TEST BANK
m
,Chapter 01: Caring for Medical-Surgical Patients
m m m m m
deWit: Medical-
m
Surgical Nursing: Concepts & Practice, 5th Edition MULTIPLE CH
m m m m m m m m
OICE
1. Which statement accurately describes the primary purpose of the state nurse
m m m m m m m m m m
practice act (NPA)? m m
a. To test and license LPN/LVNs.
m m m m
b. To define the scope of LPN/LVN
m m m m m
practice.
c. To improve the quality of care
provided by the LPN/LVN. m m m
d. To limit the LPN/LVN employment
m m m m
placement.
ANS: B m
While improving quality of care provided by the LPN/LVN may be a result of the
m m m m m m m m m m m m m m m
NPA, the primary purpose of the NPA of each state defines the scope of nursing
m m m m m m m m m m m m m m m
practice in that state.
m m m
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 m m m m
OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation MS
m m m m m m m
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
2.
The charge nurse asks the new vocational nurse to start an intravenous inf
m m m m m m m m m m m m
usion, a skill that the vocational nurse has not been taught during her educatio
m m m m m m m m m m m m m
nal program. How should the vocational nurse respond?
m m m m m m m
a. Ask a more experienced nurse to
m m m m m
demonstrate the procedure. m m
b. Look up the procedure in the procedure
m m m m m m m
manual.
c. Attempt to perform the procedure with
m m m m m
supervision.
d. Inform the charge nurse of her lack of tra
m m m m m m m m
ining in this procedure.
m m m
, ANS: D m
The charge nurse should be informed of the lack of training to perform the proce
m m m m m m m m m m m m m m
dure, and the vocational nurse should seek further training to gain proficiency.
m m m m m m m m m m m m
Although the other options might be helpful, they are not safe.
m m m m m m m m m m
PTS: 1 DIF: Cognitive Level: Application REF: 3 m m m m m
OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step: N/A MS
m m m m m m m m m
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
3.
Which patient statement indicates a need for further discharge teaching t
m m m m m m m m m m
hat the vocational nurse should address?
m m m m m
a. “I have no idea of how this drug
m m m m m m m
will affect me.” m m
b. “Do you know if my physician is
m m m m m m
coming back today?” m m
c. “Will my insurance pay for my
m m m m m
stay?”
d. “Am I going to have to go to a
m m m m m m m m
nursing home?” m
ANS: A m
Lack of knowledge at discharge about medication effects and side effects is a con
m m m m m m m m m m m m m
cern that should be addressed by the vocational nurse. The other concerns in the op
m m m m m m m m m m m m m m
tions are the responsibility of other departments to which the nurse might refer the
m m m m m m m m m m m m m
mpatient.
PTS: 1 DIF: Cognitive Level: Application REF: 2 m m m m m
OBJ: 1
TOP: Teaching KEY: Nursing Process Step: Implementation MS
m m m m m m m
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
4.
According to most state NPAs, the vocational nurse acting as charge nur
m m m m m m m m m m m
se in a long-term care facility acts in which capacity?
m m m m m m m m m
, a. Working under direct supervision of an RN on
m m m m m m m
the unit m
b. Working with the RN in the building
m m m m m m
c. Working under general supervision by the RN
m m m m m m
available on site or by phone
m m m m m
d. Working as an independent vocational nurse
m m m m m
ANS: C m
The vocational nurse in the capacity of the charge nurse in a long-
m m m m m m m m m m m m
term care facility acts with the general supervision of an RN available on site or by
m m m m m m m m m m m m m m m m
phone.
PTS: 1 DIF: Cognitive Level: Comprehension REF:m 2 m m m
OBJ: 1 TOP: Charge Nurse/Manager KEY:m m
Nursing Process Step: N/A m m m
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
5.
The nurse is educating a patient that is a member of a health maint
m m m m m m m m m m m m m
enance organization (HMO). Which information should the nurse inclu
m m m m m m m m
de?
a. Seek the opinion of an alternate health care
m m m m m m m
provider.
b. Obtain insurance approval for medical
m m m m
services prior to treatment.
m m m
c. Provide detailed documentation of all care
m m m m m
received for his condition.
m m m
d. Wait at least 6 months to see a specialist.
m m m m m m m m
ANS: B m
Most HMOs require preprocedure authorization for treatment. Patients are not re
m m m m m m m m m m
quired to seek a second opinion, provide documentation of care, or wait a specif
m m m m m m m m m m m m m
ic time period before visiting a specialist.
m m m m m m
PTS: 1
DIF: Cognitive Level: Application REF: 9 OBJ
m m m m m m
: 9 TOP: Charge Nurse/Manager m m
KEY: Nursing Process Step: Implementation
m m m m
m
,Chapter 01: Caring for Medical-Surgical Patients
m m m m m
deWit: Medical-
m
Surgical Nursing: Concepts & Practice, 5th Edition MULTIPLE CH
m m m m m m m m
OICE
1. Which statement accurately describes the primary purpose of the state nurse
m m m m m m m m m m
practice act (NPA)? m m
a. To test and license LPN/LVNs.
m m m m
b. To define the scope of LPN/LVN
m m m m m
practice.
c. To improve the quality of care
provided by the LPN/LVN. m m m
d. To limit the LPN/LVN employment
m m m m
placement.
