TEST BANK For Dewits Medical Surgical Nursing Concepts and Practice 5th Edition By Holly K. Stromberg |Complete Chapter 1 - 49 (100% VERIFIED COREECT 2025)

Chapter 01: Caring for Medical-Surgical Patients
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deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
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MULTIPLECHOICE

Which statement accurately describes the primary purpose of the state nurse practice act
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(NPA)?
V




a. TotestandlicenseLPN/LVNs. V V V V




b. TodefinethescopeofLPN/LVN
practice. V




c. Toimprovethequalityofcare
provided by the LPN/LVN.
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d. To limittheLPN/LVNemployment b V




placement. V




ANS: B V




While improving quality of care provided by the LPN/LVN may be a result of the
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NPA, the primary purpose of the NPA of each state defines the scope of nursing
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practice in that state.
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PTS: 1
CognitiveLevel:Comprehension DIF: V




REF: 2 V




OBJ:3 TOP: NPAKEY:Nursing ProcessStep: V b


Implementation V




MSC:NCLEX: Safe,Effective CareEnvironment: Coordinated Care
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Thechargenurseasksthenewvocationalnurseto start an intravenous infusion, askill V b V V V




Vthat the vocational nurse has notbeen taught during her educational program. How
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should the vocational nurse respond?
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a. Askamoreexperienced nurseto V V




demonstrate the procedure.
V V V




b. Lookuptheprocedureintheprocedure V




manual. V




c. Attempt toperformtheprocedurewith b V




supervision. V




d. Informthechargenurseofherlackof V




training in this procedure.
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ANS: D V




The charge nurse should be informed of the lack of training to perform the procedure, and
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the vocational nurse should seek further training to gain proficiency. Although the other
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options might be helpful, they are not safe.
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PTS: 1 DIF: CognitiveLevel: V 3
Application REF: V

, TOP: ProvidingSafeCare
OBJ: 1 NursingProcess
KEY: Step: N/A V V V




MSC:NCLEX: Safe,Effective CareEnvironment: Coordinated Care
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Which patient statement indicates a need for further discharge teaching that the vocational
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nurse should address?
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a. ―Ihavenoideaofhowthisdrug V




will affect me.‖ V V V




b. ―Doyouknowifmyphysicianis V




coming back today?‖
V V V




c. ―Willmyinsurancepayformy
stay?‖ V




d. ―AmIg oingtohavetogotoa V




nursing home?‖ V V




ANS: A V




Lack of knowledge at discharge about medication effects and side effects is a concern that
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should be addressed by the vocationalnurse. The other concerns in the options are the
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responsibility of other departments to which the nurse might refer the patient.
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Cognitive Level: Application REF:
PTS: 1 DIF: V V




2 V




OBJ:1 TOP: Teaching KEY: Nursing Process V b


Step:Implementation V




MSC:NCLEX: Safe,Effective CareEnvironment: Coordinated Care
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According to most state NPAs, the vocational nurse acting as charge nurse in a long- term
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care facility acts in which capacity?
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a. Working under direct supervision of an RN on V V V V V V V




theunit V V




b. Working with the RN in thebuilding V V V V V V




c. WorkingundergeneralsupervisionbytheRN V




available on site or by phone
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d. Working as an independent vocational nurse V V V V V




ANS: C V




Thevocationalnurseinthecapacity ofthechargenurseinalong-termcarefacility acts V V V V




Vwith the general supervision of an RNavailable on site or by phone.
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PTS: 1
CognitiveLevel: REF: 2 DIF:
Comprehension V




OBJ:1 TOP: ChargeNurse/Manager Nursi Process
KEY: ng Step:N/A V V V




MSC:NCLEX: Safe,Effective CareEnvironment: Coordinated Care
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,Thenurseiseducating apatientthatis amemberofahealth maintenanceorganization V V V V




V(HMO). Which informationshould the nurse include?
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a. Seektheopinionofanalternatehealth care V V V




provider. V




b. Obtaininsuranceapproval for medical V V




services prior to treatment.
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c. Providedetaileddocumentationofallcare V




received for his condition.
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d. Waitatleast 6 months to seeaspecialist. V V V V V V V V




ANS: B V




Most HMOs require preprocedure authorization for treatment. Patients are not
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required to seek a second opinion, providedocumentation of care, or wait a specific time
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period before visiting a specialist.
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PTS: 1
CognitiveLevel: 9 DIF: V




ApplicationREF: V V




OBJ:9 TOP: ChargeNurse/Manager
KEY:NursingProcessStep:Implementation V




MSC:NCLEX: Safe,Effective CareEnvironment: Coordinated Care
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Thepatientcomplainstothenursethatheisconfusedabout his―deductible‖that he V V V V




Vowes the hospital. Whichstatement accurately explains a deductible?
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a. Anamountofmoneyput asidefor thepaymentof b V




future medical bills V V V




b. A one-time fee for service V V V V




c. Anamountofmoneydeductedfromthebillby the V




insurance company V V




d. Anannualamountofmoneythepatientmust pay b V




out-of-pocket for medical care
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ANS: D V




The deductible is the annual amount the insured must pay out-of-pocket prior to the
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insurance company assuming the cost. This practice improves the profit of the insurance
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company.
V




PTS: 1
CognitiveLevel: REF: 7 DIF:
Comprehension V




OBJ:9 TOP: HealthCareFinancing V V




KEY:NursingProcessStep:Implementation V




MSC:NCLEX: Safe,Effective CareEnvironment: Coordinated Care
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Thenursecomparesthecharacteristicsofahealthmaintenanceorganization(HMO) V V




Vand a preferred providerorganization (PPO). Which information should the nurse
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include about HMOs?
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, a. HMOsrequireasetfeeofeach
membermonthly. V V




b. HMOsallowthemembertoselect V




his health care provider.
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c. HMOspermitadmissiontoany
facility the member prefers.
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d. HMOsofferunlimiteddiagnostic
tests and treatments.V V V




ANS: A V




HMOsrequireaset feefromeach membermonthly (capitation).Thepatientwill be b V V V V




treated by the HMO staff in HMO-approvedfacilities. Excessive use of diagnostic tests
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and treatments is discouraged by the HMO.
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CognitiveLevel:
PTS: 1 9 DIF: V




ApplicationREF: V V




OBJ:9 TOP: Managed Care V




KEY:NursingProcessStep:Implementation V




MSC:NCLEX: Safe,Effective CareEnvironment: Coordinated Care V V V V V




A patient asks the nurse what Medicare Part A covers. Which response is correct?
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a. MedicarePartAcoversinpatient V V V




hospitalcosts. V




b. Medicare Part A covers V V V




reimbursement to the physician.
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c. MedicarePartAcoversoutpatient V V V




hospitalservices. V




d. MedicarePart Acoversambulance V b


transportation. V




ANS: A V




Medicare Part Acoversinpatienthospitalexpenses,drugs,x-rays,laboratorywork,
V b



and intensive care. Medicare Part B pays thephysician, ambulance transport, and
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outpatient services.
V V




CognitiveLevel:
PTS: 1 REF 7,Box DIF:
Comprehension : 1-4 V




OBJ:9 TOP: Government-Sponsored
HealthInsurance V




KEY:NursingProcessStep:Implementation V




MSC:NCLEX: Safe,Effective CareEnvironment: Coordinated Care V V V V V




Which is the main cost-containment component of diagnosis-related groups (DRGs)?
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