Foundations of Nursing Practice Question
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Course Introduction
Foundations of Nursing Practice introduces students to the core concepts, principles, and skills essential for beginning professional nursing. The course covers the history and evolution of nursing, ethical and legal responsibilities, communication strategies, evidence-based practice, patient safety, and the nursing process. Students develop foundational clinical skills such as vital signs assessment, infection control, documentation, and patient-centered care through both classroom instruction and hands-on practice in simulated and real-world settings. Emphasis is placed on critical thinking, cultural competence, and collaborative teamwork to prepare students for safe, compassionate, and effective entry-level nursing practice.
Recommended Textbook
Success in Practical Vocational Nursing 8th Edition by Patricia Knecht
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521 Verified Questions
521 Flashcards
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Chapter 1: Personal Resources of an Adult Learner
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Q1) Which statement is true regarding the teaching/learning process in practical/vocational nursing?
A) If the student fails, the instructor is ultimately at fault.
B) By asking questions, the student interferes with the instructor's work.
C) The student has little responsibility when it comes to evaluation.
D) The student is responsible for preparing for theory classes and clinical experience.
Answer: D
Q2) In response to a learner's questions, which of the following options should be used to describe desirable outcomes of clinical performance evaluations? (Select all that apply.)
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
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Chapter 2: Academic Resources (Study Skills and Test Strategies)
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Sample Questions
Q1) Which nursing students are using the learning resource center appropriately? (Select all that apply.)
A) Student A checks out a text for home use.
B) Student B obtains an article on interlibrary loans.
C) Student C makes a copy of a reference article.
D) Student D finds it a quiet place to study.
E) Student E seeks to purchase a book.
F) Student F obtains a back issue of a nursing journal.
G) Student G goes there to instant message.
Answer: A, B, C, D, F
Q2) A nursing student who is receiving poor grades states, "I am experiencing difficulty due to lack of time to devote to school." The additional factor that should be explored is lack of
A) aptitude.
B) interest.
C) motivation.
D) study skills.
Answer: D
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Chapter 3: Community Resources
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Sample Questions
Q1) __________________ is food program that will deliver meals to the doors of Senior Citizens and disabled individuals.
Answer: Meals on Wheels
Seniors and disabled individuals can have special programs that deliver meals to their doors such as Meals on Wheels.
Q2) What community resource is available to assist people with disabilities to achieve employment and independence?
A) Workforce Investment Act
B) Adult Basic Education (ABE)
C) Office of Vocational Rehabilitation (OVR)
D) Salvation Army
Answer: C
Q3) What is the best social media site to use when seeking professional employment?
A) Facebook
B) AllNurses.com
C) Twitter
D) LinkedIn
Answer: D
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Chapter 4: How Practical/Vocational Nursing Evolved:
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Q1) The best reason for studying nursing history is
A) to prepare for the NCLEX-PN examination.
B) to make nurses more professional.
C) to help nurses adapt to change.
D) to learn from nursing's past mistakes.
Q2) When was the first U.S. school of practical nursing founded?
A) 1830
B) 1853
C) 1892
D) 1902
Q3) Practical nurses are referred to as those who, from the beginning of time, chose (or were appointed) to care for individuals who were ill, injured, dying, or having babies. Names used to designate this person have included which of the following? (Select all that apply.)
A) Midwife
B) Attendant
C) Trained nurse
D) Practical nurse
E) Self-proclaimed nurse
F) Babysitter
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Chapter 5: Critical Thinking: A Lifelong Journey
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Sample Questions
Q1) A student nurse recently learned about Maslow's Hierarchy of Needs during a lecture. 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 nurse is performing routine vital signs on patients. The nurse has obtained vital signs many times before and is able to do so without much conscious thought. This is an example of
A) directed thinking.
B) negative thinking.
C) ruminative thinking.
D) nonfocused thinking.
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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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) A way of practicing fidelity to a patient would be to
A) discuss the patient with friends at a social gathering.
B) document the patient's expression of feelings and wishes.
C) categorize the patient as a "down-and-out alcoholic."
D) develop the care plan without patient input.
Q3) What ethical principle underlies the statement in the National Federation of Licensed Practical Nurses (NFLPN) Code for Licensed Practical/Vocational Nurses, "The practical nurse provides health care to all patients regardless of race, creed, cultural background, disease, or lifestyle"?
