TEST BANK
`
Medical-Surgical`Nursing,`Concepts`and`Practice,`5th`Edition
By`Holly`K.`Stromberg.
,Chapter` 01:` Caring` for` Medical-Surgical` Patients
deWit:`Medical-Surgical`Nursing:`Concepts`&`Practice,`5th`Edition
MULTIPLE`CHOICE
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`prac
tice.
c. To`improve`the`quality`of`care`provid
ed`by`the`LPN/LVN.
d. To`limit`the`LPN/LVN`employment`p
lacement.
ANS:`B
While`improving`quality`of`care`provided`by`the`LPN/LVN`may`be`a`result`of`the`NPA,`t
he`primary`purpose`of`the`NPA`of`each`state`defines`the`scope`of`nursing`practice`in`tha
t`state.
PTS: 1 DIF:Cognitive`Level:`Comprehension`R
EF:` 2
OBJ: 3 TOP: NPA` KEY:`Nursing`Process`Step:`I
mplementation
MSC:`NCLEX:`Safe,`Effective`Care`Environment:`Coordinated`Care
The`charge`nurse`asks`the`new`vocational`nurse`to`start`an`intravenous`infusion,`a`skill`th
at`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`m
anual.
c. Attempt`to`perform`the`procedure`with`su
pervision.
d. Inform`the`charge`nurse`of`her`lack`of`trai
ning`in`this`procedure.
ANS:`D
The`charge`nurse`should`be`informed`of`the`lack`of`training`to`perform`the`procedure,`a
nd`the`vocational`nurse`should`seek`further`training`to`gain`proficiency.`Although`the`ot
her`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`vocation
al`nurse`should`address?
a. ―I`have`no`idea`of`how`this`drug`wil
l`affect`me.‖
b. ―Do`you`know`if`my`physician`is`co
ming`back`today?‖
c. ―Will`my`insurance`pay`for`my`stay
?‖
d. ―Am`I`going`to`have`to`go`to`a`nursi
ng`home?‖
ANS:`A
Lack`of`knowledge`at`discharge`about`medication`effects`and`side`effects`is`a`concern`th
at`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`th
e`unit
b. Working`with`the`RN`in`the`building
c. Working`under`general`supervision`by`the`RN`a
vailable`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`pho
ne.
PTS: 1 DIF: Cognitive`Level:`Compr REF: 2
ehension
OBJ: 1 TOP: Charge`Nurse/Manager` Nursi Process`St
KEY: `ng ep:`N/A
, MSC:`NCLEX:`Safe,`Effective`Care`Environment:`Coordinated`Care
`
Medical-Surgical`Nursing,`Concepts`and`Practice,`5th`Edition
By`Holly`K.`Stromberg.
,Chapter` 01:` Caring` for` Medical-Surgical` Patients
deWit:`Medical-Surgical`Nursing:`Concepts`&`Practice,`5th`Edition
MULTIPLE`CHOICE
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`prac
tice.
c. To`improve`the`quality`of`care`provid
ed`by`the`LPN/LVN.
d. To`limit`the`LPN/LVN`employment`p
lacement.
ANS:`B
While`improving`quality`of`care`provided`by`the`LPN/LVN`may`be`a`result`of`the`NPA,`t
he`primary`purpose`of`the`NPA`of`each`state`defines`the`scope`of`nursing`practice`in`tha
t`state.
PTS: 1 DIF:Cognitive`Level:`Comprehension`R
EF:` 2
OBJ: 3 TOP: NPA` KEY:`Nursing`Process`Step:`I
mplementation
MSC:`NCLEX:`Safe,`Effective`Care`Environment:`Coordinated`Care
The`charge`nurse`asks`the`new`vocational`nurse`to`start`an`intravenous`infusion,`a`skill`th
at`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`m
anual.
c. Attempt`to`perform`the`procedure`with`su
pervision.
d. Inform`the`charge`nurse`of`her`lack`of`trai
ning`in`this`procedure.
ANS:`D
The`charge`nurse`should`be`informed`of`the`lack`of`training`to`perform`the`procedure,`a
nd`the`vocational`nurse`should`seek`further`training`to`gain`proficiency.`Although`the`ot
her`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`vocation
al`nurse`should`address?
a. ―I`have`no`idea`of`how`this`drug`wil
l`affect`me.‖
b. ―Do`you`know`if`my`physician`is`co
ming`back`today?‖
c. ―Will`my`insurance`pay`for`my`stay
?‖
d. ―Am`I`going`to`have`to`go`to`a`nursi
ng`home?‖
ANS:`A
Lack`of`knowledge`at`discharge`about`medication`effects`and`side`effects`is`a`concern`th
at`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`th
e`unit
b. Working`with`the`RN`in`the`building
c. Working`under`general`supervision`by`the`RN`a
vailable`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`pho
ne.
PTS: 1 DIF: Cognitive`Level:`Compr REF: 2
ehension
OBJ: 1 TOP: Charge`Nurse/Manager` Nursi Process`St
KEY: `ng ep:`N/A
, MSC:`NCLEX:`Safe,`Effective`Care`Environment:`Coordinated`Care
