Clinical Practicum for Vocational Nursing
Exam Answer Key
Course Introduction
The Clinical Practicum for Vocational Nursing is a hands-on course designed to provide students with direct patient care experience in various healthcare settings under the supervision of licensed professionals. Throughout the practicum, students apply theoretical knowledge learned in the classroom to real-world clinical scenarios, focusing on the development of essential nursing skills, patient communication, and professional ethics. The course emphasizes the importance of teamwork, patient safety, and effective decision-making in the delivery of quality care, preparing students to confidently transition into entry-level vocational nursing roles upon graduation.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Hill
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24 Chapters
615 Verified Questions
615 Flashcards
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Page 2
Chapter 1: The Adult Learner: Hints to Succeed
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) In response to a learner's questions,which options should be used to describe desirable outcomes of clinical performance evaluations?
A) Discover positive actions of students.
B) Make students aware of ineffective clinical behaviors.
C) Role-model how to conduct evaluations of others when in the LPN/LVN expanded role.
D) Give the student an opportunity to tell the instructor how the instructor's attitude discourages learning.
Answer: A,B,C
Q2) When a nursing student expresses concern about being dismissed unfairly from the program,the most effective peer response would be
A) "Better get over being so negative."
B) "You have rights under the Fourteenth Amendment."
C) "Watch what you say in class to reduce this possibility."
D) "Instructors really do have control over what happens."
Answer: B
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3
Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) A nurse keeps a log of daily activities and the amount of time each takes.As an activity related to time management,this would be classified as A) planning.
B) evaluation.
C) data collection.
D) implementation.
Answer: C
Q2) 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
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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) Primarily right-brained individuals tend to be
A) intuitive.
B) rational.
C) objective.
D) analytical.
Answer: A
Q2) A person who learns best by visualizing,dreaming,working with colors and pictures,and studying diagrams,boxes,and special lists in the text is known as what type of learner?
A) Spatial learner
B) Linguistic learner
C) Kinesthetic/tactual leaner
D) Musical learner
Answer: A
Q3) A characteristic of the right hemisphere of the cerebrum includes
A) produces robotlike speech.
B) processes in sequence.
C) adds tone and inflection to the voice.
D) breaks down new information into segments.
Answer: C
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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26 Verified Questions
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Sample Questions
Q1) A nursing student asks for suggestions for successful test preparation.Select the items that give the best advice.
A) "Go to a movie or watch television the night before the test."
B) "Reread pertinent chapters in the textbook."
C) "Plan to study from 8 PM until 2 AM the night before the test."
D) "Focus on note summaries, margin writings, and underlined text."
E) "Clarify the examination format with the instructor."
Q2) A nursing student researched a topic for a class presentation online and explored several sites,using up most of the evening's study time.The next time there is an Internet assignment,a helpful strategy would be to
A) set a kitchen timer for 30 minutes.
B) do the assignment only after doing all other study tasks.
C) "forget" to do the assignment.
D) ask a friend to do the assignment.
Q3) Which student would be classified as a passive listener?
A) Student A, who completes a grocery list during class
B) Student B, who asks questions about class content
C) Student C, who puts key concepts into words during note taking
D) Student D, who contributes to classroom discussion of the topic
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Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) A nursing student was ill when the class toured the learning resource center (LRC).What independent action should the student take?
A) Perceive it as a missed opportunity.
B) Ask the librarian if a self-guided audiotape tour is available.
C) Ask to see another student's notes about the tour.
D) Report his or her unawareness to the instructor of LRC features.
Q2) The area in which library materials are checked out and returned is the ____________________.
Q3) When a nursing student needs a journal article from a periodical that is not available in the holdings of the learning resource center,the student should
A) try to find a substitute article.
B) request an interlibrary loan.
C) go to the stacks and look again.
D) check the vertical file.
Q4) A technique that emphasizes individual accountability for learning a specific academic task while working in small groups is known as ____________________.
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Page 7
Chapter 6: Personal Health Promotion: A Role Model for Patients
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Sample Questions
Q1) How can nurses avoid burnout?
A) Put patients' needs before their own needs.
B) Accept that as nurses, their vocational and personal lives are one.
C) Understand their own needs and maintain balance between work and personal life.
D) Use sympathy for the patient as a key to personal growth and professional development.
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 Practical/Vocational Nursing Evolved: 1836 to
Present
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Sample Questions
Q1) The best reason for studying nursing history is to A) prepare for the NCLEX-PN examination.
B) make nurses more professional.
C) help nurses adapt to change.
D) learn from nursing's past mistakes.
Q2) The role of self-defined practical nurses throughout history has been to A) care for the ill, injured, and dying and for birthing mothers.
