TEST BANK
STUDY NOTES & REFERENCE GUIDE
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, STUDY NOTES & REFERENCE GUIDE
TEST BAK FOR DEWIT MEDICAL SURGICAL NURSING CONCEPTS AND
PRACTICE 5th EDITION
Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & 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.
ANS: 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step:
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, STUDY NOTES & REFERENCE GUIDE
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.
courseroomsity - Stuvia | Page 3 of 1745
, STUDY NOTES & REFERENCE GUIDE
ANS: 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.
PTS: 1 DIF: Cognitive Level: Application REF: 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?”
ANS: A
Lack of knowledge at discharge about medication effects and side
effects is a concern that should be addressed by the vocational nurse.
The other concerns in the options are the responsibility of other
departments to which the nurse might refer the patient.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step:
Implementation MSC: NCLEX: Safe, Effective Care
Environment: Coordinated Care
courseroomsity - Stuvia | Page 4 of 1745
STUDY NOTES & REFERENCE GUIDE
courseroomsity - Stuvia | Page 1 of 1745
, STUDY NOTES & REFERENCE GUIDE
TEST BAK FOR DEWIT MEDICAL SURGICAL NURSING CONCEPTS AND
PRACTICE 5th EDITION
Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & 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.
ANS: 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step:
courseroomsity - Stuvia | Page 2 of 1745
, STUDY NOTES & REFERENCE GUIDE
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.
courseroomsity - Stuvia | Page 3 of 1745
, STUDY NOTES & REFERENCE GUIDE
ANS: 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.
PTS: 1 DIF: Cognitive Level: Application REF: 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?”
ANS: A
Lack of knowledge at discharge about medication effects and side
effects is a concern that should be addressed by the vocational nurse.
The other concerns in the options are the responsibility of other
departments to which the nurse might refer the patient.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step:
Implementation MSC: NCLEX: Safe, Effective Care
Environment: Coordinated Care
courseroomsity - Stuvia | Page 4 of 1745
