Medical-Surgical Nursing, Concepts and Practice
x x x x
,TABLE OF CONTENTS
x x
Medical-Surgical Nursing, Concepts and Practice
x x x x
,Medical-Surgical Nursing, Concepts and Practice
x x x x
, Chapter 01: Caring for Medical-Surgical Patients
x x x x x
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 6th Edition
x x x x x x x
MULTIPLE CHOICE x
1. Which statement accurately describes the primary purpose of the state nurse practice ac
x x x x x x x x x x x x
t(NPA)?
x
a. To test and license LPN/LVNs
x x x x
b. To define the scope of LPN/LVN practice
x x x x x x
c. To improve the quality of care provided by the LPN/LVN
x x x x x x x x x
d. To limit the LPN/LVN employment placement
x x x x x
ANSWER: B x
While improving quality of care provided by the LPN/LVN may be a result of the NPA, theprimary
x x x x x x x x x x x x x x x x x x
purpose of the NPA of each state defines the scope of nursing practice in that state.
x x x x x x x x x x x x x x x
DIF: Cognitive Level: Comprehension REF: p. 3 x x xxx x
OBJ: 3TOP: NPA x x x
KEY: Nursing Process Step: Implementation x x x x
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
x x x x x x x
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that thev
x x x x x x x x x x x x x x x x x
ocational nurse has not been taught during her educational program. How should the vocationa
x x x x x x x x x x x x x
l nurse respond?
x x
a. Ask a more experienced nurse to demonstrate the procedure.
x x x x x x x x
b. Look up the procedure in the procedure manual.
x x x x x x x
c. Attempt to perform the procedure with supervision. x x x x x x
d. Inform the charge nurse of her lack of training in this procedure.
x x x x x x x x x x x
ANSWER: D x
The charge nurse should be informed of the lack of training to perform the procedure, and thev
x x x x x x x x x x x x x x x x x
ocational nurse should seek further training to gain proficiency. Although the other options mig
x x x x x x x x x x x x x
ht be helpful, they are not safe.
x x x x x x
DIF: Cognitive Level: Application REF: p. 3 x x xxx x
OBJ: 1 TOP: Providing Safe Care x x x x x
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care Enviro
x x x x x x x x x x
nment: Coordinated Care x x
3. Which patient statement indicates a need for further discharge teaching that the vocationa
x x x x x x x x x x x x
lnurse should address?
x x x
a. ―I have no idea of how this drug will affect me.‖
x x x x x x x x x x
b. ―Do you know if my physician is coming back today?‖
x x x x x x x x x
c. ―Will my insurance pay for my stay?‖ x x x x x x
d. ―Am I going to have to go to a nursing home?‖
x x x x x x x x x x
ANSWER: A x
Lack of knowledge at discharge about medication effects and side effects is a concern thatshould
x x x x x x x x x x x x x x x x
Medical-Surgical Nursing, Concepts and Practice x x x x
x x x x
,TABLE OF CONTENTS
x x
Medical-Surgical Nursing, Concepts and Practice
x x x x
,Medical-Surgical Nursing, Concepts and Practice
x x x x
, Chapter 01: Caring for Medical-Surgical Patients
x x x x x
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 6th Edition
x x x x x x x
MULTIPLE CHOICE x
1. Which statement accurately describes the primary purpose of the state nurse practice ac
x x x x x x x x x x x x
t(NPA)?
x
a. To test and license LPN/LVNs
x x x x
b. To define the scope of LPN/LVN practice
x x x x x x
c. To improve the quality of care provided by the LPN/LVN
x x x x x x x x x
d. To limit the LPN/LVN employment placement
x x x x x
ANSWER: B x
While improving quality of care provided by the LPN/LVN may be a result of the NPA, theprimary
x x x x x x x x x x x x x x x x x x
purpose of the NPA of each state defines the scope of nursing practice in that state.
x x x x x x x x x x x x x x x
DIF: Cognitive Level: Comprehension REF: p. 3 x x xxx x
OBJ: 3TOP: NPA x x x
KEY: Nursing Process Step: Implementation x x x x
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
x x x x x x x
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that thev
x x x x x x x x x x x x x x x x x
ocational nurse has not been taught during her educational program. How should the vocationa
x x x x x x x x x x x x x
l nurse respond?
x x
a. Ask a more experienced nurse to demonstrate the procedure.
x x x x x x x x
b. Look up the procedure in the procedure manual.
x x x x x x x
c. Attempt to perform the procedure with supervision. x x x x x x
d. Inform the charge nurse of her lack of training in this procedure.
x x x x x x x x x x x
ANSWER: D x
The charge nurse should be informed of the lack of training to perform the procedure, and thev
x x x x x x x x x x x x x x x x x
ocational nurse should seek further training to gain proficiency. Although the other options mig
x x x x x x x x x x x x x
ht be helpful, they are not safe.
x x x x x x
DIF: Cognitive Level: Application REF: p. 3 x x xxx x
OBJ: 1 TOP: Providing Safe Care x x x x x
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care Enviro
x x x x x x x x x x
nment: Coordinated Care x x
3. Which patient statement indicates a need for further discharge teaching that the vocationa
x x x x x x x x x x x x
lnurse should address?
x x x
a. ―I have no idea of how this drug will affect me.‖
x x x x x x x x x x
b. ―Do you know if my physician is coming back today?‖
x x x x x x x x x
c. ―Will my insurance pay for my stay?‖ x x x x x x
d. ―Am I going to have to go to a nursing home?‖
x x x x x x x x x x
ANSWER: A x
Lack of knowledge at discharge about medication effects and side effects is a concern thatshould
x x x x x x x x x x x x x x x x
Medical-Surgical Nursing, Concepts and Practice x x x x
