TEST BANK
i
,Chapteri01:iCaringiforiMedical-SurgicaliPatients
Stromberg:iMedical-SurgicaliNursing:iConceptsiandiPractice,i5thiEdition
MULTIPLEiCHOICE
1. Whichistatementiaccuratelyidescribesitheiprimaryipurposeiofitheistateinurseipracticeiacti(NPA)?
a. ToitestiandilicenseiLPN/LVNs
b. ToidefineitheiscopeiofiLPN/LVNipractice
c. ToiimproveitheiqualityioficareiprovidedibyitheiLPN/LVN
d. ToilimititheiLPN/LVNiemploymentiplacement
ANS:iB
WhileiimprovingiqualityioficareiprovidedibyitheiLPN/
LVNimayibeiairesultiofitheiNPA,itheiprimaryipurposeiofitheiNPAiofieachistateidefinesitheiscopeiofinur
singipracticeiinithatistate.
DIF:i CognitiveiLevel:iComprehensioni REF:i p.i3
OBJ:i3iTOP:i NPA
KEY:iNursingiProcessiStep:iImplementationiMSC:iNCLEX:iSafe,iEff
ectiveiCareiEnvironment:iCoordinatediCare
2. Theichargeinurseiasksitheinewivocationalinurseitoistartianiintravenousiinfusion,iaiskillithatithei
vocationalinurseihasinotibeenitaughtiduringiherieducationaliprogram.iHowishoulditheivocatio
nalinurseirespond?
a. Askiaimoreiexperiencedinurseitoidemonstrateitheiprocedure.
b. Lookiupitheiprocedureiinitheiprocedureimanual.
c. Attemptitoiperformitheiprocedureiwithisupervision.
d. Informitheichargeinurseiofiherilackiofitrainingiinithisiprocedure.
ANS:iD
Theichargeinurseishouldibeiinformediofitheilackiofitrainingitoiperformitheiprocedure,ianditheiv
ocationalinurseishouldiseekifurtheritrainingitoigainiproficiency.iAlthoughitheiotherioptionsimi
ghtibeihelpful,itheyiareinotisafe.
DIF:i CognitiveiLevel:iApplication REF:i p.i3
OBJ:i1iTOP:i ProvidingiSafeiCare
KEY:iNursingiProcessiStep:iN/AiMSC:iNCLEX:iSafe,iEffectiveiCarei
Environment:iCoordinatediCare
3. Whichipatientistatementiindicatesiaineediforifurtheridischargeiteachingithatitheivo
cationalinurseishouldiaddress?
a. "Iihaveinoiideaiofihowithisidrugiwilliaffectime."
b. "Doiyouiknowiifimyiphysicianiisicomingibackitoday?"
c. "Willimyiinsuranceipayiforimyistay?"
d. "AmiIigoingitoihaveitoigoitoiainursingihome?"
ANS:iA
Lackiofiknowledgeiatidischargeiaboutimedicationieffectsiandisideieffectsiisiaiconcernithatisho
uldibeiaddressedibyitheivocationalinurse.iTheiothericoncernsiinitheioptionsiareitheiresponsibili
tyiofiotheridepartmentsitoiwhichitheinurseimightireferitheipatient.
DIF:i CognitiveiLevel:iApplication REF:i p.i2
OBJ:i1iTOP:i Teaching
KEY:iNursingiProcessiStep:iImplementationiMSC:iNCLEX:iSafe,iEff
,ectiveiCareiEnvironment:iCoordinatediCare
, 4. AccordingitoimostistateiNPAs,itheivocationalinurseiactingiasichargeinurseiiniailong-
termicareifacilityiactsiiniwhichicapacity?
a. WorkingiunderidirectisupervisioniofianiRNionitheiunit
b. WorkingiwithitheiRNiinitheibuilding
c. WorkingiunderigeneralisupervisionibyitheiRNiavailableionisiteioribyiphone
d. Workingiasianiindependentivocationalinurse
ANS:iC
Theivocationalinurseiinitheicapacityiofitheichargeinurseiiniailong-
termicareifacilityiactsiwithitheigeneralisupervisioniofianiRNiavailableionisiteioribyiphone.
DIF:i CognitiveiLevel:iComprehensioni REF:i p.i3
OBJ:i1iTOP:i ChargeiNurse/Manager
KEY:iNursingiProcessiStep:iN/AiMSC:iNCLEX:iSafe,iEffectiveiCarei
Environment:iCoordinatediCare
5. Theinurseiisieducatingiaipatientithatiisiaimemberiofiaihealthimaintenanceiorganizationi(H
MO).iWhichiinformationishoulditheinurseiinclude?
a. Seekitheiopinioniofianialternateihealthicareiprovider.
b. Contactitheiinsuranceicompanyiforicoverageidetailsiasiservicesimayibeilimited.
c. Provideidetailedidocumentationiofiallicareireceivediforihisicondition.
d. Waitiatileasti6imonthsitoiseeiaispecialist.
