Medical-Surgical
Nursing, Concepts
and Practice, 5th
Edition (Stromberg,
2023)
Chapters 1 - 49
Medical-Surgical Nursing, Concepts and
Practice
,TABLE OF CONTENTS
Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, Chapter 01: Caring for Medical-Surgical Patients
Stromberg: Medical-Surgical Nursing: Concepts and
Practice, 5th Edition
MULTIPLE CHOICE
1. Which statement accurately describes the primary
purpose of the state nurse practice act (NPA)?
a. To test and license LPN/LVNs
b. To define the scope of LPN/LVN practice
c. To improve the quality of care provided by the LPN/LVN
d. To limit the LPN/LVN employment placement
ANSWE
R: B
While improving quality of care provided by the LPN/LVN may be a
result of the NPA, the primary purpose of the NPA of each state
defines the scope of nursing practice in that state.
DIF: Cognitive Level: Comprehension REF:
p. 3 OBJ: 3 TOP: NPA KEY: Nursing
Process Step: Implementation MSC: NCLEX: Safe,
Effective Care Environment: Coordinated Care
2. The charge nurse asks the new vocational nurse to start an
intravenous infusion, a skill that the vocational nurse has not
been taught during her educational program. How should the
vocational nurse respond?
a. Ask a more experienced nurse to demonstrate the procedure.
b. Look up the procedure in the procedure manual.
c. Attempt to perform the procedure with supervision.
d. Inform the charge nurse of her lack of training in this procedure.
ANSWE
R: D
The charge nurse should be informed of the lack of training to
perform the procedure, and the vocational nurse should seek
further training to gain proficiency. Although the other options
might be helpful, they are not safe.
DIF: Cognitive Level: Application REF: p. 3
OBJ: 1 TOP: Providing Safe CareKEY: Nursing
Process Step: N/A MSC: NCLEX: Safe, Effective Care
Environment: Coordinated Care
3. Which patient statement indicates a need for further
discharge teaching that the vocational nurse should
address?
a. ―I have no idea of how this drug will affect me.‖
b. ―Do you know if my physician is coming back today?‖