Clinical Practice for Vocational Nurses
Test Bank
Course Introduction
Clinical Practice for Vocational Nurses provides students with hands-on learning experiences in a variety of healthcare settings, enabling them to apply foundational nursing knowledge and skills in real-world environments. This course emphasizes patient care techniques, ethical and legal responsibilities, effective communication with patients and healthcare teams, and the use of clinical judgment in routine nursing situations. Under the supervision of licensed professionals, students participate in direct patient care, administration of medication, documentation, infection control, and health promotion activities. The goal is to prepare students to deliver safe, compassionate, and competent care as integral members of the healthcare team, bridging the gap between classroom instruction and professional practice.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Signe S. Hill
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24 Chapters
615 Verified Questions
615 Flashcards
Source URL: https://quizplus.com/study-set/1232
Page 2
Chapter 1: The Adult Learner: Hints to Succeed
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/24301
Sample Questions
Q1) The generation influenced by events such as the Vietnam War, the space race, and the civil rights movement is called the ____________________.
Answer: baby boomers
Depending on their birth year, baby boomers may have been shaped by the Watergate scandal, the Vietnam War, the space race, the civil rights movement, women's liberation, and the assassinations of John and Robert Kennedy and Martin Luther King.
Q2) An example of a self-talk "script" that promotes success in a practical/vocational nursing program is
A) "I get sick from smelling bad odors."
B) "What if I'm 'all thumbs' in practice lab?"
C) "I don't think the instructor likes me."
D) "I work well with my hands."
Answer: D
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3
Chapter 2: Time Management: Making Time Work for You
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24 Verified Questions
24 Flashcards
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Sample Questions
Q1) The retired spouse of a busy female nursing student will not share household duties. An explanation that should be considered to better understand this situation is that the unwilling spouse
A) does not love the student.
B) is jealous of the student.
C) has been raised with sex stereotyping.
D) thinks paying tuition is enough support.
Answer: C
Q2) A strategy to promote achievement of long-term goals is
A) striving to complete the entire goal at one time.
B) eliminating any undesirable elements of the goal.
C) jumping right in at any point that is appealing.
D) creating a series of related short-term goals.
Answer: D
Q3) Using a schedule allows a nursing student to
A) develop inflexibility.
B) increase anxiety related to deadlines.
C) allocate adequate study time.
D) find time to do everything.
Answer: C
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Chapter 3: Learning Methods and Skills: How Do You Learn
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29 Verified Questions
29 Flashcards
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Sample Questions
Q1) A person who learns best by saying, hearing, and seeing words is known as what type of learner?
A) Spatial learner
B) Musical learner
C) Linguistic learner
D) Kinesthetic learner
Answer: C
Q2) Student A tells Student B, "You could get good grades if you'd study the way I do. Write down everything that you hear in class and then recopy your notes and underline the important points." What is the likelihood that Student B will be successful?
A) There is about a 33.3% chance the advice will result in success.
B) There is a 100% chance the advice will ensure success.
C) There is a 100% chance the advice will result in failure.
D) There is about a 50% chance the advice will result in success.
Answer: A
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5
Chapter 4: Using Your Methods and Skills: Studying and Testing
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A struggling nursing student reports studying best in an environment with some background sound. The student should first consider
A) studying with a peer group.
B) re-evaluating the study environment.
C) hiring a tutor.
D) cramming for examinations.
Q2) A nursing student reads rapidly and comprehensively but has difficulty recalling the content of assigned chapters in the nursing textbook. Which hint would be most helpful?
A) "Read each sentence word for word."
B) "Slow your reading speed for technical material."
C) "Never move your lips while reading."
D) "Ensure that the text is not marked by underlining and margin notes."
Q3) Which technique is most helpful to a student who wishes to better organize the material presented during a lecture?
A) Note making
B) Shorthand
C) Tape recording
D) Passive listening
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Chapter 5: Learning During School: Using Available Resources
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23 Verified Questions
23 Flashcards
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Sample Questions
Q1) Which statement is true about the usefulness of audiovisual materials and computer-assisted instruction in a nursing course?
