Nursing,
Concepts and Practice, 5th Edition
(Stromberg, 2025) Chapters 1 - 49
Medical-Surgical Nursing, Concepts and Practice
k9 k9 k9 k9
,TABLE OF CONTENTS
k9 k9
Medical-Surgical Nursing, Concepts and Practice
k9 k9 k9 k9
,Medical-Surgical Nursing, Concepts and Practice
k9 k9 k9 k9
, Chapter 01: Caring for Medical-Surgical Patients
k9 k9 k9 k9 k9
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
k9 k9 k9 k9 k9 k9 k9
MULTIPLE CHOICE k9
1. Which statement accurately describes the primary purpose of the state nurse pra
k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9
ctice act(NPA)? k9 9
k
a. To test and license LPN/LVNs
k9 k9 k9 k9
b. To define the scope of LPN/LVN practice
k9 k9 k9 k9 k9 k9
c. To improve the quality of care provided by the LPN/LV
k9 k9 k9 k9 k9 k9 k9 k9 k9
N
d. To limit the LPN/LVN employment placement
k9 k9 k9 k9 k9
ANSWER: B k 9
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 9
k
primary purpose of the NPA of each state defines the scope of nursing practice in that sta
k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9
te.
DIF: Cognitive Level: Comprehension REF: p. 3 k9 k9 k9k9k9 k9
OBJ: 3TOP: k9 9
k k 9 NPA
KEY: Nursing Process Step: Implementation
k9 k9 k9 k9
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
k 9 k9 k9 k9 k9 k9 k9
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill t
k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9
hat thevocational nurse has not been taught during her educational program. How sho
k9 9
k k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9
uld the vocational nurse respond?
k9 k9 k9 k9
a. Ask a more experienced nurse to demonstrate the procedure
k9 k9 k9 k9 k9 k9 k9 k9
.
b. Look up the procedure in the procedure manual. k9 k9 k9 k9 k9 k9 k9
c. Attempt to perform the procedure with supervision. k9 k9 k9 k9 k9 k9
d. Inform the charge nurse of her lack of training in this procedu
k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9
re.
ANSWER: D k 9
The charge nurse should be informed of the lack of training to perform the procedure,
k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9
and thevocational nurse should seek further training to gain proficiency. Although the
k9 9
k k9 k9 k9 k9 k9 k9 k9 k9 k9 k9 k9
other options might be helpful, they are not safe.
k9 k9 k9 k9 k9 k9 k9 k9
DIF: Cognitive Level: Application k9 k9 REF: p. 3 k9k9k9 k9
Medical-Surgical Nursing, Concepts and Practice k9 k9 k9 k9