A) Autonomy
B) Confidentiality
C) Beneficence
D) Justice
8
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Chapter
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Q1) A legal document that describes the kinds of medical or life-sustaining treatments the person would want if seriously or terminally ill is known as a ________________.
Q2) In the following list, identify the instances of possible malpractice. (Select all that apply.)
A) The nurse accidentally administers an excessively large dose of a prescribed medication, and the patient becomes comatose.
B) The nurse runs a red light en route to work and causes an auto accident in which three people are seriously injured and one dies.
C) The nurse notes the patient's poor capillary return distal to a cast, becomes busy and does not report it, and the patient later loses limb function.
D) The nurse discusses a patient's condition in a disparaging way in a hospital elevator and is overheard by the patient's husband.
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Chapter 8: Effective Communication: Health Care Team,
Patients, Faculty, and Peers
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Sample Questions
Q1) A patient who has had knee surgery tells the nursing student that he is "doing fine" and "doesn't need anything." The student observes that he winces when moving in bed and that he has a worried frown. The student asks him to rate his pain on a numerical scale and then encourages him to take his prn analgesic. Which is true of this interaction?
A) The nursing student recognized that the patient's verbal and nonverbal messages were incongruent.
B) The nursing student understood that verbal messages outrank nonverbal messages in importance.
C) The nursing student realized that affective communication is of lesser importance.
D) The nursing student used one-way communication effectively.
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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Page 10
Chapter 9: Assertiveness: Your Responsibility
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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) The intervention that is most effective at reducing patient violence against nurses is A) teaching nurses to communicate respect for patients and confidence in themselves. B) requiring nurses to work in groups rather than alone.
C) having security personnel stationed on all units.
D) assigning only male nurses to care for psychiatric or chemical dependency patients.
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Chapter 10: Cultural Uniqueness, Sensitivity, and Competence
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Q1) Which statement by a health care worker can the nurse identify as a stereotype?
A) "People over 65 are poor drivers."
B) "Assimilation requires adopting part of the dominant culture."
C) "All individuals have common basic daily needs."
D) "Most people perceive themselves as members of the middle class."
Q2) Which of the following is an example of the process of socialization?
A) The student nurse assesses the needs of a patient who is a member of another culture.
B) The student nurse learns how to think and act like a nurse.
C) The student nurse uses cultural bias when evaluating the beliefs of a diverse culture.
D) The student nurse demonstrates ethnocentrism related to health-illness beliefs.
Q3) A Native American patient keeps a small bunch of feathers on the over-the-bed table. They are in the way whenever the nurse serves a tray or sets up equipment for a treatment. A culturally competent action would be to
A) throw them away while the patient is sleeping.
B) move them to a place where they won't be in the way.
C) leave them where the patient wishes to place them.
D) ask why there are a bunch of feathers in a hospital room.
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Chapter 11: Spiritual Needs, Spiritual Caring, and Religious Differences
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Q1) A religion that was founded in the nineteenth century by Mary Baker Eddy is A) Mormonism.
B) Christian Scientist.
C) Jehovah's Witness.
D) Seventh-Day Adventist.
Q2) The nurse working in the neonatal intensive care unit would implement baptism for a baby not expected to live if the infant's religion is listed as
A) Assembly of God.
B) Roman Catholic.
C) Mormon.
D) Baptist.
Q3) A nurse is caring for a patient who refuses to consume meat on Ash Wednesday and all Fridays during Lent. The nurse understands that this patient is of what religion?
A) Islam
B) Mormonism
C) Catholicism
D) Presbyterianism
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Chapter 12: The Nursing Process: Your Role
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Q1) An LPN/LVN demonstrates to a new mother how to safely bathe her infant. This is an example of the phase of the nursing process called A) assessment.
B) nursing diagnosis.
C) planning.
D) implementation.
Q2) When the LPN/LVN participates in the evaluation phase of the nursing process, she or he compares the patient's responses with the A) nursing orders.
B) outcome criteria.
C) nursing diagnosis.
D) data collection.
Q3) "I feel like I can't catch my breath" is an example of A) effective data.
B) objective data.
C) subjective data.
