,
,TEST BANK FOR MEDICAL-SURGICAL NURSING 8TH
EDITION LINTON BY ADRIANNE DILL LINTON AND
MARY ANN MATTESON
TABLE OF CONTENTS
UNIT I MEDICAL-SURGICAL NURSING
1 Aspects of Medical-Surgical
2 Medical-Surgical
UNIT II POPULATIONS RECEIVING MEDICAL-SURGICAL CARE
3 Medical-Surgical Patients: Individuals, Families,and Communities
UNIT III PATHOLOGY PROCESSES AND EFFECTS
4 Health, Illness, Stress, and Coping
5 Immunity, Inflammation, and Infection
6 Fluid, Electrolyte, and Acid-Base Balance
7 The Patient With Cancer
8 Pain
9 Shock
UNIT IV SPECIAL PROBLEMS OF THE OLDER ADULT PATIENT
10 The Older Adult Patient
11 Falls
12 Immobility
13 Delirium and Dementia
14 Incontinence
UNIT V THERAPEUTICS
15 Nutrition
16 Intravenous Therapy
17 Surgery
18 The Patient With an Ostomy
19 Palliative and Hospice Care
20 Complementary and Alternative Therapies and Integrative Health Care
UNIT VI NEUROLOGICAL SYSTEM
21 Neurologic System Introduction
22 Neurologic Disorders
23 Cerebrovascular Accident
24 Spinal Cord Injury
, UNIT VII RESPIRATORY SYSTEM
25 Respiratory System Introduction
,26 Upper Respiratory Disorders
27 Acute Lower Respiratory Tract Disorders
28 Chronic Lower Respiratory Tract Disorders
UNIT VIII HEMATOLOGIC AND IMMUNOLOGIC SYSTEMS
29 Hematologic System Introduction
30 Hematologic Disorders
31 Immunologic System Introduction
32 Immunologic Disorders
UNIT IX CARDIOVASCULAR SYSTEM
33 Cardiovascular System Introduction
34 Hypertension
35 Cardiac Disorders
36 Vascular Disorders
UNIT X DIGESTIVE SYSTEM
37 Digestive System Introduction
38 Upper Digestive Tract Disorders 39 Lower Digestive Tract Disorders
40 Liver, Gallbladder, and Pancreatic Disorders
UNIT XI UROLOGIC SYSTEM
41 Urologic System Introduction
42 Urologic Disorders
UNIT XII MUSCULOSKELETAL SYSTEM
43 Musculoskeletal System Introduction
44 Connective Tissue Disorders
45 Fractures
46 Amputations
UNIT XIII ENDOCRINE SYSTEM
47 Endocrine System Introduction
48 Pituitary and Adrenal Disorders
49 Thyroid and Parathyroid Disorders
50 Diabetes and Hypoglycemia
UNIT XIV REPRODUCTIVE SYSTEMS
51 Female Reproductive System Introduction
52 Female Reproductive Disorders
53 Male Reproductive System Introduction
54 Male Reproductive Disorders
,55 Sexually Transmitted Infections
UNIT XV INTEGUMENTARY SYSTEMS
56 Integumentary System Introduction
57 Skin Disorders
UNIT XVI SPECIAL SENSES: VISION AND HEARING
58 Special Senses: Vision and Hearing Introduction
59 Eye and Vision Disorders
60 Ear and Hearing Disorders
UNIT XVII MEDICAL-SURGICAL PATIENTS WITH PSYCHIATRIC DISORDERS
61 Psychobiologic Disorders
62 Substance-Related and Addictive Disorders
UNIT XVIII NURSING IN DISASTERS AND FIRST AID
63 First Aid, Emergency Care, and Disaster Management
, Chapter 01: The Health Care System
Linton: Introduction to Medical-Surgical Nursing, 6th Edition
MULTIPLE CHOICE
1. An 89-year-old man, who was recently discharged from a rehabilitation
hospital because of an inability to concentrate and frequent memory lapses,
cannot be left alone while his family works. What options should the
discharge planning team suggest that will satisfy safety concerns and give the
greatest quality of life to the patient?
a. Placement in a day care center from 8 AM to 5 PM daily
b. Placement in a long-term psychiatric facility
c. Placement in a high-security nursing home
d. Admission to a general hospital for evaluation
ANS: A
Day care centers provide supervision, safety, nutritious meals, and
socialization while the caregiving family works.
DIF: Cognitive Level: Application REF: p. 7 OBJ: 5 TOP: Day Care Centers
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological
Integrity: Reduction of Risk
2. A 66-year-old hospitalized patient is anxious about how the physician will
be paid now that he is on Medicare Parts A and B, instead of his previous
privately funded insurance plan. Who should the nurse explain is the payor to
the physician on this plan?
a. Previous privately funded insurance plan
b. Medicare Part A
c. Medicare Part B
d. Patient or patient’s family
ANS: C
Part A pays skilled care facilities. Part B pays for physician’s services. The
previously held insurance is no longer available because of the patient’s age.
