MEDICAL
SURGICAL
NURSING
CONCEPTS AND
PRACTICE 3TH
EDITION DEWIT
TEST BANK
Med
#zC
,Chapter # z 01: # z Caring # z for # z Medical-Surgical # z Patients
deWit: # z Medical-Surgical # z Nursing: # z Concepts # z & # z Practice, # z 3rd # z Edition
MULTIPLE #zCHOICE
1. Which #zstatement #zaccurately #zdescribes #zthe #zprimary #zpurpose #zof #zthe #zstate #znurse #zpractice #zact #z(NPA)?
a. To #ztest #zand #zlicense #zLPN/LVNs.
b. To #zdefine #zthe #zscope #zof #zLPN/LVN #zpractice.
c. To #zimprove #zthe #zquality #zof #zcare #zprovided #zby #zthe
#z LPN/LVN.
d. To #zlimit #zthe #zLPN/LVN #zemployment #zplacement.
ANS: B
While #zimproving #zquality #zof #zcare #zprovided #zby #zthe #zLPN/LVN #zmay #zbe #za #zresult #zof #zthe #zNPA, #zthe #zprimary #zpurpose
#z of #zthe #zNPA #z of #zeach #z state #z defines #zthe #z scope #z of #z nursing #z practice #z in #z that #z state.
PTS: 1 DIF: Cognitive #zLevel: #zComprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing #zProcess #zStep:
#zImplementation
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
2. The #zcharge #znurse #zasks #zthe #znew #zvocational #znurse #zto #zstart #zan #zintravenous #zinfusion, #za #zskill #zthat #zthe
#zvocational #z nurse #zhas #z not #z been #z taught #z during #z her #z educational #z program. #z How #zshould #z the #z vocational #z nurse
#z respond?
a. Ask #za #zmore #zexperienced #znurse #zto #zdemonstrate #zthe
#zprocedure.
b. Look #zup #zthe #zprocedure #zin #zthe #zprocedure #zmanual.
c. Attempt #zto #zperform #zthe #zprocedure #zwith #zsupervision.
d. Inform #zthe #zcharge #znurse #zof #zher #zlack #zof #ztraining #zin #zthis
#zprocedure.
ANS: D
The #zcharge #znurse #zshould #zbe #zinformed #zof #zthe #zlack #zof #ztraining #zto #zperform #zthe #zprocedure, #zand #zthe #zvocational
#z nurse #zshould #z seek #z further #ztraining #z to #z gain #z proficiency. #z Although #z the #z other #z options #z might #z be #z helpful, #zthey #z are
#z not #zsafe.
PTS: 1 DIF: Cognitive #zLevel: #zApplication # zREF:
3
OBJ: 1 TOP: Providing #zSafe #zCare KEY:Nursing #zProcess #zStep:
#zN/A
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
3. Which #zpatient #zstatement #zindicates #za #zneed #zfor #zfurther #zdischarge #zteaching #zthat #zthe #zvocational #znurse #zshould
#zaddress?
a. “I #zhave #zno #zidea #zof #zhow #zthis #zdrug #zwill #zaffect
#zme.”
b. “Do #zyou #zknow #zif #zmy #zphysician #zis #zcoming #zback
#ztoday?”
c. “Will #zmy #zinsurance #zpay #zfor #zmy #zstay?”
d. “Am #zI #zgoing #zto #zhave #zto #zgo #zto #za #znursing
#zhome?”
ANS: A
Lack #zof #zknowledge #zat #zdischarge #zabout #zmedication #zeffects #zand #zside #zeffects #zis #za #zconcern #zthat #zshould #zbe
#zaddressed #z by #z the #z vocational #z nurse. #z The #z other #z concerns #z in #zthe #z options #z are #zthe #z responsibility #z of #z other
#z departments #z to #z which #z the #z nurse #z might #zrefer #z the #z patient.
