Medical-Surgical Nursing, Concepts and Practice
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,TABLE OF CONTENTS
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Medical-Surgical Nursing, Concepts and Practice
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,Medical-Surgical Nursing, Concepts and Practice
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, Chapter 01: Caring for Medical-Surgical Patients
xx xx xx xx xx
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
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MULTIPLE CHOICE xx
1. Which statement accurately describes the primary purpose of the state nurse practic
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e act(NPA)?
xx x
a. To test and license LPN/LVNs xx xx xx xx
b. To define the scope of LPN/LVN practice
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c. To improve the quality of care provided by the LPN/LVN
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d. To limit the LPN/LVN employment placement
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ANSWER: B xx
While improving quality of care provided by the LPN/LVN may be a result of the NPA, thepri
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mary purpose of the NPA of each state defines the scope of nursing practice in that state.
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DIF: Cognitive Level: Comprehension REF: p. 3 xx xx xxxxxx xx
OBJ: 3TOP: NPA xx x x x
KEY: Nursing Process Step: Implementation xx xx xx xx
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill tha
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t thevocational nurse has not been taught during her educational program. How should th
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e vocational nurse respond?
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a. Ask a more experienced nurse to demonstrate the procedure.
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b. Look up the procedure in the procedure manual.
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c. Attempt to perform the procedure with supervision. xx xx xx xx xx xx
d. Inform the charge nurse of her lack of training in this procedure
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.
ANSWER: D xx
The charge nurse should be informed of the lack of training to perform the procedure, and
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thevocational nurse should seek further training to gain proficiency. Although the other op
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tions might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 xx xx xxxxxx xx
OBJ: 1 TOP: Providing Safe Care xx xx x x xx xx
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care En
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vironment: Coordinated Care xx xx
3. Which patient statement indicates a need for further discharge teaching that the vocati
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onalnurse should address?
x xx xx
a. ―I have no idea of how this drug will affect me.‖
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b. ―Do you know if my physician is coming back today?‖
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c. ―Will my insurance pay for my stay?‖ xx xx xx xx xx xx
d. ―Am I going to have to go to a nursing home?‖
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ANSWER: A xx
Lack of knowledge at discharge about medication effects and side effects is a concern thatsh
xx xx xx xx xx xx xx xx xx xx xx xx xx xx x
Medical-Surgical Nursing, Concepts and Practice xx xx xx xx
xx xx xx xx
,TABLE OF CONTENTS
xx xx
Medical-Surgical Nursing, Concepts and Practice
xx xx xx xx
,Medical-Surgical Nursing, Concepts and Practice
xx xx xx xx
, Chapter 01: Caring for Medical-Surgical Patients
xx xx xx xx xx
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
xx xx xx xx xx xx xx
MULTIPLE CHOICE xx
1. Which statement accurately describes the primary purpose of the state nurse practic
xx xx xx xx xx xx xx xx xx xx xx
e act(NPA)?
xx x
a. To test and license LPN/LVNs xx xx xx xx
b. To define the scope of LPN/LVN practice
xx xx xx xx xx xx
c. To improve the quality of care provided by the LPN/LVN
xx xx xx xx xx xx xx xx xx
d. To limit the LPN/LVN employment placement
xx xx xx xx xx
ANSWER: B xx
While improving quality of care provided by the LPN/LVN may be a result of the NPA, thepri
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx x
mary purpose of the NPA of each state defines the scope of nursing practice in that state.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
DIF: Cognitive Level: Comprehension REF: p. 3 xx xx xxxxxx xx
OBJ: 3TOP: NPA xx x x x
KEY: Nursing Process Step: Implementation xx xx xx xx
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
x x xx xx xx xx xx xx
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill tha
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx
t thevocational nurse has not been taught during her educational program. How should th
xx x xx xx xx xx xx xx xx xx xx xx xx xx
e vocational nurse respond?
xx xx xx
a. Ask a more experienced nurse to demonstrate the procedure.
xx xx xx xx xx xx xx xx
b. Look up the procedure in the procedure manual.
xx xx xx xx xx xx xx
c. Attempt to perform the procedure with supervision. xx xx xx xx xx xx
d. Inform the charge nurse of her lack of training in this procedure
xx xx xx xx xx xx xx xx xx xx xx
.
ANSWER: D xx
The charge nurse should be informed of the lack of training to perform the procedure, and
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx x
thevocational nurse should seek further training to gain proficiency. Although the other op
x x xx xx xx xx xx xx xx xx xx xx xx xx
tions might be helpful, they are not safe.
xx xx xx xx xx xx xx
DIF: Cognitive Level: Application REF: p. 3 xx xx xxxxxx xx
OBJ: 1 TOP: Providing Safe Care xx xx x x xx xx
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care En
xx xx xx xx x x x xx xx xx xx
vironment: Coordinated Care xx xx
3. Which patient statement indicates a need for further discharge teaching that the vocati
xx xx xx xx xx xx xx xx xx xx xx xx
onalnurse should address?
x xx xx
a. ―I have no idea of how this drug will affect me.‖
xx xx xx xx xx xx xx xx xx xx
b. ―Do you know if my physician is coming back today?‖
xx xx xx xx xx xx xx xx xx
c. ―Will my insurance pay for my stay?‖ xx xx xx xx xx xx
d. ―Am I going to have to go to a nursing home?‖
xx xx xx xx xx xx xx xx xx xx
ANSWER: A xx
Lack of knowledge at discharge about medication effects and side effects is a concern thatsh
xx xx xx xx xx xx xx xx xx xx xx xx xx xx x
Medical-Surgical Nursing, Concepts and Practice xx xx xx xx