Page | 1
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,TABLE OF CONTENTS
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Page | 2
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,Page | 3
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, Chapter 01: Caring for Medical-Surgical Patients i i i i i
MULTIPLE CHOICE
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1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)?
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a. To test and license LPN/LVNs
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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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CORRECT ANSWER: B
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While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary
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purpose of the NPA of each state defines the scope of nursing practice in that state.
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DIF: Cognitive Level: Comprehension i i REF: p. 3 i i OBJ: 3 TOP: NPA i i i KEY: Nursingi
Process Step: Implementation
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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 the
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vocational nurse has not been taught during her educational program. How should the vocational nurse
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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.
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c. Attempt to perform the procedure with supervision.
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d. Inform the charge nurse of her lack of training in this procedure.
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CORRECT ANSWER: D i i
The charge nurse should be informed of the lack of training to perform the procedure, and the vocational
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nurse should seek further training to gain proficiency. Although the other options might be helpful, they
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are not safe.
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DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP: Providing Safe Care i i i i i i i i i KEY:
Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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Page | 4 i i
i i
,TABLE OF CONTENTS
i i
Page | 2
i i
,Page | 3
i i
, Chapter 01: Caring for Medical-Surgical Patients i i i i i
MULTIPLE CHOICE
i i
1. Which statement accurately describes the primary purpose of the state nurse practice act (NPA)?
i i i i i i i i i i i i i
a. To test and license LPN/LVNs
i i i i
b. To define the scope of LPN/LVN practice
i i i i i i
c. To improve the quality of care provided by the LPN/LVN
i i i i i i i i i
d. To limit the LPN/LVN employment placement
i i i i i
CORRECT ANSWER: B
i i i
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the primary
i i i i i i i i i i i i i i i i i
purpose of the NPA of each state defines the scope of nursing practice in that state.
i i i i i i i i i i i i i i i i
DIF: Cognitive Level: Comprehension i i REF: p. 3 i i OBJ: 3 TOP: NPA i i i KEY: Nursingi
Process Step: Implementation
i i i
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
i i i i i i i
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the
i i i i i i i i i i i i i i i i
vocational nurse has not been taught during her educational program. How should the vocational nurse
i i i i i i i i i i i i i i i
respond?
i
a. Ask a more experienced nurse to demonstrate the procedure.
i i i i i i i i
b. Look up the procedure in the procedure manual.
i i i i i i i
c. Attempt to perform the procedure with supervision.
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d. Inform the charge nurse of her lack of training in this procedure.
i i i i i i i i i i i
CORRECT ANSWER: D i i
The charge nurse should be informed of the lack of training to perform the procedure, and the vocational
i i i i i i i i i i i i i i i i i
nurse should seek further training to gain proficiency. Although the other options might be helpful, they
i i i i i i i i i i i i i i i i
are not safe.
i i i
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP: Providing Safe Care i i i i i i i i i KEY:
Nursing Process Step: N/A MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
i i i i i i i i i i i i
Page | 4 i i
