Introduction to Vocational Nursing
Chapter Exam Questions
Course
Introduction
Introduction to Vocational Nursing provides students with a comprehensive overview of the nursing profession, focusing on the roles and responsibilities of a vocational nurse within diverse healthcare settings. The course covers fundamental nursing concepts, legal and ethical issues, patient care principles, communication skills, and basic clinical tasks. Through a combination of classroom instruction and hands-on learning, students gain foundational knowledge in patient assessment, health promotion, infection control, and safety procedures, preparing them for further study and practical experience in the field of vocational nursing.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Signe S. Hill
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Page 2
Chapter 1: The Adult Learner: Hints to Succeed
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Q1) What strategy can be used by a nursing student to effectively combat a fear of failure?
A) Experience a large number of positive events
B) Maintain good physical health
C) Have adequate money to provide for needs
D) Create a mental script of positive thoughts
Answer: D
Q2) 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.
Q3) Which statement best describes an active learning situation?
A) The learner practices bed-making.
B) The learner watches a peer make a bed.
C) The learner watches the instructor make a bed.
D) The learner pays attention during lecture.
Answer: A
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Page 3
Chapter 2: Time Management: Making Time Work for You
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Q1) The outcome that is the best evidence that a nursing student's time management plan is working is that the student
A) reports feeling happy at home.
B) is popular with peers.
C) achieves passing grades on tests and evaluations.
D) demonstrates positive relationships with instructors.
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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Q1) Primarily right-brained individuals tend to be
A) intuitive.
B) rational.
C) objective.
D) analytical.
Answer: A
Q2) A nursing student receives a poor grade on a nursing examination. While reviewing the examination with the student, the instructor notes that the student reads aloud fluently but is unable to state in words what question the item is asking and cannot adequately summarize data presented in the item. These observations should lead the instructor to suspect
A) low intelligence.
B) lack of interest in nursing.
C) inability to comprehend content.
D) a need to adopt a new learning style.
Answer: C
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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Q1) A struggling nursing student studies several hours daily while children watch television nearby. It is likely that this student needs to A) schedule another hour of nightly study.
B) correct eyestrain by having his or her eyes tested.
C) study where there are fewer external distractions.
D) listen actively in class to reduce study hours.
Q2) A nursing student is asked to identify distractions that limit the ability to concentrate. An example of an internal distraction is
A) mental fatigue.
B) background noise.
C) the physical environment.
D) other nursing students.
Q3) The rationale for use of short, frequent study periods that focus on understanding the material is
A) to memorize facts.
B) to lay down a neural trace.
C) to prevent old knowledge from interfering with recall of new knowledge.
D) to motivate learning by developing a positive attitude toward the subject matter.
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Chapter 5: Learning During School: Using Available Resources
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Q1) 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.
Q2) A nursing student asks a peer, "Why do we need a course outline when we have a course syllabus?" The response that best explains the importance of course outlines is
A) "They replace the teacher."
B) "They substitute for the textbook."
C) "They eliminate the need for class attendance."
D) "They indicate the level of understanding needed to pass the course."
Q3) 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.
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Chapter 6: Personal Health Promotion: a Role Model for Patients
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Q1) The nurse who works in the ICU leaves the room of a patient and bursts into tears. She tells a co-worker, "I have to touch the patient to provide care, but when I was turning her, a big piece of skin just sloughed off her back. How can I justify giving care when it seems to do more harm than good?" The nurse is most likely experiencing A) burnout.
B) detachment.
C) negative outcomes.
D) secondary traumatic stress.
Q2) Health promotion for patients is facilitated when the nurse encourages changes based on information that diabetes, heart disease, and breast and colon cancer are causally linked to A) environmental toxins.
B) hypolipidemia.
C) overactivity.
D) obesity.
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Chapter 7: How Practicalvocational Nursing Evolved: 1836 to Present
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Q1) The outcome that can be predicted for the latest nurse education proposal is that
A) LPN/LVN education will be extended to 2 years.
B) LPN/LVN licensure will be abandoned.
C) the LPN/LVN will be the lower level for entry into practice.
D) the outcome cannot be determined at this time.
