Nursing Leadership and Management for LPNs
Final Test Solutions
Course Introduction
This course explores the essential principles and practices of leadership and management within nursing, specifically tailored for Licensed Practical Nurses (LPNs). It covers effective communication, delegation, conflict resolution, team dynamics, ethical decision-making, and strategies for fostering a safe, collaborative, and patient-centered care environment. Students will examine the roles and responsibilities of LPNs in supervisory positions, learn about healthcare policy and resource management, and develop skills in critical thinking, problem-solving, and quality improvement. Through case studies and practical scenarios, the course prepares LPNs to confidently lead teams and manage nursing care in diverse healthcare settings.
Recommended Textbook LPN to RN Transitions 3rd Edition by Lora Claywell
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19 Chapters
398 Verified Questions
398 Flashcards
Source URL: https://quizplus.com/study-set/1117
Page 2
Chapter 1: Honoring Your Past, Planning Your Future
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11 Verified Questions
11 Flashcards
Source URL: https://quizplus.com/quiz/21948
Sample Questions
Q1) A(n) ________ effect experience is one in which movement of the learner toward the desired outcome was constructive.
Answer: POSITIVE
Experiences may be either positive or negative in effect based on the influence on the ultimate outcome.
Q2) An Orthopedic Nurse is contemplating changes in her professional life and identifying goals. Which action should the nurse take if she is interested in pursuing a long-term goal?
A) Studies for a telemetry exam scheduled for next week
B) Enrolls in a Nurse Practitioner program
C) Attends a seminar to become a charge nurse
D) Continues to work on the orthopedic floor full-time
Answer: B
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Chapter 2: Managing Time and Designing Success
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) A nursing professor is grading an assignment on self-defeating behavior. The professor can expect to find which statement written by the student who has a good understanding of perfectionism?
A) Perfection is impossible to attain, and therefore constantly falling short of perfection leads to negative feelings and beliefs about oneself.
B) Perfection is the ultimate goal, and it is not a self-defeating behavior to demand it of oneself.
C) Perfectionism is the only means by which we can truly improve.
D) Perfectionism is a character flaw and cannot be addressed.
Answer: A
Q2) A student has a large reading assignment that must be completed in order to be prepared for the next class. Which action by the student would be ineffective in the planning process?
A) Put off the assignment until later so more content is remembered.
B) Examine your schedule to determine time frames for study sessions.
C) Determine a study environment fitting your learning style.
D) Divide the assignment into manageable chunks, and take notes as you read.
Answer: A
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Chapter 3: Classroom Study Habits That Work
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15 Verified Questions
15 Flashcards
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Sample Questions
Q1) A struggling student admits that she is reading the same paragraph over and over when she tries to read the text. The instructor recognizes this as inhibitory to her comprehension of the material. Which suggestion could the instructor make to the student to help correct the situation?
A) "Just keep trying. Maybe you need to read it over a few times to get it."
B) "Maybe you are waiting too late at night to study. Try studying earlier in the day."
C) "Try putting your finger under the words one at a time."
D) "If the words are a stumbling block, study them alone first, and then as you read, you will be less likely to stumble over them and regress."
Answer: D
Q2) The five-step method of thoroughly studying is composed of which steps in order?
A) Scan, skim, survey, read, recite, review.
B) Scan, skim, read, recite, review, reread.
C) Survey, question, read, recite, review.
D) Survey, question, read, review, reread.
Answer: C
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Page 5
Chapter 4: Basic Math Review: Preparing for Medication
Calculations
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47 Verified Questions
47 Flashcards
Source URL: https://quizplus.com/quiz/21951
Sample Questions
Q1) Kefzol 500 mg in NS 75 mL over 30 minutes
Q2) Infuse 1 L lactated Ringers over 10 hours. Drop factor is 25 gtt/ min.
Q3) Ordered: Vistaril 10 mg IM q4-6h PRN nausea
Pediatric dose range: 0.5 to 1 mg/kg/dose
Child's weight: 44 lb
Available: Vistaril 25 mg/mL
Q4) 500 mL 0.9 normal saline to infuse over 2 hours
Q5) 250 mL vancomycin to infuse over 2 hours
Q6) Ordered: Gantrisin 1.5 g PO QID
Pediatric dose range: 150 to 200 mg/kg/day
Child's weight: 30.4 kg
Available: Gantrisin 500-mg tablets
Q7) 0.45% NaCl 1000 mL over 6 hours
Q8) Staphcillin 1 g in 100 mL D W over 45 minutes
Q9) 500 mL D5LR to infuse in 4 hours
Q10) How much is one dose of Lanoxin?
