TEST BANK
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th Edition
(Stromberg, 2025) Chapters 1 - 49
TABLE OF CONTENTS
Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, Chapter 01: Caring for Medical-Surgical Patients
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
MULTIPLE CHOICE
1. 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
ANSWER: 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.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
thevocational nurse has not been 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.
ANSWER: D
The charge nurse should be informed of the lack of training to perform the procedure, and
thevocational nurse should seek further training to gain proficiency. Although the other
options might be helpful, they are not safe.
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP:
Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which fpatient fstatement findicates fa fneed ffor ffurther fdischarge fteaching fthat fthe
fvocationalfnurse fshould faddress?
a. ―I fhave fno f idea fof fhow fthis fdrug fwill faffect fme.‖
b. ―Do f you fknow fif fmy fphysician fis fcoming fback
ftoday?‖
c. ―Will fmy finsurance fpay ffor fmy fstay?‖
d. ―Am fI fgoing fto fhave fto fgo fto fa fnursing fhome?‖
ANSWER: f A
Lack fof fknowledge fat fdischarge fabout fmedication feffects fand fside feffects fis fa fconcern fthat
fshould fbe faddressed fby fthe fvocational fnurse. fThe fother fconcerns fin fthe foptions fare fthe
Medical-Surgical Nursing, Concepts and Practice
deWit's Medical-Surgical Nursing,
Concepts and Practice, 4th Edition
(Stromberg, 2025) Chapters 1 - 49
TABLE OF CONTENTS
Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
,Medical-Surgical Nursing, Concepts and Practice
, Chapter 01: Caring for Medical-Surgical Patients
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
MULTIPLE CHOICE
1. 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
ANSWER: 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.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
thevocational nurse has not been 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.
ANSWER: D
The charge nurse should be informed of the lack of training to perform the procedure, and
thevocational nurse should seek further training to gain proficiency. Although the other
options might be helpful, they are not safe.
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 TOP:
Providing Safe Care KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
3. Which fpatient fstatement findicates fa fneed ffor ffurther fdischarge fteaching fthat fthe
fvocationalfnurse fshould faddress?
a. ―I fhave fno f idea fof fhow fthis fdrug fwill faffect fme.‖
b. ―Do f you fknow fif fmy fphysician fis fcoming fback
ftoday?‖
c. ―Will fmy finsurance fpay ffor fmy fstay?‖
d. ―Am fI fgoing fto fhave fto fgo fto fa fnursing fhome?‖
ANSWER: f A
Lack fof fknowledge fat fdischarge fabout fmedication feffects fand fside feffects fis fa fconcern fthat
fshould fbe faddressed fby fthe fvocational fnurse. fThe fother fconcerns fin fthe foptions fare fthe
Medical-Surgical Nursing, Concepts and Practice
