Test Bank For Medical-Surgical Nursing:
Concepts And Practice,
5th Edition By Holly K. Stromberg,
,TABLE OF CONTENTS
Unit One: Patient Care Concepts
Chapter 1: The Health Care System
Chapter 2: Patient Care Settings
Chapter 3: Legal And Ethical Considerations
Chapter 4: The Leadership Role Of The Licensed Practical Nurse
Chapter 5: The Nurse-Patient Relationship
Chapter 6: Cultural Aspects Of Nursing Care
Chapter 7: The Nurse And The Family
Chapter 8: Health And Illness
Chapter 9: Nutrition
Chapter 10: Developmental Processes
Chapter 11: The Older Patient
Chapter 12: The Nursing Process And Critical Thinking
Unit Two: Physiologic Responses To Illness
Chapter 13: Inflammation, Infection, And Immunity
Chapter 14: Fluid And Electrolytes
Chapter 15: Pain Management
Unit Three: Acute Care
Chapter 16: First Aid And Emergency Care And Disaster Management
Chapter 17: Surgical Care
Chapter 18: Intravenous Therapy
Chapter 19: Shock
Unit Four: Long-Term Care And Home Health Care
Chapter 20: Falls
Chapter 21: Immobility
Chapter 22: Confusion
,Chapter 23: Incontinence
Chapter 24: Loss, Death, And End-Of-Life Care
Unit Five: Cancer
Chapter 25: The Patient With Cancer
Chapter 26: The Ostomy Patient
Unit Six: Neurologic Disorders
Chapter 27: Neurologic Disorders
Chapter 28: Cerebrovascular Accident
Chapter 29: Spinal Cord Injury
Unit Seven: Respiratory Disorders
Chapter 30: Acute Respiratory Disorders
Chapter 31: Chronic Respiratory Disorders
Unit Eight: Hematologic And Immunologic Disorders
Chapter 32: Hematologic Disorders
Chapter 33: Immunologic Disorders
Chapter 34: HIV/AIDS
Unit Nine: Cardiovascular Disorders
Chapter 35: Cardiac Disorders
Chapter 36: Vascular Disorders
Chapter 37: Hypertension
Unit Ten: Digestive Disorders
Chapter 38: Digestive Tract Disorders
Chapter 39: Disorders Of The Liver, Gallbladder, And Pancreas
Unit Eleven: Urologic Disorders
Chapter 40: Urologic Disorders
Unit Twelve: Musculoskeletal Disorders
Chapter 41: Connective Tissue Disorders
Chapter 42: Fractures
,Chapter 43: Amputations
Unit Thirteen: Endocrine Disorders
Chapter 44: Pituitary And Adrenal Disorders
Chapter 45: Thyroid And Parathyroid Disorders
Chapter 46: Diabetes Mellitus And Hypoglycemia
Unit Fourteen: Reproductive Disorders
Chapter 47: Female Reproductive Disorders
Chapter 48: Male Reproductive Disorders
Chapter 49: Sexually Transmitted Diseases
Unit Fifteen: Integumentary Disorders
Chapter 50: Skin Disorders
Unit Sixteen: Disorders Of The Eyes, Ears, Nose, And Throat
Chapter 51: Eye And Vision Disorders
Chapter 52: Ear And Hearing Disorders
Chapter 53: Nose, Sinus, And Throat Disorders
Unit Seventeen: Mental Health And Illness
Chapter 54: Psychological Responses To Illness
Chapter 55: Psychiatric Disorders
Chapter 56: Substance-Related Disorders
,Chapter 01: Caring For Medical-Surgical Patients
Stromberg: Medical-Surgical Nursing: Concepts And Practice, 5th Edition
MULTIPLE CHOICE
1. Which Statement Accurately Describes The Primary Purpose Of The State Nurse Practice Act
(NPA)?
a. To Test And License LPN/Lvns
b. To Define The Scope Of LPN/LVN Practice
c. To Improve The Quality Of Care Provided By The LPN/LVN
d. To Limit The LPN/LVN Employment Placement
ANS: B
While Improving Quality Of Care Provided By The LPN/LVN May Be A Result Of The NPA,
The Primary Purpose Of The NPA Of Each State Defines The Scope Of Nursing Practice In That
State.
DIF: Cognitive Level: Comprehension REF: P. 3 OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The Charge Nurse Asks The New Vocational Nurse To Start An Intravenous Infusion, A
Skill That The Vocational Nurse Has Not Been Taught During Her Educational Program.
