TEST BANK Medical-Surgical Nursing,
n9 n9 n9
Concepts and Practice, 5th Edition
n9 n9 n9 n9
(Stromberg, 2023) Chapters 1 - 49
n9 n9 n9 n9 n9
Medical-Surgical Nursing, Concepts and Practice
n9 n9 n9 n9
,TABLE OF CONTENTS
n9 n9
Medical-Surgical Nursing, Concepts and Practice
n9 n9 n9 n9
,Medical-Surgical Nursing, Concepts and Practice
n9 n9 n9 n9
, Chapter 01: Caring for Medical-Surgical Patients
n9 n9 n9 n9 n9
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
n9 n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. Which statement accurately describes the primary purpose of the state nurse practi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ce act(NPA)?
n9 9
n
a. To test and license LPN/LVNs
n9 n9 n9 n9
b. To define the scope of LPN/LVN practice
n9 n9 n9 n9 n9 n9
c. To improve the quality of care provided by the LPN/LVN
n9 n9 n9 n9 n9 n9 n9 n9 n9
d. To limit the LPN/LVN employment placement
n9 n9 n9 n9 n9
ANSWER: B n9
While improving quality of care provided by the LPN/LVN may be a result of the NPA, thep
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
rimary purpose of the NPA of each state defines the scope of nursing practice in that state
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
.
DIF: Cognitive Level: Comprehension REF: p. 3 n9 n9 n9n9n9 n9
OBJ: 3TOP: NPA n9 9
n n 9
KEY: Nursing Process Step: Implementation
n9 n9 n9 n9
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
n 9 n9 n9 n9 n9 n9 n9
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill t
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
hat thevocational nurse has not been taught during her educational program. How shoul
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d the vocational nurse respond?
n9 n9 n9 n9
a. Ask a more experienced nurse to demonstrate the procedure.
n9 n9 n9 n9 n9 n9 n9 n9
b. Look up the procedure in the procedure manual.
n9 n9 n9 n9 n9 n9 n9
c. Attempt to perform the procedure with supervision. n9 n9 n9 n9 n9 n9
d. Inform the charge nurse of her lack of training in this procedur
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
e.
ANSWER: D n9
The charge nurse should be informed of the lack of training to perform the procedure, a
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nd thevocational nurse should seek further training to gain proficiency. Although the oth
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
er options might be helpful, they are not safe.
n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Application REF: p. 3 n9 n9 n9n9n9 n9
OBJ: 1 TOP: Providing Safe Care n9 n9 n 9 n9 n9
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care E
n9 n9 n9 n9 9
n n 9 n9 n9 n9 n9
nvironment: Coordinated Care n9 n9
3. Which patient statement indicates a need for further discharge teaching that the voc
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ationalnurse should address?
9
n n9 n9
a. ―I have no idea of how this drug will affect me.‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. ―Do you know if my physician is coming back today?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9
c. ―Will my insurance pay for my stay?‖
n9 n9 n9 n9 n9 n9
d. ―Am I going to have to go to a nursing home?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ANSWER: A n9
Medical-Surgical Nursing, Concepts and Practice n9 n9 n9 n9
n9 n9 n9
Concepts and Practice, 5th Edition
n9 n9 n9 n9
(Stromberg, 2023) Chapters 1 - 49
n9 n9 n9 n9 n9
Medical-Surgical Nursing, Concepts and Practice
n9 n9 n9 n9
,TABLE OF CONTENTS
n9 n9
Medical-Surgical Nursing, Concepts and Practice
n9 n9 n9 n9
,Medical-Surgical Nursing, Concepts and Practice
n9 n9 n9 n9
, Chapter 01: Caring for Medical-Surgical Patients
n9 n9 n9 n9 n9
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
n9 n9 n9 n9 n9 n9 n9
MULTIPLE CHOICE n9
1. Which statement accurately describes the primary purpose of the state nurse practi
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ce act(NPA)?
n9 9
n
a. To test and license LPN/LVNs
n9 n9 n9 n9
b. To define the scope of LPN/LVN practice
n9 n9 n9 n9 n9 n9
c. To improve the quality of care provided by the LPN/LVN
n9 n9 n9 n9 n9 n9 n9 n9 n9
d. To limit the LPN/LVN employment placement
n9 n9 n9 n9 n9
ANSWER: B n9
While improving quality of care provided by the LPN/LVN may be a result of the NPA, thep
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 9
n
rimary purpose of the NPA of each state defines the scope of nursing practice in that state
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
.
DIF: Cognitive Level: Comprehension REF: p. 3 n9 n9 n9n9n9 n9
OBJ: 3TOP: NPA n9 9
n n 9
KEY: Nursing Process Step: Implementation
n9 n9 n9 n9
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
n 9 n9 n9 n9 n9 n9 n9
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill t
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
hat thevocational nurse has not been taught during her educational program. How shoul
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
d the vocational nurse respond?
n9 n9 n9 n9
a. Ask a more experienced nurse to demonstrate the procedure.
n9 n9 n9 n9 n9 n9 n9 n9
b. Look up the procedure in the procedure manual.
n9 n9 n9 n9 n9 n9 n9
c. Attempt to perform the procedure with supervision. n9 n9 n9 n9 n9 n9
d. Inform the charge nurse of her lack of training in this procedur
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
e.
ANSWER: D n9
The charge nurse should be informed of the lack of training to perform the procedure, a
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
nd thevocational nurse should seek further training to gain proficiency. Although the oth
n9 9
n n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
er options might be helpful, they are not safe.
n9 n9 n9 n9 n9 n9 n9 n9
DIF: Cognitive Level: Application REF: p. 3 n9 n9 n9n9n9 n9
OBJ: 1 TOP: Providing Safe Care n9 n9 n 9 n9 n9
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care E
n9 n9 n9 n9 9
n n 9 n9 n9 n9 n9
nvironment: Coordinated Care n9 n9
3. Which patient statement indicates a need for further discharge teaching that the voc
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ationalnurse should address?
9
n n9 n9
a. ―I have no idea of how this drug will affect me.‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
b. ―Do you know if my physician is coming back today?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9
c. ―Will my insurance pay for my stay?‖
n9 n9 n9 n9 n9 n9
d. ―Am I going to have to go to a nursing home?‖
n9 n9 n9 n9 n9 n9 n9 n9 n9 n9
ANSWER: A n9
Medical-Surgical Nursing, Concepts and Practice n9 n9 n9 n9