Ordered: Lanoxin 375 mcg IV in the morning
Available: Lanoxin ampule labeled 0.5 mg/2 mL Page 6
Q11) 250 mL D10W over 10 hours
Q12) Give 1500 mL 0.9 NS with 20 mEq K over 12 hours. Drop factor is 15 gtt/min.
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Chapter 5: Passing NCLEX-RN
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) It is critical that students have _____ and believe that they can pass the NCLEX-RN exam.
A) good study habits
B) a positive attitude
C) a good support system
D) adequate sleep
Q2) It is helpful to understand the difference between school exams and the NCLEX-RN in order to ensure that you are prepared to succeed. The student demonstrates adequate understanding of the NCLEX-RN when she makes which statement?
A) "The exam content will test only recall and recognition of knowledge."
B) "The exam will test my critical and higher thinking skills."
C) "The exam will test my understanding of basic nursing concepts."
D) "The exam will test my knowledge of how to care for patients in the hospital setting."
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8
Chapter 6: Distinguishing the RN Role From the LPN/LVN
Role
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21953
Sample Questions
Q1) A nurse manager is discussing the RN's scope of practice with a new hire. Which statement, made by the new hire, is not true of the RN's scope of practice?
A) "A nurse may be disciplined by the Board of Nursing for practicing beyond his or her scope of practice."
B) "Scope of practice is legally defined by the American Nurses Association."
C) "Scope of practice defines the responsibilities of nurses."
D) "Scope of practice can be found in state nurse practice acts."
Q2) The nursing student is reviewing the different organizations that provide services for nurses. She interprets the American Nurses Credentialing Center as:
A) an association that provides accreditation for baccalaureate and higher degree nursing education programs.
B) the unifying body for the state boards of nursing.
C) an association that offers certification in many nursing specialties.
D) an organization that offers the national licensure examination.
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Chapter
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12 Verified Questions
12 Flashcards
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Sample Questions
Q1) A student understands the contributions of Clara Barton when she states, "Clara Barton
A) is known as the Lady with the Lamp."
B) fought for women's rights."
C) is known as the Angel of the Battlefield."
D) was America's first trained nurse."
Q2) A student is studying the history of nursing. Which statement made by the student would be correct if she had an adequate understanding of America's first trained nurse?
A) "America's first trained nurse reduced student nurses' working hours."
B) "As America's first trained nurse, Isabel Hampton Robb promoted licensure exams."
C) "America's first trained nurse worked to create associate degree programs."
D) "America's first trained nurse was Linda Richards."
Q3) What is the function of Continuous Quality Improvement?
A) To improve staff compliance with training
B) To assist staff in building on nursing skills
C) To assess patient care, from admission to discharge
D) To improve collaboration of staff
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Page 10
Chapter 8: Upholding Legal and Ethical Principles
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/21955
Sample Questions
Q1) Steps the RN can take to reduce the risk of malpractice include all of the following except:
A) administer drugs carefully.
B) document accurately.
C) do not delegate any tasks.
D) think before you speak.
Q2) The RN understands administrative law when she says, "Administrative law governs: A) federal treaties."
B) the operations of government."
C) the conduct of judges."
D) the United States Supreme Court."
Q3) Which statements by the nursing student describe how ethics help nurses solve dilemmas in health care? (Select all that apply.)
A) "Ethics requires us to analyze our actions or potential actions critically."
B) "Ethics assists us in determining the right course of action to take."
C) "Ethics allows nurses to let others more qualified make decisions for us."
D) "Ethics allows nurses to take a break from the situation by waiting for the ethics committee."
E) "Ethics causes problems in health care rather than helps."
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Page 11
Chapter
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/21956
Sample Questions
Q1) A nurse has just realized that her license is due to expire in 5 months. The nurse knows that she is responsible for maintenance of her license in order to continue practicing as a nurse. What would be the best action for her to take?
A) Put off obtaining the continuing education credits until 1 month before the expiration date.
B) Immediately begin working on obtaining the continuing education credits.
C) Email the nursing board to inquire about why she was not notified earlier.
D) Forgo obtaining the continuing education credits and hope that she does is not audited.
Q2) On administering a medication, the RN realizes that she gave the incorrect amount. After assessing the patient, which action would not be appropriate for the nurse to take?
A) Report the incident to the patient's physician.
B) Immediately report the incident to her manager.
C) Keep the incident to herself and continue to monitor the patient.
D) Continue to reassess the patient.
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Page 12
Chapter 10: Using Nursing Theory to Guide Professional Practice
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21957
Sample Questions
Q1) A group of nursing students was discussing the functions of nursing theories. Which statement below would give the impression a student requires more review of the material?
