Test Bank for Dewits Medical Surgical
Nursing Concepts and Practice 4th Edition
Stromberg / AllChapters 1-49 / Full Complete
2024 – 2025 WITH COMPLETE QUESTIONS
AND ANSWERS]
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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.
ANS: 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 3 TOP: NPA KEY: Nursing Process Step:
ImplementationMSC: 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.
ANS: D
The charge nurse should be informed of the lack of training to
perform the procedure, and the vocational nurse should seek further
training to gain proficiency. Although the other options might be
helpful, they are not safe.
PTS: 1 DIF: Cognitive Level: Application REF: 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?‖
ANS: 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 patien
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