Medical-Surgical Nursing I Test 1
A cost-efficient way to provide care to people who are confined to their homes because
of illness or disability in the use of: - Ans - Home health care
A patient asks the nurse what Medicare Part A covers. Which response is correct? -
Ans - Medicare Part A covers inpatient hospital costs
A patient furiously says, "my doctor was so busy giving me instructions that he didn't
hear what I was trying to ask him!" Which response is most empathetic? - Ans - "I'll bet
that made you feel very frustrated"
A resident with advanced Parkinson's disease stays in his wheelchair all day. He reports
that he is too tired to walk and is fearful of failing. Which intervention to increase the
patient's mobility should the nurse add to the patient's care plan? - Ans - Assist the
resident with ambulating in the hallway with a gait belt.
According to most state nurse practice acts, the LPN acting as charge nurse in a long-
term care facility acts in which capacity? - Ans - Working under general supervision by
the RN available on site or by phone.
After assessing reddened heels on a bed-bound patient with a history of a stroke, which
intervention should the nurse add to the care of plan? - Ans - Elevate feet on pillows
An older adult client has fallen twice while getting up to go to the bathroom at night. The
nurse implements which of the following to decrease the risk of further client falls? - Ans
- Leave the call bell within reach, and turn on the bathroom light.
An overweight male patient rips off his hospital gown, throws it out the door, and shouts,
"I'm not wearing this stupid gown! It is too small, too short and exposes my backside to
the world!" Which response is most appropriate? - Ans - Confer with the patient for
methods to acquire a larger gown.
An RN student asks a friend who is an LPN student, "will you be able to start IVs when
you get out of school?" Which is the best response? - Ans - " it will depend on the Nurse
Practice Act of the state where I work."
During the admission assessment, the nurse assesses the patient for fall risk. Which
finding will alert the nurse to an increased risk for falls? - Ans - The patient takes a
hypnotic.
The best communication given by the nurse to the unlicensed assistive personnel (UAP)
would be: - Ans - "Please measure each urine output and report it to me."
, The charge nurse asks the new LPN to start and intravenous infusion, a skill that the
LPN has not been taught during her educational program. How should the LPN
respond? - Ans - Inform the charge nurse of her lack of training in this procedure.
The charge nurse instructs the nursing assistants about the policy concerning call lights.
The nurse teaches that patients taking which type of medication require especially
prompt call light attention? - Ans - Diuretics
The long-term care facility nurse is caring for a newly admitted 80-year-old patient who
is depressed. Which approach is best for the nurse to employ? - Ans - Encourage the
resident to engage in an activity.
The long-term care facility nurse is discussing fall prevention measures with the charge
nurse. Which replacement should the nurse suggest? - Ans - Replacing area rugs with a
nonslip pad.
The LPN/LVN making care assignments to nursing assistants would not assign a
patient who has which problem? - Ans - An unstable condition
The LPN/LVN may provide many services to the patient in the home. Several of these
are high-level skills. Under whose supervision should these high-level skills be directed
and performed? - Ans - RN
The nurse counsels the immobilized patient in regard to prevention of muscle atrophy
and contractures. What will the nurse be sure to include when counseling this patient? -
Ans - The need for some type of exercise
The nurse educates the nursing assistant about the importance of locking the wheels of
a wheelchair. Which statement indicates that the nursing assistant understands the
nursing's teaching? - Ans - "The locks help to prevent falls."
The nurse is assessing a group of patients. Which patient would most likely qualify for
Medicaid? - Ans - A 35-year-old unemployed single mother with diabetes
The nurse is aware that when a task is delegated to an unlicensed assistive personnel
(UAP), the nurse is: - Ans - Responsible for overall patient care.
The nurse is caring for a 76-year-old patient in a long-term care facility who sent his
food tray back to the kitchen untouched for the second time today. Which intervention is
most effective to increase nutrition? - Ans - Offer the patient a high-protein drink .
The nurse is caring for a disoriented resident. Which intervention is most appropriate for
the nurse to include when planning care for this patient? - Ans - Ensure that activities
are scheduled for the same time each day.
