TEST BANK
,TABLE OF CONTENTS
,
, Chapter 01: Caring for Medical-Surgical Patients
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
MULTIPLE
CHOICE
1. 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 practice
c. To improve the quality of care provided by the
LPN/LVN
d. To limit the LPN/LVN employment placement
ANSWER: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA,
theprimary purpose of the NPA of each state defines the scope of nursing practice in
that state.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a
skill that thevocational nurse has not been 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 manual.
c. Attempt to perform the procedure with supervision.
d. Inform the charge nurse of her lack of training in this
procedure.
ANSWER: D
The charge nurse should be informed of the lack of training to perform the procedure,
and thevocational nurse should seek further training to gain proficiency. Although
the other options might be helpful, they are not safe.
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step:
N/AMSC: NCLEX: Safe, Effective Care Environment: Coordinated
Care
3. Which patient statement indicates a need for further discharge teaching that the
vocationalnurse should address?
a. ―I have no idea of how this drug will affect me.‖
b. ―Do you know if my physician is coming back
today?‖
c. ―Will my insurance pay for my stay?‖
d. ―Am I going to have to go to a nursing home?‖
ANSWER: A
Lack of knowledge at discharge about medication effects and side effects is a concern
thatshould be addressed by the vocational nurse. The other concerns in the options are
the responsibility of other departments to which the nurse might refer the patient.
,TABLE OF CONTENTS
,
, Chapter 01: Caring for Medical-Surgical Patients
DeWit: Medical-Surgical Nursing: Concepts & Practice, 4th Edition
MULTIPLE
CHOICE
1. 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 practice
c. To improve the quality of care provided by the
LPN/LVN
d. To limit the LPN/LVN employment placement
ANSWER: B
While improving quality of care provided by the LPN/LVN may be a result of the NPA,
theprimary purpose of the NPA of each state defines the scope of nursing practice in
that state.
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: 3
TOP: NPA KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a
skill that thevocational nurse has not been 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 manual.
c. Attempt to perform the procedure with supervision.
d. Inform the charge nurse of her lack of training in this
procedure.
ANSWER: D
The charge nurse should be informed of the lack of training to perform the procedure,
and thevocational nurse should seek further training to gain proficiency. Although
the other options might be helpful, they are not safe.
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1
TOP: Providing Safe Care KEY: Nursing Process Step:
N/AMSC: NCLEX: Safe, Effective Care Environment: Coordinated
Care
3. Which patient statement indicates a need for further discharge teaching that the
vocationalnurse should address?
a. ―I have no idea of how this drug will affect me.‖
b. ―Do you know if my physician is coming back
today?‖
c. ―Will my insurance pay for my stay?‖
d. ―Am I going to have to go to a nursing home?‖
ANSWER: A
Lack of knowledge at discharge about medication effects and side effects is a concern
thatshould be addressed by the vocational nurse. The other concerns in the options are
the responsibility of other departments to which the nurse might refer the patient.
