TEST BANK
,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
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: 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: 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 ion isite ior iby iphone
d. Working ias ian iindependent ivocational inurse
ANS: i C
The ivocational inurse iin ithe icapacity iof ithe icharge inurse iin ia ilong-term icare ifacility
iacts iwith ithe igeneral isupervision iof ian iRN iavailable ion isite ior iby iphone.
PTS: 1 DIF: iCognitive iLevel: iComprehension iREF: 2
OBJ: 1 TOP: iCharge iNurse/Manager KEY: Nursing iProcess iStep:
iN/A
MSC: iNCLEX: iSafe, iEffective iCare iEnvironment: iCoordinated iCare
5. The inurse iis ieducating ia ipatient ithat iis ia imember iof ia ihealth
imaintenance iorganization i(HMO). iWhich iinformation ishould ithe inurse
iinclude?
a. Seek ithe iopinion iof ian ialternate ihealth icare
provider.
b. Obtain iinsurance iapproval ifor imedical
services iprior ito itreatment.
c. Provide idetailed idocumentation iof iall icare
received ifor ihis icondition.
d. Wait iat ileast i6 imonths ito isee ia ispecialist.
ANS: i B
Most iHMOs irequire ipreprocedure iauthorization ifor itreatment. iPatients iare inot
irequired ito iseek ia isecond iopinion, iprovide idocumentation iof icare, ior iwait ia
ispecific itime iperiod ibefore ivisiting ia ispecialist.
PTS: 1 DIF: iCognitive iLevel: iApplication iREF:
i 9 iOBJ: 9 TOP: iCharge iNurse/Manager
KEY: iNursing iProcess iStep: iImplementation
,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
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: 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: 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 ion isite ior iby iphone
d. Working ias ian iindependent ivocational inurse
ANS: i C
The ivocational inurse iin ithe icapacity iof ithe icharge inurse iin ia ilong-term icare ifacility
iacts iwith ithe igeneral isupervision iof ian iRN iavailable ion isite ior iby iphone.
PTS: 1 DIF: iCognitive iLevel: iComprehension iREF: 2
OBJ: 1 TOP: iCharge iNurse/Manager KEY: Nursing iProcess iStep:
iN/A
MSC: iNCLEX: iSafe, iEffective iCare iEnvironment: iCoordinated iCare
5. The inurse iis ieducating ia ipatient ithat iis ia imember iof ia ihealth
imaintenance iorganization i(HMO). iWhich iinformation ishould ithe inurse
iinclude?
a. Seek ithe iopinion iof ian ialternate ihealth icare
provider.
b. Obtain iinsurance iapproval ifor imedical
services iprior ito itreatment.
c. Provide idetailed idocumentation iof iall icare
received ifor ihis icondition.
d. Wait iat ileast i6 imonths ito isee ia ispecialist.
ANS: i B
Most iHMOs irequire ipreprocedure iauthorization ifor itreatment. iPatients iare inot
irequired ito iseek ia isecond iopinion, iprovide idocumentation iof icare, ior iwait ia
ispecific itime iperiod ibefore ivisiting ia ispecialist.
PTS: 1 DIF: iCognitive iLevel: iApplication iREF:
i 9 iOBJ: 9 TOP: iCharge iNurse/Manager
KEY: iNursing iProcess iStep: iImplementation
