DEWIT MEDICAL-
c
SURGICAL NURSING: CONCEPTS & PRACTIC
c c c c
E, 3RD EDITION TESTBANK
c c c c
COMPLETE SOLUTION GUIDE, ALL CHAPTERS
c c c c
COMPLETE
QUESTION & ANSWERS, A+ RATED
c c c c
DOWNLOAD FOR AN “A SCORE”
c c c c
,Chapter 01: Caring for Medical-
c c c c
Surgical Patients deWit: Medical-
c c c
Surgical Nursing: Concepts & Practice, 3rd Edition
c c c c c c
MULTIPLE CHOICE c
1.
Which statement accurately describes the primary purpose of the state nu
c c c c c c c c c c
rsepractice act (NPA)?
c c c
a. To test and license LPN/LVNs.
c c c c
b. To define the scope of LPN/LVN
c c c c c
practice.
c. To improve the quality of care
provided by the LPN/LVN. c c c
d. To limit the LPN/LVN employment
c c c c
placement.
ANS: B c
While improving quality of care provided by the LPN/LVN may be a result of theNP
c c c c c c c c c c c c c c c
A, the primary purpose of the NPA of each state defines the scope of nursing practice
c c c c c c c c c c c c c c c
in that state.
c c c
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 c c c c
OBJ: 3
TOP: NPA KEY: Nursing Process Step: ImplementationMSC:
c c c c c c c c
NCLEX: Safe, Effective Care Environment: Coordinated Care
c c c c c c
2.
The charge nurse asks the new vocational nurse to start an intravenous infusio
c c c c c c c c c c c c
n,a skill that the vocational nurse has not been taught during her educational progr
c c c c c c c c c c c c c c
am. How should the vocational nurse respond?
c c c c c c
a. Ask a more experienced nurse to
c c c c c
demonstrate the procedure. c c
b. Look up the procedure in the procedure
c c c c c c
manual.
c. Attempt to perform the procedure with c c c c c
supervision.
d. Inform the charge nurse of her lack of
c c c c c c c
training in this procedure. c c c
, ANS: D c
The charge nurse should be informed of the lack of training to perform theprocedure,
c c c c c c c c c c c c c c
and the vocational nurse should seek further training to gain proficiency. Although t
c c c c c c c c c c c c c
he other options might be helpful, they are not safe.
c c c c c c c c c
PTS: 1 DIF: Cognitive Level: Application REF: 3 c c c c c
OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step: N/AMSC:
c c c c c c c c c c
NCLEX: Safe, Effective Care Environment: Coordinated Care
c c c c c c
3.
Which patient statement indicates a need for further discharge teaching that t
c c c c c c c c c c c
hevocational nurse should address?
c c c c
a. “I have no idea of how this drug
c c c c c c c
will affect me.” c c
b. “Do you know if my physician is
c c c c c c
coming back today?” c c
c. “Will my insurance pay for my c c c c c
stay?”
d. “Am I going to have to go to ac c c c c c c c
nursing home?” c
ANS: A c
Lack of knowledge at discharge about medication effects and side effects is a concern
c c c c c c c c c c c c c c
that should be addressed by the vocational nurse. The other concerns in theoptions are
c c c c c c c c c c c c c c c
the responsibility of other departments to which the nurse might refer the patient.
c c c c c c c c c c c c
PTS: 1 DIF: Cognitive Level: Application REF: 2 c c c c c
OBJ: 1
TOP: Teaching KEY: Nursing Process Step: ImplementationMSC:
c c c c c c c c
NCLEX: Safe, Effective Care Environment: Coordinated Care
c c c c c c
4.
According to most state NPAs, the vocational nurse acting as charge nurse i c c c c c c c c c c c c
n along-term care facility acts in which capacity?
c c c c c c c c
, a. Working under direct supervision of an RN on c c c c c c c
the unit c
b. Working with the RN in the building c c c c c c
c. Working under general supervision by the RN c c c c c c
available on site or by phone c c c c c
d. Working as an independent vocational nurse c c c c c
ANS: C c
The vocational nurse in the capacity of the charge nurse in a long-
c c c c c c c c c c c c
term care facilityacts with the general supervision of an RN available on site or by pho
c c c c c c c c c c c c c c c c
ne.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 c c c c
OBJ: 1 TOP: Charge Nurse/Manager KEY: c c
Nursing Process Step:N/A c c c
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
c c c c c c c
5.
The nurse is educating a patient that is a member of a health maintenan
c c c c c c c c c c c c c
ceorganization (HMO). Which information should the nurse include?
c c c c c c c c
a. Seek the opinion of an alternate health care
c c c c c c c
provider.
b. Obtain insurance approval for medical
c c c c
services prior to treatment. c c c
c. Provide detailed documentation of all care
c c c c c
received for his condition. c c c
d. Wait at least 6 months to see a specialist.
c c c c c c c c
ANS: B c
Most HMOs require preprocedure authorization for treatment. Patients are notrequir
c c c c c c c c c c
ed to seek a second opinion, provide documentation of care, or wait a specific time p
c c c c c c c c c c c c c c c
eriod before visiting a specialist.
c c c c
PTS: 1
DIF: Cognitive Level: Application REF: 9OBJ:
c c c c c c
9 TOP: Charge Nurse/Manager c c
KEY: Nursing Process Step: Implementation
c c c c
c
SURGICAL NURSING: CONCEPTS & PRACTIC
c c c c
E, 3RD EDITION TESTBANK
c c c c
COMPLETE SOLUTION GUIDE, ALL CHAPTERS
c c c c
COMPLETE
QUESTION & ANSWERS, A+ RATED
c c c c
DOWNLOAD FOR AN “A SCORE”
c c c c
,Chapter 01: Caring for Medical-
c c c c
Surgical Patients deWit: Medical-
c c c
Surgical Nursing: Concepts & Practice, 3rd Edition
c c c c c c
MULTIPLE CHOICE c
1.
