,Chapter jr01: jrCaring jrfor jrMedical-Surgical jrPatients
deWit: jrMedical-Surgical jrNursing: jrConcepts jr& jrPractice, jr3rd jrEdition
MULTIPLE jr CHOICE
1. Which jrstatement jraccurately jrdescribes jrthe jrprimary jrpurpose jrof jrthe jrstate jrnurse jrpractice jract jr(NPA)?
a. To jrtest jrand jrlicense jrLPN/LVNs.
b. To jrdefine jrthe jrscope jrof jrLPN/LVN jrpractice.
c. To jrimprove jrthe jrquality jrof jrcare jrprovided jrby jrthe
jr LPN/LVN.
d. To jrlimit jrthe jrLPN/LVN jremployment jrplacement.
ANS: B
While jrimproving jrquality jrof jrcare jrprovided jrby jrthe jrLPN/LVN jrmay jrbe jra jrresult jrof jrthe jrNPA, jrthe jrprimary jrpurpose jrof jrthe
jr NPA jr of jr each jr state jr defines jrthe jr scope jr of jr nursing jr practice jrin jr that jrstate.
PTS: 1 DIF: Cognitive jrLevel: jrComprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
2. The jrcharge jrnurse jrasks jrthe jrnew jrvocational jrnurse jrto jrstart jran jrintravenous jrinfusion, jra jrskill jrthat jrthe jrvocational
jr nurse jr has jr not jr been jrtaught jr during jr her jr educational jr program. jr How jr should jr the jr vocational jr nurse jr respond?
a. Ask jra jrmore jrexperienced jrnurse jrto jrdemonstrate jrthe jrprocedure.
b. Look jrup jrthe jrprocedure jrin jrthe jrprocedure jrmanual.
c. Attempt jrto jrperform jrthe jrprocedure jrwith jrsupervision.
d. Inform jrthe jrcharge jrnurse jrof jrher jrlack jrof jrtraining jrin jrthis
jr procedure.
ANS: D
The jrcharge jrnurse jrshould jrbe jrinformed jrof jrthe jrlack jrof jrtraining jrto jrperform jrthe jrprocedure, jrand jrthe jrvocational jrnurse
jr should jr seek jrfurther jrtraining jr to jr gain jr proficiency. jr Although jr the jr other jr options jr might jr be jr helpful, jr they jr are jr not jr safe.
PTS: 1 DIF: Cognitive jrLevel: jrApplication j r j r REF: 3
OBJ: 1 TOP: Providing jrSafe jrCare KEY: Nursing jrProcess jrStep: jrN/A
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
3. Which jrpatient jrstatement jrindicates jra jrneed jrfor jrfurther jrdischarge jrteaching jrthat jrthe jrvocational jrnurse jrshould jraddress?
a. ―I jrhave jrno jridea jrof jrhow jrthis jrdrug jrwill jraffect jrme.‖
b. ―Do jryou jrknow jrif jrmy jrphysician jris jrcoming jrback
jr today?‖
c. ―Will jrmy jrinsurance jrpay jrfor jrmy jrstay?‖
d. ―Am jrI jrgoing jrto jrhave jrto jrgo jrto jra jrnursing jrhome?‖
ANS: A
Lack jrof jrknowledge jrat jrdischarge jrabout jrmedication jreffects jrand jrside jreffects jris jra jrconcern jrthat jrshould jrbe jraddressed jrby
jr the jr vocational jr nurse. jr The jr other jr concerns jrin jrthe jr options jr are jrthe jr responsibility jr of jr other jr departments jr to jr which jrthe
jr nurse jr might jr refer jr the jr patient.
