NURSING CONCEPTS AND PRACTICE 6TH EDITION BY
STROMBERG CHAPTER 1 2026/2027 || MEDICAL-SURGICAL
NURSING REVIEW || VERIFIED QUESTIONS & ANSWERS ||
HIGH-YIELD STUDY GUIDE || COMPLETE TEST BANK ||
GRADED A+
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
b. To define the scope of LPN/LVN practice
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
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?"
a. "I have no idea of how this drug will affect me."
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
c. Working under general supervision by the RN available on site or by phone
, 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.
b. Contact the insurance company for coverage details as services may be
limited.
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
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?
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.
a. Medicare Part A covers inpatient hospital costs.
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.
b. Hospitals treat and discharge patients quickly.
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