A) They can be omitted, because they add little to student learning.
B) It is unnecessary to take notes on their content.
C) They provide multisensory channels for learning content.
D) Their content cannot be used by instructors for examination questions.
Q2) A nursing student has an assignment that requires looking up an article about nursing care following knee replacement surgery. The nursing student has only the title and the knowledge that the article was published within the last year. Which resource would be most helpful in completing the assignment?
A) Education Index
B) Materia Medicus
C) Reader's Guide to Periodical Literature
D) Cumulative Index to Nursing and Allied Health Literature
Q3) The area in which library materials are checked out and returned is the
Q4) A technique that emphasizes individual accountability for learning a specific academic task while working in small groups is known as ____________________.
Page 7
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Chapter 6: Personal Health Promotion: a Role Model for Patients
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) Which cycle is associated with being a co-dependent individual?
A) Experience fear, resort to manipulation, develop angry feelings toward victim
B) Rescue someone, view the rescued individual disrespectfully, experience feelings of victimization
C) Abuse a loved one, feel remorse, try to undo, experience increasing tension, abuse again
D) Express love, experience dissatisfaction, engage in violence
Q2) A student nurse tells a peer, "I find myself constantly thinking about patient X and the problems she's experiencing. Sometimes, it makes me want to cry. If only I had a magic wand and could make things better for her!" The peer to whom this is revealed can correctly determine that the student nurse is experiencing
A) empathy for the patient.
B) sympathy for the patient.
C) therapeutic involvement.
D) burnout.
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Chapter 7: How Practicalvocational Nursing Evolved: 1836 to Present
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21 Verified Questions
21 Flashcards
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Sample Questions
Q1) When in history was it first recommended that tasks of the RN and LPN be differentiated and that practical nurses should function under the supervision of registered nurses?
A) 1750-1760
B) 1826-1850
C) 1949-1950
D) 1965-1980
Q2) The event that had the most profound influence in changing practical/vocational nursing was the
A) depression of the 1930s, when nurses worked for room and board in lieu of salary.
B) post-World War II movement of practical/vocational nurses into hospital positions.
C) American Medical Association (AMA) proposal to develop registered care technicians as new health care workers.
D) first computer-adaptive test for practical/vocational nursing graduates.
Q3) After licensing, the LPN/LVN is permitted to perform complex nursing skills as delegated by the registered nurse (RN) and allowed by the
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Page 9
Chapter 8: Critical Thinking: a Lifelong Journey
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A student nurse recently learned during a lecture about Maslow's hierarchy of needs. During the clinical rotation, the student is able to prioritize patient care based on Maslow's hierarchy of needs. The student is using what cognitive level?
A) Analysis
B) Knowledge
C) Application
D) Comprehension
Q2) A first-postoperative-day patient received pain medication 6 hours ago. He states he is not experiencing pain but refuses to deep breathe and ambulate as ordered. The nursing student caring for him consults her instructor, asking whether it might be advisable to administer pain medication. The student is using
A) the right brain hemisphere.
B) the intrapersonal learning style.
C) linguistic memory.
D) critical thinking.
Q3) The NCLEX-PN examination includes items that require various levels of thinking to answer a test item. These various levels are called ____________________.
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Chapter 9: Nursing Process: Your Role
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) A nurse is gathering data about a patient. The nurse determines that which of the following is subjective data?
A) The patient complains of excruciating, crushing chest pain.
B) The patient is short of breath and coughs up green sputum.
C) The patient has gained 1 lb within the past 24 hours.
D) The patient is experiencing sinus tachycardia and peripheral edema.
Q2) The phases of the nursing process in which the LPN/LVN participates with the greatest degree of independence are
A) goal setting and evaluation.
B) planning and implementation.
C) data collection and implementation.
D) evaluation and data collection.
Q3) When a nurse uses Maslow's hierarchy of needs to prioritize patient problems, which problem would be considered the highest priority?
A) The patient is unsteady and may become injured.
B) The patient is experiencing marital difficulties.
C) The patient has deficient knowledge about the condition.