PTS: 1 DIF: Cognitive jrLevel: jrApplication j r j r REF: 2
OBJ: 1 TOP: Teaching j r KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
4. According jrto jrmost jrstate jrNPAs, jrthe jrvocational jrnurse jracting jras jrcharge jrnurse jrin jra jrlong-term jrcare jrfacility
jr acts jr in jr which jr capacity?
a. Working jrunder jrdirect jrsupervision jrof jran jrRN jron jrthe jrunit
b. Working jrwith jrthe jrRN jrin jrthe jrbuilding
c. Working jrunder jrgeneral jrsupervision jrby jrthe jrRN jravailable jron jrsite jror jrby
jr phone
d. Working jras jran jrindependent jrvocational jrnurse
ANS: C
The jrvocational jrnurse jrin jrthe jrcapacity jrof jrthe jrcharge jrnurse jrin jra jrlong-term jrcare jrfacility jracts jrwith jrthe jrgeneral
jr supervision jr of jr an jr RN jr available jr on jr site jr or jr by jr phone.
PTS: 1 DIF: Cognitive jrLevel: jrComprehension REF: 2
OBJ: 1 TOP: Charge jrNurse/Manager KEY: Nursing Process jrStep: jrN/A
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
,5. The jrnurse jris jreducating jra jrpatient jrthat jris jra jrmember jrof jra jrhealth jrmaintenance jrorganization jr(HMO). jrWhich
jr information jr should jrthe jr nurse jr include?
a. Seek jrthe jropinion jrof jran jralternate jrhealth jrcare jrprovider.
b. Obtain jrinsurance jrapproval jrfor jrmedical jrservices jrprior jrto
jr treatment.
c. Provide jrdetailed jrdocumentation jrof jrall jrcare jrreceived jrfor jrhis
jr condition.
d. Wait jrat jrleast jr6 jrmonths jrto jrsee jra jrspecialist.
ANS: B
Most jrHMOs jrrequire jrpreprocedure jrauthorization jrfor jrtreatment. jrPatients jrare jrnot jrrequired jrto jrseek jra jrsecond jropinion,
jr provide jr documentation jr of jr care, jr or jr wait jr a jr specific jrtime jr period jr before jr visiting jr a jr specialist.
PTS: 1 DIF: Cognitive jrLevel: jrApplication j r 9
j r REF:
OBJ: 9 TOP: Charge jrNurse/Manager
KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
6. The jrpatient jrcomplains jrto jrthe jrnurse jrthat jrhe jris jrconfused jrabout jrhis jr―deductible‖ jrthat jrhe jrowes jrthe
jr hospital. jr Which jr statement jr accurately jr explains jr a jr deductible?
a. An jramount jrof jrmoney jrput jraside jrfor jrthe jrpayment jrof jrfuture jrmedical jrbills
b. A jrone-time jrfee jrfor jrservice
c. An jramount jrof jrmoney jrdeducted jrfrom jrthe jrbill jrby jrthe jrinsurance jrcompany
d. An jrannual jramount jrof jrmoney jrthe jrpatient jrmust jrpay jrout-of-pocket jrfor
jr medical jr care
ANS: D
The jrdeductible jris jrthe jrannual jramount jrthe jrinsured jrmust jrpay jrout-of-pocket jrprior jrto jrthe jrinsurance jrcompany jrassuming jrthe
jr cost. jr This jr practice jr improves jrthe jr profit jr of jrthe jrinsurance jr company.
PTS: 1 DIF: Cognitive jrLevel: jrComprehension REF: 7
OBJ: 9 TOP: Health jrCare jrFinancing
KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
7. The jrnurse jrcompares jrthe jrcharacteristics jrof jra jrhealth jrmaintenance jrorganization jr(HMO) jrand jra jrpreferred
jr provider jr organization jr(PPO). jr Which jr information jr should jr the jr nurse jr include jr about jr HMOs?
a. HMOs jrrequire jra jrset jrfee jrof jreach jrmember jrmonthly.
b. HMOs jrallow jrthe jrmember jrto jrselect jrhis jrhealth jrcare
jr provider.
c. HMOs jrpermit jradmission jrto jrany jrfacility jrthe jrmember
jr prefers.
d. HMOs jroffer jrunlimited jrdiagnostic jrtests jrand jrtreatments.
