Stromberg, AllChapters 1-49 | Latest Il`q, Il`q, Il`q, Il`q,
Il`q, Update Chapter 01:Caringfor Medical-Surgical Patients deWit:Medical-
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Surgical Nursing: Concepts & Practice, 5th Edition Il`q, Il`q Il`, Il` Il`q Il`, Il` Il`q, Il`q Il`, Il` Il`q Il`, Il` Il`
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MULTIPLECHOICE Il`
Whichstatement accuratelydescribes theprimarypurpose of Il`q, Il`q, Il`q,
thestatenursepracticeact (NPA)?
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a. TotestandlicenseLPN/LVNs. Il` Il`
b. Todefine thescopeof LPN/LVN Il` Il`q, Il`q,
practice. Il`q, Il`
c. Toimprovethequality of Il` Il`q, Il`
care provided bythe LPN/LVN. q, Il` q, Il`q, Il`q, Il`
d. Tolimit theLPN/LVN employment Il` ij Il`q,
placement. Il`q, Il`
ANS: B Il`q Il`, Il` Il`
Whileimproving qualityof care provided bythe LPN/LVN maybe aresult of Il`q, Il`q, Il`q, Il`q, Il`q, Il` q , Il` Il`q, Il` q , Il` Il`
the NPA, the primary purpose of the NPA of each state d efines the s cope of nursing
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practice in
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PTS: 1 DIF: CognitiveLevel:Comprehension Il` Il` Il`
REF: 2 Il`q, Il`q, Il` Il` Il`
OBJ:3 TOP: NPA Il` Il` Il`
KEY: Nursing Process Step: Imple q Il`, Il` Il`q, Il`q, Il`q, Il`q,
mentation Il`
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MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care Il` q, Il`q, Il`q, Il`q, Il` q, Il`q, Il`
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skillthat
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the vocational nurse has notbeen taught during
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How should q , Il` Il` q, Il`
the vocational nurse respond?
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a. Ask a more experienced nurse Il` Il`q, Il`q, Il`q, Il`q Il`, Il` Il`
to demonstratethe procedure. q Il`, Il` Il` q, Il`q, Il`
b. Lookup the procedure in Il`
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the procedure manual. Il` Il`q Il`, Il` Il`q, Il`
c. Attempt to perform Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`,
theprocedure with supervision. Il` Il`q Il`, Il` Il`q, Il`
d. Inform the charge nurse of her lack Il`
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of trainingin this procedure. q, Il` q, Il`q, Il`q, Il`
ANS: D Il`q Il`, Il` Il`
The charge nurse should be informed of the lack of training to perform the procedure,
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and the vocational nurse should seek further training to gain proficiency. Although the
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other options might be helpful, they are not safe.
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PTS: 1 DIF: Cognitive Level: 3 Il` Il` Il` Il`q, Il` Il`
Il` Application REF: Il` Il` Il` q , Il` Il` Il`
OBJ: 1 TOP: Providing Safe Care Nursing Process St Il` Il` Il` Il`q, Il`q, Il`q, Il` q, Il`q,
KEY: ep: N/A Il` Il`q, Il`
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MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care Il` q, Il`q, q, Il` Il`q, Il` q, Il`q, Il`
Which patient statement indicates Il`q Il`, Il` aneed for further dischargeteaching Il`q, Il` Il`q Il`, Il` Il` q , Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`
that thevocational nurse should address?
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a. ―I haveno idea of how this Il` Il`q, Il`q, Il`q Il`, Il` Il`q Il`, Il` Il`q, Il`
drug will affect me.‖ q Il`, Il` Il`q, Il`q, Il`q, Il`
b. ―Do you know if Il`
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my physician is coming back q, Il` q, Il`q, Il`q, Il`q,
today?‖ Il`q, Il`
c. ―Will my insurance pay for Il` Il`q, Il`q, Il`q Il`, Il` Il`q,
my stay?‖ Il`q, Il`q, Il`
d. ―Am I going to have to go to Il`
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a nursing home?‖ q, Il`q, Il`q, Il`
ANS: A Il`q Il`, Il` Il`
Lack of knowledge at discharge about medication effects and side effects is a concern
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that should be addressed by the vocationalnurse. The other concerns in the options arethe
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responsibility of other departments to which the nurse might refer the patient.
