Clinical Skills for Vocational Nurses
Exam Questions
Course Introduction
This course provides vocational nursing students with the foundational clinical skills required for effective patient care in diverse healthcare settings. Emphasizing hands-on practice, students will learn procedures such as vital sign assessment, wound care, medication administration, infection control, and basic patient hygiene. The curriculum integrates theoretical knowledge with supervised clinical experiences, fostering competence in communication, critical thinking, and teamwork. Ethical and legal responsibilities, as well as safety protocols, are also highlighted to prepare students for the professional demands of vocational nursing.
Recommended Textbook
Success in Practical Vocational Nursing 8th Edition by Patricia Knecht
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19 Chapters
521 Verified Questions
521 Flashcards
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Page 2
Chapter 1: Personal Resources of an Adult Learner
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31 Verified Questions
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Sample Questions
Q1) A nursing student tells a peer, "My instructor is on my case all the time. I'm picked on more than any other student in the group. The more I'm criticized, the more nervous I get. I don't think I can do anything right. What do you think I should do?" The best advice for the peer to give would be
A) "Just keep trying. Things are bound to get better."
B) "Make an appointment to talk about this with the instructor."
C) "Go see the program director and explain that you're being harassed."
D) "Ask another instructor for help with your skills so you'll be better prepared."
Answer: B
Q2) Learner A is concerned about the clinical evaluation component of the nursing program. A peer could help alleviate anxiety by explaining that the purpose of clinical evaluation is to
A) assist the learner to identify strengths and areas needing improvement.
B) provide constructive criticism related to poor performance behaviors.
C) keep unsuitable persons from achieving licensure.
D) help learners develop the ability to listen to negative comments about performance. Answer: A
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Page 3
Chapter 2: Academic Resources (Study Skills and Test Strategies)
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42 Verified Questions
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Sample Questions
Q1) When a nursing student goes to the nursing skills lab, the best utilization of that resource would be as a place to
A) read the textbook.
B) discuss personal problems with another student.
C) practice a difficult dressing change procedure.
D) take a coffee break.
Answer: C
Q2) A nursing student asks, "Are there any techniques to help me better understand difficult nursing concepts?" The best reply would be
A) "Memorize as much as you possibly can."
B) "Begin by learning the definition of all terms."
C) "Repeat key ideas in your own terms."
D) "Cram for examinations."
Answer: C
Q3) The area in which library materials are checked out and returned is the ____________________.
Answer: circulation desk
The circulation desk is the area in which library materials are checked out and returned.
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Chapter 3: Community Resources
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Sample Questions
Q1) The 2011 National Council of State Board Examiners (NCSBN) white paper "A Nurse's Guide to the Use of Social Media" addresses _____________ violation of patient confidentiality/privacy by posting patient information on ___________________ sites.
Answer: nurses; social networking
The 2011 National Council of State Board Examiners (NCSBN) white paper "A Nurse's Guide to the Use of Social Media" states that 46 Boards of Nursing (BON) were surveyed by the National Council, and 33 boards reported receiving complaints about nurses who violated patient confidentiality/privacy by posting patient information on social networking sites.
Q2) Nursing students are assigned to write a paper about professional use of social networking. Which professional organization has compiled a resource guide that nursing students can use to learn?
A) American Nurses Association (ANA)
B) National Council of State Board of Nurses (NCSBN)
C) National Association for Practical Nurse Education and Service, Inc. (NAPNES)
D) National Federation Licensed Practical Nurses Association (NFLPN)
Answer: A
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Page 5
Chapter 4: How Practical/Vocational Nursing Evolved:
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Sample Questions
Q1) Which statement best explains the "entry into practice" controversy?
A) Nursing shortages would be relieved if all nurses entered into practice as LPN/LVNs.
B) The return to self-proclaimed nurses would save scarce health care dollars.
C) "Entry into practice" refers to discerning the educational level most appropriate for entry into the practice of nursing: ADN, BSN, MSN.
D) After graduation, all professional and vocational nurses should enter practice by serving a 1-year internship in a hospital setting.
Q2) 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
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 6
Chapter 5: Critical Thinking: A Lifelong Journey
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30 Flashcards
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Sample Questions
Q1) A nursing student determines that she needs to increase her reading effectiveness. Identify two effective strategies for accomplishing this goal that can be implemented immediately.
A) Read one word at a time.
B) Move her lips while reading.
C) Read recreational literature more slowly than technical material.
D) Underline unfamiliar words.
Q2) During morning report, the nursing student receives a description of the assigned patient's current problems. When the student determines the priority nursing intervention, she is processing information at the cognitive level known as A) knowledge.
B) comprehension.
C) application.
D) analysis.
Q3) The cognitive levels used on the NCLEX-PN examination are knowledge, comprehension, application, and _______________.
Q4) 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 6: Ethics Applied to Nursing: Personal Versus Professional Ethics
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Sample Questions
Q1) A major change in medical ethics that affected nursing occurred when the Western secular belief system shifted emphasis from duties to A) individual autonomy and rights.
