TEST BANK n
deWit's Medical-Surgical Nursing,
n n
Concepts and Practice, 4th Edition
n n n n
(Stromberg, 2023) Chapters 1 - 49
n n n n n
TABLE OF CONTENTS
n n
Medical-Surgical Nursing, Concepts and Practice
n n n n
,Medical-Surgical Nursing, Concepts and Practice
n n n n
,Medical-Surgical Nursing, Concepts and Practice
n n n n
, Chapter 01: Caring for Medical-Surgical Patients
n n n n n
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
n n n n n n n
MULTIPLE CHOICE n
1. Which statement accurately describes the primary purpose of the state nurse practice act
n n n n n n n n n n n n
(NPA)?
n
a. To test and license LPN/LVNs n n n n
b. To define the scope of LPN/LVN practice
n n n n n n
c. To improve the quality of care provided by the LPN/LVN
n n n n n n n n n
d. To limit the LPN/LVN employment placement
n n n n n
ANSWER: B n
While improving quality of care provided bythe LPN/LVN may be a result of the NPA, theprimary
n n n n n n n n n n n n n n n n n
purpose of the NPA of each state defines the scope of nursing practice in that state.
n n n n n n n n n n n n n n n n
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 n n nnn n n
TOP: NPA
n KEY: Nursing Process Step: Implementation
n n n n n
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
n n n n n n n
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the
n n n n n n n n n n n n n n n n
vocational nurse has not been taught during her educational program. How should the
n n n n n n n n n n n n n
vocational nurse respond?
n n n
a. Ask a more experienced nurse to demonstrate the procedure.
n n n n n n n n
b. Look up the procedure in the procedure manual. n n n n n n n
c. Attempt to perform the procedure with supervision. n n n n n n
d. Inform the charge nurse of her lack of training in this procedure. n n n n n n n n n n n
ANSWER: D n
The charge nurse should be informed of the lack of training to perform the procedure, and the
n n n n n n n n n n n n n n n n
vocational nurse should seek further training to gain proficiency. Although the other options
n n n n n n n n n n n n n
might be helpful, they are not safe.
n n n n n n n
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP: n n nnn n n n
nProviding Safe Care KEY: Nursing Process Step: N/An n n n n n
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
n n n n n n n n
3. Which patient statement indicates a need for further discharge teaching that the vocational
n n n n n n n n n n n n
nurse should address?
n n n
a. ―I have no idea of how this drug will affect me.‖
n n n n n n n n n n
b. ―Do you know if my physician is coming back today?‖
n n n n n n n n n
c. ―Will my insurance pay for my stay?‖ n n n n n n
d. ―Am I going to have to go to a nursing home?‖ n n n n n n n n n n
ANSWER: A n
Lack of knowledge at discharge about medication effects and side effects is a concern thatshould
n n n n n n n n n n n n n n n
be addressed by the vocational nurse. The other concerns in the options are the responsibility of
n n n n n n n n n n n n n n n n
other departments to which the nurse might refer the patient.
n n n n n n n n n n
Medical-Surgical Nursing, Concepts and Practice n n n n
deWit's Medical-Surgical Nursing,
n n
Concepts and Practice, 4th Edition
n n n n
(Stromberg, 2023) Chapters 1 - 49
n n n n n
TABLE OF CONTENTS
n n
Medical-Surgical Nursing, Concepts and Practice
n n n n
,Medical-Surgical Nursing, Concepts and Practice
n n n n
,Medical-Surgical Nursing, Concepts and Practice
n n n n
, Chapter 01: Caring for Medical-Surgical Patients
n n n n n
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
n n n n n n n
MULTIPLE CHOICE n
1. Which statement accurately describes the primary purpose of the state nurse practice act
n n n n n n n n n n n n
(NPA)?
n
a. To test and license LPN/LVNs n n n n
b. To define the scope of LPN/LVN practice
n n n n n n
c. To improve the quality of care provided by the LPN/LVN
n n n n n n n n n
d. To limit the LPN/LVN employment placement
n n n n n
ANSWER: B n
While improving quality of care provided bythe LPN/LVN may be a result of the NPA, theprimary
n n n n n n n n n n n n n n n n n
purpose of the NPA of each state defines the scope of nursing practice in that state.
n n n n n n n n n n n n n n n n
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3 n n nnn n n
TOP: NPA
n KEY: Nursing Process Step: Implementation
n n n n n
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
n n n n n n n
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the
n n n n n n n n n n n n n n n n
vocational nurse has not been taught during her educational program. How should the
n n n n n n n n n n n n n
vocational nurse respond?
n n n
a. Ask a more experienced nurse to demonstrate the procedure.
n n n n n n n n
b. Look up the procedure in the procedure manual. n n n n n n n
c. Attempt to perform the procedure with supervision. n n n n n n
d. Inform the charge nurse of her lack of training in this procedure. n n n n n n n n n n n
ANSWER: D n
The charge nurse should be informed of the lack of training to perform the procedure, and the
n n n n n n n n n n n n n n n n
vocational nurse should seek further training to gain proficiency. Although the other options
n n n n n n n n n n n n n
might be helpful, they are not safe.
n n n n n n n
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP: n n nnn n n n
nProviding Safe Care KEY: Nursing Process Step: N/An n n n n n
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
n n n n n n n n
3. Which patient statement indicates a need for further discharge teaching that the vocational
n n n n n n n n n n n n
nurse should address?
n n n
a. ―I have no idea of how this drug will affect me.‖
n n n n n n n n n n
b. ―Do you know if my physician is coming back today?‖
n n n n n n n n n
c. ―Will my insurance pay for my stay?‖ n n n n n n
d. ―Am I going to have to go to a nursing home?‖ n n n n n n n n n n
ANSWER: A n
Lack of knowledge at discharge about medication effects and side effects is a concern thatshould
n n n n n n n n n n n n n n n
be addressed by the vocational nurse. The other concerns in the options are the responsibility of
n n n n n n n n n n n n n n n n
other departments to which the nurse might refer the patient.
n n n n n n n n n n
Medical-Surgical Nursing, Concepts and Practice n n n n
