Medical-Surgical Nursing, Concepts and Practice
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, TABLE OF CONTENTS
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Medical-Surgical Nursing, Concepts and Practice
dx dx dx dx
,Medical-Surgical Nursing, Concepts and Practice
dx dx dx dx
, Chapter 01: Caring for Medical-Surgical Patients
dx dx dx dx dx
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 6th Edition
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MULTIPLE CHOICE dx
1. Which statement accurately describes the primary purpose of the state nurse practi
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ce act(NPA)?
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a. To test and license LPN/LVNs
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b. To define the scope of LPN/LVN practice
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c. To improve the quality of care provided by the LPN/LVN
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d. To limit the LPN/LVN employment placement
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ANSWER: B dx
While improving quality of care provided by the LPN/LVN may be a result of the NPA, thepri
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mary purpose of the NPA of each state defines the scope of nursing practice in that state.
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DIF: Cognitive Level: Comprehension REF: p. 3 dx dx dxdxdx dx
OBJ: 3TOP: NPA dx xd d x
KEY: Nursing Process Step: Implementationdx dx dx dx
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill th
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at thevocational nurse has not been taught during her educational program. How should t
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he vocational nurse respond?
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a. Ask a more experienced nurse to demonstrate the procedure.
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b. Look up the procedure in the procedure manual.
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c. Attempt to perform the procedure with supervision. dx dx dx dx dx dx
d. Inform the charge nurse of her lack of training in this procedur
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e.
ANSWER: D dx
The charge nurse should be informed of the lack of training to perform the procedure, an
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d thevocational nurse should seek further training to gain proficiency. Although the other
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options might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 dx dx dxdxdx dx
OBJ: 1 TOP: Providing Safe Care dx dx d x dx dx
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care En
dx dx dx dx xd d x dx dx dx dx
vironment: Coordinated Care dx dx
3. Which patient statement indicates a need for further discharge teaching that the voca
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tionalnurse should address?
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a. ―I have no idea of how this drug will affect me.‖
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b. ―Do you know if my physician is coming back today?‖
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c. ―Will my insurance pay for my stay?‖dx dx dx dx dx dx
d. ―Am I going to have to go to a nursing home?‖
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ANSWER: A dx
Lack of knowledge at discharge about medication effects and side effects is a concern thats
dx dx dx dx dx dx dx dx dx dx dx dx dx dx xd
Medical-Surgical Nursing, Concepts and Practice dx dx dx dx
dx dx dx dx
, TABLE OF CONTENTS
dx dx dx
Medical-Surgical Nursing, Concepts and Practice
dx dx dx dx
,Medical-Surgical Nursing, Concepts and Practice
dx dx dx dx
, Chapter 01: Caring for Medical-Surgical Patients
dx dx dx dx dx
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 6th Edition
dx dx dx dx dx dx dx
MULTIPLE CHOICE dx
1. Which statement accurately describes the primary purpose of the state nurse practi
dx dx dx dx dx dx dx dx dx dx dx
ce act(NPA)?
dx xd
a. To test and license LPN/LVNs
dx dx dx dx
b. To define the scope of LPN/LVN practice
dx dx dx dx dx dx
c. To improve the quality of care provided by the LPN/LVN
dx dx dx dx dx dx dx dx dx
d. To limit the LPN/LVN employment placement
dx dx dx dx dx
ANSWER: B dx
While improving quality of care provided by the LPN/LVN may be a result of the NPA, thepri
dx dx dx dx dx dx dx dx dx dx dx dx dx dx dx dx xd
mary purpose of the NPA of each state defines the scope of nursing practice in that state.
dx dx dx dx dx dx dx dx dx dx dx dx dx dx dx dx
DIF: Cognitive Level: Comprehension REF: p. 3 dx dx dxdxdx dx
OBJ: 3TOP: NPA dx xd d x
KEY: Nursing Process Step: Implementationdx dx dx dx
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
d x dx dx dx dx dx dx
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill th
dx dx dx dx dx dx dx dx dx dx dx dx dx dx dx
at thevocational nurse has not been taught during her educational program. How should t
dx xd dx dx dx dx dx dx dx dx dx dx dx dx
he vocational nurse respond?
dx dx dx
a. Ask a more experienced nurse to demonstrate the procedure.
dx dx dx dx dx dx dx dx
b. Look up the procedure in the procedure manual.
dx dx dx dx dx dx dx
c. Attempt to perform the procedure with supervision. dx dx dx dx dx dx
d. Inform the charge nurse of her lack of training in this procedur
dx dx dx dx dx dx dx dx dx dx dx
e.
ANSWER: D dx
The charge nurse should be informed of the lack of training to perform the procedure, an
dx dx dx dx dx dx dx dx dx dx dx dx dx dx dx
d thevocational nurse should seek further training to gain proficiency. Although the other
dx xd dx dx dx dx dx dx dx dx dx dx dx dx
options might be helpful, they are not safe.
dx dx dx dx dx dx dx
DIF: Cognitive Level: Application REF: p. 3 dx dx dxdxdx dx
OBJ: 1 TOP: Providing Safe Care dx dx d x dx dx
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care En
dx dx dx dx xd d x dx dx dx dx
vironment: Coordinated Care dx dx
3. Which patient statement indicates a need for further discharge teaching that the voca
dx dx dx dx dx dx dx dx dx dx dx dx
tionalnurse should address?
xd dx dx
a. ―I have no idea of how this drug will affect me.‖
dx dx dx dx dx dx dx dx dx dx
b. ―Do you know if my physician is coming back today?‖
dx dx dx dx dx dx dx dx dx
c. ―Will my insurance pay for my stay?‖dx dx dx dx dx dx
d. ―Am I going to have to go to a nursing home?‖
dx dx dx dx dx dx dx dx dx dx
ANSWER: A dx
Lack of knowledge at discharge about medication effects and side effects is a concern thats
dx dx dx dx dx dx dx dx dx dx dx dx dx dx xd
Medical-Surgical Nursing, Concepts and Practice dx dx dx dx