Medical Surgical Nursing nn nn nn
Chapter 1 Evaluated Exams Study
nn nn nn nn
nn Questions With 100% Correct Answers
nn nn nn nn
A Graded nn nn nn
nn
nn
nn nn
On nninitial nnassessment nnthe nnpatient nnis nnfound nnto nnbe nnquiet nninterested nnin nnasking
nnquestions nnabout nnthe nnnurse, nnevades nnpersonal nnquestions, nnand nnis nnoften nnsilent
nnwhile nnmaking nnno nneye nncontact. nnThese nncharacteristics nnare nnmore nnlikely nnto nnbe
nnfound nnin nnwhich nnbehavior: nn
1 Withdrawn nn nn
2 Manipulative nn
3 Dependent nn
4 Hostile nn- nnCORRECT nnANSWER-ANS nn1 nn
Rationale: nnPatients nndisplaying nnwithdrawn nnbehavior nnfrequently nnare nnlonely nnand
nnfearful, nnand nnset nnup nnbarriers nnfor nncontact, nnsuch nnas nnavoiding nneye nncontact.
nnGetting nnpersonal nnneeds nnmet nnis nncharacteristic nnof nnthe nnpatient nnwith nnmanipulative
nnbehavior. nnPatients nnwith nndependent nnbehavior nnmay nnmake nnunreasonable nndemands
nnon nnthe nnnurse's nntime. nnPatients nnwith nnhostile nnbehavior nnmay nnthreaten nnto nnreport
nnthe nnnurse nnand nnmay nneven nnphysically nnstrike nnout. nn
nn
Which nnstatement nnmade nnby nna nnpatient nnstrongly nnindicates nndependent nnbehavior: nn
1 I nncan nndo nnthis nnby nnmyself, nnI nndo nnnot nnneed nnhelp nn
2 I nnwill nntry nnto nndo nnthis nnand nnwill nnask nnfor nnhelp nnif nnneeded nn
3 Would nnyou nnhelp nnme nnif nnI nnam nnnot nnable nnto nndo nnit nnmyself nn
4 I'm nntired nnand nnI'd nnrather nnyou nnhelp nnme nndress nn- nnCORRECT nnANSWER-ANS nn4 nn
nn
Rationale: nn"Would nnyou nnhelp nnme nndress?" nnindicates nna nnreliance nnon nnthe
nncaregiver nnto nndo nnthings nnfor nnhim. nnTo nndo nnor nntry nnto nndo nnthings nnfor nnself
nnindicates nnindependent nnbehavior. nn
nn
A nnpatient nnmust nndecide nnbetween nnHMO nnor nnPPO nnhealth nncare nnplans nnthat nnher
nnemployee nnoffers. nnWhich nnstatement nnbest nndescribes nncoverage nnof nnthe nnHMO: nn
1 All nnhealth nncare nnbills nnare nncovered nnexcept nnyearly nnmammograms, nnannual
nnphysical nnexams, nnand nnroutine nncolonoscopies nn
2 Patients nncan nnonly nnsee nnphysicians nnhired nnby nnthe nnHMO nnwhenever nna nnvisit
nnor nntreatment nnis nnrequired, nnno nnexceptions nn
3 I nnwill nnhave nnto nnpay nna nnfixed nnmonthly nnfee nnand nna nncopayment nnfor nneach
nndoctor's nnvisit nnis nnrequired, nnno nnexceptions nn
4 I nnwill nnhave nnto nnpay nncharges nnas nnI nnleave nnthe nndoctor's nnoffice nnand nnsend nnthe
nnbill nnto nnthe nnHMO nnfor nnreimbursement nn- nnCORRECT nnANSWER-ANS nn3 nn
, Rationale: nnWhen nnjoining nnan nnHMO, nnpatients nnpay nna nnfixed nnfee nnthat nncovers nnall
nnneeded nncare. nn
HMOs nnencourage nnprevention nnof nndisease nnby nnpracticing nnpreventive nnmedicine. nnThis
nnin nnturn nn
saves nnthe nnHMO nnmoney. nnFor nnan nnextra nnfee, nnpatients nncan nnsee nna nnphysician
nnoutside nnthe nnHMO nn
nn
group nnof nnphysicians. nnHMOs nncharge nna nnyearly nnfee nnthat nnis nnpaid nnmonthly nnor
nnquarterly. nnThis
nn
fee nncovers nnall nnmedical nnexpenses nnfor nnthat
nnyear.
