Test Bank For Medical-Surgical Nursing 5th Edition Concepts & Practice By Holly Stromberg Chapter 1- 49 Complete Questions And Answers A+

TEST BANK

Medical-Surgical Nursing,
Concepts and Practice, 5th Edition
(Stromberg, ) Chapters 1 - 49

,TABLE OF CONTENTS
xv xv

,
, Chapter 01: Caring for Medical-Surgical Patients
xv xv xv xv xv



Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
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MULTIPLE CHOICE xv




1. Which statement accurately describes the primary purpose of the state nurse practice
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act(NPA)? xv



a. To test and license LPN/LVNs xv xv xv xv



b. To define the scope of LPN/LVN practice
xv xv xv xv xv xv



c. To improve the quality of care provided by the LPN/LVN
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d. To limit the LPN/LVN employment placement
xv xv xv xv xv




ANSWER: B xv



While improving quality of care provided by the LPN/LVN may be a result of the NPA, theprimary
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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 xv xv xvxvxv xv



OBJ: 3TOP: NPA xv xv x v



KEY: Nursing Process Step: Implementation xv xv xv xv



MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
x v xv xv xv xv xv xv




2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that th
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evocational nurse has not been taught during her educational program. How should the vocati
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onal nurse respond? xv xv



a. Ask a more experienced nurse to demonstrate the procedure.
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b. Look up the procedure in the procedure manual. xv xv xv xv xv xv xv



c. Attempt to perform the procedure with supervision. xv xv xv xv xv xv



d. Inform the charge nurse of her lack of training in this procedure.
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ANSWER: D xv



The charge nurse should be informed of the lack of training to perform the procedure, and thev
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ocational nurse should seek further training to gain proficiency. Although the other options mi
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ght be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 xv xv xvxvxv xv



OBJ: 1 TOP: Providing Safe Care xv xv x v xv xv



KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care En xv xv xv xv xv x v xv xv xv xv



vironment: Coordinated Care xv xv




3. Which patient statement indicates a need for further discharge teaching that the vocation
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alnurse should address?
xv xv xv



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?‖ xv xv xv xv xv xv



d. ―Am I going to have to go to a nursing home?‖ xv xv xv xv xv xv xv xv xv xv




ANSWER: A xv



Lack of knowledge at discharge about medication effects and side effects is a concern thatshou
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ld be addressed by the vocational nurse. The other concerns in the options are the responsibilit
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y of other departments to which the nurse might refer the patient.
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DIF: Cognitive Level: Application xv xv REF: p. 2 xvxvxv xv