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