Medical-Surgical Nursing 5th Edition Stromberg Test Bank 2025 I Complete Chapters 1-49 I 550+ Pages I Verified Q&A with Rationales

TEST BANK
h

,Chapterh01:hCaringhforhMedical-SurgicalhPatients
Stromberg:hMedical-SurgicalhNursing:hConceptshandhPractice,h5thhEdition



MULTIPLEhCHOICE

1. Whichhstatementhaccuratelyhdescribeshthehprimaryhpurposehofhthehstatehnu
rsehpracticehacth(NPA)?
a. TohtesthandhlicensehLPN/LVNs
b. TohdefinehthehscopehofhLPN/LVNhpractice
c. TohimprovehthehqualityhofhcarehprovidedhbyhthehLPN/LVN
d. TohlimiththehLPN/LVNhemploymenthplacement
ANS:hB
WhilehimprovinghqualityhofhcarehprovidedhbyhthehLPN/LVNhmayhbehahre
sulthofhthehNPA,hthehprimarypurposehofhthehNPAhofheachhstatehdefineshth
ehscopehofhnursinghpracticehinhthathstate.

DIF: CognitivehLevel:hComprehension REF:h p.h3
OBJ:h3hTOP:h NPA
KEY:hNursinghProcesshStep:hImplementationh MSC:hNCLEX:hS
afe,hEffectivehCarehEnvironment:hCoordinatedhCare

2. Thehchargehnursehaskshthehnewhvocationalhnursehtohstarthanhintravenoushinfusion,hahskillhthaththehvo
cationalhnursehhashnothbeenhtaughthduringhherheducationalhprogram.hHowhshouldhthehvocationalhnurs
ehrespond?
a. Askhahmorehexperiencedhnursehtohdemonstratehthehprocedure.
b. Lookhuphthehprocedurehinhthehprocedurehmanual.
c. Attempthtohperformhthehprocedurehwithhsupervision.
d. Informhthehchargehnursehofhherhlackhofhtraininghinhthishprocedure.
ANS:hD
Thehchargehnursehshouldhbehinformedhofhthehlackhofhtraininghtohperformhthehprocedure,handhthehvo
cationalhnursehshouldhseekhfurtherhtraininghtohgainhproficiency.hAlthoughhthehotherhoptionshmighthb
ehhelpful,htheyharehnothsafe.

DIF: CognitivehLevel:hApplication REF:h p.h3
OBJ:h1hTOP:h ProvidinghSafehCare
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hSafe,hEffectivehCa
rehEnvironment:hCoordinatedhCare

3. Whichhpatienthstatementhindicateshahneedhforhfurtherhdischargehteachinghthaththehvocationalhn
ursehshouldhaddress?
a. "Ihhavehnohideahofhhowhthishdrughwillhaffecthme."
b. "Dohyouhknowhifhmyhphysicianhishcominghbackhtoday?"
c. "Willhmyhinsurancehpayhforhmyhstay?"
d. "AmhIhgoinghtohhavehtohgohtohahnursinghhome?"
ANS:hA
Lackhofhknowledgehathdischargehabouthmedicationheffectshandhsideheffectshishahconcernhthathshouldh
behaddressedhbyhthehvocationalhnurse.hThehotherhconcernshinhthehoptionsharehthehresponsibilityhofho
therhdepartmentshtohwhichhthehnursehmighthreferhthehpatient.

DIF: CognitivehLevel:hApplication REF:h p.h2
OBJ:h1hTOP:h Teaching
KEY:hNursinghProcesshStep:hImplementationh MSC:hNCLEX:hS
afe,hEffectivehCarehEnvironment:hCoordinatedhCare

,4. AccordinghtohmosthstatehNPAs,hthehvocationalhnursehactinghashchargehnursehinhahlong-
termhcarehfacilityhactshinhwhichhcapacity?
a. WorkinghunderhdirecthsupervisionhofhanhRNhonhthehunit
b. WorkinghwithhthehRNhinhthehbuilding
c. WorkinghunderhgeneralhsupervisionhbyhthehRNhavailablehonhsitehorhbyhphone
d. Workinghashanhindependenthvocationalhnurse
ANS:hC
Thehvocationalhnursehinhthehcapacityhofhthehchargehnursehinhahlong-
termhcarehfacilityhactshwithhthehgeneralhsupervisionhofhanhRNhavailablehonhsitehorhbyhphone.

DIF: CognitivehLevel:hComprehension REF:h p.h3
OBJ:h1hTOP:h ChargehNurse/Manager
KEY:hNursinghProcesshStep:hN/AhMSC:hNCLEX:hSafe,hEffectivehCa
rehEnvironment:hCoordinatedhCare

5. Thehnursehisheducatinghahpatienththathishahmemberhofhahhealthhmaintenancehorganizationh(HMO).hW
hichhinformationhshouldhthehnursehinclude?
a. Seekhthehopinionhofhanhalternatehhealthhcarehprovider.
b. Contacththehinsurancehcompanyhforhcoveragehdetailshashserviceshmayhbehlimited.
c. Providehdetailedhdocumentationhofhallhcarehreceivedhforhhishcondition.
d. Waithathleasth6hmonthshtohseehahspecialist.
ANS:hB
HMOsharehahkindhofhmanagedhcare.hThishishaccomplishedhbyhpayinghprovidershtohcarehforhgrou
pshofhpatientshforhahsethcapitationhfeehandhbyhlimitinghservices.hPatientsharehnothrequiredhtohseek
hahsecondhopinion,hprovidehdocumentationhofhcare,horhwaithahspecifichtimehperiodhbeforehvisitin
ghahspecialist.

