MEDICAL SURGICAL NURSING CONCEPTS
AND PRACTICE FINAL PAPER 2026 ACTUAL
EXAM QUESTIONS WITH CORRECT ANSWERS
◉ How should a vocational nurse respond if asked to start an
intravenous infusion without prior training? Answer: Inform the
charge nurse of her lack of training in this procedure.
◉ Which patient statement indicates a need for further discharge
teaching? Answer: "I have no idea of how this drug will affect me."
◉ In a long-term care facility, under what supervision does a
vocational nurse acting as charge nurse operate? Answer: Under
general supervision by the RN available on site or by phone.
◉ What should a nurse educate a patient about when they are a
member of a health maintenance organization (HMO)? Answer:
Contact the insurance company for coverage details as services may
be limited.
◉ What is a potential result of the state nurse practice act (NPA)?
Answer: Improving the quality of care provided by the LPN/LVN.
,◉ What should a vocational nurse do if they lack training for a
procedure they are asked to perform? Answer: Seek further training
to gain proficiency.
◉ What is the role of the charge nurse in a long-term care facility
according to state NPAs? Answer: To provide general supervision to
vocational nurses.
◉ What is the significance of the NPA in nursing practice? Answer: It
defines the scope of nursing practice in each state.
◉ What is an important aspect of patient education regarding
medications at discharge? Answer: Patients should understand how
the drug will affect them.
◉ What does HMO stand for in healthcare? Answer: Health
Maintenance Organization.
◉ What is a common limitation of services in an HMO? Answer:
Services may be limited and require contacting the insurance
company for details.
◉ What should a vocational nurse do if they are unsure about a
procedure? Answer: Ask for guidance from a more experienced
nurse.
,◉ What is the role of the RN in relation to vocational nurses in a
long-term care facility? Answer: To provide general supervision.
◉ What is the expected action of a nurse when a patient has
questions about their physician's return? Answer: Refer the patient
to the appropriate department.
◉ What is the focus of the nursing process step during patient
education? Answer: Implementation.
◉ What should a nurse do if a patient expresses concerns about
insurance coverage? Answer: Refer the patient to the billing
department.
◉ What is the cognitive level of understanding required for the
primary purpose of the NPA? Answer: Comprehension.
◉ What is the nursing process step involved when addressing a
patient's lack of knowledge about medication effects? Answer:
Implementation.
◉ What should a nurse do if a patient is unsure about their
treatment options? Answer: Provide clear information and
resources.
, ◉ What is the charge nurse's responsibility in a long-term care
setting? Answer: To oversee the care provided by vocational nurses.
◉ What is the importance of understanding the scope of practice
defined by the NPA? Answer: It ensures safe and effective nursing
care.
◉ What should a nurse do if they encounter a procedure they have
not been trained on? Answer: Communicate their lack of training to
their supervisor.
◉ What are patients not required to do before visiting a specialist?
Answer: Patients are not required to seek a second opinion, provide
documentation of care, or wait a specific time period.
◉ What is a deductible in health insurance? Answer: An annual
amount of money the patient must pay out-of-pocket for medical
care before the insurance company covers costs.
◉ Which statement accurately describes what Medicare Part A
covers? Answer: Medicare Part A covers inpatient hospital costs,
including drugs, x-rays, laboratory work, and intensive care.
AND PRACTICE FINAL PAPER 2026 ACTUAL
EXAM QUESTIONS WITH CORRECT ANSWERS
◉ How should a vocational nurse respond if asked to start an
intravenous infusion without prior training? Answer: Inform the
charge nurse of her lack of training in this procedure.
◉ Which patient statement indicates a need for further discharge
teaching? Answer: "I have no idea of how this drug will affect me."
◉ In a long-term care facility, under what supervision does a
vocational nurse acting as charge nurse operate? Answer: Under
general supervision by the RN available on site or by phone.
◉ What should a nurse educate a patient about when they are a
member of a health maintenance organization (HMO)? Answer:
Contact the insurance company for coverage details as services may
be limited.
◉ What is a potential result of the state nurse practice act (NPA)?
Answer: Improving the quality of care provided by the LPN/LVN.
,◉ What should a vocational nurse do if they lack training for a
procedure they are asked to perform? Answer: Seek further training
to gain proficiency.
◉ What is the role of the charge nurse in a long-term care facility
according to state NPAs? Answer: To provide general supervision to
vocational nurses.
◉ What is the significance of the NPA in nursing practice? Answer: It
defines the scope of nursing practice in each state.
◉ What is an important aspect of patient education regarding
medications at discharge? Answer: Patients should understand how
the drug will affect them.
◉ What does HMO stand for in healthcare? Answer: Health
Maintenance Organization.
◉ What is a common limitation of services in an HMO? Answer:
Services may be limited and require contacting the insurance
company for details.
◉ What should a vocational nurse do if they are unsure about a
procedure? Answer: Ask for guidance from a more experienced
nurse.
,◉ What is the role of the RN in relation to vocational nurses in a
long-term care facility? Answer: To provide general supervision.
◉ What is the expected action of a nurse when a patient has
questions about their physician's return? Answer: Refer the patient
to the appropriate department.
◉ What is the focus of the nursing process step during patient
education? Answer: Implementation.
◉ What should a nurse do if a patient expresses concerns about
insurance coverage? Answer: Refer the patient to the billing
department.
◉ What is the cognitive level of understanding required for the
primary purpose of the NPA? Answer: Comprehension.
◉ What is the nursing process step involved when addressing a
patient's lack of knowledge about medication effects? Answer:
Implementation.
◉ What should a nurse do if a patient is unsure about their
treatment options? Answer: Provide clear information and
resources.
, ◉ What is the charge nurse's responsibility in a long-term care
setting? Answer: To oversee the care provided by vocational nurses.
◉ What is the importance of understanding the scope of practice
defined by the NPA? Answer: It ensures safe and effective nursing
care.
◉ What should a nurse do if they encounter a procedure they have
not been trained on? Answer: Communicate their lack of training to
their supervisor.
◉ What are patients not required to do before visiting a specialist?
Answer: Patients are not required to seek a second opinion, provide
documentation of care, or wait a specific time period.
◉ What is a deductible in health insurance? Answer: An annual
amount of money the patient must pay out-of-pocket for medical
care before the insurance company covers costs.
◉ Which statement accurately describes what Medicare Part A
covers? Answer: Medicare Part A covers inpatient hospital costs,
including drugs, x-rays, laboratory work, and intensive care.