B) satisfying Medicare regulations.
C) the cost-effectiveness of care.
D) nonmaleficence.
Q2) A system of standards or moral principles that direct actions as being right or wrong is called ___________.
Q3) Encouraging a patient to be involved in planning and carrying out his or her own care is a nursing action that supports the ethical principle of A) confidentiality. B) privacy.
C) autonomy.
D) justice.
Q4) 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 8
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34 Verified Questions
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Sample Questions
Q1) The patient tells the nurse, "I want to make sure that my daughter can make health care decisions for me in the event I'm unable to make decisions for myself. What do I need to do?" The nurse should advise the patient that he or she needs to execute a(n) A) living will.
B) civil action.
C) informed consent.
D) durable medical power of attorney.
Q2) Which of the following is true regarding informed consent?
A) Informed consent must be obtained for surgical procedures only.
B) Parents can give informed consent for the treatment of their children.
C) Informed consent means the patient is informed in medical language.
D) A patient is informed that he or she has the right to revoke consent at any time.
Q3) 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.
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Chapter 8: Effective Communication: Health Care Team,
Patients, Faculty, and Peers
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Sample Questions
Q1) 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.
Q2) The nurse who demonstrates empathy
A) feels sorry for the patient's situation.
B) understands the patient's thoughts but is unaware of his or her feelings and emotions.
C) understands and appreciates the patient's feelings while remaining objective.
D) attempts to remove physical and emotional pain and fix all of the patient's problems.
Q3) Which statement is true regarding open-ended, closed-ended, and focused questions?
A) Open-ended questions always achieve their purpose.
B) Closed-ended and focused questions are used to get specific information.
C) Closed-ended questions are used primarily with children and older adults.
D) Focused questions are more useful when communicating with men.
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Page 10
Chapter 9: Assertiveness: Your Responsibility
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Sample Questions
Q1) A nurse experiences potential danger from a patient who is highly suspicious and fears being harmed. Which behaviors by the nurse will help alleviate the threat of violence? (Select all that apply.)
A) Stand in the doorway of the room.
B) Maintain an open position with the hands in view.
C) Occasionally touch the patient gently on the forearm.
D) Turn away from the patient to demonstrate lack of fear.
E) Speak in a quiet, controlled voice.
Q2) Which statements about manipulation would be useful to the nurse who interacts with both patients and peers? (Select all that apply.)
A) Manipulation usually disregards the feelings and needs of others.
B) Manipulation exploits the weaknesses of others.
C) A divide-and-conquer strategy is often used by those who manipulate.
D) Firm limit setting rarely protects against manipulation.
E) Manipulation often results in individuals being treated as objects.
F) Manipulation should be permitted if it is consistent with the nurse's needs.
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Chapter 10: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) Data collection suggests that a patient's health beliefs are personalistic. Which statement by the patient would the nurse determine as consistent with personalistic health beliefs?
A) "Please call my physician for me so I can discuss my symptoms."
B) "I would like to wear the amulet that's in my bedside stand."
C) "X-rays will find the cause of my back pain."
D) "I hope the doctor will recommend surgery."
Q2) A behavior to avoid when interacting with a person of a different culture is A) diversity.
B) assimilation.
C) stereotyping.
D) behavior based on nonjudgmental attitudes.
Q3) The nurse who states, "I believe in the uniqueness and value of human beings" is basing care on the philosophy of
A) cultural competence.
B) individual worth.
C) assimilation.
D) cultural diversity.
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Chapter 11: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) 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.
Q2) A religion that was founded by Joseph Smith in the nineteenth century is
A) Mormonism.
B) Catholicism.
C) Lutheranism.
D) Mennonite.
Q3) When Martin Luther separated from the Catholic Church because of scandals in the church, which religion was formed?
A) Mormonism
B) Lutheranism
C) Scientology
D) Jehovah's Witness
Q4) A nurse is caring for a patient who practices Mormonism. The nurse should expect the patient to study religion from the Holy Bible and the ____________________.
Page 13
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Chapter 12: The Nursing Process: Your Role
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Sample Questions
Q1) Which of the following is the primary reason that LPN/LVNs are taught to use the nursing process?
A) To diagnose disease
B) To provide reimbursement
C) To resolve patient problems
D) To communicate with health team members
Q2) A patient states, "I'm feeling left-sided chest pain that radiates to my left arm." This is an example of _______________ data.
Q3) Identify the outcome that would be appropriate to include in the nursing care plan of a patient who has undergone total knee replacement.
A) The patient will be stronger by (date).
B) The patient will transfer from the bed to a chair with the assistance of a walker and one staff member by the third postoperative day.
C) The nurse will help the patient ambulate the length of the hall twice daily.
D) The nurse will evaluate the patient's strength based on his ability to ambulate in the hall on the first postoperative day.