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PTS: 1 DIF: Cognitive Level: Application Il` Il` Il` Il`q, Il`q,
Il`
2 Il`
REF:
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OBJ:1 Il` TOP: Teaching KEY: Il` Il` q , Il`
Nursing Process Il` Il`q, Il`q,
Step:Implementation Il`
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MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care Il` q, Il`q, Il`q, q, Il` Il` q, Il`q, Il`
According tomost state NPAs, thevocational nurse acting as charge nurse in along-
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Il`q, term care facility acts in which capacity?
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a. Working under direct supervision of an RN Il` Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`
on the unit q, Il` q, Il`q, Il`
b. Working withthe RNin thebuilding Il`
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c. Working under general supervision by the Il` Il`q, Il`q, Il`q, Il`q Il`, Il` Il`q, Il`
RN available on site or byphone q, Il` q, Il`q, Il`q, Il`q, Il`q, Il`
d. Working as an independentvocational nurse
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ANS: C Il`q Il`, Il` Il`
The vocational nurse in the capacity of the charge nurse in a long-term care facilityacts
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q Il`, Il` with the general supervision of an RNavailable on
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, Cognitive Level: PTS: 1
REF: 2 Il` Il` DIF: Il` Il`q, Il`q, Il` Il`
Comprehension Il` Il`
OBJ: 1 TOP: Charge Nurse/Manager Nursi Process Il` Il` Il` Il`q, Il`q,
Il`
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KEY: ng Step: N/A Il` Il` q, Il`q, Il`
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care Il` q, Il`q, Il`q, Il`q, Il` q, Il`q, Il`
The nurse is educating a patient that is a member of a health
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maintenance organization(HMO). Which informationshould the nurse include?
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a. Seekthe opinion of analternate health Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`
care provider. q , Il` Il`q, Il`
b. Obtaininsurance approval for Il`
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medical services prior to treatment. q, Il` Il`q, Il`q, Il`q, Il`q, Il`
c. Provide detailed documentation of allcare Il` Il`q, Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`
received for his condition. Il`q, Il`q, Il`q, Il`
d. Wait at least 6 months to see aspecialist. Il`
Il` q, Il` q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`
ANS: B Il`q Il`, Il` Il`
Most HMOs require preprocedure authorization for treatment. Patients are
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not required to seek a second opinion, providedocumentation of care, or wait a
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specifictime period before visiting a specialist.
q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`
PTS: 1 DIF: Cognitive Level: 9 Il` Il` Il` Il`q, Il` Il`
Application q,
REF: Il`q
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OBJ:9 TOP: ChargeNurse/Manager Il` Il` Il`
KEY: NursingProcessStep: Implementation
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MSC:NCLEX: Safe, Effective Care Environment: Il` q, Il`q, Il`q, Il`q,
Il` Coordinated Care q, Il`q, Il` Il`
The patient complains to the nurse that he is confused about his ―deductible‖
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that heowes the hospital. Whichstatement accurately explains a deductible?
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a. An amount of money put aside for the payment Il` Il`q, Il`q, Il`q, Il`q Il`, Il` Il`q, Il`q, Il`q Il`, Il` Il`q, Il`
of future medical bills q, Il` q, Il`q, Il`q, Il`
b. Aone-time feefor service Il`
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c. An amount of money deducted from the bill Il` Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q Il`, Il` Il`
by theinsurance company q, Il` q, Il`q, Il`
d. An annual amount of money the patient mustIl`
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pay out -of-pocketfor medical care Il`q, Il` q, Il` Il`q, Il`q, Il`
ANS: D Il`q Il`, Il` Il`
The deductible is the annual amount the insured must pay out-of-pocket prior
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to theinsurance company
q Il`, Il` Il`q, assuming the cost. This practice improves the Il` q, Il`q, Il`q, Il`q, q, Il` Il` q, q, Il` Il` q,
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profit of the insurance company. q, Il` Il` q, q, Il` Il`q, Il`q, Il`
, Cognitive Level: PTS: 1
REF: 7 Il` Il` DIF: Il` Il`q, Il`q, Il` Il`
Comprehension Il` Il`
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OBJ: 9 TOP: Health Care Financing Il` Il` Il` Il`q, Il`q, Il`
KEY: NursingProcessStep : Implementation Il` q, Il`q, Il`
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MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care Il` q, Il`q, Il`q, Il`q, Il` q, Il`q, Il`
The nurse compares the characteristics of a health maintenance organization (HMO)and
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a preferred providerorganization
q Il`, Il` Il`q Il`, Il` (PPO). Which information
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should
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the nurse include about HMOs?
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