PTS: 1 DIF: Cognitive #zLevel: #zApplication # z # z REF:2
OBJ: 1 TOP: Teaching # z KEY: Nursing #zProcess #zStep:
#zImplementation
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
4. According #zto #zmost #zstate #zNPAs, #zthe #zvocational #znurse #zacting #zas #zcharge #znurse #zin #za #zlong-term #zcare
#zfacility #z acts #zin #zwhich #z capacity?
a. Working #zunder #zdirect #zsupervision #zof #zan #zRN #zon #zthe #zunit
b. Working #zwith #zthe #zRN #zin #zthe #zbuilding
c. Working #zunder #zgeneral #zsupervision #zby #zthe #zRN #zavailable #zon #zsite #zor
#zby #zphone
Med
#zC
, d. Working #zas #zan #zindependent #zvocational #znurse
ANS: C
The #zvocational #znurse #zin #zthe #zcapacity #zof #zthe #zcharge #znurse #zin #za #zlong-term #zcare #zfacility #zacts #zwith #zthe #zgeneral
#z supervision #z of #z an #z RN #z available #z on #z site #z or #z by #z phone.
PTS: 1 DIF: Cognitive #zLevel: #zComprehension REF: 2
OBJ: 1 TOP: Charge #zNurse/Manager KEY: Nursing Process #zStep:
#zN/A
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
Med
#zC
, 5. The #znurse #zis #zeducating #za #zpatient #zthat #zis #za #zmember #zof #za #zhealth #zmaintenance #zorganization #z(HMO).
#z Which #z information #z should #z the #z nurse #zinclude?
a. Seek #zthe #zopinion #zof #zan #zalternate #zhealth #zcare #zprovider.
b. Obtain #zinsurance #zapproval #zfor #zmedical #zservices #zprior #zto
#ztreatment.
c. Provide #zdetailed #zdocumentation #zof #zall #zcare #zreceived #zfor #zhis
#zcondition.
d. Wait #zat #zleast #z6 #zmonths #zto #zsee #za #zspecialist.
ANS: B
Most #zHMOs #zrequire #zpreprocedure #zauthorization #zfor #ztreatment. #zPatients #zare #znot #zrequired #zto #zseek #za #zsecond #zopinion,
#z provide #z documentation #z of #z care, #z or #z wait #z a #z specific #z time #z period #z before #z visiting #z a #z specialist.
PTS: 1 DIF: Cognitive #zLevel: #zApplication 9
# z REF:
OBJ: 9 TOP: Charge #zNurse/Manager
KEY: Nursing #zProcess #zStep: #zImplementation
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
6. The #zpatient #zcomplains #zto #zthe #znurse #zthat #zhe #zis #zconfused #zabout #zhis #z“deductible” #zthat #zhe #zowes
#z the #zhospital. #z Which #z statement #z accurately #z explains #z a #z deductible?
a. An #zamount #zof #zmoney #zput #zaside #zfor #zthe #zpayment #zof #zfuture #zmedical
#zbills
b. A #zone-time #zfee #zfor #zservice
c. An #zamount #zof #zmoney #zdeducted #zfrom #zthe #zbill #zby #zthe #zinsurance
#zcompany
d. An #zannual #zamount #zof #zmoney #zthe #zpatient #zmust #zpay #zout-of-pocket #zfor
#zmedical #zcare
ANS: D
The #zdeductible #zis #zthe #zannual #zamount #zthe #zinsured #zmust #zpay #zout-of-pocket #zprior #zto #zthe #zinsurance #zcompany
#z assuming #z the #z cost. #zThis #z practice #zimproves #zthe #z profit #z of #z the #z insurance #z company.
PTS: 1 DIF: Cognitive #zLevel: #zComprehension REF: 7
OBJ: 9 TOP: Health #zCare #zFinancing
KEY: Nursing #zProcess #zStep: #zImplementation
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
7. The #znurse #zcompares #zthe #zcharacteristics #zof #za #zhealth #zmaintenance #zorganization #z(HMO) #zand #za
#z preferred #z provider #z organization #z (PPO). #z Which #zinformation #z should #zthe #z nurse #z include #z about #z HMOs?
a. HMOs #zrequire #za #zset #zfee #zof #zeach #zmember #zmonthly.
b. HMOs #zallow #zthe #zmember #zto #zselect #zhis #zhealth #zcare
#zprovider.
c. HMOs #zpermit #zadmission #zto #zany #zfacility #zthe #zmember
#zprefers.
d. HMOs #zoffer #zunlimited #zdiagnostic #ztests #zand #ztreatments.
