TEST BANK h
deWit's Medical-Surgical Nursing,
h h
Concepts and Practice, 4th Edition
h h h h
(Stromberg, 2023) Chapters 1 - 49
h h h h h
TABLE OF CONTENTS
h h
Medical-Surgical Nursing, Concepts and Practice
h h h h
,Medical-Surgical Nursing, Concepts and Practice
h h h h
,Medical-Surgical Nursing, Concepts and Practice
h h h h
, Chapter 01: Caring for Medical-Surgical Patients
h h h h h
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
h h h h h h h
MULTIPLE CHOICE h
1. Which statement accurately describes the primary purpose of the state nurse practice
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hact(NPA)? h
a. To test and license LPN/LVNs h h h h
b. To define the scope of LPN/LVN practiceh h h h h h
c. To improve the quality of care provided by the LPN/LVN
h h h h h h h h h
d. To limit the LPN/LVN employment placement
h h h h h
ANSWER: B h
While improving quality of care provided bythe LPN/LVN may be a result of the NPA, theprimary
h h h h h h h h h h h h h h h h h
purpose of the NPA of each state defines the scope of nursing practice in that state.
h h h h h h h h h h h h h h h h
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: h h hh h h
3TOP: NPA
h h KEY: Nursing Process Step: Implementation
h h h h h
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
h h h h h h h
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
h h h h h h h h h h h h h h h
thevocational nurse has not been taught during her educational program. How should the
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vocational nurse respond?
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a. Ask a more experienced nurse to demonstrate the procedure.
h h h h h h h h
b. Look up the procedure in the procedure manual. h h h h h h h
c. Attempt to perform the procedure with supervision. h h h h h h
d. Inform the charge nurse of her lack of training in this procedure. h h h h h h h h h h h
ANSWER: D h
The charge nurse should be informed of the lack of training to perform the procedure, and
h h h h h h h h h h h h h h h
thevocational nurse should seek further training to gain proficiency. Although the other options
h h h h h h h h h h h h h h
might be helpful, they are not safe.
h h h h h h h
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP: h h hh h h h h
hProviding Safe Care KEY: Nursing Process Step: h h h h h
N/AMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
h h h h h h h h h
3. Which patient statement indicates a need for further discharge teaching that the
h h h h h h h h h h h
hvocationalnurse should address? h h h
a. ―I have no idea of how this drug will affect me.‖
h h h h h h h h h h
b. ―Do you know if my physician is coming back today?‖ h h h h h h h h h
c. ―Will my insurance pay for my stay?‖ h h h h h h
d. ―Am I going to have to go to a nursing home?‖ h h h h h h h h h h
ANSWER: A h
Lack of knowledge at discharge about medication effects and side effects is a concern thatshould
h h h h h h h h h h h h h h h
be addressed by the vocational nurse. The other concerns in the options are the responsibility of
h h h h h h h h h h h h h h h h
other departments to which the nurse might refer the patient.
h h h h h h h h h h
Medical-Surgical Nursing, Concepts and Practice h h h h
deWit's Medical-Surgical Nursing,
h h
Concepts and Practice, 4th Edition
h h h h
(Stromberg, 2023) Chapters 1 - 49
h h h h h
TABLE OF CONTENTS
h h
Medical-Surgical Nursing, Concepts and Practice
h h h h
,Medical-Surgical Nursing, Concepts and Practice
h h h h
,Medical-Surgical Nursing, Concepts and Practice
h h h h
, Chapter 01: Caring for Medical-Surgical Patients
h h h h h
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
h h h h h h h
MULTIPLE CHOICE h
1. Which statement accurately describes the primary purpose of the state nurse practice
h h h h h h h h h h h
hact(NPA)? h
a. To test and license LPN/LVNs h h h h
b. To define the scope of LPN/LVN practiceh h h h h h
c. To improve the quality of care provided by the LPN/LVN
h h h h h h h h h
d. To limit the LPN/LVN employment placement
h h h h h
ANSWER: B h
While improving quality of care provided bythe LPN/LVN may be a result of the NPA, theprimary
h h h h h h h h h h h h h h h h h
purpose of the NPA of each state defines the scope of nursing practice in that state.
h h h h h h h h h h h h h h h h
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: h h hh h h
3TOP: NPA
h h KEY: Nursing Process Step: Implementation
h h h h h
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
h h h h h h h
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
h h h h h h h h h h h h h h h
thevocational nurse has not been taught during her educational program. How should the
h h h h h h h h h h h h h h
vocational nurse respond?
h h h
a. Ask a more experienced nurse to demonstrate the procedure.
h h h h h h h h
b. Look up the procedure in the procedure manual. h h h h h h h
c. Attempt to perform the procedure with supervision. h h h h h h
d. Inform the charge nurse of her lack of training in this procedure. h h h h h h h h h h h
ANSWER: D h
The charge nurse should be informed of the lack of training to perform the procedure, and
h h h h h h h h h h h h h h h
thevocational nurse should seek further training to gain proficiency. Although the other options
h h h h h h h h h h h h h h
might be helpful, they are not safe.
h h h h h h h
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP: h h hh h h h h
hProviding Safe Care KEY: Nursing Process Step: h h h h h
N/AMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
h h h h h h h h h
3. Which patient statement indicates a need for further discharge teaching that the
h h h h h h h h h h h
hvocationalnurse should address? h h h
a. ―I have no idea of how this drug will affect me.‖
h h h h h h h h h h
b. ―Do you know if my physician is coming back today?‖ h h h h h h h h h
c. ―Will my insurance pay for my stay?‖ h h h h h h
d. ―Am I going to have to go to a nursing home?‖ h h h h h h h h h h
ANSWER: A h
Lack of knowledge at discharge about medication effects and side effects is a concern thatshould
h h h h h h h h h h h h h h h
be addressed by the vocational nurse. The other concerns in the options are the responsibility of
h h h h h h h h h h h h h h h h
other departments to which the nurse might refer the patient.
h h h h h h h h h h
Medical-Surgical Nursing, Concepts and Practice h h h h
