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