, Test Bank For Medical Surgical Nursing 5th Edition By Holly K. Stromberg, All
d d d d d d d d d d d d
Chapters 1-49 | Latest Update d d d d d
Chapter 01: Caring for Medical-Surgical Patients
d d d d d
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
d d d d d d d
MULTIPLE CHOICE d
Which statement accurately describes the primary purpose of the state nurse practice act
d d d d d d d d d d d d
(NPA)?
d
a. To test and license LPN/LVNs.
d d d d
b. To define the scope of LPN/LVN
d d d d d
practice.
c. To improve the quality of care
d d d d d
provided by the LPN/LVN. d d d
d. To limit the LPN/LVN employment
d d d d
placement.
ANS: B d
While improving quality of care provided by the LPN/LVN may be a result of the NPA,
d d d d d d d d d d d d d d d
the primary purpose of the NPA of each state defines the scope of nursing practice in
d d d d d d d d d d d d d d d d
that state.
d d
PTS: 1
Cognitive Level: Comprehension DIF: d d
REF: 2 d
OBJ: 3 TOP: NPA KEY: Nursing Process Step: d d d d
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill
d d d d d d d d d d d d d d
that the vocational nurse has notbeen taught during her educational program. How
d d d d d d d d d d d d
should the vocational nurse respond?
d d d d d
a. Ask a more experienced nurse to d d d d d
demonstrate the procedure. d d
b. Look up the procedure in the procedure d d d d d d
manual.
c. Attempt to perform the procedure with d d d d d
supervision.
d. Inform the charge nurse of her lack of d d d d d d d
training in this procedure. d d d
ANS: D d
The charge nurse should be informed of the lack of training to perform the procedure,
d d d d d d d d d d d d d d
and the vocational nurse should seek further training to gain proficiency. Although the
d d d d d d d d d d d d d
other options might be helpful, they are not safe.
d d d d d d d d d
PTS: 1 DIF: Cognitive Level: d 3
, Application REF: d
OBJ: 1 TOP: Providing Safe Care Nursing Process d d d
KEY: Step: N/A d
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
Which patient statement indicates a need for further discharge teaching that the
d d d d d d d d d d d
vocational nurse should address?
d d d d
a. ―I have no idea of how this drug
d d d d d d d
will affect me.‖ d d
b. ―Do you know if my physician is d d d d d d
coming back today?‖ d d
c. ―Will my insurance pay for my d d d d d
stay?‖
d. ―Am I going to have to go to a d d d d d d d d
nursing home?‖ d
ANS: A d
Lack of knowledge at discharge about medication effects and side effects is a concern
d d d d d d d d d d d d d
that should be addressed by the vocationalnurse. The other concerns in the options are
d d d d d d d d d d d d d d
the responsibility of other departments to which the nurse might refer the patient.
d d d d d d d d d d d d d
PTS: 1
Cognitive Level: Application REF: DIF: d d
2
OBJ: 1 TOP: Teaching KEY: Nursing Process d d
Step: Implementation d
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
According to most state NPAs, the vocational nurse acting as charge nurse in a long-
d d d d d d d d d d d d d d
term care facility acts in which capacity?
d d d d d d d
a. Working under direct supervision of an RN on d d d d d d d
the unit d
b. Working with the RN in the building d d d d d d
c. Working under general supervision by the RN d d d d d d
available on site or by phone d d d d d
d. Working as an independent vocational nurse d d d d d
ANS: C d
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts
d d d d d d d d d d d d d d d
with the general supervision of an RNavailable on site or by phone.
d d d d d d d d d d d d
PTS: 1
Cognitive Level: REF: 2 DIF: d
Comprehension
OBJ: 1 TOP: Charge Nurse/Manager Nursi Process d
KEY: ng Step: N/A d
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
, The nurse is educating a patient that is a member of a health maintenance organization
d d d d d d d d d d d d d d
(HMO). Which informationshould the nurse include?
d d d d d d
a. Seek the opinion of an alternate health cared d d d d d d
provider.
b. Obtain insurance approval for medical d d d d
services prior to treatment. d d d
c. Provide detailed documentation of all care d d d d d
received for his condition. d d d
d. Wait at least 6 months to see a specialist. d d d d d d d d
ANS: B d
Most HMOs require preprocedure authorization for treatment. Patients are not
d d d d d d d d d
required to seek a second opinion, providedocumentation of care, or wait a specific
d d d d d d d d d d d d d
time period before visiting a specialist.
d d d d d d
PTS: 1
Cognitive Level: 9 DIF: d
Application REF: d
OBJ: 9 TOP: Charge Nurse/Manager d
KEY: Nursing Process Step: Implementation
d d d d
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
The patient complains to the nurse that he is confused about his ―deductible‖ that he
d d d d d d d d d d d d d d
owes the hospital. Whichstatement accurately explains a deductible?
d d d d d d d d
a. An amount of money put aside for the payment of
d d d d d d d d d
future medical bills d d
b. A one-time fee for service d d d d
c. An amount of money deducted from the bill by
d d d d d d d d
the insurance company d d
d. An annual amount of money the patient must pay
d d d d d d d d
out-of-pocket for medical care d d d
ANS: D d
The deductible is the annual amount the insured must pay out-of-pocket prior to the
d d d d d d d d d d d d d
insurance company assuming the cost. This practice improves the profit of the
d d d d d d d d d d d d
insurance company.
d d
PTS: 1
Cognitive Level: REF: 7 DIF: d
Comprehension
OBJ: 9 TOP: Health Care Financing d d
KEY: Nursing Process Step: Implementation
d d d d
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
The nurse compares the characteristics of a health maintenance organization (HMO)
d d d d d d d d d d
and a preferred providerorganization (PPO). Which information should the nurse
d d d d d d d d d d
include about HMOs?
d d d
d d d d d d d d d d d d
Chapters 1-49 | Latest Update d d d d d
Chapter 01: Caring for Medical-Surgical Patients
d d d d d
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
d d d d d d d
MULTIPLE CHOICE d
Which statement accurately describes the primary purpose of the state nurse practice act
d d d d d d d d d d d d
(NPA)?
d
a. To test and license LPN/LVNs.
d d d d
b. To define the scope of LPN/LVN
d d d d d
practice.
c. To improve the quality of care
d d d d d
provided by the LPN/LVN. d d d
d. To limit the LPN/LVN employment
d d d d
placement.
