TEST BANK FOR MEDICAL SURGICAL NURSING, CONCEPTS
AND PRACTICE, 6TH EDITION BY HOLLY K. STROMBERG,
CHAPTERS 1 – 49
Page | 1
, Chapter 01: Caring for Medical-Surgical
Patients MULTIPLE CHOICE
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 CORRECT ANSWERS : B
While improving quality of care provided by the LPN/LVN may be a result of the
NPA, the primary purpose of the NPA of each state defines the scope of nursing
practice in that state.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3
TOP: NPA KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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.
CORRECT ANSWERS : D
The charge nurse should be informed of the lack of training to perform the
procedure, and the vocational nurse should seek further training to gain
proficiency. Although the other options might be helpful, they are not safe.
DIF: Cognitive Level: Application REF: p. 3 OBJ:
Page b| b2
,1 bTOP: bProviding bSafe bCare KEY: bNursing bProcess bStep: bN/A bMSC: bNCLEX:
bSafe, bEffective bCare bEnvironment: bCoordinated bCare
Page b| b3
, 3. Which bpatient bstatement bindicates ba bneed bfor bfurther bdischarge bteaching bthat
bthe bvocational bnurse bshould baddress?
a. I bhave bno bidea bof bhow bthis bdrug bwill baffect bme.
b. Do byou bknow bif bmy bphysician bis bcoming bback btoday?
c. Will bmy binsurance bpay bfor bmy bstay?
d. Am bI bgoing bto bhave bto bgo bto ba bnursing bhome?
Correct Answers : bA
Lack bof bknowledge bat bdischarge babout bmedication beffects band bside beffects bis ba
bconcern bthat bshould bbe baddressed bby bthe bvocational bnurse. bThe bother bconcerns
bin bthe boptions bare bthe bresponsibility bof bother bdepartments bto bwhich bthe bnurse
bmight brefer bthe bpatient.
DIF: Cognitive bLevel: bApplication REF: b p. b2 OBJ: b1 bTOP: bTeaching
b KEY: bNursing bProcess bStep: bImplementation
MSC: bNCLEX: bSafe, bEffective bCare bEnvironment: bCoordinated bCare
4. According bto bmost bstate bNPAs, bthe bvocational bnurse bacting bas bcharge bnurse bin
ba blong-term bcare bfacility bacts bin bwhich bcapacity?
a. Working bunder bdirect bsupervision bof ban bRN bon bthe bunit
b. Working bwith bthe bRN bin bthe bbuilding
c. Working bunder bgeneral bsupervision bby bthe bRN bavailable bon bsite bor bby bphone
d. Working bas ban bindependent
vocational bnurse b Correct Answers :
b
b C
The bvocational bnurse bin bthe bcapacity bof bthe bcharge bnurse bin ba blong-term bcare
bfacility bacts bwith bthe bgeneral bsupervision b of ban bRN bavailable bon bsite bor bby
bphone.
DIF: Cognitive bLevel: bComprehension REF: b p. b3 OBJ: b1 bTOP:
bCharge bNurse/Manager bKEY: bNursing bProcess bStep: bN/A bMSC: bNCLEX:
bSafe, bEffective bCare bEnvironment: bCoordinated
Care
Page b| b4
AND PRACTICE, 6TH EDITION BY HOLLY K. STROMBERG,
CHAPTERS 1 – 49
Page | 1
, Chapter 01: Caring for Medical-Surgical
Patients MULTIPLE CHOICE
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 CORRECT ANSWERS : B
While improving quality of care provided by the LPN/LVN may be a result of the
NPA, the primary purpose of the NPA of each state defines the scope of nursing
practice in that state.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3
TOP: NPA KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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.
CORRECT ANSWERS : D
The charge nurse should be informed of the lack of training to perform the
procedure, and the vocational nurse should seek further training to gain
proficiency. Although the other options might be helpful, they are not safe.
DIF: Cognitive Level: Application REF: p. 3 OBJ:
Page b| b2
,1 bTOP: bProviding bSafe bCare KEY: bNursing bProcess bStep: bN/A bMSC: bNCLEX:
bSafe, bEffective bCare bEnvironment: bCoordinated bCare
Page b| b3
, 3. Which bpatient bstatement bindicates ba bneed bfor bfurther bdischarge bteaching bthat
bthe bvocational bnurse bshould baddress?
a. I bhave bno bidea bof bhow bthis bdrug bwill baffect bme.
b. Do byou bknow bif bmy bphysician bis bcoming bback btoday?
c. Will bmy binsurance bpay bfor bmy bstay?
d. Am bI bgoing bto bhave bto bgo bto ba bnursing bhome?
Correct Answers : bA
Lack bof bknowledge bat bdischarge babout bmedication beffects band bside beffects bis ba
bconcern bthat bshould bbe baddressed bby bthe bvocational bnurse. bThe bother bconcerns
bin bthe boptions bare bthe bresponsibility bof bother bdepartments bto bwhich bthe bnurse
bmight brefer bthe bpatient.
DIF: Cognitive bLevel: bApplication REF: b p. b2 OBJ: b1 bTOP: bTeaching
b KEY: bNursing bProcess bStep: bImplementation
MSC: bNCLEX: bSafe, bEffective bCare bEnvironment: bCoordinated bCare
4. According bto bmost bstate bNPAs, bthe bvocational bnurse bacting bas bcharge bnurse bin
ba blong-term bcare bfacility bacts bin bwhich bcapacity?
a. Working bunder bdirect bsupervision bof ban bRN bon bthe bunit
b. Working bwith bthe bRN bin bthe bbuilding
c. Working bunder bgeneral bsupervision bby bthe bRN bavailable bon bsite bor bby bphone
d. Working bas ban bindependent
vocational bnurse b Correct Answers :
b
b C
The bvocational bnurse bin bthe bcapacity bof bthe bcharge bnurse bin ba blong-term bcare
bfacility bacts bwith bthe bgeneral bsupervision b of ban bRN bavailable bon bsite bor bby
bphone.
DIF: Cognitive bLevel: bComprehension REF: b p. b3 OBJ: b1 bTOP:
bCharge bNurse/Manager bKEY: bNursing bProcess bStep: bN/A bMSC: bNCLEX:
bSafe, bEffective bCare bEnvironment: bCoordinated
Care
Page b| b4
