TEST BANK
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th Edition
(Stromberg, 2023) Chapters 1 - 49
TABLE OF CONTENTS
5 5
Medical-Surgical Nursing, Concepts and Practice
5 5 5 5
,Medical-Surgical Nursing, Concepts and Practice
5 5 5 5
,Medical-Surgical Nursing, Concepts and Practice
5 5 5 5
, Chapter 01: Caring for Medical-Surgical Patients
5 5 5 5 5
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
5 5 5 5 5 5 5
MULTIPLE5CHOICE
1. Which5statement5accurately5describes5the5primary5purpose5of5the5state5nurse5practice5
act5(NPA)?
a. To5test5and5license5LPN/LVNs
b. To5define5the5scope5of5LPN/LVN5practice
c. To5improve5the5quality5of5care5provided5by5the5LPN/LVN
d. To5limit5the5LPN/LVN5employment5placement
ANSWER:5 B
While5improving5quality5of5care5provided5by5the5LPN/LVN5may5be5a5result5of5the5NPA,5the5prima
ry5purpose5of5the5NPA5of5each5state5defines5the5scope5of5nursing5practice5in5that5state.
DIF: Cognitive5Level:5Comprehension REF:555p.53
OBJ:535TOP:5 NPA
KEY:5 Nursing5Process5Step:5Implementation
MSC:5 NCLEX:5Safe,5Effective5Care5Environment:5Coordinated5Care
2. The5charge5nurse5asks5the5new5vocational5nurse5to5start5an5intravenous5infusion,5a5skill5that5th
e5vocational5nurse5has5not5been5taught5during5her5educational5program.5How5should5the5voca
tional5nurse5respond?
a. Ask5a5more5experienced5nurse5to5demonstrate5the5procedure.
b. Look5up5the5procedure5in5the5procedure5manual.
c. Attempt5to5perform5the5procedure5with5supervision.
d. Inform5the5charge5nurse5of5her5lack5of5training5in5this5procedure.
ANSWER:5 D
The5charge5nurse5should5be5informed5of5the5lack5of5training5to5perform5the5procedure,5and5th
e5vocational5nurse5should5seek5further5training5to5gain5proficiency.5Although5the5other5option
s5might5be5helpful,5they5are5not5safe.
DIF: Cognitive5Level:5Application REF:555p.53
OBJ:515TOP:5 Providing5Safe5Care
KEY:5Nursing5Process5Step:5N/A5MSC:5 NCLEX:5Safe,5Effective5Care5Envir
onment:5Coordinated5Care
3. Which5patient5statement5indicates5a5need5for5further5discharge5teaching5that5the5vocatio
nal5nurse5should5address?
a. ―I5have5no5 idea5of5how5this5drug5will5affect5me.‖
b. ―Do5 you5know5if5my5physician5is5coming5back5today?‖
c. ―Will5my5insurance5pay5for5my5stay?‖
d. ―Am5I5going5to5have5to5go5to5a5nursing5home?‖
ANSWER:5 A
Lack5of5knowledge5at5discharge5about5medication5effects5and5side5effects5is5a5concern5that5shoul
Medical-Surgical Nursing, Concepts and Practice
5 5 5 5
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th Edition
(Stromberg, 2023) Chapters 1 - 49
TABLE OF CONTENTS
5 5
Medical-Surgical Nursing, Concepts and Practice
5 5 5 5
,Medical-Surgical Nursing, Concepts and Practice
5 5 5 5
,Medical-Surgical Nursing, Concepts and Practice
5 5 5 5
, Chapter 01: Caring for Medical-Surgical Patients
5 5 5 5 5
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
5 5 5 5 5 5 5
MULTIPLE5CHOICE
1. Which5statement5accurately5describes5the5primary5purpose5of5the5state5nurse5practice5
act5(NPA)?
a. To5test5and5license5LPN/LVNs
b. To5define5the5scope5of5LPN/LVN5practice
c. To5improve5the5quality5of5care5provided5by5the5LPN/LVN
d. To5limit5the5LPN/LVN5employment5placement
ANSWER:5 B
While5improving5quality5of5care5provided5by5the5LPN/LVN5may5be5a5result5of5the5NPA,5the5prima
ry5purpose5of5the5NPA5of5each5state5defines5the5scope5of5nursing5practice5in5that5state.
DIF: Cognitive5Level:5Comprehension REF:555p.53
OBJ:535TOP:5 NPA
KEY:5 Nursing5Process5Step:5Implementation
MSC:5 NCLEX:5Safe,5Effective5Care5Environment:5Coordinated5Care
2. The5charge5nurse5asks5the5new5vocational5nurse5to5start5an5intravenous5infusion,5a5skill5that5th
e5vocational5nurse5has5not5been5taught5during5her5educational5program.5How5should5the5voca
tional5nurse5respond?
a. Ask5a5more5experienced5nurse5to5demonstrate5the5procedure.
b. Look5up5the5procedure5in5the5procedure5manual.
c. Attempt5to5perform5the5procedure5with5supervision.
d. Inform5the5charge5nurse5of5her5lack5of5training5in5this5procedure.
ANSWER:5 D
The5charge5nurse5should5be5informed5of5the5lack5of5training5to5perform5the5procedure,5and5th
e5vocational5nurse5should5seek5further5training5to5gain5proficiency.5Although5the5other5option
s5might5be5helpful,5they5are5not5safe.
DIF: Cognitive5Level:5Application REF:555p.53
OBJ:515TOP:5 Providing5Safe5Care
KEY:5Nursing5Process5Step:5N/A5MSC:5 NCLEX:5Safe,5Effective5Care5Envir
onment:5Coordinated5Care
3. Which5patient5statement5indicates5a5need5for5further5discharge5teaching5that5the5vocatio
nal5nurse5should5address?
a. ―I5have5no5 idea5of5how5this5drug5will5affect5me.‖
b. ―Do5 you5know5if5my5physician5is5coming5back5today?‖
c. ―Will5my5insurance5pay5for5my5stay?‖
d. ―Am5I5going5to5have5to5go5to5a5nursing5home?‖
ANSWER:5 A
Lack5of5knowledge5at5discharge5about5medication5effects5and5side5effects5is5a5concern5that5shoul
Medical-Surgical Nursing, Concepts and Practice
5 5 5 5