How Should The Vocational Nurse Respond?
a. Ask A More Experienced Nurse To Demonstrate The Procedure.
b. Look Up The Procedure In The Procedure Manual.
c. Attempt To Perform The Procedure With Supervision.
d. Inform The Charge Nurse Of Her Lack Of Training In This Procedure.
ANS: D
The Charge Nurse Should Be Informed Of The Lack Of Training To Perform The
Procedure, And The Vocational Nurse Should Seek Further Training To Gain Proficiency.
Although The Other Options Might Be Helpful, They Are Not Safe.
DIF: Cognitive Level: Application REF: P. 3 OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step:
N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
Care
3. Which Patient Statement Indicates A Need For Further Discharge Teaching
That The Vocational Nurse Should Address?
a. "I Have No Idea Of How This Drug Will Affect Me."
b. "Do You Know If My Physician Is Coming Back Today?"
c. "Will My Insurance Pay For My Stay?"
d. "Am I Going To Have To Go To A Nursing Home?"
ANS: A
Lack Of Knowledge At Discharge About Medication Effects And Side Effects Is A
Concern That Should Be Addressed By The Vocational Nurse. The Other Concerns In
The Options Are The Responsibility Of Other Departments To Which The Nurse Might
Refer The Patient.
DIF: Cognitive Level: Application REF: P. 2 OBJ: 1
TOP: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
,4. According To Most State Npas, The Vocational Nurse Acting As Charge Nurse In A
Long-Term Care Facility Acts In Which Capacity?
a. Working Under Direct Supervision Of An RN On The Unit
b. Working With The RN In The Building
c. Working Under General Supervision By The RN Available On Site Or By Phone
d. Working As An Independent Vocational Nurse
ANS: C
The Vocational Nurse In The Capacity Of The Charge Nurse In A Long-Term Care
Facility Acts With The General Supervision Of An RN Available On Site Or By Phone.
DIF: Cognitive Level: Comprehension REF: P. 3 OBJ: 1
TOP: Charge Nurse/Manager KEY: Nursing Process Step:
N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
Care
5. The Nurse Is Educating A Patient That Is A Member Of A Health Maintenance
Organization (HMO). Which Information Should The Nurse Include?
a. Seek The Opinion Of An Alternate Health Care Provider.
b. Contact The Insurance Company For Coverage Details As Services May Be Limited.
c. Provide Detailed Documentation Of All Care Received For His Condition.
d. Wait At Least 6 Months To See A Specialist.
ANS: B
Hmos Are A Kind Of Managed Care. This Is Accomplished By Paying Providers To Care
For Groups Of Patients For A Set Capitation Fee And By Limiting Services. Patients Are
Not Required To Seek A Second Opinion, Provide Documentation Of Care, Or Wait A
Specific Time Period Before Visiting A Specialist.
DIF: Cognitive Level: Application REF: P. 9 OBJ: 9
TOP: Charge Nurse/Manager KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. The Patient Complains To The Nurse That He Is Confused About His "Deductible" That He
Owes The Hospital. Which Statement Accurately Explains A Deductible?
a. An Amount Of Money Put Aside For The Payment Of Future Medical Bills
b. A One-Time Fee For Service
c. An Amount Of Money Deducted From The Bill By The Insurance Company
d. An Annual Amount Of Money The Patient Must Pay Out-Of-Pocket For Medical Care
ANS: D
The Deductible Is The Annual Amount The Insured Must Pay Out-Of-Pocket Prior
To The Insurance Company Assuming The Cost. This Practice Improves The Profit
Of The Insurance Company.
DIF: Cognitive Level: Comprehension REF: P. 7 OBJ: 9
TOP: Health Care Financing KEY: Nursing Process Step:
Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated
Care
7. A Patient Asks The Nurse What Medicare Part A Covers. Which Response Is Correct?
a. Medicare Part A Covers Inpatient Hospital Costs.
b. Medicare Part A Covers Reimbursement To The Physician.
c. Medicare Part A Covers Outpatient Hospital Services.
3|Page
, d. Medicare Part A Covers Ambulance Transportation.
ANS: A
Medicare Part A Covers Inpatient Hospital Expenses, Drugs, X-Rays, Laboratory
Work, And Intensive Care. Medicare Part B Pays The Physician, Ambulance
Transport, And Outpatient Services.