ANS: B d
While improving quality of care provided by the LPN/LVN may be a result of the NPA,
d d d d d d d d d d d d d d d
the primary purpose of the NPA of each state defines the scope of nursing practice in
d d d d d d d d d d d d d d d d
that state.
d d
PTS: 1
Cognitive Level: Comprehension DIF: d d
REF: 2 d
OBJ: 3 TOP: NPA KEY: Nursing Process Step: d d d d
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill
d d d d d d d d d d d d d d
that the vocational nurse has notbeen taught during her educational program. How
d d d d d d d d d d d d
should the vocational nurse respond?
d d d d d
a. Ask a more experienced nurse to d d d d d
demonstrate the procedure. d d
b. Look up the procedure in the procedure d d d d d d
manual.
c. Attempt to perform the procedure with d d d d d
supervision.
d. Inform the charge nurse of her lack of d d d d d d d
training in this procedure. d d d
ANS: D d
The charge nurse should be informed of the lack of training to perform the procedure,
d d d d d d d d d d d d d d
and the vocational nurse should seek further training to gain proficiency. Although the
d d d d d d d d d d d d d
other options might be helpful, they are not safe.
d d d d d d d d d
PTS: 1 DIF: Cognitive Level: d 3
, Application REF: d
OBJ: 1 TOP: Providing Safe Care Nursing Process d d d
KEY: Step: N/A d
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
Which patient statement indicates a need for further discharge teaching that the
d d d d d d d d d d d
vocational nurse should address?
d d d d
a. ―I have no idea of how this drug
d d d d d d d
will affect me.‖ d d
b. ―Do you know if my physician is d d d d d d
coming back today?‖ d d
c. ―Will my insurance pay for my d d d d d
stay?‖
d. ―Am I going to have to go to a d d d d d d d d
nursing home?‖ d
ANS: A d
Lack of knowledge at discharge about medication effects and side effects is a concern
d d d d d d d d d d d d d
that should be addressed by the vocationalnurse. The other concerns in the options are
d d d d d d d d d d d d d d
the responsibility of other departments to which the nurse might refer the patient.
d d d d d d d d d d d d d
PTS: 1
Cognitive Level: Application REF: DIF: d d
2
OBJ: 1 TOP: Teaching KEY: Nursing Process d d
Step: Implementation d
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
According to most state NPAs, the vocational nurse acting as charge nurse in a long-
d d d d d d d d d d d d d d
term care facility acts in which capacity?
d d d d d d d
a. Working under direct supervision of an RN on d d d d d d d
the unit d
b. Working with the RN in the building d d d d d d
c. Working under general supervision by the RN d d d d d d
available on site or by phone d d d d d
d. Working as an independent vocational nurse d d d d d
ANS: C d
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts
d d d d d d d d d d d d d d d
with the general supervision of an RNavailable on site or by phone.
d d d d d d d d d d d d
PTS: 1
Cognitive Level: REF: 2 DIF: d
Comprehension
OBJ: 1 TOP: Charge Nurse/Manager Nursi Process d
KEY: ng Step: N/A d
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
, The nurse is educating a patient that is a member of a health maintenance organization
d d d d d d d d d d d d d d
(HMO). Which informationshould the nurse include?
d d d d d d
a. Seek the opinion of an alternate health cared d d d d d d
provider.
b. Obtain insurance approval for medical d d d d
services prior to treatment. d d d
c. Provide detailed documentation of all care d d d d d
received for his condition. d d d
d. Wait at least 6 months to see a specialist. d d d d d d d d
ANS: B d
Most HMOs require preprocedure authorization for treatment. Patients are not
d d d d d d d d d
required to seek a second opinion, providedocumentation of care, or wait a specific
d d d d d d d d d d d d d
time period before visiting a specialist.
d d d d d d
PTS: 1
Cognitive Level: 9 DIF: d
Application REF: d
OBJ: 9 TOP: Charge Nurse/Manager d
KEY: Nursing Process Step: Implementation
d d d d
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
The patient complains to the nurse that he is confused about his ―deductible‖ that he
d d d d d d d d d d d d d d
owes the hospital. Whichstatement accurately explains a deductible?
d d d d d d d d
a. An amount of money put aside for the payment of
d d d d d d d d d
future medical bills d d
b. A one-time fee for service d d d d
c. An amount of money deducted from the bill by
d d d d d d d d
the insurance company d d
d. An annual amount of money the patient must pay
d d d d d d d d
out-of-pocket for medical care d d d
ANS: D d
The deductible is the annual amount the insured must pay out-of-pocket prior to the
d d d d d d d d d d d d d
insurance company assuming the cost. This practice improves the profit of the
d d d d d d d d d d d d
insurance company.
d d
PTS: 1
Cognitive Level: REF: 7 DIF: d
Comprehension
OBJ: 9 TOP: Health Care Financing d d
KEY: Nursing Process Step: Implementation
d d d d
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d d d d d d d
The nurse compares the characteristics of a health maintenance organization (HMO)
d d d d d d d d d d
and a preferred providerorganization (PPO). Which information should the nurse
d d d d d d d d d d
include about HMOs?
d d d
