Medical-Surgical Nursing- Concepts & Practice, 3rd Edition by Susan C. deWit, Candice K. Kumagai
Medical-Surgical Nursing- Concepts & Practice, 3rd Edition by Susan C. deWit, Candice K. Kumagai
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Chapter 01: Caring for Medical-Surgical Patients
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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, the primary 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: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
| 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/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
| 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.
PTS: 1 DIF: Cognitive Level: Application REF: 2
OBJ: 1 TOP: Teaching KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
| a. | Working under direct supervision of an RN on the unit |
| b. | Working with the RN in the building |
| c. | Working under general supervision by the RN available on site or by phone |
| d. | Working 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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 2
OBJ: 1 TOP: Charge Nurse/Manager KEY: Nursing Process Step: N/A
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
| a. | Seek the opinion of an alternate health care provider. |
| b. | Obtain insurance approval for medical services prior to treatment. |
| c. | Provide detailed documentation of all care received for his condition. |
| d. | Wait at least 6 months to see a specialist. |
ANS: B
Most HMOs require preprocedure authorization for treatment. Patients are not required to seek a second opinion, provide documentation of care, or wait a specific time period before visiting a specialist.
PTS: 1 DIF: Cognitive Level: Application REF: 9
OBJ: 9 TOP: Charge Nurse/Manager
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe, Effective Care Environment: Coordinated Care
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