B) compete with physicians and surgeons.
C) perform complex nursing skills independently.
D) make contact with the gods on behalf of the ill person.
Q3) When permitted by the state Nurse Practice Act,under what conditions can the LPN/LVN perform complex nursing skills not taught in the basic educational program?
A) When ordered to do so by the attending physician
B) When the task is delegated to a competent LPN/LVN by a supervising RN
C) When the LPN/LVN has graduated from a nursing program accredited by the National League for Nursing
D) When the state of practice has declared a severe nursing shortage
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Page 9
Chapter 8: Critical Thinking: A Lifelong Journey
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Sample Questions
Q1) The nursing student has learned the principles of determining and recording intake and output.When the student cares for a patient who has had a liquid breakfast and has voided twice and vomited once,the student documents intake and output in the patient's chart using the cognitive level known as
A) knowledge.
B) comprehension.
C) application.
D) analysis.
Q2) Clinical judgments about patients that result from critical thinking have what as their basis?
A) Evidence
B) Assumptions
C) Ethical principles
D) Personal preference of the nurse
Q3) The NCLEX-PN examination includes items that require various levels of thinking to answer a test item.These various levels are called ____________________.
Q4) The cognitive levels used on the NCLEX-PN examination are knowledge,comprehension,application,and ____________________.
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Chapter 9: Nursing Process: Your Role
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Sample Questions
Q1) A nurse is gathering and reviewing information about a patient.The nurse is participating in which step of the nursing process?
A) Planning
B) Evaluation
C) Data collection
D) Implementation
Q2) A nurse is gathering data about a patient.The nurse determines that which of the following is subjective data?
A) The patient complains of feeling anxious about her upcoming surgery.
B) The patient is short of breath and has an oxygen saturation level of 86%.
C) The patient has a heart rate of 85 beats per minute and has a sinus rhythm.
D) The patient has consumed 60% of breakfast, 45% of lunch, and 50% of dinner.
Q3) Which of the following are examples of subjective data?
A) A patient has an offensive body odor.
B) A patient complains of feeling stressed.
C) A patient complains of feeling anxious.
D) A patient complains of substernal chest pain.
E) A patient falls when ambulating to the bathroom.
F) A patient states, "I feel a sense of impending doom."
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Page 11
Chapter 10: Nursing Theory,Research,and Evidence-Based Practice
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Sample Questions
Q1) The National League of Nursing (NLN)expects the practical/vocational nurse's main role in evidence-based practice to be to:
A) challenge the status quo.
B) identify questions that need to be studied.
C) formulate evidence-based protocols.
D) question the basis for nursing actions.
Q2) A newly admitted patient reports to the practical nurse that she is "hungry." The nurse confirms that the patient is on a regular diet and promptly retrieves a meal and provides it to the patient.According to Maslow's needs theory,the nurse is meeting the patient's
A) physiological needs.
B) safety needs.
C) self-actualization need.
D) love and belonging needs.
Q3) According to the culture care theory,the two kinds of care in every culture are
A) practical and generic.
B) generic and professional.
C) professional and nonprofessional.
D) practical and professional.
Page 12
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Chapter 11: Ethics Applied to Nursing: Personal
vsProfessional Ethics
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22 Flashcards
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Sample Questions
Q1) The nurse states,"I like being part of the health care team caring for the traditional two-parent family during the postpartum period as they bond with their newborn." This statement reveals the nurse's A) values. B) duty.
C) fidelity. D) ethics.
Q2) When a treatment team decides to go to court to obtain permission to provide chemotherapy for a child whose parents refuse to give consent for the treatment based on religious grounds,the ethical principles that are in conflict are A) fidelity and justice.
B) beneficence and autonomy.
C) justice and beneficence.
D) autonomy and fidelity.
Q3) To provide justice to patients on the unit,the nurse must A) treat all patients with the same diagnosis utilizing the same plan of care.
B) treat all patients with equal dignity and respect.
C) base care on the patient's culture, religion, and social status. D) determine who is most deserving of extra care.
Page 13
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Chapter
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) A nurse who angrily tells a patient,"If you don't go to sleep,I'm going to give you an injection," can be accused of A) defamation.
B) breach of confidentiality.
C) assault.
D) respondeat superior.
Q2) A nurse damages a patient's reputation by verbalizing private information about the patient to a third party.This is an example of A) libel.
B) assault.
C) battery.
D) slander.
Q3) A nurse is found liable for battery.What does this mean?
A) The nurse threatened the patient, causing fear of bodily harm.
B) The nurse, without consent, touched the patient in a way that caused harm.
C) The nurse detained the patient against his will.
