Test Bank for DeWit’s Medical-Surgical Nursing: Concepts and Practice, 5th Edition by Holly K. Stromberg | Complete Chapters 1–49 | Verified Questions & Correct Answers | Newest Version 2026–2027 | Comprehensive NCLEX-PN Med Surg Nursing Exam Prep Guide

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Test Bank for Dewits Medical Surgical Nursing Concepts and Practice 5th
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C Edition Stromberg Chapter 1-49 Newest Version 2026
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,Chapter 01: Caring for Medical-Surgical Patients
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Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
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MULTIPLE CHOICE x




1. Which statement accurately describes the primary purpose of the state nurse
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practice act (NPA)?
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a. To test and license LPN/LVNs
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b. To define the scope of LPN/LVN practice
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c. To improve the quality of care provided by the LPN/LVN
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d. To limit the LPN/LVN employment placement
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ANS: B C


While improving quality of care provided by the LPN/LVN may be a
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result of the NPA, the primarypurpose of the NPA of each state defines
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Cthe scope of nursing practice in that state.
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DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 C C C C


TOP: NPA
C KEY: Nursing Process Step: Implementation C C C C


MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
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the vocational nurse has not been taught during her educational program. How should the
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vocational nurse respond?
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a. Ask a more experienced nurse to demonstrate the procedure.
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b. Look up the procedure in the procedure manual.
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c. Attempt to performthe procedure with supervision. C C C C C


d. Informthe charge nurse of her lack of training in this procedure.
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ANS: D C


The charge nurse should be informed of the lack of training to perform the procedure, and the
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vocational nurse should seek further training to gain proficiency. Although the other options might
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be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 C C C C C


TOP: Providing Safe Care
C KEY: Nursing Process Step: N/A C C C C C C


MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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3. Which patient statement indicates a need for further discharge teaching that the vocational
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nurse should address?
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a. "Ihave no idea of how this drug will affect me."
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b. "Do you know if my physician is coming back today?"
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c. "Will my insurance pay for my stay?" C C C C C C


d. "Am I going to have to go to a nursing home?"
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ANS: A C


Lack of knowledge at discharge about medication effects and side effects is a concern that should
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be addressed by the vocational nurse. The other concerns in the options are the responsibility of
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other departments to which the nurse might refer the patient.
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DIF: Cognitive Level: Application REF: p. 2 OBJ: 1 C C C C


TOP: Teaching
C KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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,4. According to most state NPAs, the vocational nurse acting as charge nurse in a long-term
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care facility acts in which capacity?
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a. Working under direct supervision of an RN on the unit
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b. Working with the RN in the building C C C C C C


c. Working under general supervision by the RN available on site or byphone
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d. Working as an independent vocational nurseC C C C C




ANS: C C


The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the
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general supervision of an RN available on site or by phone.
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DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 1C C C C C


TOP: Charge Nurse/Manager
C C KEY: Nursing Process Step: N/A
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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5. The nurse is educating a patient that is a member of a health maintenance organization (HMO).
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Which information should the nurse include?
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a. Seek the opinion of an alternate health care provider.
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b. Contact the insurance company for coverage details as services maybe limited.
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c. Providedetailed documentation of all care received for his condition. C C C C C C C C


d. Wait at least 6 months to see a specialist.
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ANS: B C


HMOs are a kind of managed care. This is accomplished by paying providers to care for
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groups of patients for a set capitation fee and by limiting services. Patients are not required to
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seek a second opinion, provide documentation of care, or wait a specific time period before
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visiting a specialist.
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DIF: Cognitive Level: Application
C C REF: p. 9 OBJ: 9 C C C C C C


TOP: Charge Nurse/Manager
C KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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6. The patient complains to the nurse that he is confused about his "deductible" that he owes the
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hospital. Which statement accurately explains a deductible?
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a. An amount of moneyput aside for the payment of future medical bills
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b. A one-time fee for service
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c. An amount of money deducted fromthe bill by the insurance company
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d. An annual amount of money the patient must pay out-of-pocket for medical care
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ANS: D C


The deductible is the annual amount the insured must pay out-of-pocket prior to the insurance
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company assuming the cost. This practice improves the profit of the insurance company.
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DIF: Cognitive Level: Comprehension
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TOP: Health Care Financing KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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7. Apatient asks the nurse what Medicare Part A covers. Which response is correct?
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a. Medicare Part A covers inpatient hospital costs.
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b. Medicare Part A covers reimbursement to the physician.
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c. Medicare Part Acovers outpatient hospital services.
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d. Medicare Part A covers ambulance transportation.
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ANS: A C


Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory work, and intensive care.
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Medicare Part B pays the physician, ambulance transport, and outpatient services.
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, DIF: Cognitive Level: Comprehension REF: p. 8, Box 1-4 C C C C C C


OBJ: 9 TOP: Government-Sponsored Health Insurance C C C


KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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8. Which is the main cost-containment component of diagnosis-related groups (DRGs)?
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a. Hospitalsfocus onlyon the specific diagnosis. C C C C


b. Hospitals treat and discharge patients quickly.
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c. Reduced cost drugs are ordered for specific diagnoses.
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d. Diagnostic group classification streamlines care. C C C C




ANS: B C


DRGs are a prospective payment plan in which hospitals receive a flat fee for each patient's
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diagnostic category regardless of the length of time in the hospital. If hospitals can treat and
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discharge patients before the allotted time, hospitals get to keep the excess payment; cost is
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contained, and the patient is discharged sooner.
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DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: 9 C C C C


TOP: Government-Sponsored Health Insurance
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KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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9. Thenurse is assessing a group of patients. Which patient would most likely qualify for Medicaid?
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a. A 35-year-old unemployed single mother with diabetes
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b. A 70-year-old Medicare recipient with retirement income who needs to be in a long-
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term care facility C C


c. An 80-year-old blind woman living in her own home who has inadequate
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private insurance
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d. A 67-year-old stroke victim with Medicare Part A and an income frominvestments
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ANS: A C


Medicaid is a joint effort of federal and state governments geared primarily for low-income people
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with no insurance.
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DIF: Cognitive Level: Application REF: p. 8, Box 1-5 C C C C C C


OBJ: 9 TOP: Government-Sponsored Health Insurance—Medicaid C C C


KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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10. Which area is the major focus of Healthy People 2020 and the primary mechanism through which
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to improve the health of Americans in the second decade of the century?
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a. Research funding C


b. Health information distribution C C


c. Healthylifestyle encouragement C


d. Health improvement program designsC C C




ANS: C C


Healthy People 2020 focuses on expanding ongoing programs to include support and information to
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reduce infant mortality, cancer, cardiovascular disease, and HIV/AIDS, and to increase effective
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immunizations, healthy eating habits, and healthy weight.
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DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: 7 C C C C


TOP: Healthy People 2020 KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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