Test Bank for Dewitt’s Medical Surgical Nursing Concepts and Practice 4th Edition Stromberg / All Chapters 1-49 / Full Complete 2023

TEST BANK b




deWit's Medical-Surgical Nursing,
b b




Concepts and Practice, 4th Edition
b b b b




(Stromberg, 2023) Chapters 1 - 49
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TABLE OF CONTENTS
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Medical-Surgical Nursing, Concepts and Practice
b b b b

,Medical-Surgical Nursing, Concepts and Practice
b b b b

,Medical-Surgical Nursing, Concepts and Practice
b b b b

, Chapter 01: Caring for Medical-Surgical Patients
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DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
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MULTIPLE CHOICE b




1. Which statement accurately describes the primary purpose of the state nurse practice act
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(NPA)?
b




a. To test and license LPN/LVNs b b b b




b. To define the scope of LPN/LVN practice
b b b b b b




c. To improve the quality of care provided by the LPN/LVN
b b b b b b b b b




d. To limit the LPN/LVN employment placement
b b b b b




ANSWER: B b




While improving quality of care provided bythe LPN/LVN may be a result of the NPA, theprimary
b b b b b b b b b b b b b b b b b




purpose of the NPA of each state defines the scope of nursing practice in that state.
b b b b b b b b b b b b b b b b




DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 b b bb b b b




TOP: NPA
b KEY: Nursing Process Step: Implementation
b b b b b




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b




2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the
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vocational nurse has not been taught during her educational program. How should the
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vocational nurse respond?
b b b




a. Ask a more experienced nurse to demonstrate the procedure.
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b. Look up the procedure in the procedure manual. b b b b b b b




c. Attempt to perform the procedure with supervision. b b b b b b




d. Inform the charge nurse of her lack of training in this procedure. b b b b b b b b b b b




ANSWER: D b




The charge nurse should be informed of the lack of training to perform the procedure, and the
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vocational nurse should seek further training to gain proficiency. Although the other options
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might be helpful, they are not safe.
b b b b b b b




DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP: b b bb b b b b




bProviding Safe Care KEY: Nursing Process Step: N/Ab b b b b b




MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b




3. Which patient statement indicates a need for further discharge teaching that the vocational
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nurse should address?
b b b




a. ―I have no idea of how this drug will affect me.‖
b b b b b b b b b b




b. ―Do you know if my physician is coming back today?‖
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c. ―Will my insurance pay for my stay?‖ b b b b b b




d. ―Am I going to have to go to a nursing home?‖ b b b b b b b b b b




ANSWER: A b




Lack of knowledge at discharge about medication effects and side effects is a concern thatshould
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be addressed by the vocational nurse. The other concerns in the options are the responsibility of
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other departments to which the nurse might refer the patient.
b b b b b b b b b b




Medical-Surgical Nursing, Concepts and Practice b b b b