CHAPTER01:CARINGFORMEDICAL-SURGICAL t t t t
PATIENTS t
STROMBERG: MEDICAL-SURGICAL NURSING: t t
t CONCEPTSANDPRACTICE,5THEDITIONEXAMTEST t t t t t t
WITH COMPLETE SOLUTIONS AND 100% NEWLY
t t t t t t
UPDATED t
MULTIPLE CHOICE t
1. Which statement accurately describes the primary purpose of the state nurse practice act
t t t t t t t t t t t t
(NPA)?
t
a. To test and license LPN/LVNs t t t t
b. To define the scope of LPN/LVN practice
t t t t t t
c. To improve the quality of care provided by the LPN/LVN
t t t t t t t t t
d. To limit the LPN/LVN employment placement
t t t t t
ANS: B t
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary
t t t t t t t t t t t t t t t t t
purpose of the NPA of each state defines the scope of nursing practice in that state.
t t t t t t t t t t t t t t t t
DIF: Cognitive Level: Comprehension REF: p. 3 t t t
OBJ: 3TOP: NPA t t t t
KEY: Nursing Process Step: Implementation t t t t
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t t
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
t t t t t t t t t t t t t t t
thevocational nurse has not been taught during her educational program. How should the v ocational
t t t t t t t t t t t t t t t
nurse respond?
t t
a. Ask a more experienced nurse to demonstrate the procedure.
t t t t t t t t
b. Look up the procedure in the procedure manual. t t t t t t t
c. Attempt to perform the procedure with supervision. t t t t t t
d. Inform the charge nurse of her lack of training in this procedure t t t t t t t t t t t
.
, ANS: D t
The charge nurse should be informed of the lack of training to perform the procedure, and t
t t t t t t t t t t t t t t t t
hevocational nurse should seek further training to gain proficiency. Although the other opti ons
t t t t t t t t t t t t t t
might be helpful, they are not safe.
t t t t t t t
DIF: Cognitive Level: Application REF: p. 3 t t t
OBJ: 1 TOP: Providing Safe Care
t t t t t t
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Ca re
t t t t t t t t t t
Environment: Coordinated Care
t t t
3. Which patient statement indicates a need for further discharge teaching that the vocatio
t t t t t t t t t t t t
nalnurse should address?
t t t
a. ―I have no idea of how this drug will affect me.‖
t t t t t t t t t t
b. ―Do you know if myphysician is coming back today?‖
t t t t t t t t t
c. ―Willmyinsurancepayformystay?‖ t t t t t t
d. ―Am I going to have to go to a nursing home?‖
t t t t t t t t t t
ANS: A t
Lack of knowledge at discharge about medication effects and side effects is a concern thatsh ould be
t t t t t t t t t t t t t t t t
addressed by the vocational nurse. The other concerns in the options are the responsi bility of other
t t t t t t t t t t t t t t t t t
departments to which the nurse might refer the patient.
t t t t t t t t t
DIF: Cognitive Level: Application REF: p. 2 t t t
OBJ: 1TOP: Teaching
t t t t
KEY: Nursing Process Step: Implementation t t t t
, MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t t
4. According to most state NPAs, the vocational nurse acting as charge nurse in a long- term t t t t t t t t t t t t t t t
carefacility acts in which capacity?
t t t t t
a. Working under direct supervision of an RN on the unit t t t t t t t t t
b. Working with the RN in the building t t t t t t
c. Working under general supervision by the RN available on site or by phon e t t t t t t t t t t t t t
d. Working as an independent vocational nurse t t t t t
ANS: C t
The vocational nurse in the capacity of the charge nurse in a long-
t t t t t t t t t t t t
term care facility acts withthe general supervision of an RN available on site or by phone.
t t t t t t t t t t t t t t t
DIF: Cognitive Level: Comprehension REF: p. 3 t t t
OBJ: 1 TOP: Charge Nurse/Manager t t t t t
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Ca re t t t t t t t t t t
Environment: Coordinated Care
t t t
5. The nurse is educating a patient that is a member of a health maintenance organizat
t t t t t t t t t t t t t t
t ion(HMO). Which information should the nurse include? t t t t t t
a. Seek the opinion of an alternate health care provider. t t t t t t t t
b. Contact the insurance company forbcoverage details as services may be limited t t t t t t t t t t
.