A) "Nursing theories help guide professional practice by interpreting evidence."
B) "Nursing theories have little effect on decision-making in practice."
C) "Nursing theories are influenced by personal values and beliefs."
D) "Nursing theories influence professional behaviors."
Q2) Which statement about nursing conceptual models is true?
A) Nursing conceptual models provide a broad explanation of the world.
B) Nursing conceptual models are composed of a defined and interrelated set of concepts.
C) Nursing conceptual models are abstract concepts that propose outcomes.
D) Nursing conceptual models are related constructs that broadly explain a phenomenon of interest.
Q3) The goal of Ida Jean Orlando's theory of effective nursing practice is to:
A) focus on relationships among the environment, nurse, and patient.
B) reduce the duration of hospital stays.
C) meet the immediate needs of the patient and relieve distress or discomfort.
D) integrate holism into nursing.
Page 13
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Chapter 11: Providing Patient-Centered Care Through the Nursing Process
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21958
Sample Questions
Q1) The nurse is planning care for an 82-year-old obese female patient with Alzheimer's dementia. The patient wanders, is unsteady on her feet, and is visually impaired. What should the nurse give priority to when developing the plan of care?
A) Laboratory results
B) Skin condition
C) Safety
D) Nutrition
Q2) Which nursing diagnosis would be a priority for a patient in acute respiratory distress?
A) Pain
B) Impaired gas exchange
C) Activity intolerance
D) Deficient knowledge
Q3) Which of the following is true about collaborative problems?
A) Collaborative problems fall within the definition of nursing diagnoses.
B) Collaborative problems are managed using two physicians.
C) Collaborative problems require the nurse to monitor for changes in status.
D) Collaborative problems emphasize prevention, treatment, or health promotion.
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Chapter 12: Critical and Diagnostic Thinking for Better Clinical Judgment
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21959
Sample Questions
Q1) An RN has been working with a patient on the nursing unit for a 12-hour shift. The nurse recognizes that each time the patient is turned to the left, the blood pressure drops 15 mm Hg. The same RN has seen this phenomenon in several other patients and makes the connection that patients with right-sided heart failure (the medical diagnosis) will experience a blood pressure drop if they are turned to their left side. This type of reasoning is called:
A) inductive.
B) deductive.
C) reductive.
D) reflective.
Q2) A patient has a problem that prevents him from shaving himself, tying his shoes, or fixing his meals. He is not physically able to compensate for the problem, so he is in need of assistance. Data support the nursing diagnosis "impaired physical mobility" by what mode of reasoning?
A) Induction
B) Deduction
C) Reduction
D) Reflection
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Chapter 13: Practicing Evidence-Based Decision Making
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/21960
Sample Questions
Q1) The process of understanding and applying researched clinical evidence to nursing practice requires the nurse to become information literate. Which action by the nurse best describes the use of information literacy?
A) Identifies a specific clinical problem, accesses appropriate resources, and assesses the relevancy of use of information for that particular patient's problem
B) Identifies a particular patient problem and immediately notifies the physician and family for treatment
C) Identifies the lack of research skills and consults a librarian for a workshop on conducting research studies
D) Identifies the lack of research skills and consults a scientific researcher to teach basic computer information
Q2) What is the relationship between the design and layout when creating a critical appraisal tool?
A) Design and layout differ but measure the same areas.
B) Design and layout differ, and reliability measures differ.
C) Design, layout, and reliability are similar but relevancy differs.
D) Design, layout, and reliability differ but trustworthiness is the same.
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Page 16
Chapter 14: Communicating With Patients and Co-Workers
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21961
Sample Questions
Q1) A nurse has a plan for teaching the patient about a newly diagnosed disease. On entering the room the nurse realizes that the patient is blind. What considerations for communication should the nurse be aware of?
A) Tone, pitch, inflection, and intensity affect how messages are communicated.
B) Messages are clearer when verbal communication and nonverbal cues are opposite.
C) Verbal communication must be understood within the context of a patient's culture, gender, and age.
D) Facial expressions and eye contact are characteristics of verbal communication.
Q2) An example of a communication blocker is:
A) silence.
B) eye contact.
C) advising.
D) clarifying.
Q3) When preparing for patient teaching what should the nurse do first?
A) Assess the learner's needs.
B) List key points to be presented.
C) Collect the teaching materials.
D) Think about how the skill can be done at home.
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Chapter 15: Teaching Patients and Their Families
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20 Verified Questions
20 Flashcards
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Sample Questions
Q1) A nurse discusses home arrangements and safety factors related to emptying and changing the patient's new colostomy bag. The patient has strong concerns about visibility of any stored colostomy supplies. Which teaching-learning principle does this example demonstrate?
