Test Bank For Medical-Surgical Nursing, Concepts and Practice, 5th Edition By Holly K. Stromberg 9780323810210 All Chapters 1-49 LATEST.pdf

,Chapter 01: Caring for Medical-Surgical Patients
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deWit: Medical- WQ




Surgical Nursing: Concepts & Practice, 5th Edition MULTIPLE CH
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OICE

1. Which statement accurately describes the primary purpose of the state nurse
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practice act (NPA)? WQ WQ




a. To test and license LPN/LVNs.
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b. To define the scope of LPN/LVN
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practice.
c. To improve the quality of care
provided by the LPN/LVN. WQ WQ WQ




d. To limit the LPN/LVN employment
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placement.


ANS: B W Q




While improving quality of care provided by the LPN/LVN may be a result of the NP
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A, the primary purpose of the NPA of each state defines the scope of nursing practi
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ce in that state.
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PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 WQ WQ WQ WQ




OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation MS
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C: NCLEX: Safe, Effective Care Environment: Coordinated Care
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2.
The charge nurse asks the new vocational nurse to start an intravenous infu
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sion, a skill that the vocational nurse has not been taught during her educational
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program. How should the vocational nurse respond?
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a. Ask a more experienced nurse to
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demonstrate the procedure. WQ WQ




b. Look up the procedure in the procedure m
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anual.
c. Attempt to perform the procedure with WQ WQ WQ WQ WQ




supervision.

,d. Inform the charge nurse of her lack of trai
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ning in this procedure.
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, ANS: D W Q




The charge nurse should be informed of the lack of training to perform the procedu
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re, and the vocational nurse should seek further training to gain proficiency. Althou
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gh the other options might be helpful, they are not safe.
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PTS: 1 DIF: Cognitive Level: Application REF: 3 WQ WQ WQ WQ W Q




OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step: N/A MSC: WQ WQ WQ WQ WQ WQ WQ WQ WQ




NCLEX: Safe, Effective Care Environment: Coordinated Care
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3.
Which patient statement indicates a need for further discharge teaching tha
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t the vocational nurse should address?
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a. “I have no idea of how this drug
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will affect me.” WQ WQ




b. “Do you know if my physician W Q W Q W Q W Q W Q W Q




is
coming back today?” WQ WQ




c. “Will my insurance pay for my stay WQ WQ WQ WQ WQ WQ




?”
d. “Am I going to have to go to a WQ WQ WQ WQ WQ WQ WQ WQ




nursing home?” WQ




ANS: A W Q




Lack of knowledge at discharge about medication effects and side effects is a conce
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rn that should be addressed by the vocational nurse. The other concerns in the option
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s are the responsibility of other departments to which the nurse might refer the patie
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nt.

PTS: 1 DIF: Cognitive Level: Application REF: 2 WQ WQ WQ WQ W Q




OBJ: 1
TOP: Teaching KEY: Nursing Process Step: Implementation MSC WQ WQ WQ WQ WQ WQ WQ




: NCLEX: Safe, Effective Care Environment: Coordinated Care
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4.
According to most state NPAs, the vocational nurse acting as charge nurse WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ




WQ in a long-term care facility acts in which capacity?
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