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 @
1. Which statement accurately describes the primary purpose of the state nurse practic
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e 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 @
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the pri
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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 @ @ @@@ @
OBJ: 3 TOP: NPA @ @ @
KEY: Nursing Process Step: Implementation
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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 tha
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t the vocational nurse has not been taught during her educational program. How should th
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e 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.
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d. Inform the charge nurse of her lack of training in this procedure
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.
ANSWER: D @
The charge nurse should be informed of the lack of training to perform the procedure, an
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d the vocational 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 @ @ @@@ @
OBJ: 1 TOP: Providing Safe Care
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KEY: Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care En
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vironment: Coordinated Care @ @
3. Which patient statement indicates a need for further discharge teaching that the vocat
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ional nurse 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?‖
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d. ―Am I going to have to go to a nursing home?‖
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ANSWER: A @
Lack of knowledge at discharge about medication effects and side effects is a concern that sh
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
Medical-Surgical Nursing, Concepts and Practice @ @ @ @
@ @ @ @
,@ TABLE OF CONTENTS
@ @
Medical-Surgical Nursing, Concepts and Practice
@ @ @ @
,Medical-Surgical Nursing, Concepts and Practice
@ @ @ @
, Chapter 01: Caring for Medical-Surgical Patients
@ @ @ @ @
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
@ @ @ @ @ @ @
MULTIPLE CHOICE @
1. Which statement accurately describes the primary purpose of the state nurse practic
@ @ @ @ @ @ @ @ @ @ @
e 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 pri
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @
mary 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 tha
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
t the vocational nurse has not been taught during her educational program. How should th
@ @ @ @ @ @ @ @ @ @ @ @ @ @
e 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, an
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
d the vocational 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 En
@ @ @ @ @ @ @ @ @ @
vironment: Coordinated Care @ @
3. Which patient statement indicates a need for further discharge teaching that the vocat
@ @ @ @ @ @ @ @ @ @ @ @
ional nurse should address?
@ @ @
a. ―I have no idea of how this drug will affect me.‖
@ @ @ @ @ @ @ @ @ @
b. ―Do you know if my physician is coming back today?‖
@ @ @ @ @ @ @ @ @
c. ―Will my insurance pay for my stay?‖
@ @ @ @ @ @
d. ―Am I going to have to go to a nursing home?‖
@ @ @ @ @ @ @ @ @ @
ANSWER: A @
Lack of knowledge at discharge about medication effects and side effects is a concern that sh
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Medical-Surgical Nursing, Concepts and Practice @ @ @ @