ANS: A
HMOs jrrequire jra jrset jrfee jrfrom jreach jrmember jrmonthly jr(capitation). jrThe jrpatient jrwill jrbe jrtreated jrby jrthe jrHMO jrstaff jrin jrHMO-
approved jrfacilities. jrExcessive jruse jrof jrdiagnostic jrtests jrand jrtreatments jris jrdiscouraged jrby jrthe jrHMO.
PTS: 1 DIF: Cognitive jrLevel: jrApplication j r 9
j r REF:
OBJ: 9 TOP: Managed jrCare
KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
8. A jrpatient jrasks jrthe jrnurse jrwhat jrMedicare jrPart jrA jrcovers. jrWhich jrresponse jris jrcorrect?
a. Medicare jrPart jrA jrcovers jrinpatient jrhospital jrcosts.
b. Medicare jrPart jrA jrcovers jrreimbursement jrto jrthe
jr physician.
c. Medicare jrPart jrA jrcovers jroutpatient jrhospital jrservices.
d. Medicare jrPart jrA jrcovers jrambulance jrtransportation.
ANS: A
Medicare jrPart jrA jrcovers jrinpatient jrhospital jrexpenses, jrdrugs, jrx-rays, jrlaboratory jrwork, jrand jrintensive jrcare. jrMedicare jrPart jrB
jr pays jrthe jr physician, jr ambulance jrtransport, jr and jr outpatient jr services.
PTS: 1 DIF: Cognitive jrLevel: jrComprehension REF: 7, jrBox jr1-4
OBJ: 9 TOP: Government-Sponsored jr Health
jr Insurance
KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
, 9. Which jris jrthe jrmain jrcost-containment jrcomponent jrof jrdiagnosis-related jrgroups jr(DRGs)?
deWit: jrMedical-Surgical jrNursing: jrConcepts jr& jrPractice, jr3rd jrEdition
MULTIPLE jr CHOICE
1. Which jrstatement jraccurately jrdescribes jrthe jrprimary jrpurpose jrof jrthe jrstate jrnurse jrpractice jract jr(NPA)?
a. To jrtest jrand jrlicense jrLPN/LVNs.
b. To jrdefine jrthe jrscope jrof jrLPN/LVN jrpractice.
c. To jrimprove jrthe jrquality jrof jrcare jrprovided jrby jrthe
jr LPN/LVN.
d. To jrlimit jrthe jrLPN/LVN jremployment jrplacement.
ANS: B
While jrimproving jrquality jrof jrcare jrprovided jrby jrthe jrLPN/LVN jrmay jrbe jra jrresult jrof jrthe jrNPA, jrthe jrprimary jrpurpose jrof jrthe
jr NPA jr of jr each jr state jr defines jrthe jr scope jr of jr nursing jr practice jrin jr that jrstate.
PTS: 1 DIF: Cognitive jrLevel: jrComprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
2. The jrcharge jrnurse jrasks jrthe jrnew jrvocational jrnurse jrto jrstart jran jrintravenous jrinfusion, jra jrskill jrthat jrthe jrvocational
jr nurse jr has jr not jr been jrtaught jr during jr her jr educational jr program. jr How jr should jr the jr vocational jr nurse jr respond?
a. Ask jra jrmore jrexperienced jrnurse jrto jrdemonstrate jrthe jrprocedure.
b. Look jrup jrthe jrprocedure jrin jrthe jrprocedure jrmanual.
c. Attempt jrto jrperform jrthe jrprocedure jrwith jrsupervision.
d. Inform jrthe jrcharge jrnurse jrof jrher jrlack jrof jrtraining jrin jrthis
jr procedure.
