Test Bank For Medical Surgical Nursing 5th Edition By Holly K.
Stromberg, All Chapters 1-49 | Latest Update
Chapter 01: Caring for Medical-Surgical Patients
ij ij ij ij ij
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
ij ij ij ij ij ij ij
MULTIPLECHOICE ij
Which statement accurately describes the primary purpose of the state nurse practiceact
ij ij ij ij ij ij ij ij ij ij ij ij
(NPA)?
ij
a. To test and license LPN/LVNs. ij ij ij ij
b. To define the scope of LPN/LVN ij ij ij ij ij
practice.
c. To improve the quality of care ij ij ij ij ij
provided by the LPN/LVN. ij ij ij
d. To limit the LPN/LVN employment ij ij ij ij
placement.
ANS: B ij
While improving quality of care provided by the LPN/LVN may be a result of
ij ij ij ij ij ij ij ij ij ij ij ij ij
theNPA, the primary purpose of the NPA of each state defines the scope of nursing
ij ij ij ij ij ij ij ij ij ij ij ij ij ij ij ij
practice in that state.
ij ij ij ij
PTS: 1
Cognitive Level: Comprehension DIF: ij ij
REF: 2 i j
OBJ:3 TOP: NPA KEY: Nursing Process Step: ij ij ij ij
Implementation
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
The charge nurse asks the new vocational nurse to start an intravenous infusion, a
ij ij ij ij ij ij ij ij ij ij ij ij ij
skillthat the vocational nurse has notbeen taught during her educational program. How
ij ij ij ij ij ij ij ij ij ij ij ij ij
should the vocational nurse respond?
ij ij ij ij ij
a. Ask a more experienced nurse to ij ij ij ij ij
demonstrate the procedure. ij ij
b. Look up the procedure in the procedure ij ij ij ij ij ij
manual.
c. Attempt to perform the procedure with ij ij ij ij ij
supervision.
d. Inform the charge nurse of her lack of ij ij ij ij ij ij ij
training in this procedure. ij ij ij
ANS: D ij
The charge nurse should be informed of the lack of training to perform the
ij ij ij ij ij ij ij ij ij ij ij ij ij
procedure, and the vocational nurse should seek further training to gain proficiency.
ij ij ij ij ij ij ij ij ij ij ij ij
Although the other options might be helpful, they are not safe.
ij ij ij ij ij ij ij ij ij ij ij
PTS: 1 DIF: Cognitive Level: ij 3
, Application REF: ij
OBJ:1 TOP: Providing Safe Care Nursing Process ij ij ij
KEY: Step: N/A ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
Which patient statement indicates a need for further discharge teaching that
ij ij ij ij ij ij ij ij ij ij
thevocational nurse should address?
ij ij ij ij ij
a. ―I have no idea of how this drug ij ij ij ij ij ij ij
will affect me.‖ ij ij
b. ―Do you know if my physician is ij ij ij ij ij ij
coming back today?‖ ij ij
c. ―Will my insurance pay for my ij ij ij ij ij
stay?‖
d. ―Am I going to have to go to a ij ij ij ij ij ij ij ij
nursing home?‖ ij
ANS: A ij
Lack of knowledge at discharge about medication effects and side effects is a
ij ij ij ij ij ij ij ij ij ij ij ij
concern that should be addressed by the vocationalnurse. The other concerns in the
ij ij ij ij ij ij ij ij ij ij ij ij ij
options are the responsibility of other departments to which the nurse might refer the
ij ij ij ij ij ij ij ij ij ij ij ij ij ij
patient.
ij
PTS: 1
Cognitive Level: Application REF: DIF: ij ij
2
OBJ:1 TOP: Teaching KEY: Nursing Process ij ij
Step: Implementation ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
According to most state NPAs, the vocational nurse acting as charge nurse in a long-
ij ij ij ij ij ij ij ij ij ij ij ij ij ij
term care facility acts in which capacity?
ij ij ij ij ij ij ij
a. Working under direct supervision of an RN on ij ij ij ij ij ij ij
the unit ij
b. Working with the RN in the building ij ij ij ij ij ij
c. Working under general supervision by the RN ij ij ij ij ij ij
available on site or by phone ij ij ij ij ij
d. Working as an independent vocational nurse ij ij ij ij ij
ANS: C ij
The vocational nurse in the capacity of the charge nurse in a long-term care
ij ij ij ij ij ij ij ij ij ij ij ij ij
facilityacts with the general supervision of an RNavailable on site or by phone.
