Licensed Vocational Nurse (LVN) Transition Course
Practice Exam
Course Introduction
The Licensed Vocational Nurse (LVN) Transition Course is designed to bridge the knowledge and skills gap for LVNs seeking advancement in their nursing careers. This course focuses on expanding clinical competencies, critical thinking, and leadership qualities essential for higher-level nursing roles. Topics include patient assessment, care planning, pharmacology, and complex nursing interventions, with an emphasis on evidence-based practice and interprofessional collaboration. Additionally, students develop an understanding of contemporary healthcare systems, ethical and legal responsibilities, and professional communication. The course combines classroom instruction with hands-on clinical experiences, preparing LVNs to successfully transition into roles with greater responsibility and scope of practice.
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) 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) When explaining the responsibility of the learner to a group of nursing students,a mentor should emphasize that the learner's first priority is to A) absorb the knowledge taught by the instructor.
B) be self-directed and active in the process of learning.
C) study only what the instructor emphasizes in class.
D) focus on learning 65% of the information that is taught.
Answer: B
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3
Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) Using a schedule allows a nursing student to A) develop inflexibility.
B) increase anxiety related to deadlines.
C) allocate adequate study time.
D) find time to do everything.
Answer: C
Q2) Nursing student A is unfamiliar with writing a "to do" list.A nurse experienced in time management would advise nursing student A to include which of the following items?
A) Successfully complete nursing program.
B) Read pages 307 to 342 in the nursing textbook.
C) Hand in a term paper.
D) Remind himself to drop off the dry cleaning.
E) Call to make a dentist appointment.
F) Pick up the clinical assignment for tomorrow.
Answer: B,C,D,E,F
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4
Chapter 3: Learning Methods and Skills: How Do You
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Sample Questions
Q1) A patient who is learning diabetic self-care states,"I have to develop the ability to see the 'big picture' instead of getting hung up with the little things in my care plan." The nurse who understands brain function would see this as related to
A) adult attention deficit disorder.
B) fight-or-flight reaction.
C) left brain dominance.
D) a larger than usual corpus callosum.
Answer: C
Q2) A person who learns best by humming,singing,or playing an instrument is known as what type of learner?
A) Linguistic leaner
B) Spatial learner
C) Musical learner
D) Interpersonal learner
Answer: C
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) 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.
Q2) In the PQRST method of studying,it is suggested that 50% of the student's time be devoted to which two steps?
A) Preview and read
B) State and test
C) Read and state
D) Preview and question
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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Page 6
Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) A student nurse is utilizing the technique of cooperative learning.Cooperative learning includes which of the following?
A) Working in small groups
B) Active involvement in learning
C) Development of critical thinking skills
D) Assistance in learning the course content
E) Discouragement of the development of teamwork
F) An emphasis on individual accountability for learning
Q2) A nursing student tells a peer,"There's so much to remember that I'm afraid I'll never pass the skill evaluation for changing a sterile dressing." A helpful response by the peer would be based on the understanding that for most nursing students,psychomotor/clinical skills can best be learned by
A) performing them.
B) reading about them.
C) watching a peer practice them.
D) watching a filmstrip about them.
Q3) A technique that emphasizes individual accountability for learning a specific academic task while working in small groups is known as ____________________.
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Chapter 6: Personal Health Promotion: A Role Model for Patients
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Sample Questions
Q1) The LPN/LVN tells the charge nurse,"You can be glad I'm on duty today to pick up the slack for the staff member who called in sick.It's lucky that I came in early.Oh,and by the way,I can stay late,if necessary.You know how the next shift is.They expect everything to be caught up,even if they aren't that efficient themselves." These remarks suggest that the LPN/LVN may be
A) a chronic complainer.
B) a team player.
C) co-dependent.
D) chemically dependent.
Q2) During report,the LPN/LVN relates that although her assigned patient was ambulatory,she provided a bed bath,special foot care,and nail care; she justified the care by saying that the patient seemed very tired.The nurse also mentioned that the patient had a number of personal problems for which she provided counseling.The charge nurse recognizes these behaviors as suggesting
A) conscientious nursing.
B) empathetic response.
C) conflict avoidance.
D) co-dependence.
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Chapter 7: How Practical/Vocational Nursing Evolved: 1836 to
Present
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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) 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.
Q3) When was the first U.S.school of practical nursing founded?