Q2) 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
Q3) The event that had the greatest influence on the role of practical nurses in modern hospital nursing was
A) the Crusades.
B) the Industrial Revolution.
C) the U.S. Civil War.
D) World War II.
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Chapter 8: Critical Thinking: a Lifelong Journey
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Q1) During a performance evaluation, the evaluator describes several behaviors of the nurse. Select the observations that indicate the nurse uses critical thinking. (Select all that apply.)
A) "I have noted that you base care on patient needs."
B) "Your caregiving is guided by identified outcomes."
C) "You use professional standards as guidelines."
D) "You tailor interventions to the circumstances."
E) None of the above
Q2) Which factor that influences critical thinking provides the best rationale for using a team meeting to plan care for a patient?
A) Collaboration
B) Moral development
C) Self-confidence
D) Maturity
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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Page 10
Chapter 9: Nursing Process: Your Role
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Q1) 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.
Q2) 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.
Q3) Which of the following are reasons the nursing process and critical thinking are included in the LPN/LVN curriculum? (Select all that apply.)
A) Both are needed to identify patient problems, issues, and risks.
B) They foster making evidence-based judgments.
C) Clearer communication between RN and LPN can take place.
D) Job stress and burnout are diminished.
E) Patient safety is adversely affected.
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Page 11
Chapter 10: Nursing Theory, Research, and Evidence-Based Practice
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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) 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) The level of nurse qualified to design and implement research studies and publish findings is a nurse with a
A) research doctorate.
B) practice doctorate.
C) master's degree.
D) baccalaureate degree.
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Chapter 11: Ethics Applied to Nursing: Personal Vs Professional Ethics
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Q1) 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."
Q2) 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
Q3) A system of standards or moral principles that direct actions as being right or wrong is called ____________________.
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Page 13
Chapter 12: Nursing and the Law: What Are the Rules
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Q1) The Nurse Practice Act of state X expressly states that blood products may be administered only by physicians, registered nurses, and physician assistants. Under what conditions can an LPN/LVN administer a unit of packed red cells?
A) When a physician orders it
B) If the registered nurse delegates it
C) If the agency policy allows it
D) Never; LPN/LVNs cannot administer packed cells
Q2) An example of battery is
A) a patient who refuses to be suctioned and is suctioned anyway after refusal.
B) a patient who uses the call light and yells out repeatedly is threatened with bodily harm.
C) a patient who threatens to leave the hospital against medical advice is told she will be restrained.
D) a patient who refuses to take his medications is threatened with being forcibly given the medications.
Q3) A legal document that describes the kind of medical or life-sustaining treatments the person would want if seriously or terminally ill is known as a(n)
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Q1) Characteristics of one-way communication include all of the following except A) it is sender controlled.
B) receiver feedback is not expected.
C) it always has negative value.
D) it is useful to give commands.
Q2) 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.
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15
Chapter 14: Assertiveness: Your Responsibility
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Q1) 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.
Q2) A nurse demonstrates assertive behavior by doing which of the following?
A) Assuming a patient would like to skip the bath when the patient's spouse comes to visit
B) Being unable to continue suctioning a patient because she is concerned the patient will not like her for doing it
C) Experiencing a feeling of devastation when the patient questions her ability to insert an intravenous catheter
D) Requesting to speak with the physician privately when she feels that the physician has ordered an inappropriate treatment
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Chapter 15: The Health Care Team: Where the
Practicalvocational Nurse Fits in
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Q1) The aspect of functioning that distinguishes RNs from LPN/LVNs is that only RNs
A) plan and organize daily care for groups of patients.
B) implement measures ordered to prevent complications.
C) provide health information to patients and families.
D) initiate independent nursing actions based on nursing diagnoses.
Q2) 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
Q3) 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
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17
Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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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) 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.
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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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Q1) A religion that was founded by Siddhartha Gautama in the sixth century BC in India is A) Buddhism.
B) Hinduism.
C) Mormonism.
D) Catholicism.
Q2) To implement effective patient care, which patients would the nurse identify as non-Christians? (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 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.