ANS:iB
HMOsiareiaikindiofimanagedicare.iThisiisiaccomplishedibyipayingiprovidersitoicareiforigroup
siofipatientsiforiaiseticapitationifeeiandibyilimitingiservices.iPatientsi areinotirequireditoiseekiai
secondiopinion,iprovideidocumentationioficare,ioriwaitiaispecificitimeiperiodibeforeivisitingi
aispecialist.
DIF: CognitiveiLevel:iApplication REF:i p.i9
OBJ:i9iTOP:i ChargeiNurse/Manager
KEY:iNursingiProcessiStep:iImplementation
MSC:iNCLEX:iSafe,iEffectiveiCareiEnvironment:iCoordinatediCare
6. Theipatienticomplainsitoitheinurseithatiheiisiconfusediaboutihisi"deductible"ithatiheiowesitheihos
pital.iWhichistatementiaccuratelyiexplainsiaideductible?
a. Aniamountiofimoneyiputiasideiforitheipaymentiofifutureimedicalibills
b. Aione-timeifeeiforiservice
c. Aniamountiofimoneyideductedifromitheibillibyitheiinsuranceicompany
d. Aniannualiamountiofimoneyitheipatientimustipayiout-of-pocketiforimedicalicare
ANS:iD
Theideductibleiisitheiannualiamountitheiinsuredimustipayiout-of-
pocketiprioritoitheiinsuranceicompanyiassumingitheicost.iThisipracticeiimprovesitheipr
ofitiofitheiinsuranceicompany.
DIF: CognitiveiLevel:iComprehension REF:i p.i7
OBJ:i9iTOP:i i HealthiCareiFinancing
KEY:iNursingiProcessiStep:
ImplementationiMSC:iNCLEX:iSafe,iEffectiveiCareiEnvironment:iCoordinatediCare
7. AipatientiasksitheinurseiwhatiMedicareiPartiAicovers.iWhichiresponseiisicorrect?
a. MedicareiPartiAicoversiinpatientihospitalicosts.
3i|iPiaigie
i
,Chapteri01:iCaringiforiMedical-SurgicaliPatients
Stromberg:iMedical-SurgicaliNursing:iConceptsiandiPractice,i5thiEdition
MULTIPLEiCHOICE
1. Whichistatementiaccuratelyidescribesitheiprimaryipurposeiofitheistateinurseipracticeiacti(NPA)?
a. ToitestiandilicenseiLPN/LVNs
b. ToidefineitheiscopeiofiLPN/LVNipractice
c. ToiimproveitheiqualityioficareiprovidedibyitheiLPN/LVN
d. ToilimititheiLPN/LVNiemploymentiplacement
ANS:iB
WhileiimprovingiqualityioficareiprovidedibyitheiLPN/
LVNimayibeiairesultiofitheiNPA,itheiprimaryipurposeiofitheiNPAiofieachistateidefinesitheiscopeiofinur
singipracticeiinithatistate.
DIF:i CognitiveiLevel:iComprehensioni REF:i p.i3
OBJ:i3iTOP:i NPA
KEY:iNursingiProcessiStep:iImplementationiMSC:iNCLEX:iSafe,iEff
ectiveiCareiEnvironment:iCoordinatediCare
2. Theichargeinurseiasksitheinewivocationalinurseitoistartianiintravenousiinfusion,iaiskillithatithei
vocationalinurseihasinotibeenitaughtiduringiherieducationaliprogram.iHowishoulditheivocatio
nalinurseirespond?
a. Askiaimoreiexperiencedinurseitoidemonstrateitheiprocedure.
b. Lookiupitheiprocedureiinitheiprocedureimanual.
c. Attemptitoiperformitheiprocedureiwithisupervision.
d. Informitheichargeinurseiofiherilackiofitrainingiinithisiprocedure.
ANS:iD
Theichargeinurseishouldibeiinformediofitheilackiofitrainingitoiperformitheiprocedure,ianditheiv
ocationalinurseishouldiseekifurtheritrainingitoigainiproficiency.iAlthoughitheiotherioptionsimi
ghtibeihelpful,itheyiareinotisafe.
