,Chapter 01: Caring for Medical-Surgical Patients
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deWit: Medical- WD
Surgical Nursing: Concepts & Practice, 5th Edition MULTIPLE CH
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OICE
1. Which statement accurately describes the primary purpose of the state nurse
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practice act (NPA)? WD WD
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
provided by the LPN/LVN. WD WD WD
d. To limit the LPN/LVN employment
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placement.
ANS: B W D
While improving quality of care provided by the LPN/LVN may be a result of the NP
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A, the primary purpose of the NPA of each state defines the scope of nursing practi
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ce in that state.
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PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 WD WD WD WD
OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation MSW D W D WD WD WD WD WD
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
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2.
The charge nurse asks the new vocational nurse to start an intravenous infu
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sion, a skill that the vocational nurse has not been 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
WD WD WD WD WD
demonstrate the procedure. WD WD
b. Look up the procedure in the procedure m
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anual.
c. Attempt to perform the procedure with WD WD WD WD WD
supervision.
,d. Inform the charge nurse of her lack of trai
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ning in this procedure.
WD WD WD
, ANS: D W D
The charge nurse should be informed of the lack of training to perform the procedu
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re, and the vocational nurse should seek further training to gain proficiency. Althou
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gh the other options might be helpful, they are not safe.
WD WD WD WD WD WD WD WD WD WD
PTS: 1 DIF: Cognitive Level: Application REF: 3 WD WD WD WD W D
OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step: N/A MSC: WD WD WD WD WD WD WD WD WD
NCLEX: Safe, Effective Care Environment: Coordinated Care
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3.
Which patient statement indicates a need for further discharge teaching tha
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t the vocational nurse should address?
WD WD WD WD WD
a. “I have no idea of how this drug
WD WD WD WD WD WD WD
will affect me.” WD WD
b. “Do you know if my physician W D W D W D W D W D W D
is
coming back today?” WD WD
c. “Will my insurance pay for my stay WD WD WD WD WD WD
?”
d. “Am I going to have to go to a WD WD WD WD WD WD WD WD
nursing home?” WD
ANS: A W D
Lack of knowledge at discharge about medication effects and side effects is a conce
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rn that should be addressed by the vocational nurse. The other concerns in the option
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s are the responsibility of other departments to which the nurse might refer the patie
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
nt.
PTS: 1 DIF: Cognitive Level: Application REF: 2 WD WD WD WD W D
OBJ: 1
TOP: Teaching KEY: Nursing Process Step: Implementation MSC WD WD WD WD WD WD WD
: NCLEX: Safe, Effective Care Environment: Coordinated Care
WD WD WD WD WD WD WD
4.
According to most state NPAs, the vocational nurse acting as charge nurse WD WD WD WD WD WD WD WD WD WD WD
WD in a long-term care facility acts in which capacity?
WD WD WD WD WD WD WD WD
WD WD WD WD WD
deWit: Medical- WD
Surgical Nursing: Concepts & Practice, 5th Edition MULTIPLE CH
WD WD WD WD WD WD WD WD
OICE
1. Which statement accurately describes the primary purpose of the state nurse
WD WD WD WD WD WD WD WD WD WD
practice act (NPA)? WD WD
a. To test and license LPN/LVNs.
WD WD WD WD
b. To define the scope of LPN/LVN
WD WD WD WD WD
practice.
c. To improve the quality of care
provided by the LPN/LVN. WD WD WD
d. To limit the LPN/LVN employment
WD WD WD WD
placement.
ANS: B W D
While improving quality of care provided by the LPN/LVN may be a result of the NP
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
A, the primary purpose of the NPA of each state defines the scope of nursing practi
WD WD WD WD WD WD WD WD WD WD WD WD WD WD WD
ce in that state.
WD WD WD
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 WD WD WD WD
OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation MSW D W D WD WD WD WD WD
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
WD WD WD WD WD WD WD
2.
The charge nurse asks the new vocational nurse to start an intravenous infu
WD WD WD WD WD WD WD WD WD WD WD WD
sion, a skill that the vocational nurse has not been taught during her educational
WD WD WD WD WD WD WD WD WD WD WD WD WD
program. How should the vocational nurse respond?
WD WD WD WD WD WD WD
a. Ask a more experienced nurse to
WD WD WD WD WD
demonstrate the procedure. WD WD
b. Look up the procedure in the procedure m
WD WD WD WD WD WD WD
anual.
c. Attempt to perform the procedure with WD WD WD WD WD
supervision.
,d. Inform the charge nurse of her lack of trai
WD WD WD WD WD WD WD WD
ning in this procedure.
WD WD WD
, ANS: D W D
The charge nurse should be informed of the lack of training to perform the procedu
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
re, and the vocational nurse should seek further training to gain proficiency. Althou
WD WD WD WD WD WD WD WD WD WD WD WD
gh the other options might be helpful, they are not safe.
WD WD WD WD WD WD WD WD WD WD
PTS: 1 DIF: Cognitive Level: Application REF: 3 WD WD WD WD W D
OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step: N/A MSC: WD WD WD WD WD WD WD WD WD
NCLEX: Safe, Effective Care Environment: Coordinated Care
WD WD WD WD WD WD WD
3.
Which patient statement indicates a need for further discharge teaching tha
WD WD WD WD WD WD WD WD WD WD
t the vocational nurse should address?
WD WD WD WD WD
a. “I have no idea of how this drug
WD WD WD WD WD WD WD
will affect me.” WD WD
b. “Do you know if my physician W D W D W D W D W D W D
is
coming back today?” WD WD
c. “Will my insurance pay for my stay WD WD WD WD WD WD
?”
d. “Am I going to have to go to a WD WD WD WD WD WD WD WD
nursing home?” WD
ANS: A W D
Lack of knowledge at discharge about medication effects and side effects is a conce
WD WD WD WD WD WD WD WD WD WD WD WD WD
rn that should be addressed by the vocational nurse. The other concerns in the option
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
s are the responsibility of other departments to which the nurse might refer the patie
WD WD WD WD WD WD WD WD WD WD WD WD WD WD
nt.
PTS: 1 DIF: Cognitive Level: Application REF: 2 WD WD WD WD W D
OBJ: 1
TOP: Teaching KEY: Nursing Process Step: Implementation MSC WD WD WD WD WD WD WD
: NCLEX: Safe, Effective Care Environment: Coordinated Care
WD WD WD WD WD WD WD
4.
According to most state NPAs, the vocational nurse acting as charge nurse WD WD WD WD WD WD WD WD WD WD WD
WD in a long-term care facility acts in which capacity?
WD WD WD WD WD WD WD WD
