Exam (elaborations) TEST BANK FOR MEDICAL-SURGICAL NURSING CONCEPTS & PRACTICE 3RD EDITION DeWIT STROMBERG DALLRED

,Chapter g g 01: g g Caring g g for g g Medical-Surgical g g Patients
deWit: g g Medical-Surgical g g Nursing: g g Concepts g g & g g Practice, g g 3rd g g Edition

MULTIPLE g g CHOICE

1. Which g g statement g g accurately g g describes g g the g g primary g g purpose g g of g g the g g state g g nurse g g practice gg act g g (NPA)?
a. To g g test g g and g g license g g LPN/LVNs.
b. To g g define g g the g g scope g g of g g LPN/LVN g g practice.
c. To g g improve g g the g g quality g g of g g care g g provided g g by
g g the ggLPN/LVN.

d. To g g limit g g the g g LPN/LVN g g employment g g placement.

ANS: B
While g g improving g g quality g g of g g care g g provided g g by g g the g g LPN/LVN g g may g g be g g a g g result g g of g g the g g NPA, g g the
g g primary g g purpose g g of g g the g g NPA ggof g g each g g state g g defines g g the g g scope g g of g g nursing g g practice g g in g g that g g state.



PTS: 1 DIF: Cognitive g g Level: g g Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing ggProcess g g Step:
gg Implementation

MSC: NCLEX: ggSafe, g g Effective g g Care gg Environment: g g Coordinated g g Care

2. The g g charge g g nurse g g asks g g the g g new g g vocational g g nurse g g to g g start g g an g g intravenous g g infusion, g g a g g skill
gg that g g the g g vocational g g nurse gghas g g notbeen g g taught g g during g g her g g educational g g program. g g How g g should g g the
g g vocational g g nurse g g respond?

a. Ask g g a g g more g g experienced g g nurse g g to g g demonstrate g g the
g g procedure.

b. Look g g up g g the g g procedure g g in g g the g g procedure g g manual.
c. Attempt g g to g g perform g g the g g procedure g g with g g supervision.
d. Inform g g the g g charge g g nurse g g of g g her g g lack g g of g g training
g g in g g this

procedure.
ANS: D
The g g charge g g nurse g g should g g be g g informed g g of g g the g g lack g g of g g training g g to g g perform g g the g g procedure, g g and g g the
g g vocational g g nurse g g should ggseek g g further g g training g g to g g gain g g proficiency. g g Although g g the g g other g g options

g g might g g be g g helpful, g g they g g are g g not g g safe.



PTS: 1 DIF: Cognitive g g Level: g g Application REF: 3
OBJ: 1 TOP: Providing g g Safe g g Care KEY: Nursing g g Process g g Step:
g g N/A

MSC: NCLEX: gg Safe, gg Effective gg Care gg Environment: g g Coordinated g g Care

3. Which g g patient g g statement g g indicates g g a g g need g g for g g further g g discharge g g teaching g g that g g the g g vocational gg nurse
g g should g g address?

a. ―I g g have g g no g g idea g g of g g how g g this g g drug g g will
g g affect g g me.‖

b. ―Do g g you g g know g g if g g my g g physician g g is g g coming
g g back ggtoday?‖

c. ―Will g g my g g insurance g g pay g g for g g my g g stay?‖
d. ―Am g g I g g going g g to g g have g g to g g go g g to g g a g g nursing
g g home?‖



ANS: A
Lack ggof ggknowledge ggat ggdischarge ggabout ggmedication ggeffects ggand ggside ggeffects ggis gga ggconcern ggthat ggshould ggbe ggaddressed
ggby ggthe gg vocationalnurse. g g The g g other g g concerns g g in g g the g g options g g are g g the g g responsibility g g of g g other

g g departments g g to g g which g g the g g nurse g g might ggrefer g g the g g patient.



PTS: g g g g g g 1 DIF: g g g g g g Cognitive g g Level: g g Application g g g g g g REF: g g g g 2
OBJ: g1 TOP: Teaching g g KEY: Nursing ggProcess ggStep:
ggImplementation ggMSC: NCLEX: ggSafe, ggEffective ggCare ggEnvironment:
ggCoordinated ggCare




4. According g g to g g most g g state g g NPAs, g g the g g vocational g g nurse g g acting gg as g g charge gg nurse g g in g g a g g long-
term g g care g g facility g g acts g g in ggwhich g g capacity?
a. Working g g under g g direct g g supervision g g of g g an g g RN g g on g g the g g unit
b. Working g g with g g the g g RN g g in g g the g g building
c. Working g g under g g general g g supervision g g by g g the g g RN g g available g g on
g g site g g or g g by

phone
d. Working g g as g g an g g independent g g vocational g g nurse

,ANS: C
The g g vocational g g nurse g g in g g the g g capacity g g of g g the g g charge g g nurse g g in g g a g g long-term g g care gg facility g g acts g g with g g the
g g general g g supervision g g of g g an ggRN g g available g g on g g site g g or g g by g g phone.



