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