DIF: Cognitive Level: Comprehension REF: P. 8, Box 1-4
OBJ: 9 TOP: Government-Sponsored Health
Insurance KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. Which Is The Main Cost-Containment Component Of Diagnosis-Related Groups (Drgs)?
a. Hospitals Focus Only On The Specific Diagnosis.
b. Hospitals Treat And Discharge Patients Quickly.
c. Reduced Cost Drugs Are Ordered For Specific Diagnoses.
d. Diagnostic Group Classification Streamlines Care.
ANS: B
Drgs Are A Prospective Payment Plan In Which Hospitals Receive A Flat Fee For Each
Patient's Diagnostic Category Regardless Of The Length Of Time In The Hospital. If
Hospitals Can Treat And Discharge Patients Before The Allotted Time, Hospitals Get To
Keep The Excess Payment; Cost Is Contained, And The Patient Is Discharged Sooner.
DIF: Cognitive Level: Comprehension REF: P. 8 OBJ: 9
TOP: Government-Sponsored Health Insurance
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
9. The Nurse Is Assessing A Group Of Patients. Which Patient Would Most Likely Qualify For
Medicaid?
a. A 35-Year-Old Unemployed Single Mother With Diabetes
b. A 70-Year-Old Medicare Recipient With Retirement Income Who Needs To
Be In A Long-Term Care Facility
c. An 80-Year-Old Blind Woman Living In Her Own Home Who Has
Inadequate Private Insurance
d. A 67-Year-Old Stroke Victim With Medicare Part A And An Income From Investments
ANS: A
Medicaid Is A Joint Effort Of Federal And State Governments Geared Primarily For Low-
Income People With No Insurance.
DIF: Cognitive Level: Application REF: P. 8, Box 1-5
OBJ: 9 TOP: Government-Sponsored Health Insurance—
Medicaid KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. Which Area Is The Major Focus Of Healthy People 2020 And The Primary Mechanism
Through Which To Improve The Health Of Americans In The Second Decade Of The
Century?
a. Research Funding
b. Health Information Distribution
c. Healthy Lifestyle Encouragement
d. Health Improvement Program Designs
ANS: C
Healthy People 2020 Focuses On Expanding Ongoing Programs To Include Support And
3|Page
Concepts And Practice,
5th Edition By Holly K. Stromberg,
,TABLE OF CONTENTS
Unit One: Patient Care Concepts
Chapter 1: The Health Care System
Chapter 2: Patient Care Settings
Chapter 3: Legal And Ethical Considerations
Chapter 4: The Leadership Role Of The Licensed Practical Nurse
Chapter 5: The Nurse-Patient Relationship
Chapter 6: Cultural Aspects Of Nursing Care
Chapter 7: The Nurse And The Family
Chapter 8: Health And Illness
Chapter 9: Nutrition
Chapter 10: Developmental Processes
Chapter 11: The Older Patient
Chapter 12: The Nursing Process And Critical Thinking
Unit Two: Physiologic Responses To Illness
Chapter 13: Inflammation, Infection, And Immunity
Chapter 14: Fluid And Electrolytes
Chapter 15: Pain Management
Unit Three: Acute Care
Chapter 16: First Aid And Emergency Care And Disaster Management
Chapter 17: Surgical Care
Chapter 18: Intravenous Therapy
Chapter 19: Shock
Unit Four: Long-Term Care And Home Health Care
Chapter 20: Falls
Chapter 21: Immobility
Chapter 22: Confusion
,Chapter 23: Incontinence
Chapter 24: Loss, Death, And End-Of-Life Care
Unit Five: Cancer
Chapter 25: The Patient With Cancer
Chapter 26: The Ostomy Patient
Unit Six: Neurologic Disorders
Chapter 27: Neurologic Disorders
Chapter 28: Cerebrovascular Accident
Chapter 29: Spinal Cord Injury
Unit Seven: Respiratory Disorders
Chapter 30: Acute Respiratory Disorders
Chapter 31: Chronic Respiratory Disorders
Unit Eight: Hematologic And Immunologic Disorders
Chapter 32: Hematologic Disorders
Chapter 33: Immunologic Disorders
Chapter 34: HIV/AIDS
Unit Nine: Cardiovascular Disorders
Chapter 35: Cardiac Disorders
Chapter 36: Vascular Disorders
Chapter 37: Hypertension
Unit Ten: Digestive Disorders
