TEST BANK FOR MEDICAL-SURGICAL NURSING:
CONCEPTS & PRACTICE 5TH EDITION
BY HOLLY K. STROMBERG ISBN 13; 978-
0323810210, ISBN; 0323810217, ALL CHAPTERS
COVERED GRADED A+
,Chapter 01: Caring for Medical-Surgical Patientsq q q q q
deWit: Medical- q
Surgical Nursing: Concepts & Practice, 5th Edition
q q q q q q
MULTIPLE CHOICE q
Which statement accurately describes the primary purpose of the state nurse practice act
q q q q q q q q q q q q q
(NPA)?
a. To test and license LPN/LVNs. q q q q
b. To define the scope of LPN/LVN prac
q q q q q q
tice.
c. To improve the quality of care provid
q q q q q q
ed by the LPN/LVN. q q q
d. To limit the LPN/LVN employment pl
q q q q q
acement.
ANS: B q
While improving quality of care provided by the LPN/LVN may be a result of the NPA, t
q q q q q q q q q q q q q q q q
he primary purpose of the NPA of each state defines the scope of nursing practice in that
q q q q q q q q q q q q q q q q
qstate.
Cognitive Level: Comprehension
PTS: 1 DIF: q q q
REF: 2 q
OBJ:3 TOP: NPA KEY: Nursing Process Step: I q q q q q
mplementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
q q q q q q q
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill tha
q q q q q q q q q q q q q q q
t the vocational nurse has notbeen taught during her educational program. How should th
q q q q q q q q q q q q q
e vocational nurse respond?
q q q
a. Ask a more experienced nurse to demon q q q q q q
strate the procedure. q q
b. Look up the procedure in the procedure q q q q q q q
manual.
c. Attempt to perform the procedure with s q q q q q q
upervision.
d. Inform the charge nurse of her lack of tra q q q q q q q q
ining in this procedure. q q q
ANS: D q
The charge nurse should be informed of the lack of training to perform the procedure, and t
q q q q q q q q q q q q q q q q
he vocational nurse should seek further training to gain proficiency. Although the other opti
q q q q q q q q q q q q q
ons might be helpful, they are not safe.
q q q q q q q
PTS: 1 DIF: Cognitive Level: q 3
, Application REF: q
OBJ: 1 TOP: Providing Safe Care K Nursing Process q q q q q
EY: Step: N/A q
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
q q q q q q q
Which patient statement indicates a need for further discharge teaching that the vocational
q q q q q q q q q q q q
qnurse should address?
q q
a. ―I have no idea of how this drug wil q q q q q q q q
l affect me.‖ q q
b. ―Do you know if my physician is co q q q q q q q
ming back today?‖ q q
c. ―Will my insurance pay for my stay q q q q q q
?‖
d. ―Am I going to have to go to a nursi q q q q q q q q q
ng home?‖ q
ANS: A q
Lack of knowledge at discharge about medication effects and side effects is a concern th
q q q q q q q q q q q q q q
at should be addressed by the vocationalnurse. The other concerns in the options are the
q q q q q q q q q q q q q q q
responsibility of other departments to which the nurse might refer the patient.
q q q q q q q q q q q
PTS: 1 DIF: Cognitive Level: Application q q
REF:
2 q
OBJ:1 TOP: Teaching KEY: q
Nursing Process q q
Step: Implementation q
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
q q q q q q q
According to most state NPAs, the vocational nurse acting as charge nurse in a long-
q q q q q q q q q q q q q q
qterm care facility acts in which capacity?
q q q q q q
a. Working under direct supervision of an RN on q q q q q q q
the unit q
b. Working with the RN in the building q q q q q q
c. Working under general supervision by the RN a q q q q q q q
vailable on site or by phone q q q q q
d. Working as an independent vocational nurse q q q q q
ANS: C q
The vocational nurse in the capacity of the charge nurse in a long-
q q q q q q q q q q q q
term care facility acts with the general supervision of an RNavailable on site or by phon
q q q q q q q q q q q q q q q
e.