DIF:h h CognitivehLevel:hApplication REF:h h p.h9 OBJ:h 9
TOP:h ChargehNurse/Manager
KEY:hNursinghProcesshStep:hImplementatio
nhMSC:hNCLEX:hSafe,hEffectivehCarehEnvironment:hCoordinatedhCare

6. Thehpatienthcomplainshtohthehnursehthathhehishconfusedhabouthhish"deductible"hthathhehoweshthehhos
pital.hWhichhstatementhaccuratelyhexplainshahdeductible?
a. Anhamounthofhmoneyhputhasidehforhthehpaymenthofhfuturehmedicalhbills
b. Ahone-timehfeehforhservice
c. Anhamounthofhmoneyhdeductedhfromhthehbillhbyhthehinsurancehcompany
d. Anhannualhamounthofhmoneyhthehpatienthmusthpayhout-of-pockethforhmedicalhcare
ANS:hD
Thehdeductiblehishthehannualhamounththehinsuredhmusthpayhout-of-
pockethpriorhtohthehinsurancehcompanyhassuminghthehcost.hThishpracticehimproveshthehprofithofhtheh
insurancehcompany.

DIF:h h CognitivehLevel:hComprehensionh h REF:h h p.h7 OBJ:h 9
TOP:h HealthhCarehFinancing
KEY:hNursinghProcesshStep:hImplementatio
nhMSC:hNCLEX:hSafe,hEffectivehCarehEnvironment:hCoordinatedhCare

7. AhpatienthaskshthehnursehwhathMedicarehParthAhcovers.hWhichhresponsehishcorrect?
a. MedicarehParthAhcovershinpatienthhospitalhcosts.
b. MedicarehParthAhcovershreimbursementhtohthehphysician.
c. MedicarehParthAhcovershoutpatienthhospitalhservices.
d. MedicarehParthAhcovershambulancehtransportation.
ANS:hA
MedicarehParthAhcovershinpatienthhospitalhexpenses,hdrugs,hx-
rays,hlaboratoryhwork,handhintensivehcare.hMedicarehParthBhpayshthehphysician,hambulancehtransport
,handhoutpatienthservices.

, DIF: CognitivehLevel:hComprehension REF:hp.h8,hBoxh1-4
OBJ:h 9 TOP:hGovernment-
SponsoredhHealthhInsurancehKEY:hNursinghProcesshStep:hImplemen
tation
MSC:hNCLEX:hSafe,hEffectivehCarehEnvironment:hCoordinatedhCare

8. Whichhishthehmainhcost-containmenthcomponenthofhdiagnosis-relatedhgroupsh(DRGs)?
a. Hospitalshfocushonlyhonhthehspecifichdiagnosis.
b. Hospitalshtreath andhdischargehpatientshquickly.
c. Reducedhcosthdrugsharehorderedhforhspecifichdiagnoses.
d. Diagnostichgrouphclassificationhstreamlineshcare.
ANS:hB
DRGsharehahprospectivehpaymenthplanhinhwhichhhospitalshreceivehahflathfeehforheachhpatient'shdiagn
ostichcategoryhregardlesshofhthehlengthhofhtimehinhthehhospital.hIfhhospitalshcanhtreathandhdischargeh
patientshbeforehthehallottedhtime,hhospitalshgethtohkeephthehexcesshpayment;hcosthishcontained,handht
hehpatienthishdischargedhsooner.

DIF: CognitivehLevel:hComprehension REF:h p.h8
OBJ:h9hTOP:hGovernment-SponsoredhHealthhInsurance
KEY:hNursinghProcesshStep:hImplementation
MSC:hNCLEX:hSafe,hEffectivehCarehEnvironment:hCoordinatedhCare

9. Thehnursehishassessinghahgrouphofhpatients.hWhichhpatienthwouldhmosthlikelyhqualifyhforhMedicaid?
a. Ah35-year-oldhunemployedhsinglehmotherhwithhdiabetes
b. Ah70-year-oldhMedicarehrecipienthwithhretirementhincomehwhohneedshtohbehinhahlong-
termhcarehfacility
c. Anh80-year-
oldhblindhwomanhlivinghinhherhownhhomehwhohhashinadequatehprivatehinsuranc
e
d. Ah67-year-oldhstrokehvictimhwithhMedicarehParthAhandhanhincomehfromhinvestments
ANS:hA
Medicaidhishahjointhefforthofhfederalhandhstatehgovernmentshgearedhprimarilyhforhlow-
incomehpeoplehwithhnohinsurance.

DIF: CognitivehLevel:hApplication REF:hp.h8,hBoxh1-5
OBJ:h 9 TOP:hGovernment-SponsoredhHealthhInsurance—
MedicaidhKEY:hNursinghProcesshStep:hAssessment
MSC:hNCLEX:hSafe,hEffectivehCarehEnvironment:hCoordinatedhCare

10. WhichhareahishthehmajorhfocushofhHealthyhPeopleh2020handhthehprimaryhmechanismhthroughhwhic
hhtohimprovehthehhealthhofhAmericanshinhthehsecondhdecadehofhthehcentury?
a. Researchhfunding
b. Healthhinformationh distribution
c. Healthyhlifestyleh encouragement
d. Healthhimprovementh programhdesigns
ANS:hC
HealthyhPeopleh2020hfocuseshonhexpandinghongoinghprogramshtohincludehsupporthandhinformationht
ohreducehinfanthmortality,hcancer,hcardiovascularhdisease,handhHIV/AIDS,handhtohincreaseheffective
himmunizations,hhealthyheatinghhabits,handhhealthyhweight.


DIF: CognitivehLevel:hComprehension REF:h h p.h6 OBJ:h 7
TOP:h HealthyhPeopleh2020
KEY:hNursinghProcesshStep:hImplementatio
nhMSC:hNCLEX:hSafe,hEffectivehCarehEnvironment:hCoordinatedhCare