c. Provide detailed documentation of all care received for his condition. t t t t t t t t t
d. Wait at least 6 months to see a specialist. t t t t t t t t
ANS: B t
HMOs are a kind of managed care. This is accomplished by paying providers to care for g roups of
t t t t t t t t t t t t t t t t t t
patients for a set capitation fee and by limiting services. Patients are not required toseek a second
t t t t t t t t t t t t t t t t t
opinion, provide documentation of care, or wait a specific time period bef ore visiting a specialist.
t t t t t t t t t t t t t t t t
DIF: Cognitive Level: Application t t REF: p. 9 t OBJ: 9 t
TOP: Charge Nurse/Manager
t t t
KEY: Nursing Process Step: Implementatio n t t t t t
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t t t
6. The patient complains to the nurse that he is confused about his ―deductible‖ that he owes the
t t t t t t t t t t t t t t t t
hospital. Which statement accurately explains a deductible?
t t t t t t t
a. An amount of money put aside for the payment of future medical bills
t t t t t t t t t t t t
b. A one-time fee for service
t t t t
c. An amount of money deducted from the bill by the insurance company
t t t t t t t t t t t
d. An annual amount of money the patient must pay out-of- pocket
t t t t t t t t t t
forbmedical care
t t
ANS: D t
The deductible is the annual amount the insured must pay out-of-
t t t t t t t t t t
pocket prior to the insurancecompany assuming the cost. This practice improves the profit of the
t t t t t t t t t t t t t t
insurance company.
t t
DIF: Cognitive Level: Comprehension t t REF: p. 7 t OBJ: 9 t
TOP: Health Care Financing
t t t t
KEY: Nursing Process Step: Implementatio n t t t t t
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t t t
7. A patient asks the nurse what Medicare Part A covers. Which response is correct?
t t t t t t t t t t t t t
, a. Medicare Part A covers inpatient hospital costs.
t t t t t t
b. Medicare Part A covers reimbursement to the physician.
t t t t t t t
PATIENTS t
STROMBERG: MEDICAL-SURGICAL NURSING: t t
t CONCEPTSANDPRACTICE,5THEDITIONEXAMTEST t t t t t t
WITH COMPLETE SOLUTIONS AND 100% NEWLY
t t t t t t
UPDATED t
MULTIPLE CHOICE t
1. Which statement accurately describes the primary purpose of the state nurse practice act
t t t t t t t t t t t t
(NPA)?
t
a. To test and license LPN/LVNs t t t t
b. To define the scope of LPN/LVN practice
t t t t t t
c. To improve the quality of care provided by the LPN/LVN
t t t t t t t t t
d. To limit the LPN/LVN employment placement
t t t t t
ANS: B t
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary
t t t t t t t t t t t t t t t t t
purpose of the NPA of each state defines the scope of nursing practice in that state.
t t t t t t t t t t t t t t t t
DIF: Cognitive Level: Comprehension REF: p. 3 t t t
OBJ: 3TOP: NPA t t t t
KEY: Nursing Process Step: Implementation t t t t
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t t
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
t t t t t t t t t t t t t t t
thevocational nurse has not been taught during her educational program. How should the v ocational
t t t t t t t t t t t t t t t
nurse respond?
t t
a. Ask a more experienced nurse to demonstrate the procedure.
t t t t t t t t
b. Look up the procedure in the procedure manual. t t t t t t t
c. Attempt to perform the procedure with supervision. t t t t t t
d. Inform the charge nurse of her lack of training in this procedure t t t t t t t t t t t
.