nn
Which nncondition nnis nnnot nnpaid nnfor nnby nnMedicare nnif nnit nndevelops nnafter
nnhospitalization: nn
1 Hypokalemia nn
2 Heart nnattack nn
3 Hip nnFracture nn
4 Meningitis nn- nnCORRECT nnANSWER-ANS nn3 nn
Rationale: nnIn nnan nneffort nnto nnsave nnmillions nnof nntax nndollars nnevery nnyear, nnstarting nnin
nn2009, nnMedicare nndoes nnnot nncover nnthe nncosts nnof nn"preventable" nnconditions,
nnmistakes, nnand nninfections nnresulting nnfrom nna nnhospital nnstay. nnThe nncost nnof nntreatment
nnof nna nnfractured nnhip nnthat nnoccurred nnwhile nnhospitalized nnwould nnbe nnthe nnresponsibility
nnof nnthe nnhospital. nnThe nnother nnconditions nnlisted nnwould nnnot nnbe nncovered nnby
nnMedicare. nn
nn
If nnthe nnnurse nnis nncaring nnfor nna nnpatient nnwith nnan nnindwelling nnurinary nncatheter, nnwhich
nntask nncan nnbe nndelegated nnto nnthe nnnursing nnassistant: nn
1 Providing nnperineal nncare nneach nnmorning nnand nnevening nn
2 Collecting nna nnurine nnspecimen nnfor nnlaboratory nntesting nn
3 Irrigating nnthe nncatheter nnto nnensure nnpatency nn
4 Instilling nnantibiotics nnfor nna nnurinary nninfection nn- nnCORRECT nnANSWER-ANS nn1 nn
Rationale: nnPerineal nncare nnrequires nnthe nnuse nnof nnmedical nnasepsis nn(clean
nntechnique). nnNursing nnassistants nnlearn nnprinciples nnof nnmedical nnasepsis. nnCollecting nna
nnurine nnspecimen, nnirrigating, nnor nninstilling nnantibiotics nnfor nna nnpatient nnwith nnan
nnindwelling nnurinary nncatheter nnrequires nnsterile nntechnique, nnand nnnursing nnassistants
nndo nnnot nnlearn nnprinciples nnof nnsterile nntechnique. nn
nn
In nncaring nnfor nnpatients nnwith nnpressure nnulcers, nnwhich nntask nnwould nnbe nnmost
nnappropriate nnto nndelegate nnto nnthe nnnursing nnassistant: nn
1 Providing nnassistance nnin nnmaking nndietary nnchoices, nnincluding nnfruits nn
2 Participating nnin nndetermining nnthe nnappropriate nntype nnof nnwound nncare nn
3 Repositioning nnthe nnpatient nnevery nn2 nnhours nn
4 Describing nnconditions nnof nnthe nnwound nnand nnany nndrainage nn- nnCORRECT
nnANSWER-ans nn3 nn
Rationale: nnRepositioning nnof nnpatients nnis nnincluded nnin nnthe nnnursing nnassistant
nnprogram nnand nnchanging nnposition nnevery nn2 nnhours nnhelps nnto nnavoid nnpressure nnon
Chapter 1 Evaluated Exams Study
nn nn nn nn
nn Questions With 100% Correct Answers
nn nn nn nn
A Graded nn nn nn
nn
nn
nn nn
On nninitial nnassessment nnthe nnpatient nnis nnfound nnto nnbe nnquiet nninterested nnin nnasking
nnquestions nnabout nnthe nnnurse, nnevades nnpersonal nnquestions, nnand nnis nnoften nnsilent
nnwhile nnmaking nnno nneye nncontact. nnThese nncharacteristics nnare nnmore nnlikely nnto nnbe
nnfound nnin nnwhich nnbehavior: nn
1 Withdrawn nn nn
2 Manipulative nn
3 Dependent nn
4 Hostile nn- nnCORRECT nnANSWER-ANS nn1 nn
Rationale: nnPatients nndisplaying nnwithdrawn nnbehavior nnfrequently nnare nnlonely nnand
nnfearful, nnand nnset nnup nnbarriers nnfor nncontact, nnsuch nnas nnavoiding nneye nncontact.