ANS: A
HMOs #zrequire #za #zset #zfee #zfrom #zeach #zmember #zmonthly #z(capitation). #zThe #zpatient #zwill #zbe #ztreated #zby #zthe #zHMO #zstaff #zin
#zHMO-approved #z facilities. #z Excessive #z use #z of #z diagnostic #z tests #zand #z treatments #z is #z discouraged #z by #z the #z HMO.
PTS: 1 DIF: Cognitive #zLevel: #zApplication 9
# z REF:
OBJ: 9 TOP: Managed #zCare
KEY: Nursing #zProcess #zStep: #zImplementation
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
8. A #zpatient #zasks #zthe #znurse #zwhat #zMedicare #zPart #zA #zcovers. #zWhich #zresponse #zis #zcorrect?
a. Medicare #zPart #zA #zcovers #zinpatient #zhospital #zcosts.
b. Medicare #zPart #zA #zcovers #zreimbursement #zto #zthe
#zphysician.
c. Medicare #zPart #zA #zcovers #zoutpatient #zhospital
#zservices.
d. Medicare #zPart #zA #zcovers #zambulance #ztransportation.
ANS: A
Medicare #zPart #zA #zcovers #zinpatient #zhospital #zexpenses, #zdrugs, #zx-rays, #zlaboratory #zwork, #zand #zintensive #zcare. #zMedicare #zPart
#z B #zpays #z the #z physician, #z ambulance #z transport, #z and #z outpatient #zservices.
Med
#zC
SURGICAL
NURSING
CONCEPTS AND
PRACTICE 3TH
EDITION DEWIT
TEST BANK
Med
#zC
,Chapter # z 01: # z Caring # z for # z Medical-Surgical # z Patients
deWit: # z Medical-Surgical # z Nursing: # z Concepts # z & # z Practice, # z 3rd # z Edition
MULTIPLE #zCHOICE
1. Which #zstatement #zaccurately #zdescribes #zthe #zprimary #zpurpose #zof #zthe #zstate #znurse #zpractice #zact #z(NPA)?
a. To #ztest #zand #zlicense #zLPN/LVNs.
b. To #zdefine #zthe #zscope #zof #zLPN/LVN #zpractice.
c. To #zimprove #zthe #zquality #zof #zcare #zprovided #zby #zthe
#z LPN/LVN.
d. To #zlimit #zthe #zLPN/LVN #zemployment #zplacement.
ANS: B
While #zimproving #zquality #zof #zcare #zprovided #zby #zthe #zLPN/LVN #zmay #zbe #za #zresult #zof #zthe #zNPA, #zthe #zprimary #zpurpose
#z of #zthe #zNPA #z of #zeach #z state #z defines #zthe #z scope #z of #z nursing #z practice #z in #z that #z state.
PTS: 1 DIF: Cognitive #zLevel: #zComprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing #zProcess #zStep:
#zImplementation
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
2. The #zcharge #znurse #zasks #zthe #znew #zvocational #znurse #zto #zstart #zan #zintravenous #zinfusion, #za #zskill #zthat #zthe
#zvocational #z nurse #zhas #z not #z been #z taught #z during #z her #z educational #z program. #z How #zshould #z the #z vocational #z nurse
#z respond?
a. Ask #za #zmore #zexperienced #znurse #zto #zdemonstrate #zthe
#zprocedure.
b. Look #zup #zthe #zprocedure #zin #zthe #zprocedure #zmanual.
c. Attempt #zto #zperform #zthe #zprocedure #zwith #zsupervision.
d. Inform #zthe #zcharge #znurse #zof #zher #zlack #zof #ztraining #zin #zthis
#zprocedure.
