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Exam (elaborations)

Medical-Surgical Nursing, 5th Edition by Holly K. Stromberg – Complete Test Bank (Chapters 1–49) | Latest Update

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This is the full test bank for Medical-Surgical Nursing, 5th Edition by Holly K. Stromberg. It includes exam-style questions and answers for all 49 chapters, covering core nursing concepts, patient care, and clinical application. Recently updated, this resource is perfect for students preparing for nursing exams or reviewing course content.

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Medical-Surgical Nursing
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Medical-Surgical Nursing

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Uploaded on
May 10, 2025
Number of pages
1122
Written in
2024/2025
Type
Exam (elaborations)
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Test Bank For Medical Surgical Nursing 5th Edition By Holly K. Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`




Stromberg, AllChapters 1-49 | Latest Il`q, Il`q, Il`q, Il`q,




Il`q, Update Chapter 01:Caringfor Medical-Surgical Patients deWit:Medical-
Il` Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`




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`



Il`




Il`
MULTIPLECHOICE Il`




Whichstatement accuratelydescribes theprimarypurpose of Il`q, Il`q, Il`q,




thestatenursepracticeact (NPA)?
Il`q, Il`q, Il`




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
q, ij Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il` q, Il` Il`q, q, Il` q, Il` Il`q,




Il`
practice in
Il`q, that state. Il` q, Il`q, q, Il` Il`




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`




Il`
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
Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`




the vocational nurse has notbeen taught during
q Il`, Il` Il`q Il`, Il` her educational program. Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il` q, Il` Il`q Il`, Il` Il`q Il`, Il` Il`




How should q , Il` Il` q, Il`




the vocational nurse respond?
q, Il`q, Il`q, Il`q, Il`




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`
Il`q, Il`q, Il`q Il`, Il` Il`q Il`,




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`
Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`




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,
Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`




and the vocational nurse should seek further training to gain proficiency. Although the
q, Il` q, Il` q, Il` q, Il` q, Il` q, Il` q, Il` q, Il` q, Il` q, Il` q, Il` q, Il`q, Il`

,Il`
other options might be helpful, they are not safe.
q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`




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`




Il`
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?
q Il`, Il` Il`q, Il`q, q, Il` Il`q, Il`




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`
Il` q, Il`q, Il`q, Il`




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`
Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`




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
Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`




that should be addressed by the vocationalnurse. The other concerns in the options arethe
q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il` q, Il`q, Il`




Il`
responsibility of other departments to which the nurse might refer the patient.
q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`




PTS: 1 DIF: Cognitive Level: Application Il` Il` Il` Il`q, Il`q,




Il`




2 Il`
REF:
Il`q,




OBJ:1 Il` TOP: Teaching KEY: Il` Il` q , Il`




Nursing Process Il` Il`q, Il`q,




Step:Implementation Il`




Il`
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-
Il`q Il`, Il` Il`q, Il`q Il`, Il` Il`q, Il`q, Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il`q Il`, Il` Il`q Il`, Il`




Il`q, term care facility acts in which capacity?
Il`q, Il` q, Il`q, Il`q, Il`q, Il`q, Il`




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`
Il`q Il`, Il` Il`q, Il`q Il`, Il` Il`




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
Il`
Il`q, Il`q, Il`q, Il`q, Il`




ANS: C Il`q Il`, Il` Il`




The vocational nurse in the capacity of the charge nurse in a long-term care facilityacts
Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`




Il`
q Il`, Il` with the general supervision of an RNavailable on
Il`q Il`, Il` Il`q Il`, Il` site or by phone. Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`q, Il`q, Il` q , Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`

, 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`
Il`q, Il`




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
Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q Il`, Il`q, Il`q, Il`q, Il`q, Il`




maintenance organization(HMO). Which informationshould the nurse include?
q Il`, Il` Il` q, Il`q, Il`q, Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`




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`
Il`q Il`, Il` Il`q Il`, Il` Il`




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
Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`




not required to seek a second opinion, providedocumentation of care, or wait a
q Il`, Il` Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q Il`, Il` Il`q Il`, Il` Il`q, Il`q Il`, Il` Il`q Il`, Il` Il`




Il`
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


Il`
, Il`




OBJ:9 TOP: ChargeNurse/Manager Il` Il` Il`




KEY: NursingProcessStep: Implementation
Il` q,q, Il` Il`




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‖
Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q Il`, Il` Il`q, Il`




that heowes the hospital. Whichstatement accurately explains a deductible?
q, Il`q, Il`q, Il`q, Il`q Il`, Il` Il`q, Il`q Il`, Il` Il`q Il`, Il` Il`q, Il`




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`
Il`q Il`, Il` Il`q Il`, Il` Il`




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`
Il`q, Il`q, Il`q Il`, Il` Il`q, Il`q, Il`q, Il`q Il`, Il`




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
Il`q, Il`q Il`, Il` Il`q Il`, Il` Il`q Il`, Il` Il`q, Il`q Il`, Il` Il`q, Il`q, Il`q, Il`q, Il`q, Il`




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,




Il`
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`


Il`




OBJ: 9 TOP: Health Care Financing Il` Il` Il` Il`q, Il`q, Il`




KEY: NursingProcessStep : Implementation Il` q, Il`q, Il`




Il`
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
Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`q, Il`




a preferred providerorganization
q Il`, Il` Il`q Il`, Il` (PPO). Which information
Il`q Il`, Il` Il` q , Il` Il`q, Il` q, Il` Il` q ,




should
Il` Il`




the nurse include about HMOs?
q Il`, Il` Il`q, Il` q, Il`q, Il`q, Il`

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