TEST BANK
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th 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
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th 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
ANSWER:
B
While improving quality of care provided by the LPN/LVN may be a result of
the NPA, theprimary 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.
ANSWER:
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 Care KEY: 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?‖
c . ―Will my insurance pay for my stay?‖
d . ―Am I going to have to go to a nursing home?‖
ANSWER:
Medical-Surgical Nursing, Concepts and Practice
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th 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
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th 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
ANSWER:
B
While improving quality of care provided by the LPN/LVN may be a result of
the NPA, theprimary 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.
ANSWER:
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 Care KEY: 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?‖
c . ―Will my insurance pay for my stay?‖
d . ―Am I going to have to go to a nursing home?‖
ANSWER:
Medical-Surgical Nursing, Concepts and Practice