Chapter 38: Digestive Tract Disorders
Chapter 39: Disorders Of The Liver, Gallbladder, And Pancreas
Unit Eleven: Urologic Disorders
Chapter 40: Urologic Disorders
Unit Twelve: Musculoskeletal Disorders
Chapter 41: Connective Tissue Disorders
Chapter 42: Fractures
,Chapter 43: Amputations
Unit Thirteen: Endocrine Disorders
Chapter 44: Pituitary And Adrenal Disorders
Chapter 45: Thyroid And Parathyroid Disorders
Chapter 46: Diabetes Mellitus And Hypoglycemia
Unit Fourteen: Reproductive Disorders
Chapter 47: Female Reproductive Disorders
Chapter 48: Male Reproductive Disorders
Chapter 49: Sexually Transmitted Diseases
Unit Fifteen: Integumentary Disorders
Chapter 50: Skin Disorders
Unit Sixteen: Disorders Of The Eyes, Ears, Nose, And Throat
Chapter 51: Eye And Vision Disorders
Chapter 52: Ear And Hearing Disorders
Chapter 53: Nose, Sinus, And Throat Disorders
Unit Seventeen: Mental Health And Illness
Chapter 54: Psychological Responses To Illness
Chapter 55: Psychiatric Disorders
Chapter 56: Substance-Related Disorders
,Chapter 01: Caring For Medical-Surgical Patients
Stromberg: Medical-Surgical Nursing: Concepts And Practice, 5th Edition
MULTIPLE CHOICE
1. Which Statement Accurately Describes The Primary Purpose Of The State Nurse Practice Act
(NPA)?
a. To Test And License LPN/Lvns
b. To Define The Scope Of LPN/LVN Practice
c. To Improve The Quality Of Care Provided By The LPN/LVN
d. To Limit The LPN/LVN Employment Placement
ANS: B
While Improving Quality Of Care Provided By The LPN/LVN May Be A Result Of The NPA,
The Primary Purpose Of The NPA Of Each State Defines The Scope Of Nursing Practice In That
State.
DIF: Cognitive Level: Comprehension REF: P. 3 OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The Charge Nurse Asks The New Vocational Nurse To Start An Intravenous Infusion, A
Skill That The Vocational Nurse Has Not Been Taught During Her Educational Program.
How Should The Vocational Nurse Respond?
a. Ask A More Experienced Nurse To Demonstrate The Procedure.
b. Look Up The Procedure In The Procedure Manual.
c. Attempt To Perform The Procedure With Supervision.
d. Inform The Charge Nurse Of Her Lack Of Training In This Procedure.
ANS: D
The Charge Nurse Should Be Informed Of The Lack Of Training To Perform The
Procedure, And The Vocational Nurse Should Seek Further Training To Gain Proficiency.
Although The Other Options Might Be Helpful, They Are Not Safe.
DIF: Cognitive Level: Application REF: P. 3 OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step:
N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
Care
3. Which Patient Statement Indicates A Need For Further Discharge Teaching
That The Vocational Nurse Should Address?
a. "I Have No Idea Of How This Drug Will Affect Me."
b. "Do You Know If My Physician Is Coming Back Today?"
c. "Will My Insurance Pay For My Stay?"
d. "Am I Going To Have To Go To A Nursing Home?"
ANS: A
Lack Of Knowledge At Discharge About Medication Effects And Side Effects Is A
Concern That Should Be Addressed By The Vocational Nurse. The Other Concerns In
The Options Are The Responsibility Of Other Departments To Which The Nurse Might
Refer The Patient.
DIF: Cognitive Level: Application REF: P. 2 OBJ: 1
TOP: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
,4. According To Most State Npas, The Vocational Nurse Acting As Charge Nurse In A
Long-Term Care Facility Acts In Which Capacity?
a. Working Under Direct Supervision Of An RN On The Unit
b. Working With The RN In The Building
c. Working Under General Supervision By The RN Available On Site Or By Phone
d. Working As An Independent Vocational Nurse
ANS: C
The Vocational Nurse In The Capacity Of The Charge Nurse In A Long-Term Care
Facility Acts With The General Supervision Of An RN Available On Site Or By Phone.
