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Exam (elaborations)

Test Bank For Medical-Surgical Nursing, Concepts and Practice, 5th Edition By Holly K. Stromberg, All

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Test Bank For Medical-Surgical Nursing, Concepts and Practice, 5th Edition By Holly K. Stromberg, AllTest Bank For Medical-Surgical Nursing, Concepts and Practice, 5th Edition By Holly K. Stromberg, All

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Medical-Surgical Nursing, Concepts
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Institution
Medical-Surgical Nursing, Concepts
Course
Medical-Surgical Nursing, Concepts

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Uploaded on
October 9, 2025
Number of pages
448
Written in
2025/2026
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TESTBANK
ii

,Chapter01:Caring forMedical-Surgical Patients
i i ii i ii




Stromberg:Medical-Surgical Nursing:ConceptsandPractice,5thEdition i ii i i i i i




MULTIPLE CHOICE ii




1. Whichstatement accuratelydescribesthe primarypurpose ofthe state nurse
i ii i i ii i ii i ii ii




practice act (NPA)?
ii ii ii




a. Totest and license LPN/LVNs i ii i ii




b. Todefine thescope of LPN/LVNpractice i ii i i ii i




c. Toimprove the qualityof care provided bythe LPN/LVN
i ii ii i ii ii i i ii




d. TolimittheLPN/LVNemployment placement i i i i ii




ANS: B ii




While improving quality of care provided by the LPN/LVN may be a result of
ii ii ii ii ii ii ii ii ii ii ii ii ii




the NPA, the primarypurpose of the NPA of each state defines the scope of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii




nursing practice in that state.
ii ii ii ii ii




DIF: Cognitive Level: Comprehension REF: p. 3 OBJ:3 ii ii i i ii i




TOP: NPA
ii KEY: Nursing Process Step: Implementation
i i ii ii ii ii




iMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
i ii ii ii ii ii ii ii




2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the vocational
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




nurse has not been taught during her educational program. How should the vocational nurse respond?
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




a. Aska more experienced nursetodemonstrate theprocedure. i ii ii ii i i ii i




b. Lookup the procedure inthe procedure manual. i ii ii ii i ii ii




c. Attempttoperformthe procedure withsupervision. i i i ii ii i




d. Informthecharge nurse ofherlackof trainingin thisprocedure. i i ii i i i i ii i ii i




ANS: D ii




The charge nurse should be informed of the lack of training to perform the procedure, and the vocational
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




nurse should seek further training to gain proficiency. Although the other options might be helpful, they
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




are not safe.
ii ii ii




DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 ii ii i i ii ii




TOP: Providing Safe Care
ii KEY: NursingProcess Step: N/A
i i ii ii ii i ii ii




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ii ii ii ii ii ii ii ii




3. Which patient statement indicates a need for further discharge teaching that the vocational nurse
ii ii ii ii ii ii ii ii ii ii ii ii ii




should address?
ii ii




a. "Ihave no idea of howthisdrugwill affect me."
i i ii ii ii i i i ii ii




b. "Do you know if myphysician is comingbacktoday?" ii ii ii ii i ii ii i i




c. "Will myinsurance payformystay?" ii i ii i i i




d. "AmIgoingto have to go to a nursinghome?" i i i ii ii ii ii ii ii i




ANS: A ii




Lack of knowledge at discharge about medication effects and side effects is a concern that should be
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




addressed by the vocational nurse. The other concerns in the options are the responsibility of other
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




departments to which the nurse might refer the patient.
ii ii ii ii ii ii ii ii ii




DIF: Cognitive Level: Application REF: p. 2 OBJ:1 ii ii i i ii i




TOP: Teaching
ii KEY: Nursing Process Step: Implementation
i i ii ii ii ii




iMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
i ii ii ii ii ii ii ii

,4. According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care facility acts
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




in which capacity?
ii ii ii




a. Workingunder direct supervision of an RNon theunit i ii ii ii ii ii i ii i




b. Workingwith the RNin thebuilding i ii ii i ii i




c. Workingunder general supervision bythe RNavailable on site or byphone i i ii ii i ii i ii ii ii ii i




d. Workingas anindependentvocational nurse i ii i i ii




ANS: C ii




The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the general
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




supervision of an RN available on site or by phone.
ii ii ii ii ii ii ii ii ii ii




DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 1 ii ii i i ii ii




TOP: Charge Nurse/Manager
ii i i KEY: NursingProcess Step: N/A ii ii i ii ii




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ii ii ii ii ii ii ii ii




5. The nurse is educating a patient that is a member of a health maintenance organization (HMO). Which
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




information should the nurse include?
ii ii ii ii ii




a. Seekthe opinion of an alternate healthcareprovider. i ii ii ii i ii i i




b. Contacttheinsurance companyfor coverage details asservices maybelimited. i i ii i i ii ii i ii i i




c. Providedetailed documentationof all carereceived forhiscondition. i ii i ii ii i ii i i




d. Wait at least 6 months to see a specialist. ii ii ii ii ii ii ii ii




ANS: B ii




HMOs are a kind of managed care. This is accomplished by paying providers to care for groups of
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




patients for a set capitation fee and by limiting services. Patients are not required to seek a second
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




opinion, provide documentation of care, or wait a specific time period before visiting a specialist.
ii ii ii ii ii ii ii ii ii ii ii ii ii i ii