A) 1830
B) 1853
C) 1892
D) 1902
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Page 9
Chapter 8: Critical Thinking: A Lifelong Journey
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30 Flashcards
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Sample Questions
Q1) Which question should be asked by a nursing student who is developing a plan to increase his critical thinking ability so as to achieve higher grades?
A) "Do I comprehend information from textbooks and classes?"
B) "I wonder how to improve my overall efficiency?"
C) "I'll have to learn from my mistakes."
D) "Someone needs to check my conclusions."
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) A nursing student demonstrates the ability to basically understand information,recall it,and identify examples of that information.This is an example of what cognitive level?
A) Analysis
B) Knowledge
C) Application
D) Comprehension
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Page 10
Chapter 9: 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) database.
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 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.
Q3) How does the LPN/LVN use nursing diagnosis in patient care?
A) To set patient-centered goals
B) To convert nursing diagnoses to patient problems
C) To implement independent nursing interventions
D) To justify participation in data collection
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 10: Nursing Theory,Research,and
Practice
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Sample Questions
Q1) The health belief theory was developed by A) Leininger.
B) Watson.
C) Rosenstock.
D) Orem.
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) 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.
Page 12
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Chapter 11: Ethics Applied to Nursing: Personal
vsProfessional Ethics
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Sample Questions
Q1) 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.
Q2) What actions should be taken by the nurse to increase the possibility of doing no harm while caring for a patient?
A) Never participate in any action that will deliberately harm the patient.
B) Question how to do the least amount of harm when doing something that is expected to result in good.
C) Make sure the patient has agreed to the procedure verbally or in writing.
D) Perform new procedures without seeking supervision.
E) Become aware of side effects of commonly administered medications.
Q3) A nurse injects himself or herself with a narcotic prescribed for a patient.This is an example of
A) unethical and illegal behavior.
B) ethical and legal behavior.
C) unethical but legal behavior.
D) ethical but illegal behavior.
Page 13
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Chapter
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Sample Questions
Q1) In the following list,identify the instances of possible malpractice.
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.
Q2) 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)____________________.
Q3) 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.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) The nurse enters a patient's room and asks,"How are things today?" The nurse has used
A) an open-ended question.
B) a focused question.
C) probing.
D) paraphrasing.
Q2) 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.
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 the elderly.
D) Focused questions are more useful when communicating with men.
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Chapter 14: Assertiveness: Your Responsibility
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Sample Questions
Q1) Which statement shows a personal commitment to work on the goal of devoting more time to coursework for the LPN/LVN program?
A) "My friends have to stop asking me to do time-consuming favors for them."
B) "My family needs to take on more responsibility for household tasks so I have more time to study."
C) "The charge nurse should stop asking me to work overtime and instead ask other CNAs."
D) "I will say 'no' when people ask me to do things that take time away from my studies."
Q2) 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.
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Chapter 15: The Health Care Team: Where the
Practical/Vocational Nurse Fits In
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Sample Questions
Q1) 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.
Q2) 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
Q3) A nurse describes the method of care delivery on a unit as "using nursing staff in varying ratios to meet patient needs and coordinating care using care pathways." This best describes
A) nursing case management.
B) primary nursing.
C) team nursing.
D) the skill mix method.
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) Patient A,who has terminal cancer,and Patient B,who has a bladder infection,share a hospital room.Neither patient is a member of the majority culture of the area.Patient A is quiet and rarely acknowledges pain.Patient B cries and moans loudly much of the day.What understanding will help the nurse provide culturally sensitive care for both patients?
A) The better educated the person, the less likely the person is to openly express pain.
B) A mentally unstable person is more likely to be noisy about pain sensations.
C) People respond to the sensation of pain in culturally determined ways.
D) People who distrust health care workers tend to be silent about their pain.
Q2) A patient who utilizes the biomedical health belief system would be most likely to respond to interventions by a/an
A) diviner.
B) shaman.
C) herbalist.
D) physician.
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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Page 18
Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) When a patient is asked about religious preference,she states,"I am agnostic." The nurse's best interpretation of this is the patient
A) does not believe in God.
B) believes in God and supernatural powers.
C) does not believe that the supernatural exists.
D) believes that the existence of God can be neither proved nor disproved.
Q2) 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
Q3) 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.
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Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) 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
Q2) The health care agency that provides information and support for breast-feeding mothers and breast milk for infants because of health reasons is the______________.
Q3) Which of the following are types of health care agencies in which the LPN/LVN would most likely find work?
