2024DEWITMEDICAL-
t t
SURGICALNURSING:CONC
t t t
EPTSANDPRACTICE,3RDED
t t t
t
ITIONTESTBANK(ALLCHA
t t t t
PTERS)
,Chapter 01: Caring for Medical-
t t t t
Surgical Patients deWit: Medical-
t t t
Surgical Nursing: Concepts & Practice, 3rd Edition
t t t t t t
MULTIPLE CHOICE t
1.
Which statement accurately describes the primary purpose of the state nurse
t t t t t t t t t t t
practice act (NPA)? t t
a. To test and license LPN/LVNs.
t t t t
b. To define the scope of LPN/LVN
t t t t t
practice.
c. To improve the quality of care
provided by the LPN/LVN. t t t
d. To limit the LPN/LVN employment
t t t t
placement.
ANS: B t
While improving quality of care provided by the LPN/LVN may be a result of theNPA, th
t t t t t t t t t t t t t t t t
e primary purpose of the NPA of each state defines the scope of nursing practice in that sta
t t t t t t t t t t t t t t t t t
te.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 t t t t
OBJ: 3
TOP: NPA KEY: Nursing Process Step: ImplementationMSC: N
t t t t t t t t
CLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t
2.
The charge nurse asks the new vocational nurse to start an intravenous infusion,a
t t t t t t t t t t t t t
skill that the vocational nurse has not been taught during her educational program.
t t t t t t t t t t t t t t
How should the vocational nurse respond?
t t t t t
a. Ask a more experienced nurse to
t t t t t
demonstrate the procedure. t t
b. Look up the procedure in the procedure
t t t t t t
manual.
c. Attempt to perform the procedure with t t t t t
supervision.
d. Inform the charge nurse of her lack of t t t t t t t
training in this procedure. t t t
, ANS: D t
The charge nurse should be informed of the lack of training to perform theprocedu
t t t t t t t t t t t t t t
re, and the vocational nurse should seek further training to gain proficiency. Altho
t t t t t t t t t t t t
ugh the other options might be helpful, they are not safe.
t t t t t t t t t t
PTS: 1 DIF: Cognitive Level: Application REF: 3 t t t t t
OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step: N/AMSC: N
t t t t t t t t t t
CLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t
3.
Which patient statement indicates a need for further discharge teaching that the
t t t t t t t t t t t t
vocational nurse should address? t t t
a. “I have no idea of how this drug
t t t t t t t
will affect me.” t t
b. “Do you know if my physician is t t t t t t
coming back today?” t t
c. “Will my insurance pay for my t t t t t
stay?”
d. “Am I going to have to go to a t t t t t t t t
nursing home?” t
ANS: A t
Lack of knowledge at discharge about medication effects and side effects is a concern th
t t t t t t t t t t t t t t
at should be addressed by the vocational nurse. The other concerns in theoptions are the r
t t t t t t t t t t t t t t t t
esponsibility of other departments to which the nurse might refer the patient.
t t t t t t t t t t t
PTS: 1 DIF: Cognitive Level: Application REF: 2 t t t t t
OBJ: 1
TOP: Teaching KEY: Nursing Process Step: ImplementationMSC: N
t t t t t t t t
CLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t
4.
According to most state NPAs, the vocational nurse acting as charge nurse in al t t t t t t t t t t t t t t
ong-term care facility acts in which capacity? t t t t t t
, a. Working under direct supervision of an RN on t t t t t t t
the unit t
b. Working with the RN in the building t t t t t t
c. Working under general supervision by the RN t t t t t t
available on site or by phone t t t t t
d. Working as an independent vocational nurse t t t t t
ANS: C t
The vocational nurse in the capacity of the charge nurse in a long-
t t t t t t t t t t t t
term care facilityacts with the general supervision of an RN available on site or by phone.
t t t t t t t t t t t t t t t t
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 t t t t
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursing Process Step: t t t t
N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t t
5.
The nurse is educating a patient that is a member of a health maintenanceo
t t t t t t t t t t t t t t
rganization (HMO). Which information should the nurse include? t t t t t t t
a. Seek the opinion of an alternate health care
t t t t t t t
provider.
b. Obtain insurance approval for medical t t t t
services prior to treatment. t t t
c. Provide detailed documentation of all care t t t t t
received for his condition. t t t
d. Wait at least 6 months to see a specialist.
t t t t t t t t
ANS: B t
Most HMOs require preprocedure authorization for treatment. Patients are notreq
t t t t t t t t t t
uired to seek a second opinion, provide documentation of care, or wait a specific ti
t t t t t t t t t t t t t t
me period before visiting a specialist.
t t t t t
PTS: 1
DIF: Cognitive Level: Application REF: 9OBJ:
t t t t t t
9 TOP: Charge Nurse/Manager t t
KEY: Nursing Process Step: Implementation
t t t t
t t
SURGICALNURSING:CONC
t t t
EPTSANDPRACTICE,3RDED
t t t
t
ITIONTESTBANK(ALLCHA
t t t t
PTERS)
,Chapter 01: Caring for Medical-
t t t t
Surgical Patients deWit: Medical-
t t t
Surgical Nursing: Concepts & Practice, 3rd Edition
t t t t t t
MULTIPLE CHOICE t
1.