ANS: D
The #zcharge #znurse #zshould #zbe #zinformed #zof #zthe #zlack #zof #ztraining #zto #zperform #zthe #zprocedure, #zand #zthe #zvocational
#z nurse #zshould #z seek #z further #ztraining #z to #z gain #z proficiency. #z Although #z the #z other #z options #z might #z be #z helpful, #zthey #z are
#z not #zsafe.
PTS: 1 DIF: Cognitive #zLevel: #zApplication # zREF:
3
OBJ: 1 TOP: Providing #zSafe #zCare KEY:Nursing #zProcess #zStep:
#zN/A
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
3. Which #zpatient #zstatement #zindicates #za #zneed #zfor #zfurther #zdischarge #zteaching #zthat #zthe #zvocational #znurse #zshould
#zaddress?
a. “I #zhave #zno #zidea #zof #zhow #zthis #zdrug #zwill #zaffect
#zme.”
b. “Do #zyou #zknow #zif #zmy #zphysician #zis #zcoming #zback
#ztoday?”
c. “Will #zmy #zinsurance #zpay #zfor #zmy #zstay?”
d. “Am #zI #zgoing #zto #zhave #zto #zgo #zto #za #znursing
#zhome?”
ANS: A
Lack #zof #zknowledge #zat #zdischarge #zabout #zmedication #zeffects #zand #zside #zeffects #zis #za #zconcern #zthat #zshould #zbe
#zaddressed #z by #z the #z vocational #z nurse. #z The #z other #z concerns #z in #zthe #z options #z are #zthe #z responsibility #z of #z other
#z departments #z to #z which #z the #z nurse #z might #zrefer #z the #z patient.
PTS: 1 DIF: Cognitive #zLevel: #zApplication # z # z REF:2
OBJ: 1 TOP: Teaching # z KEY: Nursing #zProcess #zStep:
#zImplementation
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
4. According #zto #zmost #zstate #zNPAs, #zthe #zvocational #znurse #zacting #zas #zcharge #znurse #zin #za #zlong-term #zcare
#zfacility #z acts #zin #zwhich #z capacity?
a. Working #zunder #zdirect #zsupervision #zof #zan #zRN #zon #zthe #zunit
b. Working #zwith #zthe #zRN #zin #zthe #zbuilding
c. Working #zunder #zgeneral #zsupervision #zby #zthe #zRN #zavailable #zon #zsite #zor
#zby #zphone
Med
#zC
, d. Working #zas #zan #zindependent #zvocational #znurse
ANS: C
The #zvocational #znurse #zin #zthe #zcapacity #zof #zthe #zcharge #znurse #zin #za #zlong-term #zcare #zfacility #zacts #zwith #zthe #zgeneral
#z supervision #z of #z an #z RN #z available #z on #z site #z or #z by #z phone.
PTS: 1 DIF: Cognitive #zLevel: #zComprehension REF: 2
OBJ: 1 TOP: Charge #zNurse/Manager KEY: Nursing Process #zStep:
#zN/A
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
Med
#zC
, 5. The #znurse #zis #zeducating #za #zpatient #zthat #zis #za #zmember #zof #za #zhealth #zmaintenance #zorganization #z(HMO).
#z Which #z information #z should #z the #z nurse #zinclude?
a. Seek #zthe #zopinion #zof #zan #zalternate #zhealth #zcare #zprovider.
b. Obtain #zinsurance #zapproval #zfor #zmedical #zservices #zprior #zto
#ztreatment.
c. Provide #zdetailed #zdocumentation #zof #zall #zcare #zreceived #zfor #zhis
#zcondition.
d. Wait #zat #zleast #z6 #zmonths #zto #zsee #za #zspecialist.