DIF: Cognitive Level: Comprehension REF: P. 3 OBJ: 1
TOP: Charge Nurse/Manager KEY: Nursing Process Step:
N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
Care
5. The Nurse Is Educating A Patient That Is A Member Of A Health Maintenance
Organization (HMO). Which Information Should The Nurse Include?
a. Seek The Opinion Of An Alternate Health Care Provider.
b. Contact The Insurance Company For Coverage Details As Services May Be Limited.
c. Provide Detailed Documentation Of All Care Received For His Condition.
d. Wait At Least 6 Months To See A Specialist.
ANS: B
Hmos Are A Kind Of Managed Care. This Is Accomplished By Paying Providers To Care
For Groups Of Patients For A Set Capitation Fee And By Limiting Services. Patients Are
Not Required To Seek A Second Opinion, Provide Documentation Of Care, Or Wait A
Specific Time Period Before Visiting A Specialist.
DIF: Cognitive Level: Application REF: P. 9 OBJ: 9
TOP: Charge Nurse/Manager KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6. The Patient Complains To The Nurse That He Is Confused About His "Deductible" That He
Owes The Hospital. Which Statement Accurately Explains A Deductible?
a. An Amount Of Money Put Aside For The Payment Of Future Medical Bills
b. A One-Time Fee For Service
c. An Amount Of Money Deducted From The Bill By The Insurance Company
d. An Annual Amount Of Money The Patient Must Pay Out-Of-Pocket For Medical Care
ANS: D
The Deductible Is The Annual Amount The Insured Must Pay Out-Of-Pocket Prior
To The Insurance Company Assuming The Cost. This Practice Improves The Profit
Of The Insurance Company.
DIF: Cognitive Level: Comprehension REF: P. 7 OBJ: 9
TOP: Health Care Financing KEY: Nursing Process Step:
Implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated
Care
7. A Patient Asks The Nurse What Medicare Part A Covers. Which Response Is Correct?
a. Medicare Part A Covers Inpatient Hospital Costs.
b. Medicare Part A Covers Reimbursement To The Physician.
c. Medicare Part A Covers Outpatient Hospital Services.
3|Page
, d. Medicare Part A Covers Ambulance Transportation.
ANS: A
Medicare Part A Covers Inpatient Hospital Expenses, Drugs, X-Rays, Laboratory
Work, And Intensive Care. Medicare Part B Pays The Physician, Ambulance
Transport, And Outpatient Services.
DIF: Cognitive Level: Comprehension REF: P. 8, Box 1-4
OBJ: 9 TOP: Government-Sponsored Health
Insurance KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. Which Is The Main Cost-Containment Component Of Diagnosis-Related Groups (Drgs)?
a. Hospitals Focus Only On The Specific Diagnosis.
b. Hospitals Treat And Discharge Patients Quickly.
c. Reduced Cost Drugs Are Ordered For Specific Diagnoses.
d. Diagnostic Group Classification Streamlines Care.
ANS: B
Drgs Are A Prospective Payment Plan In Which Hospitals Receive A Flat Fee For Each
Patient's Diagnostic Category Regardless Of The Length Of Time In The Hospital. If
Hospitals Can Treat And Discharge Patients Before The Allotted Time, Hospitals Get To
Keep The Excess Payment; Cost Is Contained, And The Patient Is Discharged Sooner.
DIF: Cognitive Level: Comprehension REF: P. 8 OBJ: 9
TOP: Government-Sponsored Health Insurance
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
9. The Nurse Is Assessing A Group Of Patients. Which Patient Would Most Likely Qualify For
Medicaid?
a. A 35-Year-Old Unemployed Single Mother With Diabetes
b. A 70-Year-Old Medicare Recipient With Retirement Income Who Needs To
Be In A Long-Term Care Facility
c. An 80-Year-Old Blind Woman Living In Her Own Home Who Has
Inadequate Private Insurance
d. A 67-Year-Old Stroke Victim With Medicare Part A And An Income From Investments
ANS: A
Medicaid Is A Joint Effort Of Federal And State Governments Geared Primarily For Low-
Income People With No Insurance.
DIF: Cognitive Level: Application REF: P. 8, Box 1-5
OBJ: 9 TOP: Government-Sponsored Health Insurance—
Medicaid KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
10. Which Area Is The Major Focus Of Healthy People 2020 And The Primary Mechanism
Through Which To Improve The Health Of Americans In The Second Decade Of The
Century?
a. Research Funding
b. Health Information Distribution
c. Healthy Lifestyle Encouragement
d. Health Improvement Program Designs
ANS: C
Healthy People 2020 Focuses On Expanding Ongoing Programs To Include Support And
3|Page