, ANS: D t
The charge nurse should be informed of the lack of training to perform the procedure, and t
t t t t t t t t t t t t t t t t
hevocational nurse should seek further training to gain proficiency. Although the other opti ons
t t t t t t t t t t t t t t
might be helpful, they are not safe.
t t t t t t t
DIF: Cognitive Level: Application REF: p. 3 t t t
OBJ: 1 TOP: Providing Safe Care
t t t t t t
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Ca re
t t t t t t t t t t
Environment: Coordinated Care
t t t
3. Which patient statement indicates a need for further discharge teaching that the vocatio
t t t t t t t t t t t t
nalnurse should address?
t t t
a. ―I have no idea of how this drug will affect me.‖
t t t t t t t t t t
b. ―Do you know if myphysician is coming back today?‖
t t t t t t t t t
c. ―Willmyinsurancepayformystay?‖ t t t t t t
d. ―Am I going to have to go to a nursing home?‖
t t t t t t t t t t
ANS: A t
Lack of knowledge at discharge about medication effects and side effects is a concern thatsh ould be
t t t t t t t t t t t t t t t t
addressed by the vocational nurse. The other concerns in the options are the responsi bility of other
t t t t t t t t t t t t t t t t t
departments to which the nurse might refer the patient.
t t t t t t t t t
DIF: Cognitive Level: Application REF: p. 2 t t t
OBJ: 1TOP: Teaching
t t t t
KEY: Nursing Process Step: Implementation t t t t
, MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t t
4. According to most state NPAs, the vocational nurse acting as charge nurse in a long- term t t t t t t t t t t t t t t t
carefacility acts in which capacity?
t t t t t
a. Working under direct supervision of an RN on the unit t t t t t t t t t
b. Working with the RN in the building t t t t t t
c. Working under general supervision by the RN available on site or by phon e t t t t t t t t t t t t t
d. Working as an independent vocational nurse t t t t t
ANS: C t
The vocational nurse in the capacity of the charge nurse in a long-
t t t t t t t t t t t t
term care facility acts withthe general supervision of an RN available on site or by phone.
t t t t t t t t t t t t t t t
DIF: Cognitive Level: Comprehension REF: p. 3 t t t
OBJ: 1 TOP: Charge Nurse/Manager t t t t t
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Ca re t t t t t t t t t t
Environment: Coordinated Care
t t t
5. The nurse is educating a patient that is a member of a health maintenance organizat
t t t t t t t t t t t t t t
t ion(HMO). Which information should the nurse include? t t t t t t
a. Seek the opinion of an alternate health care provider. t t t t t t t t
b. Contact the insurance company forbcoverage details as services may be limited t t t t t t t t t t
.
c. Provide detailed documentation of all care received for his condition. t t t t t t t t t
d. Wait at least 6 months to see a specialist. t t t t t t t t
ANS: B t
HMOs are a kind of managed care. This is accomplished by paying providers to care for g roups of
t t t t t t t t t t t t t t t t t t
patients for a set capitation fee and by limiting services. Patients are not required toseek a second
t t t t t t t t t t t t t t t t t
opinion, provide documentation of care, or wait a specific time period bef ore visiting a specialist.
t t t t t t t t t t t t t t t t
DIF: Cognitive Level: Application t t REF: p. 9 t OBJ: 9 t
TOP: Charge Nurse/Manager
t t t
KEY: Nursing Process Step: Implementatio n t t t t t
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t t t
6. The patient complains to the nurse that he is confused about his ―deductible‖ that he owes the
t t t t t t t t t t t t t t t t
hospital. Which statement accurately explains a deductible?
t t t t t t t
a. An amount of money put aside for the payment of future medical bills
t t t t t t t t t t t t
b. A one-time fee for service
t t t t
c. An amount of money deducted from the bill by the insurance company
t t t t t t t t t t t
d. An annual amount of money the patient must pay out-of- pocket
t t t t t t t t t t
forbmedical care
t t
ANS: D t
The deductible is the annual amount the insured must pay out-of-
t t t t t t t t t t
pocket prior to the insurancecompany assuming the cost. This practice improves the profit of the
t t t t t t t t t t t t t t
insurance company.
t t
DIF: Cognitive Level: Comprehension t t REF: p. 7 t OBJ: 9 t
TOP: Health Care Financing
t t t t
KEY: Nursing Process Step: Implementatio n t t t t t
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t t t
7. A patient asks the nurse what Medicare Part A covers. Which response is correct?
t t t t t t t t t t t t t
, a. Medicare Part A covers inpatient hospital costs.
t t t t t t
b. Medicare Part A covers reimbursement to the physician.
t t t t t t t
