity?
a. WorkingutunderutdirectutsupervisionutofutanutRNutonuttheutunit
b. WorkingutwithuttheutRNutinuttheutbuilding
c. WorkingutunderutgeneralutsupervisionutbyuttheutRNutavailableutonutsiteutorutbyutphon
e
d. Workingutasutanutindependentutvocationalutnurse
ANS:u t C
Theutvocationalutnurseutinuttheutcapacityutofuttheutchargeutnurseutinutautlong-
termutcareutfacilityutactsutwithuttheutgeneralutsupervisionutofutanutRNutavailableutonutsiteutorutbyutphone.

DIF: CognitiveutLevel:utComprehension REF:u t p.ut3
OBJ:u t 1utTOP:u t ChargeutNurse/Manager
KEY:u t NursingutProcessutStep:utN/AutMSC:u t NCLEX:utSafe,utEffectiveutC
areutEnvironment:utCoordinatedutCare

5. Theutnurseutisuteducatingutautpatientutthatutisutautmemberutofutauthealthutmaintenanceutorganizati
onut(HMO).utWhichutinformationutshoulduttheutnurseutinclude?
a. Seekuttheutopinionutofutanutalternateuthealthutcareutprovider.
b. Contactuttheutinsuranceutcompanyutforutcoverageutdetailsutasutservicesutmayutbeutlimite
d.
c. Provideutdetailedutdocumentationutofutallutcareutreceivedutforuthisutcondition.
d. Waitutatutleastut6utmonthsuttoutseeutautspecialist.
ANS:u t B
HMOsutareutautkindutofutmanagedutcare.utThisutisutaccomplishedutbyutpayingutprovidersuttoutcareutforutg
roupsutofutpatientsutforutautsetutcapitationutfeeutandutbyutlimitingutservices.utPatientsutareutnotutrequiredutt
outseekutautsecondutopinion,utprovideutdocumentationutofutcare,utorutwaitutautspecificuttimeutperiodutbef
oreutvisitingutautspecialist.

DIF: CognitiveutLevel:utApplication REF:u t u t p.ut9 OBJ:u t u t 9
TOP:u t ChargeutNurse/Manager
KEY:u t NursingutProcessutStep:utImplementatio
nutMSC:u t NCLEX:utSafe,utEffectiveutCareutEnvironment:utCoordinatedutCare

6. Theutpatientutcomplainsuttouttheutnurseutthatutheutisutconfusedutaboututhisut―deductible‖utthatutheutowesutth
euthospital.utWhichutstatementutaccuratelyutexplainsutautdeductible?
a. Anutamountutofutmoneyutpututasideutforuttheutpaymentutofutfutureutmedicalutbills
b. Autone-timeutfeeutforutservice
c. Anutamountutofutmoneyutdeductedutfromuttheutbillutbyuttheutinsuranceutcompany
d. Anutannualutamountutofutmoneyuttheutpatientutmustutpayutout-of-
pocketutforutmedicalutcare
ANS:u t D
Theutdeductibleutisuttheutannualutamountuttheutinsuredutmustutpayutout-of-
pocketutprioruttouttheutinsuranceutcompanyutassuminguttheutcost.utThisutpracticeutimprovesuttheutprofitutofutt
heutinsuranceutcompany.

DIF: CognitiveutLevel:utComprehension REF:u t u t p.ut7 OBJ:u t u t 9

, TOP:u t HealthutCareutFinancing
KEY:u t NursingutProcessutStep:utImplementatio
nutMSC:u t NCLEX:utSafe,utEffectiveutCareutEnvironment:utCoordinatedutCare

7. AutpatientutasksuttheutnurseutwhatutMedicareutPartutAutcovers.utWhichutresponseutisutcorrect?
a. MedicareutPartutAutcoversutinpatientuthospitalutcosts.
b. MedicareutPartutAutcoversutreimbursementuttouttheutphysician
.
c. MedicareutPartutAutcoversutoutpatientuthospitalutservices
.
d. MedicareutPartutAutcoversutambulanceuttransportation.

ANS:u t A
MedicareutPartutAutcoversutinpatientuthospitalutexpenses,utdrugs,utx-
rays,utlaboratoryutwork,utandutintensiveutcare.utMedicareutPartutButpaysuttheutphysician,utambula
nceuttransport,utandutoutpatientutservices.

DIF: CognitiveutLevel:utComprehension REF:u t p.ut8,utBoxut1-4
OBJ:u t 9 TOP:u t Government-
SponsoredutHealthutInsuranceutKEY:u t NursingutProcessutStep:utImplemen
tation
MSC:u t NCLEX:utSafe,utEffectiveutCareutEnvironment:utCoordinatedutCare

8. Whichutisuttheutmainutcost-containmentutcomponentutofutdiagnosis-relatedutgroupsut(DRGs)?
a. Hospitalsutfocusutonlyutonuttheutspecificutdiagnosis.
b. Hospitalsuttreatutandutdischargeutpatientsutquickly.
c. Reducedutcostutdrugsutareutorderedutforutspecificutdiagnoses
.
d. Diagnosticutgrouputclassificationutstreamlinesutcare.

ANS:u t B
DRGsutareutautprospectiveutpaymentutplanutinutwhichuthospitalsutreceiveutautflatutfeeutforuteachutpatient’sutdia
gnosticutcategoryutregardlessutofuttheutlengthutofuttimeutinuttheuthospital.utIfuthospitalsutcanuttreatutandutdischa
rgeutpatientsutbeforeuttheutallotteduttime,uthospitalsutgetuttoutkeeputtheutexcessutpayment;utcostutisutcontained,
utanduttheutpatientutisutdischargedutsooner.




DIF: CognitiveutLevel:utComprehension REF:u t p.ut8
OBJ:u t 9utTOP:u t Government-SponsoredutHealthutInsurance
KEY:u t NursingutProcessutStep:utImplementation
MSC:u t NCLEX:utSafe,utEffectiveutCareutEnvironment:utCoordinatedutCare

9. Theutnurseutisutassessingutautgrouputofutpatients.utWhichutpatientutwouldutmostutlikelyutqualifyutf
orutMedicaid?
a. Aut35-year-oldutunemployedutsingleutmotherutwithutdiabetes
b. Aut70-year-oldutMedicareutrecipientutwithutretirementutincomeutwhoutneedsuttoutbeutinuta
long-termutcareut facility
c. Anut80-year-oldutblindutwomanutlivingutinutherutownuthomeutwhouthasutinadequateutprivate
insurance
d. Aut67-year-
oldutstrokeutvictimutwithutMedicareutPartutAutandutanutincomeutfromutinvestments
ANS:u t A
Medicaidutisutautjointuteffortutofutfederalutandutstateutgovernmentsutgearedutprimarilyutforutlow-