ij ij ij ij ij ij ij ij ij ij ij ij ij ij
PTS: 1
Cognitive Level: REF: 2 DIF: ij
Comprehension
OBJ:1 TOP: Charge Nurse/Manager Nursi Process ij
KEY: ng Step: N/A ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
,The nurse is educating a patient that is a member of a health maintenance
ij ij ij ij ij ij ij ij ij ij ij ij ij
organization(HMO). Which informationshould the nurse include?
ij ij ij ij ij ij ij
a. Seek the opinion of an alternate health care ij ij ij ij ij ij ij
provider.
b. Obtain insurance approval for medical ij ij ij ij
services prior to treatment. ij ij ij
c. Provide detailed documentation of all care ij ij ij ij ij
received for his condition. ij ij ij
d. Wait at least 6 months to see a specialist. ij ij ij ij ij ij ij ij
ANS: B ij
Most HMOs require preprocedure authorization for treatment. Patients are not
ij ij ij ij ij ij ij ij ij
required to seek a second opinion, providedocumentation of care, or wait a
ij ij ij ij ij ij ij ij ij ij ij ij
specifictime period before visiting a specialist.
ij ij ij ij ij ij ij
PTS: 1
Cognitive Level: 9 DIF: ij
Application REF: ij
OBJ:9 TOP: Charge Nurse/Manager ij
KEY: Nursing Process Step: Implementation
ij ij ij ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
The patient complains to the nurse that he is confused about his ―deductible‖ that
ij ij ij ij ij ij ij ij ij ij ij ij ij
heowes the hospital. Whichstatement accurately explains a deductible?
ij ij ij ij ij ij ij ij ij
a. An amount of money put aside for the payment of ij ij ij ij ij ij ij ij ij
future medical bills ij ij
b. A one-time fee for service ij ij ij ij
c. An amount of money deducted from the bill by ij ij ij ij ij ij ij ij
the insurance company ij ij
d. An annual amount of money the patient must pay ij ij ij ij ij ij ij ij
out-of-pocket for medical care ij ij ij
ANS: D ij
The deductible is the annual amount the insured must pay out-of-pocket prior to
ij ij ij ij ij ij ij ij ij ij ij ij
theinsurance company assuming the cost. This practice improves the profit of the
ij ij ij ij ij ij ij ij ij ij ij ij ij
insurance company.
ij ij
PTS: 1
Cognitive Level: REF: 7 DIF: ij
Comprehension
OBJ:9 TOP: Health Care Financing ij ij
KEY: Nursing Process Step: Implementation
ij ij ij ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
The nurse compares the characteristics of a health maintenance organization
ij ij ij ij ij ij ij ij ij
(HMO)and a preferred providerorganization (PPO). Which information should the
ij ij ij ij ij ij ij ij ij ij
nurse include about HMOs?
ij ij ij ij
, a. HMOs require a set fee of each ij ij ij ij ij ij
member monthly. ij
b. HMOs allow the member to select ij ij ij ij ij
his health care provider. ij ij ij
c. HMOs permit admission to any ij ij ij ij
facility the member prefers. ij ij ij
d. HMOs offer unlimited diagnostic ij ij ij
tests and treatments. ij ij
ANS: A ij
HMOs require a set fee from each member monthly (capitation). The patient will
ij ij ij ij ij ij ij ij ij ij ij ij
betreated by the HMO staff in HMO-approvedfacilities. Excessive use of diagnostic
ij ij ij ij ij ij ij ij ij ij ij ij
tests and treatments is discouraged by the HMO.
ij ij ij ij ij ij ij ij
PTS: 1
Cognitive Level: 9 DIF: ij
Application REF: ij
OBJ:9 TOP: Managed Care ij
KEY: Nursing Process Step: Implementation
ij ij ij ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
A patient asks the nurse what Medicare Part A covers. Which response is correct?
ij ij ij ij ij ij ij ij ij ij ij ij ij
a. Medicare Part A covers inpatient ij ij ij ij
hospital costs. ij
b. Medicare Part A covers ij ij ij
reimbursement to the physician. ij ij ij
c. Medicare Part A covers outpatient ij ij ij ij
hospital services. ij
d. Medicare Part A covers ambulance ij ij ij ij
transportation.
ANS: A ij
Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory
ij ij ij ij ij ij ij ij ij
work,and intensive care. Medicare Part B pays thephysician, ambulance transport,
ij ij ij ij ij ij ij ij ij ij ij
and outpatient services.
ij ij ij
PTS: 1
Cognitive Level: REF 7, Box DIF: ij ij
Comprehension : 1-4
OBJ:9 TOP: Government-Sponsored
Health Insurance ij
KEY: Nursing Process Step: Implementation
ij ij ij ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
Which is the main cost-containment component of diagnosis-related groups (DRGs)?
ij ij ij ij ij ij ij ij ij
Stromberg, All Chapters 1-49 | Latest Update
Chapter 01: Caring for Medical-Surgical Patients
ij ij ij ij ij
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
ij ij ij ij ij ij ij
MULTIPLECHOICE ij
Which statement accurately describes the primary purpose of the state nurse practiceact
ij ij ij ij ij ij ij ij ij ij ij ij
(NPA)?
ij
a. To test and license LPN/LVNs. ij ij ij ij
b. To define the scope of LPN/LVN ij ij ij ij ij
practice.
c. To improve the quality of care ij ij ij ij ij
provided by the LPN/LVN. ij ij ij
d. To limit the LPN/LVN employment ij ij ij ij
placement.
