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