Test Bank Fors s
Dewits Medical Surgical Nursing Concep
s s s s
ts and Practice
s s
4th Edition b
s s
y
Holly Stromberg
s
,Chapter 01: Caring for Medical-Surgical Patients
s s s s s
deWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
s s s s s s s
MULTIPLEsCHOICE
1. Whichsstatementsaccuratelysdescribessthesprimaryspurposesofsthesstatesnursespracticesacts(N
PA)?
a.TostestsandslicensesLPN/LVNs.
b.TosdefinesthesscopesofsLPN/LVNspractice.
c.TosimprovesthesqualitysofscaresprovidedsbysthesLPN/LVN.
d.ToslimitsthesLPN/LVNsemploymentsplacement.
ANS:s B
WhilesimprovingsqualitysofscaresprovidedsbysthesLPN/LVNsmaysbesasresultsofsthesNPA,sthesprimar
yspurposesofsthesNPAsofseachsstatesdefinessthesscopesofsnursingspracticesinsthatsstate.
PTS:s s 1 DIF: CognitivesLevel:sComprehension REF:s 2
OBJ:s 3 TOP:s NPA
KEY:sNursingsProcesssStep:sImplementationsMSC:s NCLEX:sSafe,s
EffectivesCaresEnvironment:sCoordinatedsCare
2. Theschargesnursesaskssthesnewsvocationalsnursestosstartsansintravenoussinfusion,sasskillsthatsthesvo
cationalsnurseshassnotsbeenstaughtsduringsherseducationalsprogram.sHowsshouldsthesvocationalsn
ursesrespond?
a. Asksasmoresexperiencedsnursestosdemonstratesthesprocedure.
b. Looksupsthesproceduresinsthesproceduresmanual.
c. Attemptstosperformsthesprocedureswithssupervision.
d. Informstheschargesnursesofsherslacksofstrainingsinsthissprocedure.
ANS:s D
Theschargesnursesshouldsbesinformedsofstheslacksofstrainingstosperformsthesprocedure,sandsthesvoc
ationalsnursesshouldsseeksfurtherstrainingstosgainsproficiency.sAlthoughsthesothersoptionssmights
beshelpful,stheysaresnotssafe.
PTS:s s 1 DIF: CognitivesLevel:sApplication REF:s 3
OBJ:s 1 TOP:s ProvidingsSafesCare
KEY:sNursingsProcesssStep:sN/AsMSC:s NCLEX:sSafe,sEffectivesCaresEnviron
ment:sCoordinatedsCare
3. Whichspatientsstatementsindicatessasneedsforsfurthersdischargesteachingsthatsthesvocationalsnu
rsesshouldsaddress?
a. ―Ishavesnosideasofshowsthissdrugswillsaffectsme.‖
b. ―Dosyousknowsifsmysphysiciansisscomingsbackstoday?‖
c. ―Willsmysinsurancespaysforsmysstay?‖
d. ―AmsIsgoingstoshavestosgostosasnursingshome?‖
ANS:s A
Lacksofsknowledgesatsdischargesaboutsmedicationseffectssandssideseffectssissasconcernsthatsshoulds
besaddressedsbysthesvocationalsnurse.sThesothersconcernssinsthesoptionssaresthesresponsibilitysofs
othersdepartmentsstoswhichsthesnursesmightsrefersthespatient.
PTS:s s 1 DIF: CognitivesLevel:sApplication REF:s 2
OBJ:s s 1 TOP:s Teaching KEY:s NursingsProcesssStep:sImplementation
, MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
4. AccordingstosmostsstatesNPAs,sthesvocationalsnursesactingsasschargesnursesinsaslong-
termscaresfacilitysactssinswhichscapacity?
a. WorkingsundersdirectssupervisionsofsansRNsonsthesunit
b. WorkingswithsthesRNsinsthesbuilding
c. WorkingsundersgeneralssupervisionsbysthesRNsavailablesonssitesorsbysphone
d. Workingsassansindependentsvocationalsnurse
ANS:s C
Thesvocationalsnursesinsthescapacitysofstheschargesnursesinsaslong-
termscaresfacilitysactsswithsthesgeneralssupervisionsofsansRNsavailablesonssitesorsbysphone.
PTS:s s 1 DIF: CognitivesLevel:sComprehension REF:s 2
OBJ:s 1 TOP:s ChargesNurse/Manager
KEY:sNursingsProcesssStep:sN/AsMSC:s NCLEX:sSafe,sEffectivesCaresEnviron
ment:sCoordinatedsCare
5. Thesnursesisseducatingsaspatientsthatsissasmembersofsashealthsmaintenancesorganizations(H
MO).sWhichsinformationsshouldsthesnursesinclude?
a. Seeksthesopinionsofsansalternateshealthscaresprovider.
b. Obtainsinsurancesapprovalsforsmedicalsservicesspriorstostreatment.
c. Providesdetailedsdocumentationsofsallscaresreceivedsforshisscondition.
d. Waitsatsleasts6smonthsstosseesasspecialist.
