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Medical Surgical Nursing Concepts And Practice 3Rd Edition - Dewit Test Bank

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Medical Surgical Nursing Concepts and Practice 3rd Edition - DeWit Test Bank Chapter 01: Caring for Medical-Surgical Patients deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd 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: 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 notbeen 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. 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 vocationalnurse. 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:

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MEDICAL SURGICAL NURSING

CONCEPTS AND PRACTICE

3RD EDITION - DEWIT

TEST BANK


Chapterq01:qCaringqforqMedical-SurgicalqPatients
deWit:qMedical-


SurgicalqNursing:qConceptsq&qPractice,q3rdqEditionqMULTIPLEqCHOICE


1. Whichqstatementqaccuratelyqdescribesqtheqprimaryqpurposeqofqtheqstateqnurseqpractic
eqactq(NPA)?
a. ToqtestqandqlicenseqLPN/LVNs.
b ToqdefineqtheqscopeqofqLPN/LVNqpractice.
.
c. Toqimproveqtheqqualityqofqcareqprovided
byqtheqLPN/LVN.
d ToqlimitqtheqLPN/LVNqemployment
. placement.

ANS: B
WhileqimprovingqqualityqofqcareqprovidedqbyqtheqLPN/LVNqmayqbeqaqresultqofqtheqNPA,qtheqpri
maryqpurposeqofqtheqNPAqofqeachqstateqdefinesqtheqscopeqofqnursingqpracticeqinqthatqstate.


PTS: 1 DIF: CognitiveqLevel:qComprehensionqREF:
2
OBJ: 3 TOP: NPA KEY: NursingqProcessqStep:
Implementation
MSC:q NCLEX:qSafe,qEffectiveqCareqEnvironment:qCoordinatedqCare

,2. Theqchargeqnurseqasksqtheqnewqvocationalqnurseqtoqstartqanqintravenousqinfusion,q
aqskillqthatqtheqvocationalqnurseqhasqnotbeenqtaughtqduringqherqeducationalqprogram.qHo
wqshouldqtheqvocationalqnurseqrespond?

, a. Askqaqmoreqexperiencedqnurseqtoqdemonstrate
theqprocedure.
b Lookqupqtheqprocedureqinqtheqprocedure
. manual.
c. Attemptqtoqperformqtheqprocedureqwith
supervision.
d Informqtheqchargeqnurseqofqherqlackqof
. trainingqinqthisqprocedure.

ANS: D
Theqchargeqnurseqshouldqbeqinformedqofqtheqlackqofqtrainingqtoqperformqtheqprocedure,qandqt
heqvocationalqnurseqshouldqseekqfurtherqtrainingqtoqgainqproficiency.qAlthoughqtheqotherqopt
ionsqmightqbeqhelpful,qtheyqareqnotqsafe.


PTS: 1 DIF: CognitiveqLevel:qApplication 3
REF:
OBJ: 1 TOP: ProvidingqSafeqCare KEY: NursingqProcess
Step:qN/A
MSC:q NCLEX:qSafe,qEffectiveqCareqEnvironment:qCoordinatedqCare


3. Whichqpatientqstatementqindicatesqaqneedqforqfurtherqdischargeqteachingqthatqth
eqvocationalqnurseqshouldqaddress?
a. ―Iqhaveqnoqideaqofqhowqthisqdrugqwil
lqaffectqme.‖
b ―Doqyouqknowqifqmyqphysicianqis
. qcomingqbackqtoday?‖
c. ―Willqmyqinsuranceqpayqforqmyqstay?‖
d ―AmqIqgoingqtoqhaveqtoqgoqtoqaqnursin
. gqhome?‖

ANS: A
Lackqofqknowledgeqatqdischargeqaboutqmedicationqeffectsqandqsideqeffectsqisqaqconcernqthatqsho
uldqbeqaddressedqbyqtheqvocationalnurse.qTheqotherqconcernsqinqtheqoptionsqareq theqresponsibi
lityqofqotherqdepartmentsqtoqwhichqtheqnurseqmightqreferqtheqpatient.


PTS: 1 DIF: CognitiveqLevel:qApplicationq REF:
2
OBJ: 1 TOP: Teachingq KEY: NursingqProcessqStep:

, Implementation
MSC:q NCLEX:qSafe,qEffectiveqCareqEnvironment:qCoordinatedqCare


4. AccordingqtoqmostqstateqNPAs,qtheqvocationalqnurseqactingqasqchargeqnurseqinq
aqlong-termqcareqfacilityqactsqinqwhichqcapacity?
a. Workingqunderq directqsupervisionqofqanqRNqonqthe
unit
b WorkingqwithqtheqRNqinqtheqbuilding
.
c. WorkingqunderqgeneralqsupervisionqbyqtheqRN
availableqonqsiteqorqbyqphone
d Workingqasqanqindependentqvocationalq nurse
.

ANS: C
Theqvocationalqnurseqinqtheqcapacityqofqtheqchargeqnurseqinqaqlong-
termqcareqfacilityqactsqwithqtheqgeneralqsupervisionqofqanqRNqavailableqonqsiteqorqbyqphone.


PTS: 1 DIF: CognitiveqLevel: REF: 2
Comprehension
OBJ: 1 TOP: ChargeqNurse/Manager Nursi ProcessqStep:
KEY: ng N/A
MSC:q NCLEX:qSafe,qEffectiveqCareqEnvironment:qCoordinatedqCare
Connected book
image
Susan C. Dewit, Holly Stromberg, Carol Dallred Medical-surgical Nursing
Publisher: 2016 ISBN: 9780323243780 Edition: Unknown

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