Test Bank For Medical Surgical Nursing 5th Edition By Holly K. Stromberg, All
Chapters 1-49 | Latest Update
Chapter’01:’Caring’for’Medical-Surgical’Patients
deWit:’Medical-Surgical’Nursing:’Concepts’&’Practice,’5th’Edition
MULTIPLE’CHOICE
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.
ANS:’ B
While’improving’quality’of’care’provided’by’the’LPN/LVN’may’be’a’result’of’the’NPA,’t
he’primary’purpose’of’the’NPA’of’each’state’defines’the’scope’of’nursing’practice’in’that’
state.
The’charge’nurse’asks’the’new’vocational’nurse’to’start’an’intravenous’infusion,’a’skill’th
at’the’vocational’nurse’has’notbeen’taught’during’her’educational’program.’How’should’t
he’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.
ANS:’ D
The’charge’nurse’should’be’informed’of’the’lack’of’training’to’perform’the’procedure,’an
d’the’vocational’nurse’should’seek’further’training’to’gain’proficiency.’Although’the’othe
r’options’might’be’helpful,’they’are’not’safe.
Which’patient’statement’indicates’a’need’for’further’discharge’teaching’that’the’vocationa
l’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?”
ANS:’ A
Lack’of’knowledge’at’discharge’about’medication’effects’and’side’effects’is’a’concern’th
at’should’be’addressed’by’the’vocationalnurse.’The’other’concerns’in’the’options’are’the’r
esponsibility’of’other’departments’to’which’the’nurse’might’refer’the’patient.
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
ANS:’ C
The’vocational’nurse’in’the’capacity’of’the’charge’nurse’in’a’long-
term’care’facility’acts’with’the’general’supervision’of’an’RNavailable’on’site’or’by’phone
.
PTS: 1 DIF: Cognitive’Level: REF: 2
Comprehension
OBJ: 1 TOP: Charge’Nurse/Manager Nursi Process
KEY: ng Step:’N/A
MSC:’NCLEX:’Safe,’Effective’Care’Environment:’Coordinated’Care
, The’nurse’is’educating’a’patient’that’is’a’member’of’a’health’maintenance’organization’(HM
O).’Which’informationshould’the’nurse’include?
a. Seek’the’opinion’of’an’alternate’health’care
provider.
b. Obtain’insurance’approval’for’medical
services’prior’to’treatment.
c. Provide’detailed’documentation’of’all’care
received’for’his’condition.
d. Wait’at’least’6’months’to’see’a’specialist.
ANS:’ B
Most’HMOs’require’preprocedure’authorization’for’treatment.’Patients’are’not’required
’to’seek’a’second’opinion,’providedocumentation’of’care,’or’wait’a’specific’time’period’
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
ANS:’ D
The’deductible’is’the’annual’amount’the’insured’must’pay’out-of-
pocket’prior’to’the’insurance’company’assuming’the’cost.’This’practice’improves’the’prof
it’of’the’insurance’company.
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