TEST BANK Medical-Surgical Nursing,
8 8 8
Concepts and Practice, 5th Edition
8 8 8 8
(Stromberg, 2023) Chapters 1 - 49
8 8 8 8 8
Medical-Surgical8Nursing,8Concepts8and8Practice
,TABLE OF CONTENTS
8 8
Medical-Surgical8Nursing,8Concepts8and8Practice
,Medical-Surgical8Nursing,8Concepts8and8Practice
, Chapter801:8Caring8for8Medical-Surgical8Patients
Stromberg:8Medical-Surgical8Nursing:8Concepts8and8Practice,85th8Edition
MULTIPLE8CHOICE
1. Which8statement8accurately8describes8the8primary8purpose8of8the8state8nurse8practice
8act8(NPA)?
a. To8test8and8license8LPN/LVNs
b. To8define8the8scope8of8LPN/LVN8practice
c. To8improve8the8quality8of8care8provided8by8the8LPN/LVN
d. To8limit8the8LPN/LVN8employment8placement
ANSWER:8 B
While8improving8quality8of8care8provided8by8the8LPN/LVN8may8be8a8result8of8the8NPA,8the8prim
ary8purpose8of8the8NPA8of8each8state8defines8the8scope8of8nursing8practice8in8that8state.
DIF: Cognitive8Level:8Comprehension REF:888p.83
OBJ:838TOP:8 NPA
KEY:8 Nursing8Process8Step:8Implementation
MSC:8 NCLEX:8Safe,8Effective8Care8Environment:8Coordinated8Care
2. The8charge8nurse8asks8the8new8vocational8nurse8to8start8an8intravenous8infusion,8a8skill8that8
the8vocational8nurse8has8not8been8taught8during8her8educational8program.8How8should8the8v
ocational8nurse8respond?
a. Ask8a8more8experienced8nurse8to8demonstrate8the8procedure.
b. Look8up8the8procedure8in8the8procedure8manual.
c. Attempt8to8perform8the8procedure8with8supervision.
d. Inform8the8charge8nurse8of8her8lack8of8training8in8this8procedure.
ANSWER:8 D
The8charge8nurse8should8be8informed8of8the8lack8of8training8to8perform8the8procedure,8and8t
he8vocational8nurse8should8seek8further8training8to8gain8proficiency.8Although8the8other8opti
ons8might8be8helpful,8they8are8not8safe.
DIF: Cognitive8Level:8Application REF:888p.83
OBJ:818TOP:8 Providing8Safe8Care
KEY:8Nursing8Process8Step:8N/A8MSC:8 NCLEX:8Safe,8Effective8Care8Envi
ronment:8Coordinated8Care
3. Which8patient8statement8indicates8a8need8for8further8discharge8teaching8that8the8vocati
onal8nurse8should8address?
a. ―I8have8no8 idea8of8how8this8drug8will8affect8me.‖
b. ―Do8 you8know8if8my8physician8is8coming8back8today?‖
c. ―Will8my8insurance8pay8for8my8stay?‖
d. ―Am8I8going8to8have8to8go8to8a8nursing8home?‖
ANSWER:8 A
Lack8of8knowledge8at8discharge8about8medication8effects8and8side8effects8is8a8concern8that8sho
Medical-Surgical8Nursing,8Concepts8and8Practice
8 8 8
Concepts and Practice, 5th Edition
8 8 8 8
(Stromberg, 2023) Chapters 1 - 49
8 8 8 8 8
Medical-Surgical8Nursing,8Concepts8and8Practice
,TABLE OF CONTENTS
8 8
Medical-Surgical8Nursing,8Concepts8and8Practice
,Medical-Surgical8Nursing,8Concepts8and8Practice
, Chapter801:8Caring8for8Medical-Surgical8Patients
Stromberg:8Medical-Surgical8Nursing:8Concepts8and8Practice,85th8Edition
MULTIPLE8CHOICE
1. Which8statement8accurately8describes8the8primary8purpose8of8the8state8nurse8practice
8act8(NPA)?
a. To8test8and8license8LPN/LVNs
b. To8define8the8scope8of8LPN/LVN8practice
c. To8improve8the8quality8of8care8provided8by8the8LPN/LVN
d. To8limit8the8LPN/LVN8employment8placement
ANSWER:8 B
While8improving8quality8of8care8provided8by8the8LPN/LVN8may8be8a8result8of8the8NPA,8the8prim
ary8purpose8of8the8NPA8of8each8state8defines8the8scope8of8nursing8practice8in8that8state.
DIF: Cognitive8Level:8Comprehension REF:888p.83
OBJ:838TOP:8 NPA
KEY:8 Nursing8Process8Step:8Implementation
MSC:8 NCLEX:8Safe,8Effective8Care8Environment:8Coordinated8Care
2. The8charge8nurse8asks8the8new8vocational8nurse8to8start8an8intravenous8infusion,8a8skill8that8
the8vocational8nurse8has8not8been8taught8during8her8educational8program.8How8should8the8v
ocational8nurse8respond?
a. Ask8a8more8experienced8nurse8to8demonstrate8the8procedure.
b. Look8up8the8procedure8in8the8procedure8manual.
c. Attempt8to8perform8the8procedure8with8supervision.
d. Inform8the8charge8nurse8of8her8lack8of8training8in8this8procedure.
ANSWER:8 D
The8charge8nurse8should8be8informed8of8the8lack8of8training8to8perform8the8procedure,8and8t
he8vocational8nurse8should8seek8further8training8to8gain8proficiency.8Although8the8other8opti
ons8might8be8helpful,8they8are8not8safe.
DIF: Cognitive8Level:8Application REF:888p.83
OBJ:818TOP:8 Providing8Safe8Care
KEY:8Nursing8Process8Step:8N/A8MSC:8 NCLEX:8Safe,8Effective8Care8Envi
ronment:8Coordinated8Care
3. Which8patient8statement8indicates8a8need8for8further8discharge8teaching8that8the8vocati
onal8nurse8should8address?
a. ―I8have8no8 idea8of8how8this8drug8will8affect8me.‖
b. ―Do8 you8know8if8my8physician8is8coming8back8today?‖
c. ―Will8my8insurance8pay8for8my8stay?‖
d. ―Am8I8going8to8have8to8go8to8a8nursing8home?‖
ANSWER:8 A
Lack8of8knowledge8at8discharge8about8medication8effects8and8side8effects8is8a8concern8that8sho
Medical-Surgical8Nursing,8Concepts8and8Practice