TEST BANK FOR MEDICAL SURGICAL
NURSING 5TH EDITION BY HOLLY K.
STROMBERG, ALL CHAPTERS 1-49 |
LATEST UPDATE 2025
, Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
MULTIPLE CHOICE
Which statement accurately describes the primary purpose of the state nurse practice act (NPA)?
a. To test and license LPN/LVNs.
b. To define the scope of
LPN/LVN practice.
c. To improve the quality of
care provided by the LPN/LVN.
d. To limit the LPN/LVN
employment placement.
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
primary purpose of the NPA of each state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level:
Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the
vocational nurse has notbeen taught during her educational program. How should the
vocational nurse respond?
,a. Ask a more experienced nurse to
demonstrate the procedure.
b. Look up the procedure in the procedure
manual.
c. Attempt to perform the procedure
with supervision.
d. Inform the charge nurse of her lack
of training in this procedure.
ANS: D
The charge nurse should be informed of the lack of training to perform the procedure, and the
vocational nurse should seek further training to gain proficiency. Although the other options
might be helpful, they are not safe.
PTS: 1 DIF: Cognitive Level: 3
Application REF:
OBJ: 1 TOP: Providing Safe Care
KEY: Nursing Process
Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
Which patient statement indicates a need for further discharge teaching that the vocational nurse
should address?
a. “I have no idea of how this drug
will affect me.”
b. “Do you know if my physician is
, coming back today?”
c. “Will my insurance pay for my
stay?”
d. “Am I going to have to go to a
nursing home?”
ANS: A
Lack of knowledge at discharge about medication effects and side effects is a concern that
should be addressed by the vocationalnurse. The other concerns in the options are the
responsibility of other departments to which the nurse might refer the patient.
PTS: 1 DIF: Cognitive Level: Application REF:
2
OBJ: 1 TOP: Teaching KEY: Nursing Process
Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
According to most state NPAs, the vocational nurse acting as charge nurse in a long- term care
facility acts in which capacity?
a. Working under direct supervision of an RN on
the unit
b. Working with the RN in the building
c. Working under general supervision by the
RN available on site or by phone
d. Working as an independent vocational nurse
ANS: C
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the
general supervision of an RNavailable on site or by phone.
NURSING 5TH EDITION BY HOLLY K.
STROMBERG, ALL CHAPTERS 1-49 |
LATEST UPDATE 2025
, Chapter 01: Caring for Medical-Surgical Patients
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
MULTIPLE CHOICE
Which statement accurately describes the primary purpose of the state nurse practice act (NPA)?
a. To test and license LPN/LVNs.
b. To define the scope of
LPN/LVN practice.
c. To improve the quality of
care provided by the LPN/LVN.
d. To limit the LPN/LVN
employment placement.
ANS: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA, the
primary purpose of the NPA of each state defines the scope of nursing practice in that state.
PTS: 1 DIF: Cognitive Level:
Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that the
vocational nurse has notbeen taught during her educational program. How should the
vocational nurse respond?
,a. Ask a more experienced nurse to
demonstrate the procedure.
b. Look up the procedure in the procedure
manual.
c. Attempt to perform the procedure
with supervision.
d. Inform the charge nurse of her lack
of training in this procedure.
ANS: D
The charge nurse should be informed of the lack of training to perform the procedure, and the
vocational nurse should seek further training to gain proficiency. Although the other options
might be helpful, they are not safe.
PTS: 1 DIF: Cognitive Level: 3
Application REF:
OBJ: 1 TOP: Providing Safe Care
KEY: Nursing Process
Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
Which patient statement indicates a need for further discharge teaching that the vocational nurse
should address?
a. “I have no idea of how this drug
will affect me.”
b. “Do you know if my physician is
, coming back today?”
c. “Will my insurance pay for my
stay?”
d. “Am I going to have to go to a
nursing home?”
ANS: A
Lack of knowledge at discharge about medication effects and side effects is a concern that
should be addressed by the vocationalnurse. The other concerns in the options are the
responsibility of other departments to which the nurse might refer the patient.
PTS: 1 DIF: Cognitive Level: Application REF:
2
OBJ: 1 TOP: Teaching KEY: Nursing Process
Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
According to most state NPAs, the vocational nurse acting as charge nurse in a long- term care
facility acts in which capacity?
a. Working under direct supervision of an RN on
the unit
b. Working with the RN in the building
c. Working under general supervision by the
RN available on site or by phone
d. Working as an independent vocational nurse
ANS: C
The vocational nurse in the capacity of the charge nurse in a long-term care facility acts with the
general supervision of an RNavailable on site or by phone.
