TEST BANK
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th Edition
(Stromberg, 2023) Chapters 1 - 49
TABLE OF CONTENTS
Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, Chapter 01: Caring for Medical-Surgical Patients
p p p p p
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
p p p p p p p
MULTIPLE CHOICE p
1. Which statement accurately describes the primary purpose of the state nurse practice
p p p p p p p p p p p
pact(NPA)? p
a. To test and license LPN/LVNs
p p p p
b. To define the scope of LPN/LVN practice
p p p p p p
c. To improve the quality of care provided by the LPN/LVN
p p p p p p p p p
d. To limit the LPN/LVN employment placement
p p p p p
ANSWER: B p
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
p p p p p p p p p p p p p p p p
primary purpose of the NPA of each state defines the scope of nursing practice in that state.
p p p p p p p p p p p p p p p p p
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 p p pp p p p
TOP: NPA
p KEY: Nursing Process Step: Implementation
p p p p p
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
p p p p p p p
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
p p p p p p p p p p p p p p p
thevocational nurse has not been taught during her educational program. How should the
p p p p p p p p p p p p p p
vocational nurse respond?
p p p
a. Ask a more experienced nurse to demonstrate the procedure.
p p p p p p p p
b. Look up the procedure in the procedure manual.
p p p p p p p
c. Attempt to perform the procedure with supervision. p p p p p p
d. Inform the charge nurse of her lack of training in this procedure.
p p p p p p p p p p p
ANSWER: D p
The charge nurse should be informed of the lack of training to perform the procedure, and
p p p p p p p p p p p p p p p
thevocational nurse should seek further training to gain proficiency. Although the other
p p p p p p p p p p p p p
options might be helpful, they are not safe.
p p p p p p p p
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 p p pp p p p
TOP: Providing Safe Care
p p KEY: Nursing Process Step: N/A p p p p p p
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
p p p p p p p p
3. Which patient statement indicates a need for further discharge teaching that the
p p p p p p p p p p p
pvocationalnurse should address? p p p
a. ―I have no idea of how this drug will affect me.‖
p p p p p p p p p p
b. ―Do you know if my physician is coming back today?‖
p p p p p p p p p
c. ―Will my insurance pay for my stay?‖ p p p p p p
d. ―Am I going to have to go to a nursing home?‖
p p p p p p p p p p
ANSWER: A p
Lack of knowledge at discharge about medication effects and side effects is a concern that
p p p p p p p p p p p p p p
should be addressed by the vocational nurse. The other concerns in the options are the
p p p p p p p p p p p p p p p
responsibility of other departments to which the nurse might refer the patient.
p p p p p p p p p p p p
Medical-Surgical Nursing, Concepts and Practice
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th Edition
(Stromberg, 2023) Chapters 1 - 49
TABLE OF CONTENTS
Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, Chapter 01: Caring for Medical-Surgical Patients
p p p p p
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
p p p p p p p
MULTIPLE CHOICE p
1. Which statement accurately describes the primary purpose of the state nurse practice
p p p p p p p p p p p
pact(NPA)? p
a. To test and license LPN/LVNs
p p p p
b. To define the scope of LPN/LVN practice
p p p p p p
c. To improve the quality of care provided by the LPN/LVN
p p p p p p p p p
d. To limit the LPN/LVN employment placement
p p p p p
ANSWER: B p
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
p p p p p p p p p p p p p p p p
primary purpose of the NPA of each state defines the scope of nursing practice in that state.
p p p p p p p p p p p p p p p p p
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 p p pp p p p
TOP: NPA
p KEY: Nursing Process Step: Implementation
p p p p p
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
p p p p p p p
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
p p p p p p p p p p p p p p p
thevocational nurse has not been taught during her educational program. How should the
p p p p p p p p p p p p p p
vocational nurse respond?
p p p
a. Ask a more experienced nurse to demonstrate the procedure.
p p p p p p p p
b. Look up the procedure in the procedure manual.
p p p p p p p
c. Attempt to perform the procedure with supervision. p p p p p p
d. Inform the charge nurse of her lack of training in this procedure.
p p p p p p p p p p p
ANSWER: D p
The charge nurse should be informed of the lack of training to perform the procedure, and
p p p p p p p p p p p p p p p
thevocational nurse should seek further training to gain proficiency. Although the other
p p p p p p p p p p p p p
options might be helpful, they are not safe.
p p p p p p p p
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 p p pp p p p
TOP: Providing Safe Care
p p KEY: Nursing Process Step: N/A p p p p p p
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
p p p p p p p p
3. Which patient statement indicates a need for further discharge teaching that the
p p p p p p p p p p p
pvocationalnurse should address? p p p
a. ―I have no idea of how this drug will affect me.‖
p p p p p p p p p p
b. ―Do you know if my physician is coming back today?‖
p p p p p p p p p
c. ―Will my insurance pay for my stay?‖ p p p p p p
d. ―Am I going to have to go to a nursing home?‖
p p p p p p p p p p
ANSWER: A p
Lack of knowledge at discharge about medication effects and side effects is a concern that
p p p p p p p p p p p p p p
should be addressed by the vocational nurse. The other concerns in the options are the
p p p p p p p p p p p p p p p
responsibility of other departments to which the nurse might refer the patient.
p p p p p p p p p p p p
Medical-Surgical Nursing, Concepts and Practice