D) The patient is acutely short of breath.
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11
Chapter 10: Nursing Theory, Research, and Evidence-Based Practice
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) The nursing instructor provides positive feedback to the student LPN/LVN after observing the student administer an intramuscular injection to a patient. According to Maslow's human needs theory, the instructor is helping to meet the student's A) physiological needs.
B) safety needs.
C) love and belonging needs.
D) esteem needs.
Q2) The LPN/LVN is caring for a postoperative appendectomy patient. When assessing the patient for pain, the nurse documents that the patient reports pain rating an "8" on a scale of 0 to 10. According to Sister Callista Roy's adaptation model, a patient experiencing pain would be an example of A) focal stimuli.
B) contextual stimuli.
C) residual stimuli.
D) physiological stimuli.
Q3) ______________________________ was the first to emphasize the environment as influencing the course of illness and is often spoken of as the first nursing theorist.
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Chapter 11: Ethics Applied to Nursing: Personal Vs Professional Ethics
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22 Verified Questions
22 Flashcards
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Sample Questions
Q1) When a student nurse prepares diligently for a clinical assignment, the ethical principle being observed is
A) autonomy.
B) justice.
C) nonmaleficence.
D) fear of punishment.
Q2) The nurse providing care for patients or residents must act on the knowledge that a basic right of a patient or a resident is to receive
A) considerate and respectful care from all care providers.
B) information about the diagnosis and prognosis from the practical nurse.
C) the medical care of their choice, regardless of their ability to pay.
D) any food requested and in as large a quantity as desired.
Q3) A nurse injects himself or herself with a narcotic prescribed for a patient. This is an example of
A) unethical and illegal behavior.
B) ethical and legal behavior.
C) unethical but legal behavior.
D) ethical but illegal behavior.
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Chapter 12: Nursing and the Law: What Are the Rules
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A new LPN/LVN passes the NCLEX-PN examination and obtains licensure in state X. The LPN/LVN wishes to work in a state other than state X but is unsure of how to proceed. Which statement provides sound advice in this situation?
A) The effect of current national licensure allows a nurse licensed in one state to work in any other state for a maximum of 2 years without applying for endorsement.
B) The nurse can work legally in any state that borders state X without applying for endorsement.
C) The nurse should contact the state board of nursing of the state in which she wishes to work to determine whether they have multistate licensure with state X.
D) The nurse should apply to take the NCLEX-PN examination in the state in which she wishes to work.
Q2) A risk management strategy a nurse can use to prevent being named in malpractice lawsuits is
A) carrying malpractice insurance.
B) requesting supervision for all care.
C) not signing her or his name to patient medical records.
D) maintaining good relationships with patients and families.
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Page 14
Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) The patient states, "My pain is awful!" The response that illustrates the use of focusing is:
A) "On a scale of 1 to 10, tell me the number that represents your level of pain."
B) "I am not sure I understand what you're telling me."
C) "You seem to be in considerable pain."
D) "Can you handle the pain you're having?"
Q2) Two-way communication differs from one-way communication, because with one-way communication
A) the impact is positive.
B) the receiver contributes as much as the sender.
C) no feedback is expected.
D) body language does not affect the receiver.
Q3) To communicate interest and caring to a patient of the majority culture, the nurse should
A) call the patient on days off.
B) keep conversation on a social level.
C) direct the patient to make a list of all problems.
D) make eye contact and encourage the patient to communicate.
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Chapter 14: Assertiveness: Your Responsibility
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25 Verified Questions
25 Flashcards
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Sample Questions
Q1) A staff nurse enters the room in which you're giving care to a patient in traction. She calls you aside and states, "I've watched you all morning. You don't seem to know how to do anything right. Look at you now! You're bathing the patient and it's almost time for lunch." An assertive approach would be to say
A) "You're right. I am still bathing the patient. She was in pain earlier. I waited until her narcotic made her more comfortable."
B) "I'm sorry you think I give poor care. I'm still pretty new, and I'm trying hard to learn."
C) "I've watched you, too. You've criticized every student. Is this some game you play?"
