,Chapter j01: jCaring jfor jMedical-Surgical jPatients
deWit: jMedical-Surgical jNursing: jConcepts j& jPractice, j3rd jEdition
MULTIPLE jCHOICE
1. Which jstatement jaccurately jdescribes jthe jprimary jpurpose jof jthe jstate jnurse jpractice jact j(NPA)?
a. To jtest jand jlicense jLPN/LVNs.
b. To jdefine jthe jscope jof jLPN/LVN jpractice.
c. To jimprove jthe jquality jof jcare jprovided jby jthe
jLPN/LVN.
d. To jlimit jthe jLPN/LVN jemployment jplacement.
ANS: B
While jimproving jquality jof jcare jprovided jby jthe jLPN/LVN jmay jbe ja jresult jof jthe jNPA, jthe jprimary jpurpose jof jthe
jNPA jof jeach jstate jdefines jthe jscope jof jnursing jpractice jin jthat jstate.
PTS: 1 DIF: Cognitive jLevel: jComprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing jProcess jStep:
jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
2. The jcharge jnurse jasks jthe jnew jvocational jnurse jto jstart jan jintravenous jinfusion, ja jskill jthat jthe jvocational
jnurse jhas jnotjbeen jtaught jduring jher jeducational jprogram. jHow jshould jthe jvocational jnurse jrespond?
a. Ask ja jmore jexperienced jnurse jto jdemonstrate jthe
jprocedure.
b. Look jup jthe jprocedure jin jthe jprocedure jmanual.
c. Attempt jto jperform jthe jprocedure jwith jsupervision.
d. Inform jthe jcharge jnurse jof jher jlack jof jtraining jin jthis
jprocedure.
ANS: D
The jcharge jnurse jshould jbe jinformed jof jthe jlack jof jtraining jto jperform jthe jprocedure, jand jthe jvocational jnurse
jshould jseek jfurther jtraining jto jgain jproficiency. jAlthough jthe jother joptions jmight jbe jhelpful, jthey jare jnot jsafe.
PTS: 1 DIF: Cognitive jLevel: jApplication j REF: 3
OBJ: 1 TOP: Providing jSafe jCare KEY: Nursing jProcess jStep:
jN/A
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
3. Which jpatient jstatement jindicates ja jneed jfor jfurther jdischarge jteaching jthat jthe jvocational jnurse jshould jaddress?
a. ―I jhave jno jidea jof jhow jthis jdrug jwill jaffect jme.‖
b. ―Do jyou jknow jif jmy jphysician jis jcoming jback
jtoday?‖
c. ―Will jmy jinsurance jpay jfor jmy jstay?‖
d. ―Am jI jgoing jto jhave jto jgo jto ja jnursing jhome?‖
ANS: A
Lack jof jknowledge jat jdischarge jabout jmedication jeffects jand jside jeffects jis ja jconcern jthat jshould jbe jaddressed jby
jthe jvocationaljnurse. jThe jother jconcerns jin jthe joptions jare jthe jresponsibility jof jother jdepartments jto jwhich jthe jnurse
jmight jrefer jthe jpatient.
PTS: 1 DIF: Cognitive jLevel: jApplication j j j REF: 2
OBJ: 1 TOP: Teaching j KEY: Nursing jProcess jStep:
jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
4. According jto jmost jstate jNPAs, jthe jvocational jnurse jacting jas jcharge jnurse jin ja jlong-term jcare jfacility
jacts jin jwhich jcapacity?
a. Working junder jdirect jsupervision jof jan jRN jon jthe junit
b. Working jwith jthe jRN jin jthe jbuilding
c. Working junder jgeneral jsupervision jby jthe jRN javailable jon jsite jor jby
jphone
d. Working jas jan jindependent jvocational jnurse
ANS: C
The jvocational jnurse jin jthe jcapacity jof jthe jcharge jnurse jin ja jlong-term jcare jfacility jacts jwith jthe jgeneral jsupervision
jof jan jRN javailable jon jsite jor jby jphone.
