TESTBANK
Medical-Surgical Nursing Concepts and Practice,
5th Edition byStromberg
All Chapters 1 - 49
Medical-SurgicalNursing,Concepts andPractice
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,TABLEOF CONTENTS
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Medical-SurgicalNursing,Concepts andPractice
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,Medical-SurgicalNursing,Concepts andPractice
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, Chapter01:Caring forMedical-SurgicalPatients
Stromberg:Medical-SurgicalNursing:Conceptsand Practice,5th Edition zz
MULTIPLE CHOICE
1. Which statement accurately describes the primary purpose ofthe state nurse practice act(
zz zz NPA)
?
a. To test and license LPN/LVNs
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b. To define the scope ofLPN/LVN practice
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c. To improve the qualityof care provided by the LPN/LVN
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d. To limit the LPN/LVN employment placement
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ANSWER: B
While improving quality ofcare provided bythe LPN/LVN may be a result ofthe NPA, theprima ry purpose
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ofthe NPA of each state defines the scope of nursing practice in that state.
zz
DIF: Cognitive Level: Comprehension
zz
REF: p. 3
OBJ: 3TOP: 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 thev ocation
zz
al nurse has not been taught during her educational program. How should the vocational nurse respond
?
a. Askga more experienced nurse to demonstratethe procedure.
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b. Look up the procedure in the procedure manual.
zz
c. Attempt to perform the procedure with supervision. zz
d. Inform the charge nurse of her lack oftraining in this procedure.
ANSWER:g D
The charge nurse should be informed ofthe lack of training to performgthe procedure, and thevo cational
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nurse should seekgfurther training to gain proficiency. Although the other options migh t be helpful, they
are not safe.
zz
DIF: Cognitive Level: Application
zz
REF: p. 3
OBJ: 1 TOP: Providing Safe Care
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care Environment: Co
ordinated Care
3. Which patient statement indicates a need for further discharge teaching that the vocationaln urse sh
zz zz
ould address?
a. —I have no idea of howthis drug willaffect me.‖
zz zz zz
b. —Do you know ifmyphysician iscoming back today?‖
zz zz
c. —Will myinsurance payformystay?‖ zz
d. —AmI goingto haveto goto anursing home?‖ zz
ANSWER:g A
Lackgofknowledge at discharge about medication effectsand side effects is a concern thatshould be addre
Medical-SurgicalNursing,Concepts andPractice zz
Medical-Surgical Nursing Concepts and Practice,
5th Edition byStromberg
All Chapters 1 - 49
Medical-SurgicalNursing,Concepts andPractice
zz
,TABLEOF CONTENTS
g
Medical-SurgicalNursing,Concepts andPractice
zz
,Medical-SurgicalNursing,Concepts andPractice
zz
, Chapter01:Caring forMedical-SurgicalPatients
Stromberg:Medical-SurgicalNursing:Conceptsand Practice,5th Edition zz
MULTIPLE CHOICE
1. Which statement accurately describes the primary purpose ofthe state nurse practice act(
zz zz NPA)
?
a. To test and license LPN/LVNs
zz
b. To define the scope ofLPN/LVN practice
zz
c. To improve the qualityof care provided by the LPN/LVN
zz
d. To limit the LPN/LVN employment placement
zz
ANSWER: B
While improving quality ofcare provided bythe LPN/LVN may be a result ofthe NPA, theprima ry purpose
zz
ofthe NPA of each state defines the scope of nursing practice in that state.
zz
DIF: Cognitive Level: Comprehension
zz
REF: p. 3
OBJ: 3TOP: 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 thev ocation
zz
al nurse has not been taught during her educational program. How should the vocational nurse respond
?
a. Askga more experienced nurse to demonstratethe procedure.
zz
b. Look up the procedure in the procedure manual.
zz
c. Attempt to perform the procedure with supervision. zz
d. Inform the charge nurse of her lack oftraining in this procedure.
ANSWER:g D
The charge nurse should be informed ofthe lack of training to performgthe procedure, and thevo cational
zz
nurse should seekgfurther training to gain proficiency. Although the other options migh t be helpful, they
are not safe.
zz
DIF: Cognitive Level: Application
zz
REF: p. 3
OBJ: 1 TOP: Providing Safe Care
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care Environment: Co
ordinated Care
3. Which patient statement indicates a need for further discharge teaching that the vocationaln urse sh
zz zz
ould address?
a. —I have no idea of howthis drug willaffect me.‖
zz zz zz
b. —Do you know ifmyphysician iscoming back today?‖
zz zz
c. —Will myinsurance payformystay?‖ zz
d. —AmI goingto haveto goto anursing home?‖ zz
ANSWER:g A
Lackgofknowledge at discharge about medication effectsand side effects is a concern thatshould be addre
Medical-SurgicalNursing,Concepts andPractice zz