ANS:s B
MostsHMOssrequirespreproceduresauthorizationsforstreatment.sPatientssaresnotsrequiredstosseeksas
secondsopinion,sprovidesdocumentationsofscare,sorswaitsasspecificstimesperiodsbeforesvisitingsassp
ecialist.
PTS:s 1 DIF: CognitivesLevel:sApplication
REF:s9sOBJ:s 9
TOP:s ChargesNurse/Manager
KEY:sNursingsProcesssStep:sImplementation
MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
6. Thespatientscomplainsstosthesnursesthatshesissconfusedsaboutshiss―deductible‖sthatshesowesstheshos
pital.sWhichsstatementsaccuratelysexplainssasdeductible?
a. Ansamountsofsmoneysputsasidesforsthespaymentsofsfuturesmedicalsbills
b. Asone-timesfeesforsservice
c. Ansamountsofsmoneysdeductedsfromsthesbillsbysthesinsurancescompany
d. Ansannualsamountsofsmoneysthespatientsmustspaysout-of-pocketsforsmedicalscare
ANS:s D
Thesdeductiblesissthesannualsamountsthesinsuredsmustspaysout-of-
pocketspriorstosthesinsurancescompanysassumingsthescost.sThisspracticesimprovessthesprofitsofsthesinsuran
cescompany.
PTS:s 1 DIF: CognitivesLevel:sComprehension
REF:s7sOBJ:s 9
TOP:s HealthsCaresFinancing
KEY:sNursingsProcesssStep:sImplementation
MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
, 7. Thesnursescomparessthescharacteristicssofsashealthsmaintenancesorganizations(HMO)sandsaspr
eferredsprovidersorganizations(PPO).sWhichsinformationsshouldsthesnursesincludesaboutsHM
Os?
a. HMOssrequiresassetsfeesofseachsmembersmonthly.
b. HMOssallowsthesmemberstosselectshisshealthscaresprovider.
c. HMOsspermitsadmissionstosanysfacilitysthesmembersprefers.
d. HMOssoffersunlimitedsdiagnosticstestssandstreatments.
ANS:s A
HMOssrequiresassetsfeesfromseachsmembersmonthlys(capitation).sThespatientswillsbestreatedsbysthe
sHMOsstaffsinsHMO-
approvedsfacilities.sExcessivesusesofsdiagnosticstestssandstreatmentssissdiscouragedsbysthesHMO.
PTS:s 1 DIF: CognitivesLevel:sApplication
REF:s9sOBJ:s 9
TOP:sManagedsCare
KEY:sNursingsProcesssStep:sImplementation
MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
8. AspatientsaskssthesnurseswhatsMedicaresPartsAscovers.sWhichsresponsesisscorrect?
a. MedicaresPartsAscoverssinpatientshospitalscosts.
b. MedicaresPartsAscoverssreimbursementstosthesphysician.
c. MedicaresPartsAscoverssoutpatientshospitalsservices.
d. MedicaresPartsAscoverssambulancestransportation.
ANS:s A
MedicaresPartsAscoverssinpatientshospitalsexpenses,sdrugs,sx-
rays,slaboratoryswork,sandsintensivescare.sMedicaresPartsBspayssthesphysician,sambulancest
ransport,sandsoutpatientsservices.
PTS:s 1 DIF: CognitivesLevel:sComprehension REF:s7,sBoxs1-
4sOBJ:s 9 TOP:s Government-SponsoredsHealthsInsurance
KEY:sNursingsProcesssStep:sImplementation
MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
9. Whichsissthesmainscost-containmentscomponentsofsdiagnosis-relatedsgroupss(DRGs)?
a. Hospitalssfocussonlysonsthesspecificsdiagnosis.
b. Hospitalsstreatsandsdischargespatientssquickly.
c. Reducedscostsdrugssaresorderedsforsspecificsdiagnoses.
d. Diagnosticsgroupsclassificationsstreamlinesscare.
ANS:s B
DRGssaresasprospectivespaymentsplansinswhichshospitalssreceivesasflatsfeesforseachspatient’ssdia
gnosticscategorysregardlesssofstheslengthsofstimesinstheshospital.sIfshospitalsscanstreatsandsdischa
rgespatientssbeforesthesallottedstime,shospitalssgetstoskeepsthesexcessspayment;scostsisscontained
,sandsthespatientsissdischargedssooner.
