TEST BANK Medical-Surgical Nursing,
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Concepts and Practice, 5th Edition
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(Stromberg, 2023) Chapters 1 - 49
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Medical-Surgical Nursing, Concepts and Practice
,TABLE OF CONTENTS
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Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, 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 j3
1. Which statement accurately describes the primary purpose of the state nurse
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
j3 practice act(NPA)? j3 j3
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 j3
While improving quality of care provided by the LPN/LVN may be a result of the NPA,
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
theprimary purpose of the NPA of each state defines the scope of nursing practice in that
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
state.
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DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: j3 j3 j3 j3 j3 j3
3TOP:
j3 j3NPA KEY: Nursing Process Step: Implementation
j 3 j3 j3 j3 j3
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
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that thevocational nurse has not been taught during her educational program. How
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
should the vocational nurse respond?
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a. Ask a more experienced nurse to demonstrate the procedure.
j3 j3 j3 j3 j3 j3 j3 j3
b. Look up the procedure in the procedure manual. j3 j3 j3 j3 j3 j3 j3
c. Attempt to perform the procedure with supervision. j3 j3 j3 j3 j3 j3
d. Inform the charge nurse of her lack of training in this j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
procedure. j3
ANSWER: D j3
The charge nurse should be informed of the lack of training to perform the procedure,
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
and thevocational nurse should seek further training to gain proficiency. Although the
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
other options might be helpful, they are not safe.
j3 j3 j3 j3 j3 j3 j3 j3 j3
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 j3 j3 j3 j3 j3 j3 j3
TOP:
j3 Providing Safe Care j KEY: Nursing Process Step:
3 j3 j3 j3 j3 j3
N/AMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
j3 j3 j 3 j3 j3 j3 j3 j3 j3
3. Which patient statement indicates a need for further discharge teaching that the
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
vocationalnurse should address?
j3 j3 j3 j3
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?‖ j3 j3 j3 j3 j3 j3
d. ―Am I going to have to go to a nursing home?‖
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
ANSWER: A j3
Lack of knowledge at discharge about medication effects and side effects is a concern
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
Medical-Surgical Nursing, Concepts and Practice
j3 j3 j3
Concepts and Practice, 5th Edition
j3 j3 j3 j3
(Stromberg, 2023) Chapters 1 - 49
j3 j3 j3 j3 j3
Medical-Surgical Nursing, Concepts and Practice
,TABLE OF CONTENTS
j3 j3
Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, Chapter 01: Caring for Medical-Surgical Patients
j3 j3 j3 j3 j3
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
j3 j3 j3 j3 j3 j3 j3
MULTIPLE CHOICE j3
1. Which statement accurately describes the primary purpose of the state nurse
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
j3 practice act(NPA)? j3 j3
a. To test and license LPN/LVNs
j3 j3 j3 j3
b. To define the scope of LPN/LVN practice
j3 j3 j3 j3 j3 j3
c. To improve the quality of care provided by the LPN/LVN
j3 j3 j3 j3 j3 j3 j3 j3 j3
d. To limit the LPN/LVN employment placement
j3 j3 j3 j3 j3
ANSWER: B j3
While improving quality of care provided by the LPN/LVN may be a result of the NPA,
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
theprimary purpose of the NPA of each state defines the scope of nursing practice in that
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
state.
j3
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: j3 j3 j3 j3 j3 j3
3TOP:
j3 j3NPA KEY: Nursing Process Step: Implementation
j 3 j3 j3 j3 j3
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
j 3 j3 j3 j3 j3 j3 j3
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
that thevocational nurse has not been taught during her educational program. How
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
should the vocational nurse respond?
j3 j3 j3 j3 j3
a. Ask a more experienced nurse to demonstrate the procedure.
j3 j3 j3 j3 j3 j3 j3 j3
b. Look up the procedure in the procedure manual. j3 j3 j3 j3 j3 j3 j3
c. Attempt to perform the procedure with supervision. j3 j3 j3 j3 j3 j3
d. Inform the charge nurse of her lack of training in this j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
procedure. j3
ANSWER: D j3
The charge nurse should be informed of the lack of training to perform the procedure,
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
and thevocational nurse should seek further training to gain proficiency. Although the
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
other options might be helpful, they are not safe.
j3 j3 j3 j3 j3 j3 j3 j3 j3
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 j3 j3 j3 j3 j3 j3 j3
TOP:
j3 Providing Safe Care j KEY: Nursing Process Step:
3 j3 j3 j3 j3 j3
N/AMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
j3 j3 j 3 j3 j3 j3 j3 j3 j3
3. Which patient statement indicates a need for further discharge teaching that the
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
vocationalnurse should address?
j3 j3 j3 j3
a. ―I have no idea of how this drug will affect me.‖
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
b. ―Do you know if my physician is coming back today?‖
j3 j3 j3 j3 j3 j3 j3 j3 j3
c. ―Will my insurance pay for my stay?‖ j3 j3 j3 j3 j3 j3
d. ―Am I going to have to go to a nursing home?‖
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
ANSWER: A j3
Lack of knowledge at discharge about medication effects and side effects is a concern
j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3 j3
Medical-Surgical Nursing, Concepts and Practice