Test Bank-Medical Surgical Nursing Concepts and Practice, 5th Edition by Stromberg || Chapter 1-49 || With Rationales 2025

TEST BANK Medical-Surgical Nursing,
b b b




Concepts and Practice, 5th Edition
b b b b




(Stromberg, 2023) Chapters 1 - 49
b b b b b




Medical-Surgical Nursing, Concepts and Practice
b b b b

,TABLE OF CONTENTS
b b




Medical-Surgical Nursing, Concepts and Practice
b b b b

,Medical-Surgical Nursing, Concepts and Practice
b b b b

, Chapter 01: Caring for Medical-Surgical Patients
b b b b b


Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
b b b b b b b




MULTIPLE CHOICE b




1. Which statement accurately describes the primary purpose of the state nurse practice
b b b b b b b b b b b


bact(NPA)?
b


a. To test and license LPN/LVNs
b b b b


b. To define the scope of LPN/LVN practice
b b b b b b


c. To improve the quality of care provided by the LPN/LVN
b b b b b b b b b


d. To limit the LPN/LVN employment placement
b b b b b




ANSWER: B b


While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
b b b b b b b b b b b b b b b b


primary purpose of the NPA of each state defines the scope of nursing practice in that state.
b b b b b b b b b b b b b b b b b




DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 b b bb b b b


TOP: NPA
b KEY: Nursing Process Step: Implementation
b b b b b


MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b




2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
b b b b b b b b b b b b b b b


thevocational nurse has not been taught during her educational program. How should the
b b b b b b b b b b b b b b


vocational nurse respond?
b b b


a. Ask a more experienced nurse to demonstrate the procedure.
b b b b b b b b


b. Look up the procedure in the procedure manual.
b b b b b b b


c. Attempt to perform the procedure with supervision. b b b b b b


d. Inform the charge nurse of her lack of training in this procedure.
b b b b b b b b b b b




ANSWER: D b


The charge nurse should be informed of the lack of training to perform the procedure, and
b b b b b b b b b b b b b b b


thevocational nurse should seek further training to gain proficiency. Although the other
b b b b b b b b b b b b b


options might be helpful, they are not safe.
b b b b b b b b




DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 b b bb b b b


TOP: Providing Safe Care
b b KEY: Nursing Process Step: N/A b b b b b b


MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
b b b b b b b b




3. Which patient statement indicates a need for further discharge teaching that the
b b b b b b b b b b b


bvocationalnurse should address? b b b


a. ―I have no idea of how this drug will affect me.‖
b b b b b b b b b b


b. ―Do you know if my physician is coming back today?‖
b b b b b b b b b


c. ―Will my insurance pay for my stay?‖ b b b b b b


d. ―Am I going to have to go to a nursing home?‖
b b b b b b b b b b




ANSWER: A b


Lack of knowledge at discharge about medication effects and side effects is a concern that
b b b b b b b b b b b b b b


should be addressed by the vocational nurse. The other concerns in the options are the
b b b b b b b b b b b b b b b


responsibility of other departments to which the nurse might refer the patient.
b b b b b b b b b b b b




Medical-Surgical Nursing, Concepts and Practice b b b b