TEST BANK
Dewit’s Medical-Surgical Nursing: Concepts and
Practice, 6th Edition
by Holly K. Stromberg
wis
epr
of
wiseprof
,Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 6th Edition
MULTIPLE CHOICE
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.
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary purpose of
wis
the NPA of each state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
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.
epr
c. Attempt to perform the procedure with supervision.
d. Inform the charge nurse of her lack of training in this
procedure.
ANS: 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.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step:
N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
of
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.”
b. “Do you know if my physician is coming back
today?”
c. “Will my insurance pay for my stay?”
d. “Am I going to have to go to a nursing home?”
ANS: 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.
PTS: 1 DIF: Cognitive Level: Application REF: 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
wiseprof
,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
ANS: 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursin Process Step:
g N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
wis
epr
of
wiseprof
, 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. Obtain insurance approval for medical services prior to
treatment.
c. Provide detailed documentation of all care received for his
condition.
d. Wait at least 6 months to see a specialist.
ANS: B
Most HMOs require preprocedure authorization for treatment. Patients are not required to seek a second
opinion, provide documentation of care, or wait a specific time period before visiting a specialist.
PTS: 1 DIF: Cognitive Level: Application 9
REF:
OBJ: 9 TOP:
wis
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
epr
ANS: 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 7
OBJ: 9 TOP: Health Care Financing
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
7. The nurse compares the characteristics of a health maintenance organization (HMO) and a
preferred provider organization (PPO). Which information should the nurse include about HMOs?
a. HMOs require a set fee of each member monthly.
of
b. HMOs allow the member to select his health care
provider.
c. HMOs permit admission to any facility the member
prefers.
d. HMOs offer unlimited diagnostic tests and
treatments.
ANS: A
HMOs require a set fee from each member monthly (capitation). The patient will be treated by the HMO staff in
HMO-approved facilities. Excessive use of diagnostic tests and treatments is discouraged by the HMO.
PTS: 1 DIF: Cognitive Level: Application 9
REF:
OBJ: 9 TOP: Managed Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. 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.
wiseprof
Dewit’s Medical-Surgical Nursing: Concepts and
Practice, 6th Edition
by Holly K. Stromberg
wis
epr
of
wiseprof
,Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 6th Edition
MULTIPLE CHOICE
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.
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary purpose of
wis
the NPA of each state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
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.
epr
c. Attempt to perform the procedure with supervision.
d. Inform the charge nurse of her lack of training in this
procedure.
ANS: 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.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step:
N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
of
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.”
b. “Do you know if my physician is coming back
today?”
c. “Will my insurance pay for my stay?”
d. “Am I going to have to go to a nursing home?”
ANS: 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.
PTS: 1 DIF: Cognitive Level: Application REF: 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
wiseprof
,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
ANS: 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursin Process Step:
g N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
wis
epr
of
wiseprof
, 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. Obtain insurance approval for medical services prior to
treatment.
c. Provide detailed documentation of all care received for his
condition.
d. Wait at least 6 months to see a specialist.
ANS: B
Most HMOs require preprocedure authorization for treatment. Patients are not required to seek a second
opinion, provide documentation of care, or wait a specific time period before visiting a specialist.
PTS: 1 DIF: Cognitive Level: Application 9
REF:
OBJ: 9 TOP:
wis
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
epr
ANS: 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 7
OBJ: 9 TOP: Health Care Financing
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
7. The nurse compares the characteristics of a health maintenance organization (HMO) and a
preferred provider organization (PPO). Which information should the nurse include about HMOs?
a. HMOs require a set fee of each member monthly.
of
b. HMOs allow the member to select his health care
provider.
c. HMOs permit admission to any facility the member
prefers.
d. HMOs offer unlimited diagnostic tests and
treatments.
ANS: A
HMOs require a set fee from each member monthly (capitation). The patient will be treated by the HMO staff in
HMO-approved facilities. Excessive use of diagnostic tests and treatments is discouraged by the HMO.
PTS: 1 DIF: Cognitive Level: Application 9
REF:
OBJ: 9 TOP: Managed Care
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
8. 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.
wiseprof
