,
,Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
MULTIPLE CHOICE
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
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: 3
, Application REF:
OBJ:1 TOP: Providing Safe Care Nursing Process
KEY: Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
According to most state NPAs, the vocational nurse acting as charge nurse in a long-
term care facility acts in which capacity?
a. Working under direct supervision of an RN on
the unit
b. Working with the RN in the building
c. Working under general supervision by the RN
available on site or by phone
d. Working as an independent vocational nurse
ANS: C
The vocational nurse in the capacity of the charge nurse in a long-term care facility
acts with the general supervision of an RNavailable on site or by phone.
PTS:1 DIF: Cognitive Level: REF: 2
Comprehension
OBJ:1 TOP: Charge Nurse/Manager Nursi Process
KEY: ng Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
,Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
MULTIPLE CHOICE
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
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: 3
, Application REF:
OBJ:1 TOP: Providing Safe Care Nursing Process
KEY: Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
According to most state NPAs, the vocational nurse acting as charge nurse in a long-
term care facility acts in which capacity?
a. Working under direct supervision of an RN on
the unit
b. Working with the RN in the building
c. Working under general supervision by the RN
available on site or by phone
d. Working as an independent vocational nurse
ANS: C
The vocational nurse in the capacity of the charge nurse in a long-term care facility
acts with the general supervision of an RNavailable on site or by phone.
PTS:1 DIF: Cognitive Level: REF: 2
Comprehension
OBJ:1 TOP: Charge Nurse/Manager Nursi Process
KEY: ng Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