Which statement accurately describes the primary purpose of the state nurse
t t t t t t t t t t t
practice act (NPA)? t t
a. To test and license LPN/LVNs.
t t t t
b. To define the scope of LPN/LVN
t t t t t
practice.
c. To improve the quality of care
provided by the LPN/LVN. t t t
d. To limit the LPN/LVN employment
t t t t
placement.
ANS: B t
While improving quality of care provided by the LPN/LVN may be a result of theNPA, th
t t t t t t t t t t t t t t t t
e primary purpose of the NPA of each state defines the scope of nursing practice in that sta
t t t t t t t t t t t t t t t t t
te.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 t t t t
OBJ: 3
TOP: NPA KEY: Nursing Process Step: ImplementationMSC: N
t t t t t t t t
CLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t
2.
The charge nurse asks the new vocational nurse to start an intravenous infusion,a
t t t t t t t t t t t t t
skill that the vocational nurse has not been taught during her educational program.
t t t t t t t t t t t t t t
How should the vocational nurse respond?
t t t t t
a. Ask a more experienced nurse to
t t t t t
demonstrate the procedure. t t
b. Look up the procedure in the procedure
t t t t t t
manual.
c. Attempt to perform the procedure with t t t t t
supervision.
d. Inform the charge nurse of her lack of t t t t t t t
training in this procedure. t t t
, ANS: D t
The charge nurse should be informed of the lack of training to perform theprocedu
t t t t t t t t t t t t t t
re, and the vocational nurse should seek further training to gain proficiency. Altho
t t t t t t t t t t t t
ugh the other options might be helpful, they are not safe.
t t t t t t t t t t
PTS: 1 DIF: Cognitive Level: Application REF: 3 t t t t t
OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step: N/AMSC: N
t t t t t t t t t t
CLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t
3.
Which patient statement indicates a need for further discharge teaching that the
t t t t t t t t t t t t
vocational nurse should address? t t t
a. “I have no idea of how this drug
t t t t t t t
will affect me.” t t
b. “Do you know if my physician is t t t t t t
coming back today?” t t
c. “Will my insurance pay for my t t t t t
stay?”
d. “Am I going to have to go to a t t t t t t t t
nursing home?” t
ANS: A t
Lack of knowledge at discharge about medication effects and side effects is a concern th
t t t t t t t t t t t t t t
at should be addressed by the vocational nurse. The other concerns in theoptions are the r
t t t t t t t t t t t t t t t t
esponsibility of other departments to which the nurse might refer the patient.
t t t t t t t t t t t
PTS: 1 DIF: Cognitive Level: Application REF: 2 t t t t t
OBJ: 1
TOP: Teaching KEY: Nursing Process Step: ImplementationMSC: N
t t t t t t t t
CLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t
4.
According to most state NPAs, the vocational nurse acting as charge nurse in al t t t t t t t t t t t t t t
ong-term care facility acts in which capacity? t t t t t t
, a. Working under direct supervision of an RN on t t t t t t t
the unit t
b. Working with the RN in the building t t t t t t
c. Working under general supervision by the RN t t t t t t
available on site or by phone t t t t t
d. Working as an independent vocational nurse t t t t t
ANS: C t
The vocational nurse in the capacity of the charge nurse in a long-
t t t t t t t t t t t t
term care facilityacts with the general supervision of an RN available on site or by phone.
t t t t t t t t t t t t t t t t
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 t t t t
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursing Process Step: t t t t
N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
t t t t t t t
5.
The nurse is educating a patient that is a member of a health maintenanceo
t t t t t t t t t t t t t t
rganization (HMO). Which information should the nurse include? t t t t t t t
a. Seek the opinion of an alternate health care
t t t t t t t
provider.
b. Obtain insurance approval for medical t t t t
services prior to treatment. t t t
c. Provide detailed documentation of all care t t t t t
received for his condition. t t t
d. Wait at least 6 months to see a specialist.
t t t t t t t t
ANS: B t
Most HMOs require preprocedure authorization for treatment. Patients are notreq
t t t t t t t t t t
uired to seek a second opinion, provide documentation of care, or wait a specific ti
t t t t t t t t t t t t t t
me period before visiting a specialist.
t t t t t
PTS: 1
DIF: Cognitive Level: Application REF: 9OBJ:
t t t t t t
9 TOP: Charge Nurse/Manager t t
KEY: Nursing Process Step: Implementation
t t t t
