Test Bank For Medical Surgical Nursing 5thE
m m m m m m m
dition By Holly K. Stromberg Chapter 1-
m m m m m m
49Newest Version 2023
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, Test Bank For Medical Surgical Nursing 5th Edition By Holly K. Stromberg, All
m m m m m m m m m m m m m
Chapters 1-49 | Latest Update m m m m
Chapter 01: Caring for Medical-Surgical Patients
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deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
m m m m m m m
MULTIPLE CHOICE m
Which statement accurately describes the primary purpose of the state nurse practic
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eact (NPA)?
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a. To test and license LPN/LVNs.
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b. To define the scope of LPN/LV
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Np ractice. m
c. To improve the quality of car
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ep rovided by the LPN/LVN.
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d. To limit the LPN/LVN employmen
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t p lacement. m
ANS: B m
While improving quality of care provided by the LPN/LVN may be a result of th
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eNPA, the primary purpose of the NPA of each state defines the scope of nursin
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g practice in that state.
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PTS: 1
Cognitive Level: Comprehension DIF: m m
REF: 2 m m
OBJ:3 TOP: NPA KEY: Nursing Process Step m m m m
: Implementation m
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 ski
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llt hat the vocational nurse has notbeen taught during her educational program. How s
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hould the vocational nurse respond?
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a. Ask a more experienced nurse t
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odemonstrate the procedure.
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b. Look up the procedure in the procedur
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emanual. m
c. Attempt to perform the procedure wit m m m m m
hs upervision. m
d. Inform the charge nurse of her lack o m m m m m m m
ft raining in this procedure.
m m m m
ANS: D m
The charge nurse should be informed of the lack of training to perform the procedure
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,and the vocational nurse should seek further training to gain proficiency. Although t
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heother options might be helpful, they are not safe.
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PTS:1 DIF: Cognitive Level: m 3
, Application REF: m
OBJ:1 TOP: Providing Safe Care Nursing Process m m m m
KEY: Step: N/A m m
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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Which patient statement indicates a need for further discharge teaching that th
m m m m m m m m m m m
evocational nurse should address?
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a. “I have no idea of how this dru
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gwill affect me.” m m m
b. “Do you know if my physician i m m m m m m
s coming back today?” m m m
c. “Will my insurance pay for m m m m m m
ys tay?” m
d. “Am I going to have to go to m m m m m m m m
a nursing home?” m m
ANS: A m
Lack of knowledge at discharge about medication effects and side effects is a concer
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nt hat should be addressed by the vocationalnurse. The other concerns in the options
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aret he responsibility of other departments to which the nurse might refer the patient.
m m m m m m m m m m m m m
PTS: 1 DIF: Cognitive Level: Application m m
REF:
2 m
OBJ:1 TOP: Teaching KEY: m
Nursing Process m
Step: Implementation m m
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
According to most state NPAs, the vocational nurse acting as charge nurse in a long
m m m m m m m m m m m m m m
-t erm care facility acts in which capacity?
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a. Working under direct supervision of an RN o m m m m m m m
nt he unit m m
b. Working with the RN in the building m m m m m m
c. Working under general supervision by the R m m m m m m
Navailable on site or by phone
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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-
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term care facility acts with the general supervision of an RNavailable on site or by
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mphone.
PTS: 1 DIF: Cognitive Level: REF: 2 m m
Comprehension
OBJ:1 TOP: Charge Nurse/Manager Nursi Process S m m m m
KEY: ng tep: N/A m
, MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
m m m m m m m
dition By Holly K. Stromberg Chapter 1-
m m m m m m
49Newest Version 2023
m m m
, Test Bank For Medical Surgical Nursing 5th Edition By Holly K. Stromberg, All
m m m m m m m m m m m m m
Chapters 1-49 | Latest Update m m m m
Chapter 01: Caring for Medical-Surgical Patients
m m m m m
deWit: Medical-Surgical Nursing: Concepts & Practice, 5th Edition
m m m m m m m
MULTIPLE CHOICE m
Which statement accurately describes the primary purpose of the state nurse practic
m m m m m m m m m m m
eact (NPA)?
m m
a. To test and license LPN/LVNs.
m m m m
b. To define the scope of LPN/LV
m m m m m
Np ractice. m
c. To improve the quality of car
m m m m m
ep rovided by the LPN/LVN.
m m m m
d. To limit the LPN/LVN employmen
m m m m
t p lacement. m
ANS: B m
While improving quality of care provided by the LPN/LVN may be a result of th
m m m m m m m m m m m m m m
eNPA, the primary purpose of the NPA of each state defines the scope of nursin
m m m m m m m m m m m m m m m
g practice in that state.
m m m m
PTS: 1
Cognitive Level: Comprehension DIF: m m
REF: 2 m m
OBJ:3 TOP: NPA KEY: Nursing Process Step m m m m
: Implementation m
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
The charge nurse asks the new vocational nurse to start an intravenous infusion, a ski
m m m m m m m m m m m m m m
llt hat the vocational nurse has notbeen taught during her educational program. How s
m m m m m m m m m m m m m
hould the vocational nurse respond?
m m m m
a. Ask a more experienced nurse t
m m m m m
odemonstrate the procedure.
m m m
b. Look up the procedure in the procedur
m m m m m m
emanual. m
c. Attempt to perform the procedure wit m m m m m
hs upervision. m
d. Inform the charge nurse of her lack o m m m m m m m
ft raining in this procedure.
m m m m
ANS: D m
The charge nurse should be informed of the lack of training to perform the procedure
m m m m m m m m m m m m m m
,and the vocational nurse should seek further training to gain proficiency. Although t
m m m m m m m m m m m m m
heother options might be helpful, they are not safe.
m m m m m m m m m
PTS:1 DIF: Cognitive Level: m 3
, Application REF: m
OBJ:1 TOP: Providing Safe Care Nursing Process m m m m
KEY: Step: N/A m m
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
Which patient statement indicates a need for further discharge teaching that th
m m m m m m m m m m m
evocational nurse should address?
m m m m
a. “I have no idea of how this dru
m m m m m m m
gwill affect me.” m m m
b. “Do you know if my physician i m m m m m m
s coming back today?” m m m
c. “Will my insurance pay for m m m m m m
ys tay?” m
d. “Am I going to have to go to m m m m m m m m
a nursing home?” m m
ANS: A m
Lack of knowledge at discharge about medication effects and side effects is a concer
m m m m m m m m m m m m m
nt hat should be addressed by the vocationalnurse. The other concerns in the options
m m m m m m m m m m m m m m
aret he responsibility of other departments to which the nurse might refer the patient.
m m m m m m m m m m m m m
PTS: 1 DIF: Cognitive Level: Application m m
REF:
2 m
OBJ:1 TOP: Teaching KEY: m
Nursing Process m
Step: Implementation m m
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
m m m m m m m
According to most state NPAs, the vocational nurse acting as charge nurse in a long
m m m m m m m m m m m m m m
-t erm care facility acts in which capacity?
m m m m m m m
a. Working under direct supervision of an RN o m m m m m m m
nt he unit m m
b. Working with the RN in the building m m m m m m
c. Working under general supervision by the R m m m m m m
Navailable on site or by phone
m 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 RNavailable on site or by
m m m m m m m m m m m m m m
mphone.
PTS: 1 DIF: Cognitive Level: REF: 2 m m
Comprehension
OBJ:1 TOP: Charge Nurse/Manager Nursi Process S m m m m
KEY: ng tep: N/A m
, MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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