Test Bank For Dewits Medical Surgical Nursing Concepts And Practice 4th Edition Stromberg
TABLE OF CONTENT
Unit I: Medical-Surgical Nursing Settings
Chapter 1. Caring for Medical-Surgical Patients
Chapter 2. Critical Thinking and the Nursing Process
Unit II: Medical-Surgical Patient Care Problems
Chapter 3. Fluid, Electrolytes, Acid-Base Balance, and Intravenous
Therapy
Chapter 4. Care of Preoperative and Intraoperative Surgical
patients
Chapter 5. Care of Postoperative Surgical Patients
Chapter 6. Infection Prevention and Control
Chapter 7. Care of Patients with Pain
Chapter 8. Care of Patients with Cancer
Chapter 9. Chronic Illness and Rehabilitation
Unit III: Immune System
Chapter 10. The Immune and Lymphatic Systems
Chapter 11. Care of Patients with Immune and Lymphatic Disorders
Unit IV: Respiratory System
Chapter 12. The Respiratory System
Chapter 13. Care of Patients with Disorders of the Upper Respiratory System
Chapter 14. Care of Patients with Disorders of the Lower Respiratory System
Unit V: Hematologic System
Chapter 15. The Hematologic System
Chapter 16. Care of Patients with Hematologic Disorders
Unit VI: Cardiovascular System
Chapter 17. The Cardiovascular System
Chapter 18. Care of Patients with Hypertension and Peripheral Vascular Disease
Chapter 19. Care of Patients with Cardiac Disorders
Chapter 20. Care of Patients with Coronary Artery Disease and Cardiac Surgery
Unit VII: Neurologic System
Chapter 21. The Neurologic System
Chapter 22. Care of Patients with Head and Spinal Cord Injuries
Chapter 23. Care of Patients with Brain Disorders
Chapter 24. Care of Patients with Peripheral Nerve and Degenerative Neurologic Disorders
Unit VIII: Sensory System
Chapter 25. The Sensory System: Eye
Chapter 26. The Sensory System: Ear
,Unit IX: Gastrointestinal System
Chapter 27. The Gastrointestinal System
Chapter 28. Care of Patients with Disorders of the Upper Gastrointestinal System
Chapter 29. Care of Patients with Disorders of the Lower Gastrointestinal System
Chapter 30. Care of Patients with Disorders of the Gallbladder, Liver, and Pancreas
Unit X: Musculoskeletal System
Chapter 31. The Musculoskeletal System
Chapter 32. Care of Patients with Musculoskeletal and Connective Tissue Disorders
Unit XI: Urinary System
Chapter 33. The Urinary System
Chapter 34. Care of Patients with Disorders of the Urinary System
Unit XII: Endocrine System
Chapter 35. The Endocrine System
Chapter 36. Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
Chapter 37. Care of Patients with Diabetes and Hypoglycemia
Unit XIII: Reproductive System
Chapter 38. NEW! Normal Male and Female Reproductive System Findings
Chapter 39. Care of Women with Reproductive Disorders
Chapter 40. Care of Men with Reproductive Disorders
Chapter 41. Care of Patients with Sexually Transmitted Infections
Unit XIV: Integumentary System
Chapter 42. The Integumentary System
Chapter 43. Care of Patents with Integumentary Disorders and Burns
Unit XV: Emergency and Disaster Management
Chapter 44. Care of Patients in Disasters or Bioterrorism Attack
Chapter 45. Care of Patients with Emergent Conditions, Trauma, and Shock
Unit XVI: Mental Health Nursing of the Adult
Chapter 46. Care of Patients with Cognitive Function Disorders
Chapter 47. Care of Patients with Anxiety, Mood, and Eating Disorders
Chapter 48. Care of Patients with Substance-Related and Addictive Disorders
Chapter 49. Care of Patients with Thought and Personality Disorders
,Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 4th 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 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.
