Test Bank For Medical Surgical Nursing 5th Edition ByHolly K.
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Stromberg, AllChapters 1-49 | Latest Update ,b ,b ,b ,b ,b
Chapter 01:Caringfor Medical-Surgical Patients
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deWit:Medical-Surgical Nursing: Concepts & Practice, 5th Edition ,b ,b , b ,b ,b ,b
MULTIPLECHOICE
Whichstatement accuratelydescribes theprimarypurpose of ,b ,b ,b
thestatenursepracticeact(NPA)?
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a. TotestandlicenseLPN/LVNs.
b. Todefine thescopeof ,b
LPN/LVNpractice. ,b ,b
c. Toimprovethequality of ,b
careprovidedbytheLPN/LVN.
,b ,b ,b ,b
d. Tolimit theLPN/LVNemployment ij ,b
placement. ,b
ANS: B ,b
Whileimproving qualityof care provided bythe LPN/LVN maybe aresult of ,b ,b ,b ,b ,b , b ,b , b
theNPA,theprimarypurposeoftheNPAofeachstatedefinesthescopeofnursing
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practiceinthatstate.
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PTS: 1
CognitiveLevel:Comprehension DIF: ,b ,b
REF: 2
OBJ:3 TOP: NPA
KEY:NursingProcessStep:Imple , b ,b ,b ,b ,b
mentation
MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare ,b ,b ,b ,b ,b ,b
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skillthat
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the vocational nurse has notbeen taught during her educational program. Howshould
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thevocational nurserespond?
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a. Ask a moreexperienced nurse ,b ,b ,b ,b
todemonstratetheprocedure.,b ,b ,b
b. Lookup the procedure in the ,b ,b , b , b
proceduremanual. , b ,b
c. Attempt to perform theprocedure ,b ,b , b
withsupervision. ,b ,b
d. Inform the charge nurse of herlack ,b ,b ,b ,b ,b ,b
oftraininginthisprocedure. ,b ,b ,b ,b
ANS: D ,b
The charge nurse should be informed of the lack of training to perform the procedure,
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and the vocational nurse should seek further training to gain proficiency.
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Althoughtheotheroptions might behelpful, they arenotsafe.
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PTS: 1 DIF: CognitiveLevel: ,b 3
, Application REF: , b
OBJ:1 TOP: ProvidingSafeCare NursingProcessSt ,b ,b ,b ,b ,b
KEY: ep:N/A ,b
MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare ,b ,b ,b ,b ,b ,b
Which patient statement indicates aneed for further dischargeteaching
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thatthevocationalnurseshouldaddress?
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a. ―I haveno idea of how this ,b ,b ,b , b ,b
drugwillaffectme.‖ ,b ,b ,b ,b
b. ―Doyouknowifmyphysicianiscom ,b ,b ,b ,b ,b ,b ,b
ingbacktoday?‖ ,b ,b
c. ―Will my insurance pay for ,b ,b ,b ,b
mystay?‖ ,b ,b
d. ―Am Igoing to have to go to ,b ,b ,b ,b ,b ,b ,b
anursinghome?‖ ,b ,b ,b
ANS: A ,b
Lack of knowledge at discharge about medication effects and side effects is a concern
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that should be addressed by the vocationalnurse. The other concerns in the options arethe
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responsibility of other departments to which the nurse might refer the patient.
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PTS: 1 DIF: CognitiveLevel:Application ,b ,b
REF: ,b
2
OBJ:1 TOP: Teaching KEY: , b
NursingProcess ,b ,b
Step:Implementation
MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare ,b ,b ,b ,b ,b ,b
According tomost state NPAs, thevocational nurse acting as charge nurse in along-
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termcarefacilityactsinwhichcapacity?
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a. Working under direct supervision of an RN ,b ,b ,b ,b ,b ,b
ontheunit ,b ,b ,b
b. Working withthe RNin thebuilding , b ,b , b
c. Working under general supervision by the ,b ,b ,b , b ,b
RNavailableonsiteorbyphone ,b ,b ,b ,b ,b ,b
d. Workingasanindependentvocationalnurse ,b ,b ,b ,b
ANS: C ,b
The vocational nurse in the capacity of the charge nurse in a long-term care facilityacts
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with the general supervision of an RNavailable on site or by phone.
,b ,b , b , b ,b ,b ,b ,b , b , b ,b ,b
PTS: 1
CognitiveLevel: REF: 2 DIF: ,b ,b
Comprehension
OBJ:1 TOP: ChargeNurse/Manager Nursi Process ,b ,b ,b
KEY: ng Step:N/A ,b ,b
MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare ,b ,b ,b ,b ,b ,b
,The nurse is educating a patient that is a member of a health
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maintenanceorganization(HMO). Which informationshould the nurse include?
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a. Seekthe opinion of analternate health ,b ,b , b ,b
careprovider. , b ,b
b. Obtaininsurance approval for , b , b
medicalservicespriortotreatment.
, b ,b ,b ,b ,b
c. Provide detailed documentation of allcare ,b ,b , b ,b
received for his condition. ,b ,b ,b
d. Waitatleast 6months to see aspecialist. ,b ,b ,b ,b ,b ,b ,b
ANS: B ,b
Most HMOs require preprocedure authorization for treatment. Patients are
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notrequired to seek a second opinion, providedocumentation of care, or wait a
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specifictimeperiodbefore visiting aspecialist.
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PTS: 1
Cognitive Level: 9 DIF: ,b
Application ,b
REF: , b
OBJ:9 TOP: ChargeNurse/Manager
KEY:NursingProcessStep:Implementation
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MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare ,b ,b ,b ,b ,b ,b
Thepatient complains to the nurse that he is confused about his
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―deductible‖ thatheowes the hospital. Whichstatement accurately explains a
,b ,b ,b ,b ,b ,b ,b , b ,b
deductible?
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a. Anamount of money put aside for thepayment ,b ,b ,b ,b ,b ,b ,b ,b
offuturemedicalbills ,b ,b ,b ,b
b. Aone-time feefor service , b , b
c. Anamount of money deducted from the bill ,b ,b ,b ,b ,b ,b ,b
bytheinsurancecompany ,b ,b ,b
d. Anannual amount of money the patient must ,b ,b ,b ,b ,b ,b , b
payout-of-pocketformedicalcare
,b ,b ,b ,b
ANS: D ,b
The deductible is the annual amount the insured must pay out-of-pocket prior
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totheinsurancecompanyassumingthecost.Thispracticeimprovestheprofitofthe
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insurancecompany.
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PTS: 1
CognitiveLevel: REF: 7 DIF: ,b ,b
Comprehension
OBJ:9 TOP: HealthCareFinancing ,b ,b
KEY:NursingProcessStep:Implementation
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MSC:NCLEX:Safe,EffectiveCareEnvironment:CoordinatedCare ,b ,b ,b ,b ,b ,b
The nurse compares the characteristics of a health maintenance organization (HMO)and
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, , b a preferred providerorganization (PPO). Which information should
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, b thenurseinclude aboutHMOs?
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