,Chapter B 01: B Caring B for B Medical-Surgical B Patients
deWit: B Medical-Surgical B Nursing: B Concepts B & B Practice, B 3rd B Edition
MULTIPLE BCHOICE
1. Which Bstatement B accurately Bdescribes B the Bprimary Bpurpose B of B the B state Bnurse B practice B act B(NPA)?
a. To Btest Band B license BLPN/LVNs.
b. To Bdefine B the B scope B of B LPN/LVN B practice.
c. To Bimprove Bthe B quality Bof Bcare Bprovided B by B the
B LPN/LVN.
d. To Blimit Bthe B LPN/LVN B employment B placement.
ANS: B
While Bimproving B quality Bof B care B provided Bby B the BLPN/LVN B may B be Ba Bresult B of Bthe B NPA, B the B primary
B purpose B of Bthe B NPA B ofBeach Bstate Bdefines B the B scope B of Bnursing Bpractice Bin B that B state.
PTS: 1 DIF: Cognitive BLevel: BComprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing BProcess BStep:
BImplementation
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
2. The Bcharge B nurse Basks B the Bnew B vocational Bnurse Bto Bstart B an Bintravenous B infusion, Ba Bskill Bthat
B the Bvocational B nurse BhasBnotbeen Btaught B during Bher B educational B program. B How B should B the B vocational
Bnurse Brespond?
a. Ask Ba B more Bexperienced B nurse B to B demonstrate Bthe
Bprocedure.
b. Look Bup Bthe B procedure Bin Bthe B procedure B manual.
c. Attempt Bto Bperform Bthe Bprocedure B with Bsupervision.
d. Inform Bthe Bcharge B nurse B of Bher Black Bof Btraining Bin
Bthis Bprocedure.
ANS: D
The Bcharge B nurse B should Bbe B informed B of B the Black B of Btraining Bto Bperform Bthe B procedure, Band B the
Bvocational B nurse Bshould B seek Bfurther Btraining B to B gain Bproficiency. B Although B the Bother B options B might B be
Bhelpful, Bthey Bare B not Bsafe.
PTS: 1 DIF: Cognitive BLevel: BApplicationREF: 3
OBJ: 1 TOP: Providing BSafe BCare KEY: Nursing BProcess BStep:
BN/A
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
3. Which Bpatient B statement B indicates B a Bneed Bfor Bfurther B discharge Bteaching B that Bthe Bvocational B nurse B should
B address?
a. “I Bhave Bno Bidea B of B how B this Bdrug B will
Baffect B me.”
b. “Do Byou B know B if B my Bphysician B is Bcoming
B back Btoday?”
c. “Will Bmy Binsurance B pay Bfor Bmy B stay?”
d. “Am B I Bgoing Bto B have Bto Bgo Bto B a Bnursing
Bhome?”
ANS: A
Lack Bof B knowledge B at B discharge B about B medication B effects B and B side B effects B is B a B concern B that B should B be
B addressed B by B the Bvocationalnurse. BThe Bother B concerns Bin Bthe B options Bare B the Bresponsibility Bof Bother
B departments Bto Bwhich Bthe Bnurse B might Brefer Bthe Bpatient.
PTS: 1 DIF: Cognitive BLevel: BApplication REF: 2
OBJ: 1 TOP: Teaching B KEY: Nursing BProcess BStep:
BImplementation
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
4. According Bto B most Bstate B NPAs, Bthe Bvocational Bnurse B acting Bas B charge Bnurse B in Ba Blong-
term Bcare B facility Bacts BinBwhich B capacity?
a. Working Bunder B direct B supervision Bof B an B RN Bon B the B unit
b. Working B with Bthe B RN B in Bthe B building
c. Working Bunder B general Bsupervision B by Bthe B RN B available Bon
B site Bor B by Bphone
d. Working B as Ban B independent B vocational B nurse
ANS: C
The Bvocational B nurse B in Bthe Bcapacity Bof Bthe B charge B nurse B in Ba Blong-term B care Bfacility Bacts B with Bthe
,Bgeneral B supervision Bof B an B RN Bavailable Bon B site B or B by B phone.