DIF:i CognitiveiLevel:iApplication REF:i p.i3
OBJ:i1iTOP:i ProvidingiSafeiCare
KEY:iNursingiProcessiStep:iN/AiMSC:iNCLEX:iSafe,iEffectiveiCarei
Environment:iCoordinatediCare
3. Whichipatientistatementiindicatesiaineediforifurtheridischargeiteachingithatitheivo
cationalinurseishouldiaddress?
a. "Iihaveinoiideaiofihowithisidrugiwilliaffectime."
b. "Doiyouiknowiifimyiphysicianiisicomingibackitoday?"
c. "Willimyiinsuranceipayiforimyistay?"
d. "AmiIigoingitoihaveitoigoitoiainursingihome?"
ANS:iA
Lackiofiknowledgeiatidischargeiaboutimedicationieffectsiandisideieffectsiisiaiconcernithatisho
uldibeiaddressedibyitheivocationalinurse.iTheiothericoncernsiinitheioptionsiareitheiresponsibili
tyiofiotheridepartmentsitoiwhichitheinurseimightireferitheipatient.
DIF:i CognitiveiLevel:iApplication REF:i p.i2
OBJ:i1iTOP:i Teaching
KEY:iNursingiProcessiStep:iImplementationiMSC:iNCLEX:iSafe,iEff
,ectiveiCareiEnvironment:iCoordinatediCare
, 4. AccordingitoimostistateiNPAs,itheivocationalinurseiactingiasichargeinurseiiniailong-
termicareifacilityiactsiiniwhichicapacity?
a. WorkingiunderidirectisupervisioniofianiRNionitheiunit
b. WorkingiwithitheiRNiinitheibuilding
c. WorkingiunderigeneralisupervisionibyitheiRNiavailableionisiteioribyiphone
d. Workingiasianiindependentivocationalinurse
ANS:iC
Theivocationalinurseiinitheicapacityiofitheichargeinurseiiniailong-
termicareifacilityiactsiwithitheigeneralisupervisioniofianiRNiavailableionisiteioribyiphone.
DIF:i CognitiveiLevel:iComprehensioni REF:i p.i3
OBJ:i1iTOP:i ChargeiNurse/Manager
KEY:iNursingiProcessiStep:iN/AiMSC:iNCLEX:iSafe,iEffectiveiCarei
Environment:iCoordinatediCare
5. Theinurseiisieducatingiaipatientithatiisiaimemberiofiaihealthimaintenanceiorganizationi(H
MO).iWhichiinformationishoulditheinurseiinclude?
a. Seekitheiopinioniofianialternateihealthicareiprovider.
b. Contactitheiinsuranceicompanyiforicoverageidetailsiasiservicesimayibeilimited.
c. Provideidetailedidocumentationiofiallicareireceivediforihisicondition.
d. Waitiatileasti6imonthsitoiseeiaispecialist.
ANS:iB
HMOsiareiaikindiofimanagedicare.iThisiisiaccomplishedibyipayingiprovidersitoicareiforigroup
siofipatientsiforiaiseticapitationifeeiandibyilimitingiservices.iPatientsi areinotirequireditoiseekiai
secondiopinion,iprovideidocumentationioficare,ioriwaitiaispecificitimeiperiodibeforeivisitingi
aispecialist.
DIF: CognitiveiLevel:iApplication REF:i p.i9
OBJ:i9iTOP:i ChargeiNurse/Manager
KEY:iNursingiProcessiStep:iImplementation
MSC:iNCLEX:iSafe,iEffectiveiCareiEnvironment:iCoordinatediCare
6. Theipatienticomplainsitoitheinurseithatiheiisiconfusediaboutihisi"deductible"ithatiheiowesitheihos
pital.iWhichistatementiaccuratelyiexplainsiaideductible?
a. Aniamountiofimoneyiputiasideiforitheipaymentiofifutureimedicalibills
b. Aione-timeifeeiforiservice
c. Aniamountiofimoneyideductedifromitheibillibyitheiinsuranceicompany
d. Aniannualiamountiofimoneyitheipatientimustipayiout-of-pocketiforimedicalicare
ANS:iD
Theideductibleiisitheiannualiamountitheiinsuredimustipayiout-of-
pocketiprioritoitheiinsuranceicompanyiassumingitheicost.iThisipracticeiimprovesitheipr
ofitiofitheiinsuranceicompany.
DIF: CognitiveiLevel:iComprehension REF:i p.i7
OBJ:i9iTOP:i i HealthiCareiFinancing
KEY:iNursingiProcessiStep:
ImplementationiMSC:iNCLEX:iSafe,iEffectiveiCareiEnvironment:iCoordinatediCare
7. AipatientiasksitheinurseiwhatiMedicareiPartiAicovers.iWhichiresponseiisicorrect?
a. MedicareiPartiAicoversiinpatientihospitalicosts.
3i|iPiaigie
