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