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