D) The nurse incorrectly performed a procedure that is within her scope of practice.
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14
Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) Which option provides information that allows an individual to identify the patient's affective state?
A) Mr. B states that he is in considerable pain, about 8 on a scale of 1 to 10. He characterizes the pain as stabbing.
B) Mrs. T's facial expression looks sad. Tears well up in her eyes, and the corners of her mouth droop.
C) Miss L lies still with her eyes shut, her arms held rigidly at her side, and her fists clenched.
D) Mr. A listens carefully to the directions for blood glucose monitoring and then asks several relevant questions.
Q2) A patient states,"I don't seem to be getting my strength back." The nurse replies,"Don't worry.You are coming along just fine." This response is an example of A) probing.
B) false reassurance.
C) disagreeing.
D) active listening.
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Chapter 14: Assertiveness: Your Responsibility
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25 Verified Questions
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Sample Questions
Q1) The nurse is assigned to park in a newly created parking lot that is far from the hospital building.Some of the lights in the new parking lot have not been installed.As the nurse is about to leave,she notices several young men loitering near the walkway she must take.The nurse should
A) take a deep breath and walk rapidly toward the parking lot.
B) try to use friendliness by greeting the young men as she passes them.
C) wait inside the hospital until the young men leave.
D) call for a security guard to serve as an escort to the car.
Q2) A nurse demonstrates assertive behavior by doing which of the following?
A) When the physician yells at the nurse in front of the patient, the nurse is angry but refrains from speaking about it.
B) The nurse plans on seeking new employment out of fear of approaching the supervisor to tell his or her side of what happened.
C) When working with a patient who has had the call light on repeatedly, the nurse tells the patient, "Do not put your call light on again."
D) When unexpected visitors arrive to visit the patient during breakfast, the nurse asks whether the patient would prefer to eat now or visit.
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Chapter 15: The Health Care Team: Where the
Practical/Vocational Nurse Fits In
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Sample Questions
Q1) Which care delivery method has the greatest potential for fragmenting patient care?
A) Primary nursing
B) Case method
C) Functional method
D) Patient-focused care
Q2) Which groups are members of a nursing team?
A) RNs, LPN/LVNs, nursing assistants
B) Radiologists, dietitians, respiratory therapists
C) Occupational therapists, physical therapists, pharmacists
D) Physicians, pharmacists, dietitians, physical therapists
Q3) The most important reason for a student nurse to prepare adequately before providing patient care is to
A) be able to give the same safe care as a nurse.
B) avoid arousing the anger of the instructor.
C) maintain self-esteem by performing well.
D) make a favorable impression on unit staff.
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) A patient tells the nurse that she is accustomed to adhering to a strict schedule for meals and sleep.The nurse reports that the patient
A) follows clock time.
B) lives on linear time.
C) is obsessive-compulsive.
D) will complain if medications and treatments are not performed on time.
Q2) How would a culturally competent care plan differ from a standard care plan?
A) It would contain adaptations that recognize the patient's cultural preferences.
B) It would follow the legal mandates for providing care regardless of culture.
C) It would provide information about nonjudgmental behaviors to use.
D) It would focus on the nurse's values, assumptions, and health beliefs.
Q3) A nursing instructor is working with a Native-American student nurse.When the student is late for the first clinical day,the instructor states,"I'm not surprised she's late; Native-American students are always late." The instructor's statement is an example of A) prejudice.
B) stereotyping.
C) ethnocentrism.
D) discrimination.
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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) A Hindu patient is admitted after a severe head injury and is near death.The organ procurement person tells the nurse,"I don't know much about the Hindu religion,and I have to talk to the family about organ donation.Can you give me any hints?" The best response for the nurse would be
A) "Organ donation is prohibited by the religion."
B) "The family is very concerned about where the patient's soul will go after death."
C) "The religion permits organ donation, but you would have to ask the family their feelings about it."
D) "It's hard to know what people who believe cows are sacred will think about organ donation."
Q2) A religion that began in Scotland and evolved from John Calvin in the sixteenth century is known as
A) Presbyterianism.
B) Episcopalian.
C) Seventh-Day Adventist.
D) United Church of Christ.
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Page 19
Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) A patient tells the nurse,"I was treated for an asthma attack at a freestanding ambulatory services center." The nurse correctly identifies the treatment as taking place at a/an
A) urgent care center.
B) domiciliary residence.
C) intermediate care facility.
D) fitness club.
Q2) A nurse is asked,"What does it mean if a health care agency is described as 'proprietary'?" The nurse should respond
A) "It operates by government mandate."
B) "It is funded by local tax money and government subsidies."
C) "It operates for profit."
D) "It utilizes a large number of volunteers."
