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