Test Bank for Medical Surgical Nursing Concepts and Practice, 1st Edition: deWit

Chapter 1: Caring for Medical-Surgical Patients MULTIPLE CHOICE 1. The nurse explains to a patient that the purpose of the state nurse practice act (NPA) is to: 1. examine and register LPN/LVNs. 2. define the scope of LPN/LVN practice. 3. improve quality of care provided by the LPN/LVN. 4. limit LPN/LVN employment placement. ANS: 2 The NPA of each state defines the scope of nursing practice in that state. DIF: Cognitive Level: comprehension REF: 2 OBJ: 2 (theory) TOP: NPA KEY: Nursing Process Step: implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 2. The new LPN/LVN reminds a coworker that clear guides for upholding clinical standards can be found in information from: 1. the nurse practice act (NPA). 2. the State Board of Nurse Examiners (BNE). 3. the National Association for Practical Nurse Education and Service (NAPNES). 4. institutional policies. ANS: 3 NAPNES gives clear guidelines for clinical standards that can be used as a basis for court decisions. The NPA has broad guidelines, and institutional policies may not be complete. The BNE enforces the NPA. DIF: Cognitive Level: comprehension REF: 2 OBJ: 3 (theory) TOP: Upholding clinical standards KEY: Nursing Process Step: NA MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 3. The charge nurse asks the new vocational nurse to start an intravenous medication. Because the vocational nurse has not been taught this skill in the educational program, the vocational nurse should: 1. ask a more experienced nurse to demonstrate the procedure. 2. look up procedure in the procedure manual. 3. attempt to perform the procedure with supervision. 4. inform the charge nurse of nonqualification. ANS: 4 The charge nurse should be informed of the nonqualification 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: 2 OBJ: 2 (theory) TOP: Providing safe care KEY: Nursing Process Step: NA MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care 4. The nurse recognizes the need for further discharge education when the patient says: 1. “I have no idea of how this drug will affect me.” 2. “Do you know if my physician is coming back today?” 3. “Will my insurance pay for my stay?” 4. “Am I going to have to go to a nursing home?” ANS: 1 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. DIF: Cognitive Level: analysis REF: 2 OBJ: 2 (theory) TOP: Teaching KEY: Nursing Process Step: implementation MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care