TEST BANK
yu
,TEST BAK FOR DEWIT MEDICAL SURGICAL NURSING CONCEPTS AND
yu yu yu yu yu yu yu yu
PRACTICE 5th EDITION
yu yu yu
Chapter 01: Caring for Medical-Surgical Patients
yu yu yu yu yu
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
yu yu yu yu yu yu yu
yu MULTIPLE CHOICE yu
1. Which statement accurately describes the primary purpose of the state nurse
yu yu yu yu yu yu yu yu yu yu
practice act (NPA)? yu yu
a. To test and license LPN/LVNs.
yu yu yu yu
b. To define the scope of LPN/LVN
yu yu yu yu yu
practice.
c. To improve the quality of care
provided by the LPN/LVN. yu yu yu
d. To limit the LPN/LVN employment
yu yu yu yu
placement.
ANS: B y u
While improving quality of care provided by the LPN/LVN may be a result of the
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NPA, the primary purpose of the NPA of each state defines the scope of
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nursing practice in that state.
yu yu yu yu yu
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 yu yu yu yu
OBJ: 3 TOP: NPA KEY: Nursing Process Step: y u y u yu yu yu
Implementation MSC: NCLEX: Safe, Effective Care Environment:
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Coordinated Care
yu yu
2. The charge nurse asks the new vocational nurse to start an intravenous
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infusion, a skill that the vocational nurse has not been taught during her
yu yu yu yu yu yu yu yu yu yu yu yu yu
educational program. How should the vocational nurse respond?
yu yu yu yu yu yu yu yu
a. Ask a more experienced nurse to
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demonstrate the procedure. yu yu
,b. Look up the procedure in the procedure
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yumanual.
c. Attempt to perform the procedure with
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supervision.
d. Inform the charge nurse of her lack of
yu yu yu yu yu yu yu
yutraining in this procedure.
yu yu yu
, ANS: D yu
The charge nurse should be informed of the lack of training to perform the
yu yu yu yu yu yu yu yu yu yu yu yu yu
procedure, and the vocational nurse should seek further training to gain
yu yu yu yu yu yu yu yu yu yu yu
proficiency. Although the other options might be helpful, they are not safe.
yu yu yu yu yu yu yu yu yu yu yu yu
PTS: 1 DIF: Cognitive Level: Application REF: 3 yu yu yu yu y u
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: yu yu yu yu yu yu yu
N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
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Care
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3. Which patient statement indicates a need for further discharge teaching that
yu yu yu yu yu yu yu yu yu yu
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.” yu yu
b. “Do you know if my y u y u y u y u
physician is
y u y u
coming back today?” yu yu
c. “Will my insurance pay for myyu yu yu yu yu
stay?”
d. “Am I going to have to go to a
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nursing home?” yu
ANS: A yu
Lack of knowledge at discharge about medication effects and side effects is a
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concern that should be addressed by the vocational nurse. The other concerns in
yu yu yu yu yu yu yu yu yu yu yu yu yu
the options are the responsibility of other departments to which the nurse might
yu yu yu yu yu yu yu yu yu yu yu yu yu
refer the patient.
yu yu yu
PTS: 1 DIF: Cognitive Level: Application REF: 2 yu yu yu yu y u
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: yu yu yu yu yu
Implementation MSC: NCLEX: Safe, Effective Care Environment:
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Coordinated Care
yu yu
4. According to most state NPAs, the vocational nurse acting as charge nurse in
yu yu yu yu yu yu yu yu yu yu yu yu
a long-term care facility acts in which capacity?
yu yu yu yu yu yu yu yu
yu
,TEST BAK FOR DEWIT MEDICAL SURGICAL NURSING CONCEPTS AND
yu yu yu yu yu yu yu yu
PRACTICE 5th EDITION
yu yu yu
Chapter 01: Caring for Medical-Surgical Patients
yu yu yu yu yu
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
yu yu yu yu yu yu yu
yu MULTIPLE CHOICE yu
1. Which statement accurately describes the primary purpose of the state nurse
yu yu yu yu yu yu yu yu yu yu
practice act (NPA)? yu yu
a. To test and license LPN/LVNs.
yu yu yu yu
b. To define the scope of LPN/LVN
yu yu yu yu yu
practice.
c. To improve the quality of care
provided by the LPN/LVN. yu yu yu
d. To limit the LPN/LVN employment
yu yu yu yu
placement.
ANS: B y u
While improving quality of care provided by the LPN/LVN may be a result of the
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
NPA, the primary purpose of the NPA of each state defines the scope of
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
nursing practice in that state.
yu yu yu yu yu
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 yu yu yu yu
OBJ: 3 TOP: NPA KEY: Nursing Process Step: y u y u yu yu yu
Implementation MSC: NCLEX: Safe, Effective Care Environment:
yu yu yu yu yu yu yu
Coordinated Care
yu yu
2. The charge nurse asks the new vocational nurse to start an intravenous
yu yu yu yu yu yu yu yu yu yu yu
infusion, a skill that the vocational nurse has not been taught during her
yu yu yu yu yu yu yu yu yu yu yu yu yu
educational program. How should the vocational nurse respond?
yu yu yu yu yu yu yu yu
a. Ask a more experienced nurse to
yu yu yu yu yu
demonstrate the procedure. yu yu
,b. Look up the procedure in the procedure
yu yu yu yu yu yu
yumanual.
c. Attempt to perform the procedure with
yu yu yu yu yu
supervision.
d. Inform the charge nurse of her lack of
yu yu yu yu yu yu yu
yutraining in this procedure.
yu yu yu
, ANS: D yu
The charge nurse should be informed of the lack of training to perform the
yu yu yu yu yu yu yu yu yu yu yu yu yu
procedure, and the vocational nurse should seek further training to gain
yu yu yu yu yu yu yu yu yu yu yu
proficiency. Although the other options might be helpful, they are not safe.
yu yu yu yu yu yu yu yu yu yu yu yu
PTS: 1 DIF: Cognitive Level: Application REF: 3 yu yu yu yu y u
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: yu yu yu yu yu yu yu
N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated
yu yu yu yu yu yu yu yu
Care
yu
3. Which patient statement indicates a need for further discharge teaching that
yu yu yu yu yu yu yu yu yu yu
the vocational nurse should address?
yu yu yu yu yu
a. “I have no idea of how this drug
yu yu yu yu yu yu yu
will affect me.” yu yu
b. “Do you know if my y u y u y u y u
physician is
y u y u
coming back today?” yu yu
c. “Will my insurance pay for myyu yu yu yu yu
stay?”
d. “Am I going to have to go to a
yu yu yu yu yu yu yu yu
nursing home?” yu
ANS: A yu
Lack of knowledge at discharge about medication effects and side effects is a
yu yu yu yu yu yu yu yu yu yu yu yu
concern that should be addressed by the vocational nurse. The other concerns in
yu yu yu yu yu yu yu yu yu yu yu yu yu
the options are the responsibility of other departments to which the nurse might
yu yu yu yu yu yu yu yu yu yu yu yu yu
refer the patient.
yu yu yu
PTS: 1 DIF: Cognitive Level: Application REF: 2 yu yu yu yu y u
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: yu yu yu yu yu
Implementation MSC: NCLEX: Safe, Effective Care Environment:
yu yu yu yu yu yu yu
Coordinated Care
yu yu
4. According to most state NPAs, the vocational nurse acting as charge nurse in
yu yu yu yu yu yu yu yu yu yu yu yu
a long-term care facility acts in which capacity?
yu yu yu yu yu yu yu yu