ANS: B ij
While improving quality of care provided by the LPN/LVN may be a result of
ij ij ij ij ij ij ij ij ij ij ij ij ij
theNPA, the primary purpose of the NPA of each state defines the scope of nursing
ij ij ij ij ij ij ij ij ij ij ij ij ij ij ij ij
practice in that state.
ij ij ij ij
PTS: 1
Cognitive Level: Comprehension DIF: ij ij
REF: 2 i j
OBJ:3 TOP: NPA KEY: Nursing Process Step: ij ij ij ij
Implementation
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
The charge nurse asks the new vocational nurse to start an intravenous infusion, a
ij ij ij ij ij ij ij ij ij ij ij ij ij
skillthat the vocational nurse has notbeen taught during her educational program. How
ij ij ij ij ij ij ij ij ij ij ij ij ij
should the vocational nurse respond?
ij ij ij ij ij
a. Ask a more experienced nurse to ij ij ij ij ij
demonstrate the procedure. ij ij
b. Look up the procedure in the procedure ij ij ij ij ij ij
manual.
c. Attempt to perform the procedure with ij ij ij ij ij
supervision.
d. Inform the charge nurse of her lack of ij ij ij ij ij ij ij
training in this procedure. ij ij ij
ANS: D ij
The charge nurse should be informed of the lack of training to perform the
ij ij ij ij ij ij ij ij ij ij ij ij ij
procedure, and the vocational nurse should seek further training to gain proficiency.
ij ij ij ij ij ij ij ij ij ij ij ij
Although the other options might be helpful, they are not safe.
ij ij ij ij ij ij ij ij ij ij ij
PTS: 1 DIF: Cognitive Level: ij 3
, Application REF: ij
OBJ:1 TOP: Providing Safe Care Nursing Process ij ij ij
KEY: Step: N/A ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
Which patient statement indicates a need for further discharge teaching that
ij ij ij ij ij ij ij ij ij ij
thevocational nurse should address?
ij ij ij ij ij
a. ―I have no idea of how this drug ij ij ij ij ij ij ij
will affect me.‖ ij ij
b. ―Do you know if my physician is ij ij ij ij ij ij
coming back today?‖ ij ij
c. ―Will my insurance pay for my ij ij ij ij ij
stay?‖
d. ―Am I going to have to go to a ij ij ij ij ij ij ij ij
nursing home?‖ ij
ANS: A ij
Lack of knowledge at discharge about medication effects and side effects is a
ij ij ij ij ij ij ij ij ij ij ij ij
concern that should be addressed by the vocationalnurse. The other concerns in the
ij ij ij ij ij ij ij ij ij ij ij ij ij
options are the responsibility of other departments to which the nurse might refer the
ij ij ij ij ij ij ij ij ij ij ij ij ij ij
patient.
ij
PTS: 1
Cognitive Level: Application REF: DIF: ij ij
2
OBJ:1 TOP: Teaching KEY: Nursing Process ij ij
Step: Implementation ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
According to most state NPAs, the vocational nurse acting as charge nurse in a long-
ij ij ij ij ij ij ij ij ij ij ij ij ij ij
term care facility acts in which capacity?
ij ij ij ij ij ij ij
a. Working under direct supervision of an RN on ij ij ij ij ij ij ij
the unit ij
b. Working with the RN in the building ij ij ij ij ij ij
c. Working under general supervision by the RN ij ij ij ij ij ij
available on site or by phone ij ij ij ij ij
d. Working as an independent vocational nurse ij ij ij ij ij
ANS: C ij
The vocational nurse in the capacity of the charge nurse in a long-term care
ij ij ij ij ij ij ij ij ij ij ij ij ij
facilityacts with the general supervision of an RNavailable on site or by phone.
ij ij ij ij ij ij ij ij ij ij ij ij ij ij
PTS: 1
Cognitive Level: REF: 2 DIF: ij
Comprehension
OBJ:1 TOP: Charge Nurse/Manager Nursi Process ij
KEY: ng Step: N/A ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
,The nurse is educating a patient that is a member of a health maintenance
ij ij ij ij ij ij ij ij ij ij ij ij ij
organization(HMO). Which informationshould the nurse include?
