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Medical-Surgical Nursing: Concepts & Practice, 3rd Edition deWit – Test Bank & Study Guide (Chapter 1-12 Q&A)

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This comprehensive resource includes selected chapters (1–12) from *Medical-Surgical Nursing: Concepts & Practice, 3rd Edition* by deWit, featuring complete multiple-choice questions, answers, rationales, and nursing process guidelines. Ideal for nursing students, educators, and professionals preparing for exams, clinical practice, or NCLEX review. Covers essential topics such as patient care, critical thinking, fluid/electrolyte balance, preoperative/postoperative care, infection control, pain management, cancer care, chronic illness, immune/lymphatic systems, and respiratory disorders.

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Geüpload op
6 december 2025
Aantal pagina's
446
Geschreven in
2025/2026
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Tentamen (uitwerkingen)
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Vragen en antwoorden

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Voorbeeld van de inhoud

MEDICAL g




SURGICALNUR g




SING CONCEPTS
g g




AND PRACTICE
g g




3THEDITION DE
g g




WIT TESTBAN g g




K
MedgC

,Chapterg 01:g Caringg forg Medical-Surgicalg Patients
deWit:g Medical-Surgicalg Nursing:g Conceptsg &g Practice,g 3rdg Edition

MULTIPLEgCHOICE

1. Whichgstatementgaccuratelygdescribesgthegprimarygpurposegofgthegstategnursegpracticegactg(NPA)?
a. TogtestgandglicensegLPN/LVNs.
b. TogdefinegthegscopegofgLPN/LVNgpractice.
c. TogimprovegthegqualitygofgcaregprovidedgbygthegLPN/LVN.
d. ToglimitgthegLPN/LVNgemploymentgplacement.

ANS: B
WhilegimprovinggqualitygofgcaregprovidedgbygthegLPN/LVNgmaygbegagresultgofgthegNPA,gthegprimarygpurposegofgthegNPAgofgea
chgstategdefinesgthegscopegofgnursinggpracticegingthatgstate.

PTS: 1 DIF: CognitivegLevel:gComprehension REF: 2
OBJ: 3 TOP: NPA KEY: NursinggProcessgStep:gImplementation
MSC: NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

2. Thegchargegnursegasksgthegnewgvocationalgnursegtogstartgangintravenousginfusion,gagskillgthatgthegvocationalgnurseghasgn
otgbeengtaughtgduringghergeducationalgprogram.gHowgshouldgthegvocationalgnursegrespond?
a. Askgagmoregexperiencedgnursegtogdemonstrategthegprocedure.
b. Lookgupgthegproceduregingthegproceduregmanual.
c. Attemptgtogperformgthegprocedure gwithgsupervision.
d. Informgthegchargegnursegofgherglackgofgtraininggingthisgprocedure.

ANS: D
Thegchargegnursegshouldgbeginformedgofgtheglackgofgtraininggtogperformgthegprocedure,gandgthegvocationalgnursegshouldgseekgfur
thergtraininggtoggaingproficiency.gAlthoughgthegothergoptionsgmightgbeghelpful,gtheygaregnotgsafe.

PTS: 1 DIF: CognitivegLevel:gApplicationg REF: 3
OBJ: 1 TOP: ProvidinggSafegCare KEY: NursinggProcessgStep:gN/A
MSC: NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

3. Whichgpatientgstatementgindicatesgagneedgforgfurthergdischargegteachinggthatgthegvocationalgnursegshouldgaddress?
a. “Ighavegnogideagofghowgthisgdruggwillgaffectgme.”
b. “Dogyougknowgifgmygphysiciangisgcominggbackgtoday?”
c. “Willgmyginsurancegpaygforgmygstay?”
d. “AmgIggoinggtoghavegtoggogtogagnursingghome?”

ANS: A
Lackgofgknowledgegatgdischargegaboutgmedicationgeffectsgandgsidegeffectsgisgagconcerngthatgshouldgbegaddressedgbygthegvocation
algnurse.gThegothergconcernsgingthegoptionsgaregthegresponsibilitygofgothergdepartmentsgtogwhichgthegnursegmightgrefergthegpatien
t.