PTS: 1 DIF: Cognitive BLevel: BComprehension REF: 2
OBJ: 1 TOP: Charge BNurse/Manager KEY: Nursing Process BStep: BN/A
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
, 5. The Bnurse B is Beducating Ba B patient B that Bis Ba B member B of B a Bhealth B maintenance
B organization B (HMO). B WhichBinformationshould Bthe B nurse B include?
a. Seek Bthe B opinion Bof Ban B alternate Bhealth B care Bprovider.
b. Obtain Binsurance B approval B for B medical B services B prior Bto
Btreatment.
c. Provide Bdetailed B documentation B of B all Bcare B received Bfor
B his Bcondition.
d. Wait Bat Bleast B6 B months Bto Bsee Ba Bspecialist.
ANS: B
Most BHMOs Brequire B preprocedure B authorization B for Btreatment. B Patients B are Bnot B required Bto Bseek B a Bsecond
Bopinion, B provideBdocumentation B of Bcare, B or B wait Ba B specific Btime B period B before B visiting Ba B specialist.
PTS: 1 DIF: Cognitive BLevel: BApplicationREF: 9
OBJ: 9 TOP: Charge BNurse/Manager
KEY: Nursing BProcess BStep: BImplementation
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
6. The Bpatient B complains Bto Bthe B nurse Bthat Bhe Bis B confused B about B his B “deductible” B that
Bhe B owes B the Bhospital.BWhichs B B Btatement B accurately B explains B a B deductible?
v
a. An Bamount B of B money Bput B aside B for Bthe B payment B of Bfuture
B medical Bbills
b. A Bone-time Bfee Bfor B service
c. An Bamount B of B money Bdeducted B from B the B bill B by Bthe Binsurance
B company
d. An Bannual B amount B of B money B the B patient B must Bpay B out-of-pocket
B for B medical Bcare
ANS: D
The Bdeductible B is Bthe B annual B amount B the Binsured B must B pay Bout-of-pocket B prior Bto B the Binsurance B company
B assuming B the B cost. BThis Bpractice Bimproves B the B profit B of B the B insurance B company.
PTS: 1 DIF: Cognitive BLevel: BComprehension REF: 7
OBJ: 9 TOP: Health BCare BFinancing
KEY: Nursing BProcess BStep: BImplementation
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
7. The Bnurse B compares Bthe Bcharacteristics B of Ba Bhealth B maintenance B organization B (HMO)
B and Ba B preferredBproviderorganization B(PPO). B Which B information B should Bthe B nurse Binclude
B about B HMOs?
a. HMOs Brequire Ba Bset B fee B of Beach B member
B monthly.
b. HMOs Ballow B the B member B to Bselect B his Bhealth
B care Bprovider.
c. HMOs Bpermit Badmission B to Bany B facility Bthe
Bmember B prefers.
d. HMOs Boffer B unlimited B diagnostic B tests B and
Btreatments.
ANS: A
HMOs Brequire B a Bset B fee B from B each B member B monthly B(capitation). BThe B patient Bwill B be Btreated B by Bthe
B HMO Bstaff B in BHMO-Bapproved Bfacilities. BExcessive B use B of Bdiagnostic B tests B and Btreatments Bis Bdiscouraged
B by Bthe B HMO.
PTS: 1 DIF: Cognitive BLevel: BApplicationREF: 9
OBJ: 9 TOP: Managed BCare
KEY: Nursing BProcess BStep: BImplementation
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
8. A Bpatient B asks Bthe B nurse Bwhat B Medicare BPart B A Bcovers. B Which Bresponse Bis Bcorrect?
a. Medicare B Part BA B covers Binpatient B hospital
B costs.
b. Medicare B Part B A B covers Breimbursement B to Bthe
B physician.
c. Medicare B Part B A Bcovers Boutpatient B hospital
B services.
d. Medicare B Part B A B covers Bambulance
B transportation.
ANS: A
Medicare B Part BA B covers Binpatient Bhospital B expenses, B drugs, B x-rays, Blaboratory B work, B and B intensive Bcare.
