Chapter 01: Caring for Medical-Surgical
Patients
Chapter 01: Caring for Medical-Surgical Patients
MULTIPLE CHOICE
1. The new nurse demonstrates an understanding of the primary purpose of the state
nurse practice act (NPA) by explaining that it acts to:
a. test and license LPN/LVNs.
b. define the scope of LPN/LVN practice.
c. improve the quality of care provided by the LPN/LVN.
d. 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, the primary purpose of the NPA of each state defines the scope of nursing
practice in that state.
DIF: Cognitive Level: Comprehension REF: 1-2 OBJ: 1 (theory)
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.
Because the vocational nurse has not been taught this skill during her educational
program, the vocational nurse should:
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.
DIF: Cognitive Level: Application REF: 2 OBJ: 1 (theory)
TOP: Providing Safe Care KEY: Nursing Process Step: NA
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care

3. The nurse recognizes the need for further discharge education when the patient
says:
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
that should 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.
DIF: Cognitive Level: Analysis REF: 2 OBJ: 1 (theory)
TOP: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
4. According to most state NPAs, the vocational nurse acting as charge nurse in a
long-term care facility is acting in which capacity?
a. Under direct supervision of an RN on the unit
b. With the RN in the building
c. Under general supervision by the RN available on site or by phone
d. As an independent vocational nurse
ANS: C
The vocational nurse in the capacity of the charge nurse in a long-term care facility
acts with the general supervision of an RN available on site or by phone.
DIF: Cognitive Level: Comprehension REF: 3 OBJ: 1 (theory)
TOP: Charge Nurse/Manager KEY: Nursing Process Step: NA
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
5. The nurse reminds the patient who is a member of a health maintenance
organization that prior to treatment he will need to:
a. seek the opinion of another physician.
b. have medical services approved by his insurance.
c. provide documentation of all care received for his condition.
d. wait 6 months to see a specialist.
ANS: B

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Test Bank For Medical-Surgical Nursing: Concepts and Practice, 2nd Edition

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