ANS: B
Most #zHMOs #zrequire #zpreprocedure #zauthorization #zfor #ztreatment. #zPatients #zare #znot #zrequired #zto #zseek #za #zsecond #zopinion,
#z provide #z documentation #z of #z care, #z or #z wait #z a #z specific #z time #z period #z before #z visiting #z a #z specialist.
PTS: 1 DIF: Cognitive #zLevel: #zApplication 9
# z REF:
OBJ: 9 TOP: Charge #zNurse/Manager
KEY: Nursing #zProcess #zStep: #zImplementation
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
6. The #zpatient #zcomplains #zto #zthe #znurse #zthat #zhe #zis #zconfused #zabout #zhis #z“deductible” #zthat #zhe #zowes
#z the #zhospital. #z Which #z statement #z accurately #z explains #z a #z deductible?
a. An #zamount #zof #zmoney #zput #zaside #zfor #zthe #zpayment #zof #zfuture #zmedical
#zbills
b. A #zone-time #zfee #zfor #zservice
c. An #zamount #zof #zmoney #zdeducted #zfrom #zthe #zbill #zby #zthe #zinsurance
#zcompany
d. An #zannual #zamount #zof #zmoney #zthe #zpatient #zmust #zpay #zout-of-pocket #zfor
#zmedical #zcare
ANS: D
The #zdeductible #zis #zthe #zannual #zamount #zthe #zinsured #zmust #zpay #zout-of-pocket #zprior #zto #zthe #zinsurance #zcompany
#z assuming #z the #z cost. #zThis #z practice #zimproves #zthe #z profit #z of #z the #z insurance #z company.
PTS: 1 DIF: Cognitive #zLevel: #zComprehension REF: 7
OBJ: 9 TOP: Health #zCare #zFinancing
KEY: Nursing #zProcess #zStep: #zImplementation
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
7. The #znurse #zcompares #zthe #zcharacteristics #zof #za #zhealth #zmaintenance #zorganization #z(HMO) #zand #za
#z preferred #z provider #z organization #z (PPO). #z Which #zinformation #z should #zthe #z nurse #z include #z about #z HMOs?
a. HMOs #zrequire #za #zset #zfee #zof #zeach #zmember #zmonthly.
b. HMOs #zallow #zthe #zmember #zto #zselect #zhis #zhealth #zcare
#zprovider.
c. HMOs #zpermit #zadmission #zto #zany #zfacility #zthe #zmember
#zprefers.
d. HMOs #zoffer #zunlimited #zdiagnostic #ztests #zand #ztreatments.
ANS: A
HMOs #zrequire #za #zset #zfee #zfrom #zeach #zmember #zmonthly #z(capitation). #zThe #zpatient #zwill #zbe #ztreated #zby #zthe #zHMO #zstaff #zin
#zHMO-approved #z facilities. #z Excessive #z use #z of #z diagnostic #z tests #zand #z treatments #z is #z discouraged #z by #z the #z HMO.
PTS: 1 DIF: Cognitive #zLevel: #zApplication 9
# z REF:
OBJ: 9 TOP: Managed #zCare
KEY: Nursing #zProcess #zStep: #zImplementation
MSC: NCLEX: #zSafe, #zEffective #zCare #zEnvironment: #zCoordinated #zCare
8. A #zpatient #zasks #zthe #znurse #zwhat #zMedicare #zPart #zA #zcovers. #zWhich #zresponse #zis #zcorrect?
a. Medicare #zPart #zA #zcovers #zinpatient #zhospital #zcosts.
b. Medicare #zPart #zA #zcovers #zreimbursement #zto #zthe
#zphysician.
c. Medicare #zPart #zA #zcovers #zoutpatient #zhospital
#zservices.
d. Medicare #zPart #zA #zcovers #zambulance #ztransportation.
ANS: A
Medicare #zPart #zA #zcovers #zinpatient #zhospital #zexpenses, #zdrugs, #zx-rays, #zlaboratory #zwork, #zand #zintensive #zcare. #zMedicare #zPart
#z B #zpays #z the #z physician, #z ambulance #z transport, #z and #z outpatient #zservices.
Med
#zC
