TEST BANK Medical-Surgical Nursing,
Concepts and Practice, 5th Edition
(Stromberg, 2023) Chapters 1 - 49
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 0i
1. Which statement accurately describes the primary purpose of the state nurse practice
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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 0i
While improving quality of care provided by the LPN/LVN may be a result of the NPA, theprim
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ary 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 0i 0i 0i0i0i 0i
OBJ: 3TOP: NPA 0i i0 0 i
KEY: Nursing Process Step: Implementation 0i 0i 0i 0i
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 that
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thevocational nurse has not been taught during her educational program. How should the v
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ocational nurse respond? 0i 0i
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. 0i 0i 0i 0i 0i 0i
d. Inform the charge nurse of her lack of training in this procedure.
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ANSWER: D 0i
The charge nurse should be informed of the lack of training to perform the procedure, and t
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hevocational nurse should seek further training to gain proficiency. Although the other opti
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ons might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 0i 0i 0i0i0i 0i
OBJ: 1 TOP: Providing Safe Care 0i 0i 0 i 0i 0i
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care Envi
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ronment: Coordinated Care 0i 0i
3. Which patient statement indicates a need for further discharge teaching that the vocatio
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nalnurse 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?‖ 0i 0i 0i 0i 0i 0i
d. ―Am I going to have to go to a nursing home?‖
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ANSWER: A 0i
Lack of knowledge at discharge about medication effects and side effects is a concern thatsho
0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i i0
Medical-Surgical Nursing, Concepts and Practice 0i 0i 0i 0i
Concepts and Practice, 5th Edition
(Stromberg, 2023) Chapters 1 - 49
Medical-Surgical Nursing, Concepts and Practice
0i 0i 0i 0i
,TABLE OF CONTENTS
0i 0i
Medical-Surgical Nursing, Concepts and Practice
0i 0i 0i 0i
,Medical-Surgical Nursing, Concepts and Practice
0i 0i 0i 0i
, Chapter 01: Caring for Medical-Surgical Patients
0i 0i 0i 0i 0i
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
0i 0i 0i 0i 0i 0i 0i
MULTIPLE CHOICE 0i
1. Which statement accurately describes the primary purpose of the state nurse practice
0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i
act(NPA)?
i0
a. To test and license LPN/LVNs
0i 0i 0i 0i
b. To define the scope of LPN/LVN practice
0i 0i 0i 0i 0i 0i
c. To improve the quality of care provided by the LPN/LVN
0i 0i 0i 0i 0i 0i 0i 0i 0i
d. To limit the LPN/LVN employment placement
0i 0i 0i 0i 0i
ANSWER: B 0i
While improving quality of care provided by the LPN/LVN may be a result of the NPA, theprim
0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i i0
ary purpose of the NPA of each state defines the scope of nursing practice in that state.
0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i
DIF: Cognitive Level: Comprehension REF: p. 3 0i 0i 0i0i0i 0i
OBJ: 3TOP: NPA 0i i0 0 i
KEY: Nursing Process Step: Implementation 0i 0i 0i 0i
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
0 i 0i 0i 0i 0i 0i 0i
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i
thevocational nurse has not been taught during her educational program. How should the v
i0 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i
ocational nurse respond? 0i 0i
a. Ask a more experienced nurse to demonstrate the procedure.
0i 0i 0i 0i 0i 0i 0i 0i
b. Look up the procedure in the procedure manual.
0i 0i 0i 0i 0i 0i 0i
c. Attempt to perform the procedure with supervision. 0i 0i 0i 0i 0i 0i
d. Inform the charge nurse of her lack of training in this procedure.
0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i
ANSWER: D 0i
The charge nurse should be informed of the lack of training to perform the procedure, and t
0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i
hevocational nurse should seek further training to gain proficiency. Although the other opti
i0 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i
ons might be helpful, they are not safe.
0i 0i 0i 0i 0i 0i 0i
DIF: Cognitive Level: Application REF: p. 3 0i 0i 0i0i0i 0i
OBJ: 1 TOP: Providing Safe Care 0i 0i 0 i 0i 0i
KEY: Nursing Process Step: N/AMSC: NCLEX: Safe, Effective Care Envi
0i 0i 0i 0i i0 0 i 0i 0i 0i 0i
ronment: Coordinated Care 0i 0i
3. Which patient statement indicates a need for further discharge teaching that the vocatio
0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i 0i
nalnurse should address?
i0 0i 0i
a. ―I have no idea of how this drug will affect me.‖
0i 0i 0i 0i 0i 0i 0i 0i 0i 0i
b. ―Do you know if my physician is coming back today?‖
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c. ―Will my insurance pay for my stay?‖ 0i 0i 0i 0i 0i 0i
d. ―Am I going to have to go to a nursing home?‖
0i 0i 0i 0i 0i 0i 0i 0i 0i 0i
ANSWER: A 0i
Lack of knowledge at discharge about medication effects and side effects is a concern thatsho
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Medical-Surgical Nursing, Concepts and Practice 0i 0i 0i 0i