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
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Stromberg: Medical-Surgical Nursing: Concepts and Practice, 6th Edition
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MULTIPLE CHOICE #X
1. Which statement accurately describes the primary purpose of the state nurse practi
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ce act(NPA)?
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a. To test and license LPN/LVNs
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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 #X
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the p
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rimary 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 #X #X #X#X#X #X
OBJ: 3TOP: NPA #X X
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KEY: Nursing Process Step: Implementation #X #X #X #X
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 t
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hat thevocational nurse has not been taught during her educational program. How should
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the 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. #X #X #X #X #X #X
d. Inform the charge nurse of her lack of training in this procedur
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e.
ANSWER: D #X
The charge nurse should be informed of the lack of training to perform the procedure, a
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nd thevocational nurse should seek further training to gain proficiency. Although the oth
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er options might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 #X #X #X#X#X #X
OBJ: 1 TOP: Providing Safe Care #X #X # X #X #X
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care E
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nvironment: Coordinated Care #X #X
3. Which patient statement indicates a need for further discharge teaching that the voca
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tionalnurse should address?
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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?‖
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d. ―Am I going to have to go to a nursing home?‖
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ANSWER: A #X
Lack of knowledge at discharge about medication effects and side effects is a concern thats
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Medical-Surgical Nursing, Concepts and Practice #X #X #X #X
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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
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Stromberg: Medical-Surgical Nursing: Concepts and Practice, 6th Edition
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MULTIPLE CHOICE #X
1. Which statement accurately describes the primary purpose of the state nurse practi
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ce act(NPA)?
#X X
#
a. To test and license LPN/LVNs
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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 #X
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the p
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rimary 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 #X #X #X#X#X #X
OBJ: 3TOP: NPA #X X
# # X
KEY: Nursing Process Step: Implementation #X #X #X #X
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 t
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hat thevocational nurse has not been taught during her educational program. How should
#X X
# #X #X #X #X #X #X #X #X #X #X #X
the vocational nurse respond?
#X #X #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.
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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 procedur
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e.
ANSWER: D #X
The charge nurse should be informed of the lack of training to perform the procedure, a
#X #X #X #X #X #X #X #X #X #X #X #X #X #X #X
nd thevocational nurse should seek further training to gain proficiency. Although the oth
#X X
# #X #X #X #X #X #X #X #X #X #X #X
er options might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 #X #X #X#X#X #X
OBJ: 1 TOP: Providing Safe Care #X #X # X #X #X
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care E
#X #X #X #X X
# # X #X #X #X #X
nvironment: Coordinated Care #X #X
3. Which patient statement indicates a need for further discharge teaching that the voca
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tionalnurse should address?
X
# #X #X
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?‖
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d. ―Am I going to have to go to a nursing home?‖
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ANSWER: A #X
Lack of knowledge at discharge about medication effects and side effects is a concern thats
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Medical-Surgical Nursing, Concepts and Practice #X #X #X #X