The family or patient is not responsible because Part B is in effect.
DIF: Cognitive Level: Comprehension REF: p. 11 OBJ: 4
, TOP: Health Care Funding KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. What health care plan is the best referral for an unemployed 42-year-old
patient with renal failure who has lost his job-related private insurance? a.
Medicare
b. Medicaid
c. Public health facility
d. Community-based outpatient clinicANS: B
Medicaid is available to needy low-income persons younger than 65 years of
age who have a permanent disability. Medicare is for persons 65 years and
older. Public health services are involved with prevention more often than
with chronic care.
DIF: Cognitive Level: Comprehension REF: p. 11 OBJ: 4
TOP: Health Care Funding KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. A patient with terminal lung cancer with extensive metastasis is requesting
a hospice transfer. What criteria are included as requirements for this
transfer? a. The patient requests and agrees to the guidelines of hospice care
without requiring a physician’s order.
b. The physician confirms that the patient has 6 months or less of
liferemaining and has provided a written order for hospice care.
c. Proof confirms that the family can no longer care for the patient at home.
d.The patient’s specific diagnosis is included on a list of accepted diseases
that qualifies the patient for hospice care.
ANS: B
The four criteria for transfer to hospice care are (1) diagnosis of any terminal
illness, (2) prognosis of less than 6 months of life, (3) informed consent of
patient, and (4) written physician’s order.
DIF: Cognitive Level: Comprehension REF: p. 7 OBJ: 5 TOP: Hospice Care
KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological
Integrity: Basic Care and Comfort
5. A patient admitted yesterday with a diagnosis-related group (DRG)
diagnosis of abdominal pain of an unknown cause is being discharged this
, afternoon because all diagnostic test results have been negative. What does
this scenario exemplify?
a. Effective laboratory response
b. Medicare guidelines limiting hospital stay
c. Cost containment related to a DRG diagnosis
d. Patient who should not have been admitted in the first place
ANS: C
Cost containment is a means by which the cost of hospitalization time is
reduced when the need for acute hospital care is no longer necessary. DIF:
Cognitive Level: Comprehension REF: p. 11-12 OBJ: 6 TOP: Cost
Containment per DRGs KEY: Nursing Process Step: N/A MSC: NCLEX:
N/A
MSC: NCLEX: N/A
year-old patient diagnosed with diabetes and bilateral leg amputation. What
should the nurse inform the patient regarding the stay in the new facility? a. It
will be limited to 25 days.
b. It will be limited to 50 days.
c. It will be limited to 75 days.
d. It is totally unlimited.
ANS: D
Medicare limitations are waived for patients who have undergone
amputations.
DIF: Cognitive Level: Comprehension REF: p. 8 OBJ: 4
TOP: Stay in a Skilled Care Facility KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
7. A patient is applying for Medicaid. What does the receipt of benefits
require? a. Following a supervised health maintenance plan b.
Enrolling in the Medicare-Preferred Drug Plan
c. Qualifying for the food stamp program
d. Having an annual income of less than $10,000ANS: B
The Medicare-Preferred Drug Plan is a condition of Medicaid eligibility.
Nonenrollment may cause the loss of all health care benefits.
, DIF: Cognitive Level: Knowledge REF: p. 11 OBJ: 4
TOP: Medicare-Preferred Drug Plan KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
8. Which is true concerning proprietary agencies?
a. They are organized to be nonprofit operations.
b. They are organized to make a profit on their operation.
c. Any profit they make is immediately used to purchase better equipmentand
services.
d. They must participate in Medicare.
ANS: B
These agencies are usually owned by large corporations and established for
the purpose of making a profit. Although most such agencies do participate
in Medicare, it is not required.
TOP: Proprietary Agencies KEY: Nursing Process Step: N/A MSC: NCLEX:
N/A
9. Which patient should the nurse recognize as eligible for a referral to
Medicaid?
a. Military automobile mechanic with severe asthma
b. Pregnant unmarried young woman employed at a discount retail store for
3years
c. College student on scholarship who works part-time at the college libraryand
who needs medication for arthritis
d. Unemployed young mother on welfare who needs diabetic medication forone
of her children
ANS: D
Medicaid covers medication and health care services for welfare recipients
for child health and long-term care.
DIF: Cognitive Level: Comprehension REF: p. 11 OBJ: 4
TOP: Medicaid Services Eligibility KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Coordinated Care
10. Why was the Balanced Budget Act of 1997 the cause of closures of many
proprietary home health care agencies?
a. It specified that all care be given by registered nurses (RNs).
