TESTBANK
deWit'sMedical-
SurgicalNursing, ConceptsandPra
3
ctice,4thEdition (Stromberg,2025
3
)Chapters1-49
TABLE OF CONTENTS
Medical-Surgical
T T
Nursing, Concepts and Practice
3 3 3 3
,Medical-Surgical3Nursing,3Concepts3and3Practice
,Medical-Surgical3Nursing,3Concepts3and3Practice
, Chapter301:3Caring3for3Medical-Surgical3Patients
DeWit:3Medical-Surgical3Nursing:3Concepts3&3Practice,34th3Edition
MULTIPLE3CHOICE
1. Which3statement3accurately3describes3the3primary3purpose3of3the3state3nurse3practi
ce3act(NPA)?
a. To3test3and3license3LPN/LVNs
b. To3define3the3scope3of3LPN/LVN3practice
c. To3improve3the3quality3of3care3provided3by3the3LPN/LV
N
d. To3limit3the3LPN/LVN3employment3placement
ANSWER:3 B
While3improving3quality3of3care3provided3by3the3LPN/LVN3may3be3a3result3of3the3NPA,3theprim
ar3y3purpose3of3the3NPA3of3each3state3defines3the3scope3of3nursing3practice3in3that3state.
DIF: Cognitive3Level:3Comprehension
REF:3 p.3
33OBJ:33TOP:3 NPA
KEY:3Nursing3Process3Step:3Implementation
MSC:3 NCLEX:3Safe,3Effective3Care3Environment:3Coordinated 3Care
2. The3charge3nurse3asks3the3new3vocational 3nurse3to3start3an3intravenous3infusion,3a3skill3that
3th3evocational3nurse3has3not3been3taught3during3her3educational3program.3How3should3the3
vocat3ional3nurse3respond?
a. Ask3a3more3experienced3nurse3to3demonstrate3the3procedure.
b. Look3up3the3procedure3in3the3procedure3manual.
c. Attempt3to3perform3the3procedure3with3supervision.
d. Inform3the3charge3nurse3of3her3lack3of3training3in3this3procedur
e.
ANSWER:3 D
The3charge3nurse3should3be3informed3of3the3lack3of3training3to3perform3the3procedure,3and3th3
evocational3nurse3should3seekTfurther3training3to3gain3proficiency.3Although3the3other3options3
might3be3helpful,3they3are3not3safe.
DIF: Cognitive3Level:3Application
REF:3 p.3
33OBJ:313TOP:3 Providing3Safe3Care
KEY:3Nursing3Process3Step:3N/AMSC:3 NCLEX:3Safe,3Effective3Care3Envir3onm
ent:3Coordinated 3Care
3. Which3patient3statement3indicates3a3need3for3further3discharge3teaching3that3the3vocat
io3nalnurse3should3address?
a. ―I3have3no3idea3of3how3this3drug3will3affect3me.‖
b. ―Do3you3know3if3my3physician3is3coming3back3today?
‖
c. ―Will3my3insurance3pay3for3my3stay?‖
Medical-Surgical3Nursing,3Concepts3and3Practice
deWit'sMedical-
SurgicalNursing, ConceptsandPra
3
ctice,4thEdition (Stromberg,2025
3
)Chapters1-49
TABLE OF CONTENTS
Medical-Surgical
T T
Nursing, Concepts and Practice
3 3 3 3
,Medical-Surgical3Nursing,3Concepts3and3Practice
,Medical-Surgical3Nursing,3Concepts3and3Practice
, Chapter301:3Caring3for3Medical-Surgical3Patients
DeWit:3Medical-Surgical3Nursing:3Concepts3&3Practice,34th3Edition
MULTIPLE3CHOICE
1. Which3statement3accurately3describes3the3primary3purpose3of3the3state3nurse3practi
ce3act(NPA)?
a. To3test3and3license3LPN/LVNs
b. To3define3the3scope3of3LPN/LVN3practice
c. To3improve3the3quality3of3care3provided3by3the3LPN/LV
N
d. To3limit3the3LPN/LVN3employment3placement
ANSWER:3 B
While3improving3quality3of3care3provided3by3the3LPN/LVN3may3be3a3result3of3the3NPA,3theprim
ar3y3purpose3of3the3NPA3of3each3state3defines3the3scope3of3nursing3practice3in3that3state.
DIF: Cognitive3Level:3Comprehension
REF:3 p.3
33OBJ:33TOP:3 NPA
KEY:3Nursing3Process3Step:3Implementation
MSC:3 NCLEX:3Safe,3Effective3Care3Environment:3Coordinated 3Care
2. The3charge3nurse3asks3the3new3vocational 3nurse3to3start3an3intravenous3infusion,3a3skill3that
3th3evocational3nurse3has3not3been3taught3during3her3educational3program.3How3should3the3
vocat3ional3nurse3respond?
a. Ask3a3more3experienced3nurse3to3demonstrate3the3procedure.
b. Look3up3the3procedure3in3the3procedure3manual.
c. Attempt3to3perform3the3procedure3with3supervision.
d. Inform3the3charge3nurse3of3her3lack3of3training3in3this3procedur
e.
ANSWER:3 D
The3charge3nurse3should3be3informed3of3the3lack3of3training3to3perform3the3procedure,3and3th3
evocational3nurse3should3seekTfurther3training3to3gain3proficiency.3Although3the3other3options3
might3be3helpful,3they3are3not3safe.
DIF: Cognitive3Level:3Application
REF:3 p.3
33OBJ:313TOP:3 Providing3Safe3Care
KEY:3Nursing3Process3Step:3N/AMSC:3 NCLEX:3Safe,3Effective3Care3Envir3onm
ent:3Coordinated 3Care
3. Which3patient3statement3indicates3a3need3for3further3discharge3teaching3that3the3vocat
io3nalnurse3should3address?
a. ―I3have3no3idea3of3how3this3drug3will3affect3me.‖
b. ―Do3you3know3if3my3physician3is3coming3back3today?
‖
c. ―Will3my3insurance3pay3for3my3stay?‖
Medical-Surgical3Nursing,3Concepts3and3Practice