A) Using multiple teaching strategies to accommodate a variety of learning styles
B) Increased effectiveness of teaching by involving the patient in the setting of objectives
C) Paying attention to the timing during the hospitalization and planned discharge date when providing needed information
D) Developing a strong nurse-patient relationship from the beginning of the contract with the patient
Q2) An 18-year-old patient is scheduled for heart surgery tomorrow. To assess this patient's level of knowledge, the nurse would say:
A) "Tell me the name of the surgery you are going to have."
B) "Do you understand what the doctor is going to do to you?"
C) "Would you be willing to take a test for me?"
D) "Tell me what you know about what is going to happen tomorrow."
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Chapter 16: Leading, Delegating, and Collaborating
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/21963
Sample Questions
Q1) All of these nursing actions are included in the plan of care for a patient who is malnourished. Which action is appropriate for the RN to delegate to a nursing assistant?
A) Assist the patient in choosing high-nutrition items from the menu.
B) Monitor the patient for skin breakdown over the bony prominences.
C) Assess the patient's strength while ambulating the patient in the room.
D) Offer the patient the ordered nutritional supplement between meals.
Q2) Which of these nursing interventions for the patient who has had right-sided breast-conservation surgery and axillary lymph node dissection is appropriate to assign to an LPN/LVN?
A) Teaching the patient how to avoid injury to the right arm
B) Administering an analgesic 30 minutes before the scheduled arm exercises
C) Assessing the patient's range of motion for the right arm
D) Evaluating the patient's understanding of discharge instructions about drain care
Q3) Which of these tasks is appropriate for the RN to delegate to a LPN/LVN?
A) Documenting patient teaching about a routine surgical procedure
B) Teaching a patient how to self-administer insulin
C) Administering an oral medication to a patient
D) Completing the initial assessment and plan of care
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19
Chapter 17: Promoting Healthful Living in the Primary Care Setting
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/21964
Sample Questions
Q1) A homeless patient with severe anorexia, fatigue, jaundice, and hepatomegaly is diagnosed with viral hepatitis and has just been admitted to the hospital. In planning care of the patient, the nurse assigns the highest priority to the patient outcome of:
A) establishing a stable home environment.
B) maintaining adequate nutrition.
C) increasing activity level.
D) identifying the source of exposure to hepatitis.
Q2) A nurse is caring for a non-English-speaking Asian patient whose cultural practices are not familiar to the nurse. The nurse is curious about practices regarding communication and eye contact. The nurse should:
A) tell the patient that it is cultural practice in the United States to maintain good eye contact when communicating with someone.
B) observe the behaviors and interactions between the patient and other members of the culture.
C) avoid all eye contact unless the patient establishes eye contact.
D) use eye contact and communication techniques that are most comfortable for the nurse.
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Page 20
Chapter 18: Managing Care in Secondary and Tertiary
Health Care
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/21965
Sample Questions
Q1) A stroke patient has been discharged from the hospital and requires care at home. Family support includes the patient's husband and one adult child who lives 90 minutes away with her family, who helps as often as possible. The husband has had to miss work often and has stopped playing golf weekly to care for his wife. What tertiary care service may be a benefit not only to the family members but to also the patient?
A) Home health care
B) Respite care
C) Hospice care
D) Extended care
Q2) A patient has been discharged home after being hospitalized for a fractured foot following a motor vehicle accident. The doctor has ordered physical therapy for the patient to help gain strength and flexibility after the cast can be removed. This patient will likely receive a referral for what tertiary service?
A) Respite care
B) Home health care
C) Wound care
D) Rehabilitation care
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Chapter 19: Reflecting on Your Transition
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18 Verified Questions
18 Flashcards
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Sample Questions
Q1) Which patient is at greatest risk for injury and requires the nurse's immediate attention? The patient who had a(n):
A) paracentesis 20 minutes ago and is sitting in bed with the arms resting on the overbed tray.
B) surgical repair of an incarcerated hernia yesterday and now has slight bruising at the incision site.
C) echocardiogram that showed an ejection fraction of 40% and has a resting heart rate of 110 occasional PVCs.
D) needle liver biopsy 1 hour ago and is now thrashing about in bed and complaining of severe abdominal pain.
Q2) A patient weighed 200 lb 6 months ago. He now weighs 160 lb. He has not been trying to lose weight. Based on the defining characteristics of nutrition, less than body requirements, the nurse's best response would be:
A) "You need to modify your diet so you don't lose more weight."
B) "That is a significant weight loss. How would you account for it?"
C) "Congratulations. That is a major achievement."
D) "How tall are you? I am wondering if that is a good weight for your height."
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