TesthjBankhjForhjMedicalhjSurgicalhjNursinghj5thhjEditionhjByhjHollyhjK.hjStromberg,hj
AllhjChaptershj1-49hj|hjLatesthjUpdate
Chapterhj01:hjCaringhjforhjMedical-SurgicalhjPatients
deWit:hjMedical-SurgicalhjNursing:hjConceptshj&hjPractice,hj5thhjEdition
MULTIPLEhjCHOICE
Whichhjstatementhjaccuratelyhjdescribeshjthehjprimaryhjpurposehjofhjthehjstatehjnursehjpractic
ehjacthj(NPA)?
a. TohjtesthjandhjlicensehjLPN/LVNs.
b. TohjdefinehjthehjscopehjofhjLPN/LVN
practice.
c. Tohjimprovehjthehjqualityhjofhjcare
providedhjbyhjthehjLPN/LVN.
d. TohjlimithjthehjLPN/LVNhjemployment
placement.
ANS:hjB
WhilehjimprovinghjqualityhjofhjcarehjprovidedhjbyhjthehjLPN/LVNhjmayhjbehjahjresulthjofhjthehj
NPA,hjthehjprimaryhjpurposehjofhjthehjNPAhjofhjeachhjstatehjdefineshjthehjscopehjofhjnursinghj
practicehjinhjthathjstate.
PTS: 1 DIF: CognitivehjLevel:hjComprehension
REF:h j 2
OBJ: 3 TOP: NPAh j KEY:hjNursinghjProcesshjSte
p:
Implementation
MSC:hjNCLEX:hjSafe,hjEffectivehjCarehjEnvironment:hjCoordinatedhjCare
Thehjchargehjnursehjaskshjthehjnewhjvocationalhjnursehjtohjstarthjanhjintravenoushjinfusion,hjahj
skillhjthathjthehjvocationalhjnursehjhashjnotbeenhjtaughthjduringhjherhjeducationalhjprogram.hj
Howhjshouldhjthehjvocationalhjnursehjrespond?
a. Askhjahjmorehjexperiencedhjnursehjto
demonstratehjthehjprocedure.
b. Lookhjuphjthehjprocedurehjinhjthehjprocedur
e
manual.
c. Attempthjtohjperformhjthehjprocedurehjwith
supervision.
d. Informhjthehjchargehjnursehjofhjherhjlackhjof
traininghjinhjthishjprocedure.
ANS:hjD
Thehjchargehjnursehjshouldhjbehjinformedhjofhjthehjlackhjofhjtraininghjtohjperformhjthehjproce
dure,hjandhjthehjvocationalhjnursehjshouldhjseekhjfurtherhjtraininghjtohjgainhjproficiency.hjAlt
houghhjthehjotherhjoptionshjmighthjbehjhelpful,hjtheyhjarehjnothjsafe.
,PTS: 1 DIF: CognitivehjLevel: 3
, Applicationh j REF:
OBJ: 1 TOP: ProvidinghjSafehjCare NursinghjProcess
KEY: Step:hjN/A
MSC:hjNCLEX:hjSafe,hjEffectivehjCarehjEnvironment:hjCoordinatedhjCare
Whichhjpatienthjstatementhjindicateshjahjneedhjforhjfurtherhjdischargehjteachinghjthathjthehjvoc
ationalhjnursehjshouldhjaddress?
a. ―Ihjhavehjnohjideahjofhjhowhjthishjdrug
willhjaffecthjme.‖
b. ―Dohjyouhjknowhjifhjmyhjphysicianhjis
cominghjbackhjtoday?‖
c. ―Willhjmyhjinsurancehjpayhjforhjmy
stay?‖
d. ―AmhjIhjgoinghjtohjhavehjtohjgohjtohja
nursinghjhome?‖
ANS:hjA
Lackhjofhjknowledgehjathjdischargehjabouthjmedicationhjeffectshjandhjsidehjeffectshjishjahjcon
cernhjthathjshouldhjbehjaddressedhjbyhjthehjvocationalnurse.hjThehjotherhjconcernshjinhjthehjo
ptionshjarehjthehjresponsibilityhjofhjotherhjdepartmentshjtohjwhichhjthehjnursehjmighthjreferhjt
hehjpatient.
PTS: 1 DIF: CognitivehjLevel:hjApplication REF:
2
OBJ: 1 TOP: Teachingh j KEY: NursinghjProcess
Step:hjImplementation
MSC:hjNCLEX:hjSafe,hjEffectivehjCarehjEnvironment:hjCoordinatedhjCare
AccordinghjtohjmosthjstatehjNPAs,hjthehjvocationalhjnursehjactinghjashjchargehjnursehjinhjahjlon
g-hjtermhjcarehjfacilityhjactshjinhjwhichhjcapacity?
a. WorkinghjunderhjdirecthjsupervisionhjofhjanhjRNhjo
n
thehjunit
b. WorkinghjwithhjthehjRNhjinhjthehjbuilding
c. WorkinghjunderhjgeneralhjsupervisionhjbyhjthehjR
N
availablehjonhjsitehjorhjbyhjphone
d. Workinghjashjanhjindependenthjvocationalhjnurse
ANS:hjC
Thehjvocationalhjnursehjinhjthehjcapacityhjofhjthehjchargehjnursehjinhjahjlong-
termhjcarehjfacilityhjactshjwithhjthehjgeneralhjsupervisionhjofhjanhjRNavailablehjonhjsitehjorhjb
yhjphone.
