Health Assessment for Licensed Vocational Nurses
Exam Questions
Course Introduction
This course provides Licensed Vocational Nurses (LVNs) with foundational knowledge and practical skills necessary for conducting comprehensive health assessments across the lifespan. Emphasis is placed on systematic approaches to obtaining patient health histories, performing physical examinations, recognizing normal versus abnormal findings, and utilizing evidence-based assessment tools. Students will develop critical thinking and clinical judgment skills necessary to accurately assess and document patient conditions, support care planning, and communicate effectively with interdisciplinary healthcare teams. The course integrates theory with practical application through simulations and case studies, preparing LVNs to deliver safe, holistic, and patient-centered care in a variety of healthcare settings.
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
31 Flashcards
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Sample Questions
Q1) Select the factor common to ALL types of adult learners that predisposes them to success in a nursing program.
A) They have few responsibilities at home.
B) They have the motivation to succeed.
C) They automatically qualify for financial aid.
D) They have few daily distractions.
Answer: B
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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3
Chapter 2: Academic Resources (Study Skills and Test Strategies)
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Sample Questions
Q1) Which behaviors indicate that a nursing student is taking responsibility for learning during a lecture-discussion or a cooperative learning session? (Select all that apply.)
A) Advance preparation
B) Discussion participation
C) Listening closely
D) Heated argument
Answer: A, B, C
Q2) A nursing student is experiencing difficulty performing calculations involving fractions and decimals. The most helpful resource would be the A) library.
B) Internet.
C) nursing skills lab.
D) study skills lab.
Answer: D
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Chapter 3: Community Resources
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Sample Questions
Q1) 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
Q2) __________________ 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.
Q3) Place the five steps of Maslow's Human Needs Theory in the correct order:
A) Self-actualization
B) Safety
C) Physiologic needs
D) Esteem
E) Love/belonging
Answer: C, B, E, D, A
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Page 5
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19 Flashcards
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Sample Questions
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) After licensing, the LPN/LVN is permitted to perform complex nursing skills as delegated by the registered nurse (RN) and allowed by the
Q3) The event that had the most profound influence in changing practical/vocational nursing was
A) the depression of the 1930s, when nurses worked for room and board in lieu of salary.
B) the post-World War II movement of practical/vocational nurses into hospital positions.
C) the American Medical Association (AMA) proposal to develop registered care technicians as new health care workers.
D) the first computer-adaptive test for practical/vocational nursing graduates.
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Chapter 5: Critical Thinking: A Lifelong Journey
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Sample Questions
Q1) The cognitive levels used on the NCLEX-PN examination are knowledge, comprehension, application, and _______________.
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) 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
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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22 Flashcards
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Sample Questions
Q1) 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.
Q2) Which situation can be identified as abandonment of patients by the nurse?
A) Calling in sick
B) Floating to a unit after a 2-day orientation to the unit
C) Starting to care for patients on wing A and being reassigned to wing B
D) Going off duty without giving report rather than care for patients on an unfamiliar unit
Q3) The patient asks the nurse, "I overheard the instructor talking to a student about accountability. What does the word 'accountability' really mean?" The best response by the nurse would be
A) "It is a transfer of responsibility for wrong actions."
B) "It is shared responsibility with the physician for wrongdoing."
C) "It is taking personal responsibility for one's nursing actions."
D) "It is giving up responsibility when the situation dictates."
Q4) A system of standards or moral principles that direct actions as being right or wrong is called ___________.
Page 8
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Chapter
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34 Verified Questions
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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) 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 tells the nurse, "I don't know what to expect in the hospital. Everybody speaks medical-talk. Nobody tells me if I'm getting better or worse. Doctors march in and poke and prod me without asking my permission. And another thing, I can't stay here forever; I have to look after my elderly mother." From these data the nurse can correctly determine that the patient is
A) experiencing a difficult transition to the patient role.
B) unnecessarily sensitive to loss of independence.
C) excessively fearful of unknown aspects of hospitalization.
D) suffering from sensory overload.
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.
Q3) A patient states, "I don't want to die from cancer." The nurse responds, "I heard you say you don't want to die from cancer." The nurse's response is an example of _______________, which is an active listening behavior.
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Chapter 9: Assertiveness: Your Responsibility
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Sample Questions
Q1) What are the expected outcomes of using assertive communication in the nursing workplace? (Select all that apply.)
A) It enmeshes the person and the issue.
B) It promotes positive relationships.
C) It is clear and unequivocal.
D) It respects the rights of oneself and others.
E) It is focused on the personal needs of the nurse.
F) It guarantees the user will get his or her way.
Q2) The student nurse has a goal to become a more assertive person. To achieve this, the student nurse must be willing to
A) keep a daily journal.
B) be disliked by others.
C) put down other people.
D) take a positive stand.
Q3) 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 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) Which statement regarding cultural diversity can be used as a basis for caregiving?
A) Silence should always be interpreted as an indication of the patient's dissatisfaction with care.
B) Rules regarding the appropriate amount of eye contact vary among cultures.
C) Personal space requirements are similar for all cultures.
D) The germ theory of illness is universally accepted.
Q3) 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.