Q3) Which agencies are considered part of the U.S.Public Health Service?
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
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) 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
Q2) A mother and her three children often seek medical services at the emergency room.The nurse realizes that they have no insurance and are unable to pay for services.The action the nurse should take that would provide the greatest assistance to the family would be to
A) advise them to use urgent care centers where fees are lower.
B) leave the newspaper classified ads in a visible place.
C) advise the mother to seek work at the hospital personnel office.
D) contact a social worker to discuss Medicaid with the mother.
Q3) Diagnosis-related groups (DRGs)and prospective payment systems are most clearly the reason for
A) Medicare and Medicaid.
B) critical pathways and managed care.
C) group health insurance and centralization.
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D) a shortage of nurses and unlicensed assistive personnel.
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Chapter 20: Leadership Skills
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Sample Questions
Q1) A new LPN/LVN asks the LPN/LVN charge nurse what continuous quality improvement (CQI)is all about.The charge nurse should explain that the focus of CQI in a health care agency is
A) saving time.
B) better patient care outcomes.
C) making money for the health care agency.
D) reducing stress for employees.
Q2) A purely task-centered leadership style that thrives on power and involves telling someone what to do,with little regard for the employee as a person,is the
A) autocratic style.
B) situational style.
C) democratic style.
D) laissez-faire style.
Q3) The LPN/LVN day shift charge nurse in a nursing home usually reports to the A) owner of the nursing home.
B) administrator of the nursing home.
C) RN manager of the unit.
D) board of directors of the nursing home.
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Chapter 21: LPN/LVN Charge Nurse Skills: Management,
Including Assignment and Delegation
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Sample Questions
Q1) The most fundamental requirement for assuming the practice role of LPN/LVN charge nurse is
A) licensure in the state of practice.
B) experience with resident assignment.
C) the ability to coordinate patient care services.
D) a knowledge of the principles of delegation.
Q2) The LPN/LVN charge nurse notices that a new nursing assistant has offensive body odor.The LPN/LVN charge nurse should
A) report this finding to the RN supervisor.
B) send the person to the locker room to shower and put on clean clothes.
C) terminate the nursing assistant.
D) meet with the person to inform her of the problem and reinforce agency expectations.
Q3) Which duty would exceed the LPN/LVN scope of practice if included in the job description for an LPN/LVN charge nurse?
A) Assigning patient care
B) Independently developing written treatment protocols
C) Assisting physicians in diagnostic and therapeutic measures
D) Maintaining a safe and hazard-free environment
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Sample Questions
Q1) Which statement is true with regard to making a follow-up call after submitting a résumé and cover letter for a position?
A) Do not call; the employer will call the applicant if interested.
B) Call on the date and at the time mentioned in the cover letter.
C) Call on a Monday before 8 AM if possible.
D) Call on a Friday between 2 PM and 4 PM if possible.
Q2) What should the nurse do when applying for a position for which he or she is underqualified?
A) Exaggerate qualifications when applying and being interviewed.
B) Emphasize knowing the basics and express willingness to learn via in-services and continuing education.
C) Try to impress the interviewer with strengths and gloss over or avoid the topic of specific qualifications.
D) Mention having connections in high places who believe the applicant would perform well in the position.
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Chapter 23: The NCLEX-PN Examination
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Sample Questions
Q1) The fundamental difference between holding licensure as an LPN/LVN and having a temporary permit is that a temporary permit
A) is surrendered after 2 years; a license is never surrendered.
B) requires close RN supervision; a license gives permission to practice without RN supervision.
C) certifies minimal competency in LPN/LVN skills; a license guarantees safe practice.
D) provides permission to work as a GP/VN; a license certifies minimal competence in LPN/LVN skills.
Q2) Which are needed by the candidate to arrange for and take the NCLEX-PN examination?
A) An authorization-to-test letter
B) An appointment at a testing center
C) A picture identification and one other acceptable form of identification
D) A copy of one's fingerprint card
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25
Chapter 24: Future Career Decisions: Choosing What Is
Right for You
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Sample Questions
Q1) Nurse T has decided to seek certification in an area that will enhance employability in a nursing home.Which certifications would be of greatest value to the LPN/LVN working in a nursing home?
A) IV therapy
B) Wound care
C) Long-term care
D) Managed care
E) Pharmacology
F) Gerontology
Q2) In which areas may LPN/LVNs obtain certification?
A) Managed care
B) Pharmacology
C) Long-term care
D) Mental health care
E) IV therapy
F) Wound care
G) Neonatal care
Q3) The area of nursing in which churches employ their own nurse to take care of basic health needs of the congregation is called __________________ nursing.
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