DIF: CognitiveLevel: Application
i i iREF: p. 9
i OBJ: 9 i ii i i i i ii i i




TOP: Charge Nurse/Manager i i KEY: NursingProcess Step: Implementation ii ii i ii ii




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ii ii ii ii ii ii ii ii




6. The patient complains to the nurse that he is confused about his "deductible" that he owes the hospital.
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




Which statement accurately explains a deductible?
ii ii ii ii ii ii




a. An amount of moneyput asideforthepayment of future medical bills
i ii ii i ii i i i ii ii ii ii




b. Aone-time fee forservice
i ii ii i




c. An amount of moneydeductedfromthe bill bythe insurancecompany
ii ii ii i i i ii ii i ii i




d. Anannual amount of moneythe patient must payout-of-pocket for medicalcare
i ii ii ii i ii ii ii i ii ii i




ANS: D ii




The deductible is the annual amount the insured must pay out-of-pocket prior to the insurance company
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




assuming the cost. This practice improves the profit of the insurance company.
ii ii ii ii ii ii ii ii ii ii ii ii




DIF: Cognitive Level: Comprehension
i i REF: p. 7
i i OBJ: 9 ii ii i i i i i i i i ii i i




TOP: Health Care Financing i KEY: NursingProcess Step: Implementation
i ii ii ii i ii ii




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ii ii ii ii ii ii ii ii




7. Apatientasks the nurse what Medicare Part Acovers.Which responseiscorrect?
i i ii ii ii ii ii ii i i ii i i




a. Medicare Part Acoversinpatient hospitalcosts. ii ii i i ii i




b. Medicare Part Acoversreimbursement tothephysician. ii ii i i ii i i




c. MedicarePart Acoversoutpatient hospitalservices. i ii i i ii i




d. Medicare Part Acovers ambulancetransportation. ii ii i i i




ANS: A ii




Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory work, and intensive care.
ii ii ii ii ii ii ii ii ii ii ii ii ii




Medicare Part B pays the physician, ambulance transport, and outpatient services.
ii ii ii ii ii ii ii ii ii ii ii

, DIF: Cognitive Level: Comprehension REF: p. 8, Box 1-4 i ii ii ii ii ii




OBJ: 9 TOP:Government-SponsoredHealthInsurance
i i i i i




KEY: Nursing Process Step: Implementation
ii ii ii ii ii




MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
i i i i i i i




8. Whichisthemaincost-containment component of diagnosis-related groups(DRGs)?
i i i i ii ii ii ii i




a. Hospitalsfocus onlyon thespecificdiagnosis. i i i ii i i




b. Hospitals treat and discharge patientsquickly. i ii ii ii i




c. Reducedcost drugs are orderedforspecificdiagnoses. i ii ii ii i i i




d. Diagnosticgroupclassificationstreamlinescare. i i i i




ANS: B ii




DRGs are a prospective payment plan in which hospitals receive a flat fee for each patient's diagnostic
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




category regardless of the length of time in the hospital. If hospitals can treat and discharge patients before
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




the allotted time, hospitals get to keep the excess payment; cost is contained, and the patient is discharged
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




sooner.
ii




DIF: Cognitive Level: Comprehension REF: p. 8 OBJ:9 ii ii i i ii i




TOP: Government-Sponsored Health Insurance
ii ii ii ii




KEY:NursingProcessStep: Implementation
i i i ii




MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
i i i i i i i




9. Thenurseisassessinga groupof patients.Which patient would most likelyqualifyforMedicaid?
i i i i ii i ii i ii ii ii ii i i i




a. A35-year-oldunemployedsinglemother withdiabetes
i i i i ii i




b. A 70-year-old Medicare recipient with retirement income who needs to be in a long-term
ii ii ii ii ii ii ii ii ii ii ii ii ii




care facility
ii i




c. An 80-year-old blind woman living in her own home who has inadequate private
ii ii ii ii ii ii ii ii ii ii ii ii




insurance ii




d. A67-year-oldstroke victimwithMedicare Part Aandan income frominvestments
i i i i i ii ii i i ii ii i




ANS: A ii




Medicaid is a joint effort of federal and state governments geared primarily for low-income people with no
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




insurance.
ii




DIF: CognitiveLevel:Application REF: p. 8, Box 1-5 i i ii ii ii ii




OBJ: 9 TOP: Government-Sponsored Health Insurance—Medicaid
i i i i ii




KEY: Nursing Process Step: Assessment
ii ii ii ii ii




MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare
i i i i i i i




10. Which area is the major focus of Healthy People 2020 and the primary mechanism through which to
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii




improve the health of Americans in the second decade of the century?
ii ii ii ii ii ii ii ii ii ii ii ii




a. Researchfunding i




b. Health information distribution ii ii




c. Healthylifestyle encouragement i ii




d. Health improvement program designs ii ii i




ANS: C ii




Healthy People 2020 focuses on expanding ongoing programs to include support and information to
ii ii ii ii ii ii ii ii ii ii ii ii ii




reduce infant mortality, cancer, cardiovascular disease, and HIV/AIDS, and to increase effective
ii ii ii ii ii ii ii ii ii ii ii ii




immunizations, healthy eating habits, and healthy weight.
ii ii ii ii ii ii ii




DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 7 i ii i i i i ii i i




TOP: Healthy People 2020 i KEY: NursingProcess Step: Implementation
i ii ii ii i ii ii




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ii ii ii ii ii ii ii ii

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