PTS: 1 DIF: Cognitive jLevel: jComprehension REF: 2
OBJ: 1 TOP: Charge jNurse/Manager KEY: Nursing Process jStep:
jN/A
,MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
, 5. The jnurse jis jeducating ja jpatient jthat jis ja jmember jof ja jhealth jmaintenance jorganization j(HMO). jWhich
jinformationjshould jthe jnurse jinclude?
a. Seek jthe jopinion jof jan jalternate jhealth jcare jprovider.
b. Obtain jinsurance japproval jfor jmedical jservices jprior jto
jtreatment.
c. Provide jdetailed jdocumentation jof jall jcare jreceived jfor jhis
jcondition.
d. Wait jat jleast j6 jmonths jto jsee ja jspecialist.
ANS: B
Most jHMOs jrequire jpreprocedure jauthorization jfor jtreatment. jPatients jare jnot jrequired jto jseek ja jsecond jopinion,
jprovide jdocumentation jof jcare, jor jwait ja jspecific jtime jperiod jbefore jvisiting ja jspecialist.
PTS: 1 DIF: Cognitive jLevel: jApplication j REF: 9
OBJ: 9 TOP: Charge jNurse/Manager
KEY: Nursing jProcess jStep: jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
6. The jpatient jcomplains jto jthe jnurse jthat jhe jis jconfused jabout jhis j―deductible‖ jthat jhe jowes jthe
jhospital. jWhichjstatement jaccurately jexplains ja jdeductible?
a. An jamount jof jmoney jput jaside jfor jthe jpayment jof jfuture jmedical jbills
b. A jone-time jfee jfor jservice
c. An jamount jof jmoney jdeducted jfrom jthe jbill jby jthe jinsurance jcompany
d. An jannual jamount jof jmoney jthe jpatient jmust jpay jout-of-pocket jfor
jmedical jcare
ANS: D
The jdeductible jis jthe jannual jamount jthe jinsured jmust jpay jout-of-pocket jprior jto jthe jinsurance jcompany jassuming jthe
jcost. jThis jpractice jimproves jthe jprofit jof jthe jinsurance jcompany.
PTS: 1 DIF: Cognitive jLevel: jComprehension REF: 7
OBJ: 9 TOP: Health jCare jFinancing
KEY: Nursing jProcess jStep: jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
7. The jnurse jcompares jthe jcharacteristics jof ja jhealth jmaintenance jorganization j(HMO) jand ja jpreferred
jproviderjorganization j(PPO). jWhich jinformation jshould jthe jnurse jinclude jabout jHMOs?
a. HMOs jrequire ja jset jfee jof jeach jmember jmonthly.
b. HMOs jallow jthe jmember jto jselect jhis jhealth jcare
jprovider.
c. HMOs jpermit jadmission jto jany jfacility jthe jmember
jprefers.
d. HMOs joffer junlimited jdiagnostic jtests jand jtreatments.
ANS: A
HMOs jrequire ja jset jfee jfrom jeach jmember jmonthly j(capitation). jThe jpatient jwill jbe jtreated jby jthe jHMO jstaff jin
jHMO-approved jfacilities. jExcessive juse jof jdiagnostic jtests jand jtreatments jis jdiscouraged jby jthe jHMO.
PTS: 1 DIF: Cognitive jLevel: jApplication j REF: 9
OBJ: 9 TOP: Managed jCare
KEY: Nursing jProcess jStep: jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
8. A jpatient jasks jthe jnurse jwhat jMedicare jPart jA jcovers. jWhich jresponse jis jcorrect?
a. Medicare jPart jA jcovers jinpatient jhospital jcosts.
b. Medicare jPart jA jcovers jreimbursement jto jthe
jphysician.
c. Medicare jPart jA jcovers joutpatient jhospital jservices.
d. Medicare jPart jA jcovers jambulance jtransportation.
ANS: A
Medicare jPart jA jcovers jinpatient jhospital jexpenses, jdrugs, jx-rays, jlaboratory jwork, jand jintensive jcare. jMedicare jPart
jB jpays jthe jphysician, jambulance jtransport, jand joutpatient jservices.
