Test Bank for Medical Surgical Nursing:
Concepts & Practice 5th Edition by Holly K.
Stromberg
,Chapter 01: Caring for Medical-Surgical Clients
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
MULTIPLE CHOICE
Which statement accurately describes the primary purpose of the state nursing
practitioner practice act (NPA)?
a. To test and license LPN/LVNs.
b. To define the scope of LPN/LVN
practice.
c. To improve the quality of care
provided by the LPN/LVN.
d. To limit the LPN/LVN employment
placement.
ANSWER✔✔ B
While improving quality of care provided by the LPN/LVN may be a result of the
NPA, the primary purpose of the NPA of each state defines the scope of nursing
practice in that state.
PTS: 1COMP Cognitive Level: Comprehension
LEXI PAGE- 2
TY-
OBJ: 3 SUBJE NPA KEY: Nursing Process Step:
CT- Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The charge nursing practitioner asks the new vocational nursing practitioner to start an
intravenous infusion, a skill that the vocational nursing practitioner has notbeen
taught during her educational program. How should the vocational nursing
practitioner respond?
a. Ask a more experienced nursing
practitioner to demonstrate the
procedure.
b. Look up the procedure in the procedure
manual.
c. Attempt to perform the procedure with
supervision.
d. Inform the charge nursing practitioner
of her lack of training in this
procedure.
ANSWER✔✔ D
The charge nursing practitioner should be informed of the lack of training to perform
the procedure, and the vocational nursing practitioner should seek further training to
,gain proficiency. Although the other options might be helpful, they are not safe.
PTS: 1 COM Cognitive Level: 3
PLEX
ITY-
Application PAGE-
OBJ: 1 SUBJ Providing Safe Care Nursing Process
ECT- KEY: Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
Which client statement indicates a need for further discharge teaching that the
vocational nursing practitioner should address?
a. “I have no idea of how this drug
will affect me.”
b. “Do you know if my physician is
coming back today?”
c. “Will my insurance pay for my
stay?”
d. “Am I going to have to go to a
nursing home?”
ANSWER✔✔ A
Lack of knowledge at discharge about medication effects and side effects is a concern
that should be addressed by the vocationalnurse. The other concerns in the options are
the responsibility of other departments to which the nursing practitioner might refer
the client.
PTS: 1COMP Cognitive Level: Application
LEXI PAG
TY- E- 2
OBJ: 1 SUBJE Teaching KEY: Nursing Process
CT- Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
According to most state NPAs, the vocational nursing practitioner acting as charge
nursing practitioner in a long- term care facility acts in which capacity?
a. Working under direct supervision of an RN on
the unit
b. Working with the RN in the building
c. Working under general supervision by the RN
available on site or by phone
d. Working as an independent vocational nurse
ANSWER✔✔ C
The vocational nursing practitioner in the capacity of the charge nursing practitioner
in a long-term care facility acts with the general supervision of an RNavailable on site
or by phone.
, PTS: 1COMP Cognitive Level: PAG 2
LEXI Comprehension E-
TY-
OBJ: 1 SUBJE Charge Nurse/Manager Nursi Process
CT- KEY: ng Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
Concepts & Practice 5th Edition by Holly K.
Stromberg
,Chapter 01: Caring for Medical-Surgical Clients
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
MULTIPLE CHOICE
Which statement accurately describes the primary purpose of the state nursing
practitioner practice act (NPA)?
a. To test and license LPN/LVNs.
b. To define the scope of LPN/LVN
practice.
c. To improve the quality of care
provided by the LPN/LVN.
d. To limit the LPN/LVN employment
placement.
ANSWER✔✔ B
While improving quality of care provided by the LPN/LVN may be a result of the
NPA, the primary purpose of the NPA of each state defines the scope of nursing
practice in that state.
PTS: 1COMP Cognitive Level: Comprehension
LEXI PAGE- 2
TY-
OBJ: 3 SUBJE NPA KEY: Nursing Process Step:
CT- Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The charge nursing practitioner asks the new vocational nursing practitioner to start an
intravenous infusion, a skill that the vocational nursing practitioner has notbeen
taught during her educational program. How should the vocational nursing
practitioner respond?
a. Ask a more experienced nursing
practitioner to demonstrate the
procedure.
b. Look up the procedure in the procedure
manual.
c. Attempt to perform the procedure with
supervision.
d. Inform the charge nursing practitioner
of her lack of training in this
procedure.
ANSWER✔✔ D
The charge nursing practitioner should be informed of the lack of training to perform
the procedure, and the vocational nursing practitioner should seek further training to
,gain proficiency. Although the other options might be helpful, they are not safe.
PTS: 1 COM Cognitive Level: 3
PLEX
ITY-
Application PAGE-
OBJ: 1 SUBJ Providing Safe Care Nursing Process
ECT- KEY: Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
Which client statement indicates a need for further discharge teaching that the
vocational nursing practitioner should address?
a. “I have no idea of how this drug
will affect me.”
b. “Do you know if my physician is
coming back today?”
c. “Will my insurance pay for my
stay?”
d. “Am I going to have to go to a
nursing home?”
ANSWER✔✔ A
Lack of knowledge at discharge about medication effects and side effects is a concern
that should be addressed by the vocationalnurse. The other concerns in the options are
the responsibility of other departments to which the nursing practitioner might refer
the client.
PTS: 1COMP Cognitive Level: Application
LEXI PAG
TY- E- 2
OBJ: 1 SUBJE Teaching KEY: Nursing Process
CT- Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
According to most state NPAs, the vocational nursing practitioner acting as charge
nursing practitioner in a long- term care facility acts in which capacity?
a. Working under direct supervision of an RN on
the unit
b. Working with the RN in the building
c. Working under general supervision by the RN
available on site or by phone
d. Working as an independent vocational nurse
ANSWER✔✔ C
The vocational nursing practitioner in the capacity of the charge nursing practitioner
in a long-term care facility acts with the general supervision of an RNavailable on site
or by phone.
, PTS: 1COMP Cognitive Level: PAG 2
LEXI Comprehension E-
TY-
OBJ: 1 SUBJE Charge Nurse/Manager Nursi Process
CT- KEY: ng Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
