Test Bank deWit's Medical-Surgical Nursing, 4th Edition
,Test Bank deWit's Medical-Surgical Nursing, 4th Edition
1. Caring for Medical-Surgical Patients
2. Critical Thinking and the Nursing Process
3. Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy
4. Care of Preoperative and Intraoperative Surgical Patients
5. Care of Postoperative Surgical Patients
6. Infection Prevention and Control
7. Care of Patients with Pain
8. Care of Patients with Cancer
9. Chronic Illness and Rehabilitation
10. The Immune and Lymphatic Systems
11. Care of Patients with Immune and Lymphatic Disorders
12. The Respiratory System
13. Care of Patients with Disorders of the Upper Respiratory System
14. Care of Patients with Disorders of the Lower Respiratory System
15. The Hematologic System
16. Care of Patients with Hematologic Disorders
17. The Cardiovascular System
18. Care of Patients with Hypertension and Peripheral Vascular Disease
19. Care of Patients with Cardiac Disorders
20. Care of Patients with Coronary Artery Disease and Cardiac Surgery
21. The Neurologic System
22. Care of Patients with Head and Spinal Cord Injuries
23. Care of Patients with Brain Disorders
24. Care of Patients with Peripheral Nerve and Degenerative Neurologic Disorders
25. The Sensory System: Eye
26. The Sensory System: Ear
27. The Gastrointestinal System
28. Care of Patients with Disorders of the Upper Gastrointestinal System
29. Care of Patients with Disorders of the Lower Gastrointestinal System
30. Care of Patients with Disorders of the Gallbladder, Liver, and Pancreas
31. The Musculoskeletal System
32. Care of Patients with Musculoskeletal and Connective Tissue Disorders
33. The Urinary System
34. Care of Patients with Disorders of the Urinary System
35. The Endocrine System
36. Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
37. Care of Patients with Diabetes and Hypoglycemia
38. NEW! Normal Male and Female Reproductive System Findings
39. Care of Women with Reproductive Disorders
40. Care of Men with Reproductive Disorders
41. Care of Patients with Sexually Transmitted Infections
42. The Integumentary System
43. Care of Patents with Integumentary Disorders and Burns
44. Care of Patients in Disasters or Bioterrorism Attack
45. Care of Patients with Emergent Conditions, Trauma, and Shock
46. Care of Patients with Cognitive Function Disorders
47. Care of Patients with Anxiety, Mood, and Eating Disorders
48. Care of Patients with Substance-Related and Addictive Disorders
49. Care of Patients with Thought and Personality Disorders
,Chapter 01: Caring for Medical-Surgical Patients
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 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
____ 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.
____ 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?”
____ 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
____ 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. Contact the insurance company for coverage details as services may be limited.
c. Provide detailed documentation of all care received for his condition.
d. Wait at least 6 months to see a specialist.
____ 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
____ 7. A patient asks the nurse what Medicare Part A covers. Which response is correct?
2
, a. Medicare Part A covers inpatient hospital costs.
b. Medicare Part A covers reimbursement to the physician.
c. Medicare Part A covers outpatient hospital services.
d. Medicare Part A covers ambulance transportation.
____ 8. Which is the main cost-containment component of diagnosis-related groups (DRGs)?
a. Hospitals focus only on the specific diagnosis.
b. Hospitals treat and discharge patients quickly.
c. Reduced cost drugs are ordered for specific diagnoses.
d. Diagnostic group classification streamlines care.
____ 9. The nurse is assessing a group of patients. Which patient would most likely qualify for Medicaid?
a. A 35-year-old unemployed single mother with diabetes
b. A 70-year-old Medicare recipient with retirement income who needs to be in a
long-term care facility
c. An 80-year-old blind woman living in her own home who has inadequate private
insurance
d. A 67-year-old stroke victim with Medicare Part A and an income from investments
____ 10. Which area is the major focus of Healthy People 2020 and the primary mechanism through which to
improve the health of Americans in the second decade of the century?
a. Research funding
b. Health information distribution
c. Healthy lifestyle encouragement
d. Health improvement program designs
____ 11. Which term explains the type of care that addresses interventions for all dimensions of a patient’s
life?
a. Focused care
b. General care
c. Directed care
d. Holistic care
____ 12. A patient furiously says, “My doctor was so busy giving me instructions that he didn’t hear what I
was trying to ask him!” Which response is most empathetic?
a. “When people ignore me, I really get mad.”
b. “I’m sure that the doctor was rushed and unaware of your needs.”
c. “That sounds really frustrating.”
d. “Take a deep breath and plan what you will say to him tomorrow.”
____ 13. The nurse is explaining differences in a therapeutic relationship and a social relationship to a patient.
Which information about therapeutic relationships is most important for the nurse to include in the
explanation?
a. Therapeutic relationships lack formal boundaries.
b. Therapeutic relationships are goal directed.
c. Therapeutic relationships meet the needs of each person in the relationship.
d. Therapeutic relationships extend past the hospitalization period.
