Medical-Surgical Nursing, Concepts and Practice
S! S! S! S!
,TABLE OF CONTENTS
S! S!
Medical-Surgical Nursing, Concepts and Practice
S! S! S! S!
,Medical-Surgical Nursing, Concepts and Practice
S! S! S! S!
, Chapter 01: Caring for Medical-Surgical Patients
S! S! S! S! S!
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 6th Edition
S! S! S! S! S! S! S!
MULTIPLE CHOICE S!
1. Which statement accurately describes the primary purpose of the state nurse practice
S! S! S! S! S! S! S! S! S! S! S!
act(NPA)?
S! !S
a. To test and license LPN/LVNs
S! S! S! S!
b. To define the scope of LPN/LVN practice
S! S! S! S! S! S!
c. To improve the quality of care provided by the LPN/LVN
S! S! S! S! S! S! S! S! S!
d. To limit the LPN/LVN employment placement
S! S! S! S! S!
ANSWER: B S!
While improving quality of care provided by the LPN/LVN may be a result of the NPA, theprim
S! S! S! S! S! S! S! S! S! S! S! S! S! S! S! S! !S
ary purpose of the NPA of each state defines the scope of nursing practice in that state.
S! S! S! S! S! S! S! S! S! S! S! S! S! S! S! S!
DIF: Cognitive Level: Comprehension REF: p. 3 S! S! S!S!S! S!
OBJ: 3TOP: NPA S! !S S !
KEY: Nursing Process Step: Implementation S! S! S! S!
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
S ! S! S! S! S! S! S!
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
S! S! S! S! S! S! S! S! S! S! S! S! S! S! S! S!
thevocational nurse has not been taught during her educational program. How should the v
!S S! S! S! S! S! S! S! S! S! S! S! S! S!
ocational nurse respond? S! S!
a. Ask a more experienced nurse to demonstrate the procedure.
S! S! S! S! S! S! S! S!
b. Look up the procedure in the procedure manual.
S! S! S! S! S! S! S!
c. Attempt to perform the procedure with supervision. S! S! S! S! S! S!
d. Inform the charge nurse of her lack of training in this procedure.
S! S! S! S! S! S! S! S! S! S! S!
ANSWER: D S!
The charge nurse should be informed of the lack of training to perform the procedure, and t
S! S! S! S! S! S! S! S! S! S! S! S! S! S! S! S!
hevocational nurse should seek further training to gain proficiency. Although the other opti
!S S! S! S! S! S! S! S! S! S! S! S! S!
ons might be helpful, they are not safe.
S! S! S! S! S! S! S!
DIF: Cognitive Level: Application REF: p. 3 S! S! S!S!S! S!
OBJ: 1 TOP: Providing Safe Care S! S! S ! S! S!
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care Env
S! S! S! S! !S S ! S! S! S! S!
ironment: Coordinated Care S! S!
3. Which patient statement indicates a need for further discharge teaching that the vocati
S! S! S! S! S! S! S! S! S! S! S! S!
onalnurse should address?
!S S! S!
a. ―I have no idea of how this drug will affect me.‖
S! S! S! S! S! S! S! S! S! S!
b. ―Do you know if my physician is coming back today?‖
S! S! S! S! S! S! S! S! S!
c. ―Will my insurance pay for my stay?‖ S! S! S! S! S! S!
d. ―Am I going to have to go to a nursing home?‖
S! S! S! S! S! S! S! S! S! S!
ANSWER: A S!
Lack of knowledge at discharge about medication effects and side effects is a concern thatsho
S! S! S! S! S! S! S! S! S! S! S! S! S! S! !S
Medical-Surgical Nursing, Concepts and Practice S! S! S! S!
S! S! S! S!
,TABLE OF CONTENTS
S! S!
Medical-Surgical Nursing, Concepts and Practice
S! S! S! S!
,Medical-Surgical Nursing, Concepts and Practice
S! S! S! S!
, Chapter 01: Caring for Medical-Surgical Patients
S! S! S! S! S!
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 6th Edition
S! S! S! S! S! S! S!
MULTIPLE CHOICE S!
1. Which statement accurately describes the primary purpose of the state nurse practice
S! S! S! S! S! S! S! S! S! S! S!
act(NPA)?
S! !S
a. To test and license LPN/LVNs
S! S! S! S!
b. To define the scope of LPN/LVN practice
S! S! S! S! S! S!
c. To improve the quality of care provided by the LPN/LVN
S! S! S! S! S! S! S! S! S!
d. To limit the LPN/LVN employment placement
S! S! S! S! S!
ANSWER: B S!
While improving quality of care provided by the LPN/LVN may be a result of the NPA, theprim
S! S! S! S! S! S! S! S! S! S! S! S! S! S! S! S! !S
ary purpose of the NPA of each state defines the scope of nursing practice in that state.
S! S! S! S! S! S! S! S! S! S! S! S! S! S! S! S!
DIF: Cognitive Level: Comprehension REF: p. 3 S! S! S!S!S! S!
OBJ: 3TOP: NPA S! !S S !
KEY: Nursing Process Step: Implementation S! S! S! S!
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
S ! S! S! S! S! S! S!
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
S! S! S! S! S! S! S! S! S! S! S! S! S! S! S! S!
thevocational nurse has not been taught during her educational program. How should the v
!S S! S! S! S! S! S! S! S! S! S! S! S! S!
ocational nurse respond? S! S!
a. Ask a more experienced nurse to demonstrate the procedure.
S! S! S! S! S! S! S! S!
b. Look up the procedure in the procedure manual.
S! S! S! S! S! S! S!
c. Attempt to perform the procedure with supervision. S! S! S! S! S! S!
d. Inform the charge nurse of her lack of training in this procedure.
S! S! S! S! S! S! S! S! S! S! S!
ANSWER: D S!
The charge nurse should be informed of the lack of training to perform the procedure, and t
S! S! S! S! S! S! S! S! S! S! S! S! S! S! S! S!
hevocational nurse should seek further training to gain proficiency. Although the other opti
!S S! S! S! S! S! S! S! S! S! S! S! S!
ons might be helpful, they are not safe.
S! S! S! S! S! S! S!
DIF: Cognitive Level: Application REF: p. 3 S! S! S!S!S! S!
OBJ: 1 TOP: Providing Safe Care S! S! S ! S! S!
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care Env
S! S! S! S! !S S ! S! S! S! S!
ironment: Coordinated Care S! S!
3. Which patient statement indicates a need for further discharge teaching that the vocati
S! S! S! S! S! S! S! S! S! S! S! S!
onalnurse should address?
!S S! S!
a. ―I have no idea of how this drug will affect me.‖
S! S! S! S! S! S! S! S! S! S!
b. ―Do you know if my physician is coming back today?‖
S! S! S! S! S! S! S! S! S!
c. ―Will my insurance pay for my stay?‖ S! S! S! S! S! S!
d. ―Am I going to have to go to a nursing home?‖
S! S! S! S! S! S! S! S! S! S!
ANSWER: A S!
Lack of knowledge at discharge about medication effects and side effects is a concern thatsho
S! S! S! S! S! S! S! S! S! S! S! S! S! S! !S
Medical-Surgical Nursing, Concepts and Practice S! S! S! S!
