TB
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TEST BANK for Medical-Surgical
er
Nursing: Concepts & Practice 5th Edition
by Holly K. Stromberg
ALL CHAPTERS 1-49 COVERED|
VERIFIED QUESTIONS AND
ACCURATE ANSWERS WITH
RATIONALES
Page | 1
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Chapter 01: Caring for Medical-Surgical Patients
MULTIPLE CHOICE
er
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
ACCURATE ANSWER> 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.
ACCURATE ANSWER> 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.
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b. Do you know if my physician is coming back today?
c. Will my insurance pay for my stay?
er
d. Am I going to have to go to a nursing home?
ACCURATE ANSWER> 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
ACCURATE ANSWER> 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.
ACCURATE ANSWER> B
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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.
er
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
ACCURATE ANSWER> 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.
d. Medicare Part A covers ambulance transportation.
ACCURATE ANSWER> 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
Page | 4
Ac
TEST BANK for Medical-Surgical
er
Nursing: Concepts & Practice 5th Edition
by Holly K. Stromberg
ALL CHAPTERS 1-49 COVERED|
VERIFIED QUESTIONS AND
ACCURATE ANSWERS WITH
RATIONALES
Page | 1
, TB
Ac
Chapter 01: Caring for Medical-Surgical Patients
MULTIPLE CHOICE
er
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
ACCURATE ANSWER> 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.
ACCURATE ANSWER> 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.
Page | 2
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Ac
b. Do you know if my physician is coming back today?
c. Will my insurance pay for my stay?
er
d. Am I going to have to go to a nursing home?
ACCURATE ANSWER> 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
ACCURATE ANSWER> 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.
ACCURATE ANSWER> B
Page | 3
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Ac
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.
er
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
ACCURATE ANSWER> 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.
d. Medicare Part A covers ambulance transportation.
ACCURATE ANSWER> 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
Page | 4