PTS: 1 DIF: Cognitive jLevel: jComprehension REF: 7, jBox j1-
4
OBJ: 9 TOP: Government-Sponsored jHealth
jInsurance
KEY: Nursing jProcess jStep: jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
deWit: jMedical-Surgical jNursing: jConcepts j& jPractice, j3rd jEdition
MULTIPLE jCHOICE
1. Which jstatement jaccurately jdescribes jthe jprimary jpurpose jof jthe jstate jnurse jpractice jact j(NPA)?
a. To jtest jand jlicense jLPN/LVNs.
b. To jdefine jthe jscope jof jLPN/LVN jpractice.
c. To jimprove jthe jquality jof jcare jprovided jby jthe
jLPN/LVN.
d. To jlimit jthe jLPN/LVN jemployment jplacement.
ANS: B
While jimproving jquality jof jcare jprovided jby jthe jLPN/LVN jmay jbe ja jresult jof jthe jNPA, jthe jprimary jpurpose jof jthe
jNPA jof jeach jstate jdefines jthe jscope jof jnursing jpractice jin jthat jstate.
PTS: 1 DIF: Cognitive jLevel: jComprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing jProcess jStep:
jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
2. The jcharge jnurse jasks jthe jnew jvocational jnurse jto jstart jan jintravenous jinfusion, ja jskill jthat jthe jvocational
jnurse jhas jnotjbeen jtaught jduring jher jeducational jprogram. jHow jshould jthe jvocational jnurse jrespond?
a. Ask ja jmore jexperienced jnurse jto jdemonstrate jthe
jprocedure.
b. Look jup jthe jprocedure jin jthe jprocedure jmanual.
c. Attempt jto jperform jthe jprocedure jwith jsupervision.
d. Inform jthe jcharge jnurse jof jher jlack jof jtraining jin jthis
jprocedure.
ANS: D
The jcharge jnurse jshould jbe jinformed jof jthe jlack jof jtraining jto jperform jthe jprocedure, jand jthe jvocational jnurse
jshould jseek jfurther jtraining jto jgain jproficiency. jAlthough jthe jother joptions jmight jbe jhelpful, jthey jare jnot jsafe.
PTS: 1 DIF: Cognitive jLevel: jApplication j REF: 3
OBJ: 1 TOP: Providing jSafe jCare KEY: Nursing jProcess jStep:
jN/A
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
3. Which jpatient jstatement jindicates ja jneed jfor jfurther jdischarge jteaching jthat jthe jvocational jnurse jshould jaddress?
a. ―I jhave jno jidea jof jhow jthis jdrug jwill jaffect jme.‖
b. ―Do jyou jknow jif jmy jphysician jis jcoming jback
jtoday?‖
c. ―Will jmy jinsurance jpay jfor jmy jstay?‖
d. ―Am jI jgoing jto jhave jto jgo jto ja jnursing jhome?‖
ANS: A
Lack jof jknowledge jat jdischarge jabout jmedication jeffects jand jside jeffects jis ja jconcern jthat jshould jbe jaddressed jby
jthe jvocationaljnurse. jThe jother jconcerns jin jthe joptions jare jthe jresponsibility jof jother jdepartments jto jwhich jthe jnurse
jmight jrefer jthe jpatient.
PTS: 1 DIF: Cognitive jLevel: jApplication j j j REF: 2
OBJ: 1 TOP: Teaching j KEY: Nursing jProcess jStep:
jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
4. According jto jmost jstate jNPAs, jthe jvocational jnurse jacting jas jcharge jnurse jin ja jlong-term jcare jfacility
jacts jin jwhich jcapacity?
a. Working junder jdirect jsupervision jof jan jRN jon jthe junit
b. Working jwith jthe jRN jin jthe jbuilding
c. Working junder jgeneral jsupervision jby jthe jRN javailable jon jsite jor jby
jphone
d. Working jas jan jindependent jvocational jnurse
ANS: C
The jvocational jnurse jin jthe jcapacity jof jthe jcharge jnurse jin ja jlong-term jcare jfacility jacts jwith jthe jgeneral jsupervision
jof jan jRN javailable jon jsite jor jby jphone.