3
,Test Bank deWit's Medical-Surgical Nursing, 4th Edition
1. Caring for Medical-Surgical Patients
2. Critical Thinking and the Nursing Process
3. Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy
4. Care of Preoperative and Intraoperative Surgical Patients
5. Care of Postoperative Surgical Patients
6. Infection Prevention and Control
7. Care of Patients with Pain
8. Care of Patients with Cancer
9. Chronic Illness and Rehabilitation
10. The Immune and Lymphatic Systems
11. Care of Patients with Immune and Lymphatic Disorders
12. The Respiratory System
13. Care of Patients with Disorders of the Upper Respiratory System
14. Care of Patients with Disorders of the Lower Respiratory System
15. The Hematologic System
16. Care of Patients with Hematologic Disorders
17. The Cardiovascular System
18. Care of Patients with Hypertension and Peripheral Vascular Disease
19. Care of Patients with Cardiac Disorders
20. Care of Patients with Coronary Artery Disease and Cardiac Surgery
21. The Neurologic System
22. Care of Patients with Head and Spinal Cord Injuries
23. Care of Patients with Brain Disorders
24. Care of Patients with Peripheral Nerve and Degenerative Neurologic Disorders
25. The Sensory System: Eye
26. The Sensory System: Ear
27. The Gastrointestinal System
28. Care of Patients with Disorders of the Upper Gastrointestinal System
29. Care of Patients with Disorders of the Lower Gastrointestinal System
30. Care of Patients with Disorders of the Gallbladder, Liver, and Pancreas
31. The Musculoskeletal System
32. Care of Patients with Musculoskeletal and Connective Tissue Disorders
33. The Urinary System
34. Care of Patients with Disorders of the Urinary System
35. The Endocrine System
36. Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
37. Care of Patients with Diabetes and Hypoglycemia
38. NEW! Normal Male and Female Reproductive System Findings
39. Care of Women with Reproductive Disorders
40. Care of Men with Reproductive Disorders
41. Care of Patients with Sexually Transmitted Infections
42. The Integumentary System
43. Care of Patents with Integumentary Disorders and Burns
44. Care of Patients in Disasters or Bioterrorism Attack
45. Care of Patients with Emergent Conditions, Trauma, and Shock
46. Care of Patients with Cognitive Function Disorders
47. Care of Patients with Anxiety, Mood, and Eating Disorders
48. Care of Patients with Substance-Related and Addictive Disorders
49. Care of Patients with Thought and Personality Disorders
,Chapter 01: Caring for Medical-Surgical Patients
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 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
____ 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.
____ 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?”
____ 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
____ 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. Contact the insurance company for coverage details as services may be limited.
c. Provide detailed documentation of all care received for his condition.
d. Wait at least 6 months to see a specialist.
____ 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
____ 7. A patient asks the nurse what Medicare Part A covers. Which response is correct?
2
, a. Medicare Part A covers inpatient hospital costs.
b. Medicare Part A covers reimbursement to the physician.
c. Medicare Part A covers outpatient hospital services.
d. Medicare Part A covers ambulance transportation.
____ 8. Which is the main cost-containment component of diagnosis-related groups (DRGs)?
a. Hospitals focus only on the specific diagnosis.
b. Hospitals treat and discharge patients quickly.
c. Reduced cost drugs are ordered for specific diagnoses.
d. Diagnostic group classification streamlines care.
____ 9. The nurse is assessing a group of patients. Which patient would most likely qualify for Medicaid?
a. A 35-year-old unemployed single mother with diabetes
b. A 70-year-old Medicare recipient with retirement income who needs to be in a
long-term care facility
c. An 80-year-old blind woman living in her own home who has inadequate private
insurance
d. A 67-year-old stroke victim with Medicare Part A and an income from investments
____ 10. Which area is the major focus of Healthy People 2020 and the primary mechanism through which to
improve the health of Americans in the second decade of the century?
a. Research funding
b. Health information distribution
c. Healthy lifestyle encouragement
d. Health improvement program designs
____ 11. Which term explains the type of care that addresses interventions for all dimensions of a patient’s
life?
a. Focused care
b. General care
c. Directed care
d. Holistic care
____ 12. A patient furiously says, “My doctor was so busy giving me instructions that he didn’t hear what I
was trying to ask him!” Which response is most empathetic?
a. “When people ignore me, I really get mad.”
b. “I’m sure that the doctor was rushed and unaware of your needs.”
c. “That sounds really frustrating.”
d. “Take a deep breath and plan what you will say to him tomorrow.”
____ 13. The nurse is explaining differences in a therapeutic relationship and a social relationship to a patient.
Which information about therapeutic relationships is most important for the nurse to include in the
explanation?
a. Therapeutic relationships lack formal boundaries.
b. Therapeutic relationships are goal directed.
c. Therapeutic relationships meet the needs of each person in the relationship.
d. Therapeutic relationships extend past the hospitalization period.
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