,Chapter_01.bnk
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: p. 3
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: p. 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: p. 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: p. 3
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. Contact the insurance company for coverage details as services may
be limited.
c. Provide detailed documentation of all care received for his condition.
d. Wait at least 6 months to see a specialist.
ANS: b
HMOs are a kind of managed care. This is accomplished by paying
providers to care for groups of patients for a set capitation fee and by
limiting services. 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: p. 9
OBJ: 9
TOP: Charge Nurse/Manager
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6.The patient complains to the nurse that he is confused about his
"deductible" that he owes the hospital. Which statement accurately
explains a deductible?
a. An amount of money put aside for the payment of future medical bills
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: p. 3
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: p. 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: p. 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: p. 3
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. Contact the insurance company for coverage details as services may
be limited.
c. Provide detailed documentation of all care received for his condition.
d. Wait at least 6 months to see a specialist.
ANS: b
HMOs are a kind of managed care. This is accomplished by paying
providers to care for groups of patients for a set capitation fee and by
limiting services. 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: p. 9
OBJ: 9
TOP: Charge Nurse/Manager
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
6.The patient complains to the nurse that he is confused about his
"deductible" that he owes the hospital. Which statement accurately
explains a deductible?
a. An amount of money put aside for the payment of future medical bills