A cost-efficient way to provide care to people who are confined to their homes because
of illness or disability in the use of: - Ans - Home health care
A patient asks the nurse what Medicare Part A covers. Which response is correct? -
Ans - Medicare Part A covers inpatient hospital costs
A patient furiously says, "my doctor was so busy giving me instructions that he didn't
hear what I was trying to ask him!" Which response is most empathetic? - Ans - "I'll bet
that made you feel very frustrated"
A resident with advanced Parkinson's disease stays in his wheelchair all day. He reports
that he is too tired to walk and is fearful of failing. Which intervention to increase the
patient's mobility should the nurse add to the patient's care plan? - Ans - Assist the
resident with ambulating in the hallway with a gait belt.
According to most state nurse practice acts, the LPN acting as charge nurse in a long-
term care facility acts in which capacity? - Ans - Working under general supervision by
the RN available on site or by phone.
After assessing reddened heels on a bed-bound patient with a history of a stroke, which
intervention should the nurse add to the care of plan? - Ans - Elevate feet on pillows
An older adult client has fallen twice while getting up to go to the bathroom at night. The
nurse implements which of the following to decrease the risk of further client falls? - Ans
- Leave the call bell within reach, and turn on the bathroom light.
An overweight male patient rips off his hospital gown, throws it out the door, and shouts,
"I'm not wearing this stupid gown! It is too small, too short and exposes my backside to
the world!" Which response is most appropriate? - Ans - Confer with the patient for
methods to acquire a larger gown.
An RN student asks a friend who is an LPN student, "will you be able to start IVs when
you get out of school?" Which is the best response? - Ans - " it will depend on the Nurse
Practice Act of the state where I work."
During the admission assessment, the nurse assesses the patient for fall risk. Which
finding will alert the nurse to an increased risk for falls? - Ans - The patient takes a
hypnotic.
The best communication given by the nurse to the unlicensed assistive personnel (UAP)
would be: - Ans - "Please measure each urine output and report it to me."
, The charge nurse asks the new LPN to start and intravenous infusion, a skill that the
LPN has not been taught during her educational program. How should the LPN
respond? - Ans - Inform the charge nurse of her lack of training in this procedure.
The charge nurse instructs the nursing assistants about the policy concerning call lights.
The nurse teaches that patients taking which type of medication require especially
prompt call light attention? - Ans - Diuretics
The long-term care facility nurse is caring for a newly admitted 80-year-old patient who
is depressed. Which approach is best for the nurse to employ? - Ans - Encourage the
resident to engage in an activity.
The long-term care facility nurse is discussing fall prevention measures with the charge
nurse. Which replacement should the nurse suggest? - Ans - Replacing area rugs with a
nonslip pad.
The LPN/LVN making care assignments to nursing assistants would not assign a
patient who has which problem? - Ans - An unstable condition
The LPN/LVN may provide many services to the patient in the home. Several of these
are high-level skills. Under whose supervision should these high-level skills be directed
and performed? - Ans - RN
The nurse counsels the immobilized patient in regard to prevention of muscle atrophy
and contractures. What will the nurse be sure to include when counseling this patient? -
Ans - The need for some type of exercise
The nurse educates the nursing assistant about the importance of locking the wheels of
a wheelchair. Which statement indicates that the nursing assistant understands the
nursing's teaching? - Ans - "The locks help to prevent falls."
The nurse is assessing a group of patients. Which patient would most likely qualify for
Medicaid? - Ans - A 35-year-old unemployed single mother with diabetes
The nurse is aware that when a task is delegated to an unlicensed assistive personnel
(UAP), the nurse is: - Ans - Responsible for overall patient care.
The nurse is caring for a 76-year-old patient in a long-term care facility who sent his
food tray back to the kitchen untouched for the second time today. Which intervention is
most effective to increase nutrition? - Ans - Offer the patient a high-protein drink .
The nurse is caring for a disoriented resident. Which intervention is most appropriate for
the nurse to include when planning care for this patient? - Ans - Ensure that activities
are scheduled for the same time each day.
