NURSING BY PATRICIA WILLIAMS 41 CHAPTERS WITH
QUESTIONS AND ANSWERS RATIONALES 2026 NEW UPDATE
LATEST
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,Nursing and the Health Care System: Chapter 01
1. An advantage of preferred provider organizations (PPOs) is that:
a. they make insurance coverage of employees less expensive to employers.
b. there are fewer physicians to choose from than in an HMO.
c. long-term relationships with physicians are more likely.
d. patients may go directly to a specialist for care.
ANS: A
The use of PPOs allows insurance companies to keep their premiums low and in turn makes
insurance coverage less expensive for the employers. There are usually more physicians from
which to choose than from an HMO, but long-term relationships between physician and
patient cannot be established easily. Patients still must see their primary physician before
being referred to other specialties.
DIF: Cognitive Level: Knowledge REF: p. 11 OBJ: Theory #11
TOP: Preferred Provider Organizations KEY: Nursing Process Step: N/A MSC: NCLEX:
N/A
2. If a member of a health maintenance organization (HMO) is having respiratory
problems such as fever, cough, and fatigue for several days and wants to see a specialist, the
person is required to go:
a. directly to an emergency room for treatment.
b. to any general practitioner of choice.
c. directly to a respiratory specialist.
d. to a primary care provider for a referral.
ANS: D
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,Participants in an HMO must see their primary provider to receive a referral for a specialist in
order for the HMO to pay for the care.
DIF: Cognitive Level: Comprehension REF: p. 10 OBJ: Theory #11
TOP: Managed Care KEY: Nursing Process Step: N/A
MSC: NCLEX: N/A
3. After passing the National Council Licensure Examination for Practical Nurses
(NCLEX PN), the nurse is qualified to take an additional certification in the field of: a.
pharmacology.
b. care of infants and children.
c. operating room technology.
d. community health.
ANS: A
After becoming an LPN, the nurse may apply for additional certification in pharmacology or
long-term care.
DIF: Cognitive Level: Knowledge REF: p. 7 OBJ: Theory #6
TOP: Educational Opportunities KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
4. Nursing interventions are best defined as activities that:
a. are taken to improve the patient’s health.
b. involve researching methods to maintain asepsis.
c. include the family in nursing care.
d. review guidelines for handling infectious wastes.
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, ANS: A
Interventions are actions taken to improve, maintain, or restore health.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: Theory #2
TOP: Art and Science of Nursing KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Detection of Disease
5. Nurse Practice Acts define the legal scope of an LPN’s practice, which are written
and enforced by:
a. American Nurses Association.
b. National Council Licensure Examiners.
c. each state.
d. each health care agency.
ANS: C
Each state writes and enforces the Nurse Practice Act, which defines the legal scope of
nursing practice.
DIF: Cognitive Level: Comprehension REF: p. 6 OBJ: Theory #3 TOP:
Nurse Practice Act KEY: Nursing Process Step: N/A MSC: NCLEX: N/A
6. Women volunteers were organized to give nursing care to the wounded soldiers
during the Civil War by:
a. Florence Nightingale.
b. Dorothea Dix.
c. Clara Barton.
d. Lillian Wald.
ANS: B
The Union government appointed Dorothea Dix, a social worker, to organize women
volunteers to provide nursing care for the soldiers during the Civil War.
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