TEST6BANK
DEWIT'S6MEDICAL-SURGICAL6NURSING,
CONCEPTS6AND6PRACTICE,64TH6EDITION
(STROMBERG,62023)6CHAPTERS616-649
TABLE6OF6CONTENTS
Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, Chapter601:6Caring6for6Medical-Surgical6Patients
DeWit:6Medical-Surgical6Nursing:6Concepts6&6Practice,64th6Edition
MULTIPLE6CHOICE
1. Which6statement6accurately6describes6the6primary6purpose6of6the6state6nurse6p
ractice6act6(NPA)?
a. To6test6and6license6LPN/LVNs
b. To6define6the6scope6of6LPN/LVN6practice
c. To6improve6the6quality6of6care6provided6by6the6LPN/L
VN
d. To6limit6the6LPN/LVN6employment6placement
ANSWER:6B
While6improving6quality6of6care6provided6by6the6LPN/LVN6may6be6a6result6of6the6NPA
,6the6primary6purpose6of6the6NPA6of6each6state6defines6the6scope6of6nursing6practice6
in6that6state.
DIF: Cognitive6Level:6Comprehension REF:666p.63
OBJ:636TOP:6 NPA
KEY:6Nursing6Process6Step:6Implementation
MSC:6 NCLEX:6Safe,6Effective6Care6Environment:6Coordinated6Care
2. The6charge6nurse6asks6the6new6vocational6nurse6to6start6an6intravenous6infusion,6a6
skill6that6the6vocational6nurse6has6not6been6taught6during6her6educational6program.6
How6should6the6vocational6nurse6respond?
a. Ask6a6more6experienced6nurse6to6demonstrate6the6procedur
e.
b. Look6up6the6procedure6in6the6procedure6manual.
c. Attempt6to6perform6the6procedure6with6supervision.
d. Inform6the6charge6nurse6of6her6lack6of6training6in6this6proc
edure.
ANSWER:6D
The6charge6nurse6should6be6informed6of6the6lack6of6training6to6perform6the6proced
ure,6and6the6vocational6nurse6should6seek6further6training6to6gain6proficiency.6Althou
gh6the6other6options6might6be6helpful,6they6are6not6safe.
DIF: Cognitive6Level:6Application REF:666p.63
OBJ:616TOP:6 Providing6Safe6Care
KEY:6Nursing6Process6Step:6N/A6MSC:6 NCLEX:6Safe,6Effective6Care
6Environment:6Coordinated6Care
3. Which6patient6statement6indicates6a6need6for6further6discharge6teaching6that6the
6vocational6nurse6should6address?
a. ―I6have6no6idea6of6how6this6drug6will6affect6me.‖
b. ―Do6you6know6if6my6physician6is6coming6back6toda
y?‖
c. ―Will6my6insurance6pay6for6my6stay?‖
Medical-Surgical Nursing, Concepts and Practice
DEWIT'S6MEDICAL-SURGICAL6NURSING,
CONCEPTS6AND6PRACTICE,64TH6EDITION
(STROMBERG,62023)6CHAPTERS616-649
TABLE6OF6CONTENTS
Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, Chapter601:6Caring6for6Medical-Surgical6Patients
DeWit:6Medical-Surgical6Nursing:6Concepts6&6Practice,64th6Edition
MULTIPLE6CHOICE
1. Which6statement6accurately6describes6the6primary6purpose6of6the6state6nurse6p
ractice6act6(NPA)?
a. To6test6and6license6LPN/LVNs
b. To6define6the6scope6of6LPN/LVN6practice
c. To6improve6the6quality6of6care6provided6by6the6LPN/L
VN
d. To6limit6the6LPN/LVN6employment6placement
ANSWER:6B
While6improving6quality6of6care6provided6by6the6LPN/LVN6may6be6a6result6of6the6NPA
,6the6primary6purpose6of6the6NPA6of6each6state6defines6the6scope6of6nursing6practice6
in6that6state.
DIF: Cognitive6Level:6Comprehension REF:666p.63
OBJ:636TOP:6 NPA
KEY:6Nursing6Process6Step:6Implementation
MSC:6 NCLEX:6Safe,6Effective6Care6Environment:6Coordinated6Care
2. The6charge6nurse6asks6the6new6vocational6nurse6to6start6an6intravenous6infusion,6a6
skill6that6the6vocational6nurse6has6not6been6taught6during6her6educational6program.6
How6should6the6vocational6nurse6respond?
a. Ask6a6more6experienced6nurse6to6demonstrate6the6procedur
e.
b. Look6up6the6procedure6in6the6procedure6manual.
c. Attempt6to6perform6the6procedure6with6supervision.
d. Inform6the6charge6nurse6of6her6lack6of6training6in6this6proc
edure.
ANSWER:6D
The6charge6nurse6should6be6informed6of6the6lack6of6training6to6perform6the6proced
ure,6and6the6vocational6nurse6should6seek6further6training6to6gain6proficiency.6Althou
gh6the6other6options6might6be6helpful,6they6are6not6safe.
DIF: Cognitive6Level:6Application REF:666p.63
OBJ:616TOP:6 Providing6Safe6Care
KEY:6Nursing6Process6Step:6N/A6MSC:6 NCLEX:6Safe,6Effective6Care
6Environment:6Coordinated6Care
3. Which6patient6statement6indicates6a6need6for6further6discharge6teaching6that6the
6vocational6nurse6should6address?
a. ―I6have6no6idea6of6how6this6drug6will6affect6me.‖
b. ―Do6you6know6if6my6physician6is6coming6back6toda
y?‖
c. ―Will6my6insurance6pay6for6my6stay?‖
Medical-Surgical Nursing, Concepts and Practice
