TEST BANK
STUDY NOTES & REFERENCE GUIDE
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, STUDY NOTES & REFERENCE GUIDE
TEST BAK FOR DEWIT MEDICAL SURGICAL NURSING CONCEPTS
AND PRACTICE 5th EDITION
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
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, STUDY NOTES & REFERENCE GUIDE
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.
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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 have no idea of how this
. drug
will affect
b you know if my
. physician is
coming back
c. my insurance pay for my
d I going to have to go to a
. nursing
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?
nolanjack - Stuvia | Page 4 of 1463
STUDY NOTES & REFERENCE GUIDE
nolanjack - Stuvia | Page 1 of 1463
, STUDY NOTES & REFERENCE GUIDE
TEST BAK FOR DEWIT MEDICAL SURGICAL NURSING CONCEPTS
AND PRACTICE 5th EDITION
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
nolanjack - Stuvia | Page 2 of 1463
, STUDY NOTES & REFERENCE GUIDE
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.
nolanjack - Stuvia | Page 3 of 1463
, STUDY NOTES & REFERENCE GUIDE
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 have no idea of how this
. drug
will affect
b you know if my
. physician is
coming back
c. my insurance pay for my
d I going to have to go to a
. nursing
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?
nolanjack - Stuvia | Page 4 of 1463