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Chapter 11: Spiritual Needs, Spiritual Caring, and Religious Differences
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) To provide effective spiritual care for a Muslim patient, the nurse recognizes that those who believe in Islam refer to God as
A) Brahma.
B) Moroni.
C) Redeemer.
D) Allah.
Q2) To implement effective patient care, which patients would the nurse identify as non-Christian? (Select all that apply.)
A) Mr. A, who is Jewish
B) Miss B, who is Presbyterian
C) Mrs. C, who is Roman Catholic
D) Mr. D, who is Eastern Orthodox
E) Miss E, who is Seventh-Day Adventist
F) Mr. F, who is Buddhist
Q3) 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 ____________________.
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Chapter 12: The Nursing Process: Your Role
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Sample Questions
Q1) 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.
Q2) The student nurse asks, "How does knowing the nursing diagnosis assist the LPN/LVN?" The best response is based on understanding that
A) a nursing diagnosis identifies the patient's problems.
B) it permits the practical nurse to go beyond the scope of practice.
C) this step makes the practical nurse equal to the medical doctor.
D) knowledge of the nursing diagnosis ensures a cure for the patient.
Q3) 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.
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Chapter 13: Nursing Theory, Research, and Evidence-Based Practice
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Sample Questions
Q1) 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.
Q2) The National League of Nursing (NLN) expects the practical/vocational nurse's main role in evidence-based practice to be
A) To challenge the status quo
B) To identify questions that need to be studied
C) To formulate evidence-based protocols
D) To question the basis for nursing actions
Q3) ________________________ was the first to emphasize the environment as influencing the course of illness and is often spoken of as the first nursing theorist.
Q4) In 2010, the ______________________________ established competencies for nursing graduates at all levels.
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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) How should the nurse accurately describe a nurse practitioner to a student nurse?
A) "The nurse practitioner is a student nurse who is near graduation from a basic program."
B) "The nurse practitioner is a registered nurse with a master's degree in nursing and specialty certification."
C) "The nurse practitioner is a registered nurse with doctoral preparation in research methodology."
D) "The nurse practitioner is a nurse who practices exclusively in a university medical center."
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) 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(n)
A) urgent care center.
B) domiciliary residence.
C) intermediate care facility.
D) fitness club.
Q2) The U.S. Public Health Service (USPHS) is funded by A) tax money.
B) lottery money.
C) voluntary contributions.
D) estates and endowments.
Q3) After several weeks of outpatient care, a patient with a badly burned hand has been referred for rehabilitation. The patient asks the nurse what the purpose of rehabilitation is. The best answer would be
A) "It will help you get back the function of your hand and will prevent further disability."
B) "It's a way of keeping you under direct supervision while healing continues."
C) "You'll need to learn new ways of eating and dressing using your good hand."
D) "In your case, I don't know what the purpose is. Why not ask your doctor?"
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Page 17
Chapter 16: The Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) A trend in health care that may negatively affect the number of practical nurses hired by an agency is
A) the aging of the U.S. population.
B) the increased use of unlicensed assistive personnel.
C) decentralization of health care agencies.
D) the emphasis on critical thinking and problem solving.
Q2) Once a deductible has been met, the percentage of the total bill paid by the insured person is known as the _________________.
Q3) Which LPN/LVN will be most successful in dealing with change?
A) Nurse S, who always assumes that the worst will happen in any situation
B) Nurse T, who agrees with whatever the administration proposes
C) Nurse U, who sees change as an opportunity to improve conditions
D) Nurse V, who predicts that the change will probably not work
Q4) The amount an insured person must pay at the time of an office visit, when picking up a prescription, or before a hospital service is known as the
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Page 18
Chapter 17: Collaboration: Leading and Managing
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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) 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 ____________________ style.
Q3) What LPN/LVN charge nurse behavior will best accomplish the goal of promoting team building?
A) Using "I" statements exclusively when talking about the unit's mission and goals
B) Never using rewards to change nursing assistant behaviors because this strategy is manipulative
C) Assuming each nursing assistant is fully informed about the unit's mission and goals
D) Encouraging politeness, cooperation, respect, and trust
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19
Chapter 18: Work Force Trends: How to Find a First Job You
Will Love
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Sample Questions
Q1) The nurse asks for advice about sending a cover letter and résumé electronically to a local health care agency. The best advice would be:
A) "Send the cover letter with the résumé as an attachment."
B) "Paste the résumé to the end of the cover letter."
C) "It is inappropriate to use electronic transmission in this instance."
D) "Phone first to find out whether the person hiring is computer literate."
Q2) 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? (Select all that apply.)
A) IV therapy
B) Wound care
C) Long-term care
D) Managed care
E) Pharmacology
F) Gerontology
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:
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Sample Questions
Q1) 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.
Q2) Which phrases identify differences between taking the NCLEX-PN examination and a "regular" test in a nursing program? (Select all that apply.)
A) One can skip questions and return to them in a program exam.
B) One will be penalized for guessing on the NCLEX-PN examination.
C) There are a variety of question formats on the NCLEX-PN examination.
D) One should stop reading possible answers on the NCLEX-PN examination as soon as selecting the correct answer.
E) The NCLEX-PN examination is individualized; program examinations are identical for all testers.
Q3) The NCLEX-PN examination measures the _____________ competencies needed to practice practical/vocational nursing.
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