Chapter 01: Caring for Medical-Surgical Patients

Chapter 01: Caring for Medical-Surgical Patients

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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

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.

 

DIF:    Cognitive Level: Application           REF:   5                    OBJ:   3 (theory)

TOP:   Charge Nurse/Manager                    KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment: Coordinated Care