ANS: B m
While improving quality of care provided by the LPN/LVN may be a result of the
m m m m m m m m m m m m m m m
NPA, the primary purpose of the NPA of each state defines the scope of nursing
m m m m m m m m m m m m m m m
practice in that state.
m m m
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 m m m m
OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation MS
m m m m m m m
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
2.
The charge nurse asks the new vocational nurse to start an intravenous inf
m m m m m m m m m m m m
usion, a skill that the vocational nurse has not been taught during her educatio
m m m m m m m m m m m m m
nal program. How should the vocational nurse respond?
m m m m m m m
a. Ask a more experienced nurse to
m m m m m
demonstrate the procedure. m m
b. Look up the procedure in the procedure
m m m m m m m
manual.
c. Attempt to perform the procedure with
m m m m m
supervision.
d. Inform the charge nurse of her lack of tra
m m m m m m m m
ining in this procedure.
m m m
, ANS: D m
The charge nurse should be informed of the lack of training to perform the proce
m m m m m m m m m m m m m m
dure, and the vocational nurse should seek further training to gain proficiency.
m m m m m m m m m m m m
Although the other options might be helpful, they are not safe.
m m m m m m m m m m
PTS: 1 DIF: Cognitive Level: Application REF: 3 m m m m m
OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step: N/A MS
m m m m m m m m m
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
3.
Which patient statement indicates a need for further discharge teaching t
m m m m m m m m m m
hat the vocational nurse should address?
m m m m m
a. “I have no idea of how this drug
m m m m m m m
will affect me.” m m
b. “Do you know if my physician is
m m m m m m
coming back today?” m m
c. “Will my insurance pay for my
m m m m m
stay?”
d. “Am I going to have to go to a
m m m m m m m m
nursing home?” m
ANS: A m
Lack of knowledge at discharge about medication effects and side effects is a con
m m m m m m m m m m m m m
cern that should be addressed by the vocational nurse. The other concerns in the op
m m m m m m m m m m m m m m
tions are the responsibility of other departments to which the nurse might refer the
m m m m m m m m m m m m m
mpatient.
PTS: 1 DIF: Cognitive Level: Application REF: 2 m m m m m
OBJ: 1
TOP: Teaching KEY: Nursing Process Step: Implementation MS
m m m m m m m
C: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
4.
According to most state NPAs, the vocational nurse acting as charge nur
m m m m m m m m m m m
se in a long-term care facility acts in which capacity?
m m m m m m m m m
, a. Working under direct supervision of an RN on
m m m m m m m
the unit m
b. Working with the RN in the building
m m m m m m
c. Working under general supervision by the RN
m m m m m m
available on site or by phone
m m m m m
d. Working as an independent vocational nurse
m m m m m
ANS: C m
The vocational nurse in the capacity of the charge nurse in a long-
m m m m m m m m m m m m
term care facility acts with the general supervision of an RN available on site or by
m m m m m m m m m m m m m m m m
phone.
PTS: 1 DIF: Cognitive Level: Comprehension REF:m 2 m m m
OBJ: 1 TOP: Charge Nurse/Manager KEY:m m
Nursing Process Step: N/A m m m
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
5.
The nurse is educating a patient that is a member of a health maint
m m m m m m m m m m m m m
enance organization (HMO). Which information should the nurse inclu
m m m m m m m m
de?
a. Seek the opinion of an alternate health care
m m m m m m m
provider.
b. Obtain insurance approval for medical
m m m m
services prior to treatment.
m m m
c. Provide detailed documentation of all care
m m m m m
received for his condition.
m m m
d. Wait at least 6 months to see a specialist.
m m m m m m m m
ANS: B m
Most HMOs require preprocedure authorization for treatment. Patients are not re
m m m m m m m m m m
quired to seek a second opinion, provide documentation of care, or wait a specif
m m m m m m m m m m m m m
ic time period before visiting a specialist.
m m m m m m
PTS: 1
DIF: Cognitive Level: Application REF: 9 OBJ
m m m m m m
: 9 TOP: Charge Nurse/Manager m m
KEY: Nursing Process Step: Implementation
m m m m