D) "I hope you won't report this to my instructor."
Q2) Which nonverbal behavior is most congruent with a nurse's assertive verbal statement?
A) Firm voice, erect posture, direct eye contact
B) Soft voice, shoulders relaxed, eyes down
C) Loud voice, back stiff, eyes glaring
D) Smile while speaking, touch person's arm, eyes lowered
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Chapter 15: The Health Care Team: Where the
Practicalvocational Nurse Fits in
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Sample Questions
Q1) Select the method of delivering nursing care that facilitates continuity of care, individualizes care, and fosters 24-hour accountability for patient care.
A) Case nursing
B) Team nursing
C) Functional nursing
D) Primary care nursing
Q2) The member of the health care team responsible for assisting patients to arrange for community agencies to provide services after discharge is the A) nurse.
B) physician.
C) physical therapist.
D) social worker.
Q3) Nursing management and executive roles include which of the following? (Select all that apply.)
A) Supervisor
B) Nurse manager
C) Director
D) Chief nursing officer
E) Charge nurse
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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27 Verified Questions
27 Flashcards
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Sample Questions
Q1) When collecting data, which question provides the best understanding of the patient's culturally determined food patterns and assists with developing a culturally competent care plan?
A) "What effect will hospitalization have on your family?"
B) "What religious practices are important in your life?"
C) "Do you use food to maintain health or treat illness?"
D) "Describe the role of children in your family."
Q2) Mrs. X is a patient from South Korea. She has never experienced Western medical care. She is hospitalized with hepatitis C. Which measures will lead to successful negotiation of a treatment plan with this culturally diverse patient? (Select all that apply.)
A) Encourage the patient to explain her views about the cause of illness.
B) Explain the biomedical point of view of the health problem.
C) Support beliefs and practices the patient sees as helpful and that do no harm.
D) Realize that it is impossible to prevent a patient's use of harmful health practices.
Q3) The process of giving up parts of one's own culture and adopting parts of the culture of the dominant group is called ____________________.
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Page 18
Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) A nurse is caring for a Sunni Muslim patient. The nurse demonstrates cultural sensitivity by understanding that the patient would likely pray to A) Allah.
B) Islam.
C) Buddha.
D) Jesus Christ.
Q2) A nurse is caring for a Sunni Muslim patient. The nurse demonstrates cultural sensitivity by
A) allowing the patient to pray three times daily.
B) placing the patient's dinner tray on top of the Koran.
C) offering the patient food and fluids during Ramadan.
D) positioning the patient's bed in a southeast direction from the United States.
Q3) A religion that was formed in 1957 by merger of Congregational and Evangelical and Reformed Churches is
A) Mormonism.
B) Presbyterianism.
C) Seventh-Day Adventist.
D) United Church of Christ.
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Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the______________.
Q2) Which agencies are considered part of the U.S. Public Health Service? (Select all that apply.)
A) National Institutes of Health
B) Food and Drug Administration
C) Veterans Administration
D) Centers for Disease Control and Prevention
E) American Cancer Society
F) Alcohol, Drug Abuse, and Mental Health Administration
Q3) ___________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
Q4) An example of a public sector health care agency supported primarily by U.S. taxpayer dollars is the
A) U.S. Public Health Service.
B) Kaiser Permanente hospitals.
C) American Cancer Society.
D) World Health Organization.
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) The monthly fee a person must pay for health care insurance coverage is known as the
A) premium.
B) deductible.
C) copayment.
D) coinsurance.
Q2) Which program offers an incentive to hospitals to discharge patients as quickly as possible?
A) Retrospective payment system
B) Prospective payment system
C) Seamless system
D) Private insurance plans in effect for under 1 year
Q3) Once a deductible has been met, the percentage of the total bill paid by the insured person is known as the A) premium.
B) deductible.
C) copayment.
D) coinsurance.
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Chapter 20: Leadership Skills
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) In which situation would the LPN/LVN charge nurse be in violation of OBRA provisions?
