TEST BANK FOR
MEDICAL-SURGICAL NURSING 5TH EDITION
|ALL CHAPTERS COVERED 1-48
, CHAPTER 01: CARING FOR MEDICAL-SURGICAL PATIENTS
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 ANSWER: B
PLACEMENT. 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.
ANSWER: 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 NURSING
CARE 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?”
ANSWER: 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
MEDICAL-SURGICAL NURSING 5TH EDITION
|ALL CHAPTERS COVERED 1-48
, CHAPTER 01: CARING FOR MEDICAL-SURGICAL PATIENTS
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 ANSWER: B
PLACEMENT. 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.
ANSWER: 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 NURSING
CARE 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?”
ANSWER: 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