PTS: 1 DIF: CognitivegLevel:gApplicationg g REF: 2
OBJ: 1 TOP: Teachingg KEY: NursinggProcessgStep:gImplementation
MSC: NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

4. AccordinggtogmostgstategNPAs,gthegvocationalgnursegactinggasgchargegnursegingaglong-
termgcaregfacilitygactsgingwhichgcapacity?
a. Workinggundergdirectgsupervision gofgangRNgongthegunit
b. WorkinggwithgthegRNgingthegbuilding
c. WorkinggunderggeneralgsupervisiongbygthegRNgavailablegongsitegorgbygphone
d. Workinggasgangindependentgvocationalgnurse

ANS: C
Thegvocationalgnursegingthegcapacitygofgthegchargegnursegingaglong-
termgcaregfacilitygactsgwithgtheggeneralgsupervisiongofgangRNgavailablegongsitegorgbygphone.

PTS: 1 DIF: CognitivegLevel:gComprehension REF: 2
OBJ: 1 TOP: ChargegNurse/Manager KEY: Nursing ProcessgStep:gN/A
MSC: NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare




MedgC

, 5. Thegnursegisgeducatinggagpatientgthatgisgagmembergofgaghealthgmaintenancegorganizationg(HMO).gWhichginformatio
ngshouldgthegnurseginclude?
a. Seekgthegopiniongofgangalternateghealthgcaregprovider.
b. Obtainginsurancegapprovalgforgmedicalgservicesgpriorgtogtreatment.
c. Providegdetailedgdocumentationgofgallgcaregreceivedgforghisgcondition.
d. Waitgatgleastg6gmonthsgtogseegagspecialist.

ANS: B
MostgHMOsgrequiregpreproceduregauthorizationgforgtreatment.gPatientsgaregnotgrequiredgtogseekgagsecondgopinion,gprovidegdocu
mentationgofgcare,gorgwaitgagspecificgtimegperiodgbeforegvisitinggagspecialist.

PTS: 1 DIF: CognitivegLevel:gApplicationg REF: 9
OBJ: 9 TOP: ChargegNurse/Manager
KEY: NursinggProcessgStep:gImplementation
MSC: NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

6. Thegpatientgcomplainsgtogthegnursegthatghegisgconfusedgaboutghisg“deductible”gthatghegowesgtheghospital.gWhic
hgstatementgaccuratelygexplainsgagdeductible?
a. Angamountgofgmoneygputgasidegforgthegpaymentgofgfuturegmedicalgbills
b. Agone-timegfeegforgservice
c. Angamountgofgmoneygdeductedgfromgthegbillgbygtheginsurancegcompany
d. Angannualgamountgofgmoneygthegpatientgmustgpaygout-of-pocketgforgmedicalgcare

ANS: D
Thegdeductiblegisgthegannualgamountgtheginsuredgmustgpaygout-of-
pocketgpriorgtogtheginsurancegcompanygassuminggthegcost.gThisgpracticegimprovesgthegprofitgofgtheginsurancegcompany.

PTS: 1 DIF: CognitivegLevel:gComprehension REF: 7
OBJ: 9 TOP: HealthgCaregFinancing
KEY: NursinggProcessgStep:gImplementation
MSC: NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

7. Thegnursegcomparesgthegcharacteristicsgofgaghealthgmaintenancegorganizationg(HMO)gandgagpreferredgprovid
ergorganizationg(PPO).gWhichginformationgshouldgthegnursegincludegaboutgHMOs?
a. HMOsgrequiregagsetgfeegofgeachgmembergmonthly.
b. HMOsgallowgthegmembergtogselectghisghealthgcaregprovider.
c. HMOsgpermitgadmissiongtoganygfacilitygthegmembergprefers.
d. HMOsgoffergunlimitedgdiagnosticgtestsgandgtreatments.

ANS: A
HMOsgrequiregagsetgfeegfromgeachgmembergmonthlyg(capitation).gThegpatientgwillgbegtreatedgbygthegHMOgstaffgingHMO-
approvedgfacilities.gExcessivegusegofgdiagnosticgtestsgandgtreatmentsgisgdiscouragedgbygthegHMO.

PTS: 1 DIF: CognitivegLevel:gApplicationg REF: 9
OBJ: 9 TOP: ManagedgCare
KEY: NursinggProcessgStep:gImplementation
MSC: NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

8. AgpatientgasksgthegnursegwhatgMedicaregPartgAgcovers.gWhichgresponsegisgcorrect?
a. MedicaregPartgAgcoversginpatientghospitalgcosts.
b. MedicaregPartgAgcoversgreimbursementgtogthegphysician.
c. MedicaregPartgAgcoversgoutpatientghospitalgservices.
d. MedicaregPartgAgcoversgambulancegtransportation.

ANS: A
MedicaregPartgAgcoversginpatientghospitalgexpenses,gdrugs,gx-
rays,glaboratorygwork,gandgintensivegcare.gMedicaregPartgBgpaysgthegphysician,gambulancegtransport,gandgoutpatientgservices.

