TEST BANK Medical-Surgical Nursing,
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Concepts and Practice, 5th Edition
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(Stromberg, 2023) Chapters 1 - 49
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Medical-Surgical Nursing, Concepts and Practice
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,TABLE OF CONTENTS
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Medical-Surgical Nursing, Concepts and Practice
ss ss ss ss
,Medical-Surgical Nursing, Concepts and Practice
ss ss ss ss
, Chapter 01: Caring for Medical-Surgical Patients
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Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
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MULTIPLE CHOICE ss
1. Which statement accurately describes the primary purpose of the state nurse practice
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ss act(NPA)? s
a. To test and license LPN/LVNs ss ss ss ss
b. To define the scope of LPN/LVN practice
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c. To improve the quality of care provided by the LPN/LVN
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d. To limit the LPN/LVN employment placement
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ANSWER: B ss
While improving quality of care provided by the LPN/LVN may be a result of the NPA,
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theprimary purpose of the NPA of each state defines the scope of nursing practice in that
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state.
ss
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: ss ss ss ss ss ss
3TOP:
ss s NPA KEY: Nursing Process Step: Implementation
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MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
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thevocational nurse has not been taught during her educational program. How should the
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vocational nurse respond?
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a. Ask a more experienced nurse to demonstrate the procedure.
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b. Look up the procedure in the procedure manual. ss ss ss ss ss ss ss
c. Attempt to perform the procedure with supervision. ss ss ss ss ss ss
d. Inform the charge nurse of her lack of training in this procedure. ss ss ss ss ss ss ss ss ss ss ss
ANSWER: D ss
The charge nurse should be informed of the lack of training to perform the procedure, and
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thevocational nurse should seek further training to gain proficiency. Although the other
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options might be helpful, they are not safe.
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DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 ss ss ss ss ss ss ss
TOP:
ss Providing Safe Care s KEY: Nursing Process Step:
s ss ss ss ss ss
N/AMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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3. Which patient statement indicates a need for further discharge teaching that the
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vocationalnurse should address?
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a. ―I have no idea of how this drug will affect me.‖
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b. ―Do you know if my physician is coming back today?‖
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c. ―Will my insurance pay for my stay?‖ ss ss ss ss ss ss
d. ―Am I going to have to go to a nursing home?‖ ss ss ss ss ss ss ss ss ss ss
ANSWER: A ss
Lack of knowledge at discharge about medication effects and side effects is a concern
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thatshould be addressed by the vocational nurse. The other concerns in the options are the
ss s ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Medical-Surgical Nursing, Concepts and Practice ss ss ss ss
ss ss ss
Concepts and Practice, 5th Edition
ss ss ss ss
(Stromberg, 2023) Chapters 1 - 49
ss ss ss ss ss
Medical-Surgical Nursing, Concepts and Practice
ss ss ss ss
,TABLE OF CONTENTS
ss ss
Medical-Surgical Nursing, Concepts and Practice
ss ss ss ss
,Medical-Surgical Nursing, Concepts and Practice
ss ss ss ss
, Chapter 01: Caring for Medical-Surgical Patients
ss ss ss ss ss
Stromberg: Medical-Surgical Nursing: Concepts and Practice, 5th Edition
ss ss ss ss ss ss ss
MULTIPLE CHOICE ss
1. Which statement accurately describes the primary purpose of the state nurse practice
ss ss ss ss ss ss ss ss ss ss ss
ss act(NPA)? s
a. To test and license LPN/LVNs ss ss ss ss
b. To define the scope of LPN/LVN practice
ss ss ss ss ss ss
c. To improve the quality of care provided by the LPN/LVN
ss ss ss ss ss ss ss ss ss
d. To limit the LPN/LVN employment placement
ss ss ss ss ss
ANSWER: B ss
While improving quality of care provided by the LPN/LVN may be a result of the NPA,
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
theprimary purpose of the NPA of each state defines the scope of nursing practice in that
ss s ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
state.
ss
DIF: Cognitive Level: Comprehension REF: p. 3 OBJ: ss ss ss ss ss ss
3TOP:
ss s NPA KEY: Nursing Process Step: Implementation
s s ss ss ss ss
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
s s ss ss ss ss ss ss
2. The charge nurse asks the new vocational nurse to start an intravenous infusion, a skill that
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
thevocational nurse has not been taught during her educational program. How should the
ss s ss ss ss ss ss ss ss ss ss ss ss ss
vocational nurse respond?
ss ss ss
a. Ask a more experienced nurse to demonstrate the procedure.
ss ss ss ss ss ss ss ss
b. Look up the procedure in the procedure manual. ss ss ss ss ss ss ss
c. Attempt to perform the procedure with supervision. ss ss ss ss ss ss
d. Inform the charge nurse of her lack of training in this procedure. ss ss ss ss ss ss ss ss ss ss ss
ANSWER: D ss
The charge nurse should be informed of the lack of training to perform the procedure, and
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
thevocational nurse should seek further training to gain proficiency. Although the other
ss s ss ss ss ss ss ss ss ss ss ss ss
options might be helpful, they are not safe.
ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Application REF: p. 3 OBJ: 1 ss ss ss ss ss ss ss
TOP:
ss Providing Safe Care s KEY: Nursing Process Step:
s ss ss ss ss ss
N/AMSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
ss s s s ss ss ss ss ss ss
3. Which patient statement indicates a need for further discharge teaching that the
ss ss ss ss ss ss ss ss ss ss ss
vocationalnurse should address?
ss s ss ss
a. ―I have no idea of how this drug will affect me.‖
ss ss ss ss ss ss ss ss ss ss
b. ―Do you know if my physician is coming back today?‖
ss ss ss ss ss ss ss ss ss
c. ―Will my insurance pay for my stay?‖ ss ss ss ss ss ss
d. ―Am I going to have to go to a nursing home?‖ ss ss ss ss ss ss ss ss ss ss
ANSWER: A ss
Lack of knowledge at discharge about medication effects and side effects is a concern
ss ss ss ss ss ss ss ss ss ss ss ss ss
thatshould be addressed by the vocational nurse. The other concerns in the options are the
ss s ss ss ss ss ss ss ss ss ss ss ss ss ss ss
Medical-Surgical Nursing, Concepts and Practice ss ss ss ss
