Question 1

According to most state NPAs,the vocational nurse acting as charge nurse in a long-term care facility acts in which capacity?

Accepted Answer

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 
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

Question 2

Which is the main cost-containment component of diagnosis-related groups (DRGs)?

Accepted Answer

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. 
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.

Question 3

The nurse is communicating with a patient who voices concern about an upcoming high-risk procedure.Which statement best demonstrates empathy?

Accepted Answer

A)  "Would you like to talk about your feelings regarding the procedure?" 
B)  "My mother had the same procedure and did very well." 
C)  "I can't imagine how you feel." 
D)  "It must be difficult preparing for the procedure; how are you feeling?" 
A)  "Would you like to talk about your feelings regarding the procedure?" 
B)  "My mother had the same procedure and did very well." 
C)  "I can't imagine how you feel." 
D)  "It must be difficult preparing for the procedure; how are you feeling?"

Question 4

The LPN/LVN participates in an in-service about cost containment within the health care facility.Which action(s)demonstrate understanding of cost-containment principles?

Accepted Answer

A)  Telling patients to limit their usage of supplies. 
B)  Asking the UAP to ensure correct charges for patient care items. 
C)  Only using necessary items for patient care. 
D)  Charging for extra patient care items that the patient may take home upon discharge. 
E)  Documenting supplies used for patients in their patient care record. 
A)  Telling patients to limit their usage of supplies. 
B)  Asking the UAP to ensure correct charges for patient care items. 
C)  Only using necessary items for patient care. 
D)  Charging for extra patient care items that the patient may take home upon discharge. 
E)  Documenting supplies used for patients in their patient care record.

Question 5

Which of the following are sources of clear guidelines for upholding clinical standards for safe and competent care?

Accepted Answer

A)  The state's nurse practice act (NP
A)  
B)  The State Board of Nurse Examiners (BN
E)  
C)  The National Association for Practical Nurse Education and Service (NAPNES) 
D)  Institutional policies 
E)  The National Federation of Licensed Practical Nurses, Inc. (NFLPN) 
A)  The state's nurse practice act (NP
A)  
B)  The State Board of Nurse Examiners (BN
E)  
C)  The National Association for Practical Nurse Education and Service (NAPNES) 
D)  Institutional policies 
E)  The National Federation of Licensed Practical Nurses, Inc. (NFLPN)

Question 6

A patient asks the nurse what Medicare Part A covers.Which response is correct?

Accepted Answer

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. 
B)  Medicare Part A covers reimbursement to the physician. 
C)  Medicare Part A covers outpatient hospital services. 
D)  Medicare Part A covers ambulance transportation.

Question 7

Which area is the major focus of Healthy People 2020 and the primary mechanism through which to improve the health of Americans in the second decade of the century?

Accepted Answer

A)  Research funding 
B)  Health information distribution 
C)  Healthy lifestyle encouragement 
D)  Health improvement program designs 
A)  Research funding 
B)  Health information distribution 
C)  Healthy lifestyle encouragement 
D)  Health improvement program designs

Exam 1: Caring for Medical-Surgical Patients

According to most state NPAs,the vocational nurse acting as charge nurse in a long-term care facility acts in which capacity?

Which is the main cost-containment component of diagnosis-related groups (DRGs)?

The nurse is communicating with a patient who voices concern about an upcoming high-risk procedure.Which statement best demonstrates empathy?

The LPN/LVN participates in an in-service about cost containment within the health care facility.Which action(s)demonstrate understanding of cost-containment principles?

Which of the following are sources of clear guidelines for upholding clinical standards for safe and competent care?

A patient asks the nurse what Medicare Part A covers.Which response is correct?

Which area is the major focus of Healthy People 2020 and the primary mechanism through which to improve the health of Americans in the second decade of the century?

Critical Thinking and the Nursing Process

Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Patients

Infection Prevention and Control

Care of Patients with Pain

Care of Patients with Cancer

Chronic Illness and Rehabilitation

The Immune and Lymphatic System

Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS)

The Respiratory System

Care of Patients with Disorders of the Upper Respiratory System

Care of Patients with Disorders of the Lower Respiratory System

The Hematologic System

Care of Patients with Hematologic Disorders

The Cardiovascular System

Care of Patients with Hypertension and Peripheral Vascular Disease

Care of Patients with Cardiac Disorders

Care of Patients with Coronary Artery Disease and Cardiac Surgery

The Neurologic System

Care of Patients with Head and Spinal Cord Injuries

Care of Patients with Disorders of the Brain

Care of Patients with Peripheral Nerve and Degenerative Diseases

The Sensory System: Eye and Ear

Care of Patients with Disorders of the Eyes and Ears

The Gastrointestinal System

Care of Patients with Disorders of the Upper Gastrointestinal System

Care of Patients with Disorders of the Lower Gastrointestinal System

Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas

The Musculoskeletal System

Care of Patients with Musculoskeletal and Connective Tissue Disorders

The Urinary System

Care of Patients with Disorders of the Urinary System

The Endocrine System

Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Care of Patients with Diabetes and Hypoglycemia

Care of Women with Reproductive Disorders

Care of Men with Reproductive Disorders

Care of Patients with Sexually Transmitted Infections

The Integumentary System

Care of Patents with Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients with Emergencies, Trauma, and Shock

Care of Patients with Anxiety, Mood, and Eating Disorders

Care of Patients with Substance Abuse Disorders

Care of Patients with Cognitive Disorders

Care of Patients with Thought and Personality Disorders

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