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 Nursing Process
KEY: 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.
PTS:1 DIF: Cognitive Level: REF: 2
Comprehension
OBJ:1 TOP: Charge Nurse/Manager Nursi Process
KEY: ng Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
, The nurse is educating a patient that is a member of a health maintenance
organization (HMO). Which informationshould the nurse include?
a. Seek the opinion of an alternate health care
provider.
b. Obtain insurance approval for medical
services prior to treatment.
c. Provide detailed documentation of all care
received for his condition.
d. Wait at least 6 months to see a specialist.
ANS: B
Most HMOs require preprocedure authorization for treatment. Patients are not
required to seek a second opinion, providedocumentation of care, or wait a specific
time period before visiting a specialist.
PTS:1 DIF: Cognitive Level: 9
Application REF:
OBJ:9 TOP: Charge Nurse/Manager
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The patient complains to the nurse that he is confused about his ―deductible‖ that
he owes the hospital. Whichstatement accurately explains a deductible?
a. An amount of money put aside for the payment of
future medical bills
b. A one-time fee for service
c. An amount of money deducted from the bill by
the insurance company
d. An annual amount of money the patient must pay
out-of-pocket for medical care
ANS: D
The deductible is the annual amount the insured must pay out-of-pocket prior to
the insurance company assuming the cost. This practice improves the profit of the
insurance company.
PTS:1 DIF: Cognitive Level: REF: 7
Comprehension
OBJ:9 TOP: Health Care Financing
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
The nurse compares the characteristics of a health maintenance organization (HMO)
and a preferred providerorganization (PPO). Which information should the nurse
include about HMOs?
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