ANS: D
The jrcharge jrnurse jrshould jrbe jrinformed jrof jrthe jrlack jrof jrtraining jrto jrperform jrthe jrprocedure, jrand jrthe jrvocational jrnurse
jr should jr seek jrfurther jrtraining jr to jr gain jr proficiency. jr Although jr the jr other jr options jr might jr be jr helpful, jr they jr are jr not jr safe.
PTS: 1 DIF: Cognitive jrLevel: jrApplication j r j r REF: 3
OBJ: 1 TOP: Providing jrSafe jrCare KEY: Nursing jrProcess jrStep: jrN/A
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
3. Which jrpatient jrstatement jrindicates jra jrneed jrfor jrfurther jrdischarge jrteaching jrthat jrthe jrvocational jrnurse jrshould jraddress?
a. ―I jrhave jrno jridea jrof jrhow jrthis jrdrug jrwill jraffect jrme.‖
b. ―Do jryou jrknow jrif jrmy jrphysician jris jrcoming jrback
jr today?‖
c. ―Will jrmy jrinsurance jrpay jrfor jrmy jrstay?‖
d. ―Am jrI jrgoing jrto jrhave jrto jrgo jrto jra jrnursing jrhome?‖
ANS: A
Lack jrof jrknowledge jrat jrdischarge jrabout jrmedication jreffects jrand jrside jreffects jris jra jrconcern jrthat jrshould jrbe jraddressed jrby
jr the jr vocational jr nurse. jr The jr other jr concerns jrin jrthe jr options jr are jrthe jr responsibility jr of jr other jr departments jr to jr which jrthe
jr nurse jr might jr refer jr the jr patient.
PTS: 1 DIF: Cognitive jrLevel: jrApplication j r j r REF: 2
OBJ: 1 TOP: Teaching j r KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
4. According jrto jrmost jrstate jrNPAs, jrthe jrvocational jrnurse jracting jras jrcharge jrnurse jrin jra jrlong-term jrcare jrfacility
jr acts jr in jr which jr capacity?
a. Working jrunder jrdirect jrsupervision jrof jran jrRN jron jrthe jrunit
b. Working jrwith jrthe jrRN jrin jrthe jrbuilding
c. Working jrunder jrgeneral jrsupervision jrby jrthe jrRN jravailable jron jrsite jror jrby
jr phone
d. Working jras jran jrindependent jrvocational jrnurse
ANS: C
The jrvocational jrnurse jrin jrthe jrcapacity jrof jrthe jrcharge jrnurse jrin jra jrlong-term jrcare jrfacility jracts jrwith jrthe jrgeneral
jr supervision jr of jr an jr RN jr available jr on jr site jr or jr by jr phone.
PTS: 1 DIF: Cognitive jrLevel: jrComprehension REF: 2
OBJ: 1 TOP: Charge jrNurse/Manager KEY: Nursing Process jrStep: jrN/A
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
,5. The jrnurse jris jreducating jra jrpatient jrthat jris jra jrmember jrof jra jrhealth jrmaintenance jrorganization jr(HMO). jrWhich
jr information jr should jrthe jr nurse jr include?
a. Seek jrthe jropinion jrof jran jralternate jrhealth jrcare jrprovider.
b. Obtain jrinsurance jrapproval jrfor jrmedical jrservices jrprior jrto
jr treatment.
c. Provide jrdetailed jrdocumentation jrof jrall jrcare jrreceived jrfor jrhis
jr condition.
d. Wait jrat jrleast jr6 jrmonths jrto jrsee jra jrspecialist.
ANS: B
Most jrHMOs jrrequire jrpreprocedure jrauthorization jrfor jrtreatment. jrPatients jrare jrnot jrrequired jrto jrseek jra jrsecond jropinion,
jr provide jr documentation jr of jr care, jr or jr wait jr a jr specific jrtime jr period jr before jr visiting jr a jr specialist.
