TEST BANK
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th Edition
(Stromberg, 2025) Chapters 1 - 49
TABLE OF CONTENTS
Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, Chapter 01: Caring for Medical-Surgical Patients
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th 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
ANSWER: 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.
DIF: Cognitive Level: Comprehension REF: p. 3 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
thevocational nurse has not been 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
thevocational nurse should seek further training to gain proficiency. Although the other
options might be helpful, they are not safe.
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP:
Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which spatient sstatement sindicates sa sneed sfor sfurther sdischarge steaching sthat sthe
svocationalsnurse sshould saddress?
a. ―I shave sno s idea sof show sthis sdrug swill saffect s me.‖
b. ―Do s you sknow sif smy sphysician sis scoming sback
stoday?‖
c. ―Will smy sinsurance spay sfor smy sstay?‖
d. ―Am sI sgoing sto s have sto s go sto sa snursing s home?‖
ANSWER: s A
Lack sof sknowledge sat sdischarge sabout smedication seffects sand sside seffects sis sa sconcern
sthatsshould sbe saddressed sby sthe svocational snurse. sThe sother sconcerns sin sthe soptions sare
Medical-Surgical Nursing, Concepts and Practice
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th Edition
(Stromberg, 2025) Chapters 1 - 49
TABLE OF CONTENTS
Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, Chapter 01: Caring for Medical-Surgical Patients
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th 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
ANSWER: 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.
DIF: Cognitive Level: Comprehension REF: p. 3 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
thevocational nurse has not been 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
thevocational nurse should seek further training to gain proficiency. Although the other
options might be helpful, they are not safe.
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP:
Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which spatient sstatement sindicates sa sneed sfor sfurther sdischarge steaching sthat sthe
svocationalsnurse sshould saddress?
a. ―I shave sno s idea sof show sthis sdrug swill saffect s me.‖
b. ―Do s you sknow sif smy sphysician sis scoming sback
stoday?‖
c. ―Will smy sinsurance spay sfor smy sstay?‖
d. ―Am sI sgoing sto s have sto s go sto sa snursing s home?‖
ANSWER: s A
Lack sof sknowledge sat sdischarge sabout smedication seffects sand sside seffects sis sa sconcern
sthatsshould sbe saddressed sby sthe svocational snurse. sThe sother sconcerns sin sthe soptions sare
Medical-Surgical Nursing, Concepts and Practice