ij ij ij ij ij ij ij
a. Seek the opinion of an alternate health care ij ij ij ij ij ij ij
provider.
b. Obtain insurance approval for medical ij ij ij ij
services prior to treatment. ij ij ij
c. Provide detailed documentation of all care ij ij ij ij ij
received for his condition. ij ij ij
d. Wait at least 6 months to see a specialist. ij ij ij ij ij ij ij ij
ANS: B ij
Most HMOs require preprocedure authorization for treatment. Patients are not
ij ij ij ij ij ij ij ij ij
required to seek a second opinion, providedocumentation of care, or wait a
ij ij ij ij ij ij ij ij ij ij ij ij
specifictime period before visiting a specialist.
ij ij ij ij ij ij ij
PTS: 1
Cognitive Level: 9 DIF: ij
Application REF: ij
OBJ:9 TOP: Charge Nurse/Manager ij
KEY: Nursing Process Step: Implementation
ij ij ij ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
The patient complains to the nurse that he is confused about his ―deductible‖ that
ij ij ij ij ij ij ij ij ij ij ij ij ij
heowes the hospital. Whichstatement accurately explains a deductible?
ij ij ij ij ij ij ij ij ij
a. An amount of money put aside for the payment of ij ij ij ij ij ij ij ij ij
future medical bills ij ij
b. A one-time fee for service ij ij ij ij
c. An amount of money deducted from the bill by ij ij ij ij ij ij ij ij
the insurance company ij ij
d. An annual amount of money the patient must pay ij ij ij ij ij ij ij ij
out-of-pocket for medical care ij ij ij
ANS: D ij
The deductible is the annual amount the insured must pay out-of-pocket prior to
ij ij ij ij ij ij ij ij ij ij ij ij
theinsurance company assuming the cost. This practice improves the profit of the
ij ij ij ij ij ij ij ij ij ij ij ij ij
insurance company.
ij ij
PTS: 1
Cognitive Level: REF: 7 DIF: ij
Comprehension
OBJ:9 TOP: Health Care Financing ij ij
KEY: Nursing Process Step: Implementation
ij ij ij ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
The nurse compares the characteristics of a health maintenance organization
ij ij ij ij ij ij ij ij ij
(HMO)and a preferred providerorganization (PPO). Which information should the
ij ij ij ij ij ij ij ij ij ij
nurse include about HMOs?
ij ij ij ij
, a. HMOs require a set fee of each ij ij ij ij ij ij
member monthly. ij
b. HMOs allow the member to select ij ij ij ij ij
his health care provider. ij ij ij
c. HMOs permit admission to any ij ij ij ij
facility the member prefers. ij ij ij
d. HMOs offer unlimited diagnostic ij ij ij
tests and treatments. ij ij
ANS: A ij
HMOs require a set fee from each member monthly (capitation). The patient will
ij ij ij ij ij ij ij ij ij ij ij ij
betreated by the HMO staff in HMO-approvedfacilities. Excessive use of diagnostic
ij ij ij ij ij ij ij ij ij ij ij ij
tests and treatments is discouraged by the HMO.
ij ij ij ij ij ij ij ij
PTS: 1
Cognitive Level: 9 DIF: ij
Application REF: ij
OBJ:9 TOP: Managed Care ij
KEY: Nursing Process Step: Implementation
ij ij ij ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
A patient asks the nurse what Medicare Part A covers. Which response is correct?
ij ij ij ij ij ij ij ij ij ij ij ij ij
a. Medicare Part A covers inpatient ij ij ij ij
hospital costs. ij
b. Medicare Part A covers ij ij ij
reimbursement to the physician. ij ij ij
c. Medicare Part A covers outpatient ij ij ij ij
hospital services. ij
d. Medicare Part A covers ambulance ij ij ij ij
transportation.
ANS: A ij
Medicare Part A covers inpatient hospital expenses, drugs, x-rays, laboratory
ij ij ij ij ij ij ij ij ij
work,and intensive care. Medicare Part B pays thephysician, ambulance transport,
ij ij ij ij ij ij ij ij ij ij ij
and outpatient services.
ij ij ij
PTS: 1
Cognitive Level: REF 7, Box DIF: ij ij
Comprehension : 1-4
OBJ:9 TOP: Government-Sponsored
Health Insurance ij
KEY: Nursing Process Step: Implementation
ij ij ij ij
MSC:NCLEX: Safe, Effective Care Environment: Coordinated Care
ij ij ij ij ij ij ij
Which is the main cost-containment component of diagnosis-related groups (DRGs)?
ij ij ij ij ij ij ij ij ij