PTS: 1 DIF: Cognitive jLevel: jComprehension REF: 2
OBJ: 1 TOP: Charge jNurse/Manager KEY: Nursing Process jStep:
jN/A
,MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
, 5. The jnurse jis jeducating ja jpatient jthat jis ja jmember jof ja jhealth jmaintenance jorganization j(HMO). jWhich
jinformationjshould jthe jnurse jinclude?
a. Seek jthe jopinion jof jan jalternate jhealth jcare jprovider.
b. Obtain jinsurance japproval jfor jmedical jservices jprior jto
jtreatment.
c. Provide jdetailed jdocumentation jof jall jcare jreceived jfor jhis
jcondition.
d. Wait jat jleast j6 jmonths jto jsee ja jspecialist.
ANS: B
Most jHMOs jrequire jpreprocedure jauthorization jfor jtreatment. jPatients jare jnot jrequired jto jseek ja jsecond jopinion,
jprovide jdocumentation jof jcare, jor jwait ja jspecific jtime jperiod jbefore jvisiting ja jspecialist.
PTS: 1 DIF: Cognitive jLevel: jApplication j REF: 9
OBJ: 9 TOP: Charge jNurse/Manager
KEY: Nursing jProcess jStep: jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
6. The jpatient jcomplains jto jthe jnurse jthat jhe jis jconfused jabout jhis j―deductible‖ jthat jhe jowes jthe
jhospital. jWhichjstatement jaccurately jexplains ja jdeductible?
a. An jamount jof jmoney jput jaside jfor jthe jpayment jof jfuture jmedical jbills
b. A jone-time jfee jfor jservice
c. An jamount jof jmoney jdeducted jfrom jthe jbill jby jthe jinsurance jcompany
d. An jannual jamount jof jmoney jthe jpatient jmust jpay jout-of-pocket jfor
jmedical jcare
ANS: D
The jdeductible jis jthe jannual jamount jthe jinsured jmust jpay jout-of-pocket jprior jto jthe jinsurance jcompany jassuming jthe
jcost. jThis jpractice jimproves jthe jprofit jof jthe jinsurance jcompany.
PTS: 1 DIF: Cognitive jLevel: jComprehension REF: 7
OBJ: 9 TOP: Health jCare jFinancing
KEY: Nursing jProcess jStep: jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
7. The jnurse jcompares jthe jcharacteristics jof ja jhealth jmaintenance jorganization j(HMO) jand ja jpreferred
jproviderjorganization j(PPO). jWhich jinformation jshould jthe jnurse jinclude jabout jHMOs?
a. HMOs jrequire ja jset jfee jof jeach jmember jmonthly.
b. HMOs jallow jthe jmember jto jselect jhis jhealth jcare
jprovider.
c. HMOs jpermit jadmission jto jany jfacility jthe jmember
jprefers.
d. HMOs joffer junlimited jdiagnostic jtests jand jtreatments.
ANS: A
HMOs jrequire ja jset jfee jfrom jeach jmember jmonthly j(capitation). jThe jpatient jwill jbe jtreated jby jthe jHMO jstaff jin
jHMO-approved jfacilities. jExcessive juse jof jdiagnostic jtests jand jtreatments jis jdiscouraged jby jthe jHMO.
PTS: 1 DIF: Cognitive jLevel: jApplication j REF: 9
OBJ: 9 TOP: Managed jCare
KEY: Nursing jProcess jStep: jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
8. A jpatient jasks jthe jnurse jwhat jMedicare jPart jA jcovers. jWhich jresponse jis jcorrect?
a. Medicare jPart jA jcovers jinpatient jhospital jcosts.
b. Medicare jPart jA jcovers jreimbursement jto jthe
jphysician.
c. Medicare jPart jA jcovers joutpatient jhospital jservices.
d. Medicare jPart jA jcovers jambulance jtransportation.
ANS: A
Medicare jPart jA jcovers jinpatient jhospital jexpenses, jdrugs, jx-rays, jlaboratory jwork, jand jintensive jcare. jMedicare jPart
jB jpays jthe jphysician, jambulance jtransport, jand joutpatient jservices.
PTS: 1 DIF: Cognitive jLevel: jComprehension REF: 7, jBox j1-
4
OBJ: 9 TOP: Government-Sponsored jHealth
jInsurance
KEY: Nursing jProcess jStep: jImplementation
MSC: NCLEX: jSafe, jEffective jCare jEnvironment: jCoordinated jCare