PTS: 1 DIF: CognitivegLevel:gComprehension REF: 7,gBoxg1-4
OBJ: 9 TOP: Government-Sponsoredg Healthg Insurance
KEY: NursinggProcessgStep:gImplementation
MSC: NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

9. Whichgisgthegmaingcost-containmentgcomponentgofgdiagnosis-relatedggroupsg(DRGs)?



MedgC

, a. Hospitalsgfocusgonlygongthegspecificgdiagnosis.
b. Hospitalsgtreatgandgdischargegpatientsgquickly.
c. Reducedgcostgdrugsgaregorderedgforgspecificgdiagnoses.
d. Diagnosticggroupgclassificationgstreamlinesgcare.

ANS: B
DRGsgaregagprospectivegpaymentgplangingwhichghospitalsgreceivegagflatgfeegforgeachgpatient’sgdiagnosticgcategorygregardlessgofgth
eglengthgofgtimegingtheghospital.gIfghospitalsgcangtreatgandgdischargegpatientsgbeforegthegallottedgtime,ghospitalsggetgtogkeepg thegex
cessgpayment;gcostgisgcontained,gandgthegpatientgisgdischargedgsooner.

PTS: 1 DIF: CognitivegLevel:gComprehension REF: 8
OBJ: 9 TOP: Government-Sponsoredg Healthg Insurance
KEY:g g NursinggProcessgStep:gImplementation
MSC:g g NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare



10. Thegnursegisgassessinggaggroupgofgpatients.gWhichgpatientgwouldgmostglikelygqualifygforgMedicaid?
a. Ag35-year-oldgunemployedgsinglegmothergwithgdiabetes
b. Ag70-year-oldgMedicaregrecipientgwithgretirementgincomegwhogneedsgtogbegingaglong-termgcaregfacility
c. Ang80-year-oldgblindgwomanglivingginghergownghomegwhoghasginadequategprivateginsurance
d. Ag67-year-oldgstrokegvictimgwithgMedicaregPartgAgandgangincomegfromginvestments

ANS: A
Medicaidgisgagjointgeffortgofgfederalgandgstateggovernmentsggearedgprimarilygforglow-incomegpeoplegwithgnoginsurance.

PTS: 1 DIF: CognitivegLevel:gApplicationg REF: 8,gBoxg1-
5gOBJ: 9 TOP: Government-SponsoredgHealthgInsurance–
MedicaidgKEY: NursinggProcessgStep:gAssessment
MSC: NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

11. WhichgareagisgthegmajorgfocusgofgHealthygPeopleg2020gandgthegprimarygmechanismgthroughgwhichgtogimprovegthegheal
thgofgAmericansgingthegsecondgdecadegofgthegcentury?
a. Researchgfunding
b. Healthginformationgdistribution
c. Healthyglifestylegencouragement
d. Healthgimprovementgprogramgdesigns

ANS: C
HealthygPeopleg2020gfocusesgongexpandinggongoinggprogramsgtogincludegsupportgandginformationgtogreduceginfantgmortality,gca
ncer,gcardiovasculargdisease,gandgHIV/AIDS,gandgtogincreasegeffectivegimmunizations,ghealthygeatingghabits,gandghealthygweight
.

PTS: 1 DIF: CognitivegLevel:gComprehension REF: 6
OBJ: 7 TOP: HealthygPeopleg2020
KEY: NursinggProcessgStep:gImplementation
MSC: NCLEX:gSafe,gEffectivegCaregEnvironment:gCoordinatedgCare

12. Whichgtermgexplainsgthegtypegofgcaregthatgaddressesginterventionsgforgallgdimensionsgofgagpatient’sglife?
a. Focusedgcare
b. Generalgcare
c. Directedgcare
d. Holisticgcare

ANS: D
Holisticgcaregaddressesgthegphysiologic,gpsychological,gsocial,gcultural,gandgspiritualgneedsgofgthegpatient.

PTS: 1 DIF: CognitivegLevel:gComprehension REF: 6
OBJ: 8 TOP: HolisticgCare
KEY: NursinggProcessgStep:gPlanning
MSC: NCLEX:gPsychosocialgIntegrity:gCopinggandgAdaptation

13. Agpatientgfuriouslygsays,g“Mygdoctorgwasgsogbusyggivinggmeginstructionsgthatghegdidn’tgheargwhatgIgwasgtryinggtoga
skghim!”gWhichgresponsegisgmostgempathetic?
a. “Whengpeoplegignoregme,gIgreallyggetgmad.”




MedgC
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