B Medicare B Part B B Bpays Bthe Bphysician, B ambulance Btransport, B and B outpatient Bservices.
deWit: B Medical-Surgical B Nursing: B Concepts B & B Practice, B 3rd B Edition
MULTIPLE BCHOICE
1. Which Bstatement B accurately Bdescribes B the Bprimary Bpurpose B of B the B state Bnurse B practice B act B(NPA)?
a. To Btest Band B license BLPN/LVNs.
b. To Bdefine B the B scope B of B LPN/LVN B practice.
c. To Bimprove Bthe B quality Bof Bcare Bprovided B by B the
B LPN/LVN.
d. To Blimit Bthe B LPN/LVN B employment B placement.
ANS: B
While Bimproving B quality Bof B care B provided Bby B the BLPN/LVN B may B be Ba Bresult B of Bthe B NPA, B the B primary
B purpose B of Bthe B NPA B ofBeach Bstate Bdefines B the B scope B of Bnursing Bpractice Bin B that B state.
PTS: 1 DIF: Cognitive BLevel: BComprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing BProcess BStep:
BImplementation
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
2. The Bcharge B nurse Basks B the Bnew B vocational Bnurse Bto Bstart B an Bintravenous B infusion, Ba Bskill Bthat
B the Bvocational B nurse BhasBnotbeen Btaught B during Bher B educational B program. B How B should B the B vocational
Bnurse Brespond?
a. Ask Ba B more Bexperienced B nurse B to B demonstrate Bthe
Bprocedure.
b. Look Bup Bthe B procedure Bin Bthe B procedure B manual.
c. Attempt Bto Bperform Bthe Bprocedure B with Bsupervision.
d. Inform Bthe Bcharge B nurse B of Bher Black Bof Btraining Bin
Bthis Bprocedure.
ANS: D
The Bcharge B nurse B should Bbe B informed B of B the Black B of Btraining Bto Bperform Bthe B procedure, Band B the
Bvocational B nurse Bshould B seek Bfurther Btraining B to B gain Bproficiency. B Although B the Bother B options B might B be
Bhelpful, Bthey Bare B not Bsafe.
PTS: 1 DIF: Cognitive BLevel: BApplicationREF: 3
OBJ: 1 TOP: Providing BSafe BCare KEY: Nursing BProcess BStep:
BN/A
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
3. Which Bpatient B statement B indicates B a Bneed Bfor Bfurther B discharge Bteaching B that Bthe Bvocational B nurse B should
B address?
a. “I Bhave Bno Bidea B of B how B this Bdrug B will
Baffect B me.”
b. “Do Byou B know B if B my Bphysician B is Bcoming
B back Btoday?”
c. “Will Bmy Binsurance B pay Bfor Bmy B stay?”
d. “Am B I Bgoing Bto B have Bto Bgo Bto B a Bnursing
Bhome?”
ANS: A
Lack Bof B knowledge B at B discharge B about B medication B effects B and B side B effects B is B a B concern B that B should B be
B addressed B by B the Bvocationalnurse. BThe Bother B concerns Bin Bthe B options Bare B the Bresponsibility Bof Bother
B departments Bto Bwhich Bthe Bnurse B might Brefer Bthe Bpatient.
PTS: 1 DIF: Cognitive BLevel: BApplication REF: 2
OBJ: 1 TOP: Teaching B KEY: Nursing BProcess BStep:
BImplementation
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
4. According Bto B most Bstate B NPAs, Bthe Bvocational Bnurse B acting Bas B charge Bnurse B in Ba Blong-
term Bcare B facility Bacts BinBwhich B capacity?
a. Working Bunder B direct B supervision Bof B an B RN Bon B the B unit
b. Working B with Bthe B RN B in Bthe B building
c. Working Bunder B general Bsupervision B by Bthe B RN B available Bon
B site Bor B by Bphone
d. Working B as Ban B independent B vocational B nurse
ANS: C
The Bvocational B nurse B in Bthe Bcapacity Bof Bthe B charge B nurse B in Ba Blong-term B care Bfacility Bacts B with Bthe
,Bgeneral B supervision Bof B an B RN Bavailable Bon B site B or B by B phone.