PTS:s 1 DIF: CognitivesLevel:sComprehension
REF:s8sOBJ:s 9
TOP:sGovernment-
SponsoredsHealthsInsurancesKEY:s NursingsProcesssStep:sImplementation
MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
Dewits Medical Surgical Nursing Concep
s s s s
ts and Practice
s s
4th Edition b
s s
y
Holly Stromberg
s
,Chapter 01: Caring for Medical-Surgical Patients
s s s s s
deWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
s s s s s s s
MULTIPLEsCHOICE
1. Whichsstatementsaccuratelysdescribessthesprimaryspurposesofsthesstatesnursespracticesacts(N
PA)?
a.TostestsandslicensesLPN/LVNs.
b.TosdefinesthesscopesofsLPN/LVNspractice.
c.TosimprovesthesqualitysofscaresprovidedsbysthesLPN/LVN.
d.ToslimitsthesLPN/LVNsemploymentsplacement.
ANS:s B
WhilesimprovingsqualitysofscaresprovidedsbysthesLPN/LVNsmaysbesasresultsofsthesNPA,sthesprimar
yspurposesofsthesNPAsofseachsstatesdefinessthesscopesofsnursingspracticesinsthatsstate.
PTS:s s 1 DIF: CognitivesLevel:sComprehension REF:s 2
OBJ:s 3 TOP:s NPA
KEY:sNursingsProcesssStep:sImplementationsMSC:s NCLEX:sSafe,s
EffectivesCaresEnvironment:sCoordinatedsCare
2. Theschargesnursesaskssthesnewsvocationalsnursestosstartsansintravenoussinfusion,sasskillsthatsthesvo
cationalsnurseshassnotsbeenstaughtsduringsherseducationalsprogram.sHowsshouldsthesvocationalsn
ursesrespond?
a. Asksasmoresexperiencedsnursestosdemonstratesthesprocedure.
b. Looksupsthesproceduresinsthesproceduresmanual.
c. Attemptstosperformsthesprocedureswithssupervision.
d. Informstheschargesnursesofsherslacksofstrainingsinsthissprocedure.
ANS:s D
Theschargesnursesshouldsbesinformedsofstheslacksofstrainingstosperformsthesprocedure,sandsthesvoc
ationalsnursesshouldsseeksfurtherstrainingstosgainsproficiency.sAlthoughsthesothersoptionssmights
beshelpful,stheysaresnotssafe.
PTS:s s 1 DIF: CognitivesLevel:sApplication REF:s 3
OBJ:s 1 TOP:s ProvidingsSafesCare
KEY:sNursingsProcesssStep:sN/AsMSC:s NCLEX:sSafe,sEffectivesCaresEnviron
ment:sCoordinatedsCare
3. Whichspatientsstatementsindicatessasneedsforsfurthersdischargesteachingsthatsthesvocationalsnu
rsesshouldsaddress?
a. ―Ishavesnosideasofshowsthissdrugswillsaffectsme.‖
b. ―Dosyousknowsifsmysphysiciansisscomingsbackstoday?‖
c. ―Willsmysinsurancespaysforsmysstay?‖
d. ―AmsIsgoingstoshavestosgostosasnursingshome?‖
ANS:s A
Lacksofsknowledgesatsdischargesaboutsmedicationseffectssandssideseffectssissasconcernsthatsshoulds
besaddressedsbysthesvocationalsnurse.sThesothersconcernssinsthesoptionssaresthesresponsibilitysofs
othersdepartmentsstoswhichsthesnursesmightsrefersthespatient.
PTS:s s 1 DIF: CognitivesLevel:sApplication REF:s 2
OBJ:s s 1 TOP:s Teaching KEY:s NursingsProcesssStep:sImplementation
, MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
4. AccordingstosmostsstatesNPAs,sthesvocationalsnursesactingsasschargesnursesinsaslong-
termscaresfacilitysactssinswhichscapacity?
a. WorkingsundersdirectssupervisionsofsansRNsonsthesunit
b. WorkingswithsthesRNsinsthesbuilding
c. WorkingsundersgeneralssupervisionsbysthesRNsavailablesonssitesorsbysphone
d. Workingsassansindependentsvocationalsnurse
ANS:s C
Thesvocationalsnursesinsthescapacitysofstheschargesnursesinsaslong-
termscaresfacilitysactsswithsthesgeneralssupervisionsofsansRNsavailablesonssitesorsbysphone.
PTS:s s 1 DIF: CognitivesLevel:sComprehension REF:s 2
OBJ:s 1 TOP:s ChargesNurse/Manager
KEY:sNursingsProcesssStep:sN/AsMSC:s NCLEX:sSafe,sEffectivesCaresEnviron
ment:sCoordinatedsCare
5. Thesnursesisseducatingsaspatientsthatsissasmembersofsashealthsmaintenancesorganizations(H
MO).sWhichsinformationsshouldsthesnursesinclude?
a. Seeksthesopinionsofsansalternateshealthscaresprovider.
b. Obtainsinsurancesapprovalsforsmedicalsservicesspriorstostreatment.
c. Providesdetailedsdocumentationsofsallscaresreceivedsforshisscondition.
d. Waitsatsleasts6smonthsstosseesasspecialist.