PTS: 1 DIF: CognitivehjLevel: REF: 2
Comprehension
, OBJ: 1 TOP: ChargehjNurse/Manager Nursi Process
KEY: ng Step:hjN/A
MSC:hjNCLEX:hjSafe,hjEffectivehjCarehjEnvironment:hjCoordinatedhjCare
AllhjChaptershj1-49hj|hjLatesthjUpdate
Chapterhj01:hjCaringhjforhjMedical-SurgicalhjPatients
deWit:hjMedical-SurgicalhjNursing:hjConceptshj&hjPractice,hj5thhjEdition
MULTIPLEhjCHOICE
Whichhjstatementhjaccuratelyhjdescribeshjthehjprimaryhjpurposehjofhjthehjstatehjnursehjpractic
ehjacthj(NPA)?
a. TohjtesthjandhjlicensehjLPN/LVNs.
b. TohjdefinehjthehjscopehjofhjLPN/LVN
practice.
c. Tohjimprovehjthehjqualityhjofhjcare
providedhjbyhjthehjLPN/LVN.
d. TohjlimithjthehjLPN/LVNhjemployment
placement.
ANS:hjB
WhilehjimprovinghjqualityhjofhjcarehjprovidedhjbyhjthehjLPN/LVNhjmayhjbehjahjresulthjofhjthehj
NPA,hjthehjprimaryhjpurposehjofhjthehjNPAhjofhjeachhjstatehjdefineshjthehjscopehjofhjnursinghj
practicehjinhjthathjstate.
PTS: 1 DIF: CognitivehjLevel:hjComprehension
REF:h j 2
OBJ: 3 TOP: NPAh j KEY:hjNursinghjProcesshjSte
p:
Implementation
MSC:hjNCLEX:hjSafe,hjEffectivehjCarehjEnvironment:hjCoordinatedhjCare
Thehjchargehjnursehjaskshjthehjnewhjvocationalhjnursehjtohjstarthjanhjintravenoushjinfusion,hjahj
skillhjthathjthehjvocationalhjnursehjhashjnotbeenhjtaughthjduringhjherhjeducationalhjprogram.hj
Howhjshouldhjthehjvocationalhjnursehjrespond?
a. Askhjahjmorehjexperiencedhjnursehjto
demonstratehjthehjprocedure.
b. Lookhjuphjthehjprocedurehjinhjthehjprocedur
e
manual.
c. Attempthjtohjperformhjthehjprocedurehjwith
supervision.
d. Informhjthehjchargehjnursehjofhjherhjlackhjof
traininghjinhjthishjprocedure.
ANS:hjD
Thehjchargehjnursehjshouldhjbehjinformedhjofhjthehjlackhjofhjtraininghjtohjperformhjthehjproce
dure,hjandhjthehjvocationalhjnursehjshouldhjseekhjfurtherhjtraininghjtohjgainhjproficiency.hjAlt
houghhjthehjotherhjoptionshjmighthjbehjhelpful,hjtheyhjarehjnothjsafe.
,PTS: 1 DIF: CognitivehjLevel: 3
, Applicationh j REF:
OBJ: 1 TOP: ProvidinghjSafehjCare NursinghjProcess
KEY: Step:hjN/A
MSC:hjNCLEX:hjSafe,hjEffectivehjCarehjEnvironment:hjCoordinatedhjCare
Whichhjpatienthjstatementhjindicateshjahjneedhjforhjfurtherhjdischargehjteachinghjthathjthehjvoc
ationalhjnursehjshouldhjaddress?
a. ―Ihjhavehjnohjideahjofhjhowhjthishjdrug
willhjaffecthjme.‖
b. ―Dohjyouhjknowhjifhjmyhjphysicianhjis
cominghjbackhjtoday?‖
c. ―Willhjmyhjinsurancehjpayhjforhjmy
stay?‖
d. ―AmhjIhjgoinghjtohjhavehjtohjgohjtohja
nursinghjhome?‖
ANS:hjA
Lackhjofhjknowledgehjathjdischargehjabouthjmedicationhjeffectshjandhjsidehjeffectshjishjahjcon
cernhjthathjshouldhjbehjaddressedhjbyhjthehjvocationalnurse.hjThehjotherhjconcernshjinhjthehjo
ptionshjarehjthehjresponsibilityhjofhjotherhjdepartmentshjtohjwhichhjthehjnursehjmighthjreferhjt
hehjpatient.
PTS: 1 DIF: CognitivehjLevel:hjApplication REF:
2
OBJ: 1 TOP: Teachingh j KEY: NursinghjProcess
Step:hjImplementation
MSC:hjNCLEX:hjSafe,hjEffectivehjCarehjEnvironment:hjCoordinatedhjCare
AccordinghjtohjmosthjstatehjNPAs,hjthehjvocationalhjnursehjactinghjashjchargehjnursehjinhjahjlon
g-hjtermhjcarehjfacilityhjactshjinhjwhichhjcapacity?
a. WorkinghjunderhjdirecthjsupervisionhjofhjanhjRNhjo
n
thehjunit
b. WorkinghjwithhjthehjRNhjinhjthehjbuilding
c. WorkinghjunderhjgeneralhjsupervisionhjbyhjthehjR
N
availablehjonhjsitehjorhjbyhjphone
d. Workinghjashjanhjindependenthjvocationalhjnurse
ANS:hjC
Thehjvocationalhjnursehjinhjthehjcapacityhjofhjthehjchargehjnursehjinhjahjlong-
termhjcarehjfacilityhjactshjwithhjthehjgeneralhjsupervisionhjofhjanhjRNavailablehjonhjsitehjorhjb
yhjphone.
PTS: 1 DIF: CognitivehjLevel: REF: 2
Comprehension
, OBJ: 1 TOP: ChargehjNurse/Manager Nursi Process
KEY: ng Step:hjN/A
MSC:hjNCLEX:hjSafe,hjEffectivehjCarehjEnvironment:hjCoordinatedhjCare