PTS: 1 DIF: Cognitive BLevel: BComprehension REF: 2
OBJ: 1 TOP: Charge BNurse/Manager KEY: Nursing Process BStep: BN/A
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
, 5. The Bnurse B is Beducating Ba B patient B that Bis Ba B member B of B a Bhealth B maintenance
B organization B (HMO). B WhichBinformationshould Bthe B nurse B include?
a. Seek Bthe B opinion Bof Ban B alternate Bhealth B care Bprovider.
b. Obtain Binsurance B approval B for B medical B services B prior Bto
Btreatment.
c. Provide Bdetailed B documentation B of B all Bcare B received Bfor
B his Bcondition.
d. Wait Bat Bleast B6 B months Bto Bsee Ba Bspecialist.
ANS: B
Most BHMOs Brequire B preprocedure B authorization B for Btreatment. B Patients B are Bnot B required Bto Bseek B a Bsecond
Bopinion, B provideBdocumentation B of Bcare, B or B wait Ba B specific Btime B period B before B visiting Ba B specialist.
PTS: 1 DIF: Cognitive BLevel: BApplicationREF: 9
OBJ: 9 TOP: Charge BNurse/Manager
KEY: Nursing BProcess BStep: BImplementation
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
6. The Bpatient B complains Bto Bthe B nurse Bthat Bhe Bis B confused B about B his B “deductible” B that
Bhe B owes B the Bhospital.BWhichs B B Btatement B accurately B explains B a B deductible?
v
a. An Bamount B of B money Bput B aside B for Bthe B payment B of Bfuture
B medical Bbills
b. A Bone-time Bfee Bfor B service
c. An Bamount B of B money Bdeducted B from B the B bill B by Bthe Binsurance
B company
d. An Bannual B amount B of B money B the B patient B must Bpay B out-of-pocket
B for B medical Bcare
ANS: D
The Bdeductible B is Bthe B annual B amount B the Binsured B must B pay Bout-of-pocket B prior Bto B the Binsurance B company
B assuming B the B cost. BThis Bpractice Bimproves B the B profit B of B the B insurance B company.
PTS: 1 DIF: Cognitive BLevel: BComprehension REF: 7
OBJ: 9 TOP: Health BCare BFinancing
KEY: Nursing BProcess BStep: BImplementation
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
7. The Bnurse B compares Bthe Bcharacteristics B of Ba Bhealth B maintenance B organization B (HMO)
B and Ba B preferredBproviderorganization B(PPO). B Which B information B should Bthe B nurse Binclude
B about B HMOs?
a. HMOs Brequire Ba Bset B fee B of Beach B member
B monthly.
b. HMOs Ballow B the B member B to Bselect B his Bhealth
B care Bprovider.
c. HMOs Bpermit Badmission B to Bany B facility Bthe
Bmember B prefers.
d. HMOs Boffer B unlimited B diagnostic B tests B and
Btreatments.
ANS: A
HMOs Brequire B a Bset B fee B from B each B member B monthly B(capitation). BThe B patient Bwill B be Btreated B by Bthe
B HMO Bstaff B in BHMO-Bapproved Bfacilities. BExcessive B use B of Bdiagnostic B tests B and Btreatments Bis Bdiscouraged
B by Bthe B HMO.
PTS: 1 DIF: Cognitive BLevel: BApplicationREF: 9
OBJ: 9 TOP: Managed BCare
KEY: Nursing BProcess BStep: BImplementation
MSC: NCLEX: BSafe, BEffective BCare BEnvironment: BCoordinated BCare
8. A Bpatient B asks Bthe B nurse Bwhat B Medicare BPart B A Bcovers. B Which Bresponse Bis Bcorrect?
a. Medicare B Part BA B covers Binpatient B hospital
B costs.
b. Medicare B Part B A B covers Breimbursement B to Bthe
B physician.
c. Medicare B Part B A Bcovers Boutpatient B hospital
B services.
d. Medicare B Part B A B covers Bambulance
B transportation.
ANS: A
Medicare B Part BA B covers Binpatient Bhospital B expenses, B drugs, B x-rays, Blaboratory B work, B and B intensive Bcare.
B Medicare B Part B B Bpays Bthe Bphysician, B ambulance Btransport, B and B outpatient Bservices.
