TEST BANK
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th Edition
(Stromberg, 2023) Chapters 1 - 49
TABLE OF CONTENTS
54 54
Medical-Surgical54Nursing,54Concepts54and54Practice
,Medical-Surgical54Nursing,54Concepts54and54Practice
,Medical-Surgical54Nursing,54Concepts54and54Practice
, Chapter5401:54Caring54for54Medical-Surgical54Patients
DeWit:54Medical-Surgical54Nursing:54Concepts54&54Practice,544th54Edition
MULTIPLE54CHOICE
1. Which54statement54accurately54describes54the54primary54purpose54of54the54state54nurs
e54practice54act54(NPA)?
a. To54test54and54license54LPN/LVNs
b. To54define54the54scope54of54LPN/LVN54practice
c. To54improve54the54quality54of54care54provided54by54the54LP
N/LVN
d. To54limit54the54LPN/LVN54employment54placement
ANSWER:5 4 B
While54improving54quality54of54care54provided54by54the54LPN/LVN54may54be54a54result54of54the
54NPA,54the54primary54purpose54of54the54NPA54of54each54state54defines54the54scope54of54nursing
54practice54 in54that54 state.
DIF: Cognitive54Level:54Comprehension REF:545454p.543
OBJ:54354TOP:5 4 NPA
KEY:54 Nursing54Process54Step:54Implementation
MSC:5 4 NCLEX:54Safe,54Effective54Care54Environment:54Coordinated54Care
2. The54charge54nurse54asks54the54new54vocational54nurse54to54start54an54intravenous54infusion
,54a54skill54that54the54vocational54nurse54has54not54been54taught54during54her54educational54p
rogram.54How54should54the54vocational54nurse54respond?
a. Ask54a54more54experienced54nurse54to54demonstrate54the54proce
dure.
b. Look54up54the54procedure54in54the54procedure54manual.
c. Attempt54to54perform54the54procedure54with54supervision.
d. Inform54the54charge54nurse54of54her54lack54of54training54in54this54
procedure.
ANSWER:5 4 D
The54charge54nurse54should54be54informed54of54the54lack54of54training54to54perform54the54pr
ocedure,54and54the54vocational54nurse54should54seek54further54training54to54gain54proficiency
.54Although54the54other54options54might54be54helpful,54they54are54not54 safe.
DIF: Cognitive54Level:54Application REF:545454p.543
OBJ:54154TOP:5 4 Providing54Safe54Care
KEY:54Nursing54Process54Step:54N/A54MSC:5 4 NCLEX:54Safe,54Effective5
4Care54Environment:54Coordinated54Care
3. Which54patient54statement54indicates54a54need54for54further54discharge54teaching54that5
4the54vocational54nurse54should54address?
a. ―I54have54no54 idea54of54how54this54drug54will54affect54 m
e.‖
b. ―Do54 you54know54if54my54physician54is54coming54back54t
oday?‖
Medical-Surgical54Nursing,54Concepts54and54Practice
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th Edition
(Stromberg, 2023) Chapters 1 - 49
TABLE OF CONTENTS
54 54
Medical-Surgical54Nursing,54Concepts54and54Practice
,Medical-Surgical54Nursing,54Concepts54and54Practice
,Medical-Surgical54Nursing,54Concepts54and54Practice
, Chapter5401:54Caring54for54Medical-Surgical54Patients
DeWit:54Medical-Surgical54Nursing:54Concepts54&54Practice,544th54Edition
MULTIPLE54CHOICE
1. Which54statement54accurately54describes54the54primary54purpose54of54the54state54nurs
e54practice54act54(NPA)?
a. To54test54and54license54LPN/LVNs
b. To54define54the54scope54of54LPN/LVN54practice
c. To54improve54the54quality54of54care54provided54by54the54LP
N/LVN
d. To54limit54the54LPN/LVN54employment54placement
ANSWER:5 4 B
While54improving54quality54of54care54provided54by54the54LPN/LVN54may54be54a54result54of54the
54NPA,54the54primary54purpose54of54the54NPA54of54each54state54defines54the54scope54of54nursing
54practice54 in54that54 state.
DIF: Cognitive54Level:54Comprehension REF:545454p.543
OBJ:54354TOP:5 4 NPA
KEY:54 Nursing54Process54Step:54Implementation
MSC:5 4 NCLEX:54Safe,54Effective54Care54Environment:54Coordinated54Care
2. The54charge54nurse54asks54the54new54vocational54nurse54to54start54an54intravenous54infusion
,54a54skill54that54the54vocational54nurse54has54not54been54taught54during54her54educational54p
rogram.54How54should54the54vocational54nurse54respond?
a. Ask54a54more54experienced54nurse54to54demonstrate54the54proce
dure.
b. Look54up54the54procedure54in54the54procedure54manual.
c. Attempt54to54perform54the54procedure54with54supervision.
d. Inform54the54charge54nurse54of54her54lack54of54training54in54this54
procedure.
ANSWER:5 4 D
The54charge54nurse54should54be54informed54of54the54lack54of54training54to54perform54the54pr
ocedure,54and54the54vocational54nurse54should54seek54further54training54to54gain54proficiency
.54Although54the54other54options54might54be54helpful,54they54are54not54 safe.
DIF: Cognitive54Level:54Application REF:545454p.543
OBJ:54154TOP:5 4 Providing54Safe54Care
KEY:54Nursing54Process54Step:54N/A54MSC:5 4 NCLEX:54Safe,54Effective5
4Care54Environment:54Coordinated54Care
3. Which54patient54statement54indicates54a54need54for54further54discharge54teaching54that5
4the54vocational54nurse54should54address?
a. ―I54have54no54 idea54of54how54this54drug54will54affect54 m
e.‖
b. ―Do54 you54know54if54my54physician54is54coming54back54t
oday?‖
Medical-Surgical54Nursing,54Concepts54and54Practice