A) Letting the unit secretary, who has completed 30 hours of instruction in a CNA program, bathe and ambulate a resident
B) Allowing a son to feed his father, who is a resident on the unit
C) Scheduling a nursing assistant to attend a 2-hour in-service training session
D) Notifying the RN supervisor that a nursing assistant needs additional training in administration of tap water enemas
Q2) The LPN/LVN charge nurse notices that a nursing assistant has not weighed her assigned residents. The best statement by the nurse is
A) "You didn't weigh your assigned residents this morning. Let's get with the program."
B) "I need to have you weigh your assigned residents and report to me by 10 AM."
C) "Would you mind explaining why you didn't weigh your residents today?"
D) "You've been goofing off lately. Not weighing your assigned residents is a good example of this."
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22
Chapter 21: Lpnlvn Charge Nurse Skills: Management, Including
Assignment and Delegation
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Sample Questions
Q1) An LPN/LVN is working in a health care facility that allows delegation of nursing duties to nursing assistants by the LPN/LVN. Which of the following duties could be delegated to the nursing assistant?
A) Weighing a patient
B) Initial patient education
C) Assessing a patient's pain
D) Changing a sterile dressing
Q2) Assuming all the following are staff members on the unit, to whom should the LPN/LVN charge nurse assign a newly admitted 65-year-old resident with left hemiplegia and a large sacral decubitus requiring a sterile dressing change?
A) LPN/LVN orientee with 1 week of experience
B) LPN/LVN with 2 years of experience
C) Nursing assistant with 3 years of experience
D) Nursing assistant who is a nursing student at a local college
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Sample Questions
Q1) What is the first step that should be taken by a student nurse who wants to use a particular instructor's name as a reference?
A) Look in the catalog to make sure the name is spelled correctly.
B) Pass the course taught by the instructor, which permits listing the name.
C) Ask the instructor whether her or his name may be used as a positive reference.
D) Check with recent graduates to see which instructor writes the best letters of reference.
Q2) What advantage does a nurse have in locating a job he or she likes?
A) Nursing school encourages one to decide on a career area prior to graduation and allows for extra experiences.
B) Clinical assignments include practical nursing experience in a variety of clinical settings.
C) For nursing students in a community college or vocational/technical setting, the school guarantees a job on graduation.
D) Because of the rapid turnover of nurses in health care facilities, locating a choice job is easy.
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24
Chapter 23: The Nclex-Pn Examination
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Sample Questions
Q1) The content of the NCLEX-PN examination is divided into four Client Needs categories. The Physiological Integrity category includes
A) newborn care.
B) stress management.
C) medical emergencies.
D) accident/error prevention.
Q2) The SP/VN reviewing for the NCLEX-PN examination should study based on an understanding that the category of patient need that is most heavily tested is A) the clinical problem-solving process.
B) safe, effective care environment.
C) health promotion and maintenance.
D) physiological integrity.
Q3) LPN/LVN licensure by endorsement in the United States and its territories is possible because
A) English is the spoken language of each locale.
B) the NCLEX-PN examination is used by the board of nursing of each locale.
C) computer-adaptive testing maximizes testing efficiency.
D) the NCLEX-PN examination test plan reflects current practice.
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Chapter 24: Future Career Decisions: Choosing What Is
Right for You
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Sample Questions
Q1) The area of nursing in which churches employ their own nurse to take care of basic health needs of the congregation is called __________________ nursing.
Q2) Select the various continuing education opportunities that are usually available to an LPN/LVN who accepts employment at a long-term care facility in a metropolitan area having a collegiate nursing program. (Select all that apply.)
A) A competency-based orientation
B) In-service programs
C) Workshops
D) CEUs through nursing publications
E) Certifications through nursing organizations
F) None of the above
Q3) The LPN/LVN tells a mentor, "I want to join the nursing organization that gives me the greatest voice in making policy for LPN/LVN nursing." The mentor can correctly suggest that the LPN/LVN will wish to join the
A) National League for Nursing (NLN).
B) National Association for Practical Nurse Education and Services (NAPNES).
C) National Federation of Practical Nurses (NFPN).
D) American Nurses Association (ANA).
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