ANS:s B
MostsHMOssrequirespreproceduresauthorizationsforstreatment.sPatientssaresnotsrequiredstosseeksas
secondsopinion,sprovidesdocumentationsofscare,sorswaitsasspecificstimesperiodsbeforesvisitingsassp
ecialist.
PTS:s 1 DIF: CognitivesLevel:sApplication
REF:s9sOBJ:s 9
TOP:s ChargesNurse/Manager
KEY:sNursingsProcesssStep:sImplementation
MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
6. Thespatientscomplainsstosthesnursesthatshesissconfusedsaboutshiss―deductible‖sthatshesowesstheshos
pital.sWhichsstatementsaccuratelysexplainssasdeductible?
a. Ansamountsofsmoneysputsasidesforsthespaymentsofsfuturesmedicalsbills
b. Asone-timesfeesforsservice
c. Ansamountsofsmoneysdeductedsfromsthesbillsbysthesinsurancescompany
d. Ansannualsamountsofsmoneysthespatientsmustspaysout-of-pocketsforsmedicalscare
ANS:s D
Thesdeductiblesissthesannualsamountsthesinsuredsmustspaysout-of-
pocketspriorstosthesinsurancescompanysassumingsthescost.sThisspracticesimprovessthesprofitsofsthesinsuran
cescompany.
PTS:s 1 DIF: CognitivesLevel:sComprehension
REF:s7sOBJ:s 9
TOP:s HealthsCaresFinancing
KEY:sNursingsProcesssStep:sImplementation
MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
, 7. Thesnursescomparessthescharacteristicssofsashealthsmaintenancesorganizations(HMO)sandsaspr
eferredsprovidersorganizations(PPO).sWhichsinformationsshouldsthesnursesincludesaboutsHM
Os?
a. HMOssrequiresassetsfeesofseachsmembersmonthly.
b. HMOssallowsthesmemberstosselectshisshealthscaresprovider.
c. HMOsspermitsadmissionstosanysfacilitysthesmembersprefers.
d. HMOssoffersunlimitedsdiagnosticstestssandstreatments.
ANS:s A
HMOssrequiresassetsfeesfromseachsmembersmonthlys(capitation).sThespatientswillsbestreatedsbysthe
sHMOsstaffsinsHMO-
approvedsfacilities.sExcessivesusesofsdiagnosticstestssandstreatmentssissdiscouragedsbysthesHMO.
PTS:s 1 DIF: CognitivesLevel:sApplication
REF:s9sOBJ:s 9
TOP:sManagedsCare
KEY:sNursingsProcesssStep:sImplementation
MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
8. AspatientsaskssthesnurseswhatsMedicaresPartsAscovers.sWhichsresponsesisscorrect?
a. MedicaresPartsAscoverssinpatientshospitalscosts.
b. MedicaresPartsAscoverssreimbursementstosthesphysician.
c. MedicaresPartsAscoverssoutpatientshospitalsservices.
d. MedicaresPartsAscoverssambulancestransportation.
ANS:s A
MedicaresPartsAscoverssinpatientshospitalsexpenses,sdrugs,sx-
rays,slaboratoryswork,sandsintensivescare.sMedicaresPartsBspayssthesphysician,sambulancest
ransport,sandsoutpatientsservices.
PTS:s 1 DIF: CognitivesLevel:sComprehension REF:s7,sBoxs1-
4sOBJ:s 9 TOP:s Government-SponsoredsHealthsInsurance
KEY:sNursingsProcesssStep:sImplementation
MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
9. Whichsissthesmainscost-containmentscomponentsofsdiagnosis-relatedsgroupss(DRGs)?
a. Hospitalssfocussonlysonsthesspecificsdiagnosis.
b. Hospitalsstreatsandsdischargespatientssquickly.
c. Reducedscostsdrugssaresorderedsforsspecificsdiagnoses.
d. Diagnosticsgroupsclassificationsstreamlinesscare.
ANS:s B
DRGssaresasprospectivespaymentsplansinswhichshospitalssreceivesasflatsfeesforseachspatient’ssdia
gnosticscategorysregardlesssofstheslengthsofstimesinstheshospital.sIfshospitalsscanstreatsandsdischa
rgespatientssbeforesthesallottedstime,shospitalssgetstoskeepsthesexcessspayment;scostsisscontained
,sandsthespatientsissdischargedssooner.
PTS:s 1 DIF: CognitivesLevel:sComprehension
REF:s8sOBJ:s 9
TOP:sGovernment-
SponsoredsHealthsInsurancesKEY:s NursingsProcesssStep:sImplementation
MSC:s NCLEX:sSafe,sEffectivesCaresEnvironment:sCoordinatedsCare