PTS: 1 DIF: Cognitive g g Level: g g Comprehension REF: 2
OBJ: 1 TOP: Charge g g Nurse/Manager KEY: Nursing Process gg Step:
g g N/A

MSC: NCLEX: gg Safe, gg Effective g g Care gg Environment: gg Coordinated g g Care

, 5. The g g nurse g g is g g educating g g a g g patient g g that g g is g g a g g member g g of g g a g g health g g maintenance
g gorganization g g (HMO). g g Which gginformationshould g g the g g nurse g g include?
a. Seek g g the g g opinion g g of g g an g g alternate g g health g g care g g provider.
b. Obtain g g insurance g g approval g g for g g medical g g services g g prior g g to
g g treatment.

c. Provide g g detailed g g documentation g g of g g all g g care g g received g g for
g g his ggcondition.

d. Wait g g at g g least g g 6 g g months g g to g g see g g a g g specialist.
ANS: B
Most g g HMOs g g require g g preprocedure g g authorization g g for g g treatment. g g Patients g g are g g not g g required g g to g g seek g g a g g second
g g opinion, g g provide ggdocumentation g g of g g care, g g or g g wait g g a g g specific g g time g g period g g before g g visiting g g a g g specialist.



PTS: 1 DIF: Cognitive g g Level: g g Application REF: g g
g g 9

OBJ: 9 TOP: Charge gg Nurse/Manager
KEY: Nursing ggProcess g g Step: g g Implementation
MSC: NCLEX: gg Safe, gg Effective gg Care gg Environment: g g Coordinated g g Care

6. The g g patient g g complains g g to g g the g g nurse g g that g g he g g is g g confused g g about g g his g g ―deductible‖ g g that
gghe g g owes g g the g g hospital. ggWhich statement g g accurately g g explains g g a g g deductible?
cc


a. An g g amount g g of g g money g g put g g aside g g for g g the g g payment g g of g g future
g g medical g g bills

b. A g g one-time g g fee g g for g g service
c. An g g amount g g of g g money g g deducted g g from g g the g g bill g g by g g the g g insurance
g g company

d. An g g annual g g amount g g of g g money g g the g g patient g g must g g pay g g out-of-pocket
g g for g g medical

care
ANS: D
The g g deductible g g is g g the g g annual g g amount g g the g g insured g g must g g pay g g out-of-pocket g g prior g g to g g the g g insurance
g g company g g assuming g g the g g cost. gg This g g practice g g improves g g the g g profit g g of g g the g g insurance g g company.



PTS: 1 DIF: Cognitive g g Level: g g Comprehension REF: 7
OBJ: 9 TOP: Health g g Care g g Financing
KEY: Nursing ggProcess g g Step: ggImplementation
MSC: NCLEX: gg Safe, gg Effective gg Care gg Environment: g g Coordinated g g Care

7. The g g nurse g g compares g g the g g characteristics g g of g g a g g health g g maintenance g g organization g g (HMO)
g g and g g a g g preferred ggproviderorganization g g (PPO). g g Which g g information g g should g g the g g nurse g g include
g g about g g HMOs?

a. HMOs g g require g g a g g set g g fee g g of g g each g g member
g g monthly.

b. HMOs g g allow g g the g g member g g to g g select g g his g g health
g g care ggprovider.

c. HMOs g g permit g g admission g g to g g any g g facility g g the
g g member ggprefers.

d. HMOs g g offer g g unlimited g g diagnostic g g tests g g and
g g treatments.


ANS: A
HMOs g g require g g a g g set g g fee g g from g g each g g member g g monthly g g (capitation). g g The g g patient g g will g g be g g treated g g by g g the
g g HMO g g staff g g in g g HMO- ggapproved g g facilities. g g Excessive g g use g g of g g diagnostic g g tests g g and g g treatments g g is

g g discouraged g g by g g the g g HMO.



PTS: 1 DIF: Cognitive g g Level: g g Application REF: g g
g g 9

OBJ: 9 TOP: Managed g g Care
KEY: Nursing ggProcess g g Step: ggImplementation
MSC: NCLEX: gg Safe, gg Effective gg Care gg Environment: g g Coordinated g g Care

8. A g g patient g g asks g g the g g nurse g g what g g Medicare g g Part gg A g g covers. g g Which g g response gg is gg correct?
a. Medicare g g Part g g A g g covers g g inpatient g g hospital
g g costs.

b. Medicare g g Part g g A g g covers g g reimbursement g g to
g g the ggphysician.

c. Medicare g g Part g g A g g covers g g outpatient g g hospital
g g services.

d. Medicare g g Part g g A g g covers g g ambulance
g g transportation.