A) Board and care home
B) Emergency unit facility
C) Skilled nursing facility
D) Adult day care center
E) Hospice
Q4) ___________________ are for-profit hospitals operated for the financial benefit of the owner of the hospital.
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) A patient asks the nurse,"What do health maintenance organizations (HMOs)do to reduce health care costs?" The response giving the best example of an HMO cost-containment method would be
A) "HMOs pool individual contributions for use in catastrophic illness."
B) "HMOs provide supplemental coverage for items not covered by Medicare."
C) "HMOs use a retrospective payment system."
D) "HMOs provide services aimed at keeping members healthy."
Q2) 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
Q3) A 70-year-old patient tells the nurse,"I can't go to the hospital for treatment,because I have no hospital insurance.My Social Security and my pension pay my living expenses,but I don't have any savings." The nurse's response should be focused on A) providing information about Medicare.
B) explaining the provisions of Medicaid.
C) exploring the patient's ability to purchase group health insurance.
D) investigating which hospitals provide free care for indigent patients.
Page 21
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Chapter 20: Leadership Skills
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Sample Questions
Q1) The LPN/LVN nursing home charge nurse usually tells nursing assistants what to do and offers little opportunity for input or suggestions for how to improve care.This leadership style is called
A) autocratic.
B) democratic.
C) situational.
D) laissez-faire.
Q2) A people-oriented leadership style that focuses on people's feelings but ignores the task at hand and allows people to act without any direction is the A) autocratic style.
B) situational style.
C) democratic style.
D) laissez-faire style.
Q3) For an LPN/LVN to motivate staff members to meet the goals of the organization,it is helpful if the nurse
A) practices intimidation.
B) understands work motivators.
C) offers laissez-faire leadership.
D) emphasizes policies rather than people.
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Page 22
Chapter 21: LPN/LVN Charge Nurse Skills: Management,
Including Assignment and Delegation
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Sample Questions
Q1) The LPN/LVN charge nurse has assigned tasks to the nursing assistant staff and the LPN/LVN orienting to the unit.On which statement about responsibility for outcomes should the LPN/LVN charge nurse base her or his actions?
A) The LPN/LVN charge nurse has no further responsibility, because the staff members have accepted the assignments and are responsible for completing all tasks.
B) The LPN/LVN charge nurse is responsible for checking the outcomes of care of the LPN/LVN orientee only because he is not an official member of the staff.
C) The LPN/LVN charge nurse is responsible for checking the outcomes of care of the nursing assistants only, because the nursing assistants are unlicensed, whereas the LPN/LVN orientee is a licensed employee.
D) The LPN/LVN charge nurse is legally responsible for checking the outcomes of all assignments made.
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Sample Questions
Q1) Identify information that should be included in a résumé.
A) State of health
B) Salary requirements
C) Education
D) Marital status
E) Work experience
F) Licenses/professional memberships
G) Military experience
Q2) Dressing for success at an interview means an applicant should
A) select clothing that could be worn at a cocktail party and a formal hair style.
B) wear well-fitting, businesslike clothes and a neat hairstyle.
C) wear only new, very conservative dark clothing and have a new haircut and/or style.
D) wear an outfit that reflects one's "off-duty" personality or hobbies and a casual hairstyle.
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24
Chapter 23: The NCLEX-PN Examination
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Sample Questions
Q1) The LPN/LVN tells a peer,"I want to be endorsed in state X.What step do you think I should take first?" The best response would be
A) "Ask our state board to send you a copy of your NCLEX-PN examination score."
B) "Photocopy your license and current registration."
C) "Write to the board of nursing in state X and ask for instructions."
D) "Request our state board to inactivate your license."
Q2) Which statements provide accurate information about determination of pass/fail by NCLEX-PN computerized adaptive testing?
A) Only questions testing the application or analysis level of cognition are scored.
B) Each question that appears on the screen must be answered; none can be skipped.
C) Of the more difficult questions asked, 50% must be answered correctly to pass.
D) One's score must be at least 75% of the 205 total questions asked.
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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) The home health agency has offered to hire the LPN/LVN applicant as a home health aide.What consideration provides the greatest deterrent to the LPN/LVN accepting the offer?
A) The LPN/LVN will have difficulty receiving compensation from employers.
B) Patients will respond less favorably to the individual because of status issues.
C) Legally, one is always held to the standard of performance of their highest license.
D) Once employed as a home health aide, the individual cannot be employed as an LPN/LVN.
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