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Test Bank for Medical-Surgical Nursing: Concepts & Practice, 5th Edition by Holly K. Stromberg – Complete Chapters 1–49 with 800+ Pages of Verified NCLEX-PN Style Questions, Answers & Detailed Rationales for LPN/LVN, ADN & NCLEX-PN Exams (2025–2027)

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Prepare with confidence for your medical-surgical nursing, fundamentals, and NCLEX-PN exams using this comprehensive test bank for "Medical-Surgical Nursing: Concepts & Practice, 5th Edition" by Holly K. Stromberg [3†L8-L10][8†L6-L10]. Published by Elsevier (ISBN: 9780323810210) [3†L5-L6][3†L9-L10], this essential academic resource is specifically designed for LPN/LVN, ADN, and nursing students who need to master the core concepts of medical-surgical nursing and prepare for the Next-Generation NCLEX-PN® examination [3†L20-L22][3†L28-L30]. This test bank features hundreds of exam-style questions covering all 49 chapters [0†L36-L37][3†L12-L13], with verified correct answers and detailed rationales that explain both correct and incorrect options [8†L6-L10]. The content is updated for the 2025–2027 academic cycle [0†L6-L7][5†L7-L8] and includes multiple question formats such as multiple-choice, select-all-that-apply (SATA), and clinical judgment/case-based scenarios that reflect the latest NCLEX-PN standards [1†L9-L11][3†L20-L22]. The test bank is available across 800+ pages [8†L8][0†L35], with Grade A+ verified content [8†L6-L8][7†L11][7†L17]. What's Included: 800+ pages of practice questions covering all major medical-surgical topics [8†L8][0†L35] Verified correct answers with detailed rationales and distractor analysis [8†L6-L10] Chapter-by-chapter organization covering all 49 chapters of the 5th edition [0†L36-L37][3†L12-L13] Multiple question formats including multiple-choice, SATA, and clinical judgment/case-based scenarios NCLEX-PN style questions designed to prepare students for licensing exams and clinical practice [1†L9-L11] Comprehensive coverage of medical-surgical nursing concepts, holistic patient care, and evidence-based interventions [0†L16-L17] Comprehensive coverage across all major medical-surgical topics [6†L3-L14][6†L16-L21]: Foundations of Medical-Surgical Nursing – Caring for medical-surgical patients, critical thinking, and the nursing process [6†L10-L11][7†L18-L19] Fluid, Electrolyte, and Acid-Base Balance – Fluid and electrolyte balance, intravenous therapy, and acid-base disorders [6†L11-L12] Perioperative Nursing – Preoperative and intraoperative care, postoperative care, and surgical patient management [6†L12-L13] Infection Prevention and Control – Infection prevention, control measures, and safety protocols [6†L13-L14] Pain Management – Care of patients with pain, pain assessment, and pharmacological/non-pharmacological interventions [6†L13-L14] Medical-Surgical Disorders – Respiratory, cardiovascular, gastrointestinal, renal, endocrine, neurological, musculoskeletal, and integumentary disorders [6†L6-L7] Chronic Illness and Cancer Care – Chronic illness management, cancer care, and immune system disorders [6†L6-L7] Special Populations – Care of older adults, patients with chronic conditions, and holistic patient care [0†L16-L17][6†L18-L20] Sample Questions Include (from verified test bank content) [7†L18-L46][8†L12-L44]: Which statement accurately describes the primary purpose of the state nurse practice act (NPA)? – Answer: B) To define the scope of LPN/LVN practice – The primary purpose of the NPA of each state defines the scope of nursing practice in that state [7†L18-L24][8†L12-L20]. According to most state NPAs, the vocational nurse acting as charge nurse in a long-term care facility acts in which capacity? – Answer: Working under general supervision by the RN available on site or by phone – The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the general supervision of an RN available on site or by phone [5†L37-L39][8†L41-L44]. 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? – Answer: D) Inform the charge nurse of her lack of training in this procedure – 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 [7†L25-L34][8†L21-L30]. Key Features: Verified Answers with Detailed Rationales – Every question includes the correct answer and a comprehensive explanation, reinforcing key concepts and clarifying why incorrect options are wrong [8†L6-L10] Updated for 2025–2027 – Reflects the latest medical-surgical nursing exam content and NCLEX-PN standards [0†L6-L7][5†L7-L8] Aligned with Elsevier – Mapped directly to the 5th edition textbook (ISBN: 9780323810210) [3†L5-L6] Chapter-by-Chapter Organization – Covering all 49 chapters for targeted review [0†L36-L37][3†L12-L13] NCLEX-PN Style Questions – Designed to prepare students for licensing exams and clinical practice [1†L9-L11] Multiple Question Formats – Includes multiple-choice, SATA, and clinical judgment/case-based scenarios Comprehensive Coverage – Medical-surgical nursing concepts, holistic patient care, and evidence-based interventions [0†L16-L17] A+ Graded Content – 100% verified solutions for exam success

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TEST BANK

,Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition

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.


ANS: 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.

PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
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.

, ANS: 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.

PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care

3. Which patient statement indicates a need for further discharge teaching that the
vocational nurse should address?
a. “I have no idea of how this drug
will affect me.”
b. “Do you know if my physician is
coming back today?”
c. “Will my insurance pay for my
stay?”
d. “Am I going to have to go to a
nursing home?”



ANS: A
Lack of knowledge at discharge about medication effects and side effects is a
concern that should be addressed by the vocational nurse. The other concerns in the
options are the responsibility of other departments to which the nurse might refer
the patient.

PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care

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

, 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



ANS: C
The vocational nurse in the capacity of the charge nurse in a long-term care facility
acts with the general supervision of an RN available on site or by phone.

PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursing Process Step:
N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care

5. The nurse is educating a patient that is a member of a health maintenance
organization (HMO). Which information should the nurse include?
a. Seek the opinion of an alternate health care
provider.
b. Obtain insurance approval for medical
services prior to treatment.
c. Provide detailed documentation of all care
received for his condition.
d. Wait at least 6 months to see a specialist.



ANS: B
Most HMOs require preprocedure authorization for treatment. Patients are not
required to seek a second opinion, provide documentation of care, or wait a
specific time period before visiting a specialist.

PTS: 1 DIF: Cognitive Level: Application REF: 9
OBJ: 9 TOP: Charge Nurse/Manager
KEY: Nursing Process Step: Implementation

Connected book
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Holly Stromberg Medical-Surgical Nursing
Publisher: Unknown ISBN: 9780323810210 Edition: Unknown

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