Which statement accurately describes the primary purpose of the state nu
c c c c c c c c c c
rsepractice act (NPA)?
c c c
a. To test and license LPN/LVNs.
c c c c
b. To define the scope of LPN/LVN
c c c c c
practice.
c. To improve the quality of care
provided by the LPN/LVN. c c c
d. To limit the LPN/LVN employment
c c c c
placement.
ANS: B c
While improving quality of care provided by the LPN/LVN may be a result of theNP
c c c c c c c c c c c c c c c
A, the primary purpose of the NPA of each state defines the scope of nursing practice
c c c c c c c c c c c c c c c
in that state.
c c c
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 c c c c
OBJ: 3
TOP: NPA KEY: Nursing Process Step: ImplementationMSC:
c c c c c c c c
NCLEX: Safe, Effective Care Environment: Coordinated Care
c c c c c c
2.
The charge nurse asks the new vocational nurse to start an intravenous infusio
c c c c c c c c c c c c
n,a skill that the vocational nurse has not been taught during her educational progr
c c c c c c c c c c c c c c
am. How should the vocational nurse respond?
c c c c c c
a. Ask a more experienced nurse to
c c c c c
demonstrate the procedure. c c
b. Look up the procedure in the procedure
c c c c c c
manual.
c. Attempt to perform the procedure with c c c c c
supervision.
d. Inform the charge nurse of her lack of
c c c c c c c
training in this procedure. c c c
, ANS: D c
The charge nurse should be informed of the lack of training to perform theprocedure,
c c c c c c c c c c c c c c
and the vocational nurse should seek further training to gain proficiency. Although t
c c c c c c c c c c c c c
he other options might be helpful, they are not safe.
c c c c c c c c c
PTS: 1 DIF: Cognitive Level: Application REF: 3 c c c c c
OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step: N/AMSC:
c c c c c c c c c c
NCLEX: Safe, Effective Care Environment: Coordinated Care
c c c c c c
3.
Which patient statement indicates a need for further discharge teaching that t
c c c c c c c c c c c
hevocational nurse should address?
c c c c
a. “I have no idea of how this drug
c c c c c c c
will affect me.” c c
b. “Do you know if my physician is
c c c c c c
coming back today?” c c
c. “Will my insurance pay for my c c c c c
stay?”
d. “Am I going to have to go to ac c c c c c c c
nursing home?” c
ANS: A c
Lack of knowledge at discharge about medication effects and side effects is a concern
c c c c c c c c c c c c c c
that should be addressed by the vocational nurse. The other concerns in theoptions are
c c c c c c c c c c c c c c c
the responsibility of other departments to which the nurse might refer the patient.
c c c c c c c c c c c c
PTS: 1 DIF: Cognitive Level: Application REF: 2 c c c c c
OBJ: 1
TOP: Teaching KEY: Nursing Process Step: ImplementationMSC:
c c c c c c c c
NCLEX: Safe, Effective Care Environment: Coordinated Care
c c c c c c
4.
According to most state NPAs, the vocational nurse acting as charge nurse i c c c c c c c c c c c c
n along-term care facility acts in which capacity?
c c c c c c c c
, a. Working under direct supervision of an RN on c c c c c c c
the unit c
b. Working with the RN in the building c c c c c c
c. Working under general supervision by the RN c c c c c c
available on site or by phone c c c c c
d. Working as an independent vocational nurse c c c c c
ANS: C c
The vocational nurse in the capacity of the charge nurse in a long-
c c c c c c c c c c c c
term care facilityacts with the general supervision of an RN available on site or by pho
c c c c c c c c c c c c c c c c
ne.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2 c c c c
OBJ: 1 TOP: Charge Nurse/Manager KEY: c c
Nursing Process Step:N/A c c c
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
c c c c c c c
5.
The nurse is educating a patient that is a member of a health maintenan
c c c c c c c c c c c c c
ceorganization (HMO). Which information should the nurse include?
c c c c c c c c
a. Seek the opinion of an alternate health care
c c c c c c c
provider.
b. Obtain insurance approval for medical
c c c c
services prior to treatment. c c c
c. Provide detailed documentation of all care
c c c c c
received for his condition. c c c
d. Wait at least 6 months to see a specialist.
c c c c c c c c
ANS: B c
Most HMOs require preprocedure authorization for treatment. Patients are notrequir
c c c c c c c c c c
ed to seek a second opinion, provide documentation of care, or wait a specific time p
c c c c c c c c c c c c c c c
eriod before visiting a specialist.
c c c c
PTS: 1
DIF: Cognitive Level: Application REF: 9OBJ:
c c c c c c
9 TOP: Charge Nurse/Manager c c
KEY: Nursing Process Step: Implementation
c c c c