nnGetting nnpersonal nnneeds nnmet nnis nncharacteristic nnof nnthe nnpatient nnwith nnmanipulative
nnbehavior. nnPatients nnwith nndependent nnbehavior nnmay nnmake nnunreasonable nndemands
nnon nnthe nnnurse's nntime. nnPatients nnwith nnhostile nnbehavior nnmay nnthreaten nnto nnreport
nnthe nnnurse nnand nnmay nneven nnphysically nnstrike nnout. nn
nn
Which nnstatement nnmade nnby nna nnpatient nnstrongly nnindicates nndependent nnbehavior: nn
1 I nncan nndo nnthis nnby nnmyself, nnI nndo nnnot nnneed nnhelp nn
2 I nnwill nntry nnto nndo nnthis nnand nnwill nnask nnfor nnhelp nnif nnneeded nn
3 Would nnyou nnhelp nnme nnif nnI nnam nnnot nnable nnto nndo nnit nnmyself nn
4 I'm nntired nnand nnI'd nnrather nnyou nnhelp nnme nndress nn- nnCORRECT nnANSWER-ANS nn4 nn
nn
Rationale: nn"Would nnyou nnhelp nnme nndress?" nnindicates nna nnreliance nnon nnthe
nncaregiver nnto nndo nnthings nnfor nnhim. nnTo nndo nnor nntry nnto nndo nnthings nnfor nnself
nnindicates nnindependent nnbehavior. nn
nn
A nnpatient nnmust nndecide nnbetween nnHMO nnor nnPPO nnhealth nncare nnplans nnthat nnher
nnemployee nnoffers. nnWhich nnstatement nnbest nndescribes nncoverage nnof nnthe nnHMO: nn
1 All nnhealth nncare nnbills nnare nncovered nnexcept nnyearly nnmammograms, nnannual
nnphysical nnexams, nnand nnroutine nncolonoscopies nn
2 Patients nncan nnonly nnsee nnphysicians nnhired nnby nnthe nnHMO nnwhenever nna nnvisit
nnor nntreatment nnis nnrequired, nnno nnexceptions nn
3 I nnwill nnhave nnto nnpay nna nnfixed nnmonthly nnfee nnand nna nncopayment nnfor nneach
nndoctor's nnvisit nnis nnrequired, nnno nnexceptions nn
4 I nnwill nnhave nnto nnpay nncharges nnas nnI nnleave nnthe nndoctor's nnoffice nnand nnsend nnthe
nnbill nnto nnthe nnHMO nnfor nnreimbursement nn- nnCORRECT nnANSWER-ANS nn3 nn
, Rationale: nnWhen nnjoining nnan nnHMO, nnpatients nnpay nna nnfixed nnfee nnthat nncovers nnall
nnneeded nncare. nn
HMOs nnencourage nnprevention nnof nndisease nnby nnpracticing nnpreventive nnmedicine. nnThis
nnin nnturn nn
saves nnthe nnHMO nnmoney. nnFor nnan nnextra nnfee, nnpatients nncan nnsee nna nnphysician
nnoutside nnthe nnHMO nn
nn
group nnof nnphysicians. nnHMOs nncharge nna nnyearly nnfee nnthat nnis nnpaid nnmonthly nnor
nnquarterly. nnThis
nn
fee nncovers nnall nnmedical nnexpenses nnfor nnthat
nnyear.
nn
Which nncondition nnis nnnot nnpaid nnfor nnby nnMedicare nnif nnit nndevelops nnafter
nnhospitalization: nn
1 Hypokalemia nn
2 Heart nnattack nn
3 Hip nnFracture nn
4 Meningitis nn- nnCORRECT nnANSWER-ANS nn3 nn
Rationale: nnIn nnan nneffort nnto nnsave nnmillions nnof nntax nndollars nnevery nnyear, nnstarting nnin
nn2009, nnMedicare nndoes nnnot nncover nnthe nncosts nnof nn"preventable" nnconditions,
nnmistakes, nnand nninfections nnresulting nnfrom nna nnhospital nnstay. nnThe nncost nnof nntreatment
nnof nna nnfractured nnhip nnthat nnoccurred nnwhile nnhospitalized nnwould nnbe nnthe nnresponsibility
nnof nnthe nnhospital. nnThe nnother nnconditions nnlisted nnwould nnnot nnbe nncovered nnby
nnMedicare. nn
nn
If nnthe nnnurse nnis nncaring nnfor nna nnpatient nnwith nnan nnindwelling nnurinary nncatheter, nnwhich
nntask nncan nnbe nndelegated nnto nnthe nnnursing nnassistant: nn
1 Providing nnperineal nncare nneach nnmorning nnand nnevening nn
2 Collecting nna nnurine nnspecimen nnfor nnlaboratory nntesting nn
3 Irrigating nnthe nncatheter nnto nnensure nnpatency nn
4 Instilling nnantibiotics nnfor nna nnurinary nninfection nn- nnCORRECT nnANSWER-ANS nn1 nn
Rationale: nnPerineal nncare nnrequires nnthe nnuse nnof nnmedical nnasepsis nn(clean
nntechnique). nnNursing nnassistants nnlearn nnprinciples nnof nnmedical nnasepsis. nnCollecting nna
nnurine nnspecimen, nnirrigating, nnor nninstilling nnantibiotics nnfor nna nnpatient nnwith nnan
nnindwelling nnurinary nncatheter nnrequires nnsterile nntechnique, nnand nnnursing nnassistants
nndo nnnot nnlearn nnprinciples nnof nnsterile nntechnique. nn
nn
In nncaring nnfor nnpatients nnwith nnpressure nnulcers, nnwhich nntask nnwould nnbe nnmost
nnappropriate nnto nndelegate nnto nnthe nnnursing nnassistant: nn
1 Providing nnassistance nnin nnmaking nndietary nnchoices, nnincluding nnfruits nn
2 Participating nnin nndetermining nnthe nnappropriate nntype nnof nnwound nncare nn
3 Repositioning nnthe nnpatient nnevery nn2 nnhours nn
4 Describing nnconditions nnof nnthe nnwound nnand nnany nndrainage nn- nnCORRECT
nnANSWER-ans nn3 nn
Rationale: nnRepositioning nnof nnpatients nnis nnincluded nnin nnthe nnnursing nnassistant
nnprogram nnand nnchanging nnposition nnevery nn2 nnhours nnhelps nnto nnavoid nnpressure nnon