PTS: 1 DIF: Cognitive Level: q REF: 2
Comprehension q
OBJ:1 TOP: Charge Nurse/Manager q q Nursi Process S q q
KEY: ng tep: N/A q
, MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
q q q q q q q
CONCEPTS & PRACTICE 5TH EDITION
BY HOLLY K. STROMBERG ISBN 13; 978-
0323810210, ISBN; 0323810217, ALL CHAPTERS
COVERED GRADED A+
,Chapter 01: Caring for Medical-Surgical Patientsq q q q q
deWit: Medical- q
Surgical Nursing: Concepts & Practice, 5th Edition
q q q q q q
MULTIPLE CHOICE q
Which statement accurately describes the primary purpose of the state nurse practice act
q q q q q q q q q q q q q
(NPA)?
a. To test and license LPN/LVNs. q q q q
b. To define the scope of LPN/LVN prac
q q q q q q
tice.
c. To improve the quality of care provid
q q q q q q
ed by the LPN/LVN. q q q
d. To limit the LPN/LVN employment pl
q q q q q
acement.
ANS: B q
While improving quality of care provided by the LPN/LVN may be a result of the NPA, t
q q q q q q q q q q q q q q q q
he primary purpose of the NPA of each state defines the scope of nursing practice in that
q q q q q q q q q q q q q q q q
qstate.
Cognitive Level: Comprehension
PTS: 1 DIF: q q q
REF: 2 q
OBJ:3 TOP: NPA KEY: Nursing Process Step: I q q q q q
mplementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
q q q q q q q
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill tha
q q q q q q q q q q q q q q q
t the vocational nurse has notbeen taught during her educational program. How should th
q q q q q q q q q q q q q
e vocational nurse respond?
q q q
a. Ask a more experienced nurse to demon q q q q q q
strate the procedure. q q
b. Look up the procedure in the procedure q q q q q q q
manual.
c. Attempt to perform the procedure with s q q q q q q
upervision.
d. Inform the charge nurse of her lack of tra q q q q q q q q
ining in this procedure. q q q
ANS: D q
The charge nurse should be informed of the lack of training to perform the procedure, and t
q q q q q q q q q q q q q q q q
he vocational nurse should seek further training to gain proficiency. Although the other opti
q q q q q q q q q q q q q
ons might be helpful, they are not safe.
q q q q q q q
PTS: 1 DIF: Cognitive Level: q 3
, Application REF: q
OBJ: 1 TOP: Providing Safe Care K Nursing Process q q q q q
EY: Step: N/A q
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
q q q q q q q
Which patient statement indicates a need for further discharge teaching that the vocational
q q q q q q q q q q q q
qnurse should address?
q q
a. ―I have no idea of how this drug wil q q q q q q q q
l affect me.‖ q q
b. ―Do you know if my physician is co q q q q q q q
ming back today?‖ q q
c. ―Will my insurance pay for my stay q q q q q q
?‖
d. ―Am I going to have to go to a nursi q q q q q q q q q
ng home?‖ q
ANS: A q
Lack of knowledge at discharge about medication effects and side effects is a concern th
q q q q q q q q q q q q q q
at should be addressed by the vocationalnurse. The other concerns in the options are the
q q q q q q q q q q q q q q q
responsibility of other departments to which the nurse might refer the patient.
q q q q q q q q q q q
PTS: 1 DIF: Cognitive Level: Application q q
REF:
2 q
OBJ:1 TOP: Teaching KEY: q
Nursing Process q q
Step: Implementation q
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
q q q q q q q
According to most state NPAs, the vocational nurse acting as charge nurse in a long-
q q q q q q q q q q q q q q
qterm care facility acts in which capacity?
q q q q q q
a. Working under direct supervision of an RN on q q q q q q q
the unit q
b. Working with the RN in the building q q q q q q
c. Working under general supervision by the RN a q q q q q q q
vailable on site or by phone q q q q q
d. Working as an independent vocational nurse q q q q q
ANS: C q
The vocational nurse in the capacity of the charge nurse in a long-
q q q q q q q q q q q q
term care facility acts with the general supervision of an RNavailable on site or by phon
q q q q q q q q q q q q q q q
e.
PTS: 1 DIF: Cognitive Level: q REF: 2
Comprehension q
OBJ:1 TOP: Charge Nurse/Manager q q Nursi Process S q q
KEY: ng tep: N/A q
, MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
q q q q q q q