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14
Chapter 13: Nursing Theory, Research, and Evidence-Based Practice
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Sample Questions
Q1) 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.
Q2) According to the adaptation model, interdependence is related to which of the following? (Select all that apply.)
A) Role in society
B) Spiritual aspects
C) Love
D) Respect
E) Values
Q3) An independent, not-for-profit organization established in 1993 with the purpose of preparing and promoting the accessibility of a collection of evidence-based health care interventions obtained by systematic reviews of research is known as the
Q4) ________________________ was the first to emphasize the environment as influencing the course of illness and is often spoken of as the first nursing theorist.
Page 15
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Chapter 14: The Interdisciplinary Health Care Team: The
Role of the Practical/Vocational Nurse
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Sample Questions
Q1) Which statement best describes the relationship between the student nurse assigned to a hospital unit for clinical experience and the unit staff?
A) The student is under direct supervision of the nurse manager of the unit at all times.
B) Students are on the clinical unit to give service to the hospital as they care for patients.
C) The student applies classroom learning under the supervision of faculty members during clinical training.
D) Practical nursing students form a nursing team of their own and are not a part of the larger unit team.
Q2) An LPN/LVN offers input to the RN about the effectiveness of the patient's care plan. By doing this, the LPN/LVN is functioning in an A) entrepreneurial role.
B) expanded role.
C) interdependent role.
D) independent role.
Q3) The role of the LPN/LVN in the health care team is best described as
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Page 16
Chapter 15: Health Care Settings: Continuum of Care
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Sample Questions
Q1) 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.
Q2) Which individual is best served by receiving care at an adult day care center?
A) Mr. A, who needs a nebulizer treatment to control an acute asthma attack
B) Mr. B, who has been referred for carpal tunnel surgery
C) Mr. C, a new diabetic who needs teaching
D) Mr. D, who has first-stage Alzheimer's disease and a working wife
Q3) The U.S. Public Health Service (USPHS) is funded by A) tax money.
B) lottery money.
C) voluntary contributions.
D) estates and endowments.
Q4) The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the
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Chapter 16: The Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) The skill that will be most helpful to an LPN/LVN in navigating health care system changes successfully is
A) the ability to work efficiently for long hours.
B) problem-solving and critical thinking abilities.
C) identifying the need for comprehensive system change.
D) becoming knowledgeable about CQI processes.
Q2) Which of the following is a quality improvement activity in which the LPN/LVN engages routinely?
A) Collecting data for care plan development
B) Identifying nursing diagnoses
C) Initiating patient teaching about medications
D) Evaluating patient goal attainment
Q3) A method of financing health care costs in which physicians are paid a fee by the patient for each service they provide is known as
A) inflation.
B) capitation.
C) fee-for-service.
D) gross domestic product.
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Chapter 17: Collaboration: Leading and Managing
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Sample Questions
Q1) The LPN/LVN charge nurse asks the nurse manager, "How can I motivate the nursing assistants on my shift?" The best answer would be:
A) "Motivation is an inner force. You can't motivate someone else, but understanding the things that are important to workers can be helpful."
B) "Encouragement is the only way. If you praise and encourage the workers, you will have them eating out of your hand and doing their best."
C) "Money is the only thing that motivates workers. Since you can't set a higher salary, you can't change their motivation."
D) "Communicate! Communicate! Communicate! Be clear and specific. Spell things out. Give the impression that you know what you're talking about at all times."
Q2) The action the LPN/LVN charge nurse takes independently that would most likely require conflict resolution at the unit level is
A) organizing shift activities before morning report.
B) making sure the necessary equipment and supplies are available.
C) eliminating morning breaks and adding 10 minutes to the lunch hour.
D) creating a calm, supportive environment.
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Chapter 18: Work Force Trends: How
Will Love
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Sample Questions
Q1) As the interview at the long-term care facility is coming to a close, the interviewer asks the applicant, "What questions may I answer for you?" Which question would be most likely to create a favorable impression?
A) "After completing the orientation, when will the first pay raise be given?"
B) "Will it be possible to tour a unit such as the one to which I would be assigned?"
C) "What will happen if I can't meet the outcomes for the competency-based orientation?"
D) "Do you have tuition reimbursement for courses toward my next degree?"
Q2) Which statement indicates that a nurse is knowledgeable about good résumé preparation?
A) "My résumé is comprised of nearly three and a half pages."
B) "It was difficult to write a good objective statement, but I finally managed."
C) "I used a bulleted style to call attention to my list of job skills."
D) "To make sure my résumé catches the eye, I used bright pink paper."
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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Page 20
Chapter 19: Licensure and Regulation: Becoming Licensed and
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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) The content of the NCLEX-PN examination is divided into four Patient Needs categories. The Psychosocial Integrity category includes
A) surgical asepsis.
B) human sexuality.
C) therapeutic communication.
D) nutrition and oral hydration.
Q3) The NCLEX-PN examination measures the _____________ competencies needed to practice practical/vocational nursing.
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