TEST BANK
,TEST BAK FOR DEWIT MEDICAL SURGICAL NURSING CONCEPTS AND
PRACTICE 5th EDITION
Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th 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.
ANS: 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
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 the vocational 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.
, ANS: D
The charge nurse should be informed of the lack of training to perform the
procedure, and the vocational nurse should seek further training to gain
proficiency. Although the other options might be helpful, they are not safe.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which patient statement indicates a need for further discharge teaching that the
vocational 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?”
ANS: A
Lack of knowledge at discharge about medication effects and side effects is a
concern that should be addressed by the vocational nurse. The other concerns in the
options are the responsibility of other departments to which the nurse might refer
the patient.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. According to most state NPAs, the vocational nurse acting as charge nurse in a
long-term care facility acts in which capacity?
,TEST BAK FOR DEWIT MEDICAL SURGICAL NURSING CONCEPTS AND
PRACTICE 5th EDITION
Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th 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.
ANS: 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
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 the vocational 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.
, ANS: D
The charge nurse should be informed of the lack of training to perform the
procedure, and the vocational nurse should seek further training to gain
proficiency. Although the other options might be helpful, they are not safe.
PTS: 1 DIF: Cognitive Level: Application REF: 3
OBJ: 1 TOP: Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which patient statement indicates a need for further discharge teaching that the
vocational 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?”
ANS: A
Lack of knowledge at discharge about medication effects and side effects is a
concern that should be addressed by the vocational nurse. The other concerns in the
options are the responsibility of other departments to which the nurse might refer
the patient.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. According to most state NPAs, the vocational nurse acting as charge nurse in a
long-term care facility acts in which capacity?