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Chapter 18: Health Care Settings: Potential Job Sites
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Q1) At a patient care planning conference, the nurse hears the remark, "We need to report this event to our official public health agency." The nurse interprets this as meaning the speaker will contact the
A) American Cancer Society.
B) Visiting Nurse Association.
C) National Easter Seal Society.
D) local health department.
Q2) A nurse is asked about public health care agencies. Which of the following would help the nurse frame a comprehensive response? (Select all that apply.)
A) Public health agencies are entirely supported by fees for services.
B) There are two types of public health agencies: official and voluntary.
C) Public health agencies seek to make a profit for the owners.
D) Public health agencies focus on curing illness and disease.
E) Public health agencies emphasize disease prevention, wellness promotion, research, and education.
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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Page 20
Chapter 19: Health Care System: Financing, Issues, and Trends
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Q1) Which of the following constitutes a problem that affects data collected by the nurse interviewing an elderly, chronically ill patient? Many elderly who are covered only by Medicare Parts A and B find it difficult to pay the cost of
A) hospital care for an acute short-term illness.
B) prescription drugs while living at home.
C) post-hospitalization rehabilitation services in a skilled nursing facility.
D) doctor's office visits, Pap smears, and mammography.
Q2) 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.
Q3) 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
Page 21
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Chapter 20: Leadership Skills
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Q1) A leadership style that focuses on both the task and the employee is the
A) autocratic style.
B) situational style.
C) democratic style.
D) laissez-faire style.
Q2) A nursing assistant states, "I have never learned how to transfer a resident with end-stage Parkinson's disease from the bed to the chair." The nursing assistant refuses to transfer the resident at this time. Select the appropriate approach for the LPN/LVN charge nurse to take.
A) Reprimand the nursing assistant for not performing the job.
B) Encourage the nursing assistant to carry through with the transfer.
C) Arrange to teach the nursing assistant how to transfer the resident.
D) Mention that nursing assistants can be charged with insubordination if they do not perform their jobs.
Q3) LPN/LVNs functioning in an expanded role are most often employed in
A) critical care units.
B) pediatric clinics.
C) home health care.
D) long-term care.
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Page 22
Chapter 21: Lpnlvn Charge Nurse Skills: Management,
Including Assignment and Delegation
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Q1) A resident has not voided in 6 hours. Which instruction to a nursing assistant would likely ensure getting the information needed by the LPN/LVN charge nurse?
A) "Watch the resident's output closely today."
B) "I need to know if the resident is voiding sufficiently."
C) "The resident should void at least twice during the shift in quantities of 200 ml or more."
D) "Report to me immediately if the resident voids between now and 10 AM, and tell me the amount he voids. If he has not voided by 10 AM, please report this to me."
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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Page 23
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Q1) Assuming all are true, which information about a new graduate should be included in a résumé to highlight abilities that would be valuable to an employer?
A) Prefers annual salary of $50,000 to $52,000
B) President of sky diving club
C) Fluent in American sign language
D) Plans to move to a nearby state after 1 year
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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Q1) Which phrases accurately describe computerized adaptive testing (CAT) as used in the NCLEX-PN examination? (Select all that apply.)
A) Selects questions of varying difficulty, depending on previous responses
B) Provides an individualized examination for each tester
C) Requires the tester to answer a minimum of 85 questions
D) Selects an equal number of questions from the four categories of client need
E) Ends testing when 50% of the questions have been answered correctly
Q2) 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.
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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Page 25
Chapter 24: Future Career Decisions: Choosing What Is
Right for You
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Q1) Desirable qualities and skills for the LPN/LVN working in mental health nursing include
A) a judgmental attitude and sympathetic approach.
B) preference for working alone and sticking to a routine.
C) empathy, good communication, and the ability to work on a team.
D) inflexibility, the ability to jump to conclusions, and sensitivity to change.
Q2) 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.
Q3) During an employment interview, the interviewee asks what additional educational experiences the LPN/LVN can count on receiving when employed at the facility. Which continuing education opportunity is the interviewer most likely to say the agency offers?
A) Annual off-site paid workshops
B) Orientation and in-service classes
C) Paid courses at a local 2-year college
D) Correspondence courses funded by NAPNES
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Page 26