D) evaluative data.
Q4) A patient states, "I'm feeling left-sided chest pain that radiates to my left arm." This is an example of _______________ data.
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Chapter 13: Nursing Theory, Research, and Evidence-Based Practice
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Sample Questions
Q1) In 2010, the ______________________________ established competencies for nursing graduates at all levels.
Q2) A guest speaker is addressing a group of practical nursing students. The speaker informs the students that she is actively pursuing a doctoral degree in research and is in the process of collecting and measuring numerical data using statistics to describe variables of this study. The nursing students are aware that this type of study is most likely a
A) quantitative research study.
B) subjective research study.
C) qualitative research study.
D) grounded theory research study.
Q3) Which of the following are the elements of evidence-based practice? (Select all that apply.)
A) Patient preferences
B) Basic needs
C) Best research evidence
D) Nurse's clinical expertise
E) Hypothesis
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Chapter 14: The Interdisciplinary Health Care Team: The
Role of the Practical/Vocational Nurse
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Q1) The role of the LPN/LVN can best be described as which of the following?
A) Initiates all health teaching
B) Works in an independent role
C) Initiates all phases of the nursing process
D) Assists with all phases of the nursing process
Q2) 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
Q3) The goal of the health care team is best described as
A) restoring optimal physical, emotional, and spiritual health to patients.
B) preventing communicable diseases.
C) selecting health care professionals who serve people with health care needs.
D) attaining personal satisfaction of the need to help others.
Q4) The role of the LPN/LVN in the health care team is best described as
Page 16
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Chapter 15: Health Care Settings: Continuum of Care
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Sample Questions
Q1) 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 uses a large number of volunteers."
Q2) An older adult patient is to be discharged from the acute care hospital with left-sided weakness, difficulty swallowing, and inability to independently perform ADLs, therefore requiring daily physical therapy. The patient has no family and lives in a high-rise apartment building. Referral to which level of long-term care would the nurse likely recommend at the care planning conference?
A) Sheltered housing
B) Skilled nursing facility
C) Assisted living facility
D) Domiciliary care
Q3) 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) 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.
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) 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.
Page 18
D) a shortage of nurses and unlicensed assistive personnel.
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Chapter 17: Collaboration: Leading and Managing
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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 3 to 11 shift LPN/LVN charge nurse on a 20-bed nursing home unit is asked by the only other staff member on duty, a nursing assistant, "Will it be all right if I go home tonight while you are giving report to the night shift? My husband needs the car so he can go to work." The best response by the charge nurse is:
A) "It's all right tonight, but don't make a habit of it."
B) "Sure, our residents will be sound asleep by 11 PM."
C) "Have you lost your mind? What would happen if the owner dropped in for a surprise visit?"
D) "That won't be possible. You must be here to answer lights while I give report to the night staff."
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Chapter 18: Work Force Trends:
Will Love
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Sample Questions
Q1) Identify information that should be included in a résumé. (Select all that apply.)
A) State of health
B) Salary requirements
C) Education
D) Marital status
E) Work experience
F) Licenses/professional memberships
G) Military experience
Q2) When an SP/VN or LPN/LVN is seeking a new position, which pre-interview preparatory action would most likely contribute to a successful interview?
A) Practice responding to sample interview questions.
B) Focus on spontaneity as the key to answering questions.
C) Choose casual clothing, because it denotes self-esteem.
D) Remind oneself to address the interviewer by her or his first name.
Q3) The American Nurses Association (ANA)
A) represents only registered nurses.
B) represents only licensed practical nurses.
C) represents both registered nurses and licensed practical nurses.
D) has attempted to expand licensed practical nurses' scope of practice.
Page 20
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Chapter 19: Licensure and
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Sample Questions
Q1) The content of the NCLEX-PN examination is divided into four Patient Needs categories. The Safe, Effective Care Environment category includes A) the aging process.
B) abuse and neglect.
C) advance directives.
D) medication administration.
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) What advice should the testing candidate consider the best method for preparing to take the NCLEX-PN examination?
A) "Participate in an all-night cram session the night before the test."
B) "Rely on your intuition to answer questions when you do not know the answer."
C) "Study throughout the year and review systematically before the exam."
D) "Quiz previous graduates about test content and study what they mention."
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