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
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 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: Nursing Process Step: N/A MSC:
NCLEX: Safe, Effective Care Environment: Coordinated Care
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 REF: 9 OBJ: 9
TOP: 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
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
TABLE OF CONTENT
Unit I: Medical-Surgical Nursing Settings
Chapter 1. Caring for Medical-Surgical Patients
Chapter 2. Critical Thinking and the Nursing Process
Unit II: Medical-Surgical Patient Care Problems
Chapter 3. Fluid, Electrolytes, Acid-Base Balance, and Intravenous
Therapy
Chapter 4. Care of Preoperative and Intraoperative Surgical
patients
Chapter 5. Care of Postoperative Surgical Patients
Chapter 6. Infection Prevention and Control
Chapter 7. Care of Patients with Pain
Chapter 8. Care of Patients with Cancer
Chapter 9. Chronic Illness and Rehabilitation
Unit III: Immune System
Chapter 10. The Immune and Lymphatic Systems
Chapter 11. Care of Patients with Immune and Lymphatic Disorders
Unit IV: Respiratory System
Chapter 12. The Respiratory System
Chapter 13. Care of Patients with Disorders of the Upper Respiratory System
Chapter 14. Care of Patients with Disorders of the Lower Respiratory System
Unit V: Hematologic System
Chapter 15. The Hematologic System
Chapter 16. Care of Patients with Hematologic Disorders
Unit VI: Cardiovascular System
Chapter 17. The Cardiovascular System
Chapter 18. Care of Patients with Hypertension and Peripheral Vascular Disease
Chapter 19. Care of Patients with Cardiac Disorders
Chapter 20. Care of Patients with Coronary Artery Disease and Cardiac Surgery
Unit VII: Neurologic System
Chapter 21. The Neurologic System
Chapter 22. Care of Patients with Head and Spinal Cord Injuries
Chapter 23. Care of Patients with Brain Disorders
Chapter 24. Care of Patients with Peripheral Nerve and Degenerative Neurologic Disorders
Unit VIII: Sensory System
Chapter 25. The Sensory System: Eye
Chapter 26. The Sensory System: Ear
,Unit IX: Gastrointestinal System
Chapter 27. The Gastrointestinal System
Chapter 28. Care of Patients with Disorders of the Upper Gastrointestinal System
Chapter 29. Care of Patients with Disorders of the Lower Gastrointestinal System
Chapter 30. Care of Patients with Disorders of the Gallbladder, Liver, and Pancreas
Unit X: Musculoskeletal System
Chapter 31. The Musculoskeletal System
Chapter 32. Care of Patients with Musculoskeletal and Connective Tissue Disorders
Unit XI: Urinary System
Chapter 33. The Urinary System
Chapter 34. Care of Patients with Disorders of the Urinary System
Unit XII: Endocrine System
Chapter 35. The Endocrine System
Chapter 36. Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
Chapter 37. Care of Patients with Diabetes and Hypoglycemia
Unit XIII: Reproductive System
Chapter 38. NEW! Normal Male and Female Reproductive System Findings
Chapter 39. Care of Women with Reproductive Disorders
Chapter 40. Care of Men with Reproductive Disorders
Chapter 41. Care of Patients with Sexually Transmitted Infections
Unit XIV: Integumentary System
Chapter 42. The Integumentary System
Chapter 43. Care of Patents with Integumentary Disorders and Burns
Unit XV: Emergency and Disaster Management
Chapter 44. Care of Patients in Disasters or Bioterrorism Attack
Chapter 45. Care of Patients with Emergent Conditions, Trauma, and Shock
Unit XVI: Mental Health Nursing of the Adult
Chapter 46. Care of Patients with Cognitive Function Disorders
Chapter 47. Care of Patients with Anxiety, Mood, and Eating Disorders
Chapter 48. Care of Patients with Substance-Related and Addictive Disorders
Chapter 49. Care of Patients with Thought and Personality Disorders
,Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 4th 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 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.
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
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 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: Nursing Process Step: N/A MSC:
NCLEX: Safe, Effective Care Environment: Coordinated Care
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 REF: 9 OBJ: 9
TOP: 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
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
