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