Medical Surgical Nursing: Concepts and
Practice 7th Edition
RATED
REAL EXAM QUESTIONS
Question: What is the primary purpose of the state nurse practice act (NPA)? - ✓✓ Correct- To define the scope
of LPN/LVN practice.
Question: How should a vocational nurse respond if asked to start an intravenous infusion without prior
training? - ✓✓ Correct- Inform the charge nurse of her lack of training in this procedure.
Question: Which patient statement indicates a need for further discharge teaching? - ✓✓ Correct- "I have no
idea of how this drug will affect me."
Question: In a long-term care facility, under what supervision does a vocational nurse acting as charge nurse
operate? - ✓✓ Correct- Under general supervision by the RN available on site or by phone.
Question: What should a nurse educate a patient about when they are a member of a health maintenance
organization (HMO)? - ✓✓ Correct- Contact the insurance company for coverage details as services may be
limited.
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,Question: What is a potential result of the state nurse practice act (NPA)? - ✓✓ Correct- Improving the quality
of care provided by the LPN/LVN.
Question: What should a vocational nurse do if they lack training for a procedure they are asked to perform? -
✓✓ Correct- Seek further training to gain proficiency.
Question: What is the role of the charge nurse in a long-term care facility according to state NPAs? - ✓✓
Correct- To provide general supervision to vocational nurses.
Question: What is the significance of the NPA in nursing practice? - ✓✓ Correct- It defines the scope of nursing
practice in each state.
Question: What is an important aspect of patient education regarding medications at discharge? - ✓✓ Correct-
Patients should understand how the drug will affect them.
Question: What does HMO stand for in healthcare? - ✓✓ Correct- Health Maintenance Organization.
Question: What is a common limitation of services in an HMO? - ✓✓ Correct- Services may be limited and
require contacting the insurance company for details.
Question: What should a vocational nurse do if they are unsure about a procedure? - ✓✓ Correct- Ask for
guidance from a more experienced nurse.
Question: What is the role of the RN in relation to vocational nurses in a long-term care facility? - ✓✓ Correct-
To provide general supervision.
Question: What is the expected action of a nurse when a patient has questions about their physician's return?
- ✓✓ Correct- Refer the patient to the appropriate department.
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,Question: What is the focus of the nursing process step during patient education? - ✓✓ Correct-
Implementation.
Question: What should a nurse do if a patient expresses concerns about insurance coverage? - ✓✓ Correct-
Refer the patient to the billing department.
Question: What is the cognitive level of understanding required for the primary purpose of the NPA? - ✓✓
Correct- Comprehension.
Question: What is the nursing process step involved when addressing a patient's lack of knowledge about
medication effects? - ✓✓ Correct- Implementation.
Question: What should a nurse do if a patient is unsure about their treatment options? - ✓✓ Correct- Provide
clear information and resources.
Question: What is the charge nurse's responsibility in a long-term care setting? - ✓✓ Correct- To oversee the
care provided by vocational nurses.
Question: What is the importance of understanding the scope of practice defined by the NPA? - ✓✓ Correct- It
ensures safe and effective nursing care.
Question: What should a nurse do if they encounter a procedure they have not been trained on? - ✓✓ Correct-
Communicate their lack of training to their supervisor.
Question: What are patients not required to do before visiting a specialist? - ✓✓ Correct- Patients are not
required to seek a second opinion, provide documentation of care, or wait a specific time period.
Question: What is a deductible in health insurance? - ✓✓ Correct- An annual amount of money the patient
must pay out-of-pocket for medical care before the insurance company covers costs.
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, Question: Which statement accurately describes what Medicare Part A covers? - ✓✓ Correct- Medicare Part A
covers inpatient hospital costs, including drugs, x-rays, laboratory work, and intensive care.
Question: What is the main cost-containment component of diagnosis-related groups (DRGs)? - ✓✓ Correct-
Hospitals treat and discharge patients quickly to keep excess payments.
Question: Who is most likely to qualify for Medicaid? - ✓✓ Correct- A 35-year-old unemployed single mother
with diabetes.
Question: What is the primary focus of Healthy People 2020? - ✓✓ Correct- Encouraging healthy lifestyles to
improve the health of Americans.
Question: What does Medicare Part B cover? - ✓✓ Correct- Medicare Part B pays for physician services,
ambulance transport, and outpatient services.
Question: What is the purpose of diagnosis-related groups (DRGs)? - ✓✓ Correct- To provide a flat fee for each
patient's diagnostic category, regardless of hospital stay length.
Question: What type of patients does Medicaid primarily serve? - ✓✓ Correct- Low-income individuals with no
insurance.
Question: What is the benefit of a deductible for insurance companies? - ✓✓ Correct- It improves the profit of
the insurance company by requiring patients to pay a portion of their medical costs.
Question: What does Healthy People 2020 aim to reduce? - ✓✓ Correct- Infant mortality, cancer,
cardiovascular disease, and HIV/AIDS.
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