PTS: 1 DIF: Cognitive jrLevel: jrApplication j r 9
j r REF:
OBJ: 9 TOP: Charge jrNurse/Manager
KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
6. The jrpatient jrcomplains jrto jrthe jrnurse jrthat jrhe jris jrconfused jrabout jrhis jr―deductible‖ jrthat jrhe jrowes jrthe
jr hospital. jr Which jr statement jr accurately jr explains jr a jr deductible?
a. An jramount jrof jrmoney jrput jraside jrfor jrthe jrpayment jrof jrfuture jrmedical jrbills
b. A jrone-time jrfee jrfor jrservice
c. An jramount jrof jrmoney jrdeducted jrfrom jrthe jrbill jrby jrthe jrinsurance jrcompany
d. An jrannual jramount jrof jrmoney jrthe jrpatient jrmust jrpay jrout-of-pocket jrfor
jr medical jr care
ANS: D
The jrdeductible jris jrthe jrannual jramount jrthe jrinsured jrmust jrpay jrout-of-pocket jrprior jrto jrthe jrinsurance jrcompany jrassuming jrthe
jr cost. jr This jr practice jr improves jrthe jr profit jr of jrthe jrinsurance jr company.
PTS: 1 DIF: Cognitive jrLevel: jrComprehension REF: 7
OBJ: 9 TOP: Health jrCare jrFinancing
KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
7. The jrnurse jrcompares jrthe jrcharacteristics jrof jra jrhealth jrmaintenance jrorganization jr(HMO) jrand jra jrpreferred
jr provider jr organization jr(PPO). jr Which jr information jr should jr the jr nurse jr include jr about jr HMOs?
a. HMOs jrrequire jra jrset jrfee jrof jreach jrmember jrmonthly.
b. HMOs jrallow jrthe jrmember jrto jrselect jrhis jrhealth jrcare
jr provider.
c. HMOs jrpermit jradmission jrto jrany jrfacility jrthe jrmember
jr prefers.
d. HMOs jroffer jrunlimited jrdiagnostic jrtests jrand jrtreatments.
ANS: A
HMOs jrrequire jra jrset jrfee jrfrom jreach jrmember jrmonthly jr(capitation). jrThe jrpatient jrwill jrbe jrtreated jrby jrthe jrHMO jrstaff jrin jrHMO-
approved jrfacilities. jrExcessive jruse jrof jrdiagnostic jrtests jrand jrtreatments jris jrdiscouraged jrby jrthe jrHMO.
PTS: 1 DIF: Cognitive jrLevel: jrApplication j r 9
j r REF:
OBJ: 9 TOP: Managed jrCare
KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
8. A jrpatient jrasks jrthe jrnurse jrwhat jrMedicare jrPart jrA jrcovers. jrWhich jrresponse jris jrcorrect?
a. Medicare jrPart jrA jrcovers jrinpatient jrhospital jrcosts.
b. Medicare jrPart jrA jrcovers jrreimbursement jrto jrthe
jr physician.
c. Medicare jrPart jrA jrcovers jroutpatient jrhospital jrservices.
d. Medicare jrPart jrA jrcovers jrambulance jrtransportation.
ANS: A
Medicare jrPart jrA jrcovers jrinpatient jrhospital jrexpenses, jrdrugs, jrx-rays, jrlaboratory jrwork, jrand jrintensive jrcare. jrMedicare jrPart jrB
jr pays jrthe jr physician, jr ambulance jrtransport, jr and jr outpatient jr services.
PTS: 1 DIF: Cognitive jrLevel: jrComprehension REF: 7, jrBox jr1-4
OBJ: 9 TOP: Government-Sponsored jr Health
jr Insurance
KEY: Nursing jrProcess jrStep: jrImplementation
MSC: NCLEX: jrSafe, jrEffective jrCare jrEnvironment: jrCoordinated jrCare
, 9. Which jris jrthe jrmain jrcost-containment jrcomponent jrof jrdiagnosis-related jrgroups jr(DRGs)?
